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Title: Comparing Complex Network and Latent Factor Models of Seasonal Affective Disorder
Creator: Smetter, Joseph
Date: 2019
Description: Research on Seasonal Affective Disorder (SAD) has produced several etiologicalmodels of SAD symptomatology, including a common cause model...
Show moreResearch on Seasonal Affective Disorder (SAD) has produced several etiologicalmodels of SAD symptomatology, including a common cause model that conceptualizessymptoms as the result of a single underlying disease process, and the Dual VulnerabilityModel (Young et al., 1991) which posits that psychological symptoms of depressionfollow the onset of vegetative symptoms (e.g. hypersomnia, increased appetite) inindividuals with a vulnerability to seasonal changes. Studies of the structure of SADsymptomatology have been limited in their ability to evaluate these models. This studyused exploratory factor analysis and network analysis to examine baseline winter SADsymptoms (using a modified BDI-II) in 177 adults participating in a randomizedcontrolled trial of light treatment and CBT for SAD (Rohan et al., 2015). The factoranalysis supported a four-factor model that included negative cognition/affect, loss ofvitality, dysregulation, and increases in weight/appetite. The complex network model ofSAD conceptualized the network as a system of interacting symptoms. Results of thenetwork model paralleled those of the factor analysis in producing four communities ofinter-correlated symptoms. In addition to the full symptom network, a directed acyclicgraph was constructed to model causal relations between symptoms. Results suggest thatvegetative symptoms (loss of vitality and appetite/weight) lead ultimately to cognitivesymptoms, with intermediate effects of dysregulation symptoms. This partially supportsthe Dual Vulnerability model. Findings from the factor analysis and the network analysisare compared, and their implications for and treatment of SAD is discussed.
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Title: The Relation Between Executive Functions and Academic Performance in Clinically-Referred Adolescents
Creator: Coultis, Nora Plumb
Date: 2021
Description: The literature on executive functioning (EF) and academic performance has focused on early academic performance in young children (Best et al....
Show moreThe literature on executive functioning (EF) and academic performance has focused on early academic performance in young children (Best et al., 2011). Few studies have assessed the relation between EF abilities and academics in adolescents, which is particularly important because the demand on EF skills greatly increases in middle and high school (Best et al., 2011). Environmental factors, including completing multiple assignments, managing increased independent work, and changing classes, exacerbate the EF burden and reduce cognitive resources (Langberg et al., 2013; Samuels et al., 2016). Academic tasks also become more complex during middle and high school, for example, requiring solving algebraic problems, reading comprehension, and expository writing (Bull & Scerif, 2001; Sesma et al., 2009). Thus, complex academic tasks in adolescence likely require a higher demand on EF abilities compared to academic tasks in early childhood. The extant literature also has several limitations, such as focusing on only a couple of EF or academic domains and using parent- or teacher-report ratings rather than performance measures. Therefore, the aim of this study was to examine the relation between four domains of EF (i.e., working memory, inhibition, shifting, and planning) and three areas of academic performance (i.e., reading, writing, math) in a sample (N = 87) of clinically-referred middle and high school students. Contrary to expectation, results of hierarchical multiple regression analyses revealed that the measures of EF did not contribute significant additional variance to scores in reading and writing performance after controlling for IQ. It is notable that the EF variables did contribute a significant amount of additional variance to math scores after controlling for IQ and diagnosis. However, only working memory was significantly associated with math performance. This finding suggests that strategies designed to enhance working memory may be effective in improving math performance in students who are underperforming.
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Title: EXAMINING THE ROLES OF PUBLIC STIGMA AND ACCULTURATION ON CARE-SEEKING IN PAKISTANIS
Creator: Laique, Aamir
Date: 2021
Description: Pakistani Americans face bi-directional cultural influences related to their heritage culture and the mainstream culture of the host. The...
Show morePakistani Americans face bi-directional cultural influences related to their heritage culture and the mainstream culture of the host. The present study examined the impact of culture on the relationship between public stigma and care-seeking attitudes. A sample of 158 Pakistani Americans was collected using MTurk. Hierarchical regression was conducted to examine the moderating effect of heritage acculturation and mainstream acculturation on the relationship between public stigma and care-seeking. Multiple regression analysis predicting care-seeking from public stigma, heritage acculturation, and mainstream acculturation did not yield a statistically significant model. Hierarchical regression analyses examining the moderating effect of heritage acculturation and mainstream acculturation were non-significant. Acculturation had no notable impact on stigma and care-seeking. This study was unable to demonstrate significant results. Future considerations should include inter-generational differences, other forms of stigma that may play a crucial role, and inclusion of different measures to determine if there are other scales better suited for the target population.
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Title: Self-Stigma & Vicarious Stigma Experienced by Parents of Children with Mental Health Challenges
Creator: Serchuk, Marisa Dyan
Date: 2019
Description: Research has been limited regarding the stigma experienced by parents of children with mental health challenges. It is commonly understood...
Show moreResearch has been limited regarding the stigma experienced by parents of children with mental health challenges. It is commonly understood that stigma effects people with lived-experience (e.g., a child with mental health challenges), however, stigma has been noted to have a wide scope, which extends to family members as well. Parents of children with mental health challenges have been found to endorse aspects of self-stigma, specifically regarding public stereotypes of blame and feelings of incompetence. Vicarious stigma is a fairly new area of research, which describes the sad and/or angry response a parent may experience when witnessing their child being stigmatized. The purpose of this study is to examine emotional and behavioral outcomes related to specific types of stigma experienced by parents of children with mental health challenges. Archival data from a larger study of adult participants (N=50), who identified as having a child (age 3-10 years old) with mental health challenges, completed measures examining self-stigma, vicarious stigma, stress, depression, quality of life, disclosure, secrecy coping, and help-seeking. A novel measurement for vicarious stigma was introduced and examined in this study. Results found higher levels of self-stigma and dimensions of vicarious stigma were associated with higher levels of depression as well as diminished quality of life. Higher levels of self-stigma were also associated with lower perceived benefits of disclosing and greater levels of secrecy coping. These findings highlight the importance of further examining the role of stigma for parents of children with mental health challenges.
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Title: Testing a pilot intervention aiming to increase transgender allyship among future healthcare providers
Creator: Yoder, Wren
Date: 2021
Description: Transgender individuals often experience poor health outcomes related to a lack of provider knowledge and comfort around transgender issues. ...
Show moreTransgender individuals often experience poor health outcomes related to a lack of provider knowledge and comfort around transgender issues. Ally identity development and cultural humility theories have been used to develop interventions shown to improve attitudes, knowledge, and skills related to being an ally to the transgender community. Additionally, healthcare providers have reported a desire for online tools related to transgender healthcare, and online interventions can be more cost effective than traditional in-person trainings. The current study developed an hour-long online intervention composed of six activities aiming to increase attitudes, knowledge, skills, and identification as an ally to the transgender community. Tests were conducted to assess whether these domains increased significantly from baseline to post in the intervention condition compared to the control condition and whether the increase was maintained at 2-week follow up. The sample included cisgender (i.e., male or female) students studying a subject related to healthcare recruited online through Prolific (N = 78). Results indicated that knowledge and skills increased significantly from baseline to post in the intervention condition compared to the control condition, and increases were maintained at 2-week follow up. However, this was not the case for attitudes and identity. These findings largely replicate existing research on knowledge about transgender individuals and provide new insights into skills, attitudes, and identity related to transgender allyship. Findings can inform future research on transgender allyship intervention design and allyship theory as well as support improvements in clinical practice and policy related to transgender healthcare services.
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Title: Transdiagnostic Emotional Factors as Mediators of the Relation between Obsessive-Compulsive Symptoms and Tobacco Use and Dependence in a Large Community Sample of Adolescents
Creator: Chang, Weilynn Christine
Date: 2023
Description: This study investigated the associations between obsessive compulsive disorder symptoms (OCS) and tobacco use and tobacco dependence in a...
Show moreThis study investigated the associations between obsessive compulsive disorder symptoms (OCS) and tobacco use and tobacco dependence in a large community sample of adolescents. Specifically, transdiagnostic emotional vulnerability factors (i.e., anhedonia, distress tolerance and anxiety sensitivity) were explored as potential mediators of the relation between OCS and tobacco use/dependence. Weighted logistic regression models found that OCS was significantly positively associated with likelihood of tobacco use in the past six months (when suppressor variables were excluded). Similarly, zero-inflated negative binomial regression models found a significant positive relation between OCS and tobacco dependence (when suppressor variables were excluded). There was no significant weighted indirect effect via anhedonia for the OCS-Tobacco Use association, which suggests that anhedonia was not a significant mediator in this case. However, the indirect effect via anhedonia for the OCS-Tobacco Dependence association was significant at the p < .05 level, but not the adjusted p < .001 threshold (when suppressor variables were removed). The weighted indirect effect via distress tolerance for the OCS-Tobacco Use association was significant at the p < .05 level, but not the p < .001 threshold (when suppressor variables were removed). There was no significant indirect effect via distress tolerance for the OCS-Tobacco Dependence association. There was a significant weighted indirect effect via anxiety sensitivity for the OCS-Tobacco Use association (when suppressor variables were removed). There were no significant indirect effects via anxiety sensitivity for the OCS-Tobacco Dependence association. When overlapping variance was accounted for by including all three mediators simultaneously, anhedonia was still not a significant mediator of the OCS-Tobacco Use association; there were still significant indirect effects via distress tolerance and anxiety sensitivity, under specific model parameters. Our results also revealed that while Asian adolescents demonstrated lower likelihood of tobacco use compared to those who were Hispanic/Latinae, Asian youth demonstrated more severe tobacco dependence symptoms.
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Title: DOES FAMILY QUALITY OF LIFE MEDIATE THE RELATION BETWEEN AUTISM WAIVER SERVICES AND CHILD PROGRESS?
Creator: Desai, Shivani S.
Date: 2022
Description: Autism Spectrum Disorder (ASD) is a pervasive neurodevelopmental disorder that affects a child’s language, social, and behavioral development,...
Show moreAutism Spectrum Disorder (ASD) is a pervasive neurodevelopmental disorder that affects a child’s language, social, and behavioral development, and also is associated with difficulty with academics, independent completion of daily living skills, and emotion regulation. Diagnosed individuals often require comprehensive, long-term, and family-based intervention that is costly. Several states, including Maryland, have adopted Medicaid Home and Community Based Services (HCBS) waiver services that specifically serve children and young adults with ASD at no out-of-pocket cost to families. The Maryland autism waiver (AW) also includes services to support diagnosed individuals’ family members, including family consultation and respite services. Family factors, such as specific parenting behaviors and parental mental health, contribute significantly to symptom improvement in children with ASD and child development more broadly, highlighting the importance of studying family systems and targeting them in treatment. Prior research has found that AW services have a positive impact on family quality of life (FQoL), which is a multidimensional concept of family functioning. The aim of the present study was to examine if the several domains of FQoL are mediators in the relation between receipt of Maryland HCBS AW services and caregivers’ perception of their child’s improvement in several domains of functioning. The participants in this study consisted of 460 families who were enrolled in a larger study examining effects of Maryland AW services. Half of these families (n = 230) received the Maryland Medicaid AW services (n = 230) and the other half were on a registry to receive services (n = 230). Deidentified survey data were collected between 2013-2016 from caregiver informants who had a child under the age of 21 who exhibited symptoms of ASD. The survey included questions about demographics, FQoL, and their child’s progress in the areas of academics, independent living skills, social communication skills, stereotypic and repetitive behaviors, and aggressive behaviors over the past 6 months. Results of the mediation analyses revealed that FQoL in the domains of parenting, emotional well-being, and disability support services (but not in the domains of family interaction and physical/material well-being) each mediated the relations between AW services and caregiver report of improvement in all measured domains of child functioning (academics, independent living skills, social communication skills, stereotypic and repetitive behaviors, and aggressive behaviors). These findings highlight the significant role of FQoL as a mediator in the relation between waiver serves and child outcome. They also reveal the importance of increasing family quality of life when providing treatment services to children with symptoms of autism and their families.
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Title: Child and Family Outcomes Associated with Specific Maryland ASD Waiver Services and Choice and Control as Mediators of These Outcomes
Creator: Turchmanovych-Hienkel, Nataliya
Date: 2022
Description: Autism spectrum disorder (ASD) is a neurodevelopmental condition that affects 1in 44 children and is characterized by impairments in cognitive...
Show moreAutism spectrum disorder (ASD) is a neurodevelopmental condition that affects 1in 44 children and is characterized by impairments in cognitive, behavioral, and social domains of functioning. Literature suggests that ASD not only impacts the quality of life of the individuals diagnosed with this condition, but also has a negative impact on family quality of life (FQoL). Interventions and services offered through the Medicaid 1915(c) Home and Community-Based Services waiver programs can enhance child and family outcomes. The present study looked at one specific waiver program, the Maryland ASD waiver, and examined the frequency at which families received different waiver services and the associations between those service frequencies and child (i.e., academic performance, independent living skills, social communication and interaction skills, stereotypic and repetitive behavior, and aggressive behavior) and family (i.e., FQoL) outcomes, as well as explored whether the family’s perception of choice and control mediate these child and family outcomes. Results suggest that frequencies of some waiver services are associated with progress in some child outcomes, but not in FQoL. This study also suggests that the choice and control that families have over services do not mediate the relation between frequency of waiver services and child and family outcomes. Overall, results suggest that the Maryland ASD waiver program may help improve some domains of child functioning.
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Title: Sense of Community and Virtual Community Among People with Autism Spectrum Conditions
Creator: Rafajko, Sean I
Date: 2020
Description: Individuals with autism spectrum conditions (ASC) face poorer quality of life (QOL) and psychological well-being. Sense of community (SOC) has...
Show moreIndividuals with autism spectrum conditions (ASC) face poorer quality of life (QOL) and psychological well-being. Sense of community (SOC) has been studied in the general population as well as in other disability populations and found to be associated with increased QOL outcomes. However, SOC has never been examined quantitatively in the ASC population. Additionally, a number of communities exist online, and there has been recent research showing that people may feel sense of virtual community (SOVC), which may be particularly important to the ASC population, as internet use is higher in the population, and people with ASC report positive experiences with online communication and relationships. The purpose of this study was to examine SOC and SOVC in the ASC population. A sample of 60 participants with ASC completed an online survey about their communities, SOC, SOVC, QOL, and psychological distress, and their results were compared with a sample of 60 general population participants (N = 120). Results indicated that people with ASC reported participating in a greater number of smaller relational communities compared to the general population sample. There were no significant differences between the ASC and general population samples on levels of SOC or SOVC, suggesting that the differential relationship of the ASC group with their communities does not reduce the experience of SOC. SOC significantly contributed to QOL but not psychological distress. Results indicated that the magnitude of the relationship between SOC and SOVC on QOL was not different between those with ASC and those in the comparisons sample. Findings from this study help frame the different ways in which people with ASC interact with their communities and inform individual and community-level interventions.
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Title: PTSD Symptoms as a Potential Link Between Military Sexual Assault and Disordered Eating
Creator: Sandhu, Danielle
Date: 2020
Description: Despite increasing rates of sexual assault in the military and high rates of disordered eating and posttraumatic stress disorder (PTSD) among...
Show moreDespite increasing rates of sexual assault in the military and high rates of disordered eating and posttraumatic stress disorder (PTSD) among veterans, little is known about how these constructs are related. The present study examined whether PTSD symptoms mediate the relation between military sexual assault and disordered eating among female veterans. Prolific Academic was used to recruit 98 United States female veterans as participants for the study. Participants completed an online questionnaire of self-report measures assessing demographic characteristics, military sexual assault, PTSD symptoms, and disordered eating. Mediational analyses were conducted using the PROCESS v3 macro in IBM SPSS Statistics. Within the sample, 61% of female veterans reported being sexually assaulted while serving in the military. Military sexual assault was associated with higher levels of PTSD symptoms and disordered eating. Findings did not support the hypothesis that PTSD symptoms would mediate the relation between military sexual assault and disordered eating among women veterans. Given the heterogeneous nature of disordered eating, post-hoc mediational analyses were conducted to examine specific facets of eating pathology. Results indicated that PTSD symptoms fully mediated the relation between military sexual assault and bulimia and food preoccupation. Awareness of these psychopathological sequelae following military sexual assault may improve screening and intervention efforts at Veteran Affairs (VA) medical centers. The present study highlights the importance of future longitudinal studies that can establish temporal precedence in order to better understand the pathways leading to disordered eating in female veterans.
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Title: Testing actor and partner mediation effects of the mindfulness-relationship satisfaction association in long-distance relationships
Creator: Manser, Kelly A.
Date: 2023
Description: Long-distance romantic relationships (LDR) have become increasingly common as technology and sociocultural norms have evolved. Individuals in...
Show moreLong-distance romantic relationships (LDR) have become increasingly common as technology and sociocultural norms have evolved. Individuals in LDR, many of whom are post-secondary students, report LDR-specific experiences and stressors. Nonetheless, romantic relationship satisfaction (RS) nonetheless appears comparable between LDR and non-LDR relationships, although the underlying mechanisms are not well-understood. Mindfulness, which relates positively to RS and negatively to stress, is minimally studied in LDR. Moreover, despite empirical and theoretical support, few studies have tested stress as a mediator of associations between mindfulness and RS at the within-person level (termed actor effects) or between-person level (partner effects). This study tested a theoretically-grounded, empirically-supported Actor-Partner Interdependence Mediation Model (APIMeM) in a sample (N = 150; 75 dyads) of post-secondary students and their LDR romantic partners. As hypothesized, an partner-actor indirect effect emerged of T1 actor mindfulness on T2 partner RS through decreased T2 partner stress. Unexpectedly, no direct, total, or indirect effects of T1 actor mindfulness on T2 actor stress or T2 actor RS emerged. Findings suggest that within- and between-person associations between mindfulness, stress, and RS may present uniquely in LDR, with implications for research, clinical practice, and policy.
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Title: Validation of the Chinese Version of the Penn Inventory of Scrupulosity in a Chinese Student Sample
Creator: De Leonardis, Andrew J.
Date: 2023
Description: Scrupulosity, which is a subtype of obsessive-compulsive disorder (OCD) characterized by religious obsessions and compulsions, has been shown...
Show moreScrupulosity, which is a subtype of obsessive-compulsive disorder (OCD) characterized by religious obsessions and compulsions, has been shown to be particularly debilitating. The current research concerning scrupulosity has mainly examined Western populations. There is a paucity of literature examining scrupulosity in Eastern populations, and no literature to date examining scrupulosity in a Chinese sample. In order to examine scrupulosity in China, a valid measure of scrupulosity is needed. The current study validated a Chinese version of the main measurement of scrupulosity, the Penn Inventory of Scrupulosity - Revised (PIOS-R), in a Chinese student sample. The PIOS-R was translated both linguistically and conceptually in consultation with the Chinese research team. New items were added for review and possible inclusion. 577 university students in China completed an online survey with study measures. This sample was randomly split into two groups, a primary group for the initial Confirmatory Factor Analysis (CFA) and a hold-out sample for follow up analyses. The initial CFA of the PIOS-R found that none of the three models identified met all criteria for adequate fit. A follow up Exploratory Factor Analysis (EFA) was conducted on the same group and found a two-factor model with updated items. This model was successfully cross-validated using a CFA in the hold-out sample. These analyses yielded the Penn Inventory of Scrupulosity – Chinese Version (PIOS-C). Preliminary reliability and validity were established with this revised measure. Having an accurate and valid measure of scrupulosity for the Chinese population will assist in characterizing scrupulosity in China and developing or refining appropriate treatments.
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Title: Stigma, depression, and help-seeking: Experiences of parents/caregivers of children with mental health challenges
Creator: Serchuk, Marisa D.
Date: 2023
Description: The impacts of stigma on people with lived-experience are widely recognized, however, stigma has been noted to extend to family members. The...
Show moreThe impacts of stigma on people with lived-experience are widely recognized, however, stigma has been noted to extend to family members. The current investigation examines how specific types of stigma experienced by parents/caregivers (N=250) of children with mental health challenges are related to symptoms of depression and attitudes towards help-seeking. Results found that higher levels of public stigma, self-stigma, and vicarious stigma were associated with higher levels of depression and were differentially associated with attitudes towards help-seeking. Findings from this investigation add to the small body of literature examining stigma experienced by parents/caregivers of children with mental health challenges.
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