Matching Items (11)
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- All Subjects: Counseling psychology
- All Subjects: Depression
- Creators: Dillon, Frank
Description
As recent government administrations prioritized the criminalization and deportation of immigrants, Latinx are in danger of being targeted by police. Thus, it is important to investigate and assess Latinx views of the police in the US in order to create safe communities and reduce crime. To date, no instrument has captured Latinx perceptions of police beyond the frequency of past experience and global perception of the treatment of the general public. Therefore, creating a psychometrically supported measure that captures the unique perceptions of police among the Latinx population is necessary. The current study aims to psychometrically validate the Latinx Perceptions of Police Scale (LPOPS) (e.g., evidence of validity and reliability via confirmatory factor analysis, internal consistency, convergent and concurrent validity, mean differences among groups, and measurement invariance testing). The study’s final analytic sample included 248 individuals self-identified as Latinx using an online survey. Results from the confirmatory factor analysis confirmed the three-factor model of the LPOPS with a Cronbach’s alpha above 0.85. The LPOPS contains 19 items and three subscales: Police Views of Latinx, Anxiety of Interacting with Police Officers, and Fear of Police Abuse. Results from the Pearson bivariate analysis provided evidence of convergent validity as there were associations between the LPOPS subscales, past measures of view of police (e.g., Perception of Police Scale, Police and Law Enforcement Scale), and other psychological constructs (e.g., anxiety, depression, stress, discrimination). Further, results of the multi-group confirmatory analysis indicated that the LPOPS could be used among (race; skin-tone). Lastly, participants who reported darker skin tones reported higher mean scores on the Anxiety of Interacting with Police Officers and Fear of Police Abuse subscales. By further validating a scale that captures perceptions of police among Latinx in a quantitative way, researchers can begin exploring its association with various mental health outcomes.
ContributorsAltamirano, Elizabeth (Author) / Dillon, Frank (Thesis advisor) / Capielo, Cristalis (Committee member) / Vargas, Edward D. (Committee member) / Arizona State University (Publisher)
Created2022
Description
The Latinx population in the United States is projected to increase exponentially in upcoming years. Latina women in particular are put at disproportionate risk of experiencing psychological distress after immigrating to the US. Separation from family upon immigration introduces more difficulty to the immigration experience. Yet protective factors such as family cohesion may buffer potential psychological distress. The present study will examine the two following research questions. First, is there a difference in psychological distress experienced by Latina young women who report separating from their family in comparison to those who did not experience familial separation at immigration. Second, does a potentially deleterious effect of immigration on familial attachment underlie or mediate the hypothesized positive association between separation at immigration and psychological distress. Participants were Latina young women who ranged from 18-23 years-old, were unmarried, and had to have resided in the US for 36 months or less. I used structural path analysis to examine hypothesized associations among separation status, attachment to family, and psychological distress. Findings aim to inform mental health interventions for Latina young adults who immigrate to the US without family.
ContributorsRomero, Abigail (Author) / Dillon, Frank (Thesis advisor) / Pereira, Jennifer (Committee member) / Buckman, Lindsey (Committee member) / Arizona State University (Publisher)
Created2021
Description
Operating within the framework of a public health model that emphasizes the prevention of health concerns through the identification of risk and protective factors, this study approaches the health disparities Latinxs face from a strength-based stance through the promotion of sport and exercise participation. The purpose of this study is to understand the factors that promote sport and exercise participation within a Latinx college student sample using cross-sectional data from the Healthy Minds Study (HMS) from cohort years 2016 through 2020. It was hypothesized that psychosocial-cultural predictors (i.e., sense of belonging, discrimination, depression, anxiety, and positive mental health) would predict Latinx college students’ participation in (1) sports and (2) exercise while accounting for established factors such as demographic (gender, financial hardship, US-born status) and academic (i.e., GPA, academic persistence) variables. Further, the study incorporated an exploratory approach to further examine gender-based differences in (1) sport and (2) exercise participation rates among the aforementioned study variables. Preliminary analyses using chi-squared analyses, point bi-serial correlations, and group differences using t-tests were conducted. The main analyses conducted using logistic regression indicated that psychosocial cultural variables predict (1) sport and (2) exercise participation while accounting for demographic and academic variables. However, the classification accuracy for sport participation with the addition of psychosocial-cultural variables was not compelling so individual predictors were not analyzed. For exercise participation, gender, financial hardship, sense of belonging, discrimination and positive mental health were the only individual, significant factors. Further, in terms of gender differences, it appears that financial hardship, GPA, and discrimination uniquely affect Latinx women. Implications for academic institutions, coaches/fitness instructors, and clinicians are further discussed.
ContributorsSandoval Martinez, Alejandra (Author) / Tran, Alisia (Giac-Thao) (Thesis advisor) / Dillon, Frank (Committee member) / Lopez, Vera (Committee member) / Arizona State University (Publisher)
Created2023
Description
The onset of the COVID-19 pandemic during the spring of 2020 necessitated a sudden and national transition from in-person to telehealth mental health services. Burgeoning literature has supported the use of telehealth services generally, though there is little research related to its use among graduate-level trainees. The present study utilized data collected from a university counseling training center to compare client outcomes, namely ratings of depression and anxiety, between in-person (pre-pandemic; n = 86) and telehealth (intra-pandemic; n = 102) groups. Additionally, I examined treatment format (in-person vs. telehealth) as moderator of the association between client-reported working alliance and client-reported outcomes. Results showed a significant and negative effect of the working alliance on symptoms of depression and anxiety regardless treatment format. Implications for research and practice are discussed.
ContributorsGerton, Jessica M (Author) / Spanierman, Lisa (Thesis advisor) / Bludworth, James (Thesis advisor) / Dillon, Frank (Committee member) / Arizona State University (Publisher)
Created2022
Description
Homeless individuals encounter barriers such as lack of health insurance, increased cost of care and unavailability of resources. They have increased risk of comorbid physical disease and poor mental health. Depression is a prevalent mental health disorder in the US linked to increased risk of mortality. Literature suggests depression screening can identify high-risk individuals with using the patient health questionnaire (PHQ-9).
The objective of this project is to determine if screening identifies depression in the homeless and how it impacts healthcare access. Setting is a local organization in Phoenix offering shelter to homeless individuals. An evidence-based project was implemented over two months in 2019 using convenience sampling. Intervention included depression screening using the PHQ-9, referring to primary care and tracking appointment times. IRB approval obtained from Arizona State University, privacy discussed, and consent obtained prior to data collection. Participants were assigned a random number to protect privacy.
A chart audit tool was used to obtain sociodemographics and insurance status. Descriptive statistics used and analyzed using Intellectus. Sample size was (n = 18), age (M = 35) most were White-non-Hispanic, 44% had a high school diploma and 78% were insured. Mean score was 7.72, three were previously diagnosed and not referred. Three were referred with a turnaround appointment time of one, two and seven days respectively. No significant correlation found between age and depression severity. A significant correlation found between previous diagnosis and depression severity. Attention to PHQ-9 varied among providers and not always addressed. Future projects should focus on improving collaboration between this facility and providers, increasing screening and ensuring adequate follow up and treatment.
ContributorsParamo, Cinthia Arredondo (Author) / Thrall, Charlotte (Thesis advisor)
Created2020-05-04
Description
Every year an alarming number of deaths for the Black community are a result of disparities and inequalities in health outcomes. While literature has largely focused on social determinants of heath (e.g., economic, environmental, biological, and behavioral structures) as contributing factors to disparate health outcomes for Black people, literature on medical mistrust has been on the rise. Medical mistrust is defined as the belief that health care entities and providers act against a patient's best interest and well-being, and is associated with lower rates of service utilization, inadequate management of health conditions, lower levels of involvement in research, and treatment nonadherence. Only recently has patient-centered care been examined as a construct that may reduce the negative effects of medical mistrust. This study examined Black identifying patients (N = 174) across gender and their reported levels of medical mistrust, and if the perception of a patient-centered health care environment would moderate the association. The findings indicated that Black females, compared to Black males, endorsed higher levels of medical mistrust that may be indicative of intersectional influences. While there were significant effects of gender and perceived patient-centered care on medical mistrust, perceived patient-centered care was not found to significantly moderate the relationship between gender identity and medical mistrust. This may be indicative of the varying degrees of medical maladies that may be stronger determinants of perceived patient-centered care, despite gender or other demographic characteristics. Implications for practice and future research on the intersectional influences on medical mistrust and perceived patient-centered care in the Black communities are discussed.
ContributorsMatthews, Tianna (Author) / Warner, Cheryl (Thesis advisor) / Randall, Ashley K (Committee member) / Dillon, Frank (Committee member) / Arizona State University (Publisher)
Created2021
Description
Despite the growing numbers of foreign-born Latina young adult immigrants in the United States, this population is underrepresented in psychological science. Building upon previous literature, this study examines the moderating effect of acculturation and enculturation on the relationship between depression and alcohol use quantity and frequency among 530 young Latina women (ages 18-23 years) who recently immigrated to the United States (i.e., approximately 12 months prior to assessment). Acculturation (i.e., the process of immersion into
another culture) lessened the positive link between depression and alcohol use quantity and frequency. Those with higher levels of acculturation reported less symptoms of depression and alcohol use. Enculturation (i.e., the process of immersion to one’s own ethnic culture) increased the positive link between depression and alcohol quantity and frequency. Implications for culturally competent counseling for this underserved and understudied population are discussed.
another culture) lessened the positive link between depression and alcohol use quantity and frequency. Those with higher levels of acculturation reported less symptoms of depression and alcohol use. Enculturation (i.e., the process of immersion to one’s own ethnic culture) increased the positive link between depression and alcohol quantity and frequency. Implications for culturally competent counseling for this underserved and understudied population are discussed.
ContributorsWinn, Larren (Author) / Dillon, Frank (Thesis advisor) / Pereira, Jennifer (Committee member) / Capielo-Rosario, Cristalís (Committee member) / Arizona State University (Publisher)
Created2020
Description
Over 25% of children in the United States suffer from a chronic illness, and close to 70% of all childhood deaths are due to chronic illness. Prevalence of childhood chronic illness continues to increase, and as a result, the pervasiveness of parents faced with stress associated with caregiving for their child with a chronic illness is also rising. The Stress Process Model (SPM) conceptualizes the caregiving experience as a multidimensional process influenced by the caregiving context, primary and secondary stressors, resources, and caregiver outcomes. Utilizing the SPM, the goals of this study were to examine the relations between caregiving stress (role overload and role strain) and resources (instrumental support, social support, and positive attitudes) and psychological outcomes (depression and anxiety) to determine whether resources moderated the associations between caregiving stress and psychological outcomes.
Participants included 200 parent caregivers of a child with a chronic illness. Participants responded to an online survey that measured demographics, role overload (Role Overload scale), role strain (The Revised Caregiver Burden Measure), instrumental support and social support (Medical Outcomes Survey), positive attitudes about caregiving (Brief Assessment Scale for Caregivers), depression (Patient Health Questionnaire-9), and anxiety (Generalized Anxiety Disorder scale-7). Pearson correlations and six hierarchical regression models were tested to examine caregiving stress, resources, and psychological outcomes.
Consistent with the study hypotheses, positive correlations between caregiving stress (role overload and role strain) and depression and anxiety were found. Negative correlations were found between resources (instrumental support, social support, positive attitudes) and depression and anxiety. Both instrumental support and social support had negative moderating effects on the relations between role overload and psychological outcomes (depression and anxiety). Positive attitudes also negatively moderated the relations between role strain and psychological outcomes. Thus, when participants reported high instrumental and social support, they also reported low depression and anxiety, even when role overload was high. Participants also reported low anxiety and depression when they reported high positive attitudes, even when role strain was high. Implications of these findings are discussed.
Participants included 200 parent caregivers of a child with a chronic illness. Participants responded to an online survey that measured demographics, role overload (Role Overload scale), role strain (The Revised Caregiver Burden Measure), instrumental support and social support (Medical Outcomes Survey), positive attitudes about caregiving (Brief Assessment Scale for Caregivers), depression (Patient Health Questionnaire-9), and anxiety (Generalized Anxiety Disorder scale-7). Pearson correlations and six hierarchical regression models were tested to examine caregiving stress, resources, and psychological outcomes.
Consistent with the study hypotheses, positive correlations between caregiving stress (role overload and role strain) and depression and anxiety were found. Negative correlations were found between resources (instrumental support, social support, positive attitudes) and depression and anxiety. Both instrumental support and social support had negative moderating effects on the relations between role overload and psychological outcomes (depression and anxiety). Positive attitudes also negatively moderated the relations between role strain and psychological outcomes. Thus, when participants reported high instrumental and social support, they also reported low depression and anxiety, even when role overload was high. Participants also reported low anxiety and depression when they reported high positive attitudes, even when role strain was high. Implications of these findings are discussed.
ContributorsJohnson, Courtney Kerber (Author) / Kurpius, Sharon (Thesis advisor) / Dillon, Frank (Committee member) / Tracey, Terence (Committee member) / Arizona State University (Publisher)
Created2020
Description
The neurodiversity movement is a conceptual framework and sociopolitical movement that views neurological differences and disabilities as natural human variations that can form a central component of one’s identity. Despite the attention in disciplines outside of psychology and academia, there has been little attention paid to neurodiversity within counseling psychology. The present study consists of the development and initial validation of a quantitative scale to assess endorsement of a neurodiversity framework with respect to autism. Diverse samples of adults were utilized to conduct exploratory (N = 249) and confirmatory (N = 259) factor analyses, resulting in a three-factor model that demonstrated adequate reliability and validity. Additional analyses revealed that endorsement of the neurodiversity framework is positively correlated with activist engagement and self-esteem, and that endorsement of the neurodiversity framework is negatively correlated with negative attitudes toward people with disabilities. Autistic adults endorsed the neurodiversity framework to a greater extent than neurotypical adults. Implications for psychological research regarding neurodiversity and disability identity are discussed.
ContributorsVanDaalen, Rachel Ann (Author) / Dillon, Frank (Thesis advisor) / Capielo Rosario, Cristalís (Committee member) / Santos, Carlos E (Committee member) / Arizona State University (Publisher)
Created2021
Description
Adolescent substance use is a complex and significant public health concern that has received considerable attention among researchers and practitioners (Gray & Squeglia, 2018). The purpose of this dissertation was to examine factors associated with substance use intervention effects and to develop subgroups of risk factors for Mexican adolescents. This dissertation utilizes secondary data from a randomized controlled trial of the school-based substance use universal prevention program, keepin’ it REAL (kiR). The dissertation included two studies. Study 1: This study tested a model on the efficacy of the school-based substance use universal prevention program, keepin’ it REAL, among a sample of Mexican adolescents (N = 3,742, 11-17 years old). Study 1 analysis included Structural Equation Modeling and results demonstrated that participation in kiR positively predicted alcohol resistance strategies and those alcohol resistance strategies were negatively and significantly associated with alcohol use. Further, depressive symptomology was a moderator of intervention effects as the effects of kiR on resistance strategies increased as the level of depressive symptomology increased. Study 2: this study explored subgroups (classes) of Mexican adolescents (N = 5,520, 11-14 years old) based on their experiences with violence (witnessing, victimization, and perpetration), depressive symptomology, and substance use (alcohol, tobacco, and marijuana). Using Latent Class Analysis (LCA) four empirically, well-differentiated classes emerged representing adolescents various risk typologies (Moderate Risk-Violence at 55% of the sample, Low Risk at 35%, High Risk at ~8%; and Moderate Risk-Substance Use at ~2%) Implications for research and practice are discussed across both studies.
ContributorsArévalo Avalos, Marvyn R (Author) / Spanierman, Lisa (Thesis advisor) / Dillon, Frank (Committee member) / Marsiglia, Flavio (Committee member) / Arizona State University (Publisher)
Created2021