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The effects of an internet-based self-compassion writing intervention for adults with mental illness
Description
Multiple studies have found that writing with self-compassion about a difficult event helps promote mental health and improve affect in college students and non-clinical populations (Johnson & O'Brien, 2013; Leary et al, 2007; Shapira & Mongrain, 2010). This study investigated whether a self-compassion writing intervention would lead to increases in self-compassion and proactive coping and reductions in depression and physical symptoms in a sample of individuals with different types of mental illness. This study also looked more broadly at the feasibility of conducting an online randomized trial on individuals with mental illness, including psychotic disorders, on Amazon MTurk. Individuals with schizophrenia, schizoaffective disorder, bipolar disorder and/or depression on Amazon MTurk were recruited and randomly assigned to either a (1) treatment condition in which participants wrote with self-compassion or a (2) neutral condition in which participants wrote about how they spent their time. Participants were asked to write for 20 minutes each day for three consecutive days. Outcome measures were administered at baseline, after the three-day intervention, and one month later. Computerized linguistic analysis (LIWC; Pennebaker et al., 2015) was also used to analyze participants' writing to determine if the intervention had the intended effect. Both the treatment and control groups showed significant improvements in self-compassion, proactive coping, general mental health and physical health following the intervention and both groups showed significant improvements in self-compassion, proactive coping and general mental health between the post-test and 1-month follow-up. In addition, the self-compassion writing group's positive affect improved significantly more than the control group after the wave 1 writing intervention and the control group's negative affect improved significantly more than the self-compassion writing group after the wave 2 writing intervention. Overall, the results suggest both self-compassion writing and writing about how one spends one's time may be beneficial for individuals with mental illness with different needs. Moreover, it was found Amazon MTurk may not be a reliable platform for recruiting individuals with psychotic disorders, and that the prevalence of individuals with any mental illness on MTurk may be equal or greater than the prevalence of any mental illness in the general population.
ContributorsUrken, Debra (Author) / LeCroy, Craig W. (Thesis advisor) / Holschuh, Jane (Committee member) / Stalker, Katie (Committee member) / Arizona State University (Publisher)
Created2018
Description
As scholars continue to generate research on social support, so has the realization that our understanding of this theoretical concept is not so clear. Originally introduced by Francis Cullen in 1994, social support has traditionally been examined as a single measure. Cullen, however, posits that there are numerous forms of social support that can be provided by different actors. Little research has sought to examine these different forms of social support and their relationship with recidivating. Further, the extant literature generally places social support in the positive light, hypothesized to have an inverse relationship with crime. Studies have shown, however, that not all social support provides an inverse relationship with recidivism, and instead, some forms of support may actually increase an individual’s likelihood of recidivating. Using data from the Serious and Violent Offender Reentry Initiative, this dissertation examines both positive and negative emotional family support and the effects they have on the likelihood that formerly incarcerated individuals will recidivate. Utilizing discrete time hazard modeling, and controlling for instrumental family and instrumental peer support, results reveal that while positive emotional family support does indeed have an inverse relationship with recidivating, negative emotional family support has a more salient and direct relationship with recidivating. Additionally, other findings are explored, along with implications for criminological theory, correctional programming, and criminal justice policy.
ContributorsGaleste, Marcus-Antonio (Author) / Hepburn, John (Thesis advisor) / Wallace, Danielle (Committee member) / Fradella, Henry (Committee member) / Arizona State University (Publisher)
Created2019
Description
The tendency for psychopathology to aggregate within families is well-documented, though little is known regarding the level of specificity at which familial transmission of symptomology occurs. The current study first tested competing higher-order structures of psychopathology in adolescence, indexing general and more specific latent factors. Second, parent-offspring transmission was tested for broadband domain specificity versus transmission of a general liability for psychopathology. Lastly, genetic and environmental mechanisms underlying the familial aggregation of psychopathology were examined using nuclear twin-family models. The sample was comprised of five hundred adolescent twin pairs (mean age 13.24 years) and their parents drawn from the Wisconsin Twin Project. Twins and parents completed independent diagnostic interviews. For aim 1, correlated factors, bifactor, and general-factor models were tested using adolescent symptom count data. For aim 2, structural equation modeling was used to determine whether broadband domain-specific transmission effects were necessary to capture parent-offspring resemblance in psychopathology above and beyond a general transmission effect indexed by the latent correlation between a parental internalizing factor and offspring P-factor. For aim 3, general factor models were fitted in both generations, and factor scores were subsequently extracted and used in nuclear twin-family model testing. Results indicated that the bifactor model exhibited the best fit to the adolescent data. Familial aggregation of psychopathology was sufficiently accounted for by the transmission of a general liability. Lastly, the best fitting reduced nuclear twin-family model indicated that additive genetic, sibling-specific shared environmental, and nonshared environmental influences contributed to general psychopathology. Parent-offspring transmission was accounted for by shared genetics only, whereas co-twin aggregation was additionally explained by sibling-specific shared environmental factors. Results provide novel insight into the specificity and etiology of the familial aggregation of psychopathology.
ContributorsOro, Veronica (Author) / Lemery-Chalfant, Kathryn (Thesis advisor) / Chassin, Laurie (Committee member) / Doane, Leah D (Committee member) / Arizona State University (Publisher)
Created2019
Description
Development of effective therapeutic interventions for the treatment of mental health disorders has been a significant driving force in the search to understand the human brain. Current treatments for mental health disorders rely on modulating neurotransmitter systems such as norepinephrine (NE), serotonin (5-HT), dopamine (DA) and γ-aminobutyric acid (GABA) to achieve clinically relevant relief of symptoms. While many medications are available to the clinician that individually target these neural systems, treatment often results in patients reporting unwanted side effects or experiencing incomplete relief. To counter this lack of treatment efficacy, further investigation of other avenues for achieving similar or better outcomes and potentially reach patients refractory to common therapies must be undertaken. One of these potential new target systems is the endogenous cannabinoid system (ECS), which is currently composed of cannabinoid receptor 1 (CB1) and cannabinoid receptor 2 (CB2). These metabotropic seven transmembrane (7-TM) loop G-protein coupled receptors (GPCR) are responsible for mediating the effects of acute Cannabis ingestion as well as modulating several core functions of the nervous system including emotion, memory, and learning behavior. Due ubiquitous expression of ECS proteins, there is broad overlap between brain regions that show high levels of receptor expression and those thought to be involved in the etiology of a range of mental health disorders including depression, anxiety and schizophrenia. Consequently, modulation of cannabinoid receptor function is a novel and potentially clinically relevant mechanism for influencing the levels of other neuromodulators and neurotransmitters, such as dopamine, that are known to play crucial roles in the progression of mental illness. In addition, characterization of endogenous cannabinoids and cannabinoid receptors with respect to their normal physiological function and possible roles in pathophysiology may provide insight for the development of future ECS-based therapies.
ContributorsStratton, Harrison (Author) / Shafer, Michael (Thesis advisor) / Olive, Micahel F (Thesis advisor) / Wu, Jie (Committee member) / Arizona State University (Publisher)
Created2019
Description
By focusing on photojournalists for LIFE and Ladies’ Home Journal, I investigate mental health care in state institutions located in America during the Great Depression and World War II immediately prior to the great deinstitutionalization that began in the 1950s. Relying upon scholars of medical humanities, social theory, disability studies, feminist studies, the history of psychiatry, and the history of art, I consider the iconography used to represent mental illness in photography during the first half of the twentieth century to explore the ways mentally ill individuals were presented as disordered and lacking humanity. I explore the didactic nature of both photography and film, emphasizing how the artists and directors imbued their mediums with medical credibility and authority. The photographs of Alfred Eisenstaedt, Jerry Cooke, and Esther Bubley from the 1930-40s reveal the state of mental health care in America during the Great Depression and World War II. I will investigate the stereotypes seen in representations of mental illness in photographs and how these depictions shaped and were in dialogue with popular films like Spellbound (1945), The Snake Pit (1948), The Three Faces of Eve (1957), and Marnie (1964). As a point of contrast to the images and films representing mental illness, I examine depictions of healthy people in mental health clinics during this time. Finally, I offer four examples of public, contemporary art, including House for a Gordian Knot (2013), Bloom (2013), 1000 Shadows (2013), and Faces of Mental Health Recovery (2013), that explore mental illness to illustrate the enduring legacy of the iconography and stereotypes represented in the photography and films explored in the first half of this dissertation.
ContributorsTaggart, Vriean Diether (Author) / Fahlman, Betsy (Thesis advisor) / Codell, Julie (Committee member) / Lussier, Mark (Committee member) / Moore, Sarah (Committee member) / Arizona State University (Publisher)
Created2019
Description
Youth who turn 18 in the foster care system often face the difficulty of transitioning to adulthood without traditional emotional and financial supports. Early experiences of trauma impact their mental health and receipt of services both while in care as well as decisions whether to continue services after leaving care.
Using the behavior analytic model, this dissertation explores the challenging and supportive situations former foster youth experience with mental health services while transitioning to adulthood. Qualitative interviews and focus groups inform the development of a quantitative instrument in a mixed methods, sequential exploratory research design. The resulting instrument identifies the most intense and frequently encountered situations former foster youth experience, related to their mental health and transitions to adulthood.
Results indicate the most challenging situations foster youth experience during the transition are related to overwhelming expectations, receiving mixed messages from professionals, feelings of isolation, and a lack of voice and choice with regard to mental health services. Young adults in this study also emphasized the importance of responsive engagement, self-efficacy, and consistency in relationships both formally and informally.
This research provides important implications for social work practice, policy, and education. Acknowledging the voice of foster youth gives them a choice in services and allows for realistic transition planning. Developing problem-solving skills and a support network beyond foster care are necessary strategies of preparation to age out. Finally, practitioners should recognize the impact of trauma and other contextual factors when conducting assessment and treatment, to promote positive outcomes.
Using the behavior analytic model, this dissertation explores the challenging and supportive situations former foster youth experience with mental health services while transitioning to adulthood. Qualitative interviews and focus groups inform the development of a quantitative instrument in a mixed methods, sequential exploratory research design. The resulting instrument identifies the most intense and frequently encountered situations former foster youth experience, related to their mental health and transitions to adulthood.
Results indicate the most challenging situations foster youth experience during the transition are related to overwhelming expectations, receiving mixed messages from professionals, feelings of isolation, and a lack of voice and choice with regard to mental health services. Young adults in this study also emphasized the importance of responsive engagement, self-efficacy, and consistency in relationships both formally and informally.
This research provides important implications for social work practice, policy, and education. Acknowledging the voice of foster youth gives them a choice in services and allows for realistic transition planning. Developing problem-solving skills and a support network beyond foster care are necessary strategies of preparation to age out. Finally, practitioners should recognize the impact of trauma and other contextual factors when conducting assessment and treatment, to promote positive outcomes.
ContributorsHayes, Megan Jill (Author) / Lietz, Cynthia A. (Thesis advisor) / LeCroy, Craig W. (Committee member) / Lacasse, Jeffrey R. (Committee member) / Arizona State University (Publisher)
Created2015
Description
The purpose of this study is to understand and explore the perspectives of caregivers of children receiving mental health services in the Southwest. The data collected examines areas of caregiver satisfaction of services including, perceived barriers and agency’s ability to effectively apply the System of Care model’s core values. Participants (N=100) were interviewed using the System of Care Practice Review, Revised. Data results include descriptive quantitative analysis, correlation and means comparisons, and thematic analysis of qualitative responses. The research indicates that as a whole, caregivers are satisfied with child mental health services. Data suggests that providers should continue to strive for improvement and excellence in several areas of service, including intervention effectiveness, family participation, cultural competence, communication and interpersonal relationships.
ContributorsSchackart, Audrey Michelle (Author) / LeCroy, Craig W. (Thesis advisor) / Williams, Lela R (Committee member) / Sangalang, Cindy C (Committee member) / Arizona State University (Publisher)
Created2015
Description
A secondary data analysis was conducted to investigate the direct and indirect effects of family traditionalism, family cohesion, and parent involvement on alcohol, cigarette, and marijuana use in a sample of pre-adolescent youth (N = 635) and their parents (N = 462). Aim one hypothesized that family cohesion and family traditionalism would be indicators of a higher order construct, operationalized as familismo. Aims two and three hypothesized that family traditionalism, family cohesion, and parent involvement would be protective against youth substance use. Finally, aim four hypothesized that acculturation would decrease the protective effects of family traditionalism and family cohesion on substance use.
Using second order confirmatory factor analysis, aim one found that family cohesion and family traditionalism were indicators of a second order structure. Regarding aims two and three, a consistent significant association was found between family cohesion and parent involvement across alcohol, cigarette, and marijuana use outcomes. As well, family cohesion was significantly and inversely associated with past 30-day alcohol use amount ( = -.21, p < 0.05), lifetime alcohol use ( = -.19, p < 0.05), and lifetime marijuana use ( = -.31, p < 0.001). Counter to what was hypothesized, a significant positive relationship between family traditionalism and past 30-day alcohol use amount was found. No significant indirect effects were found. Specific to aim four, significant moderation effects were found between family cohesion and acculturation on alcohol and cigarette use. Higher acculturated youth had greater past 30-day alcohol and cigarette use amount compared to low acculturated youth; as family cohesion increased, alcohol and cigarette use for both low and high-acculturated youth decreased.
This study has important implications for social work and future research specific to culture, family, and youth substance use. This study may assist direct social work practitioners, school personnel, and other professionals that work with Latino youth and families in the tailoring of services that are culturally sensitive and relevant to this population and provides further understanding regarding the impact of culture and family on Latino youth substance use. Findings and limitations are discussed specific to social work practice, policy, and research.
Using second order confirmatory factor analysis, aim one found that family cohesion and family traditionalism were indicators of a second order structure. Regarding aims two and three, a consistent significant association was found between family cohesion and parent involvement across alcohol, cigarette, and marijuana use outcomes. As well, family cohesion was significantly and inversely associated with past 30-day alcohol use amount ( = -.21, p < 0.05), lifetime alcohol use ( = -.19, p < 0.05), and lifetime marijuana use ( = -.31, p < 0.001). Counter to what was hypothesized, a significant positive relationship between family traditionalism and past 30-day alcohol use amount was found. No significant indirect effects were found. Specific to aim four, significant moderation effects were found between family cohesion and acculturation on alcohol and cigarette use. Higher acculturated youth had greater past 30-day alcohol and cigarette use amount compared to low acculturated youth; as family cohesion increased, alcohol and cigarette use for both low and high-acculturated youth decreased.
This study has important implications for social work and future research specific to culture, family, and youth substance use. This study may assist direct social work practitioners, school personnel, and other professionals that work with Latino youth and families in the tailoring of services that are culturally sensitive and relevant to this population and provides further understanding regarding the impact of culture and family on Latino youth substance use. Findings and limitations are discussed specific to social work practice, policy, and research.
ContributorsMartinez, Marcos Jerome (Author) / Marsiglia, Flavio F (Thesis advisor) / Kulis, Stephen (Committee member) / Anthony, Elizabeth (Committee member) / Arizona State University (Publisher)
Created2015
Description
Procedural justice has become a widely researched topic in the criminological field with applicability to multiple arenas, including policing, corrections, and courts. Its main tenents suggest that through fair treatment, respectful dialogue and being given a proper voice, citizens will view their experiences with authority more justly. However, though the literature regarding procedural justice has grown immensely, it is still unclear whether certain characteristics of individuals, such as gender and mental health, play a role in their perceptions of procedural justice. Using secondary data originally collected for Rossman, Roman, Zweig, Rempel and Lindquist’s Multi-Adult Drug Court Evaluation (MADCE), an attempt is made to address the previously neglected association between procedural justice, gender, mental health and the added aspect of specialized drug court participation. Results suggest that both gender and mental health, namely depression, play a significant role in predicting procedural justice. Additionally, being a drug court participant was significantly related to higher levels of perceived procedural justice. Implications for theory, research, and policy are discussed.
ContributorsSomers, Logan J (Author) / Reisig, Kristy (Thesis advisor) / Telep, Cody (Committee member) / Wang, Xia (Committee member) / Arizona State University (Publisher)
Created2016
Description
This qualitative study examines how fathers, who stay home with their children and identify as the main care-giver within their family, construct their role as the primary caregiver. I analyze the narratives of stay-at-home fathers focusing on the thematic areas of isolation, resistance and the division of household labor. Unlike previous research, I examine the ways in which fathers construct their position as a stay-at-home father separate from the traditional stay-at-home mother role. Consequently, I focus on the constructions of masculinities by stay-at-home fathers that allows for the construction of the stay-at-home role to be uniquely tied to fatherhood rather than motherhood.
In this research, I explore three questions: 1) how do stay-at-home fathers construct their masculinity, specifically in relation to their social roles as fathers, partners, peers, etc.? 2) Is the negotiation of household labor, including care work and household tasks, in these families a reflection of shifting gender roles in the home where the primary caregiver is the father? 3) In what ways does social location and intersecting identities influence the ways in which fathers construct this stay-at-home identity?
My research emphasizes how these fathers understand their role as a stay-at-home father while challenging some traditionally dominant expectations of fatherhood. Specifically, I use themes of isolation, resistance, and the division of household labor in order to understand the multiple ways fathers experience their roles as stay-at-home parents.
In this research, I explore three questions: 1) how do stay-at-home fathers construct their masculinity, specifically in relation to their social roles as fathers, partners, peers, etc.? 2) Is the negotiation of household labor, including care work and household tasks, in these families a reflection of shifting gender roles in the home where the primary caregiver is the father? 3) In what ways does social location and intersecting identities influence the ways in which fathers construct this stay-at-home identity?
My research emphasizes how these fathers understand their role as a stay-at-home father while challenging some traditionally dominant expectations of fatherhood. Specifically, I use themes of isolation, resistance, and the division of household labor in order to understand the multiple ways fathers experience their roles as stay-at-home parents.
ContributorsSnitker, Aundrea Janae (Author) / Durfee, Alesha (Thesis advisor) / Jurik, Nancy (Committee member) / Menjivar, Cecilia (Committee member) / Leong, Karen (Committee member) / Arizona State University (Publisher)
Created2016