Matching Items (20)
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
This study addresses conflicting findings regarding gender differences in the moderating role of ethnic private regard in the longitudinal association between school ethnic discrimination and educational values among Latina/o early adolescents. Participants included 689 Latina/o early adolescents in middle school (Mage = 12.06, SD = .98 at Time 1; Mage = 12.66, SD = 1.00 at Time 2). Two waves of data were collected approximately eight months apart. Ethnic private regard moderated the association between school ethnic discrimination at time 1 and educational values at time 2 only among Latino male early adolescents, such that the negative association between school ethnic discrimination and educational values existed only for males with high ethnic private regard. Implications highlight the need to enhance teachers’ cultural competency in working with Latino male students.
ContributorsCruz, Samantha (Author) / Santos, Carlos (Thesis advisor) / Tran, Giac-Thao (Committee member) / Yoo, Hyung (Committee member) / Arizona State University (Publisher)
Created2016
Description
Intercultural couples -partners from two different countries- may face increased levels of stress within their relationship (internal stress). Internal stress can negatively impact relationship satisfaction, whereas developing healthy ways to cope (dyadic coping; DC) can lower stress levels and improve relationship satisfaction (e.g., Bodenmann, 2005). Specifically, it may be important for partners to perceive that their partner as supporting them during times of stress through engaging in DC. This study examined whether intercultural couples experience internal stress and what effects, if any, perceived partner engagement in DC had on their reported relationship satisfaction. Cross-sectional data was gathered from 85 couples and was analyzed using Actor-Partner Interdependence Models (APIMs; Kenny & Cook, 1999). Separate APIMs were conducted to examine the association between the independent variables (perceived partner engagement in: positive DC, negative DC, delegated DC, and supportive DC) and the outcome variables of internal stress and relationship satisfaction, while controlling for years each partner lived in their country of birth, average and differences on identification with individualism-collectivism values and behaviors, and if partners did or did not identify as the same race and/or ethnicity. Additionally, APIMs of internal stress on relationship as moderated by perceived partner positive and negative DC were conducted. Results showed significant associations of all independent variables on internal stress and relationship satisfaction. There were no signification interactions between internal stress and DC on relationship satisfaction. Implications for relationship researchers and mental health professionals working with intercultural couples are discussed.
ContributorsHolzapfel, Jennifer L (Author) / Randall, Ashley K. (Thesis advisor) / Tran, Giac-Thao (Committee member) / Spanierman, Lisa (Committee member) / Arizona State University (Publisher)
Created2016
Description
In this study, I investigated supervisory practices (i.e., structure and facilitation) when training therapists of differing levels of experience and self-efficacy are working with clients presenting with varying levels of suicidal risk (i.e., low or high). While previous research has supported that trainees need and want less structure and direction from their supervisors and become more self-efficacious as they gain more experience, this same assumption may not hold for crisis situations, such as when clients present with suicidal risk. To examine how trainees rate the quality of clinical supervision when working with clients presented with varying levels of suicidal risk, and how this may vary according to trainee experience level and trainee self-efficacy, an experimental design was used in which trainees read vignettes of pretend clients and supervisory sessions. It was hypothesized that quality ratings of supervision and client risk level, trainee experience level, and trainee self-efficacy would be moderated by the type of supervisory practice received. Results found significant main effects for trainee experience level, client risk level, and type of supervision received on supervision quality ratings, but no significant moderations. Clinical implications for supervisory practices and future directions for research are discussed.
ContributorsHolzapfel, Jenny (Author) / Tracey, Terence J.G. (Thesis advisor) / Bludworth, James (Committee member) / Tran, Giac-Thao (Committee member) / Arizona State University (Publisher)
Created2020
Description
Effective communication plays a major role in the psychological adjustment and quality of the relationship of couples coping with cancer, yet only a few communicative behaviors have been examined in the context of a cancer diagnosis and treatment. This study sought to expand the extant literature by describing a wider range of communicative behaviors (beyond the frequently researched withdraw, disclosure/holding back, and avoidance behaviors) through an observable measure, as previous research has relied heavily on self-report. Couples (134 cancer patients and their caregiving partners) were video-taped discussing a cancer-related concern in the laboratory. Discussions were coded separately for patients and caregivers using the Asymmetrical Behavioral Coding System which captures 22 communicative behaviors. These behaviors contribute to four higher-level scales: positive approach, negative approach, positive avoidance, and negative avoidance. Area under the curve was calculated to describe each factor. The most frequently observed behavior was positive approach, followed by negative avoidance, negative approach, and positive avoidance.
Paired samples t-test analyses examining the factors by moderating variables revealed that women engaged in more positive approach behaviors than did men; men engaged in more avoidant behaviors (both positive and negative) than did women; and caregivers engaged in more avoidant behaviors (both positive and negative) than did patients.
Findings are consistent with prior research in the field and suggest consideration of tailoring possible future interventions. Further investigation is needed to assess possible interactional effects to ultimately help couples better communicate about the challenges associated with cancer treatment and recovery.
Paired samples t-test analyses examining the factors by moderating variables revealed that women engaged in more positive approach behaviors than did men; men engaged in more avoidant behaviors (both positive and negative) than did women; and caregivers engaged in more avoidant behaviors (both positive and negative) than did patients.
Findings are consistent with prior research in the field and suggest consideration of tailoring possible future interventions. Further investigation is needed to assess possible interactional effects to ultimately help couples better communicate about the challenges associated with cancer treatment and recovery.
ContributorsPuleo, Blair Kirsten (Author) / Langer, Shelby (Thesis advisor) / Dillon, Frank (Thesis advisor) / Todd, Michael (Committee member) / Baucom, Brian (Committee member) / Spanierman, Lisa (Committee member) / Arizona State University (Publisher)
Created2020
Description
The Centers for Disease Control and Prevention (2017) note that gay, bisexual, and other men who have sex with men (collectively referred to as MSM) face more barriers to accessing health care compared to other men. Such barriers include, lack of cultural- and sexual identity-appropriate medical and support services, concerns about confidentiality, and fear of discussing sexual practices or orientation in a medical setting. In comparison to other MSM populations, Latino MSM (LMSM) report having the least amount of access to health care (McKirnan et al., 2012). The purpose of the present study is to elucidate how individual- (i.e., age, education level, and income level), community- (i.e., social support and neighborhood collective efficacy), and sociocultural-level factors (i.e., immigration status, heterosexual self-presentation, sexual identity commitment, sexual identity exploration, and ethnic identity affirmation and belonging) may relate with perceived access to healthcare. It is hypothesized that ethnic identity affirmation and belonging will moderate relations between the aforementioned predictors and perceived access to health care based on increasing evidence that ethnic identity, or one’s sense of affirmation and belonging to one’s ethnic group, may be a health protective factor. Among a sample of 469 LMSM, this study found that there were several predictors across all three levels (i.e., individual, community, and sociocultural) of perceived access to healthcare. Additionally, data supported evidence that ethnic identity affirmation and belonging (Phinney, 2003) acts as a moderator of other predictors of perceived access to healthcare in this sample. These findings can inform outreach interventions of researchers and healthcare providers about psychosocial and cultural barriers and facilitators of access to healthcare.
ContributorsMarsiglia, Steven Sasa (Author) / Dillon, Frank R (Thesis advisor) / Capielo Rosario, Cristalís C (Committee member) / Spanierman, Lisa (Committee member) / Arizona State University (Publisher)
Created2020
Description
Using a sample of 309 Asian American college students, the present study examined the effects of color-blind racial ideology (i.e., unawareness of blatant racial issues, unawareness of racial privilege and unawareness of institutional racism) on the link between internalization of the model minority myth (i.e., unrestricted mobility and achievement orientation) and psychological distress (i.e., social climate stress, interracial stress, within group stress, racism stress and achievement stress). Results primarily suggest the denial of blatant racism and racial issues (and not denial of racial privilege and institutional racism) exacerbate the effect of internalizing the model minority myth related to unrestricted mobility, while it buffers the effect of internalizing the model minority myth related to achievement orientation on race-related social stress. Also, denial of racial privilege appears to buffer the effect of internalizing the model minority myth related to unrestricted mobility and within group stress. Clinical implications and future directions for research are discussed.
ContributorsParks, Sarah (Author) / Yoo, Hyung Chol (Thesis advisor) / Spanierman, Lisa (Committee member) / Giac-Thao Tran, Alisia (Committee member) / Arizona State University (Publisher)
Created2020
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
Description
Depression is a serious mental health concern that has increasing prevalence rates in the United States (Mojtabai et al., 2016). Asian Americans with depression tend to experience severe and persistent symptoms, but are significantly less likely to seek treatment than other racial/ethnic groups (Alegria et al., 2008; Lee et al., 2011). The current study utilized the Health Belief Model (HBM) to examine Asian American emerging adults’ depression-specific mental health beliefs and resulting intentions to seek mental health care. Furthermore, the current study tested the traditional HBM against an Asian value-informed HBM via structural equation modeling among a sample of 385 Asian American emerging adults (Mage = 21.81, SDage = 2.88). Primary study results indicated good model fit for both the traditional and Asian-value informed HBMs. Specifically, in the Asian-value informed HBM, perceived benefits of professional mental health care mediated the association between Asian value adherence and likelihood of mental health help-seeking. Post hoc analyses provided support for the Asian value-informed HBM over the traditional HBM. These results suggest that Asian cultural values influence mental health beliefs and, in turn, the likelihood of mental health help-seeking behaviors among Asian Americans. The results of the current study have important implications for practice as well as future research in highlighting the impact of cultural variables on mental health beliefs and behaviors among Asian American emerging adults.
ContributorsLam, Christina K. (Author) / Tran, Giac-Thao (Thesis advisor) / Bludworth, James (Committee member) / Yoo, Hyung (Committee member) / Arizona State University (Publisher)
Created2021
Description
This study examined a specific type of racial microaggression known as an exceptionalizing stereotype, in which an action is framed as interpersonally complimentary but perpetuates negative stereotypical views of a racial/ethnic group. Asian American participants (N = 68) were assigned to 1 of 3 brief semistructured interview conditions that highlight an exceptionalizing stereotype of Asian Americans to varying degrees. In the low racially loaded condition, participants were told, “You speak English well” by a White confederate. In the high racially loaded condition, they were told, “You speak English well for an Asian.” In the control condition, the confederate said, “Nice talking to you.” Only participants in the high racially loaded condition rated their partner, the interaction, and future interactions less favorably than participants in the control condition. They also evaluated their partner and interaction less positively than participants in the low racial loading condition. The results suggest exceptionalizing stereotypes can be interpersonally damaging for Asian Americans.
ContributorsTran, Giac-Thao (Author) / Lee, Richard M. (Author) / College of Liberal Arts and Sciences (Contributor)
Created2014-07-01