Using cross-sectional and 90-day discharge follow-up data from child welfare residential treatment, this study investigates gender differences in characteristics, needs, and strengths at entry to residential treatment. Specifically, this analysis examines trauma experiences, trauma-related symptoms, internalizing and externalizing behaviors, and strengths, in relation to length of stay and discharge status...
The predominant, categorical system used to classify and diagnose psychiatric disorders suffers from several critical scientific limitations, including extensive comorbidity, unreliability, and disorder heterogeneity. As such, clinical psychological scientists are increasingly moving away from this traditional, categorical system, and toward empirically-based, dimensional, and transdiagnostic alternatives such as the Hierarchical Taxonomy...
Cognitive impairment is a significant public health concern as the United States (US) population continues to age at unprecedented rates. It is well established that older adults are more likely to have higher rates of morbidity and mortality, in addition to greater healthcare utilization and costs. A parallel concern is...
The role of providing care for a loved one with Alzheimer’s disease can expose friends and family caregivers to significant stress over an extended period of time, resulting in a host of negative outcomes like increased depression and anxiety, and diminished quality of life. However, previous studies have found that...
This integrated dissertation focuses on the relationship between family functioning (including marital conflict, family conflict, and parental depression), youth depression, and long-term functioning of adolescents who were treated for depression. This dissertation consists of three distinct studies: a meta-analytic study of the relationship between marital conflict and youth depression and...
We investigated the relationships between trauma, depression, and pelvic pain severity in patients with chronic pelvic pain. Previous research has demonstrated that pelvic pain is associated with trauma history (e.g., physical and sexual abuse). As one potential mechanism of this relationship, trauma may lead to increased susceptibility to pain by...
Gerotranscendence involves feelings of coherence with one’s sense of self, greater acceptance of one’s own life, and connectedness to others across time and space. Gerotranscendence is thought to increase with age. The present study is the first longitudinal effort to investigate changes in gerotranscendence across late midlife using life story...
Global dementia diagnoses are steeply increasing. While advances in neuroimaging, neuropathology, and genetics research have improved our understanding of neurodegenerative diseases causing dementia, precise antemortem diagnosis, as well as sensitive and specific biomarkers that can facilitate a differential diagnosis and aid in participant recruitment in clinical trials, remains elusive. The...
Emotional processing deficits are characteristic of psychotic disorders such as schizophrenia. However, impairments as such are not well understood prior to the onset of psychosis among individuals at clinical high-risk (CHR). This dissertation draws from prominent theories of emotion in schizophrenia and seeks to investigate the experience and expression of...
Motor abnormalities (e.g., dyskinesia, psychomotor slowing, neurological soft signs) are core features of schizophrenia observed from the premorbid period through chronic illness, suggesting motor dysfunction may reflect the pathophysiology of psychosis. Among this list of motor abnormalities, psychomotor slowing in particular is one of the most consistently observed and robust...