- Child and Adolescent Psychosocial and Emotional Development
- Attachment and Relationship Dynamics
- Suicide and Self-Harm Studies
- Health disparities and outcomes
- Mental Health Treatment and Access
- Medication Adherence and Compliance
- Maternal Mental Health During Pregnancy and Postpartum
- Patient Satisfaction in Healthcare
- Intergenerational Family Dynamics and Caregiving
- Patient-Provider Communication in Healthcare
- Resilience and Mental Health
- Health and Wellbeing Research
- Family Dynamics and Relationships
- Child Welfare and Adoption
- Adolescent and Pediatric Healthcare
- COVID-19 and Mental Health
- Family Support in Illness
- Diabetes Management and Education
- Early Childhood Education and Development
- Healthcare Policy and Management
- Community Health and Development
- Sleep and related disorders
- Interprofessional Education and Collaboration
- Grief, Bereavement, and Mental Health
- Psychological Well-being and Life Satisfaction
Texas Woman's University
2023-2024
Drexel University
2021-2023
Baylor University
2017-2022
Okinawa Prefectural College of Nursing
2022
Attachment theory suggests that experiences with parents and other caregivers are relevant for psychological functioning into adulthood, especially in relation to anxiety depressive symptoms. However, this work has largely focused on Western countries often neglected relationships paternal figures. The goal of the current study was test four competing models parental figure attachment (monotropy, only one relates symptoms; hierarchical, is more strongly related independence, both attachments...
Abstract Parents of adolescents who have suicide crises (i.e. attempt and/or significant ideation) are often highly involved in the care management, treatment and preventing future suicides their children. How they experience these crises, period afterward, has not been well studied. The purpose this study was to understand parents' (defined as any legal guardian an adolescent taking on a parental role) its impact themselves family system. Semi‐structured interviews were conducted with...
The Treatment Adherence Perception Questionnaire (TAPQ) is a new, brief self-report instrument for assessing patient perceptions and attitudes regarding their own adherence to medical treatment plans. It includes 3 distinct scales: Perceived Behavior, Benefit, Burden. In contrast with existing measures, the TAPQ was expected have clear factor structure; good discrimination; assess types of perception, each which has different patterns association interpersonal, personality, motivational,...
When people who are married or cohabiting face stressful life situations, their ability to cope may be associated with two separate dimensions of interpersonal behavior: positive and negative. These behaviors can assessed the Couple Resilience Inventory (CRI). It was expected that scales on this instrument would correlate outcome variables regarding well-being, stress, relationship satisfaction. also effects for negative behavior larger than might curvilinear. Study 1 included 325 currently...
Every year, numerous youths seeking mental health services are placed in psychiatric residential treatment programs, often leaving their families for extended periods of time. The clinical and policy community has become increasingly interested incorporating into the process, which may have a positive impact on care. Despite this interest, limited work reviewed family factors across entire process (before admission, during treatment, after discharge), or barriers to implementing...
Anxiety and depressive symptoms are common, comorbid, consequential for adolescents. Attachment theory suggests that styles of relationships with parents, developed from patterns interactions over time, contribute to risk these internalizing symptoms. This may be especially relevant high-risk, clinically severe However, most research focuses primarily on attachment mothers. Some theoretical perspectives also suggest other caregivers (such as fathers) not only uniquely important understanding...
Abstract Introduction Lesbian, gay, bisexual, and questioning (LGBQ) adolescents are particularly at risk for suicidal ideation; however, little clinical research is focused on treating this population. Attachment‐based family therapy (ABFT) among the few empirically supported youth suicide treatments adapted LGBQ adolescents. The purpose of exploratory study to determine differential treatment effects rates change heterosexual with depression ideation receiving either ABFT or enhanced...
Close relationships are consequential for youth depressive symptoms and suicide risk, but nuanced research examining intersecting factors is needed to improve identification intervention. This study examines a clinical, residential sample of 939 adolescents young adults ages 10 23 years old (M = 15.84, SD 1.53; 97.7% white, 99.5% non-Hispanic, 55% female). The final model found that family conflict, parental criticism, verbal bullying, interactions with friends were associated in the...
Suicide is a major, preventable public health problem. The general factor of psychopathology ("p" factor) might help improve detection and prediction individuals at risk for suicide. This cross-sectional proof-of-concept study tests whether the p-factor score associated with suicidal thoughts behaviors (STB) better than depression scale alone. Youth (N = 841; mean age 18.02, SD 3.36) in primary care were universally screened using Behavioral Health Screen (BHS). Factor analysis ROC results...
Perceived positive and negative exchanges in relationships contribute to marital satisfaction qualitatively distinct manners. However, the nature of these associations is unclear with some studies demonstrating curvilinear literature suggesting interaction effects on satisfaction. Extant work has not compared interactive models address this discrepancy. The present study clarifies by comparing multiple models. Based cross-sectional data from 886 mixed-sex married couples across U.S., we...
Extant literature often assumes that gratitude is intrinsically positive therefore ought to be maximized. Virtue theory and social alignment theory, however, suggest adaptive only in specific relational contexts. Drawing from find-remind-bind theory’s notion functions promote interactions with supportive partners particular, we test whether it not just the overall level of support bear upon personal (psychological well-being, physical health) (commitment, sexual satisfaction, aggression)...
The Medical Consultation Experience Questionnaire (MCEQ) is a new, brief self-report instrument that can be used with both adult patients and parents of child to assess two dimensions people's experiences interacting medical practitioners: Alliance Confusion. In contrast existing measures, the MCEQ was expected provide good discrimination across full range experience levels distinct factor validity. It developed in series 7 preliminary studies (with 758 participants) tested 3 subsequent...
Perceived social support is important for numerous health outcomes in people with serious medical conditions; however, previous studies have targeted different assessment contexts (including single or partnered reporting on either general relationship-specific support) and components of perceived positive negative interactions availability). The present study investigated potential functional differences across these components. A sample 340 conditions were recruited via market research...
Abstract When people face difficult life situations, close interpersonal interactions that are positive (supportive, warm, and intimate) negative (critical, withdrawing, unhelpful) can be assessed with the Interpersonal Resilience Inventory should distinct from social support indices (structural perceived schema), associated stress well‐being, salient across different contexts. Online participants completed when facing family or financial stressors ( n = 327) COVID‐19 pandemic 180)....
Abstract Depression, anxiety, and sleep disturbance are common among school‐age children can impair functioning. Schools in a unique position to assess refer these for intervention services, but standardized screening is underutilized. One challenge with the lack of psychometrically strong mental health tools that be efficiently effectively administered school settings. The Behavioral Health Works program provides web‐based platform multidimensional tool (the Screen [BHS]) help overcome...
Externalizing problems are common in children ages 6-14, can have lifelong consequences, and may pose a particular risk when combined with other factors symptoms (like depression anxiety). Schools uniquely positioned to assess address these types of behavioral health concerns, but many school-based assessments do not focus on mental distress (partially because they often lack the infrastructure for identification, screening, referral). To this gap, Behavioral Health Works program student...
When married parents go through a divorce, they may have concerns in 6 areas that are associated with postdivorce family adjustment. These include about malice, power, custody, child rejection, esteem, and finances. The Parting Parent Concern Inventory assesses these concerns. It was developed series of preliminary studies, this report focuses on results from 2 subsequent validation studies including 643 divorced at least 1 their former marriage under the age 18. Participants completed...
Youth with severe mental and behavioral health symptoms often require high levels of care, such as residential placement. Given the acuity population, cost services, separation children from their families, remarkably little research exists on engagement, mechanisms, outcomes. Treatment satisfaction is a critical process outcome indicator but not always assessed in care. When assessed, quality assessment tools varies rarely part treatment progress, so known about how if it might change...
There is a need for psychometrically-informed model identifying attitudinal and social factors explaining adherence to oral endocrine therapy (OET) women with hormone receptor positive breast cancer. This study tested variables selected by stringent psychometric criteria, including attitudes about benefit burden, patient-practitioner alliance confusion, negative interpersonal interactions. Self-report scales were completed 150 current or past OET users. Fourteen correlations six mediated...
Abstract Limited research has examined factors distinguishing between patterns of adolescent suicidal thoughts and behaviors. The current study demographic, school, family, mental health differences across identified by Romanelli colleagues (2022): history only, plans with thoughts, attempt and/or plans, without thoughts. includes 4,233 students ( M age = 14.65 years, SD 2.06) a suicide risk referred to school Student Assistance Program teams. sample was approximately 60.7% female, 59.8%...
Common barriers to health care, such as lack of insurance or transportation, hold a key theoretical role in many models attempting explain problems with care utilization (not seeking needed care). However, the assessment is often post hoc, no existing scales appropriate for general population. This study developed and tested new measure commonly experienced across three studies (Study 1,