From medieval to modern times, mental illness is a construct that has been deeply misunderstood and stigmatized by humankind (Dubin & Fink, 1992). Individuals living in the United States experience a fear of being judged or ridiculed for their psychopathological symptomology as a result of mental illness stigma (Bharadwaj et al. 2015). Mental illness stigma impacts how individuals choose to seek help and whether they choose to seek help at all (Rusch et al., 2005). Individuals from diverse cultural and ethnic backgrounds face unique barriers to access to mental healthcare (Cauce et. al, 2002). Specifically, individuals from diverse backgrounds are affected by the social and cultural environment they are a part of where cultural factors can impact whether or not these individuals choose to seek help from mental health service providers (Cauce et. al, 2002). The theory of “Double Stigma” (Gary, 2005) proposed that individuals from diverse ethnic and cultural backgrounds face impactful barriers to mental healthcare as a result of of mental illness stigma combined with racial discrimination. Different ethnic minority groups face unique barriers to mental healthcare. African Americans are a group of individuals who have been found to associate seeking mental health treatment with feelings of embarrassment when compared to European Americans (Snowden, 2001). Additionally, Asian Americans are a group of individuals who have often referred to as the “model minority,” a problematic notion which suggests that in terms of mental illness, this ethnic group has had little to no social or psychological problems and have assimilated well to life in the United States (Sue & Morishima, 1982). This theory has contributed to Asian American communities internalizing the idea that they must uphold the standard that has been set for them, ultimately impacting their decision to seek help for mental illnesses (Sue & Morishima, 1982). Within the Asian American community, South Asians are the third largest and fastest growing ethnic group in the United States (U.S. Census Bureau, 2000). Within the South Asian community, stigma is highly prevalent and perpetuated by discrimination (Neelam, Mak, & Wessely, 1997). This discrimination and judgement from one’s own community impacts if and how individuals from South Asian communities choose to seek help. Loya, Reddy and Hinshaw (2010) found that relative to European American college students, South Asian college students presented with higher level of reluctance to seek help through University-based counseling services. Loya and colleagues (2010) also found over all poorer attitudes toward individuals with mental illness from South Asian college students. This study investigated perceptions of mental illness and help seeking across racial groups, with a specific focus on South Asian communities. Specifically, a model examining informal and formal help seeking was utilized to explore differences in perceptions of help seeking practices across racial groups. Through multigroup structural equation modeling (SEM), changes in model fit were explored to assess whether negative perceptions of mental illness predicted informal and formal help seeking behaviors across racial groups. Participants included 355 individuals, 18 and older, across the United States who identified as South Asian, White/European American or Black/African American. Based on previous research which has found that ethnic minority groups face unique barriers to accessing appropriate mental healthcare (Cauce et. al, 2002; Gary, 2005; Snowden, 2001; Sue & Morishima, 1982; Neelam, Mak & Wessely, 1997; Loya, Reddy & Hinshaw, 2010), it was hypothesized that South Asian individuals would have more negative perceptions of individuals with mental illness as well as more negative attitudes towards all modes of help seeking compared to their non-South Asian counterparts. Additionally, it was hypothesized that South Asian females will have more positive attitudes towards mental illness than South Asian males. Results indicated that a more positive perception of mental illness is associated with more likelihood of seeking help for mental illness for all racial groups examined through SEM. Results also indicated similar fit indices and invariance across all racial groups examined through SEM. Through univariate analyses, South Asian females were found to have a more positive view of individuals with mental illness than South Asian males. Univariate analyses also revealed that compared to White/European Americans, individuals who identified as Black/African American perceived mental illness more negatively when assessing individuals their own racial group. Implications, strengths, limitations, and directions for future research are discussed. / School Psychology

Intimate partner violence (IPV) survivors often consult with their informal network members (i.e., friends and family) about the violence they experience- far more often than they do with formal resources. These informal network members (INMs) are therefore uniquely situated to help survivors, particularly by helping them understand the violence as an undeserved problem and by providing them with tangible aid and information to exit and stay free of violent relationships. The extent to which and through what means INMs could help, however, remains under-studied. This study therefore sought to understand how disclosure to informal network members (INMs) and their specific reactions to that disclosure shape survivors’ initial experiences with IPV and their IPV victimization in subsequent relationships. Descriptive, bivariate, and multivariate quantitative analyses (linear, logistic, and negative binomial regression) were conducted on survey responses from a sample of 200 female survivors between the ages of 18 and 30 who had been out of their initial violent relationships for at least 6 months. These analyses included the use of six independent variables (four measures of disclosure, one measure of reactions to disclosure that labeled the violence as problematic, and one measure of reactions to disclosure that provided information or tangible support), three dependent variables (months between violence onset and relationship end, frequency of violence during exposure to violence, and subsequent violent relationships), and ten covariates. Increases in disclosure frequency were significantly related to decreases in the frequency of violence across three different measures of disclosure in the multivariate models. Although the bivariate findings suggested that disclosure is related to time between violence onset and the end of the relationship, the multivariate results did not find a significant relationship with this variable, nor between disclosure and subsequent violent relationships. The results were more nuanced when examining the specifics of the INM reactions to those disclosures in the multivariate models. Each increase in the frequency of problem definition reactions was associated with a decrease in the frequency of violence experienced. Increasing frequencies in urging the survivor to talk to a lawyer or police and in providing or helping her get information were related to a decrease in the time between violence onset and relationship end. Increases in the frequency of urging the survivor to talk to a lawyer or police were related to an increase in the frequency of violence, whereas increases in the frequency of offering a place to stay was related to a decrease in the frequency of violence. Lastly, an increase in the frequency of information and tangible support reactions as a whole was significantly related to a decrease in the odds of experiencing subsequent relationship violence. These findings add nuance to existing models and frameworks of IPV help-seeking, motivate and serve as a basis for further research into how disclosure to INMs can shape varying outcomes for IPV survivors, and add to a body of literature that can ultimately be used to inform not only the practices of INMs, but also more formal policies and practices to enable informal systems to better aid IPV survivors. Regarding implications for theories of help-seeking and disclosure, the findings confirm that although disclosure itself is important, what happens during disclosure is just as, if not more, important when shaping outcomes for survivors. Further, because of the varied ways in which the disclosure process might shape survivor outcomes as evidenced by these findings, conceptual models and frameworks outlining the relationships between disclosure and survivor outcomes need to be refined to better capture these complexities. In terms of future research, there is much left to explore regarding the disclosure process, including for which types of survivors certain reactions work best, which types of INMs are most likely to use which reactions, and how combinations of reactions interact in influencing survivor outcomes. Once corroborated by other studies, these findings can be used to inform policy and programming to enable INMs to react effectively to disclosure so as to ensure greater justice for survivors. Any awareness-raising policies or programs designed to shape INM practice would need to be evaluated, creating a variety of evaluative research opportunities. Because of the high prevalence of IPV among young adult women in the United States and around the world, the results of this study fit well into the contemporary global discussion of how to reduce and prevent survivor experiences with IPV. / Criminal Justice

Whether or not Americans feel they have sufficient information or knowledge to make mutual fund investing decisions, more and more investors are forced to make these choices if they wish to invest for future goals like retirement. The problem for policymakers is deciding how to provide information on mutual funds that is both useful and used by potential investors. The purpose of this study was to test the relationship between an investor's personality and the effort exhibited by a potential investor in seeking information about a mutual fund investment, as well as the type of information the potential investor considers important. For this research, "personality" was the independent variable that was hypothesized to influence the dependent variable, investor "information-seeking effort" before an investment decision is made. Personality is composed of the four dichotomous Myers-Briggs' functions, including 1) Extraversion versus Introversion, 2) Sensing versus Intuition, 3) Thinking versus Feeling, and 4) Judging versus Perceiving. A survey was created to identify the mutual fund information considered important by potential investors, and their stated likelihood of seeking out said information before making a purchase decision. The Myers-Briggs' preference indicator and the information-seeking effort survey were administered to 101 college and university students. Eighty-one students met the selected criteria. Upon analysis, results indicated statistically significant differences in the basic-level information-seeking effort of participants based on the potential investor's attitude toward dealing with the outside world (judging vs. perceiving preference) with judgers labeling basic-level information as more important than did perceivers. In addition, results indicated that judger's initial satisfaction with their mutual fund choice was significantly higher, statistically. Lastly, based on a comparison of qualitative information items vs. quantitative information items provided, quantitative information was labeled as significantly more important (statistically) than qualitative information. Based on the findings, recommendations for educators, regulators, and policy-makers are provided, and include simplification of the terminology used in point-of-sale mutual fund information and increased financial literacy education for consumers. / Ph. D.

The current study aimed to test sensation seeking as a mediator in the relationship between arousal and aggression. In addition, an experimental design was used to test whether arousal can be manipulated to alter levels of sensation seeking and aggression, both measured behaviorally. A sample of 128 undergraduate students completed state and trait measures of sensation seeking and aggression, and baseline measures of physiology. It was hypothesized that trait sensation seeking would mediate the relationship between baseline physiology and trait aggression. Also, state sensation seeking would mediate the relationship between an arousal manipulation and state aggression. The results failed to support the proposed mediation models. Furthermore, the arousal manipulation was insufficient to result in sustained heart rate differences, and therefore the malleability of state sensation seeking and aggression could not truly be tested. Exploratory analyses supported an interaction between arousal and sensation seeking, such that in individuals low on experience seeking, disinhibition and boredom susceptibility, low heart rate was associated with greater aggression. These findings suggest that arousal and sensation seeking may conjointly predict aggression through moderation rather than mediation, though future studies with improved experimental designs are needed. / Ph. D.

Components from the historic method, information seeking, and the history of IDT were used in conjunction with systems thinking to create a framework to determine the status of documented artifacts related to the history of IDT. The study used the following steps: (a) conduct a literature review in order to explore possible components for the framework; (b) analyze the results of the literature review to provide a rationale for selection criteria of these components; (c) design the framework that will be used to search for documented artifacts; (d) develop the framework and operationalize the components; (e) evaluate the framework with operationalized components; (f) where necessary, revise the framework based upon tests of the framework; (g) report the results (h) design a way to share the framework and the status of documented artifacts. Sixty-nine documented artifacts were searched for using the framework and sixty were located. / Ph. D.

Mental health in young adults can vary significantly with a large proportion struggling with clinical disorders. Despite the high prevalence of psychopathology, many do not receive help. Relevant barriers to help-seeking include self-reliance, lack of awareness of symptoms or sources of help, and stigma. Measurement Feedback Systems (MFSs) and self-monitoring are potential avenues to assist in treatment engagement. In this study, Bi-Weekly Monitoring with Informational Feedback (BWM) was implemented in a college student population (N = 74) where students were asked to report on their overall psychological functioning and set goals every other week. BWM was evaluated for feasibility, effects on help-seeking overall, and mechanisms of self-monitoring were explored. BWM was determined to be feasible in this population; although, help-seeking attitudes did not change over time as a result of BWM. Ancillary analyses explored the effects of BWM and mental health symptomatology. Participants reported on their attitudes towards BWM which were generally in favor of BWM. Some promising results emerged; however, they were largely statistically insignificant. Limitations of this study include a large drop-out rate in the control group, which left unequal groups. As such, analyses should be interpreted with caution. Future studies should evaluate BWM on a weekly basis with a larger sample to better understand the effects of BWM on self-monitoring mechanisms. / Master of Science / Mental health in young adults can vary significantly with a large proportion struggling with clinical disorders. Despite the high prevalence of psychopathology, many do not receive help. Relevant barriers to help-seeking include self-reliance, lack of awareness of symptoms or sources of help, and stigma. Measurement Feedback Systems (MFSs) and self-monitoring are potential avenues to assist in treatment engagement. In this study, Bi-Weekly Monitoring with Informational Feedback (BWM) was implemented in a college student population (N = 74) where students were asked to report on their overall psychological functioning and set goals every other week. BWM was evaluated for feasibility, effects on help-seeking overall, and mechanisms of self-monitoring were explored. BWM was determined to be feasible in this population; although, help-seeking attitudes did not change over time as a result of BWM. Attitudes towards BWM were variable, yet largely favorable. While some promising results emerged, there has yet to be concrete support for BWM. This study is limited due to a large drop-out rate in the control group, as such the results should be interpreted with caution. Future studies should evaluate BWM on a weekly basis with a larger sample to better understand the effects of BWM on self-monitoring mechanisms.

Mosquitoes, by transmitting vector-borne diseases through their saliva, impact nearly half of the world's population. Mosquito survival is dependent on their sense of smell, or olfaction, which allows a mosquito to differentiate between plant nectar, required for metabolic processes, and host odors, which will help them navigate towards hosts, source of the blood required for producing eggs. Mosquitoes interpret and respond to chemical volatiles very differently depending on their environment (temperature, humidity, time of day, etc.) and species-specific host preferences (humans, mammals, etc.). However, the impact of ecological factors on mosquito prevalence, sugar-feeding, and host seeking is relatively unknown. In an attempt to address this knowledge gap, we first investigate how several ecological factors (i.e., temporal, seasonal, and topographical) affect mosquito sugar feeding and population dynamics. Second, we focused on the anthropophilic mosquito species Aedes aegypti to investigate the role of plant associated compounds in host-seeking behavior, such as those which are commonly found in personal care products (i.e., body washes). Our results demonstrate that several ecological factors alter mosquito prevalence and behavior, including both sugar and host seeking behaviors. We anticipate these results to be a starting point for mosquito control strategies that depend not only on olfactory perception of plant odors, but also on the ecological and species-specific characteristics which shape the dynamics of vector-borne diseases. / Master of Science in Life Sciences / Most female mosquitoes must feed on a blood source in order to produce eggs, but in doing this they can transmit viruses and pathogens between hosts through their saliva, which are contracted by 700,000 people per year. In order to survive and fly to locate these host sources, both female and male mosquitoes require sugar and carbohydrates present in plant nectar. Mosquito identification of nectar and blood sources is primarily dependent on their sense of smell, or olfaction, which allows a mosquito to identify and locate chemical odors. The interpretation of these chemical odors is context dependent on both the mosquitoes' hunger status, ideal host (human, mammal, bird, etc.) and environmental cues (temperature, humidity, time of day, etc.). It is relatively unknown how the combination of these biological and environmental factors influences mosquito survival and biting frequency. In order to better understand this relationship, we first investigated mosquito species' habitat preferences (i.e., urban and forested) and ecological factors (i.e., season, weather). Second, we focused on Aedes aegypti mosquitoes, which almost exclusively feed on humans in urban habitats, to investigate mosquito behavior in the presence of combined plant and human odors caused by the usage of fragrant personal care products that are scented with plant odors. Our results demonstrate that mosquito prevalence, host-seeking, and plant-seeking are highly dependent on chemical and ecological factors. We anticipate that this research has avenues for both improving mosquito control strategies and better understanding the ecological dynamics of vector-borne diseases.

Social anxiety is related to various comorbidities, with the most common being elevated alcohol use (Bolton et al., 2006). The symptom profile of this unique subset of cases with social anxiety and comorbid alcohol use is more complex and experiences higher resistance to treatment (Buckner et al., 2008). Both social anxiety and alcohol use emerge during the adolescent developmental period, and yet there remains a gap in the understanding of potential developmental risk factors associated with the onset and maintenance of these co-occurring symptoms. The current study investigated trait impulsivity, cognitive flexibility, and risk-seeking during adolescence and associations with alcohol use and social anxiety in young adulthood. Participants included 167 adolescents (Mage = 14.07 years, SD = 0.54; 52.7% male) followed to young adulthood (Mage = 22.30, SD = 0.69). Growth mixture models indicated that high levels of risk-seeking during adolescence predicted social anxiety in young adulthood. Contrary to hypotheses, high (compared to moderate) risk-seeking participants had lower alcohol use. Longitudinal patterns of high attentional impulsivity during adolescence into young adulthood predicated later social anxiety, whereas non-planning and motor impulsivity did not. Linear regression analyses indicated that lower cognitive flexibility during early adolescence was associated with social anxiety and alcohol use in young adulthood. Finally, moderation models suggested that global trait impulsivity was not a significant moderator of the relation between alcohol use during adolescence and social anxiety in young adulthood. This is the first work to evaluate these developmental risk-factors in relation to comorbid social anxiety and alcohol use, and has important implications for bolstering therapeutic interventions, especially for those with elevated impulsivity. / Doctor of Philosophy / Some socially anxious young adults have more difficulties with alcohol use compared to their peers. The combination of social anxiety and elevated alcohol use can lead to challenges in various aspects of life, such as school, work, and social functioning. Previous literature in the field suggests that both social anxiety and alcohol use emerge during early adolescence (ages 13-14); however, risk-factors during this important developmental period are still being explored. This dissertation evaluated the following possible risk-factors during adolescence that may be associated with the later development of social anxiety and alcohol use: trait impulsivity, cognitive flexibility, and risk-seeking. These risk-factors were explored using a dataset collected in Virginia that followed 167 adolescents over an eight-year period. Results indicated that youth with higher risk-seeking and attentional impulsivity during adolescence (ages 13-21) had significant social anxiety symptoms once they reached young adulthood (ages 22-23). Additionally, lower cognitive flexibility during ages 13-14 was associated with higher social anxiety and alcohol use in young adulthood. This is the first work to evaluate these risk-factors in relation to social anxiety and alcohol use, and has important implications for interventions, especially for those who have increased impulsivity and risk-seeking behaviors.

Approximately 30% to 60% of children experience a behavioral health problem such as picky eating, toileting, or sleep difficulties; however, less than half of those individuals receive the necessary services to improve their symptoms and functioning. Examining the pathway through which children access behavioral health care is crucial to understanding the gap between the need for services and actual service use. Help-seeking process models suggest that for a child to receive care, caregivers must go through a series of linear stages: problem recognition, decision to seek help, and service selection. This help-seeking process has not been previously examined for sleep, picky eating, and toileting challenges, which leaves a gap in our knowledge about how children receive access to important behavioral health care. The current study aimed to fill gaps in the literature regarding help-seeking for behavioral health concerns. Survey data was collected through Amazon’s Mechanical Turk. Participants were 151 caregivers of children ages 5 to 10 years who provided information about help-seeking and child behavioral health symptoms. Rates of caregiver problem recognition for children who exhibited clinically significant concerns were 39% for sleep, 70% for picky eating, and 52% for toileting. When caregivers identified a problem, rates of help-seeking ranged from 53% (sleep) to 69% (toileting). The severity of the child’s problem predicted caregiver problem identification and help-seeking across all concerns. Caregiver past experience with mental health predicted problem identification and help-seeking for sleep and for picky eating. Family disorganization also predicted identification of picky eating problems. Caregivers demonstrated low knowledge of treatment options for behavioral health, and specialty behavioral health services were underutilized across problem areas with 69% to 75% of caregivers in the sample indicating that they had or would seek help from a pediatrician and only 11% to 19% indicating that they had or would seek help from a therapist or psychologist. Caregivers also reported low rates of pediatrician screening for these behavioral health concerns, and results suggest that caregivers are not fully satisfied with how pediatricians address their concerns. Overall, results support and add to the findings in the literature that suggest child behavioral health problems are under- recognized and under-treated. Future research is needed to close the gap between the need for services and service use.

Yes / Purpose Perinatal depression is one of the most commonly diagnosed mental health conditions in the general maternity population but whilst the prevalence is thought to be much higher in asylum seeking and refugee (AS&R) women, it is less frequently identified and diagnosed by health care professionals. Method A systematic review was undertaken to address ‘what factors influence help-seeking behaviours in asylum seeking and refugee women with symptoms of perinatal depression’. The review focussed on women accessing care in high income countries. 12 studies met the eligibility criteria and a narrative synthesis was undertaken resulting in two main themes: women's perceptions of depression and access to healthcare and support services. Results Findings indicated that many of the influences on help-seeking were also present in the general population and women from ethnic minority populations, with the exception of migration experiences; but that women from a AS&R may experience more of these barriers, exacerbating inequality in access to and engagement with healthcare. Conclusion Further research is needed to provide more detailed insight into the experiences of asylum seeking and refugee women to identify ways that barriers in help-seeking can be addressed.