자료유형  

 학위논문

Control Number  

0017163033

International Standard Book Number  

9798383647257

Dewey Decimal Classification Number  

150

Main Entry-Personal Name  

Chodzen, Gia Nora.

Publication, Distribution, etc. (Imprint  

[S.l.] : University of California, Los Angeles., 2024

Publication, Distribution, etc. (Imprint  

Ann Arbor : ProQuest Dissertations & Theses, 2024

Physical Description  

134 p.

General Note  

Source: Dissertations Abstracts International, Volume: 86-02, Section: B.

General Note  

Advisor: Ng, Lauren Christina.

Dissertation Note  

Thesis (Ph.D.)--University of California, Los Angeles, 2024.

Summary, Etc.  

요약Marginalized adolescents are disproportionately vulnerable to experiencing psychological distress due to trauma exposure but are less likely to access, engage in, and benefit from existing trauma focused evidence based interventions (EBIs). It is hypothesized that one reason for the disparities in EBI access, engagement, and effectiveness is that current trauma focused EBIs do not effectively account for the contextual conditions that contributed to the onset and maintenance of psychological problems following trauma exposure. Therefore, the goal of this dissertation was to utilize an approach informed by socio-ecological model of health to complete three studies to examine the effect of contextual factors on psychological treatment (1) access, (2) engagement, and (3) effectiveness among marginalized adolescents with trauma exposure. Study one utilized data from a large epidemiological dataset to examine the explanatory power of neighborhood level moderators of the relationship between psychological need and likelihood of adolescents accessing psychological services. I found that neighborhood level inequality negatively impacted adolescents' ability to access care, even when accounting for psychological need and marginalized identity. Study two utilized a mixed methods approach to determine whether contextual barriers to psychological treatment impacted engagement in a small, randomized control trial for a trauma focused EBI. I found modest preliminary evidence that adolescents anticipated that contextual barriers would impact their ability to engage in care. Study three was a qualitative examination of whether content related to contextual stressors in individual therapy sessions impacted adolescent and provider perceptions of EBI effectiveness. I found that contextual stressors were related to psychological distress, difficulty with engaging in treatment, and decreased intervention acceptability. Results from the dissertation have the capacity to inform novel public health and clinical interventions to eliminate disparities and to improve existing EBIs.

Subject Added Entry-Topical Term  

Psychology.

Subject Added Entry-Topical Term  

Mental health.

Subject Added Entry-Topical Term  

Developmental psychology.

Subject Added Entry-Topical Term  

Counseling psychology.

Subject Added Entry-Topical Term  

Clinical psychology.

Index Term-Uncontrolled  

Contextual factors

Index Term-Uncontrolled  

Engagement

Index Term-Uncontrolled  

Effectiveness

Index Term-Uncontrolled  

Psychological interventions

Index Term-Uncontrolled  

Marginalized adolescents

Index Term-Uncontrolled  

Trauma

Added Entry-Corporate Name  

University of California, Los Angeles Psychology 0780

Host Item Entry  

Dissertations Abstracts International. 86-02B.

Electronic Location and Access  

로그인을 한후 보실 수 있는 자료입니다.

Control Number  

joongbu:657097