- Browse by Author
Psychology Department Theses and Dissertations
Permanent URI for this collection
For more information about the Psychology graduate programs visit: https://science.indianapolis.iu.edu
Browse
Browsing Psychology Department Theses and Dissertations by Author "Aalsma, Matthew C."
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Item Daily Experiences of Racial Microaggressions and Health Outcomes Among Black Adolescents: A Daily Diary Study(2023-08) Clifton, Richelle Lee; Zapolski, Tamika C. B.; Stewart, Jesse C.; Johnson, India R.; Aalsma, Matthew C.Racial microaggressions are associated with multiple negative health outcomes, including increased distress, anxiety (Blume et al., 2012; Schoulte et al., 2011), and substance use (Su et al., 2019). The negative effects of racial microaggressions have been observed through daily assessments (Burrow & Ong, 2010; Ong et al., 2009; Swim et al., 2003). However, these studies have been conducted almost exclusively among Black adults. Thus, the first aim of the current study is to examine the impact of daily experiences of racial microaggressions on health outcomes among Black adolescents. Further, it is also important to examine factors that might influence the relationship between racial microaggressions and health outcomes. One factor that has received a considerable amount of attention is racial identity, with more recent studies examining the impact of racial identity profiles. Thus, the second aim of the current study was to explore variability in these risk pathways based on racial identity profiles. Participants were Black adolescents (N = 48; 79.2% girls; Mage=17.13). Respondents completed measures of racial identity at baseline and daily diary measures of racial microaggressions, depression, anxiety, aggression, and substance use for 14 days. Participants reported an average of 5.56 experiences of racial microaggressions per day. Neither concurrent or lagged-day associations between racial microaggressions and symptoms of depression or symptoms of anxiety were significant. Concurrent analyses indicated that the between-person effect of racial microaggressions on aggression was significant (estimate=0.345, SE=0.138, t=2.495, p=0.016), and that effect was still evident one day later (estimate=0.107, SE=0.040, t=2.686, p=0.007). The concurrent, within-person effect of racial microaggressions on cannabis use was also significant (OR=1.524, 95%CI[0.103, 0.740], p=0.010). Four racial identity profiles were identified (labeled race- focused, undifferentiated, integrationist, and multiculturalist) and a number of effects were significant within profiles. This study further highlighted that Black youth are experiencing an overwhelming number of racial microaggressions on a daily basis. Additionally, this project represents a crucial step in advancing our understanding of how racial microaggressions operate to influence health outcomes among Black adolescents on the daily level and highlights several areas for needed study and intervention.Item Mental health and substance-related treatment utilization, dropout, and continuity of care among detained adolescents: a 14-year longitudinal study(2015-07-07) White, Laura Morgan; McGrew, John H.; Aalsma, Matthew C.; McGuire, Alan B.; Salyers, Michelle P.Although approximately 60%-80% of detained adolescents have a psychiatric disorder, little is known about their utilization of mental health and substance-related treatment services upon release from detention. Given that treatment can potentially reduce symptomology and recidivism, the study examined detained adolescents’ post-detention treatment utilization and longitudinal patterns of use. Data were abstracted from the electronic juvenile justice records and medical records of 9664 detained adolescents (62.7% male; 34.8% White, 65.2% Black; 72.6% with disorder) with Medicaid coverage held in a Midwestern detention center at some time during 1998-2011. A series of statistical tests (e.g., chi-square, ANOVA, logistic regression, Kaplan-Meier survival analyses, Cox regression) were conducted to identify group differences in treatment utilization during the 14-year follow-up period. Following detention release, approximately 66.2% of adolescents were re-arrested and 54.9% were re-detained/incarcerated. Treatment utilization within two years post-detention was 36.7%; 31.4% obtained mental health treatment, 10.4% obtained substance-related treatment, 36.0% obtained outpatient treatment, and 6.2% obtained non-outpatient treatment. Among treatment users, 22.5% dropped out of treatment within 1-3 sessions and 40.6% experienced gaps (>45 days) between treatment services. Treatment utilization was significantly higher among males, White (vs. Black) adolescents, younger adolescents, violent (vs. non-violent) offenders, recidivists (vs. non-recidivists), and adolescents with mental disorders (vs. substance-related disorders). Variables associated with increased likelihood of post-detention treatment included: male gender, psychiatric disorder(s), pre-detention arrest(s), charge severity, violent offender, incarceration, and pre-detention treatment; age and Black race were associated with decreased likelihood of treatment. As one of the only longitudinal studies to examine treatment utilization among detained adolescents upon community reentry, findings suggest limited service utilization, as well as treatment gaps and disparities. Future research should focus on the treatment needs of detained adolescents, factors associated with disparities, and programs/policies to ensure consistent identification, referral, and connection to care for detained adolescents.