Browsing by Author "Landers, Ashley L."

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    The Experience of Being Partnered With a Couples Therapist: A Qualitative Inquiry
    Miller, Christine Marie (Virginia Tech, 2018-06-21)
    This qualitative phenomenological study explored the experience of being in a romantic relationship with a couples therapist. Fourteen spouses participated in semi-structured interviews. Data were analyzed using descriptive phenomenology and themes were identified through meaning units. A majority of spouses experienced ambiguity on whether aspects of their couple relationship were influenced by their therapist partner’s profession or their therapist partner’s personality. Aspects of the therapist partner’s career did spillover into the couple’s relationship, such as limited time spent together, finances, confidentiality, and their therapist partner’s relationship expertise. Spouses talked about the benefits of their therapist partner’s expertise to their couple relationship, such as their therapist partner’s advice and relational skills. At the same time that spouses wanted their therapist partner’s expertise to be present in the couple relationship, spouses also did not want their therapist partner to be their therapist. Nevertheless, spouses felt pride and protectiveness of their therapist partner’s profession. Spouses helped their therapist partner by supporting, listening, and encouraging their partner’s profession. Clinical implications and directions of future research were addressed.
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    Exploring the Impact of Work-Related Traumatic Stress on Law Enforcement Couples
    Campbell, Avery Renee (Virginia Tech, 2020-07-23)
    Studies exploring the impact of work-related traumatic stress on law enforcement couples are limited. Such studies suggest that when work-related traumatic stress impacts law enforcement professionals, their spouses may experience secondary traumatic stress and serve in a supportive role following trauma exposure. Grounded in secondary traumatic stress theory, this study explored the impact of work-related traumatic stress on law enforcement couples. Semi-structured dyadic interviews were conducted with law enforcement couples (N = 7) using transcendental phenomenology. Three themes emerged within the data that captured the essence of law enforcement couple experiences of work-related traumatic stress: (1) the stressful nature of the law enforcement profession, (2) the impact of work-related traumatic stress on the couple relationship, and (3) resilient couple characteristics. The impact of work-related traumatic stress manifested in couple's communication, role responsibilities and parenting, and commitment to the relationship and the profession. Whereas the impact of work-related traumatic events differed for the law enforcement professional and their spouse based on the type of traumatic event, overall work-related traumatic stress led couples to engage in a meaning making process and activation of resilient couple coping characteristics. Given the significant impact that work-related traumatic stress has on the law enforcement couple dyad, couples therapy interventions are needed for law enforcement professionals and their spouses.
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    Family-based treatment for transition age youth: parental self-efficacy and caregiver accommodation
    Dimitropoulos, Gina; Landers, Ashley L.; Freeman, Victoria E.; Novick, Jason; Cullen, Olivia; Engelberg, Marla; Steinegger, Cathleen; Le Grange, Daniel (2018-06-06)
    Background Family-Based Treatment (FBT) is the first line of care in paediatric treatment while adult programs focus on individualized models of care. Transition age youth (TAY) with Anorexia Nervosa (AN) are in a unique life stage and between systems of care. As such, they and their caregivers may benefit from specialized, developmentally tailored models of treatment. Methods The primary purpose of this study was to assess if parental self-efficacy and caregiver accommodation changed in caregivers during the course of FBT-TAY for AN. The secondary aim was to determine if changes in parental self-efficacy and caregiver accommodation contributed to improvements in eating disorder behaviour and weight restoration in the transition age youth with AN. Twenty-six participants (ages 16–22) and 39 caregivers were recruited. Caregivers completed the Parents versus Anorexia Scale and Accommodation and Enabling Scale for Eating Disorders at baseline, end-of-treatment (EOT), and 3 months follow-up. Results Unbalanced repeated measures designs for parental self-efficacy and caregiver accommodation towards illness behaviours were conducted using generalized estimation equations. Parental self-efficacy increased from baseline to EOT, although not significantly (p = .398). Parental self-efficacy significantly increased from baseline to 3 months post-treatment (p = .002). Caregiver accommodation towards the illness significantly decreased from baseline to EOT (p = 0.0001), but not from baseline to 3 months post-treatment (p = 1.000). Stepwise ordinary least squares regression estimates of eating disorder behaviour and weight restoration did not show that changes in parental-self efficacy and caregiver accommodation predict eating disorder behaviour or weight restoration at EOT or 3 months post-treatment. Conclusions Our findings demonstrate, albeit preliminary at this stage, that FBT-TAY promotes positive increases in parental self-efficacy and assists caregivers in decreasing their accommodation to illness behaviours for transition age youth with AN. However, changes in the parental factors did not influence changes in eating and weight in the transition age youth.
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    I can still hear my baby crying: The ambiguous loss of American Indian/Alaska Native birthmothers
    Landers, Ashley L.; Danes, Sharon M.; Carrese, Domenica H.; Mpras, Evdoxia; Campbell, Avery R.; Hawk, Sandy White (Wiley, 2022-09)
    This study captures the experiences of American Indian/Alaska Native birthmothers who lost a child to adoption and the impact of said loss on their health and wellbeing. Few studies examine the loss experiences of American Indian/Alaska Native birthmothers despite their increased probability to lose a child to foster care and adoption. American Indian/Alaska Native birthmothers are distinct from birthmothers of other races in their experiences of intergenerational and historical child loss, having disproportionately lost their children to systematic practices of child removal via boarding schools, the adoption era, and child welfare. Interview data from 8 American Indian/Alaska Native birthmothers were analyzed using inductive thematic analysis. Five themes emerged including: (1) the social context of losing a child to adoption for American Indian/Alaska Native birthmothers, (2) the ambiguous loss of a child to adoption, (3) grief reactions to the loss, (4) the impact of the loss on birthmother health and wellbeing, and (5) creating resiliency. Findings suggest that American Indian/Alaska Native birthmothers experience ambiguous loss, as well as elevated mental health problems and substance abuse following the loss of a child to adoption.
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    I Lost My Family: Grief, Loss, and Identity Formation of Adopted and Fostered American Indian Individuals
    Simpson, Jessica Erin (Virginia Tech, 2020-06-19)
    American Indian individuals, families, and communities have experienced historical waves of separation from relocation to boarding schools to systematic child removal. Fostered and adopted American Indian individuals experience numerous losses that can lead to poor mental and physical health outcomes. Studies addressing American Indian experiences of grief, loss, and identity development are scarce and are limited to small samples utilizing qualitative methods. Grounded in identity theory and ambiguous loss theory, this mixed method study addressed a gap in the literature by exploring experiences of grief, loss, and identity formation following foster care and adoption of American Indian individuals. Secondary data from the Experiences of Adopted and Fostered Individuals Project were used to compare the experiences of grief and the impact of adoption on identity for American Indian (n = 129) and White individuals (n = 166). A chi-square test revealed the relationship between race and grief was statistically significant, X^2(1, n = 295) = 6.23, p < .01, with American Indian participants more likely to report experiencing grief. The extent to which participants who were adopted perceived adoption affected their identity was also significantly higher for American Indian participants (M = 4.31, SD = .99) than their White peers (M = 3.82, SD = 1.23), t(268) = -3.48, p ≤ 001.Thematic analysis was used to examine open-ended survey data, which revealed four themes: (1) loss, which describes the types of losses American Indian fostered and adopted individuals reported experiencing, (2) identity, which describes challenges and meaning making associated with identity formation (3) risk factors, which describes factors that may create challenges to processing grief, loss, and identity formation, and (4) protective factors, which describes factors that may be helpful in managing challenges associated with grief, loss, and identity formation. The findings suggest an explicit connection between loss, grief, and identity formation for adopted and fostered American Indian individuals, as well as specific outcomes and resiliency factors.
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    Parent-Child Dyadic Experiences Living with Postural Orthostatic Tachycardia Syndrome (POTS) during Emerging Adulthood
    Farchtchi, Masumeh Auguste (Virginia Tech, 2020-05-08)
    Chronic illness and invisible disability are impactful contexts during emerging adulthood and the launching stage of the family life cycle (Beatty, 2011; Capelle, Visser, and Vosman, 2016; Young et al., 2010). The parent-child relationship is important to both developmental and health outcomes in families coping with chronic illness during emerging adulthood (Crandell, Sandelowski, Leeman, Haville, and Knafle, 2018; Fenton, Ferries, Ko, Javalkar, and Hooper, 2015; Waldboth, Patch, Mahrer-Imhaf, and Metcalfe, 2016). While informed clinical competency in counseling families experiencing disablement is a diversity-affirmative ethical imperative among psychotherapists (Mona et al., 2017), little is known in family therapy about how parents and emerging adult children experience launching with chronic illness. This qualitative study explored the parent-child dyadic experience of living with a chronic illness called Postural Orthostatic Tachycardia Syndrome (POTS) during emerging adulthood. Seven dyads of parents and their emerging adult children with POTS were interviewed. Data analysis of in-depth interviews using Moustakas's (1994) transcendental phenomenology uncovered eight thematic clusters of meaning in the shared lived experience of POTS at the launching stage of the family life cycle. Clinical implications for family therapists were explored using Rolland's family system-illness (FSI) model of medical family therapy. Study limitations and future directions for further research were discussed.
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    A scoping review of mental health prevention and intervention initiatives for infants and preschoolers at risk for socio-emotional difficulties
    McLuckie, Alan; Landers, Ashley L.; Curran, Janet A.; Cann, Robin; Carrese, Domenica H.; Nolan, Alicia; Corrigan, Kim; Carrey, Normand J. (2019-07-23)
    Background Infant mental health has emerged as a unique area of practice and research distinguished from child and youth sub-specialties by its advocacy for a relational practice framework with an emphasis on parents/caregivers being integral to assessment, treatment, and prevention initiatives. A diverse array of initiatives offered across a broad spectrum of delivery methods is available to clinicians. However, to date, a large-scale mapping of the research evidence regarding these interventions has yet to be completed to help inform clinician’s decisions regarding the best approaches for their clients. To address this knowledge gap, this study aimed to report on the landscape of research pertaining to mental health interventions for infants and preschoolers (0–5 years), and their families at risk for socio-emotional difficulties and negative developmental outcomes. Method A scoping review methodology was used to conduct a large-scale mapping of the intervention research pertaining to infants and preschoolers (0–5) at risk for socio-emotional difficulties. We searched MEDLINE, PsycINFO, EMBASE, Web of Science, The Cochrane Library, CINAHL, LILACS, ProQuest Nursing & Allied Health Source, World Cat, and ClinicalTrials.gov, from inception to December 31, 2012. We extracted information regarding publication date, geographical location, study design, level of risk, population, key intervention mechanism, and outcome measures. Results We identified 533 potential studies from 1233 title and abstracts after the first round of screening. Full text article review in the second round of screening resulted in a total of 162 included articles for the final analysis. Results indicated that over 50% of interventions evaluated were randomized controlled trials conducted in Westernized countries. Most studies could be subdivided by level of risk within a preventative public health framework including universal, selected, indicated, and direct treatment for children formally diagnosed with a mental disorder. Risk factors experienced by children and their families were heterogeneously defined and numerous outcome measures across included studies. The results of this study are limited to the last search date of 2012. Conclusions Key intervention mechanisms spanned a range of approaches including parenting groups, dyadic, in-home, cognitive-behavioral therapy, and day care-based interventions. The findings are discussed in terms of implications for broad trends and gaps in research and policy for this population.
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    The transition to teletherapy in marriage and family therapy training settings during COVID-19: What do the data tell us?
    Morgan, Amy A.; Landers, Ashley L.; Simpson, Jessica E.; Russon, Jody M.; Case Pease, Jenene; Dolbin-MacNab, Megan L.; Bland, Krista N.; Jackson, Jeffrey B. (Wiley, 2021-03-20)
    In the wake of the COVID-19 pandemic, little is known about how university training programs transitioned to teletherapy. This study describes the transition of two university marriage and family therapy (i.e., master's and doctoral) training clinics to teletherapy and presents preliminary analyses of the types of clients and cases that converted to teletherapy. A series of chi-square analyses, a t-test, a logistic regression model, and a multiple linear regression model were employed. Four key findings emerged: (1) most cases converted to teletherapy; (2) Hispanic ethnicity was the only demographic characteristic to significantly predict conversion to teletherapy; (3) individual cases were significantly more likely to convert to teletherapy than relational cases; and (4) the number of prior in-person sessions attended significantly predicted conversion to teletherapy. Teletherapy conversion implications are discussed across four systemic levels: client, student trainee, supervision, and larger systems.