Digital Commons Network^™

Examining Four Blood Biomarkers For The Detection Of Acute Intracranial Abnormalities Following Mild Traumatic Brain Injury In Older Adults, Grant L. Iverson, Mira Minkkinen, Justin E. Karr, Ksenia Berghem, Henrik Zetterberg, Kaj Blennow, Jussi P. Posti, Teemu M. Luoto

Psychology Faculty Publications

Blood-based biomarkers have been increasingly studied for diagnostic and prognostic purposes in patients with mild traumatic brain injury (MTBI). Biomarker levels in blood have been shown to vary throughout age groups. Our aim was to study four blood biomarkers, glial fibrillary acidic protein (GFAP), ubiquitin C-terminal hydrolase-L1 (UCH-L1), neurofilament light (NF-L), and total tau (t-tau), in older adult patients with MTBI. The study sample was collected in the emergency department in Tampere University Hospital, Finland, between November 2015 and November 2016. All consecutive adult patients with head injury were eligible for inclusion. Serum samples were collected from the enrolled patients, …

Differences In Distress Between Rural And Non-Rural Appalachian Breast Cancer Patient / Caregiver Dyads During The First Year Of Treatment, Jordan Tasman, Callie D. Mcadams, Jillian Lloyd, Ashton J. Brooks, Patricia Nola Eugene Roberson

Journal of Appalachian Health

Introduction: Breast cancer patients and their caregivers living in rural Appalachia face substantial health disparities compared to their non-rural Appalachian counterparts. However, there is limited research on how these specific health disparities in rural Appalachian communities may impact patient psychological distress and caregiver strain during the first year of breast cancer treatment.

Purpose: The purpose of the current study was to assess differences in patient psychological distress (depression and anxiety) and caregiver strain between rural non-rural Appalachian breast-cancer-affected dyads (patients and their caregivers) during the first year of treatment.

Methods: A total of 48 Appalachian breast cancer patients (with a …

Editorial: Individual Differences In Cognition And Affects In The Era Of Pandemic And Machine Learning, Andrea Vranic, Yang Jiang, Xiaopeng Zhao

Behavioral Science Faculty Publications

No abstract provided.

A Cluster Randomized Controlled Trial For A Multi-Level, Clinic-Based Smoking Cessation Program With Women In Appalachian Communities: Study Protocol For The "Break Free" Program, Joanne G. Patterson, Tia N. Borger, Jessica L. Burris, Mark Conaway, Robert Klesges, Amie Ashcraft, Lindsay Hauser, Connie Clark, Lauren Wright, Sarah Cooper, Merry C. Smith, Mark B. Dignan, Stephenie Kennedy-Rea, Electra D. Paskett, Roger Anderson, Amy K. Ferketich

Psychology Faculty Publications

BACKGROUND: The cervical cancer burden is high among women living in Appalachia. Cigarette smoking, a cervical cancer risk factor, is also highly prevalent in this population. This project aims to increase smoking cessation among women living in Appalachia by embedding a smoking cessation program within a larger, integrated cervical cancer prevention program.

METHODS: The broader program, the Take CARE study, is a multi-site research collaborative designed to address three risk factors for cervical cancer incidence and mortality: tobacco use, human papillomavirus (HPV) infection, and cervical cancer screening. Break Free is a primary care clinic-based implementation program that aims to promote …

Choice Bundling Increases Valuation Of Delayed Losses More Than Gains In Cigarette Smokers, Jeffrey S. Stein, Jeremiah M. Brown, Allison N. Tegge, Roberta Freitas-Lemos, Mikhail N. Koffarnus, Warren K. Bickel, Gregory J. Madden

Family and Community Medicine Faculty Publications

Choice bundling, in which a single choice produces a series of repeating consequences over time, increases valuation of delayed monetary and non-monetary gains. Interventions derived from this manipulation may be an effective method for mitigating the elevated delay discounting rates observed in cigarette smokers. No prior work, however, has investigated whether the effects of choice bundling generalize to reward losses. In the present study, an online panel of cigarette smokers (N = 302), recruited using survey firms Ipsos and InnovateMR, completed assessments for either monetary gains or losses (randomly assigned). In Step 1, participants completed a delay-discounting task to …

Applications Of The John Henryism Hypothesis: Mitigating Associations Between Incarceration, Drug Use, And Sex Partner Characteristics, Paris Wheeler

Theses and Dissertations--Educational, School, and Counseling Psychology

Individual risk behaviors are not enough to explain STI disparities among African American women. Effects of structural, social, and individual level risk factors may be mitigated by cultural factors that help increase resilience. The current study aimed to examine whether John Henryism Active Coping (JHAC), a cultural correlate marked by physical and mental vigor and self-determination, mitigates relationships between criminal justice status, crack cocaine use, and sex partner risk characteristics. Data were derived from a sample of African American women living in Kentucky (n=643). Ordinal logistic regression and stepwise linear regression analyses were utilized to examine whether interactions between criminal …

Juror Perceptions Of Heterosexual And Same-Sex Spousal Rape In The Courtroom, Haley D. Hintz

Lewis Honors College Thesis Collection

Approximately 10-15% of American women will be raped by a spouse in their lifetime (Bureau of Justice Statistics, 2002). Research suggests that the American public regards spousal rape as wrong but not rape (Lynch et al., 2017). Research on spousal rape has centered on heterosexual couples despite a higher likelihood that LGBTQ+ individuals will experience severe intimate partner violence (IPV) (Rollé et al., 2019). Therefore, the present study investigated mock juror perceptions of spousal rape of heterosexual and same-sex couples in the courtroom. We employed a 2 (victim gender) x 2 (defendant gender) x 2 (participant gender) between-participants design. Participants …

Feedback For Teachers: What Evidence Do Teachers Find Most Useful?, Thomas R. Guskey, Laura J. Link

Educational, School, and Counseling Psychology Faculty Publications

The purpose of this exploratory, descriptive study was to investigate teachers’ perceptions of three types of feedback on students’ performance to guide instructional improvements. These include: (1) formative assessment error analyses, (2) mastery charts of class progress on formative assessments, and (3) summative assessment results comparisons with previously taught classes. Self-report survey data from 92, K-12 teachers involved in a pilot mastery learning program revealed that analyses of students’ errors on formative assessments were consistently rated the most useful in planning corrective instruction and in making instructional improvements. Mastery charts and summative assessment results were considered more useful in evaluating …

Promotion Of Early Recognition Of Depression To Improve Health Related Quality Of Life In Pediatric Oncology Patients, Jennifer Blankenship

DNP Projects

Background: Depression and anxiety are serious complications of cancer and deemed a challenging diagnosis due to the symptoms of depression mimicking common side effects of chemotherapy and radiation. Signs/symptoms frequently are underrecognized thus appropriate treatment is delayed, compromising the health-related quality of life (HRQOL) for pediatric oncology patients.

Purpose: Analyze existing physician and Advanced Practice Provider (APP) clinical practice regarding depression, via a pre- and post-survey and educational PowerPoint on the use of the Center for Epidemiological Studies Depression Scale for Children (CES-DC) to promote early recognition of depression.

Methods: A prospective, single-arm, study was completed in the Kentucky Children’s …

Meeting The Psychosocial Needs Of Online Learners In Social Work Programs And Four-Year Universities: What Is Being Addressed And The Many Areas For Improvement, Kathryn Gould

DSW Capstone Projects

Almost half of social work students enter their program with a history of mental health diagnosis and exposure to multiple childhood traumas. Over half of students at four-year institutions are enrolled in one or more courses online, yet retention in online coursework is much lower than in in-person courses. As online programs continue to grow in the field of social work it becomes a vital requirement to address the psychosocial needs of online learners. The call of this capstone is to examine how universities and colleges of social work can meet the increasing need to improve course work and service …

A Pathway For Inclusive Innovation In Pediatric Mental Health: Prevention And Intervention Using Technology, Kate Corinne Bennett

DSW Capstone Projects

It is no secret that access to quality healthcare is difficult for citizens to achieve in the United States. Racism, discrimination, and oppression further exist at the root of compounding social problems, including limits in minority access to mental health services. The COVID-19 pandemic has also exacerbated mental health problems for young children, especially those who are already underserved and at risk. For these reasons, it is imperative that the social work profession emphasizes innovative approaches to equitable treatment access, including a focus on early intervention and the use of technology. Product one of this capstone engages a systematic review …

Clinical Interventions For Developmental Trauma Disorder: How Evidence-Based Practice And Attachment Theory Can Inform Therapeutic Approach, Victoria Deveau

DSW Capstone Projects

Approximately two-thirds of U.S. children and adolescents report having experienced a traumatic event. A posttraumatic stress disorder (PTSD) diagnosis requires that the youth has directly experienced a traumatic event, witnessed a traumatic event occur to others, or learned that a traumatic event has occurred to someone close. The clinician is in a diagnostic quandary, however, when the youth presents with the PTSD hallmarks of hyperarousal, avoidance, and emotional dysregulation, in absence of such life experiences. The answer to this quandary lies in an understanding of developmental trauma disorder (DTD). Clinical interventions for DTD are the focus of this capstone.

Product …

Examining The Indirect Effect Of Trauma On Obsessive-Compulsive Symptoms Through Responsibility/Threat Beliefs, Emily E. Fenlon

Theses and Dissertations--Psychology

Inflated responsibility beliefs and threat estimations have been implicated in the etiology and maintenance of obsessive-compulsive (OC) symptoms. Research suggests that early life experiences that involve actual or perceived serious harm to oneself or others may lead to inflated responsibility/threat beliefs and OC symptoms. Research has yet to explore if traumatic experiences influence responsibility/threat beliefs or if the associations between trauma and OC symptoms are at all dependent on trauma’s influence on responsibility/threat beliefs. The present study aims to examine associations among exposure to potentially traumatic events (PTEs), responsibility/threat beliefs, and OC symptoms. A sample of 886 undergraduate students completed …

Can Grades Be An Effective Form Of Feedback?, Thomas R. Guskey

Educational, School, and Counseling Psychology Faculty Publications

When grades are used in the right way, at the right time, and for the right reasons, they can be useful to students.

The Ecology And Evolution Of Human Reproductive Behavior, Kaylynne Glover

Theses and Dissertations--Biology

The complexity of human reproductive behavior has necessitated its examination through a variety of scientific disciplines, each focusing on specific elements of our biology, behavior, and society. However, this complexity also necessitates that we reintegrate the information learned from each discipline into a single framework, one rooted in the evolutionary principles that have shaped the development of all life on earth. In this dissertation, I use this framework to explore human reproductive behavior, with a particular focus on sexual coercion and fertility-mediated sexual behavior.

In Chapter 1, I introduce the approach taken in this document, identify several key limitations, and …

Reading Comprehension Constrains Word Reading: A Tongue Twister Study By Moderating Attentional Control, Xueying Wang

Theses and Dissertations--Linguistics

Numerous research studies show word reading performance influences reading comprehension. Few studies investigate how reading comprehension influences word reading. The current study explores whether alleviating the attention required for reading comprehension correlates with a better word reading performance. Three types of tongue twister reading tasks that involve recall (RR), semantic priming (PP), and instructional focus on the phonological information (PF) all have a high demand for attention on word reading. Differently, the attention demanded by PP tasks on reading comprehension is smaller than RR and RF tasks. Numbers of speech errors are used to manifest the variability of these three …

Coaching Pre-Service Aba Students To Correctly Respond To Challenging Behaviors During A Functional Analysis, Gabrielle Lonnemann

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

As Board Certified Behavior Analysts, we are responsible for training and implementing a variety of skills including a functional analysis. Bug in Ear teaching is an effective way to teach a variety of skills to a variety of professionals in Applied Behavior Analysis (ABA), as well as related fields. This study examined the effectiveness of using a Bug in Ear treatment package to teach preservice ABA masters students how to implement a functional analysis with isolated contingencies. This study suggests that the BIE treatment package may be an effective approach to teaching pre-service ABA students how to conduct a functional …

Blocking The Acquisition Of Ethanol-Induced Conditioned Place Preference With 11, 21-Bisphenyl-19-Norpregnane (Pt150) In Coturnix Quail, Mia Radevski

Theses and Dissertations--Psychology

Alcohol use disorder (AUD) has been associated with a dysregulated stress system. Therefore, regulating stress hormones has been investigated as a potential therapeutic target for AUDs. The purpose of the current study was to investigate whether a stress hormone receptor antagonist, PT150, would block the rewarding properties of ethanol. Quail were used as subjects because a conditioned place preference (CPP) apparatus that utilized visual cues was used, and quail readily attend to visual cues. Visual cues in the environment have been shown to become associated with alcohol effects and later induce craving. Starting on day one, quail were pretreated with …

Self-Monitoring And The Dsm-5 Section Iii Alternative Model Of Personality Disorder, Gillian Mccabe

Theses and Dissertations--Psychology

The Alternative Model of Personality Disorder (AMPD) was introduced in Section III (“Emerging Measures and Models”) of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) to address many of the challenges inherent to the categorical system of personality disorder diagnosis. According to the AMPD, personality disorders can be identified by the extent to which impairment in personality functioning (i.e., Criterion A) and pathological personality traits (Criterion B) are present. Researchers have divided over the distinction between Criterion A and Criterion B, with one side favoring the current AMPD conceptualization of personality traits and functioning as independent constructs and the …

Examining The Impact Of Discrete And Contextual Stress Factors On Memory, Jillian Rae Silva-Jones

Theses and Dissertations--Psychology

Stress is a complex and multifaceted process which is often not perceived as such. Therefore, given the unidimensional conceptualization of stress in previous research the current understanding of the associations between stress and memory are not well understood. This study investigates the association between stress and memory by capturing the complexity of stress through discrete and contextual stress factors. The current study used ecological momentary assessment (EMA) and geocoded indices (i.e., zip codes) of population density (i.e., urbanicity) and deprivation (socioeconomic disadvantage) in a large and diverse sample of U.S. participants (N = 8817) to examine the relationship between …

The Role Of Affective Heterogeneity On Treatment Effects For Youth With Conduct Problems, Pevitr Singh Bansal

Theses and Dissertations--Psychology

Conduct problems (CP) are a class of disruptive and aggressive behaviors (e.g., aggression, vandalism) comprised of both oppositional defiant and conduct disorder. CP are highly heterogenous and one vital factor that parses out this heterogeneity is affect, specifically the affective traits of irritability (IRR) and limited prosocial emotions (LPE). The current study examined how IRR and LPE predict distinct aspects of treatment efficacy including (1) treatment response (i.e., magnitude of change from week 1 to week 5); (2) trajectories (i.e., shape of symptom change); and (3) time-out (i.e., behavioral and emotional reactions to time-out). Participants were 49 youth aged 7-12 …

An Overview Of Functional Communication Training For Registered Behavior Technicians, Christopher Dollinger

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

Functional Communication Training (FCT) is an intervention involving the differential reinforcement of an alternative response (DRA), in which an appropriate communicative response (e.g., asking for a break) is reinforced while the behavior targeted for decrease (e.g., hitting to get out of work) has reinforcement withheld in its presence. Individuals who work as registered behavior technicians (RBT), under the supervision of a board-certified behavior analyst (BCBA), may implement FCT daily. With that being said, many individuals who choose to work as an RBT may not have as deep of an understanding of the concepts and principles of applied behavior analysis (ABA) …

Increasing Accuracy In Police Report Writing, Zachary Greene

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The current alternative thesis project consisted of creating an online learning course intended to increase the accuracy with which preservice and in-service police officers write police incident reports. The online course consists of 6 separate modules and utilizes principles of applied behavior analysis (ABA) to assist the learner in understanding and applying the content of the modules. Specifically, components of interactive computer training (ICT), consisting of video modeling, voice over narration, interactive activities, and self-pace module design were implemented in the design of the learning course. Opportunities throughout the course allow the learner to self-reflect, self-assess, and receive feedback.

Evaluation Of Preschool Life Skills (Pls) Program To Teach Social Skills In A Preschool Class, Zhenying Jiang

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

The purpose of the study was to evaluate the effectiveness of a Tier 2 PLS program on increasing critical social skills (i.e., requesting for attention, framed requesting for materials and assistant, and delay and denial tolerance) and decreasing problem behaviors for the participants with risk of delay in social domain. A multiple probe across behaviors design replicated across participants was employed. The intervention terminated due to the end of school year before skill 3 could be introduced. Two of three participants met criteria for two taught skills, while one participant did not acquire all skills. Decrease of problem behavior accompanied …

Role Of Prior Knowledge In Timing Of Computer-Generated Feedback, Julie Faye Shirah

Theses and Dissertations--Psychology

Although often helpful, feedback sometimes has neutral or negative effects on learning (Hattie & Timperley, 2007; Kluger & DeNisi, 1996). For example, Fyfe and colleagues have found that the effects of feedback timing are moderated by students’ prior knowledge such that feedback has been useful for students with low prior knowledge, but has mixed effects on students with high prior knowledge (e.g., Fyfe et al., 2012; Fyfe, 2016). In this study, I extended Fyfe’s work by re-conceptualizing prior knowledge as knowledge of more familiar foundational concepts a learner brings to a learning task (Sidney & Alibali, 2017), which can be …

Mild Cognitive Impairment In Presurgical Deep Brain Stimulation For Parkinson's Disease, Elizabeth Roslyn Wallace

Theses and Dissertations--Psychology

Although clinically characterized by motor impairments, Parkinson's disease (PD) often affects cognition early in the disease course. Cognitive changes common in PD include visuospatial abnormalities and prominent executive function (EF) deficits, with 30% of individuals eventually developing Parkinson’s disease dementia (PDD). Mild cognitive impairment (MCI) has been identified as a transitional state between normal cognition and PDD. A large cohort of individuals with PD at the Kentucky Neuroscience Institute have undergone pre-surgical evaluations for deep brain stimulation, although cognitive performance in this cohort has never been probed. Baseline cognitive performance of this cohort from 2017-2020 was examined to characterize the …

"Think Of The Situation In A Positive Light": A Look At Cognitive Reappraisal, Affective Reactivity And Health, Jessica Chloe Maras

Theses and Dissertations--Psychology

How individuals regulate their emotions is critical for maintaining health and well-being. For example, reframing a stressful situation in a positive light, a form of cognitive reappraisal, is beneficial for health and well-being outcomes. However, it is currently unclear why this relationship exists. One potential mechanism could be how one emotionally reacts to stressors in daily life, termed affective reactivity. The current study examined longitudinal associations that spanned 20 years between cognitive reappraisal and health outcomes and subjective well-being and if affective reactivity mediated this relationship. Participants completed waves 1-3 of the Midlife in the United States (MIDUS) Survey series …

Effects Of An Online Insomnia Intervention On Sleep And Alcohol Consumption, Justin Verlinden

Theses and Dissertations--Psychology

Alcohol use disorder (AUD) and insomnia are highly comorbid, due in part to the use of alcohol as a sleep aid among individuals with insomnia. Initial studies have shown that cognitive behavioral therapy for insomnia (CBT-I), the first-line treatment for insomnia, is moderately successful at improving both sleep and drinking outcomes in heavy drinkers with insomnia. However, CBT-I is expensive and not widely available. Online CBT-I could be a more accessible alternative. One online CBT-I program, Sleep Healthy Using the Internet (SHUTi), is especially promising due to its high efficacy in treating insomnia and its individualized and interactive platform. Here …

Latent Classes Of Symptom Trajectory In A Brief Treatment For Borderline Personality Disorder, Doug Terrill

Theses and Dissertations--Psychology

It is likely that patients with BPD progress through treatment in different ways. Characterizing symptom trajectories during treatment can facilitate the identification of distinct treatment responses, which may be shared by subgroups of patients. Researchers have consistently identified multiple distinct symptom trajectories among individuals with common psychopathological conditions, but no research to date has attempted to do so among patients with BPD. This study used latent growth mixture modeling to identify and characterize distinct classes of symptom trajectories among patients receiving an 18-week cognitive-behavioral treatment for BPD. Two distinct BPD symptom trajectories were identified in this sample, which were primarily …

Pain Interference Across Chronic Pain Populations: Variability And Associated Psychosocial Processes, Stephanie Judge

Theses and Dissertations--Psychology

Chronic pain is one of the most common health complaints, yet the limited effectiveness of existing treatment options suggests that chronic pain is still not fully understood. The goals of this study are to identify and organize well-established and emerging psychosocial factors associated with pain interference, clarify the nature of between- and within-diagnostic group differences in psychosocial and demographic factors associated with pain interference, and identify interactions among diagnostic and psychosocial factors associated with pain interference.

Community-dwelling participants (N = 284) completed a one-time survey which included demographic information, information about pain and diagnosis, and five existing measures that assess …