Digital Commons Network^™

Effects Of (2r,6r)-Hydroxynorketamine In Assays Of Acute Pain-Stimulated And Pain-Depressed Behaviors In Mice, Todd M. Hillhouse, Kaitlyn J. Partridge, Patrick I. Garrett, Sarah C. Honeycutt, Joseph H. Porter

Psychology Publications

Ketamine has been shown to produce analgesia in various acute and chronic pain states; however, abuse liability concerns have limited its utility. The ketamine metabolite (2R,6R)-hydroxynorketamine (HNK) has been shown to produce antidepressant-like effects similar to ketamine without abuse liability concerns. (2R,6R)-HNK produces sustained analgesia in models of chronic pain, but has yet to be evaluated in models of acute pain. The present study evaluated the efficacy of acute (2R,6R)-HNK administration (one injection) in assays of pain-stimulated (52- and 56-degree hot plate test and acetic acid writhing) and …

Impact Of Telelactation Services On Breastfeeding Outcomes Among Black And Latinx Parents: Protocol For The Tele-Milc Randomized Controlled Trial, Lori Uscher-Pines, Jill Demirci, Molly Waymouth, Rebecca Lawrence, Amanda Parks, Ateev Mehrotra, Kristin Ray, Maria Deyoreo, Kandice Kapinos

Psychology Publications

Background: Breastfeeding offers many medical and neurodevelopmental advantages for birthing parents and infants; however, the majority of parents stop breastfeeding before it is recommended. Professional lactation support by the International Board Certified Lactation Consultants (IBCLCs) increases breastfeeding rates; however, many communities lack access to IBCLCs. Black and Latinx parents have lower breastfeeding rates, and limited access to professional lactation support may contribute to this disparity. Virtual “telelactation” consults that use twoway video have the potential to increase access to IBCLCs among disadvantaged populations. We present a protocol for the digital Tele-MILC trial, which uses mixed methods to evaluate the …

Factors Associated With Patient-Reported Experiences And Outcomes Of Substance Use Disorder Treatment In Cape Town, South Africa, Bronwyn Myers, J. Randy Koch, Kim Johnson, Nadine Harker

Psychology Publications

Background

Interventions are needed to improve the quality of South Africa’s substance use disorder (SUD) treatment system. This study aimed to identify factors associated with patient-reported suboptimal access, quality, and outcomes of SUD treatment to guide the design of targeted quality improvement initiatives.

Method

We analysed clinical record and patient survey data routinely collected by SUD services in the Western Cape Province, South Africa. The sample included 1097 treatment episodes, representing 32% of all episodes in 2019. Using multivariate logistic regression, we modelled socio-demographic, substance use and treatment correlates of patient-reported suboptimal access to, quality and outcomes of SUD treatment. …

To Vax Or Not To Vax: Predictors Of Anti-Vax Attitudes And Covid-19 Vaccine Hesitancy Prior To Widespread Vaccine Availability, Hannah A. Roberts, D. Angus Clark, Claire Kalina, Carter Sherman, Sarah Brislin, Mary M. Heitzeg, Brian M. Hick

Psychology Publications

The novel coronavirus (COVID-19) is a highly contagious disease responsible for millions of deaths worldwide. Effective vaccines against COVID-19 are now available, however, an extreme form of vaccine hesitancy known as anti-vax attitudes challenge vaccine acceptance and distribution efforts. To understand these anti-vax attitudes and their associated psychological characteristics, we examined several predictors of vaccine hesitancy for COVID-19 and anti-vax attitudes generally. We surveyed 1004 adults (M = 47.0 years, SD = 17.1 years, range 18–98 years) in September-October 2020 across the United States (51% female, 49% male; 76.5% White, 23.5% non-White), prior to widespread availability of the COVID-19 vaccines. …

The Relationship Between Psychiatric Symptomatology Types And Difficulties With Activity Caused By A Nervous System Or Sensory Organ Condition Among Latinx’S, Oswaldo Moreno

Psychology Publications

No abstract provided.

Demographic Factors And Attitudes Towards Mental Health Medication Treatments Among Latinxs, Kyle Hernandez-Figueroa, Jesus Carranza, Jennifer Argueta-Contreras, Isis Garcia-Rodriguez, Oswaldo Moreno

Psychology Publications

Attitudes towards mental health medications vary, however negative perceptions are often born of normative cultural values, stigma, and religious fatalism,1-3 as well as overall demographic characteristics such as gender, nativity, and primary language.4,5 Further research suggests many Latinx adults fear negative outcomes from adhering to medication for mental health treatment, such as dependence and side effects and, instead, would prefer psychotherapy over psychopharmacology.1,2 Lastly, a lack of health literacy,6 culturally appropriate treatments and information,7 as well as barriers to care also have shown to impact attitudes towards mental health medication treatments among Latinxs.8 To date, little attention has been given …

The Bio-Psycho-Social-Cultural Domains And Their Impact On Psychopharmacological Utilization Among Latinxs, Jesus Carranza, Kyle Hernandez, Jennifer Arguetta-Contreras, Isis Garcia-Rodriguez, Oswaldo Moreno

Psychology Publications

The Latinx population has become the largest minority group in the United States (U.S.).1 Compared to non-Hispanic Whites, Latinxs are younger and have less formal education. This community is also confronted with additional stressors (i.e., more likely to have problems of unemployment, poverty, lack of insurance, and language barriers).2 Although Latinxs are just as likely as non-Hispanic Whites to suffer from a mental illness, they are more likely to go untreated.3 Specifically, Latinxs experiences with psychopharmacological treatments is not well understood but can be studied through the multipath model (MPM).4 The MPM offers a way to view the variety and …

Health Conditions, Access To Care, Mental Health, And Wellness Behaviors In Lesbian, Gay, Bisexual, And Transgender Adults, Richard S. Henry, Paul B. Perrin, Ashlee Sawyer, Mickeal Pugh Jr.

Psychology Publications

This study examined relationships among wellness behaviors, physical health conditions, mental health, health insurance, and access to care among a sample of 317 lesbian, gay, bisexual, and transgender (LGBT) adults. Participants completed a web-administered survey from May 2013 to April 2014. Of the sample, 41.6% of the participants reported having one or more health conditions. Most participants (92.1%) reported access to a health care facility and current health insurance coverage (84.9%), though 24.9% of those with health insurance reported being incapable of paying the copayments. Physical health conditions, age, and self-esteem explained 24% of the variance in engagement in wellness …

Acculturation, Religious Fatalism, & Psychological Healthcare Utilization Among Latinxs, Camila Tirado, Isis Garcia-Rodriguez, Oswaldo Moreno

Psychology Publications

As Latinxs acculturate to the U.S. (i.e., changes and transfer of customs from the host culture1 ), they may have more positive attitudes towards psychological healthcare utilization .2 Religious fatalism, the belief that an individual’s health is predetermined by a higher power, has also been shown to be associated with healthcare utilization, such that individuals who endorse higher religious fatalism have more negative attitudes and less health care utilization.3 Thus, acculturations’ association on healthcare utilization may be heavily influenced through religious fatalism; however, little is known about Latinxs specifically. Using a community sample of 102 (63 females and 39 males, …

Loneliness And Sleep: A Systematic Review And Meta-Analysis, Sarah C. Griffin, Allison B. Williams, Scott G. Ravyts, Samantha N. Mladen, Bruce D. Rybarczyk

Psychology Publications

Despite the mounting evidence linking loneliness with health, the mechanisms underlying this relationship remain obscure. This systematic review and meta-analysis on the association between loneliness and one potential mechanism—sleep—identified 27 relevant articles. Loneliness correlated with self-reported sleep disturbance (r = .28, 95% confidence interval (.24, .33)) but not duration, across a diverse set of samples and measures. There was no evidence supporting age or gender as moderators or suggesting publication bias. The longitudinal relationship between loneliness and sleep remains unclear. Loneliness is related to sleep disturbance, but research is necessary to determine directionality, examine the influence of other factors, …

Immigration Policies On Adolescent Trauma Among Mixed-Status Latinx Families: A Systematic Review, Isis Garcia-Rodriguez, Oswaldo Moreno

Psychology Publications

The current policy surrounding immigration in the United States (U.S.) has sparked negative attitudes surrounding individuals that are undocumented, as well as mixed-status families.¹ Latinx adolescents residing in the U.S. are already at risk for psychological (i.e., depression, stress, anxiety) and physical health problems (i.e., chronic and acute health problems),^2-4 and the current political climate only exacerbates these health outcomes.^5-7 These experiences are striking given that 58.9 million Latinx individuals reside in the U.S.⁸ Given the impact that these recent local and federal policies have on the largest minority group in the U.S., these policies may …

An Analysis Of Psychological Distress Profiles And Their Correlates In Interdisciplinary Health-Care Professional Students, Samantha Mladen, Ashlee Loughan, Patricia Kinser, Marykate Crawford, Anna Jones, Sarah Edwards, Bruce Rybarczyk, Sarah E. Braun

Psychology Publications

Background: Health-care professional (HCP) students experience high levels of burnout, characterized by work- and school-related stress. Burnout is associated with a host of negative psychological and health outcomes. It may also contribute to cognitive dysfunction and decreased work productivity and may be related to trait mindfulness. This study cross-sectionally explored psychological distress and its correlates in a sample of interdisciplinary HCP students using cluster analysis.

Method: Fifty-seven interdisciplinary HCP students completed validated measures of burnout, depressive and anxiety symptoms, perceived stress, and rumination, which were entered into a cluster analysis. A neuropsychological test measured executive function; validated questionnaires assessed work …

Being Mindful: A Long-Term Investigation Of An Interdisciplinary Course In Mindfulness, Sarah Ellen Braun, Patricia Kinser, Caroline K. Carrico, Alan Dow

Psychology Publications

Background: Burnout and work-related stress in health-care professionals (HCPs) is a growing concern to the optimal functioning of the health-care system. Mindfulness-based interventions may be well-suited to address burnout in HCPs.

Objective: The purpose of this study was (1) to quantitatively evaluate the effect of a mindfulness-based intervention for interdisciplinary HCPs over time and at a long-term follow-up and (2) to explore perceived benefits, facilitators, and barriers to the practice of mindfulness at the long-term follow-up.

Design: A mixed-method, repeated measures, within-subjects design was used to investigate Mindfulness for Interdisciplinary HCPs (MIHP) at baseline, post-MIHP, and a follow-up (6 …

An Assessment Of Health Disparities Among A Community Sample Of Lgbq College Students, Ashlee Sawyer, Paul Perrin, Eric Benotsch

Psychology Publications

Lesbian, gay, bisexual, and queer (LGBQ) individuals are a marginalized population in the United States, and this status places them at a greater risk for adverse health outcomes, such as tobacco and substance use, obesity, cancer, sexually-transmitted infections, violence, mental health issues, and suicide. The present study used individual- and microsystem-level data from the American College Health Association (ACHA)-National College Health Assessment (NCHA) to compose a risk assessment for LGBQ students at a mid-Atlantic university. The study incorporated various levels of the ecological social model in an analysis of potentially influential factors on the development of LGBQ health disparities. 856 …

Heroic Helping: The Effects Of Priming Superhero Images On Prosociality, Daryl R. Van Tongeren, Rachel Hibbard, Megan Edwards, Evan Johnson, Kirstin Diepholz, Hanna Newbound, Andrew Shay, Russell Houpt, Athena Cairo, Jeffrey D. Green

Psychology Publications

Two experiments examined how exposure to superhero images influences both prosociality and meaning in life. In Experiment 1 (N = 246) exposed individuals to scenes with superhero images or neutral images. Individuals primed with superhero images reported greater helping intentions relative to the control group, which, in turn, were associated with increased meaning in life (indirect effect only; no direct effect). In Experiment 2 (N = 123), individuals exposed to a superhero poster helped an experimenter in a tedious task more than those exposed to a bicycle poster, though no differences were found for meaning in life. These …

Mediational Model Of Multiple Sclerosis Impairments, Family Needs, And Caregiver Mental Health In Guadalajara, Mexico, Melody N. Mickens, Paul B. Perrin, Adriana Aguayo, Brenda Rabago, Miguel A. Macías-Islas, Juan Carlos Arango-Lasprilla

Psychology Publications

Individuals with multiple sclerosis (MS), especially those living in Latin America, often require assistance from family caregivers throughout the duration of the disease. Previous research suggests that family caregivers may experience positive and negative outcomes from providing care to individuals with MS, but few studies have examined the unmet needs of individuals providing care to family members with MS and how these unmet needs may mediate the relationship between MS symptoms and caregiver mental health. The current study examined the relationships among MS impairments (functional, neurological, cognitive, behavioral, and emotional), unmet family needs (household, informational, financial, social support, and health), …

Study Protocol For Investigating Physician Communication Behaviours That Link Physician Implicit Racial Bias And Patient Outcomes In Black Patients With Type 2 Diabetes Using An Exploratory Sequential Mixed Methods Design, Nao Hagiwara, Briana Mezuk, Jennifer Elston Lafata, Scott R. Vrana, Michael D. Fetters

Psychology Publications

Introduction Patient-physician racial discordance is associated with Black patient reports of dissatisfaction and mistrust, which in turn are associated with poor adherence to treatment recommendations and underutilisation of healthcare. Research further has shown that patient dissatisfaction and mistrust are magnified particularly when physicians hold high levels of implicit racial bias. This suggests that physician implicit racial bias manifests in their communication behaviours during medical interactions. The overall goal of this research is to identify physician communication behaviours that link physician implicit racial bias and Black patient immediate (patient-reported satisfaction and trust) and long-term outcomes (eg, medication adherence, self-management and healthcare …

Knowledge And Understanding Of Health Insurance: Challenges And Remedies, Andrew J. Barnes, Yaniv Hanoch

Psychology Publications

As coverage is expanded in health systems that rely on consumers to choose health insurance plans that best meet their needs, interest in whether consumers possess sufficient understanding of health insurance to make good coverage decisions is growing. The recent IJHPR article by Green and colleagues—examining understanding of supplementary health insurance (SHI) among Israeli consumers—provides an important and timely answer to the above question. Indeed, their study addresses similar problems to the ones identified in the US health care market, with two notable findings. First, they show that overall—regardless of demographic variables—there are low levels of knowledge about SHI, which …

Rape And Posttraumatic Stress Disorder (Ptsd): Examining The Mediating Role Of Explicit Sex-Power Beliefs For Men Versus Women, Daniel J. Snipes, Jenna M. Calton, Brooke A. Green, Paul B. Perrin, Eric G. Benotsch

Psychology Publications

Many rape survivors exhibit symptoms of post-traumatic stress disorder (PTSD), and recent literature suggests survivors' beliefs about sex and control may affect PTSD symptoms. The present study examined beliefs about sex and power as potential mediators of the relationship between rape and PTSD symptoms for men versus women. Participants (N = 782) reported lifetime history of rape, current PTSD symptoms, and beliefs about sex and power. Women reported higher levels of lifetime history of rape than men (19.7% for women; 9.7% for men). While rape history predicted PTSD symptoms for both genders, beliefs about sex and power were shown to …

Family Dynamics And Personal Strengths Among Dementia Caregivers In Argentina, Aaliah G. Elnasseh, Michael A. Trujillo, Silvina Victoria Peralta, Miriam E. Stolfi, Eliana Morelli, Paul B. Perrin, Juan Carlos Arango-Lasprilla

Psychology Publications

This study examined whether healthier family dynamics were associated with higher personal strengths of resilience, sense of coherence, and optimism among dementia caregivers in Argentina. Caregivers are usually required to assist individuals with dementia, and family members have typically fulfilled that role. Personal strengths such as resilience, sense of coherence, and optimism have been shown to protect caregivers from some of the negative experiences of providing care, though the family-related variables associated with these personal strengths are largely unknown. Hierarchical multiple regressions investigated the extent to which family dynamics variables are associated with each of the caregiver personal strengths after …

Personality Traits In College Students And Caregiving For A Relative With A Chronic Health Condition, Michael A. Trujillo, Paul B. Perrin, Aaliah Elnasseh, Bradford S. Pierce, Melody Mickens

Psychology Publications

The purpose of this study was to investigate among college students the relationship between personality traits and willingness to care for a relative with a chronic health condition. 329 undergraduate students completed an online questionnaire. Hierarchical multiple regressions found that after controlling for demographics personality traits explained 10% of the variance in willingness to provide emotional care, 7% in instrumental care, and 7% in nursing care. Within these models, greater empathy was uniquely associated with willingness to provide emotional, instrumental, and nursing care for a family member in the future. Similarly, participants with high agreeableness were more willing to provide …

Use Of Prescription Drugs And Future Delinquency Among Adolescent Offenders, Tess K. Drazdowski, Lena Jäggi, Alicia Borre, Wendy L. Kliewer

Psychology Publications

Non-medical use of prescription drugs (NMUPD) by adolescents is a significant public health concern. The present study investigated the profile of NMUPD in 1349 adolescent offenders from the Pathways to Desistance project, and whether NMUPD predicted future delinquency using longitudinal data. Results indicated that increased frequency and recency of NMUPD in adolescent offenders are related to some demographic factors, as well as increased risk for violence exposure, mental health diagnoses, other drug use, and previous delinquency, suggesting that severity of NMUPD is important to consider. However, ANCOVA analyses found that NMUPD was not a significant predictor of drug-related, non-aggressive, or …

Randomized Controlled Expressive Writing Pilot In Individuals With Parkinson’S Disease And Their Caregivers, Therese Verkerke Cash, Sarah K. Lageman

Psychology Publications

Background

Individuals with Parkinson’s disease (PD) and their caregivers are at risk for emotional distress and hypercortisolism. Expressive writing is an effective complementary intervention to ameliorate the psychological and physiological effects of chronic illness. This pilot study aimed to evaluate feasibility and preliminary effectiveness of an expressive writing intervention for individuals with PD and their caregivers.

Methods

Individuals with PD (N = 27) and their caregivers (N = 14) were randomly assigned to expressive (N = 15 patients, eight caregivers) or neutral (N = 12 patients, six caregivers) writing conditions. Cortisol awakening response (CAR), non-motor functioning, …

One-Year Trajectories Of Mental And Physical Functioning During And After Rehabilitation Among Individuals With Disabilities, Line Preede, Martin Saebu, Paul B. Perrin, Astrid Nyquist, Haakon Dalen, Erik Bautz-Holter, Cecilie Røe

Psychology Publications

Purpose

First, to evaluate the trajectories of physical and mental functioning in individuals with chronic disabilities receiving adapted physical activity-based rehabilitation. Second, to determine whether demographic factors, disability group, pain, fatigue and self-efficacy at baseline influenced these trajectories.

Research design

A prospective intervention study.

Methods

The study included 214 subjects with chronic disabilities who were admitted to a four-week adapted physical activity-based rehabilitation stay at Beitostølen Healthsports Centre. The subjects completed written questionnaires eight and four weeks before the rehabilitation, at admission to and discharge from the rehabilitation centre and again four weeks and 12 months after discharge. Multilevel models …

A Disproportionate Burden Of Care: Gender Differences In Mental Health, Health-Related Quality Of Life, And Social Support In Mexican Multiple Sclerosis Caregivers, Paul B. Perrin, Ivan Panyavin, Alejandra Morlett Paredes, Adriana Aguayo, Miguel Angel Macias, Brenda Rabago, Sandra J. Fulton Picot, Juan Carlos Arango-Lasprilla

Psychology Publications

Background. Multiple sclerosis (MS) rates in Latin America are increasing, and caregivers there experience reduced mental and physical health. Based on rigid gender roles in Latin America, women more often assume caregiving duties, yet the differential impact on women of these duties is unknown. Methods. This study examined gender differences in mental health (Patient Health Questionnaire-9, Satisfaction with Life Scale, Rosenberg Self-Esteem Scale, State-Trait Anxiety Inventory, and Zarit Burden Inventory), health-related quality of life (HRQOL; Short Form-36), and social support (Interpersonal Support Evaluation List-12) in 81 (66.7% women) Mexican MS caregivers. Results. As compared to men caregivers, women had lower …

Disparities In The Completion Of Steps To Kidney Transplantation: Protocol For A Systematic Review, Heather M. Traino, Camillo W. Nonterah, John W. Cyrus, Avrum Gillespie, Megan Urbanski, Michael Adair-Kriz

Psychology Publications

Introduction

Disparities in access to transplantation have been well documented. The extant literature, however, focuses largely on disparities and related barriers for African-American patients and none has used the steps to transplantation as a guiding framework. This review will catalogue disparities in the steps to transplantation as well as the barriers and facilitators to completion of each step identified in the extant literature. The results of the review will be used to generate recommendations for future research to improve equity in access to kidney transplantation.

Methods and analysis

Standard procedures will be used in the conduct of the review. Searches …

Outcomes For Implementation Science: An Enhanced Systematic Review Of Instruments Using Evidence-Based Rating Criteria, Cara C. Lewis, Sarah Fischer, Bryan J. Weiner, Cameo Stanick, Mimi Kim, Ruben G. Martinez

Psychology Publications

Background

High-quality measurement is critical to advancing knowledge in any field. New fields, such as implementation science, are often beset with measurement gaps and poor quality instruments, a weakness that can be more easily addressed in light of systematic review findings. Although several reviews of quantitative instruments used in implementation science have been published, no studies have focused on instruments that measure implementation outcomes. Proctor and colleagues established a core set of implementation outcomes including: acceptability, adoption,appropriateness, cost, feasibility, fidelity, penetration, sustainability (Adm Policy Ment Health Ment Health Serv Res 36:24–34, …

Development And Psychometric Validation Of A Novel Patient Survey To Assess Perceived Quality Of Substance Abuse Treatment In South Africa, Bronwyn Myers, Rajen Govender, J. Randy Koch, Ron Manderscheid, Kim Johnson, Charles D. H. Parry

Psychology Publications

Background

A hybrid performance measurement system that combines patient-reported outcome data with administrative data has been developed for South African substance abuse treatment services. This paper describes the development and psychometric validation of one component of this system, the South African Addiction Treatment Services Assessment (SAATSA).

Methods

First, a national steering committee identified five domains and corresponding indicators on which treatment quality should be assessed. A decision was made to develop a patient survey to assess several of these indicators. A stakeholder work group sourced survey items and generated additional items where appropriate. The feasibility and face validity of these …

Electronic Cigarettes And Nicotine Dependence: Evolving Products, Evolving Problems, Caroline O. Cobb, Peter S. Hendricks, Thomas Eissenberg

Psychology Publications

Electronic cigarettes (ECIGs) use an electric heater to aerosolize a liquid that usually contains propylene glycol, vegetable glycerin, flavorants, and the dependence-producing drug nicotine. ECIG-induced nicotine dependence has become an important concern, as some ECIGs deliver very little nicotine while some may exceed the nicotine delivery profile of a tobacco cigarette. This variability is relevant to tobacco cigarette smokers who try to switch to ECIGs. Products with very low nicotine delivery may not substitute for tobacco cigarettes, so that ECIG use is accompanied by little reduced risk of cigarette-caused disease. Products with very high nicotine delivery may make quitting ECIGs …

Forgiveness-Reconciliation And Communication-Conflict-Resolution Interventions Versus Retested Controls In Early Married Couples, Everett L. Worthington, Brandon J. Griffin, Jack W. Berry, Joshua N. Hook, Don E. Davis, Michael Scherer, Nathaniel G. Wade, Mark Yarhouse, Jennifer S. Ripley, Andrea J. Miller, Constance B. Sharp, Kathryn L. Campana

Psychology Publications

The first 6 months of marriage are optimal for marriage enrichment interventions. The Hope-Focused Approach to couple enrichment was presented as two 9-hr interventions--(a) Handling Our Problems Effectively (HOPE), which emphasized communication and conflict resolution, and (b) Forgiveness and Reconciliation through Experiencing Empathy (FREE). HOPE and FREE were compared with repeated assessment controls. Couples were randomly assigned and were assessed at pretreatment (t1); 1 month posttreatment (t2) and at 3- (t3), 6- (t4), and 12-month (t5) follow-ups using self-reports. In addition to self-report measures, couples were assessed at t1, t2, and t5 using salivary cortisol, and behavioral coding of decision …