Digital Commons Network^™

Online Psychoeducational Therapy For Chronic Pain, Cynthia Marie Nakoski

Loma Linda University Electronic Theses, Dissertations & Projects

The pain experience consists of many factors including biological, psychological, social and spiritual that can exacerbate and perpetuate it, often leading to chronic pain. Provision of an online psychoeducational course, inclusive of social networking capabilities, offers remote access to invaluable information for the enhancement of self-efficacy in the treatment of chronic pain. The focus of this doctoral project was the creation of a website that includes pain management lessons comprised of Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Family Therapy, and Spirituality modules. The website incorporates psychometrics, automated course tracking, and social network components allowing for research reporting, self-paced interactive …

To A Better Understanding Of Professional Practice: Provider Decision-Making When Delivering Hiv Services, Carizma Amila Chapman

Loma Linda University Electronic Theses, Dissertations & Projects

Over the last several decades an abundance of research has been conducted on HIV/AIDS. These studies have focused on the infection, impact of the disease on the health and quality of life of people living with the infection, and on treatment effectiveness. However, limited studies are available that explore the experiences of providers delivering HIV/AIDS services. Research demonstrates that providers have an important impact on treatment, shaping not only patient retention, but also treatment adherence. The critical role HIV/AIDS providers have in shaping treatment makes understanding provider experiences a pertinent area of inquiry to understand HIV/AIDS care. In this study, …

Dialectical Behavior Therapy And Adolescent Patient Treatment Dropout, Danessa Mayo

Loma Linda University Electronic Theses, Dissertations & Projects

Attrition in mental health treatment is an area of concern among the adolescent population, especially with patients engaged in deliberate self-harm. The purpose of this study was to examine the treatment attrition rate for adolescents with deliberate self-harm in an adapted dialectical behavior therapy intensive outpatient program. A total of 141 adolescents previously enrolled in the program were available for the study. Results demonstrated a 31.9% dropout rate. Graduates indicated greater improvement of overall distress from baseline to post-treatment than dropouts. Dropouts attended an average of 12 treatment sessions. Several factors were examined to identify potential predictors of patient treatment …

Executive Functioning Outcomes Among Self-Harming Adolescents Receiving Dbt-A, Alphonso A. Smith

Loma Linda University Electronic Theses, Dissertations & Projects

Changes in WM, GM, and neural activation in networks involving the PFC underlie the development of EFs during adolescence; however, adolescents with DSH have impaired EFs in the areas of inhibition, emotion regulation, shifting, and interpersonal functioning. DBT-A has been shown to be effective in treating these youth and the skills of mindfulness, emotion regulation, distress tolerance, interpersonal effectiveness, and “walking the middle path” are suited to treat their impaired EFs. As such, this study examined EF changes in adolescents receiving DBT-A and discussed implications for treatment and brain-behavior relationships. Ninety-three adolescents from a 16-week DBT-A program for DSH were …

Paternal Depression In The Peripartum Period: An International Delphi Study, Cassidy J. Freitas

Loma Linda University Electronic Theses, Dissertations & Projects

This dissertation aims to reach consensus on the defining factors of Paternal Peripartum Depression (PPPD) as well as identify research priorities through the Delphi method. Peripartum Depression is a major health issue for parents and their children. Fathers are at risk for peripartum depression due to the changes in identity, relationship, and biology they face during their transition to parenthood. A father’s mental health plays an intimate role in the overall health and outcomes of his family, but up until this point has been significantly overlooked. Due to the paucity of research and lack of clear consensus on the identifying …

Executive Dysfunction Is Predictive Of Clinical Symptomatology In 22q11.2 Deletion Syndrome, Chinonyere Kemdirim Bello

Loma Linda University Electronic Theses, Dissertations & Projects

By adulthood, 25%- 30% of individuals with 22q11.2 deletion syndrome (22qDS) develop a psychotic disorder, often schizophrenia, and it is not understood why. Given the known genetic etiology of this disorder and the greatly elevated risk for development of schizophrenia, this group offers the possibility of defining a seemingly homogenous maturational pathway to psychosis. Neurocognitive deficits have been increasingly recognized as an important dimension of schizophrenia, particularly in the executive domain. Thus, we assessed multiple aspects of executive cognition in 22qDS, in order to: 1) characterize performance across this domain as compared to age-matched healthy controls; and 2) determine whether …

Predictors Of Placement Satisfaction For Foster Youth, Shereen Mcfarlane

Loma Linda University Electronic Theses, Dissertations & Projects

Youth in the foster care system are often removed from their biological families because of challenges to their safety and wellbeing and are often at risk for further placement disruption and poor socio-emotional development. Placement stability is a crucial component to establishing permanency and placement satisfaction might be a contributing factor. This study uses an ecological framework to explore the impact of the foster youth’s ecosystem, such as the foster child, foster parent, child welfare worker, and the placement environment on placement satisfaction. This quantitative study uses secondary data to determine the predictability of these factors on placement satisfaction of …

Elections Have Consequences: Moral Value Foundations Ensure Gridlock Through The Ballot Box, Gregory John Regts

Loma Linda University Electronic Theses, Dissertations & Projects

In the midst of unprecedented partisan polarization in the voting public and congressional gridlock in Washington, research in moral psychology has implicated reliance on differing moral value foundations between liberals and conservatives as a determinant of partisan divides. While Moral Foundations Theory (MFT) research has highlighted the effect of moral values on a variety of issues, little research has explained their effect on psychological factors and voting behavior related to fiscal concerns. Guided by Betancourt’s integrative model for studying culture, psychological factors, and behavior, the present study investigated the extent to which socially shared moral value foundations influence psychological reactions …

Use Of An Enhanced Engagement Approach To Increase Engagement In An Online Support Group, Ketlyne Sol

Loma Linda University Electronic Theses, Dissertations & Projects

Online support groups (OSGs) are potentially useful resources for individuals with chronic health problems who often face challenges in receiving desired support from similar others. Barriers such as limited mobility, time, distance, and desire for anonymity limit access to this support in traditional face-to-face groups. However, engagement in OSGs are well documented to have low user activity, despite the barriers they help to overcome. Several reasons for this low engagement are discussed. Study into engagement is limited by the fact that there are many different ways of measuring engagement, which are not consistent across studies. Furthermore, interventions to specifically improve …

Program Evaluation And Guideline Development For Psychological Treatment Of The Adolescent And Young Adult Population With Cancer, Kayla R. Kraich

Loma Linda University Electronic Theses, Dissertations & Projects

The adolescent and young adult (AYA) cancer population suffers from many unique medical and mental health challenges. Both medical, psychological and support services play an important role in the lack of improvement in survival rates of this population. The purpose of this project was to identify the unique mental health challenges and treatment needs of the Adolescent and Young Adult (AYA) Oncology population and to evaluate current oncology programs available to this population at Loma Linda University. The project provides guideline recommendations for implementing a comprehensive and developmentally appropriate AYA oncology program at Loma Linda University.

Developing Dyadic Measurements In Marriage And Family Therapy: The Dyadic Supervision Evaluation, Adrian Avila

Loma Linda University Electronic Theses, Dissertations & Projects

This study applies integrative developmental theory and a common factors approach in evaluating and describing how Marital and Family Therapy trainee’s progress in mastering the core competencies set forth by the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) through the process of clinical supervision. More specifically, this project evaluates the internal reliability, construct validity, and predictive validity of the Dyadic Supervision Evaluation (DSE). The important role and influence of clinical supervision as well as the next steps for validating and evaluating dyadic, developmental, core competencies and common factors measurements in clinical supervision are discussed.

A Needs Assessment Of Caregiving Parents To Children With Substantial Disabilities, Liza Maria Garcia

Loma Linda University Electronic Theses, Dissertations & Projects

Parents who have a child with substantial disabilities have two distinct roles, parent and caregiver. This study sought to understand how parental and caregiver roles require distinct skills, attitudes, and behaviors that are affected by the concept of parental ambiguous loss. Using boundary ambiguity as a predictor of ambiguous loss, this study quantitatively explored levels of ambiguous loss experienced by caregiver parents. Results showed that ambiguous loss, as exhibited through boundary ambiguity positively correlated with levels of depression, and anxiety, but was negatively correlated with levels of parental efficacy, parental satisfaction and familial/friend social support. The results of this needs …

Parent Stress And Social Skills Development In Children With Developmental Delays, Andrea Lewallen

Loma Linda University Electronic Theses, Dissertations & Projects

The following dissertation is a compilation of two studies examining the impact of Mindfulness Based Stress Reduction (MBSR) on parents of children with developmental delays (DD) and the subsequent effects on child social development. Study one sought to examine whether changes in child social skills occurred after parent stress was reduced through an 8-week MBSR training group, and whether these changes were associated with improvements in parent-child relational factors. Data from 24 families of children with DD (ages 2.5-5) were examined in this study. Paired samples t-tests examining pre-post differences revealed that mothers, secondary informants, and teachers acknowledged improvements in …

Cultural Beliefs And Professional Empathy Influence Continuity Of Healthcare, Jael A. Amador

Loma Linda University Electronic Theses, Dissertations & Projects

Negative healthcare encounters have implications for preventive medical services and continuity of healthcare. This study examined the influence of positive cultural beliefs about health professionals and perceived professional empathy on continuity of cancer screening care in the context of a negative healthcare encounter. A mixed-methods research approach was implemented to examine the relations among cultural beliefs, perceived professional empathy, interpersonal emotions, and continuity of care among 237 Latin American (Latino) and non-Latino White (Anglo) American women that reported a negative healthcare encounter. Multi-group structural equation modeling revealed that for Latino and Anglo women, positive cultural beliefs about health professionals in …

Acceptability And Preferences For Empirically-Supported Psychological Treatments, Amanda Gorlick

Loma Linda University Electronic Theses, Dissertations & Projects

Over the past decade, mental health has been moving in the direction of empirically-supported treatments. Currently, there are many empirically-supported treatment modalities that have been shown to be efficacious for various psychological disorders, specifically mood and anxiety disorders. However, the face-to-face treatment literature reflects low levels of treatment access and participation. Approximately half of participants with clinically-significant levels of depression received some treatment, evidence-based or not (Kessler et al., 2007). Even for participants who are able to successfully access services, engagement with treatment is often low, and dropout rates are high. There is some evidence that participants’ preferences for treatment …

Prostate Cancer Screening Intention Among Black Men: A Multivariate Analysis, Crystal Renee Clarke

Loma Linda University Electronic Theses, Dissertations & Projects

Prostate cancer is one of the leading causes of death among Black men, and widespread lack of screening contributes to the mortality burden. The purpose of this present study was to evaluate the effect of relationship intimacy with individual intent to screen using the digital rectal examination (DRE) among Black men. The human ecological theory of human development was a good fit for this present study, as individual health status and population health disparities are embedded in larger historical, geographic, socio-cultural, economic, and political contexts. The ecological framework allows researchers to attempt to identify the influences of all these factors. …

Nondysphoric Depressive Symptoms And Cognitive Abilities In Healthy Older Adults, Clint H. Norseth

Loma Linda University Electronic Theses, Dissertations & Projects

Research has shown that depression is associated with poorer cognitive performance and cognitive decline. Cognitive functions such as processing speed, language ability, memory, and executive functions have been found to be affected in older adults with depression. However, there is limited research focused on the effects of minimal or mild depressive symptoms in older adults who do not meet criteria for a depressive disorder. Older adults are more likely than any other population to endorse depressive symptoms in the absence of typical dysphoric symptoms that would qualify an individual for a depressive disorder. Understanding the effects of nondysphoric depressive symptoms …

Do Clergy In Hidalgo County, Texas Serve As A Bridge Or Barrier To Mental Health Services?, John C. Park

Loma Linda University Electronic Theses, Dissertations & Projects

Clergy play the role of frontline mental health (MH) workers for many Americans (Ellison et al., 2006; Wang et al., 2005; Winet, Majors, & Stewart, 1979). There is insufficient information in regards to what the clergy believe about MH and how they respond to MH related concerns. What we know indicates that clergy are not sufficiently equipped or trained to respond adequately to people suffering from issues of MH. Using face to face interview process, 301 clergy members of the faith based organizations (FBO) in Hidalgo County, Texas (HCT) were interviewed. Key findings suggest that the clergy engage in significant …

Indicators Of Ambiguous Loss In Families With Traumatic Brain Injured Members, Mynda Ohs

Loma Linda University Electronic Theses, Dissertations & Projects

People who have encountered medical traumas can experience significant changes in their lives. As a result, the family members become caregivers and experience increased stress and ambiguous losses (AL). These losses are often unacknowledged even by the family and cause significant distress. It is important that the family acknowledge these losses and allow themselves time to grieve and adapt to the changes in their lives. While it is widely known that caregivers experience this stress, and programs exist to help support these families, there is less known about the effectiveness of these programs. This study has been designed to explore …

Treatment Manual For Improving Self-Esteem, Body Image, And Interpersonal Effectiveness Of Female Juvenile Offenders, Victoria Liao

Loma Linda University Electronic Theses, Dissertations & Projects

Few interventions have been established for female juvenile offenders, despite the unique psychological problems reported in this population. This is an important issue requiring greater attention, as there has been an increase in the total amount of incarcerated female youth. Additionally, the trajectory leading to delinquent behaviors and incarceration among females is distinct from that of males. Given the need for interventions targeting female juvenile offenders, a treatment manual was developed to improve self-esteem, body image, and interpersonal effectiveness in this population using principles of dialectical behavioral therapy.

An Attribution-Emotion Approach To Political Conflict, Daniel Joel Northington

Loma Linda University Electronic Theses, Dissertations & Projects

The current political system in the United States is marked by extreme levels of partisan hostility and polarization, which has not only resulted in a dysfunctional congress, but also increasing conflict between partisan groups in the general electorate. While political scientists have offered various explanations for this phenomenon, social-psychological theories provide opportunities for empirical investigation of psychological explanatory factors. This study applied Betancourt’s attribution-emotion model of conflict and violence to the ultimate attribution error in order to develop a contemporary and comprehensive understanding of the psychological factors relevant to partisan-based intergroup relations. Five hundred sixty-four participants from various demographic backgrounds …

Communities In Action: Participatory Assessments As An Initial Stage In Critical Consciousness Raising And Community Capacity Building, Carizma Amila Chapman

Loma Linda University Electronic Theses, Dissertations & Projects

This paper presents the findings of two participatory community assessments conducted in Punta Raton and El Venado, two small coastal towns in Southern Honduras. The community assessments were designed and implemented to establish a baseline of community awareness and action, an important step in community development and environmental sustainability. The aim was to: build community partnerships, identify key stakeholders, facilitate dialogues about concerns, identify local and external resources required for progress, and construct actions plans targeting key communal concerns. The assessments were found to be successful in engaging community members and identifying local needs and resources. However, challenges in intervention …

Commencement Program 2015, Loma Linda University

Commencement Programs

CONTENTS

1 | Message from the President

3 | 2015 Events of Commencement

5 | The Academic Procession

7 | Significance of Academic Regalia

9 | The Good Samaritan

10 | University History Highlights

12 | Loma Linda University Song - "Healing Love"

13 | The Speakers

23 | The University Honorees

45 | The School Honorees

72 | The Programs

• School of Medicine, 73
• School of Pharmacy, 95
• School of Dentistry, 103
• School of Allied Health Professions, 122
• School of Allied Health Professions - Physical Therapy, 143
• School of Public Health, 154
• School of Behavioral Health and School of …

Psychological Services For Pediatric Victims Of Non Accidental Trauma, Robyn Finckbone

Loma Linda University Electronic Theses, Dissertations & Projects

Child abuse is a significant problem within our society. In 2010, there were approximately 1,560 fatalities as a result of child abuse; 17.6% of those deaths were the direct result of physical abuse and 80% occurred in children under the age of 4. There is a dearth of research examining severe physical abuse among children and, as a result, the demographics of this population are unclear as are the psychological referrals and services provided to these children. The aims of the current study are to identify the demographic characteristics of child victims of non-accidental trauma (NAT, i.e. physical abuse) as …

Cultural Beliefs And Self-Efficacy In Diet Adherence Among Type 2 Diabetics, Sonika Kravann Ung

Loma Linda University Electronic Theses, Dissertations & Projects

Type 2 Diabetes (T2D) is a global epidemic that disproportionately affects socioeconomic and ethnic minority populations (International Diabetes Federation, 2013). Mapuches, the largest Native American population in Chile, shifted from the lowest incidence of T2D to equal rates in comparison to mainstream Chileans within a decade (King & Rewers, 1991; Perez-Bravo et al., 2001). This may be due to economic growth and rapid nutritional shifts (Yu & Zinman, 2007). Previous research has identified the importance of cultural beliefs in explaining health behavior (Betancourt, Flynn, & Ormseth, 2011). This study, guided by Betancourt’s Integrative Model for Culture, Psychological Factors and Behavior …

Youth Adjustment To The Impact Of The Sierra Leone Civil War, Daniel S. Sandy

Loma Linda University Electronic Theses, Dissertations & Projects

Coping in post war settings following exposure to traumatic events often posed numerous challenges for youth health and well-being. This study explored familial and contextual factors associated with adjustment to the impact of the Sierra Leone civil war in a cross-sectional sample of 359 civilians and former recruited youth. Data were collected through a convenience sampling strategy with the use of survey questions administered face-to -face by trained research assistants in Sierra Leone from April through May of 2014. MANOVA test revealed similar adjustment status for civilians and former recruited youth twelve years after the end of the civil war. …

Weight Stigma As A Mediator Among Bmi, Childhood Overweight, Body Image And Depression, Serena D. Stevens

Loma Linda University Electronic Theses, Dissertations & Projects

Higher body mass index (BMI), childhood overweight, and weight stigmatization are correlated with depression and body dissatisfaction. Given that overweight/obese individuals are likely to experience significant weight stigma, the goal of the current study was to examine the effects of current weight and childhood overweight on depression and body dissatisfaction, and to examine weight stigmatization as a mediator in these relationships. Participants were 380 undergraduate students from the University of South Florida (84.5% female) with a mean age of 21.18 (SD = 4.32) and a mean BMI of 23.86 (SD = 5.03). Of these students, 53.4% were White, 24.7% were …

Relationship Among Psychotherapy Measurements: Predictors Of Ors And Oq-45 Scores, Evan Lima

Loma Linda University Electronic Theses, Dissertations & Projects

Psychological services have become increasingly important and accepted. The increase in the utilization of services has led to third party payers (e.g., insurance companies) paying more in reimbursement to providers of psychological services and therefore tightening parameters regarding how many sessions will be reimbursed. With the pressure from third party payers, a standardized means of monitoring client’s progress in treatment has become necessary. The goal of the current study was to determine whether (1) the trajectories of Outcome Questionnaire 45 (OQ-45) and Outcome Rating Scale (ORS) scores are the same over time, and if the Session Rating Scale (SRS) predicts …

Legal Marriage, Civil Unions, Registered Domestic Partnership And Well-Being Among Same-Sex Couples, Naomi J. Schwenke

Loma Linda University Electronic Theses, Dissertations & Projects

This dissertation used a quantitative method of analysis to explore well-being among couples with different types of legal unions: legal marriage, civil unions, registered domestic partnership. Specifically, this study examined individual, relational, social, and familial components of well-being. Individuals in legally recognized same-sex relationships were recruited for this study. Participants were asked to complete an internet-based survey. Social constructionism provided the theoretical framework for this study. Results show differences among individuals in legally married unions compared to individuals in all other forms of legal unions on measures of satisfaction with life, psychological and physical well-being. Additionally, the results show strong …

Gender, Power, And Trust Issues In Couple Therapy With Adult-Survivor Couples, Melissa A. Wells

Loma Linda University Electronic Theses, Dissertations & Projects

Although one-third of partners in couple therapy have experienced childhood abuse, our field has developed few specific interventions that address the lingering effects of child abuse on current couple dynamics. A common impact on adult survivors is the struggle to trust their intimate partner. Furthermore, asymmetrical gendered power processes often erode trust. Given the propensity for adult-survivor couples to experience a distrusting emotional culture, this dissertation studied the effect of gendered power dynamics on trust in partner interactions, as well as identified clinical processes of Socio-Emotional Relationship Therapy (SERT) that helped adult-survivor couples change power disparities to a mutually supportive …