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A Review Of A Ketogenic Diet In The Treatment Of Autism Spectrum Disorder, Eugene Reznik
A Review Of A Ketogenic Diet In The Treatment Of Autism Spectrum Disorder, Eugene Reznik
Loma Linda University Electronic Theses, Dissertations & Projects
Autism Spectrum Disorder effects millions of people every year, however pharmacological and behavioral treatments remain limited. The need for adjunctive therapies such as diet invervention [sic] that target autism spectrum disorder symptoms Is [sic] needed now more than ever. A connection between a ketogenic diet, which is high in fat and low in carbohydrates, and autism spectrum disorder can be made as the diet has shown potential in ameleriotating [sic] common comorbidities within the autism spectrum disorder population such as metabolic dysfunction, gut-microbiome dysfunction, medication resistant epilepsy, and various psychiatric disorders. Hence, this review focuses on the results and methods …
A Mental Health Needs Assessment Of Students Attending An Alternative High School, Kelly Sachdev
A Mental Health Needs Assessment Of Students Attending An Alternative High School, Kelly Sachdev
Loma Linda University Electronic Theses, Dissertations & Projects
Research suggests that students who attend urban or alternative schools experience higher rates of poverty, family instability, and violence victimization. These risk factors can result in higher rates of depression, school absences, and lower academic performance. This needs assessment explores the mental health needs of students at a low-income, urban, alternative high school in Southern California from the perspective of students, teachers, and staff in order to better understand the stressors and mental health needs of this vulnerable population. Four focus groups were conducted with students (n = 9), teachers (n = 7), and staff (n = 13). Audio files …
Depression As A Mediator Between Combat Deployment And Substance Use Among Veterans, Brooke Kania Millham
Depression As A Mediator Between Combat Deployment And Substance Use Among Veterans, Brooke Kania Millham
Loma Linda University Electronic Theses, Dissertations & Projects
Individuals who deploy to combat zones often develop increased rates of substance use problems, which may be due to self-medication for depressive symptoms. This study used logistic simple mediation analyses with bootstrapping to test whether depression mediates the relationship between combat zone experience and substance dependence or abuse (alcohol, nicotine, marijuana, opioids, other illicit drugs, and concurrent substance misuse) among military veterans via secondary data analysis of the 2013 to 2018 National Survey on Drug Use and Health (NSDUH; N = 14,121; 87.9% male; 54.4% age 50+; 75.2% white; 34.5% with combat zone experience). Analysis revealed that depression was only …
Sleep, Body Dissatisfaction, And Eating Among Adolescents, Megan White
Sleep, Body Dissatisfaction, And Eating Among Adolescents, Megan White
Loma Linda University Electronic Theses, Dissertations & Projects
Sleep difficulties in adolescence have been linked to greater impulsivity, negative affect, propensity to interpret neutral stimuli as negative, and higher rates of anxiety and depressive symptomatology (Van Dyk, 2016). However, minimal research has looked at the relationship among sleep difficulties, emotional eating, and body dissatisfaction within this population. Therefore, the aim of the current study was to explore the relationship among sleep difficulties, emotional eating, and body dissatisfaction among adolescents aged 12-18 years. Specifically, the current study stands to 1) confirm the relationship between emotional eating and body dissatisfaction; 2) test if sleep difficulties are related to emotional eating; …
Prescription Drug Misuse In Racial And Ethnic Minorities: Prevalence And Predictors, Valerie Watts
Prescription Drug Misuse In Racial And Ethnic Minorities: Prevalence And Predictors, Valerie Watts
Loma Linda University Electronic Theses, Dissertations & Projects
The United States (U.S.) is currently facing a complex epidemic of prescription drug misuse (PDM). Previous literature lacks information on the prevalence of PDM in racial and ethnic minorities (REM) and associated precipitating variables. The current review aims to build upon the limited research regarding REM engagement in PDM and the associated variables. This examination identified and summarized: 1) contemporary research on the prevalence of PDM in REM, 2) major variables associated with PDM in this subpopulation, and 3) current evidence-based treatments for PDM. The review revealed mixed results related to the prevalence of PDM in REM. Previous research believed …
Project Soaring: Feasibility Of A Tier 2 Dbt-Based Program, Chalita Antommarchi
Project Soaring: Feasibility Of A Tier 2 Dbt-Based Program, Chalita Antommarchi
Loma Linda University Electronic Theses, Dissertations & Projects
Adolescents living in poverty are more likely to experience intense and/or multiple stressors during childhood (Evans & Kim, 2012). These increases in stress levels can lead to patterns of pervasive emotion dysregulation which, in turn, can affect academic achievement (Ivcevic & Brackett, 2014). Dialectical Behavior Therapy (DBT) is a promising intervention that can target emotion dysregulation and other symptomatology in adolescents (Miller et al., 2006). Although DBT has gained traction in the treatment of adolescent suicide and self-harm (Glenn et al., 2019), it has yet to be tested as an early intervention in a school-based setting (Fasulo et al., 2015; …
Religion And Ptsd In Puerto Rico Natural Disaster Survivors, Abraham Reynolds
Religion And Ptsd In Puerto Rico Natural Disaster Survivors, Abraham Reynolds
Loma Linda University Electronic Theses, Dissertations & Projects
Religious coping can influence recovery from natural disaster trauma. Participants were recruited from a religiously sponsored university in Puerto Rico, affected by several natural disasters between 2017 and 2020, using an online survey. A significant relationship was found between negative religious coping and changes in mood and cognition, mediated by the effect of worthiness of self. Results indicate that negative religious coping may adversely influence an individual’s view of self and increase PTSD-related changes in mood and cognition. If clinicians only examine a client’s view of self, they may miss the influence of negative religious coping.
Congregation Affordable Housing Development: Examining Practices And The Role Of Social Capital Across Urban Neighborhoods, Catherine C. Fisher
Congregation Affordable Housing Development: Examining Practices And The Role Of Social Capital Across Urban Neighborhoods, Catherine C. Fisher
Loma Linda University Electronic Theses, Dissertations & Projects
Currently the United States faces a homelessness and affordable housing crisis further exacerbated by economic recession and the COVID-19 pandemic. Homelessness and housing insecurity disproportionately affects women and children, African Americans and other racially marginalized groups. Federal government disinvestment in the production of affordable housing units has led to a steep decline in stock. The U.S. history of class and race discrimination continues to impact affordable housing production through exclusionary zoning laws. In urban neighborhoods religious institutions possess both land and social assets. A growing number of religious congregations are engaged in developing under-utilized land to create affordable housing. Congregation …
Dsm-5 Eating Disorders And Disordered Eating Behaviors In The Lgbt Population, Lacie Parker
Dsm-5 Eating Disorders And Disordered Eating Behaviors In The Lgbt Population, Lacie Parker
Loma Linda University Electronic Theses, Dissertations & Projects
According to Meyer’s sexual minority stress model (2003), LGB individuals experience a higher prevalence of psychopathology, which is attributable to the increased stress (i.e., stigma and prejudice) adult sexual minority individuals experience. This model was later adapted by Hendricks and Testa (2012) to include transgender and gender non-conforming individuals. More specifically, this literature review examined the empirical literature regarding the rates and types of, and risk and protective factors for eating disorders and disordered eating behaviors in the general LGBT adolescent and adult populations, in addition to each individual subgroup (i.e., lesbians, gay men, bisexuals, transgender individuals). The results of …
Effects Of Parents’ Mbsr On Internalizing Problems In Children: Asd As Moderator, Hadley Mcgregor
Effects Of Parents’ Mbsr On Internalizing Problems In Children: Asd As Moderator, Hadley Mcgregor
Loma Linda University Electronic Theses, Dissertations & Projects
Children with autism spectrum disorders (ASD) are at high risk for increased levels of behavior problems and developing internalizing problems. Previous literature has highlighted the impact of parental stress on the development of behavioral problems in children with ASD; however, little research has examined the relation between parenting stress and internalizing problems in children with ASD. The current study utilized data from the Mindful Awareness for Parenting Stress (MAPS) study which consisted of families of 80 preschool children with developmental delays (DD) (N = 31) and children with ASD (N = 49) whose parents reported high levels of stress. Specifically, …
Medical Student Experiences Implementing Bias Reduction Strategies: A Qualitative Study, Chrysan Hoyt
Medical Student Experiences Implementing Bias Reduction Strategies: A Qualitative Study, Chrysan Hoyt
Loma Linda University Electronic Theses, Dissertations & Projects
Research has shown that health care provider bias negatively impacts the provider-patient relationship and health outcomes. Studies have identified strategies effective at reducing bias, but there is minimal research implementing these strategies in health care settings, and little is known about effective curricular interventions to teach strategies to medical students. The purpose of the present study was to explore medical students’ experiences implementing evidence-based bias reduction strategies with their patients after participating in a bias reduction didactic. The study aimed to 1) determine which bias-reduction strategies medical students most frequently used, and 2) explore student perceptions of the effects of …
Shelter Staff Perceptions Of Physicians Seeking Services For Intimate Partner Violence, Gabriela Bagnara
Shelter Staff Perceptions Of Physicians Seeking Services For Intimate Partner Violence, Gabriela Bagnara
Loma Linda University Electronic Theses, Dissertations & Projects
Research indicates there are a significant number of instances of intimate partner violence (IPV) in the United States, with current prevalence rates impacted by a substantial amount of underreporting due to stigma, difficulty disclosing, and complex love and fear of abusive partners (Breiding et al., 2014; Ellsberg & Heise, 2005; Overstreet & Quinn, 2013). A large body of IPV research exists more generally, but there is little understanding about the help-seeking behaviors of high socioeconomic status (SES) individuals within IPV shelter systems. While several studies have demonstrated the equal impact of abuse across demographic contexts (Satyen, Rogic, and Supol, 2018; …
The Community Resiliency Model In Health Decision-Making, Michelle Ngo
The Community Resiliency Model In Health Decision-Making, Michelle Ngo
Loma Linda University Electronic Theses, Dissertations & Projects
This doctoral project reviews the literature to support the utilization of the Community Resilience Model (CRM) for health-related decision making, such as health behavior change and medication adherence. Research has shown that decision-making under significant stress can lead to making less advantageous choices, as the nervous system becomes dysregulated. The evidence in this literature review suggests that self-regulation using skills in the CRM Model can increase one’s ability to effectively making decisions.
Parent Treatment Manual For Adolescent Self-Harm, Miriam Mokhless Rizk
Parent Treatment Manual For Adolescent Self-Harm, Miriam Mokhless Rizk
Loma Linda University Electronic Theses, Dissertations & Projects
This doctoral project is a treatment manual that was created for parents of self-harming adolescents. To date, no treatment manual currently exists to aide these parents in fostering healthy environments for adolescents completing Dialectical Behavioral Therapy (DBT) intensive outpatient treatments; however, the literature describes the importance of creating validating environments as an important factor in positive treatment outcomes of adolescents who self-harm. This ten-week treatment manual was designed to provide these parents with DBT skills in order to learn the foundations of providing a positive environment in the home. The results of this treatment manual are projected to reduce parenting …
Parent-Child Relations, Sleep, And Externalizing Problems In Clinical Youth, Tiffany Thao Vo
Parent-Child Relations, Sleep, And Externalizing Problems In Clinical Youth, Tiffany Thao Vo
Loma Linda University Electronic Theses, Dissertations & Projects
Sleep problems are a major prevailing concern in clinical youth populations. Research has shown that poor sleep is correlated with mental health problems, while parent-child relationships are associated with externalizing behaviors. The aim of this study was to (1) replicate these findings; (2) extend on previous research on the relationships between sleep, parent-child relationships, and externalizing problems; and (3) analyze moderating effects of parent-child relationships on the relationship between sleep and externalizing problems in youth (N = 25) ages 6 to 11 presenting to mental health treatment. Bivariate analyses indicated average objective sleep duration is related to parent-child relations and …
Community Resiliency Model Treatment Manual For Loma Linda University Healthcare, Ann White
Community Resiliency Model Treatment Manual For Loma Linda University Healthcare, Ann White
Loma Linda University Electronic Theses, Dissertations & Projects
Burnout is a national phenomenon on the United States, effecting between 60% and 78% of healthcare professionals (21) across a variety of settings. Burnout results in increased cost to the healthcare industry, significantly decreased quality of patient care, and increased malpractice claims. At the same time, healthcare providers are increasingly under demands to their time that limit their ability to access wellness resources to mitigate the effects of burnout, such as outpatient psychotherapy. In order to address this growing crisis and respond to the specific needs of healthcare providers, we have utilized the biological basis and six skills comprising the …
Pathways For Healing: An Online Therapeutic Support Group Program, Lisa Yvette Salazar
Pathways For Healing: An Online Therapeutic Support Group Program, Lisa Yvette Salazar
Loma Linda University Electronic Theses, Dissertations & Projects
Pathways for Healing: An Online Therapeutic Support Group Program (OTSG) is for women, ages 18 to 65 years old, diagnosed with chronic pelvic floor dysfunction (PFD). The program focuses on women living in Texas rural communities with limited access to mental health providers. The aim for this study is to determine if an OTSG program, utilizing narrative therapy (NT) within a biopsychosocial-spiritual lens (BPS-S) will improve overall health-related quality of life (HRQOL). Support groups are provided in English and Spanish, over the course of 12 weeks, facilitated by a licensed marriage and family therapist (LMFT) and licensed pelvic floor physical …
Cultural And Psychological Predictors Of Exercise-Treatment Adherence And Hba1c For People With Type 2 Diabetes, Connor M. Nance
Cultural And Psychological Predictors Of Exercise-Treatment Adherence And Hba1c For People With Type 2 Diabetes, Connor M. Nance
Loma Linda University Electronic Theses, Dissertations & Projects
Guided by the theoretical framework of Betancourt’s integrative model The aim of this study is to examine the relations among sociodemographic, cultural beliefs (i.e., cultural inhibitors of exercise), diabetes social support, and psychological factors (i.e., exercise self-efficacy, diabetes distress), as predictors of treatment adherence (biological and self-reported frequency) in a diverse population with Type-II Diabetes. It was hypothesized that: (1) cultural inhibitors of exercise and diabetes social support would predict exercise treatment adherence directly and/or indirectly via exercise self-efficacy; and (2) diabetes social support would predict HbA1c via the direct and/or indirect effect of diabetes distress. Findings suggest that both …
Introduction To Infant Early Childhood Mental Health And Trauma Training Program, Irene Rosaly Cortez
Introduction To Infant Early Childhood Mental Health And Trauma Training Program, Irene Rosaly Cortez
Loma Linda University Electronic Theses, Dissertations & Projects
This program aims to understand the lack of infant-early childhood trauma-informed care training for mental health clinicians. The current efforts to enhance mental health clinicians’ therapeutic knowledge and awareness through the development of the CCCT with the emphasis on trauma-informed care show significance to treat infant-early childhood trauma. Due to children’s susceptibility to trauma and developmental vulnerability, if trauma remains unaddressed, there are long lasting negative effects throughout their adulthood, as shown through the ACE’s study. Furthermore, the program’s theoretical framework encompasses Attachment Theory with the integration of the Theory of Neuroscience, Bowen family systems theory, Reflective Practice Model, and …
Combined Treatment Model Program For Survivors Of Intimate Partner Violence, Hillary Jeanne May
Combined Treatment Model Program For Survivors Of Intimate Partner Violence, Hillary Jeanne May
Loma Linda University Electronic Theses, Dissertations & Projects
This project seeks to fill a void in the mental health field by providing a combined treatment model program to address the needs of survivors of intimate partner violence. As such, the primary purpose of this project is the development of a treatment program with services that are easily accessible by survivors that is intended for future implementation in shelters or agencies that have contact with this population of women. This program offers a means to engage an underserved population in access to services and self-development to improve overall mental and physical health outcomes and attempt to prevent recurrent intimate …
The Importance Of Timing In Repeated Traumatic Brain Injury, Willie L. Hardeman Iii
The Importance Of Timing In Repeated Traumatic Brain Injury, Willie L. Hardeman Iii
Loma Linda University Electronic Theses, Dissertations & Projects
Repeated closed-head traumatic brain injury (rTBI) can result in serious consequences, such as the development of neurodegenerative diseases like Alzheimer’s Disease (AD), chronic traumatic encephalopathy (CTE), and many others. This study characterizes the consequences of injury timing in a Drosophila melanogaster model of rTBI. Specifically, each fly was subjected to 4 strikes with a modified “high impact trauma” (HIT) device. The strikes were separated by either 5 minutes, 2 hours, 4 hours, or 36 hours. These inter-strike intervals theoretically provided an opportunity to study outcomes of repeated brain injury during times of unresolved rTBI mechanisms. Half of the flies were …
Factors Contributing To The Recognition Of A Potential Nonsexual Multiple Relationship, Nikki Patel
Factors Contributing To The Recognition Of A Potential Nonsexual Multiple Relationship, Nikki Patel
Loma Linda University Electronic Theses, Dissertations & Projects
Clinical psychologists encounter situations for which no prescriptive professional standards exist, necessitating therapists’ judgment to determine an appropriate course of action. This study examines the first step of therapists’ decision-making process—recognition of the potential for a nonsexual multiple relationship. Based on the existing literature and previous empirical findings, our hypotheses are that (1) therapist sex (female), higher scores on the PAQ Expressivity (femininity) scale, higher scores on the VIA-IS-V3 Self-control scale, and participants’ ranking Nonmaleficence as the most important ethical principle would be significantly (positively) predictive of Recognition scores, (2) higher scores on the PAQ Instrumentality (masculinity) scale, higher scores …
Constructing Bicultural Identity And Shame Resilience In Chinese* Americans, Natalie Wei-Mun Hsieh
Constructing Bicultural Identity And Shame Resilience In Chinese* Americans, Natalie Wei-Mun Hsieh
Loma Linda University Electronic Theses, Dissertations & Projects
Mental health and family therapy professionals must respond to the resurgence of race-based trauma experienced by Asian Americans during the coronavirus disease 2019 (COVID-19) pandemic (Cheah et al., 2020). Yet Asian Americans are the lowest helpseeking group for mental health needs (NAMI, n.d.), often due to shame (Masuda & Boone, 2011). Dominant theories of shame resilience (Brown, 2006; Van Vliet, 2008) assume Western norms of an autonomous self, missing important aspects of Asian American collectivist, bicultural, and minority understandings of self, and the salience of interpersonal shame (Wong & Tsai, 2007; Shih et al., 2019; Yeh & Hwang, 2000). Bicultural …
The Association Between Stigma And Violence Among Individuals With Schizophrenia, Christopher Law
The Association Between Stigma And Violence Among Individuals With Schizophrenia, Christopher Law
Loma Linda University Electronic Theses, Dissertations & Projects
Schizophrenia is a psychotic disorder characterized by positive, negative, and cognitive symptoms. Individuals with schizophrenia (IWS) are often stigmatized and portrayed as dangerous. While the majority of IWS are not dangerous or violent, this image of the dangerous IWS is still pervasive across different cultures. Apart from the individuals who have exhibited antisocial traits prior to the onset of their psychosis, medication can significantly reduce the risk for aggressive and violent behaviors among IWS. However, as the literature reveals, medication noncompliance has become an significant issue among IWS. Studies show that stigmatization of schizophrenia has significantly contributed to individuals not …
A Review Of Malingering Measures In Psychology, Dylan Faire
A Review Of Malingering Measures In Psychology, Dylan Faire
Loma Linda University Electronic Theses, Dissertations & Projects
Malingering describes the act of feigning physical or psychological symptoms for external gain, which may include exaggerating symptoms on psychological testing. Thus, standardized measures are needed to detect malingering and invalid responses for accurate interpretation of test results. This review examines existing literature on the most well-known cognitive and psychiatric malingering measures. Optimal contexts, in terms of population and setting, for each measure are examined, and directions for future research and recommendations discussed.
Correlates Of Problematic Gambling As Correlates Of Problematic Video Game Use, Hyo Jin Lee
Correlates Of Problematic Gambling As Correlates Of Problematic Video Game Use, Hyo Jin Lee
Loma Linda University Electronic Theses, Dissertations & Projects
Problematic video game use (PVGU), or addiction-like use of video games, affects a significant portion of the population and is associated with various negative physical and mental health problems. Given existing research regarding PVGU and gambling disorder, as well as the recent convergence of gambling and video gaming activities, studying correlates of gambling disorder in the context of PVGU may help identify novel correlates of PVGU that can be used to improve assessment and intervention. The aim of the current study was to examine correlates of gambling disorder, such as gaming fallacies and perceived locus of control, as potential predictors …
Predictors Of Aggression Among Adolescent Girls, Sarah Joy Park
Predictors Of Aggression Among Adolescent Girls, Sarah Joy Park
Loma Linda University Electronic Theses, Dissertations & Projects
Women and girls will often deny what they feel and think to maintain their relationships. Silencing the self can be detrimental to the physical and mental health of teenage girls. This stifling of the self is related to depression, earlier first intercourse, eating disorders, and less relationship satisfaction. Girls who silence their voices are also likely to have difficulty expressing themselves when they feel angry. In this study we explored the relationship between silencing the self and physical, verbal, and indirect aggression. Our sample consisted of 88 teenage girls from two high schools, with a mean age of 16. They …
Factors Related To Cognitive Reserve In Healthy Older Adults, Ann Tram Nguyen
Factors Related To Cognitive Reserve In Healthy Older Adults, Ann Tram Nguyen
Loma Linda University Electronic Theses, Dissertations & Projects
Background. Physical and cognitive impairments are two of the most prevalent age-related conditions, with evidence that both factors interact prior to or concurrently with the earliest detectable stages of cognitive impairment. Cognitive reserve (CR) allows an individual to cope more successfully with age-related brain and functional changes and is associated with better cognitive function and reduced risk of cognitive decline. However, it remains unclear to date the specific roles of individual markers of CR, and whether or not this relationship is modified by genetic risk (ApoE-4 genotype) and/or physical function. Method. We assessed cognitive functioning (global cognition, psychomotor …
Therapists’ Willingness To Access Client Social Media Accounts In The Context Of Suicide Risk, Jacob A. Vermeersch
Therapists’ Willingness To Access Client Social Media Accounts In The Context Of Suicide Risk, Jacob A. Vermeersch
Loma Linda University Electronic Theses, Dissertations & Projects
The past two decades has seen a proliferation of social media use, leading to a growing body of research on the potential utility for clinical contexts. In the current study, we examine willingness of psychologists to utilize client social media to inform suicide risk-assessment and risk-related treatment decisions, and the ethical principles they used to guide their considerations. Participants were asked of the likelihood they would engage in 1) a social media-informed risk assessment, where the therapist uses client social media to inform their initial determination of risk level, and 2) a digital welfare check, where the therapist accesses an …
What’S Faith Got To Do With It? Christian Sexual Scripts And The Transition To Marriage, Sandra Abidemi Banjoko
What’S Faith Got To Do With It? Christian Sexual Scripts And The Transition To Marriage, Sandra Abidemi Banjoko
Loma Linda University Electronic Theses, Dissertations & Projects
The purpose of this research project was to examine how messages from the sociocultural context of conservative Protestant women influence the sexual scripts that inform the beliefs and expression of sexuality in marriage and how they process, navigate, express, and manage their sexuality during the transition from singlehood to marriage. In this grounded theory study interviews were held with 16 married heterosexual conservative Protestant women, all in first marriages of five years or less. The results of this study highlight the gaps in the process of preparation during the women’s premarital experience, exposing the conflict caused by the moral incongruence …