Digital Commons Network^™

Parental Factors Impacting Neurobehavioral Late Effects In Latino Pediatric Cancer Survivors, Pamela R. Perez

Loma Linda University Electronic Theses, Dissertations & Projects

While the survival rate for children with cancer has increased markedly over the past 50 years, the side effects resulting from cancer and cancer treatment have become a major concern for health care providers and families alike. Survivors of childhood cancers are at risk for late occurring sequelae, called late effects, which are associated with disease, chemotherapy, radiation, and surgery. Neurobehavioral late effects are some of the most debilitating late effects found, particularly in survivors of central nervous system (CNS) cancers. The purpose of this study was to explore the impact of clinical and socio-demographic parenting factors on neurological late …

Neuropsychological, Psychosocial, And Mood Outcomes Following Mild Traumatic Brain Injury, Julia L. Evans

Loma Linda University Electronic Theses, Dissertations & Projects

Traumatic brain injury (TBI) in adolescents and adults can result in cognitive, emotional, behavioral and neurological deficits that can persist more than a year after an injury. The aim of the current preliminary study was to use a comprehensive neuropsychological assessment to determine the nature of cognitive impairments and their relationship with specific psychosocial factors, including coping skills and perceived quality of life, following mild TBI (mTBI). Neuropsychological tests administered measured intelligence, pre-morbid intelligence, executive functioning, verbal memory, complex visual construction and non-verbal memory, sustained attention distractibility, and vigilance, verbal learning and memory, fine motor speed, and novel problem solving …

The Application Of Dialectical Behavior Therapy To Chronic Pain Management, Jacob S. Iwaszewski

Loma Linda University Electronic Theses, Dissertations & Projects

Pain affects more than 50 million Americans annually, costs over 150 billion dollars each year in healthcare and legal expenses, and results in decreased work productivity and missed work days (Ballantyne, 2006; Boll, Raczynski, & Leviton, 2004; Thom, 2004). It is estimated that chronic pain negatively impacts 15% to 33% of the US population (Bokarius et al., 2008). Third-wave acceptance-based therapies, such as Dialectical Behavior Therapy (DBT), have demonstrated significant improvements in mental health functioning for a variety of populations (Carmody & Baer, 2008; Cusens, Duggan, Thome, & Burch, 2010). DBT, one of the primary treatment modalities for Borderline Personality …

Self-Efficacy For Independent Living In Retirement, Jennifer Summers

Loma Linda University Electronic Theses, Dissertations & Projects

A person's ability to live independently plays an important role in their quality of life. Variables such as perceived health, functional status, retirement preparedness, social support, and leisure activities are considered to play pivotal roles in the belief one can live independently. Therefore, self-efficacy towards living independently in the retirement phase of life will be impacted by the elements that set the framework for a rewarding life. The present paper reviews social cognitive theory, the construct of self efficacy as well as current research in the area of retirement and how the two are related. The review concludes with a …

Integrating The Development Of Children And Gestalt Therapy, Jennifer J. Thompson

Loma Linda University Electronic Theses, Dissertations & Projects

There are many theories that have contributed to what we know about the development of children; for instance, theoretical diversity supports the complexities of human nature. A child's developmental level will impact his ability to relate. Gestalt theory supports the child's phenomenological view by focusing on the here-and-now of what is happening in the therapeutic environment. Most of what a child will do is in response to a need or want. The child will work toward fulfilling that need. The child may develop maladaptive ways to fulfill his needs based on the environment in which he lives. Gestalt play therapy …

Guidelines For Culturally Informed Interventions: Culture, Attributions And Continuity Of Care, Chung Mu Seo

Loma Linda University Electronic Theses, Dissertations & Projects

Although early detection can improve survival of breast and cervical cancer, U.S. Latinas are more likely to be diagnosed at later stages of cancer and have poorer survival rates compared to Anglo women. Poorer continuity of care and adherence to recommended screening are seen as contributing factors to this disparity. Existing interventions have tried to reduce human, system, and culture barriers. However, they lacked a systemic guidance in the process of identifying cultural factors and the pathways in which they affect the specific behavior of interest through psychological processes in a minority population. Guided by Betancourt’s integrative model of culture, …

Horticulture Group Therapy With Mentally Ill Older Adults, Kristen J. Hill

Loma Linda University Electronic Theses, Dissertations & Projects

With a greatly increasing number of older adults due to advances in medical care, aU baby boomers in the United States will be 65 or older by 2029. As the number of older adults grows, so does the number of those with severe mental illness. Treatments are needed to address older adults with severe mental illness that include the negative side effects of medications. Due to the nature of severe mental illness, lower levels of required cognitive processing allows for those admitted to inpatient psychiatric settings to participate, including those with dementia. Horticulture therapy has proven useful to address severe …

Parental Grief And Loss And The Medical Staff Relationship: A Function Of Attachment, Peter Christopher Gleason

Loma Linda University Electronic Theses, Dissertations & Projects

Each year, too many parents must face the horrific ordeal of having to prepare for the death of their child; thought to be the most traumatic event in the life of an adult (Widger & Picot, 2008). It is in the desperate hours just prior to death that these parents, for many reasons, reach out for support to the medical staff around them. This process, particularly if negative, can leave scars that parents will carry for a lifetime (N. Contro, Larson, Scofield, Sourkes, & Cohen, 2002; Tinsley, et al., 2008). However, there appear to be factors that serve to lessen …

Lateralization Of Emotion, Reaction Time, And Skin Conductance Responsiveness, Kimberley Erin Rose

Loma Linda University Electronic Theses, Dissertations & Projects

Bilateral presentations of brief (250 ms), unmasked emotional and neutral stimuli were examined in two experiments with primarily female samples. Reaction time and accuracy data were used to measure perception of emotion and skin conductance response (SCR) was used to measure experience of emotion. Both words and pictures were used to account for hemispheric differences in language and visuospatial dominance. Response time was faster to emotional pictures than words. Reaction time and speeded accuracy data did not support right hemisphere hypothesis (RHH) or valence hypothesis (VH) in the expected manner. Data suggested emotion caused greater interference under speeded conditions in …

Exploring Gender Differences In Online Cancer Support Groups, Natalie Christine Kaiser

Loma Linda University Electronic Theses, Dissertations & Projects

Gender differences in depression and other psychiatric conditions have been widely

documented in the general population (Nolen‐Hoeksema, 2006). Therefore, several studies have

analyzed the differential gender‐based adaptation of a cancer diagnosis. However, there seem to be contradictory results. While some studies have found there to be no gender differences in terms of cancer‐related distress (Beresford et al., 2006; Deimling et al., 2006; Zabora et al., 2001; & Carlson et al., 2004; Matthews, 2003), other studies have found that females tend to display more anxiety and depressive symptoms (Mystakidou et al., 2005; Deimling et al., 2006). Interestingly, limited studies have reported …

The Impact Of Pomegranate On Memory Dysfunction After Cardiac Surgery, Sapna Patel

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Studies have shown a decline in certain cognitive abilities in individuals diagnosed with heart disease of any type or etiology. This decline is observed as the disease progresses (Muller, Grobbee, Aleman, Bots & van der Schouw, 2006; Ernest et al., 2006), as well as after certain interventions, such as coronary artery bypass grafting (CABG) and heart valve surgery. In recent years, there has been a great deal of emphasis on the beneficial effects of pomegranate on health, including diseases of the brain and the heart. Few, however, have explored the impact of pomegranate on cognitive functions. Thus, the current …

Myelomeningocele And The Neuropsychological Functioning Of Bilingual Children, Claudia Resendiz

Loma Linda University Electronic Theses, Dissertations & Projects

Myelomeningocele is the most common and most severe form of spina bifida, affecting the brain and spinal cord of millions of children. Children of Hispanic background have the highest prevalence rate of this condition. Despite this fact, research that examines the cognitive profiles of Hispanic children with myelomeningocele is limited. A review on bilingualism and neurocognitive performance suggests that a cognitive advantage is present among those who are able to learn and utilize two languages. Although some have investigated the neuropsychological performance of children with myelomeningocele, research has yet to examine whether a bilingual cognitive advantage is present among bilingual …

Mrs And Neuropsychological Outcome In Children With Non-Accidental Tbi, Aileen Arratoonian

Loma Linda University Electronic Theses, Dissertations & Projects

Despite the severe and long-term neurological consequences and the prevalence of non-accidental head trauma (NAT) among infants, few empirical studies have specifically examined the neuropsychological consequences in this population of children. The current study examined the relationship between clinical variables, Magnetic Resonance Spectroscopy (1H-MRS), and neuropsychological outcome in this high-risk population of children. Infants and children with a confirmed diagnosis of NAT were recruited by the Division of Pediatric Neurology at Loma Linda University Children’s Hospital and administered a comprehensive follow-up neuropsychological evaluation and neurological exam several months post injury. At the conclusion of the study, there were 13 participants …

Memory For Emotional Images: Mechanisms Of Episodic Processing And Its Psychophysiological Correlates, Gregory E. Devore

Loma Linda University Electronic Theses, Dissertations & Projects

Negative emotional stimuli are usually better remembered than neutral emotional stimuli. Previous examination of binding theory found no differences in recall for pure lists of taboo and neutral words. A similar result was found with equivalent recognition memory performance between pure lists of negative, positive, and neutral images. The current research is designed to test the predictions of binding theory using negative and neutral visual stimuli in mixed lists. A rapid serial visual presentation paradigm and recognition memory item-discrimination tasks are used. Binding theory predicts differences in recognition memory performance between arousing and neutral images in mixed lists, but not …

Religious Coping And Depression Among Blacks And Whites After Sexual Abuse, Richelin Dye

Loma Linda University Electronic Theses, Dissertations & Projects

According to the theory of Fundamental Assumptions, childhood sexual abuse survivors have more depressive symptoms as a consequence of disrupted assumptions relating to optimism and mastery (Janoff-Bulman, 1992). This study tested whether positive religious coping preserves the fundamental assumptions to decrease depressive symptoms. In contrast, negative religious coping was posited to challenge assumptions. These hypotheses were tested in 2949 women from the Biopsychosocial Religion and Health study of which 246 reported childhood sexual abuse (CSA) with no childhood physical abuse and no adult sexual assault. Across all participants, positive religious coping (benevolent God reappraisal, collaborative religious coping, and spiritual connection) …

Inpatient Stroke Rehabilitation: Ethnic And Psychosocial Predictors Of Recovery Outcome, Anna Olga Wong

Loma Linda University Electronic Theses, Dissertations & Projects

As the new focus on preventative medicine has emerged, research continues to expand on diseases that impact physical and cognitive functioning, lead to long-term disability, and increase the risk of mortality. Stroke or cerebral vascular accident (CVA) has been identified as one of such diseases by the Centers for Disease Control (2007). Past literature has identified disparities between ethnicity, socioeconomic status, and other diseases in the recovery of stroke. The aim of the current study was to investigate the effects of ethnicity and psychosocial factors on stroke recovery during inpatient rehabilitation. The study included 446 patients who had suffered an …

Expanded Behavioral Model For Online Support Services, Laura Boxley

Loma Linda University Electronic Theses, Dissertations & Projects

The rapid expansion of online technologies and health resources has created opportunities to develop broadly available interventions to address the needs of the modern patient. This study proposes a theoretical structure based on Andersen's Individual Determinants of Health Service Utilization Model to describe who is using online support and how it is being used. Also unique to this analysis was the use of objective behavioral data to describe and predict website utilization, and linguistic analysis to evaluate the content of what is shared in online groups. Eighty-four men and women completed baseline evaluations and were randomized into either online support …

Impact Of An Online Support System On Health Related Quality Of Life Among Men Diagnosed With Prostate Cancer, Daniel K. Osei

Loma Linda University Electronic Theses, Dissertations & Projects

Prostate cancer is a major public health issue worldwide and a significant cause of male cancer death in the USA. Though early screening and treatment has greatly enhanced the outcome, men diagnosed with prostate cancer face problems that compromise quality of life after treatment. Online support for prostate cancer clients is a convenient way to help because it is anonymous, inexpensive, and can be used at clients’ convenience. Yet few studies have explored how these supports impact these clients. This study used a longitudinal randomized experimental design to examine the impact of online services on quality of life of prostate …

Childhood Depressive Symptoms: Comparison Of Diverse Medical Diagnoses, Ida Babakhanyan

Loma Linda University Electronic Theses, Dissertations & Projects

Childhood depression is a serious problem and has long term implications including increased risk for suicide and comorbid conditions. In addition, depressed children are at greater risk for social difficulties, non-compliance to medical regime, and academic difficulties. Children undergoing a medical illness are at increased risk for developing depression, however, there have been few recent studies looking at emotional distress for this population. With thousands of children hospitalized every day, assessing for depressive symptoms is important in order to provide proper referrals and treatment recommendations following discharge. The purpose of the current study was to increase understanding of pediatric depression …

The Association Of Religious Coping On Reports Of Low Back Pain And Inflammatory Markers, Jacqueline D. Bougie

Loma Linda University Electronic Theses, Dissertations & Projects

Chronic pain is the most common cause of disability in the United States with depression, anxiety, and stress often occurring co-morbidly. The purpose of the study was to explore how religion may modulate the frequency of back pain, influence inflammatory markers, influence the use of medications, and impact functional ability.

Participants were from the Biological Manifestations of Religion Study (BioMRS; N= 508) and the Psychological Manifestations of Religion Study (PsyMRS; N = 10,988). All participants completed a 20-page questionnaire and BioMRS participants provided blood, salivary, and urine samples, performance tests, and learning tests all collected within 1 week of …

Factors That Inhibit Or Enhance Maternal Coping With Stillbirth In Chhattisgarh, India, Lisa R. Roberts

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Over half of the known stillbirths occur in four highly populated countries—India among them. While acknowledged as a significant public health issue in western societies, little is known about maternal coping with stillbirth in developing countries. The purpose of this mixed methods study is to explore how issues of gender and power, social support, coping efforts, and religious beliefs influence perinatal grief outcomes among poor women in rural Chhattisgarh, India.

Methods: In Phase 1 of this mixed methods study, grounded theory methods were used to explore perceptions regarding stillbirth. A de-identified medical records review of 536 deliveries at Christian …

Body Objectification And Elective Cosmetic Procedures In African American Women, Allycin Powell-Hicks

Loma Linda University Electronic Theses, Dissertations & Projects

Trends in cosmetic surgery are an ever-popular topic of discussion; however, little psychological or empirical research has been devoted to understanding specific psychological factors for ethnic minorities. African American women have historically fallen outside of Euro-centric beauty norms and have been subjected to objectification in media and interpersonal interactions. First, this study investigated the differences between African American women and Caucasian women on three dimensions of body objectification. Body objectification was assessed through three subscales of the Objectified Consciousness Scale: 1) body surveillance, 2) Shame about appearance, and 3) a women's assessment of control of her personal appearance. African American …

Psychopathic Traits, Skin Conductance, And Emotion In The Normal Population, Kimberley Rose

Loma Linda University Electronic Theses, Dissertations & Projects

Research has suggested that psychopathic characteristics exist along a continuum extending into the normal population (Andershed, Gustafson, Kerr, & Stattin, 2002; Ross, Lutz, & Bailley, 2004; Williams, Paulhus, & Hare, 2007). Individuals high in subclinical psychopathy were expected to show the same pattern of diminished psychophysiological responding to negative stimuli that incarcerated psychopathic individuals have shown. The callous affect (CA) dimension of psychopathy was expected to be associated with physiological differences as this is considered the core element of psychopathy. Level of CA was compared for skin conductance response (SCR) magnitude to empathy evoking versus threatening stimuli. This was done …

Unwanted Sexual Experience: An Investigation Of Emotion And Physiology, Julie Alberty

Loma Linda University Electronic Theses, Dissertations & Projects

The statistics on the prevalence of sexual abuse are varied and alarmingly large. Rojas and Kinder (2007) showed that a little less than 30% of males stated that they had been sexually abused while a little over 30% of females reported being sexually abused. The purpose of this study is to obtain additional information regarding cognitive-affective processing in individuals who have had an unwanted sexual experience. The current study is a pilot study that questions whether a difference in physiological response, as measured by skin conductance and heart rate, will occur in people who have had an unwanted sexual experience …

Process And Outcome Evaluation Of A Social-Networking Website For Health Promotion, Sarah Ormseth

Loma Linda University Electronic Theses, Dissertations & Projects

Overweight and obesity pose a significant threat to the health and wellbeing of college students. However, studies of interventions to improve the health behaviors of college students are few in number, largely atheoretical, and have limited potential for widespread dissemination. The goal of this study was to evaluate a pilot of an internet based social-networking intervention to promote health behavior change. Specific aims were to assess the role of behavioral engagement as a mechanism of change over time, review qualitative feedback regarding participants' likes and dislikes of the website, and use social networking analysis (SNA) to analyze structural support and …

Longitudinal Behavioral Assessment Of Neonatal Traumatic Brain Injury, Joel Kamper

Loma Linda University Electronic Theses, Dissertations & Projects

Traumatic brain injury (TBI) in children and infants is a primary cause of cognitive and behavioral problems that can persist through adulthood. In this study, the long-term behavioral effects of neonatal and juvenile TBI (jTBI) were characterized using mice. At an age of post-natal 7 or 10 days, mice underwent moderate or severe closed skull impact or sham surgery. Behavioral testing was conducted at 6 and 8 months post-injury. Tests administered included the open field activity (general activity levels), zero maze (anxiety), forced swim (depression), rotarod (coordination and balance), and water maze (general/spatial learning). jTBI mice showed elevated activity levels, …

Cultural And Personal Influences On Body Satisfaction In Mexican American Women, Melissa Y. Snyder

Loma Linda University Electronic Theses, Dissertations & Projects

The current study extended prior research examining the impact of acculturation on body satisfaction while integrating possible mediating variables for a sample of Mexican American women. Specifically, the study examined the relationships among acculturation (ARSMA-II), acculturative stress related to racism and immigration (HWSSS), objectified body consciousness (OBCS), SES, age, BMI, and body dissatisfaction. Outcome measures of body dissatisfaction included the EDI subscales of Body Dissatisfaction, Bulimia, Drive for Thinness, and Ineffectiveness, as well as the Body Esteem Scale (BES). Participants were 352 women of Mexican descent between the ages of 18 and 50 years recruited through California State University, San …

Modeling Treatment Outcomes In Eating Disorders, Kathryn Grace Truitt

Loma Linda University Electronic Theses, Dissertations & Projects

Eating disorders are notoriously difficult and costly to treat, with only 40% of individuals with an eating disorder making a full recovery. Individually Tailored Service Allocation provides a dynamic treatment model defined by empirically accepted theory and consistently informed by data provided by the patient. The use of patient feedback allows for the tailoring of individual treatment plans to meet the unique and varied needs of each patient. Hierarchical Linear Modeling was used to examine the effect of Individually Tailored Service Allocation on eating disorder treatment outcomes. A total of 51 adult women meeting diagnostic criteria for an eating disorder …