Digital Commons Network^™

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

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

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

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

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

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

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

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 …

The Role Of The Filifactor Alocis Hypothetical Protein Fa1654 In Oxidative Stress Resistance, Malissa Makaylia Mangar

Loma Linda University Electronic Theses, Dissertations & Projects

The survival/adaptation of Fillifactor alocis, a fastidious gram positive asaccharolytic anaerobe in the inflammatory environment of the periodontal pocket, requires an ability to overcome oxidative stress. Moreover, emerging observations suggest its pathogenic characteristics are highlighted by its capacity to survive in the oxidative-stress microenvironment of the periodontal pocket and its likely ability to modulate the microbial community dynamics. There is still a significant gap in our understanding of F. alocis mechanism of oxidative stress resistance and its impact on the virulence and pathogenicity of the microbial biofilm. The pathogenicity of F. alocis may be impacted by its response to oxidative …

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

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

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; …

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 …

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

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 …

Sweet Pea: An Integrated Postpartum Mental Health Program For Mothers & Their Partners, Robynn L. Mays

Loma Linda University Electronic Theses, Dissertations & Projects

The Sweet Pea: Postpartum Parenthood Program is a postpartum depression and anxiety intervention to provide support for mothers and their supportive partners for 16- weeks of therapy. Through group, individual, and couples therapy, parents can discuss their symptoms of postpartum depression and anxiety in three different settings. The parents will have the support from their Postpartum Care Team (PCT) which includes: their Case Manager and Clinical Therapist. Parents will also receive health care and social services provided through PCT to ensure the proper support through their postpartum parenting journey. The Sweet Pea Program is based on the concepts of the …

Maxillary Central Incisor Rr In Hispanic And Non-Hispanic White Patients With Rme, Madison Healy

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Apical root resorption is one of the most common adverse effects of orthodontic treatment. Forces used during orthodontic tooth movement can cause permanent loss of apical surfaces of teeth and although most reported cases of root resorption are asymptomatic, the process is irreversible and often unpredictable. Thus, it is of clinical interest to investigate which patients may be at greatest risk.

Purpose: This study utilized Cone Beam Computed Tomography (CBCT) to evaluate whether rapid maxillary expansion (RME) in Hispanic patients increased the severity of orthodontically induced apical root resorption.

Materials and Methods: Pre-treatment (T1) and post-treatment …

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

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 …

Extraction Vs. Non-Extraction: Comparing Orthodontic Root Resorption, Benjamin Rush

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Orthodontically induced apical root resorption (OIARR) can be a risk to orthodontic treatment. Advancements in imaging warrant further investigation into potential causes and solutions are worthwhile. Purpose: This study compared incidence and severity of OIARR in incisors during orthodontic treatment with and without bicuspid extractions. Materials and Methods: This study included 63 patients (504 teeth). DICOM CBCT images were imported into OsiriX MD software (version 10.0.3) for tooth length measurements from coronal and sagittal views in all incisors and incisal angulation for central incisors. Difference in tooth length from incisal edge to root apex from pre-treatment and post-treatment measurements …

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 …

The Perceived Experiences Of High School Students And Their Mental Health In Sda Academies, Melody Ezpeleta

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this project was to gather the perceived experiences of high school students in terms of their mental health while attending Seventh-day Adventist (SDA) academies. The rationale for this qualitative needs assessment was to learn about how the identified mental health conditions are being attended to and what mental health resources or supports are needed at the academies. Forty-six participants were recruited from the Pacific Union under the North American Division Office of Education (NADOE). An anonymous, 20-minute online survey was completed independently by participants in which they were guided to select one of four roles: administration, direct …

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 …

We Program Training Manual For Culturally Responsive School-Based Mental Health Practices, Staysha M. Veal

Loma Linda University Electronic Theses, Dissertations & Projects

An abundance of evidence suggests that K–12 Black Indigenous People of Color (BIPOC) students experience disparities in school-based mental health services and negative school-based outcomes due to racism, discrimination, and biases. Such experiences have deleterious impact on their mental health, academic functioning, and other pre- and post-matriculation outcomes. These dynamics can lead to poor academic functioning and adverse mental health outcomes which can include depression, anxiety, toxic stress, decreased self-worth and self-esteem, and psychological maladjustment. School-Based Mental Health (SBMH) providers that are trained to be culturally responsive are uniquely situated to mitigate these negative events and ensure that BIPOC students …

Program Evaluation Of The Mend Program In Its Application Of Working With Adult Pnes Patients, Ashley Park

Loma Linda University Electronic Theses, Dissertations & Projects

This study is a program evaluation of a family systems program, MEND and its application of working with patients who have Psychogenic Non Epileptic Seizures, otherwise known as PNES. This study evaluates PNES patients who have completed MEND focusing and comparing outcome measures like health related quality of life (HRQL), emergency room visits, and medications with PNES patients who have not done MEND. Results suggest that MEND improved PNES symptoms and overall HRQL.

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 …

Adaptation Program: Systemic Treatment Of Incarcerated Individuals And Their Families, Katrina Arabyan

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of the Adaptation program is to support families impacted by incarceration. It is a family-based therapeutic program implemented within a correctional facility. Adaptation utilizes Structural Family Therapy (SFT) to focus on creating systemic change by addressing the rules, roles and behavior patterns of incarcerated individuals and their families. Barriers to family member attendance are addressed via the use of telehealth.

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 …

Self-Perceived Social Communication Perspectives Of Autistic Young Adults: A Phenomenological Qualitative Study, Aieshea L. Banks

Loma Linda University Electronic Theses, Dissertations & Projects

Social communication differences in autistic individuals have historically been viewed as disordered due to a comparison to the social behavior of the predominate nonautistic neurotype. Such comparison has led to a variety of social communication challenges that result in a variety of cognitive and affective reflections in autistic adults. The study aimed to explore two specific concepts: 1) the self-perceived challenges related to social communication and interaction of autistic young adults and 2) the cognitive and affective impact of their social communication challenges. This study explores the perspectives of 15 autistic young adults who are conversation-level verbal communicators. Individual semi-structured …

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 …