Medicine and Health Sciences Commons^™

Impact Of Caregiving Role In The Quality Of Life Of Family Caregivers For Persons With Alzheimer's Disease, Supriya Sarkar

All Graduate Theses, Dissertations, and Other Capstone Projects

This study investigated quality of life of family caregivers of persons with Alzheimer's disease (AD). Caregiving is a strenuous and challenging job. Family caregivers experience poor quality of life after they take the role of caregiving which might be related to depression. Purpose of this study was to find if caregiving duration and depression has any role in affecting family caregivers' emotional, physical, and general health.

Data for this study were collected through electronic and mailed survey methods. The questionnaires completed by subjects: Medical Outcomes Study Short Form 36 (MOS-36) and Center for Epidemiologic Studies Depression Scale (CES-D). Descriptive statistics …

The Effect Of Clinician Hardiness On Posttraumatic Growth And Trauma Based On Vicarious Trauma Exposure, Maria Anne Stevens

All Graduate Theses, Dissertations, and Other Capstone Projects

There is a gap in the literature that examines posttraumatic growth outcomes in clinical psychologists. Additionally, few studies have explored personality characteristics that can mitigate negative psychological outcomes and foster growth. This study examined if the same model of Posttraumatic Growth (PTG) would be found in clinical psychologists who work with trauma as those who have experienced a traumatic event. Confirmatory Factor Analyses (CFA) indicated moderate model fit. Additionally, the study assessed whether the relationship between cumulative Vicarious Trauma Exposure (VTE) and Secondary Traumatic Stress (STS), and cumulative VTE and PTG would depend on the moderator hardiness, but no significant …

Perceived Harms And Benefits Of Parental Cannabis Use, And Parents’ Reports Regarding Harm-Reduction Strategies, Kathleen J. Donoghue

Theses: Doctorates and Masters

This research focussed on families in which at least one parent was a long-term cannabis user; I explored family members’ perceptions of the benefits and harms of cannabis use and the strategies parents used to minimise cannabis-related harm to themselves and their children. In depth, semi-structured interviews were undertaken with 43 individuals from 13 families, producing a series of family case studies that enabled examination of multiple perspectives within each family. In Study 1, I used an interpretive framework guided by Miles and Huberman’s (1994) thematic content analysis technique to analyse interview data, while study 2 yielded detailed descriptive vignettes …

Mixed Methods Pilot Study Of Peri-Diagnostic Exercise Behaviour Change Among Women With Suspected Breast Cancer, Amy L. Deckert

Electronic Thesis and Dissertation Repository

Approximately 1 in 9 Canadian women will develop breast cancer in their lifetime (CCS, 2013). Over the past 30 years, population-based screening programs have contributed to decreased mortality rates (CCS, 2013), however the psychosocial sequelae associated with screening for breast cancer cannot be ignored (Holland et al., 2010). Although the majority of women screened will receive a benign diagnosis, the threat of malignancy can induce elevated levels of distress (Andrykowski et al., 2002).

We conducted a mixed methods pilot study to assess the feasibility and acceptability of a 6-week self-managed exercise behaviour change intervention to attenuate distress in women with …

Perceived Barriers To Obtaining Psychiatric Treatment At Johnson City Community Health Center, Mychal Bolton

Undergraduate Honors Theses

The purpose of this study was to describe the perceived barriers to obtaining psychiatric treatment at the Johnson City Community Health Center. The context of the study was a rural area in Eastern Tennessee. Five patients with confirmed DSM-IV mental health diagnoses were recruited during treatment and interviewed at the Johnson City Community Health Center after their scheduled appointments with a Mental Health Nurse Practitioner (MHNP). The semi-structured interview focused on perceived barriers to obtaining treatment, perceptions of treatment received, and perceived availability of treatment. From those interviews, two themes were identified and each of which had two sub-themes identified: …

An Exploratory Study Of College Students’ Attitudes About Ecstasy, Rachel Reingold

Senior Theses and Projects

In a recent survey of 18-35 year olds, 15% reported using ecstasy (Businelle et al., 2009) and many emerging adults viewed it as “safer” than other illicit drugs, with limited negative consequences (Bahora et al., 2009). Although numerous quantitative studies have explored the topic of ecstasy use in college students, there is limited qualitative research, most of which is limited to users. Thus, in the current study, we used a focus group methodology to better understand users’ and nonusers’ knowledge, expectations, and perceived risks of ecstasy use, for the purpose of informing prevention efforts on college campuses. Twenty-four college students …

Injured Athletes' Preferences Regarding Source Of Emotional Support, Kristin Kutz

Honors Projects

Athletes often experience emotional distress as a result of an injury. Feelings of loss, decreased self-esteem, frustration, and anger are not uncommon. Athletic trainers (ATs) who work with injured athletes are focused on helping the progression of athletes' physical healing, but their role in helping athletes emotionally and psychologically is often unclear. There are twelve Athletic Training Education Competencies that the National Athletic Training Association requires to be taught to undergraduate AT students, one of them being psychosocial intervention and referral. However, little research has been done to define the exact role of ATs in this area, as well as …

Predictors Of Hiv Testing Among Individuals Diagnosed With Bipolar Disorder, Marie Denise Decoline

Walden Dissertations and Doctoral Studies

Research on rates of HIV testing among individuals diagnosed with Bipolar Disorder (BPD) is limited, while HIV infection continues to rise among BPD individuals. The problem is that BPD individuals are at high risk for HIV infection due to non-adherence to treatment for bipolar disorder and manic episodes that can lead to high-risk behaviors. The goal of the study was to examine the association between selected demographic variables, having a bipolar diagnosis, engaging in high-risk behaviors, inability to afford treatment for bipolar disorder, non-adherence to treatment for bipolar disorder, and substance abuse, and their relationship to obtaining an HIV test …

Follow-Up Evaluation Of Treatment For Anxiety And Depression Provided In A University-Based Primary Care Clinic, Renée M. Grinnell

Theses and Dissertations

Although integrated primary care psychology services are becoming increasingly common, the literature lacks adequate research support for the longitudinal durability of treatment effects following the conclusion of brief primary care interventions. This study served as a follow-up program evaluation of psychological services for depression and anxiety provided at the Medical College of Virginia’s Ambulatory Care Center in Richmond, Virginia. Data were collected on 47 adult primary care patients who received treatment for depression and/or anxiety between six and 18 months prior to the follow-up telephone call. Data were collected on the trajectory of depression scores throughout and following treatment, treatment …

Big Five Personality Traits, Pathological Personality Traits, And Psychological Dysregulation: Predicting Aggression And Antisocial Behaviors In Detained Adolescents, Katherine S. L. Lau

University of New Orleans Theses and Dissertations

This study tested the utility of three different models of personality, namely the social and personality model, the pathological personality traits model, and the psychological dysregulation model, in predicting overt aggression, relational aggression, and delinquency in a sample of detained boys (ages 12 to 18; M age = 15.31; SD = 1.16). Results indicated that the three personality approaches demonstrated different unique associations with aggression and delinquency. The psychological dysregulation approach, composed of behavioral dysregulation, emotional dysregulation, and cognitive dysregulation, emerged as the overall best predictor of overt aggression, relational aggression, and delinquency. After controlling for the Big Five personality …

Measuring The Sixth Vital Sign: A Descriptive Analysis Of Distress In Individuals With Head And Neck Cancer And Their Caregivers, Catherine C. Bornbaum

Electronic Thesis and Dissertation Repository

Introduction: Distress has become so problematic in oncology that it has been recognized as the “sixth vital sign” implying that distress monitoring should occur as routinely as the monitoring of one’s temperature or blood pressure. The research reported herein investigated the impact of head and neck cancer on levels of distress, commonly reported problems, and perceptions of quality of life in individuals with head and neck cancer and their caregivers.

Method: Two distinct studies were conducted; the first explored the patient experience of distress and quality of life while the second assessed the caregiver experience of these same constructs. A …

Patient Perceptions Of Physicians And Medication Adherence Among Medicare Part D Beneficiaries, Lori Marquinne Ward

Open Access Dissertations

Ward, Lori Marquinne. Ph.D., Purdue University, December, 2013. Patient Perceptions of Physicians and Medication Adherence Among Medicare Part D Beneficiaries. Major Professor: Joseph Thomas III.

An observational database analysis using Medicare Current Beneficiary Survey data was conducted to examine patient perceptions of physicians and associations with adherence to antihypertensive medication among Medicare beneficiaries enrolled in Medicare Part D. The study sample included beneficiaries if they were 65 years or older, dwelling in the community, had a diagnosis of hypertension in 2007, were enrolled in Medicare Part D all 12 months in 2008, and had Medicare Part D claims for antihypertensive …

Differential Relationships Of Internal And External Networking Behaviors With Turnover, Caitlin M. Porter

Open Access Theses

Although networking behaviors are proven to be beneficial for career success, less is known about how networking influences organizational outcomes such as turnover. Using a professional and an academic sample of "stayers" and "leavers", the present study addresses how two types of networking behaviors, networking focused either internal or external to the organization, differentially influence the voluntary turnover process. Data gathered from "stayers" suggested that internal networking behaviors were positively associated with perceived desirability of movement (i.e., job satisfaction), whereas external networking behaviors were associated with perceived (i.e., perceived employment opportunity) and actual (i.e., job offers) ease of movement. For …

Narrative Abilities Of Optimal Outcome Children And Adolescents With A Previous History Of Autism Spectrum Disorder (Asd), Joyce Suh

Master's Theses

Background: Autism Spectrum Disorders (ASDs) have traditionally been considered a lifelong condition; however there appear to be a subset of people who make such significant improvements that they no longer meet diagnostic criteria for autism. The current study examines whether these “optimal outcome” (OO) children and adolescents continue to have subtle language and socio-cognitive deficits. Method: The narratives of 15 children and adolescents with a history of ASD who achieved optimal outcomes (OO), 15 high-functioning children and adolescents with a current ASD diagnosis (HFA), and 15 typically developing peers (TD) were evaluated. Results: OO children and adolescents have few residual …

Hospital Loneliness And The Patient-Physician Relationship: A Preliminary Analysis Of Associations With Recovery In Bone Marrow Transplant Patients, Lindsay E. Balfour

UNF Graduate Theses and Dissertations

The purpose of the present study was to examine general loneliness, hospital loneliness, and the patient-physician relationship in regards to their associations with Bone Marrow Transplant (BMT) recovery outcome variables (days until engraftment and quality of life). Fifteen (66.7% female, 33.3% male; 93.3% white, 6.7% Black/African American; average age 61.73) individuals who had an allogeneic or autologous BMT at The Mayo Clinic of Jacksonville completed the FACT-BMT, UCLA-Loneliness Scale Version 3, the CARE Measure, and provided disease and treatment information at the 6 month posttransplant date (+/- 30 days). Patients recovering from BMT indicated significantly higher scores of hospital loneliness …

Euthanasia, The Ethics Of Patient Care And The Language Of Propaganda, Elizabeth Maria Krapf

Dissertations and Theses

This thesis is an examination of euthanasia, eugenics, the ethic of patient care, and linguistic propaganda in the Second World War. The examination of euthanasia discusses not only the history and involvement of the facility at Hadamar in Germany, but also discuss the current euthanasia debate. Euthanasia in World War II arose out of the Nazi desire to cleanse the Reich and was greatly influenced by the American eugenics movement of the early 20th century. Eugenics was built up to include anyone considered undesirable and unworthy of life and killed many thousands of people before the invasion of allied troops …

Conscientiousness As A Moderator Of The Relationship Between Work Autonomy And Job Satisfaction, Kyle Garret Mack

Dissertations and Theses

Autonomy is one of the most commonly studied job characteristics in the work design literature and is commonly associated with large and positive effects on job satisfaction. There is reason to believe that autonomy may interact with personality characteristics to affect attitudinal outcomes, but prior research has tended to focus on the original growth-need-strength construct as a potential moderator with mixed results. One glaring gap in the literature is the lack of research that examines the Big Five constructs of personality as a potential class of moderators. Grant, Fried, and Juillerat (2010) have suggested additional research into the Big Five …

The Therapy Of Humiliation: Towards An Ethics Of Humility In The Works Of J.M. Coetzee, Ajitpaul Singh Mangat

Masters Theses

This work asks how and for whom humiliation can be therapeutic. J. M. Coetzee, in his works Waiting for the Barbarians, Life & Times of Michael K and Disgrace, does not simply critique the mentality of Empire, an “Enlightenment” or colonialist mode of knowing that knows no bounds to reason, but offers an alternative through the Magistrate, Michael K and David Lurie, all of whom are brutally shamed and “abjected”. Each character, I propose, experiences a Lacanian “therapy of humiliation” resulting in a subversion of their egos, which they come to understand as antagonistic, a site of …

Validation Of The Masculine Gender Role Stress Scale In A Diverse Population, Amanda Eliza Sherman

Masters Theses

Adherence to traditional masculinity has been associated with negative physical and psychological health outcomes. Specifically, the standards of masculinity imposed on men have been associated with high levels of stress reactivity, interpersonal violence, and substance abuse. However, previous research has been limited to primarily Caucasian samples. In order to better understand masculinity and the stress associated with adherence to masculinity across ethnicity, we examined the validity of the Masculine Gender Role Stress scale in a diverse sample. We hypothesized that the MGRS in a diverse sample would function similarly to the MGRS in a primarily Caucasian sample in that it …

Eye Movement Measures Of Cognitive Control In Children With Tourette Syndrome, Cameron B. Jeter

Dissertations & Theses (Open Access)

Tourette Syndrome begins in childhood and is characterized by uncontrollable repetitive actions like neck craning or hopping and noises such as sniffing or chirping. Worst in early adolescence, these tics wax and wane in severity and occur in bouts unpredictably, often drawing unwanted attention from bystanders. Making matters worse, over half of children with Tourette Syndrome also suffer from comorbid, or concurrent, disorders such as attention deficit hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD). These disorders introduce anxious thoughts, impulsivity, inattention, and mood variability that further disrupt children with Tourette Syndrome from focusing and performing well at school and home. …

Values, Ethnicity, And Ses : The Case Of Latino And Anglo American Women, Claudia Venessa Argueta

Loma Linda University Electronic Theses, Dissertations & Projects

Past research on values has typically employed a quantitative and top-down approach in determining the universality of values across gender, religion and nation categories (Schwartz & Huismans, 1995; Schwartz & Bardi, 2001). However, studies have often failed to identify specific values that are related to particular ethnic and socioeconomic communities within a culturally diverse society (Lee, Whitehead & Balchin, 2000; McCulloguh, Wilson, Teasdale, Kolpakch, & Skelly, 1993). The aim of this study was to use a bottom up, qualitative approach to identify core values among Latino and Anglo women in Southern California. The research was guided by a model for …

Posttraumatic And Parent Stress In Parents Of Infant Heart Transplant Recipients, Jessie Rose Stevens

Loma Linda University Electronic Theses, Dissertations & Projects

Heart transplantation during infancy is a life-threatening event, and when successful, the treatment is a life-long process and the potential for life-threatening consequences never ceases. As a result, parents can be impacted in many ways by this traumatic and demanding experience that begins with the initial diagnosis of their infant and continues into the long-term life course of these children. This life-long process has the potential to cause symptoms of posttraumatic stress disorder as well as elevated levels of stress in parents. This study examined parental self-reported post-traumatic stress symptoms and parental stress in parents of children who received a …

A Comparison Of Adults Raised As Only Children With Adults Raised With Siblings On A Measure Of Anger, Lynn M. Schiller

Seton Hall University Dissertations and Theses (ETDs)

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The Effects Of A Persuasive Presentation And Group Discussion On Parental Attitude In A Youth Sports Camp Parent Conference, Nicholas Charles Mirabile

Theses, Dissertations and Capstones

The general purpose of this study was to increase parental support for inclusion of services for children with special needs. A persuasive presentation and group discussion were conducted at a parent conference at a youth sports camp

The presenter was a social worker who has experience working with children with special needs. The presenter developed the presentation and helped guide the discussion.

Anonymous pre-test and post-test surveys of parental attitude toward the presentation issue were taken. From these surveys, the effects of level of involvement and level of knowledge on level of importance were assessed.

Attitude change occurred in this …

Plagiocephaly: Developmental And Medical Outcomes, José Leonardo Fuentes

Loma Linda University Electronic Theses, Dissertations & Projects

Plagiocephaly, a condition that is observed by deformation of the head, comes as the result of different etiologies. The most serious involving premature fusion of one or more of the cranial sutures, a condition referred to as craniosynostosis. While children with craniosynostosis may be considered for developmental screening to determine whether they fall at risk for developmental delay, children with plagiocephaly are typically not seen as being at risk, their condition typically treated as a cosmetic problem. This study consisted of 85 children, 37 with plagiocephaly, 9 with craniosynostosis, and 39 nonclinical subjects. Results of this study suggest that children …

The Impact Of Systematically Varying The Duration Of Breath Samples During Infrared-Based Alcohol Breath Testing, Chris C. Clatterbuck

Dissertations

The present study set out to investigate the reliability and performance of the BAC DataMaster®, an infrared-based alcohol breath testing instrument. The focus of this study was to determine: (a) the impact of varying breath sample duration during testing, (b) if Blood Alcohol Concentration (BAC) levels produced by the DataMaster® (BAC_DM) are significantly different from BAC levels produced by analysis of whole blood (BAC_WB), and (c) if the relationship between BAC_DM estimates and BAC_WB is influenced by the amount of alcohol an examinee has ingested. Each of 27 participants was randomly assigned to one …

An Analysis Of Social Cognition And Health Insurance Cost-Benefit Analysis, S. Christian Wheeler

Presidential Scholars Theses (1990 – 2006)

There are many types of social cognition which may affect one's health insurance cost-benefit analysis. Similarly, many situational variables could influence the desirability of condition inclusion. The present study examines the effect of cost and condition type (physical or psychological) upon health insurance decision-making. In addition, the effects of Perceived Health Competence, Health Locus of Control, Belief in a Just World, and religious orientation on willingness to insure are examined. Results indicate that, of these variables, the biggest predictor of insurance desirability is the PHLC, or belief in ''powerful others" in determining one's health state. In addition, the type of …

Comparative Effectiveness Of Therapeutic Strategies On Drug Knowledge And Drug Attitude In Inpatient Psychiatric Substance Abuse Population, Amber Haque

Dissertations

This study examined the effects of instructional strategies on the change of knowledge and attitude scores in mentally ill subjects with a history of substance abuse. Twenty subjects from a state psychiatric hospital were randomly divided into one control and three experimental groups. The study period was ten weeks with each session lasting forty five minutes, twice per week. Subjects studied issues relating to drug abuse outside scheduled sessions as they pleased. Pre- and post-test scores were measured by a drug abuse questionnaire developed at the Pennsylvania State University. Hypotheses formed were: (a) drug education improves knowledge and attitude in …

Evidence For Classical Projection Or Experimental Artifact: A Failure To Replicate, Phillip Wayne Green

Graduate Theses

Classical, or Freudian projection is a concept which has been widely accepted by psychiatrists and clinical psychologists despite the lack of conclusive empirical evidence supporting its existence. A recent study using the psychodynamic activation technique resulted in evidence which would support classical projection. The present study utilized the same psychodynamic activation procedure using slightly different stimuli. This study resulted in evidence which would not support the concept of classical projection.

The Anti-Electroconvulsive Therapy Movement In Ontario A Description And Analysis, Karen T. Hooper

Theses and Dissertations (Comprehensive)

Recently, a movement emerged in Ontario which attempted to ban the use of electroconvulsive therapy (ECT), a controversial psychiatric treatment. The purpose of this study was to describe and analyze the anti-ECT movement as a contemporary social movement. The research foci of this study pertained to: 1) the movement’s goals and organizational structure, 2) its resource mobilization efforts, and 3) the political environment in which it evolved. Three sources of data were used: key informant interviews, newspaper archives, and OHIP data depicting aggregate numbers of ECT use in Ontario. The anti-ECT movement developed from the activities of self-help groups within …