Social and Behavioral Sciences Commons^™

Female Infertility In The United States And India: An Analysis Of Treatment Barriers And Coping Strategies, Devneet Singh

Honors Theses

This research studies barriers to accessing fertility treatment in the United States (U.S.) and India, as well as the coping strategies infertile women use. Barriers include reproductive health knowledge, cost, and politics, while coping is affected by cultural stigma, family, and religion. These two countries were chosen for their different cultural contexts, healthcare systems, and political infrastructure. Ten fertility specialists across both countries were interviewed as expert informants. Reproductive health knowledge was the most important barrier to accessing care in both countries, with similar gaps in understanding when and what type of care to utilize, though social media can educate …

The Future Of Artificial Intelligence In The Healthcare Industry, Erika Bonnist

Honors Theses

Technology has played an immense role in the evolution of healthcare delivery for the United States and on an international scale. Today, perhaps no innovation offers more potential than artificial intelligence. Utilizing machine intelligence as opposed to human intelligence for the purposes of planning, offering solutions, and providing insights, AI has the ability to alter traditional dynamics between doctors, patients, and administrators; this reality is now producing both elation at artificial intelligence's medical promise and uncertainty regarding its capacity in current systems. Nevertheless, current trends reveal that interest in AI among healthcare stakeholders is continuously increasing, and with the current …

Social Consequences Of Obesity: Case Study Of Bariatric Population At Ellis Hospital, Kara Leyden

Honors Theses

Despite the fact that the majority of adults living in the United States are overweight or obese, obesity remains a highly stigmatized physical condition. Society often sees obesity as a physical manifestation of personal faults such as the lack of self-control and laziness. Obese individuals thus experience discrimination in places of employment, have lower educational attainment, are underrepresented in popular culture, and often have difficulty finding and sustaining intimate relationships. For individuals with extreme obesity (BMI greater than 40), bariatric surgery is the most effective strategy to improve health and lose weight. Individuals who have undergone bariatric surgery typically experience …

How Did Medicaid Expansion Affect The Provider Labor Market?, Aaron Wu

Honors Theses

One provision of the Affordable Care Act was to expand Medicaid eligibility for a greater number of low-income patients. The resulting increase in demand for care was largely explored, but the effect of the 2014 Medicaid expansion on the physician and advanced practitioner labor market has not been well researched by economists. Using pooled cross-sectional data from the 2010 – 2018 American Community Surveys, this paper examines whether the Medicaid expansion has caused notable changes in physician, physician assistant, and nurse practitioner hours, compensation, and overall employment. The literature shows that practices that employ nurse practitioners are far more likely …

Neurosexism: The Extent To Which Sex And Gender Differences In Mental Illness Are Neurologically Explained Versus Socially Constructed, Christie Dionisos

Honors Theses

In the growing age of neuroscience, we are rapidly churning out answers to questions about the mind and mental illness that have always evaded us. While increased neurological understanding is valuable to mental illness, our current understanding of mental illness comes with historical baggage that has negatively shaped society’s beliefs connecting females to illness. Our definitions of mental illness and its association with women came out of a history of stigmatization against women, disease, and Otherness. This has manifested into the pathologization of female experience as mental illness. The onset of new brain science had a similar agenda to make …

The Business Cycle And Health: An Analysis Of How Macroeconomic Conditions Impact Health Outcomes In The U.S., Talitha Kumaresan

Honors Theses

The U.S. spends about twice as much per person on healthcare, yet the disease burden remains higher in the U.S. than in comparable countries (Sawyer and Cox 2018; Sawyer and Gonzales 2017). Although health status is perceived to be an outcome of individual decision making, the business cycle also affects health. While the effect of macroeconomic shocks on health outcomes has been studied extensively, results remain inconclusive. This analysis uses longitudinal data over 30 years and panel data models to examine the effect of macroeconomic conditions on obesity, diabetes, hypertension, depression, congestive heart failure, and heart attack or myocardial infarction. …

Cognitive And Emotional Correlates Of Improved Gait Distance During The Course Of Physical Therapy Treatment For An Incomplete Spinal Cord Injury, Danielle Miller

Honors Theses

Objective

The focus of spinal cord injury rehabilitation over the past four decades has shifted from medical management to issuses that affect quality of life and community participation (Gómara- Toldrà, Sliwinski, & Dijkers, 2014). However, the care team for spinal cord injury patients still need to collaberate in order to design and implement interventions that result in maximum participation to provide an individual with a spinal cord injury an effective rehabilitation program. In order to create such a rehablitation program, the care team must know how certain psychological and cognitive aspects, such as depression and implict memory, are related to …

Sports Injury And Recovery Analyzed Using Blum's Model Of Health Determinants, Daniella Batarseh

Honors Theses

This study explores the effects of various health determinants on the ability of a college athlete to recover from a sport’s injury. Blum's Model of Health Determinants explains that there are four factors that contribute to the overall health of an individual: lifestyle, environment, medical services and heredity. Blum argued that each factor affects health to a different degree. To understand how each of these determinants affects an athlete’s recovery, different people involved in this process were interviewed, including coaches, trainers, athletes and sports psychologists. These interviews illustrated the need for an expansion within this model of health. While all …

Exploring Occupational Therapists' Approach To Treating Children With Autism In The School Setting, Melissa Brauner

Honors Theses

Autism spectrum disorder is one of the fastest growing developmental disabilities, affecting more than 3.5 million Americans. In order to ensure that the autism population receives the highest quality of care, it is extremely important that health professionals be equipped with the knowledge to care for individuals with the disorder in an effective manner. Occupational therapists play an important role in assisting people on the autism spectrum. For many children with autism, occupational therapy services are primarily received in the school setting. This study explores occupational therapists’ approach to managing the treatment of children on the autism spectrum in the …

The Connection Between Gasoline Prices And Physical Activity: Potential Ways To Combat The Rise In Obesity, John Perrotti

Honors Theses

It is widely understood that one of the most significant public health challenges in the United States is obesity which could rightly be considered an epidemic. Accompanied by billions of dollars in both explicit and implicit costs obesity places great strain on the health care system and economy as a whole. Years of scientific research has linked obesity to three main determinants: genetics over-eating and lack of physical activity. Recent research has introduced the study of the connection between the macro-economy and rates of physical activity thus linking economic variables to obesity. This paper investigates the connection between gasoline prices …

Product Bundling In Fast Food Advertisements And The Relationship With Consumers' Willingness To Pay, Madison Shapiro

Honors Theses

Obesity rates have been rapidly increasing in recent years. This is a problem especially for low-income families and for households without access to quality food. Consequently fast food restaurants are a solution for those who cannot afford healthy food. The large number and variety of fast food restaurants coupled with their aggressive advertisements cheap prices and large portions may have an effect on consumption and obesity rates. This study explored the relationship between types of advertisements utilized by fast food restaurants and consumers' willingness to pay (WTP) to see if bundled advertisements have a significant impact on WTP. Bundles also …

The Effect Of Posture On Classroom Participation, Janine Cerutti

Honors Theses

Past research suggested that students with low self-esteem participate less in class than students with high self-esteem. Separately, prior research investigated the effects of nonverbal behavior on different variables such as confidence and performance. In the current research, we explored the effect of posture on the level of class participation (i.e. the number of times participants raised their hand to participate during a question-answer session). First, participants were asked to take a self-esteem questionnaire before participating in a simulated lecture. Next, participants were randomly assigned to either a slumped or upright posture condition. During the lecture, participants watched a short …

Bulking Up Or Bulging Over: Motivating Physical Activity Through Framing, Lauren Crupnick

Honors Theses

Motivating people to perform physical activities can be a challenging task. One possible avenue is through the use of framing of exercise-related imagery and messages. Gain-frame imagery demonstrates the benefits of performing an activity, whereas loss-frame demonstrates the risks of not taking action on something (Tversky & Kahneman, 1981). With social media as a prevalent platform for exercise tips and tricks, it is possible that the way in which such imagery is framed in advertisements, blogs, and apps could be hindering or helping followers get closer to their physical activity goals. I hypothesized that gain-framed imagery motivates participants to have …

Love Shouldn't Hurt: Akrasia As An Explanation For The Perpetration Of Domestic Violence, Elizabeth Murad

Honors Theses

Domestic Violence (DV) is a prominent issue that affects people of all demographics, and can be defined as the perpetration of psychological, emotional, physical, or sexual abuse against (typically) an inferior other. A dear friend, Alex, lost her life at the hands of her boyfriend of almost two years, and I still struggle to understand how one could do such an atrocious thing to a loved one? The Perpetrator, Clayton, claimed that he “just snapped” when he “killed [his] girlfriend.” It is from this case, and more specifically the statement: “I just snapped,” that I have based my research; I …

The Psychology Of Romantic Relationships, Darby Dietrich

Honors Theses

Prior research on self-monitoring suggests that high self-monitors are more likely to choose a romantic partner based on status and appearance. Conversely, low self-monitors put a greater emphasis on shared values and interests. In the current research, we examined the self-monitoring differences in both dating relationships and marriages. Participants were given a survey in which they answered personal questions, questions about their past relationships, qualities that are important in potential dating and marriage partners, and the Snyder and Gangestad (1986) 18-item Self-Monitoring scale. Trends were consistent with previous research, such that high self-monitors were more likely to divorce than low …

Evaluating The Effectiveness Of Care Choices A Home-Based Palliative Care Program, Katherine Pouliot

Honors Theses

Background: There is a growing need for home-based palliative care services, especially for seriously ill individuals who want to avoid unnecessary hospitalizations and remain with their regular outside care providers. Objective: To evaluate the effectiveness of Care Choices, a new in-home palliative care program provided by the Visiting Nurse Services of Northeastern New York and Ellis Medicine, a community healthcare system serving New York’s Capital District. Design: A prospective cohort study tracking patient outcomes over the course of one year. Subjects and setting: One hundred twenty-three patients (49 men, 74 women) with serious illnesses who were new enrollees in Care …

The Privilege Paradox: The Effect Of Affluence On The Adolescent Experience, Darcy Berger

Honors Theses

The purpose of this research is to identify and discuss the pressures of adolescents who come from affluent families in American society. This is an important group to study, because recent studies suggest there are misconceptions regarding how “privileged,” or isolated from psychosocial maladjustment, these adolescents may actually be. 21 qualitative, in-depth interviews with college students were conducted at a private institution in order to analyze possible areas of distress and mental health concerns. Findings suggest that upper class youth have a unique set of stressors that can potentially lead to mental health problems. High achievement pressures, excessive parental criticism, …

Evaluation Of An In-Home Palliative Care Program's Management Of Pain, Mackenzie Laporte

Honors Theses

With the growing population of chronically ill patients wishing to receive care at home, care providers face unique challenges managing the pain of patients with quickly changing illness trajectories. Treating patients outside of institutionalized settings, where regular monitoring is standard, requires careful symptom management. This project was a retrospective review examining nurses’ documentation of pain for patients enrolled in Care Choices, a new home-based palliative care program coordinated through a visiting nurse service and community hospital. The extent to which nurses documented patients' pain score, site, type and pain goal as well as nursing interventions and plan of care in …

Investigating The Impact Of Marijuana Legalization On Income, Education, And Depression, Wayne Fu

Honors Theses

Over the past two decades, marijuana has been the most widely used illicit drug by adolescents in the US. The drug continues to soar in popularity as both a recreational and medicinal drug despite mounting scientific research that marijuana consumption may impair cognitive function including deficits in learning, memory, motivation, and attention. Marijuana use has also been linked to exacerbation of depression and anxiety symptoms. Though federal laws still classify marijuana as an illegal substance, recent state-level legislation has sparked national debate over its legal status. In fact, 23 states and the District of Columbia have legalized marijuana for medical …

Undergraduate Student Attitudes On Concierge Medicine, Sushane Gupta

Honors Theses

The purpose of this thesis was to examine the opinions of undergraduate students on a field of personalized primary care known as concierge medicine, as well as assess their satisfaction with their current non-concierge healthcare providers. Concierge medicine aims to provide patients with a high level of customer service and satisfaction, and in exchange for an annual fee, they receive benefits such as lower waiting times for appointments, access to the physician by phone or e-mail, and a stronger patient-physician relationship focused on preventative care. The current literature on non-concierge healthcare reveals several deficiencies including poor insurance coverage, poor patient …

Understanding Childhood Hunger: A Qualitative Look At The Issues Hindering Progress In The United States, Samantha Kropp

Honors Theses

This thesis examines childhood hunger as roughly 1 in 5 kids live in households that struggle to put food on the table. These children experience physical problems as a result of their food instability, but this problem is connected to other personal and societal issues, such as poor education. To understand how hunger affects children, this study began with a historical analysis of the past 60 years of government supported programs and policies, such as the school breakfasts and summer lunch programs. Four interviews were conducted with different experts in the field, specifically three individuals from a prominent national non‐profit …

Do Good Deals Really Increase Consumer Spending Patterns?, Georgina Teasdale

Honors Theses

Annually, the average American spends thousands of dollars on goods and services, financing millions of jobs. Employees then continue this cycle, through spending their paycheck on goods and services thus continuing the cycle. It is this cycle that is at the forefront of the American economy, and thus of utmost importance to increase the profitability of businesses. In part, this can be accomplished through a greater understanding of consumer spending patterns. This study aims to help understand consumer behavior through looking at both loss leader pricing, and the endowment theory. This was done through an on-campus experiment that looked at …

I Found It On The Internet...: The Webmd Phenomenon & The Patient-Provider Relationship, Jessica Rivetz

Honors Theses

Over the past few decades, the Internet has become a popular channel through which patients can seek health information. Even a decade ago, 73 million American adults admitted to being “health information seekers.” It is well known that effective communication and a strong relationship between patients and providers result in higher patient satisfaction and better outcomes; but patients are often dissatisfied. The increasing public availability of health information online is adding yet another dimension to the patient-provider relationship that neither party is fully equipped to handle. Using nationally representative HINTS data from 2003, 2005, 2007 and 2011, this study evaluates …

Police Officer Stress, Loping Mechanisms, And Family Life, Maria Apruzzese

Honors Theses

Law Enforcement Officers experience stress for a variety of reasons that are related to both the nature and the organization of police work. Consequences of stress are felt by the police department, the individual, as well as their family. Building on previous research in this area, this project describes thirteen in-depth interviews with officers and their significant others in an effort to understand the impact of police stress on work and family life and vice versa. Officers were found to struggle between balancing their police role and home life. The family serves as both a coping resource for the officer …

Attachment Style And Its Role In Perceived Team-Efficacy And Individual Self-Efficacy In Sports, Meghan Kupiec

Honors Theses

The purpose of the current study was to examine the relationship between athletes’ attachment styles and their team- and self-efficacy after wins or losses in sporting contests. The study followed up on a theory proposed by Sam Carr (2012), which posits that attachment style plays an important role in athletic competition and can act as a buffer to negative outcomes in sport. In order to test this idea, a research study was conducted surveying Union College Varsity athletes during both the fall and winter sporting seasons. Across the course of the participants’ athletic seasons, four surveys were distributed. The first …

An Examination Of The Relationship Between Adult Attachment Style And Patterns Of Facebook Use And Facebook Behavior, Elizabeth Nailling

Honors Theses

Previous research suggests that various personality traits predict how individuals behave and portray themselves through internet-mediated communication and social media. In the current research, I examine the relationship between adult attachment style and the characteristics of Facebook use (e.g., frequency of "friending," "liking," and commenting). A pilot study conducted with Union College undergraduates who completed questionnaires measuring attachment style and Facebook use showed that higher attachment anxiety was associated with higher frequency and intensity of Facebook use as well as higher attention and reassurance-seeking Facebook behaviors, whereas higher attachment avoidance predicted less frequency and intensity of Facebook use as well …

Can The Performance Of High Self-Monitors Be Influenced By The Perceived Success Of Their Peers?, Malene Barlow-Hansen

Honors Theses

Prior research demonstrates that high self-monitors tend to alter their behavior based on social situations, and more generally, that certain cues can be given to people that can influence them to alter their performance on an exam. It has not, however, taken into account the introduction of motivation that could affect the performance of high self-monitors. Thus, the current research was conducted to establish a connection among performance, self-monitoring, and motivation via a social component. All participants completed a practice GRE exam as well as several personality questionnaires, including Snyder’s Revised Self-Monitoring Scale (Snyder, 1975). About half of the participants …

The Relationship Between Narcissism Attachment Styles And The Response To Social Media, Caitlyn Collins

Honors Theses

Previous research suggests that narcissism is correlated with higher social media use and that self-esteem motivates this use. Additionally, research suggests that individuals with anxious or avoidant attachment styles have “self object” needs that are fulfilled through interactions with others. In the current research, we examined the correlation between narcissism and social media use, as well as the correlation between attachment style and social media use. Participants were given questionnaires to measure narcissism, attachment style, social media use, and self-esteem. Participants were also assigned to one of three feedback conditions, positive, neutral, or negative, on a social media site. Results …

Effects Of Playing Surface And Shoe Type Of Acl Tears In Soccer Players, Melissa Mansfield

Honors Theses

Anterior Cruciate Ligament injuries have become more common in athletes over the past decade which is believed to result from playing on more artificial turf surfaces. This study tested the playing surface theory by building upon a previous study conducted with Albany Medical Center which tested surface samples using an axial-torsion load frame located at Union College. The motion that causes most ACL noncontact injuries is replicated by the load frame which pushes and rotates a shoe against the playing surface and measures the torque it experiences. The foot position, normal load, degree of rotation and rate of rotation were …

Reducing Anxiety And Increasing Social Skills In Children With Asperger's Through Drama And Role-Playing Games, Rachel Magin

Honors Theses

Children with Asperger’s syndrome have higher than typical levels of anxiety; moreover, their level of anxiety is related to their degree of social skills deficits. In non-clinical populations, role-playing and drama techniques have been used successfully to lower anxiety and increase social skills. We held seven sessions of role-playing and theater exercises, conducted in small groups, focused on specific social skills (getting to know people/introducing self, working together/trust/listening, reading emotions/nonverbal cues, self-control/assertiveness, managing stress and anxiety, detecting emotions through the voice, understanding others’ perspectives/cooperation). We examined whether participation in these sessions would lower anxiety and increase social skills in children …