Social and Behavioral Sciences Commons^™

The Association Between Uncertainty, Reproductive Distress, And Avoidance In Assigned Female At Birth Adolescent And Young Adult (Aya-F) Cancer Survivors, Devon Ann Pons

Doctoral Dissertations

Family building and fertility is a complex component of survivorship for assigned female at birth Adolescent and Young Adult’s (AYA-F’s), often accompanied by a mix of cognitive uncertainty, emotional uncertainty, reproductive distress, and avoidance. These psychological components present in survivorship for AYA-F’s can impact coping, identity development, and individualized care plans throughout survivorship. This novel examination of data from a cross sectional study shed light on the associations between reproductive distress, uncertainty, and avoidance and how they are experienced differently by various subgroups within the sample.

Results demonstrate that reproductive distress fully mediated the association between emotional uncertainty and avoidance, …

Mental Health And Experiences Of Pregnancy Among Black Women And Birthing People With Type 1 Diabetes (T1d), Madeleine E. Marcus

Doctoral Dissertations

This dissertation explored the potential effects of intersections of oppression (i.e., anti-Black racism, diabetes discrimination, and sexism) on mental health and pregnancy experiences among Black women and birthing people with Type 1 diabetes (T1D). Previous studies about pregnancy and T1D have included mainly white, cisgender women. Three participants qualified for inclusion in the present study and participated in semi-structured interviews, which the researcher analyzed using an interpretative phenomenological analysis (IPA) framework. Participants described feeling uncertain about whether aspects of their pregnancy experiences were related to obstetric and/or medical racism. Similarly, participants sometimes seemed uncertain about how racism may affect their …

The Grindr Complex: The Behavioral Health Impact Of Sexual Racism On Latinx Men Who Have Sex With Men, Luisalfredo Plascencia

Doctoral Dissertations

Given the social history surrounding the issue of HIV/AIDS in the LGBTQ+ community and the unique and intersectional experiences that Latinx Men who have Sex Men (MSM) have in their community, this dissertation’s research will contribute to the growing work on sexual racism and how it correlates with various elements of behavioral health. The study investigated the moderation impact of Latinx cultural values of caballerismo and familismo on the relationship between experiences sexual racism to mental health symptoms. The study also examined the moderation of caballerismo and familismo and psychological flexibility on the relationship between experiences of sexual racism to …

Patient Reported Outcomes In Sickle Cell Disease Examined Within A Conceptual Model, Swapandeep Mushiana, Marsha Treadwell Phd, Sherif M. Badawy Md, Ms, Liliana Preiss Phd, Allison King Md Mph Phd, Barbara Kroner Phd, Yumie Chen Bs, Jeffrey Glassberg, Victor Gordeuk Md, Nirmish Shah Md, Angie Snyder Phd Mph, Theodore Wun Md

Doctoral Dissertations

Objective: To examine the relations between patient reported outcomes (PROs) within a conceptual model for adults with sickle cell disease (SCD) ages 18 – 45 years enrolled in the Sickle Cell Disease Implementation Consortium (SCDIC) registry. We hypothesized that patient and SCD related factors and barriers to care would independently contribute to functioning as measured using the PRO domains. Additionally, pain and other SCD related complications are expected to impact the relation between the variables. Methods: Participants completed a 48-item survey that included socio-demographics and PRO measures, such as social functioning, pain impact emotional distress, and cognitive functioning. …

Impact Of Moral Injury For Ethnic/Racial Minority Male Veterans, Kristopher Kern

Doctoral Dissertations

Trends in demographics of post-9/11 veterans (deployments to the Middle East after 2001) describe this group as having higher survival rates, increased service-connected disabilities, and more racially diverse (NCVAS, 2018; Schnurr et al., 2009; Tanelian & Jaycox, 2008). Additionally, their deployment experiences include combat-related experiences that contradict personal moral beliefs, later named “moral injury” (MI) (Litz et al., 2009). Currier, Holland, and Mallot (2015) describe MI as intense emotions of shame, guilt, and anger alongside maladaptive behaviors emerging after “witnessing and/or participating in warzone events that challenge one’s basic sense of humanity” (p. 231).

The research on MI continues to …

Reiki For Recovery: Incorporating Japanese Health Practices To Increase Contemporary Resiliency In American Health, Leif Peterson

Master's Projects and Capstones

The Japanese health practice of Reiki attempts to maximize the latent ability of the human system to heal itself. The Reiki system, established over a century ago, combines multiple Asian health traditions, experimenting with practices that maximize the natural processes of the body to perform its own repairs. Reiki encourages healthy behaviors that balance the mind and body, return the human system to a lowered stress level, and allow for an optimal recovery state for the patient. This paper illustrates how this Japanese health-affirming method can be integrated and utilized within existing health and medical practices. An area that is …

Understanding The Healthcare Experiences Of Lgbtq+ People: An Adaptation Of The Daily Heterosexist Experiences Questionnaire, Conor Smith

Doctoral Dissertations

LGBTQ+ people's experiences of heterosexism, which are common in the healthcare system, are linked to poor health outcomes. There are no measures of LGBTQ+ people’s experiences in healthcare settings which could be used by healthcare systems and providers to improve the quality of their care for this vulnerable population. The Daily Heterosexist Experiences Questionnaire (DHEQ), developed using the minority stress model, measures the general stressful life experiences of LGBTQ+ people. This project aimed to adapt the DHEQ for use in healthcare settings.

A mixed-methods study was conducted to create the Daily Heterosexist Experiences Questionnaire-Healthcare (DHEQ-H). Semi-structured interviews focused on the …

The Use Of Mindfulness Meditation To Increase The Efficacy Of Mirror Visual Feedback For Reducing Phantom Limb Pain In Amputees, Nicolas Sebastian Mills

Doctoral Dissertations

Phantom limb pain is a chronic pain condition that negatively impacts the lives of over half of amputees, and results in considerable morbidity. Currently, there is no gold standard for treatment for phantom limb pain. However, a frequently used intervention is the use of mirror visual feedback, in which the amputee watches the reflection of the adjacent non-amputated limb move and exercise. In the last few decades, mindfulness-based interventions have been increasingly used with individuals living with different types of chronic pain. This study attempts to discover if the addition of a mindfulness-based intervention, such as guided meditation, will augment …

Evaluating The Effectiveness Of Peer Engagement And Knowledge (Peak): A Community-Based Group Intervention For Youth In Hawai‘I, Jennifer T. T. Ho

Doctoral Dissertations

This study is a program evaluation with a mixed methods design that evaluated the effectiveness of Peer Engagement and Knowledge (PEAK), a six-week community-based group intervention that incorporates mindfulness-based interventions (MBIs) to address multiple health behaviors for multiracial youth in Hilo, Hawai‘i. A total of 51 youth, ages 12-23 years old, participated in this study which included pre-/posttest analyses of health risk factors such as substance use and depression and health promoting factors such as resilience, self-esteem, and mindfulness. Responses from two subsets of participants, who engaged in a focus group (n = 11) and composed gratitude letters ( …

Efficacy Of Integrated Mental Health Care With Dual Diagnosis Patients And Their Utilization Of Psychiatric Emergency Services, Denton Scott

Doctoral Dissertations

Historically, patients with dual diagnosis have been subjected to ineffective treatment and negative attitudes from healthcare providers. Further, these patients are plagued with myriad afflictions that exist beyond substance abuse and mental illness. The treatments and collateral damage associated with the diagnosis impose excessive healthcare costs and can be of significant detriment to society. Largely, patients suffering from dual diagnosis do not receive adequate treatment. As such, psychiatric emergency services are frequently utilized as an alternate treatment, wherein the main focus of care is on the substance abuse alone. This study argues that solely treating the substance abuse is not …

A Program Evaluation Of A Drug And Alcohol Family Treatment Program, Katrina Ramirez

Doctoral Dissertations

The current study is a program evaluation at John Muir Behavioral Health, Center for Recovery. The research determined the effectiveness of the program at Center for Recovery that is offered to patients that struggle with substance use disorder and their families. The purpose of this study is to assess patients’ behavioral, cognitive and social/environmental factors as it relates to their commitment to sobriety and examine how the involvement of family members influences the patient’s recovery process. I utilized a mixed methodology of quantitative and qualitative interviews of patients and family members. The findings suggest depressive symptoms were negatively correlated with …

Teaching A Human Rights Education Through Youth Athletics, Jacob J. Beaman

Master's Projects and Capstones

Throughout my research and work in education I realized there is often a disconnect between schooling and students especially in low-income areas. It can be incredibly difficult to feel confident at school when the curriculum is not relatable to your experiences and life. In this paper I explore how an athletic program can be used to teach a Human Rights Education to fill in the gaps the traditional school day may not provide. I used a Human Rights Education framework with the teacher/coach as a facilitator and a Critical Race Theory lens examining intersectionality, counter-story telling, and interest convergence in …

Symptoms, Contributing Factors, And Screening For Perinatal Mood And Anxiety Disorders In U.S. Latinas: A Literature Review, Jennifer N. S. Massie

Master's Projects and Capstones

This literature review was conducted to gather the published information on the topic of perinatal mood and anxiety disorders in the Latina population in the United States. Academic databases were searched for articles published between 2005 and 2016. 60 articles were considered, and a final sample of 36 articles and websites was included in this review.

Evidence suggests that Latina women in the perinatal period (pregnant and up to one year postpartum) in the United States of America tend to have a higher risk and incidence of perinatal mood and anxiety disorders than White women, and a higher risk and …

Stigma, Abuse, And Hate Crimes: Effects On Mental Health In Transgender Population, Daisy Guerra

Creative Activity and Research Day - CARD

A comprehensive literature review that examines the ways in which stressors unique to the LGBT population affect transgender mental health. Specifically this paper will explore stigma, and various forms of abuse that contribute to depression, substance abuse, and risky sexual behavior in the transgender community.

Religiousness, Coping, And Social Support Predict Well-Being Among Cancer Patients, Kathleen Shelton, Manpreet Narwal, John Pérez

Creative Activity and Research Day - CARD

The purpose of this study was to explore the association between intrinsic religious motivation (IRM), coping styles, social support, and well-being among cancer patients. IRM refers to the internalization of faith as the primary motive in a person’s life. Previous research has established a correlation between IRM and well-being; however, little is known about the role of coping style s and social support in this relationship. The sample included 179 predominantly white, Christian, female patients with stage II through IV cancer. We used a cross- sectional, correlational design with self-report measures of the constructs. We hypothesized that higher levels of …

Acculturation And Bicultural Efficacy Effects On Chinese American Immigrants’ Diabetes And Health Management, Kevin M. Chun, Christine M.L. Kwan, L. A. Strycker, Catherine A. Chesla

Psychology

The primary goal of this study was to examine effects of bicultural efficacy, or perceived confidence in dealing with bicultural acculturation stressors, on type 2 diabetes management and health for first-generation, Cantonese-speaking, Chinese American immigrants (N=162) recruited for a larger community-based diabetes intervention study (Chesla et al., 2013). The current study also tested whether a new Bicultural Efficacy in Health Management (BEFF-HM) scale is a more robust predictor of diabetes and health outcomes than proxy (years in the U.S.) and general acculturation measures. Hierarchical regression analyses of cross-sectional data revealed that high BEFF-HM was significantly related to positive outcomes on …

At Risk For Ptsd: The Public Health Implications Of Trauma, Madeline Peyton

Master's Projects and Capstones

The fieldwork experience is the summation of six semesters of graduate level public health training. At commencement, students are to be proficient in basic data analysis and epidemiological principles, in how environmental risks impact health, and demonstrate strong program planning, evaluation and leadership skills. Throughout, students are encouraged to focus their academic work on an area of public health that interest them and on a problem that they hope to impact in their professional work. I continued in an area I began as an undergraduate student of medical anthropology and explored the systems that interact to influence mental health of …

Improv To Improve Interprofessional Communication, Team Building, Patient Safety, And Patient Satisfaction, Candace A. Campbell

Doctor of Nursing Practice (DNP) Projects

The purpose of this process improvement project was to implement a test of change within a healthcare team utilizing applied improvisational exercises (AIEs), and to lay the groundwork for more effective inter- and intra-professional communication.

Literature review: AIEs have been shown to facilitate individual participant communication strengths through a process of un-learning certain common behavioral habits, and learning new habits that assist in creating and expanding closed-loop communication. Such un-learning and learning enriches the participant’s awareness of the environment and encourages participant adaptability through positive group interactions.

Method: An all-day AIE seminar/workshop was conducted with members of two healthcare teams …

External Vs. Innate: Sources Of Resiliency Among Emerging Adults, Black Gay And Bisexual Men, Caleb J. Banks Mr., Sienna L. Willams, Erika J. Janke, Justine A. Stallings, Ja'nina J. Walker Ph.D.

Creative Activity and Research Day - CARD

The purpose of this research was to examine the main sources and origins of resiliency that are present among Black gay and bisexual men. Resiliency refers to one’s response to adversity and ability to positively adapt to difficult situations. Twenty participants ranging in age between 18-25 years old (M = 22.8 years, SD = 1.7 years) participated in a semi-structured interview. Participants indicated varying sources of resiliency, which they utilize to encounter hardships. Innate sources (i.e., I was born this way) and external sources (i.e., music, my grandmother’s spirit) were conveyed by participants as mechanisms to overcome adversity. The …

Negative Religious Coping Styles Predict Greater Depressive Symptoms And Less Life Satisfaction, Kira A. Barros, Hannah Toyama, John E. Perez

Creative Activity and Research Day - CARD

The purpose of this study was to identify negative religious coping methods
 that have an association with depressive symptoms and life satisfaction among cancer patients. This study was based on Pargament’s (1997) framework of positive and
negative religious coping styles that specify how an individual makes use of religion to understand and deal with stressors. The sample included 179 predominantly White, Christian, female patients with stage II through IV cancer. We used a cross-sectional design with self-report measures to examine punishing God reappraisal and spiritual discontent as they relate to depressive symptoms and satisfaction with life. We hypothesized that both …

The Effects Of Hiv/Aids On The Mother-Child Relationship, Margaret Gross

Creative Activity and Research Day - CARD

39 semi-structured interviews were conducted with HIV+/- mothers living in central Uganda. Interviews were assisted by a translator and recorded manually on paper then coded and analyzed. The majority of HIV+ mothers were found to be single, supported 5+ children, worked longer days to get by, and emphasized the importance of having a counselor. These findings suggest a strong relationship exists between HIV and motherhood. There is a need for further attention to help single mothers and foster programs that encourage economic growth within their families, nutritional improvement, and overall attention to a group that is currently receiving little assistance.

Condom Use As It Relates To Perception And Self-Efficacy, Taryn Larribas

Creative Activity and Research Day - CARD

There is little research that has examined barriers on the part of an individual’s condom use self-efficacy. Furthermore, there is a lack of investigation into whether an individual’s perceptions of their partner’s attitudes have an impact on condom use and whether factors such as an individual’s level of condom use self-efficacy influences a person’s condom acquisition techniques. It is hypothesized that condom use will be positively correlated with higher levels of condom use self-efficacy (CUSE) and positive perceptions of others’ attitudes.

Participants were 104 undergraduates at USF. Hypotheses were tested using the responses to the 28- item Condom Use Self-Efficacy …