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Health Psychology

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2012

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Full-Text Articles in Psychology

The Effect Of Weight Loss On Changes In Health-Related Quality Of Life Among Overweight And Obese Women With Urinary Incontinence, Angela Marinilli Pinto, Leslee L. Subak, Sanae Nakagawa, Eric Vittinghoff, Rena R. Wing, John W. Kusek, William H. Herman, Delia Smith West, Miriam Kuppermann Dec 2012

The Effect Of Weight Loss On Changes In Health-Related Quality Of Life Among Overweight And Obese Women With Urinary Incontinence, Angela Marinilli Pinto, Leslee L. Subak, Sanae Nakagawa, Eric Vittinghoff, Rena R. Wing, John W. Kusek, William H. Herman, Delia Smith West, Miriam Kuppermann

Publications and Research

OBJECTIVE: To estimate the effect of change in weight and change in urinary incontinence (UI) frequency on changes in preference-based measures of health-related quality of life (HRQL) among overweight and obese women with UI participating in a weight loss trial.

METHODS: We conducted a longitudinal cohort analysis of 338 overweight and obese women with UI enrolled in a randomized clinical trial comparing a behavioral weight loss intervention to an educational control condition. At baseline, 6, and 18 months, health utilities were estimated using the Health Utilities Index Mark 3 (HUI3), a transformation of the SF-36 to the preference-based SF-6D, and …


Attentional Biases To Foods: The Effects Of Caloric Content And Cognitive Restraint, Catherine A. Forestell, Pia Lau, Ivo I. Gyurovski, Cheryl L. Dickter, Sabrina S. Haque Dec 2012

Attentional Biases To Foods: The Effects Of Caloric Content And Cognitive Restraint, Catherine A. Forestell, Pia Lau, Ivo I. Gyurovski, Cheryl L. Dickter, Sabrina S. Haque

Arts & Sciences Articles

The goal of the present study was to determine whether female restrained and unrestrained eaters demonstrated differential levels of attentional bias to high calorie foods when they were presented as distractors in a flanker task. This task consisted of four blocks of 68 trials in which three food pictures were briefly presented simultaneously on a computer screen. On each trial a high or low calorie target food was presented in the center of a pair of high or low calorie food flanker pictures and participants’ reaction times to answer a basic question about whether they would consume the target food …


The Relationship Between Eating Disorder Symptomology, Critical Body Comments, And Memory Recall, Morgan Littrell Dec 2012

The Relationship Between Eating Disorder Symptomology, Critical Body Comments, And Memory Recall, Morgan Littrell

Masters Theses & Specialist Projects

Previous research done in the area of eating disorders suggests many different variables, such as cognitive, biological, and social, that are thought to influence eating disorder development and maintenance. The present study attempts to combine cognitive and sociocultural research findings, memory recall and critical body comments, in an effort to see how, if at all, these two variables affect eating disorder symptomology. Participants for this study were 120 female students that were recruited via Study Board. Participants completed the demographics form, the Eating Disorder Inventory-3 RF, and the Social Hassles Questionnaire. The participants then watched an E-prime presentation of different …


Take Me Away: The Relationship Between Escape Drinking And Attentional Bias For Alcohol-Related Cues, Catherine A. Forestell, Cheryl L. Dickter, Chelsie M. Young Sep 2012

Take Me Away: The Relationship Between Escape Drinking And Attentional Bias For Alcohol-Related Cues, Catherine A. Forestell, Cheryl L. Dickter, Chelsie M. Young

Arts & Sciences Articles

Previous research has indicated that implicit attentional bias to alcohol-related cues may serve as a cognitive measure of susceptibility to alcohol dependence. The primary goal of the current study was to examine whether college students who drink to escape dysphoric emotions or moods (i.e., escape drinkers) have stronger attentional biases for alcohol-related cues than non-escape drinkers. Additionally, because previous research has shown that presentation time and content of smoking-related stimuli moderates differences between smokers' and nonsmokers' reaction times, this study sought to determine whether these effects generalized to alcohol-related stimuli. Participants who were identified as either escape (n = …


Development Of The Posttraumatic Stress Symptoms -- Childhood Obesity Model, Kristi Wilsman Aug 2012

Development Of The Posttraumatic Stress Symptoms -- Childhood Obesity Model, Kristi Wilsman

Masters Theses & Specialist Projects

This project developed a model to account for an obesity outcome in children who have posttraumatic stress disorder (PTSD) and whose parents have posttraumatic stress symptoms (PTSS) or PTSD. A literature review provided the basis for the model and covered the areas of childhood obesity, parental PTSS, childhood PTSD, adverse childhood experiences, relational PTSD, ineffective parent support, and the stress response. A model to explain the outcome of obesity in children with PTSD as mediated by parental support provided after a traumatic event was developed: The Parental PTSSChildhood Obesity Model. The literature review supports a relational perspective for viewing child …


Depression As A Risk Factor For Breast Cancer : Investigating Methodological Limitations In The Literature., Patrick Pössel, Erica Adams, Jeffrey C. Valentine Aug 2012

Depression As A Risk Factor For Breast Cancer : Investigating Methodological Limitations In The Literature., Patrick Pössel, Erica Adams, Jeffrey C. Valentine

Faculty Scholarship

Purpose: A relationship between depression and the development of breast cancer has not been convincingly shown in the research conducted over the past three decades. Methods: In an effort to better understand the conflicting results, a review was conducted focusing on the methodological problems associated with this literature, including time frame between the assessment of depression and the diagnosis of breast cancer and the use of somatic items in measuring depression. Fifteen breast cancer prospective studies were reviewed. Results: While twelve of the studies found positive associations between depression and breast cancer development, three studies found negative associations. With regards …


Perceptions Of Childhood Abuse And Life Stress: Contributors To Increase In Binge Eating Behavior, Dylan C. Nguyen Aug 2012

Perceptions Of Childhood Abuse And Life Stress: Contributors To Increase In Binge Eating Behavior, Dylan C. Nguyen

Masters Theses & Specialist Projects

Many studies reported that childhood abuse and stress play contributory roles in the development and maintenance of disordered eating behaviors. However, these studies made no mentioned efforts to validate their self-report data, and thus failed to separate the effects of actuality versus perception of childhood abuse. Thus, the current study examined how perceptions of childhood abuse and life stress affect binge eating behavior among university students.

Participants for the current study included 173 undergraduate students, recruited via Study Board. After giving verbal consent, participants completed a series of surveys and questionnaires that collected demographic data, and measured perception of abuse, …


The “Green Eating” Project: A Pilot Intervention To Promote Sustainable And Healthy Eating In College Students, Kelleigh E. Eastman May 2012

The “Green Eating” Project: A Pilot Intervention To Promote Sustainable And Healthy Eating In College Students, Kelleigh E. Eastman

Senior Honors Projects

The “Green Eating” Project: A Pilot Intervention to Promote Sustainable and Healthy Eating in College Students

Kelleigh Eastman

Sponsor: Geoffrey Greene, Nutrition and Dietetics

A topic of interest that is growing in the general population is the idea of being sustainable, or “green”, and there is a rising awareness in sustainable practices involving food and the environment. Some of the “green” eating behaviors identified through my research included eating a plant-based (i.e. vegetarian or semi-vegetarian) diet, eating locally grown foods, eating organically grown foods, and eating foods that are labeled fair-trade. Frequently, these “green” eating behaviors are healthful eating behaviors …


Promoting Healthy Body Image In College Men: An Evaluation Of A Psychoeducation Program, Justin Henderson May 2012

Promoting Healthy Body Image In College Men: An Evaluation Of A Psychoeducation Program, Justin Henderson

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Current psychological research indicates that men are increasingly dissatisfied with their bodies (e.g., McCabe & Ricciardelli 2004; Olivardia, Pope, Borowiecki, & Cohane, 2004). The consequences of body image concerns range from mild discontent (e.g., body dissatisfaction) to the more pathological (e.g., muscle dysmorphic disorder, steroid use, and eating disorders). College-age men are at particular risk of body image disturbances. Drawing from body image research and theory, a one session prevention intervention was designed for college men to address this growing concern. The prevention intervention was intended to serve as a preliminary step into men’s body image prevention programming. The intervention …


Multiple Peer Group Self-Identification And Adolescent Tobacco Use, C. Anderson Johnson, Juliana L. Fuqua, Peggy E. Gallaher, Jennifer B. Unger, Dennis R. Trinidad, Steve Sussman, Enrique Ortega May 2012

Multiple Peer Group Self-Identification And Adolescent Tobacco Use, C. Anderson Johnson, Juliana L. Fuqua, Peggy E. Gallaher, Jennifer B. Unger, Dennis R. Trinidad, Steve Sussman, Enrique Ortega

CGU Faculty Publications and Research

Associations between peer group self-identification and smoking were examined among 2,698 ethnically diverse middle school students in Los Angeles who self-identified with groups such as Rockers, Skaters, and Gamers. The sample was 47.1% male, 54.7% Latino, 25.4% Asian, 10.8% White, 9.1% Other ethnicity, and 59.3% children of immigrant parents. Multiple group self identification was common: 84% identified with two or more groups and 65% identified with three or more groups. Logistic regression analyses indicated that as students endorsed more high risk groups, the greater their risk of tobacco use. A classification tree analysis identified risk groups based on interactions among …


Towards Interactive, Internet-Based Decision Aid For Vaccination Decisions: Better Information Alone Is Not Enough, Terry Connolly, Jochen Reb May 2012

Towards Interactive, Internet-Based Decision Aid For Vaccination Decisions: Better Information Alone Is Not Enough, Terry Connolly, Jochen Reb

Research Collection Lee Kong Chian School Of Business

Vaccination decisions, as in choosing whether or not to immunize one's small child against specific diseases, are both psychologically and computationally complex. The psychological complexities have been extensively studied, often in the context of shaping convincing or persuasive messages that will encourage parents to vaccinate their children. The computational complexity of the decision has been less noted. However, even if the parent has access to neutral, accurate, credible information on vaccination risks and benefits, he or she can easily be overwhelmed by the task of combining this information into a well-reasoned decision. We argue here that the Internet, in addition …


Binge Eating Disorder Mediates Links Between Symptoms Of Depression And Anxiety And Caloric Intake In Obese Women, Roseann E. Peterson, Shawn J. Latendresse, Lindsay T. Bartholome, Cortney S. Warren, Nancy C. Raymond Apr 2012

Binge Eating Disorder Mediates Links Between Symptoms Of Depression And Anxiety And Caloric Intake In Obese Women, Roseann E. Peterson, Shawn J. Latendresse, Lindsay T. Bartholome, Cortney S. Warren, Nancy C. Raymond

Psychology Faculty Research

Despite considerable comorbidity between mood disorders, binge eating disorder (BED), and obesity, the underlying mechanisms remain unresolved. Therefore, the purpose of this study was to examine models by which internalizing behaviors of depression and anxiety influence food intake in overweight/obese women. Thirty-two women (15 BED, 17 controls) participated in a laboratory eating-episode and completed questionnaires assessing symptoms of anxiety and depression. Path analysis was used to test mediation and moderation models to determine the mechanisms by which internalizing symptoms influenced kilocalorie (kcal) intake. The BED group endorsed significantly more symptoms of depression (10.1 versus 4.8, P=0.005 ) and anxiety (8.5 …


Curriculum Vitae, Judah J. Viola Mar 2012

Curriculum Vitae, Judah J. Viola

Faculty Publications

No abstract provided.


Perceived Health In Lung Cancer Patients: The Role Of Positive And Negative Affect, Jameson K. Hirsch, Andrea R. Floyd, Paul R. Duberstein Mar 2012

Perceived Health In Lung Cancer Patients: The Role Of Positive And Negative Affect, Jameson K. Hirsch, Andrea R. Floyd, Paul R. Duberstein

ETSU Faculty Works

Purpose: To examine the association of affective experience and health-related quality of life in lung cancer patients, we hypothesized that negative affect would be positively, and positive affect would be negatively, associated with perceived health.

Methods: A sample of 133 English-speaking lung cancer patients (33% female; mean age = 63.68 years old, SD = 9.37) completed a battery of self-report surveys.

Results: Results of our secondary analysis indicate that trait negative affect was significantly associated with poor physical and social functioning, greater role limitations due to emotional problems, greater bodily pain, and poor general health. Positive affect was significantly associated …


A Comparison Of Daily And Occasional Smokers' Implicit Affective Responses To Smoking Cues, John Haight, Cheryl L. Dickter, Catherine A. Forestell Mar 2012

A Comparison Of Daily And Occasional Smokers' Implicit Affective Responses To Smoking Cues, John Haight, Cheryl L. Dickter, Catherine A. Forestell

Arts & Sciences Articles

Previous research has not compared implicit affective responses to smoking-related stimuli in occasional (i.e., those who smoke less than one cigarette per day) and daily smokers (i.e., those who smoke at least once per day). In addition to assessing their motivations for smoking, implicit affective responses were measured using the Affect Misattribution Procedure (AMP) in occasional (n = 19) and daily smokers (n = 34) to smoking-related and neutral cues. Half of the cues depicted a human interacting with an object (i.e., active), whereas the remaining cues depicted objects alone (i.e., inactive). Results indicated that for the active …


Meditation-State Functional Connectivity (Msfc): Strengthening Of The Dorsal Attention Network And Beyond, Brett Froeliger, Eric L. Garland, Rachel V. Kozink, Leslie A. Modlin, Nan-Kuei Chen, F. Joseph Mcclernon, Jeffrey M. Greeson, Paul Sobin Feb 2012

Meditation-State Functional Connectivity (Msfc): Strengthening Of The Dorsal Attention Network And Beyond, Brett Froeliger, Eric L. Garland, Rachel V. Kozink, Leslie A. Modlin, Nan-Kuei Chen, F. Joseph Mcclernon, Jeffrey M. Greeson, Paul Sobin

College of Science & Mathematics Departmental Research

Meditation practice alters intrinsic resting-state functional connectivity (rsFC) in the default mode network (DMN). However, little is known regarding the effects of meditation on other resting-state networks. The aim of current study was to investigate the effects of meditation experience and meditation-state functional connectivity (msFC) on multiple resting-state networks (RSNs). Meditation practitioners (MPs) performed two 5-minute scans, one during rest, one while meditating. A meditation naïve control group (CG) underwent one resting-state scan. Exploratory regression analyses of the relations between years of meditation practice and rsFC and msFC were conducted. During resting-state, MP as compared to CG exhibited greater rsFC …


Peering Through The Smoke: The Effect Of Parental Smoking Behavior And Addiction On Daily Smokers’ Attentional Bias To Smoking Cues, Cheryl L. Dickter, Catherine A. Forestell Feb 2012

Peering Through The Smoke: The Effect Of Parental Smoking Behavior And Addiction On Daily Smokers’ Attentional Bias To Smoking Cues, Cheryl L. Dickter, Catherine A. Forestell

Arts & Sciences Articles

Although previous research has demonstrated that individuals with parents who smoke are more likely to become smokers and are less successful in smoking cessation efforts compared with those without a smoking parent, the reasons for this link have not been established. In the current study, implicit attentional bias to smoking-related cues was investigated in college-age smokers, based on models of addiction that suggest that attention to drug-related cues plays an important role in drug addiction. Sixty-one participants completed a dot-probe task to measure attentional bias to smoking-related and matched non-smoking-related control pictures. Results indicated that while those who reported smoking …


To Eat Or Not To Eat Red Meat. A Closer Look At The Relationship Between Restrained Eating And Vegetarianism In College Females, Catherine A. Forestell, Andrea M. Spaeth, Stephanie A. Kane Feb 2012

To Eat Or Not To Eat Red Meat. A Closer Look At The Relationship Between Restrained Eating And Vegetarianism In College Females, Catherine A. Forestell, Andrea M. Spaeth, Stephanie A. Kane

Arts & Sciences Articles

Previous research has suggested that vegetarianism may serve as a mask for restrained eating. The purpose of this study was to compare the dietary habits and lifestyle behaviors of vegetarians (n = 55), pesco-vegetarians (n = 28), semi-vegetarians (n = 29), and flexitarians (n = 37), to omnivores (n = 91), who do not restrict animal products from their diets. A convenience sample of college-age females completed questionnaires about their eating habits, food choice motivations, and personality characteristics. Results indicated that while vegetarians and pesco-vegetarians were more open to new experiences and less food neophobic, …


Ethnic And Immigration Status Differences On Child Indicators Of Health For European Americans And Latinos, Christina Granillo, David V. Chavez, Donna M. Garcia, Kelly Campbell Jan 2012

Ethnic And Immigration Status Differences On Child Indicators Of Health For European Americans And Latinos, Christina Granillo, David V. Chavez, Donna M. Garcia, Kelly Campbell

Psychology Faculty Publications

This study examined the effects of ethnicity and immigration status on subjective and objective health (Body Mass Index; BMI) for Latino and European American children. Social identity and comparison theories were used to frame the investigation. Southern California parents were randomly selected to complete a telephone interview about their children’s health yielding a sample of 165 European American and 152 Latino participants. Compared to European Americans, Latinos evidenced poorer subjective and objective health. Latino children who had a caregiver who was a citizen had better subjective health than Latino children whose caregiver was not a citizen. BMI was correlated with …


Exploring The Latino Paradox: How Economic And Citizenship Status Impact Health, Kelly Campbell, Donna M. Garcia, Christina V. Granillo, David V. Chavez Jan 2012

Exploring The Latino Paradox: How Economic And Citizenship Status Impact Health, Kelly Campbell, Donna M. Garcia, Christina V. Granillo, David V. Chavez

Psychology Faculty Publications

We examined the contributions of economic status (ES) and citizenship status to health differences between European Americans, Latino Americans, and non-citizen Latinos. The investigation was framed using social identity and comparison theories. Southern California residents (N = 2164) were randomly selected to complete a telephone interview. Increases in ES predicted health improvements for European Americans across ES levels. For Latino citizens and non-citizens, ES improvements had no effect on objective health. For subjective health, the Latino paradox existed at the lowest ES level for Latino Americans, and did not exist for non-citizens. For objective health, the paradox existed in both …


Health Effects Associated With Foreclosure: A Secondary Analysis Of Hospital Discharge Data, Nancy N. Menzel, Sheniz Moonie, Melva Thompson-Robinson Jan 2012

Health Effects Associated With Foreclosure: A Secondary Analysis Of Hospital Discharge Data, Nancy N. Menzel, Sheniz Moonie, Melva Thompson-Robinson

Environmental & Occupational Health Faculty Publications

Objectives: The purpose of this study was to assess the health effects of high home foreclosure rates in an area of the United States of America and the utility of hospital discharge data for this purpose.

Methods: We analyzed hospital discharge data from three postal zip codes using the principal diagnosis for 25 Diagnostic Related Groups associated with stress. Descriptive statistics were used to characterize hospital discharge rates for each condition by year and zip code. To test for differences across time, the Cochran-Armitage trend test was performed.

Results: Most conditions did not demonstrate a statistical change between 2005 and …


Fruit Of Faith, Fruit Of The Spirit, Thomas G. Plante Jan 2012

Fruit Of Faith, Fruit Of The Spirit, Thomas G. Plante

Psychology

As contemporary behavioral scientists living and working within an often secular, scientific, and empirically focused world as well as being affiliated with rigorous academic institutions and research programs, we wonder if the fruits of the spirit have any empirical and scientific basis. Does engagement with religion and spirituality make us better people or make us worse?


A Tailored Wellness Intervention For College Students Using Internet-Based Technology: A Pilot Study, Alessandro Quartiroli, Sam Zizzi Jan 2012

A Tailored Wellness Intervention For College Students Using Internet-Based Technology: A Pilot Study, Alessandro Quartiroli, Sam Zizzi

Faculty & Staff Scholarship

The purpose of this study was to develop and pilot a theory-based, computer-tailored feedback system for healthy behaviors for college students at a large, public university, aiming to enhance student wellness. A total of 1300 college students were contacted. Sixty–two students completed the eight week intervention. The participants were randomly assigned into two groups and received the survey three times, consistently receiving normative or personalized feedback. The participating sample was generally healthy and mainly comprised of freshman, Caucasian, and normal weight individuals. Repeated-measure ANOVAs were run and small significant interactions were found between the type of feedback received and some …


Psychosocial Variables And Time To Injury Onset: A Hurdle Regression Analysis Model, Jeremy Sibold, Sam Zizzi Jan 2012

Psychosocial Variables And Time To Injury Onset: A Hurdle Regression Analysis Model, Jeremy Sibold, Sam Zizzi

Faculty & Staff Scholarship

Context:

Psychological variables have been shown to be related to athletic injury and time missed from participation in sport. We are unaware of any empirical examination of the influence of psychological variables on time to onset of injury. Objective:

To examine the influence of orthopaedic and psychosocial variables on time to injury in college athletes. Patients or Other Participants:

One hundred seventy-seven (men  =  116, women  =  61; age  =  19.45 ± 1.39 years) National Collegiate Athletic Association Division II athletes. Main Outcome Measure(s):

Hurdle regression analysis (HRA) was used to determine the influence of predictor variables on days to …


Electronic Health Records: Eliciting Behavioral Health Providers’ Beliefs [Brief Reports], Nancy C. Shank, Elizabeth Willborn, Lisa M. Pytlik Zillig, Harmonijoie Noel Jan 2012

Electronic Health Records: Eliciting Behavioral Health Providers’ Beliefs [Brief Reports], Nancy C. Shank, Elizabeth Willborn, Lisa M. Pytlik Zillig, Harmonijoie Noel

Nancy Shank Publications

Interviews with 32 community behavioral health providers elicited perceived benefits and barriers of using electronic health records. Themes identified were (a) quality of care, (b) privacy and security, and (c) delivery of services. Benefits to quality of care were mentioned by 100% of the providers, and barriers by 59% of providers. Barriers involving privacy and security concerns were mentioned by 100% of providers, and benefits by 22%. Barriers to delivery of services were mentioned by 97% of providers, and benefits by 66%. Most providers (81%) expressed overall positive support for electronic behavioral health records.


Stress Reduction Process, Noor Judeh Jan 2012

Stress Reduction Process, Noor Judeh

A with Honors Projects

This paper identifies the background and causes of stress and the different techniques that can be used to reduce stress.


Testing The Indirect Effect Of Trait Mindfulness On Adolescent Cigarette Smoking Through Negative Affect And Perceived Stress Mediators, C. Anderson Johnson, David S. Black, Joel Milam, Steve Sussman Jan 2012

Testing The Indirect Effect Of Trait Mindfulness On Adolescent Cigarette Smoking Through Negative Affect And Perceived Stress Mediators, C. Anderson Johnson, David S. Black, Joel Milam, Steve Sussman

CGU Faculty Publications and Research

Mindfulness refers to an enhanced attention to and awareness of present moment experience. This study examined how trait mindfulness, as measured with six items from Mindfulness Attention Awareness Scale, might influence adolescent cigarette smoking frequency through its impact on depressive affect, anger affect and perceived stress mediators. Self-reported data from Chinese adolescents (N = 5287, mean age = 16.2 years, SD = 0.7; 48.8% females) were collected within 24 schools. The product of coefficients test was used to determine significant mediation paths. Results from baseline cross-sectional data indicated that trait mindfulness had a significant indirect effect on past 30-day …


Difficulties Of Alternatively Certified Teachers, Irvin Sam Schonfeld, Samantha J. Feinman Jan 2012

Difficulties Of Alternatively Certified Teachers, Irvin Sam Schonfeld, Samantha J. Feinman

Publications and Research

This daily diary study followed, over a 2-week period, 252 beginning New York City public school teachers. Seventy percent were alternatively certified (New York City Teaching Fellows) and the rest, traditionally certified teachers. Alternatively certified teachers were more likely to experience stressors such as violent incidents and classroom management problems. No differences were found in exposure to stressors/difficulties such as problematic adults, student learning problems, and students experiencing emotional upset. Although differences in the rates of exposure to violent stressors could be explained by other factors (e.g., working in a low-performing school and years of experience), differences …


Age Effects And Heuristics In Decision Making, Tibor Besedeš, Cary Deck, Sudipta Sarangi, Mikhael Shor Jan 2012

Age Effects And Heuristics In Decision Making, Tibor Besedeš, Cary Deck, Sudipta Sarangi, Mikhael Shor

Economics Faculty Articles and Research

Using controlled experiments, we examine how individuals make choices when faced with multiple options. Choice tasks are designed to mimic the selection of health insurance, prescription drug, or retirement savings plans. In our experiment, available options can be objectively ranked, allowing us to examine optimal decision making. First, the probability of a person selecting the optimal option declines as the number of options increases, with the decline being more pronounced for older subjects. Second, heuristics differ by age, with older subjects relying more on suboptimal decision rules. In a heuristics validation experiment, older subjects make worse decisions than younger subjects.


Getting Back To My Life: Exploring Adaptation To Change Through The Experiences Of Breast Cancer Survivors, Charles A. Foster Jan 2012

Getting Back To My Life: Exploring Adaptation To Change Through The Experiences Of Breast Cancer Survivors, Charles A. Foster

Antioch University Dissertations & Theses

The holding environment concept, developed by Donald Winnicott, has been used to represent the type of support that encourages adaptive change during psychosocial transitions. The leadership and change literature posited that the holding environment had the ability to shape the trajectory of the transition, yet did not test this empirically. The psychosocial breast cancer literature empirically researched support during and after treatments ended, but did not incorporate the holding environment concept. This presented the opportunity to inform both the leadership and breast cancer fields by studying holding environments in the breast cancer setting. This study had a twofold purpose: 1) …