Mindfulness Based Interventions To Reduce Burnout And Ptsd Symptoms In Critical Care Nursing, Kelly A. Pellegrino, Libby M. Colley, Carly R. Fazendin, Emma R. Parrotta, Mollie Johnson

Non-Thesis Student Work

Within the medical field, nursing is a career that can be very taxing on both one’s physical and mental wellbeing, especially in regards to critical care. The life-threatening situations and strenuous work that critical care nurses are met with everyday make them especially susceptible to struggling with burnout, compassion fatigue, and PTSD-like symptoms. This not only puts their own safety at risk, but the safety of their patients as well. This raises the question: In critical care nursing, does the utilization of mindfulness based interventions, compared to no intervention, aid in the reduction of nursing burnout and PTSD symptoms? In …

The Relationship Between Bipolar Disorder And Epilepsy: Challenging The Dichotomy Of Mental And Physical Health, Mia A. Dawbin

Psychology and Community Studies | Student Scholarship

Abstract

The body of literature associating epilepsy with mood disorders is vast and can be traced as far back as Hippocrates. The comorbidity of the two is notoriously high. The prevalence of depressive symptoms among people with epilepsy has been widely reported for decades, though these symptoms may not be considered or treated as successfully in people with epilepsy as they are in their non-epileptic counterparts. More recently, evidence has been found suggesting that psychiatric symptoms may serve as a precursor to epilepsy. The episodic nature of the illnesses and their congruent model of progression suggest a possible connection. The …

Perfectionism, Perceived Stress, And Maladaptive Eating Behaviors In High-Achieving And Honors Undergraduate Students At The University Of Maine, Jaimie Giguere

Honors College

This thesis investigates the differences in perceived stress, perfectionism, and maladaptive eating behaviors among high-achieving honors and non-honors undergraduate students (N=413) at the University of Maine. Students were classified as high-achieving based on a UMaine Honors College c-index ((GPA× 12.5)+(SAT×

.03125)), which uses a student’s GPA and SAT score to assign them a numerical value. All UMaine undergraduate students were invited to participate. Participants completed a survey containing measures that assessed levels of perceived stress, perfectionism, and maladaptive eating behaviors. They were also asked questions about their major, honors status, grade point average, and SAT scores. Results indicated that there …

The Impact Of Emotion Regulation On Adhd And Depressive Symptoms In Emerging Adults, Hannah Meidahl

Honors College

The present thesis describes a study examining the process of emotion regulation (ER) and its connections to symptoms of two forms of psychopathology, attentiondeficit/hyperactivity disorder (ADHD) and depression, both separately and comorbidly. ER can be characterized as the processes and components that make up a person’s ability to express, experience, and control his/her emotions. It is theorized to be an important component of a variety of psychological disorders, including ADHD and depression. ER has been found to play a vital role in the development of both of these disorders and there has been speculation that ER may explain some of …

Adolescent Depressive Symptoms, Co-Rumination, And Friendship: A Longitudinal, Observational Study, Raegan Harrington

Honors College

Depressive symptoms and positive friendship quality are typically inversely correlated across numerous past studies, with most studies involving only two time points. At the same time, co-rumination (Rose, 2002), the mutually encouraged, speculative, repetitive, and negatively focused discussion of problems between friends, has been linked to increased depressive symptoms and increased friendship quality concurrently and over time (Calmes & Roberts, 2008; Rose et al., 2007, 2014). Yet unclear is how co-rumination impacts associations of depressive symptoms and friendship quality over time and the nature of these relations over more than two time points. Additionally, understudied are observations of co-rumination, with …

The Efficacy Of Equine Assisted Therapy In The Treatment Of Autism Spectrum Disorders, Amy Hofmann

Electronic Theses and Dissertations

This study examines the effects of equine-assisted psychotherapies in children with an autism spectrum disorder. The CARS-2 and Children’s Sleep Habits Questionnaire parent-report questionnaires were used for evaluation, as well open-ended questions. A single researcher contacted and visited many PATH-certified centers in the United States. Facilities that participated were all located in the Mid-Atlantic to Northeast region. There were 16 participants, from 11 different farms, that completed both the initial and follow-up questionnaires which were given 7 weeks apart. A $25 Amazon gift card was used as an incentive to increase participation. Participating facilities also completed a questionnaire.

Overall, results …

Prospective Studies Of Cardiovascular Risk Factors And Mild Cognitive Impairment, Kevin Sullivan

Electronic Theses and Dissertations

The association of cardiovascular risk factors including hypertension, diabetes, cholesterol, kidney function, and arterial stiffness with cognitive impairment in older adults is a well-studied phenomenon. However, there is considerably less evidence relating cardiovascular health specifically to a diagnosis of Mild Cognitive Impairment (MCI). As a precursor state of dementia, MCI is characterized by a decline in cognitive function from previous level, but not to the degree that activities of daily living are impaired. Not everyone who is diagnosed with MCI will eventually transition to dementia, but the transition rates are much higher compared to the general population (5-15% per year …

An Analysis Of Neurogenesis In A Mouse Model Of Chemotherapy Related Cognitive Impairment, Maxwell A. Hennings

Electronic Theses and Dissertations

Cancer patients treated with adjuvant chemotherapy often experience cognitive decline following treatment. This phenomenon, often dubbed “chemo brain” or “chemo fog” is usually temporary, but for a subset of survivors, these cognitive impairments can be long-lasting (>10 years) and negatively affect patients’ quality of life, career performance, and social fulfillment. While it is unclear what neurobiological mechanisms underlie chemotherapy related cognitive impairment, the majority of the animal literature has focused on adult neurogenesis. One process important for neurogenesis is the proliferation of new neurons within the dentate gyrus of the hippocampus. It is evident that many chemotherapy agents can …

Habitual Chocolate Intake And Type 2 Diabetes Mellitus In The Maine-Syracuse Longitudinal Study: (1975-2010): Prospective Observations, Georgina E. Crichton, Merrill F. Elias, Peter J. Dearborn Ma, Michael A. Robbins

Maine-Syracuse Longitudinal Papers

Compounds in cocoa and chocolate have established cardiovascular benefits, including beneficial effects on insulin resistance, a risk factor for type 2 diabetes mellitus. The aims of this study was to investigate relations between habitual chocolate intakes and diabetes mellitus. Cross-sectional and prospective analyses were undertaken on 953 community-dwelling participants (mean age 62 years, 59% women) from the Maine-Syracuse Longitudinal Study (MSLS). Habitual chocolate intakes, measured using a food frequency questionnaire, were related to prevalence of diabetes mellitus (cross-sectionally) and with risk of diabetes measured approximately five years later (prospectively). We also examined the relation between diabetes (the predictor) and chocolate …

Relation Of Habitual Chocolate Consumption To Arterial Stiffness In A Community-Based Sample: Preliminary Findings, Georgina E. Crichton, Merrill F. Elias, Ala’A Alkerwi, Walter P. Abhayaratna

Maine-Syracuse Longitudinal Papers

No abstract provided.

Daily Chocolate Consumption Is Inversely Associated With Insulin Resistance And Liver Enzymes In The Observation Of Cardiovascular Risk Factors Study, Ala’A Alkerwi, Nicolas Sauvegeot, Georgina E. Crichton, Merrill F. Elias, Saverio Stranges

Maine-Syracuse Longitudinal Papers

This study examined the association of chocolate consumption with insulin resistance and serum liver enzymes in a national sample of adults in Luxembourg. A random sample of 1153 individuals, aged 18–69 years, was recruited to participate in the cross-sectional Observation of Cardiovascular Risk Factors in Luxembourg study. Chocolate consumption (g/d) was obtained from a semi-quantitative FFQ. Blood glucose and insulin levels were used for the homoeostasis model assessment of insulin resistance (HOMA-IR). Hepatic biomarkers such as serum γ-glutamyl-transpeptidase (γ-GT), serum aspartate transaminase and serum alanine transaminase (ALT) (mg/l) were assessed using standard laboratory assays. Chocolate consumers (81·8 %) were more …

Sugar-Sweetened Soft Drinks Are Associated With Poorer Cognitive Function In Individuals With Type 2 Diabetes: The Maine-Syracuse Longitudinal Study, Georgina E. Crichton, Merrill F. Elias, Rachael V. Torres

Maine-Syracuse Longitudinal Papers

The importance of adequate nutrition on cognitive performance is well recognised. Greater intakes of soft drinks are associated with a higher risk for type 2 diabetes, as well as other cardiometabolic diseases. A few studies have specifically examined whether the intake of soft drinks may be related to cognitive function. The aim of this study was to investigate whether soft drink intakes, including both sugar-sweetened and diet beverages, are associated with cognitive function, with adjustment for cardiovascular, lifestyle and dietary factors, and stratified according to type 2 diabetes status. Cross-sectional analyses were undertaken using 803 community-dwelling participants, aged 23–98 years, …

Sacred Approaches To Mental Health Issues, The University Of Maine College Of Liberal Arts And Sciences

Cultural Affairs Distinguished Lecture Series

The Judaic Studies Program at the University of Maine has invited Rabbi Richard Address, Founder and Director of www.jewishsacredaging.com to campus in October 2015 to deliver a presentation entitled "Sacred Approaches to Mental Health Issues." Using Jewish tradition as a starting point, this lecture offers ways of thinking about mental illness and examines how the sacred impacts our understanding and approaches to it. Specifically, the program will "explore the traditional definitions of a person dealing with mental illness, trace the diagnostic approach that tradition gives us and examine how the sources can inform us in dealing with current situations" (www.jewishsacredaging.com)

Sleep-Related Arousal And Spontaneous Movement Properties In Methadone-Exposed Neonates: A Videographic Assessment On The First Or Second Postnatal Night, Hira Shrestha

Electronic Theses and Dissertations

Prenatal substance exposure such as alcohol, nicotine, and opiates is known to modulate autonomic regulatory function during sleep, and to decrease arousability and spontaneous movements (SM). SM during sleep may reflect a protective mechanism for immature patterns of arousals. Neurodevelopmental compromise in sleep and arousal systems may underlie sudden infant death syndrome (SIDS) risk in which infants expire during sleep. Previous studies from our laboratory found abnormal patterns of neonatal arousal, sleep fragmentation, and deficits in sleep-related SM in infants with prenatal alcohol exposure. In this study, prenatal exposure to methadone was hypothesized to disrupt the development of sleep and …

Growing Ideas - Daily Transitions - Time For A Change, University Of Maine Center For Community Inclusion And Disability Studies

Early Childhood Resources

Young children with and without disabilities experience many changes during their day. Daily transitions in early care and education programs take place during an activity, or when children move from one activity to another or one location to another. Transitions include the following: Arriving at or departing from a program; Exchanging toys; Entering or leaving a play area during free choice time; Cleaning up after morning activities and starting a group circle time; Getting dressed to go outside to play; and Shifting from playing with friends to working with a teacher/therapist on a particular skill. Thoughtful planning is needed so …

Hypertension And Cognitive Functioning: A Perspective In Historical Context, Merrill F. Elias, Amanda L. Goodell, Gregory A. Dore

Maine-Syracuse Longitudinal Papers

Our objective is to characterize the development of the literature on hypertension and cognitive functioning from a historical perspective. This goal was stimulated by the review on “Historical Trends and Milestones in Hypertension Research” in the October 2012 issue of Hypertension. Our specific aims are threefold: (1) to trace and describe the history of this area of research; (2) to identify milestones in knowledge and methods; and (3) to discuss briefly how this literature translates into patient care. The topic is of major relevance to research and practice because hypertension is a well-known risk factor for decline in cognitive performance …

Assessing Sleep Quality In Young Adult College Students, Aged 18 - 24 In Relation To Quality Of Life And Anthropometrics, Douglas Mathews

Electronic Theses and Dissertations

Little is known about the impact of sleep on quality of life and anthropometrics in young adults. College students (n=218) were recruited through a variety of methods for a study on weight management for obesity prevention and randomized into control (n=108) or treatment (n=110) groups. Of those, 152 (71%) completed pre- and post-tests, including the Pittsburg Sleep Quality Index (PSQI), scored 0-4 =normal and 5-21=disordered, (a=0.80), the General Health Questionnaire-12 (GHQ), scored from 0-14=good quality of life to 15-36=poor quality of life, (ct=0.87), and anthropometrics. Statistical analyses included linear regression, one way ANOVA, chi-square analysis, and Pearson's Product-Moment Correlation. Significance …

From Blood Pressure To Physical Disability: The Role Of Cognition, Merrill F. Elias, Gregory A. Dore, Adam Davey, Michael A. Robbins, Penelope K. Elias

Maine-Syracuse Longitudinal Papers

We examined the hypothesis that lowered cognitive performance plays a role in the relation between elevated blood pressure and physical disability in performing basic physical tasks. A community-based sample (N = 1025) free from stroke and dementia (mean age: 61.1 years; SD: 13.0 years; 59.8% women) was used. Using path analysis, systolic and diastolic blood pressures (predictor variable) measured over multiple longitudinal examinations were averaged and related to multiple measures of cognition (intermediate variable) and physical ability (PA; outcome variable) measured at wave 6 of the Maine-Syracuse Study. PA was indexed by time required to execute standing, walking, and turning …

Arterial Pulse Wave Velocity And Cognition With Advancing Age, Merrill F. Elias, Michael A. Robbins, Marc M. Budge, Walter P. Abhayaratna, Gregory A. Dore, Penelope K. Elias

Maine-Syracuse Longitudinal Papers

We hypothesized that carotid-femoral pulse wave velocity (PWV), a marker of arterial stiffness, interacts with age such that the magnitude of associations between PWV and cognitive performance are greater with increasing age and that this interaction is observed despite adjustments for demographic variables, mean arterial pressure, and cardiovascular risk factors. PWV was estimated using applanation tonometry in 409 dementia- and stroke-free participants of the Maine-Syracuse Longitudinal Study (24 to 92 years of age; 62.3% women). Using linear regression analyses in a cross-sectional design, associations between PWV and age and the interaction of PWV and age were examined in relation to …

Chronic Kidney Disease, Creatinine And Cognitive Functioning, Merrill F. Elias, Penelope K. Elias, Stephen L. Seliger, Sriram S. Narsipur, Gregory A. Dore, Michael A. Robbins

Maine-Syracuse Longitudinal Papers

Background. Non-dialysis-dependent chronic kidney dis- ease (CKD) is related to cognitive impairment. Previous studies have not explored the extent of impairment across multiple cognitive domains. We examined the range of specific cognitive abilities affected by CKD and whether the associations of CKD with cognition were eliminated by statistical control for cardiovascular disease correlates of CKD. Methods. We performed a community-based cross-sectional study with 923 individuals free from dementia and end-stage renal disease. Two groups were defined based on estimated glomerular filtration rate (eGFR): eGFR/min/1.73 m2 versus eGFR≥60 mL/min/1.73 m2. Out- come measures were scores from multiple clinical tests of specific …

Homocysteine, Folate, And Vitamins B6 And B12 Blood Levels In Relation To Cognitive Performance: The Maine-Syracuse Study, Merrill F. Elias, Michael A. Robbins, Marc M. Budge, Penelope K. Elias, Suzanne L. Brennan, Carole Johnston, Zsuzsanna Nagy, Christopher J. Bates

Maine-Syracuse Longitudinal Papers

Objective: Our objective was to examine associations among plasma homocysteine concentrations (tHcy), the tHcy-cofactors (folate, vitamins B6 and B₁₂), and multiple domains of cognitive performance, with statistical adjustment for possible confounds, including cardiovascular disease risk factors (CVD-RF) and cardiovascular disease (CVD). Methods: Subjects were 812 partici- pants (58% women) of the Maine-Syracuse study who were free of dementia and stroke. Employing a cross-sectional design and multiple regression analyses, fasting concentrations of tHcy and its vitamin cofactors (folate, B6, and B12) were related to multiple domains of cognitive performance. Results: With adjustment for age, education, gender, ethnicity, and the …

Blood Pressure And Cognitive Function In An African-American And A Caucasian-American Sample: The Maine-Syracuse Study, Michael A. Robbins, Merrill F. Elias, Penelope K. Elias, Marc M. Budge

Maine-Syracuse Longitudinal Papers

Objective: The primary purpose of this study was to examine associations between indices of blood pressure (BP) and cognitive function for African-American participants in the Maine-Syracuse Longitudinal Study (MSLS). Corresponding data for the Caucasian-American MSLS participants were included to provide a basis for comparison. Interactions of age with BP indices were also assessed in relation to cognitive function. Methods: Data were drawn from the baseline MSLS questionnaires, medical interviews and examinations, Wechsler Adult Intelligence Scale subtests, and measurements of BP for 1563 participants, of whom 147 were African American. Multiple linear regression analyses were employed to examine the relationship between …

Serum Cholesterol And Cognitive Performance In The Framingham Heart Study, Penelope K. Elias, Merrill F. Elias, Ralph B. D'Agostino, Lisa M. Sullivan, Philip A. Wolf

Maine-Syracuse Longitudinal Papers

Objective: The objective of this study was to examine the relationship between total cholesterol (TC) and cognitive performance within the context of the Framingham Heart Study, a large, community-based, prospective investigation of cardiovascular risk factors. Methods: Participants were 789 men and 1105 women from the Framingham Heart Study original cohort who were free of dementia and stroke and who received biennial TC determinations over a 16- to 18-year surveillance period. Cognitive tests were administered 4 to 6 years subsequent to the surveillance period and consisted of measures of learning, memory, attention/ concentration, abstract reasoning, concept formation, and organizational abilities. Statistical …

Low Blood Pressure And Depression: Comorbidity And Competing Outcomes, Michael A. Robbins, Penelope K. Elias, Merrill F. Elias

Maine-Syracuse Longitudinal Papers

No abstract provided.

Relationship Of Age And Hypertension To Neuropsychological Test Performance, Clyde A. Pentz Iii, Merrill F. Elias, W Gibson Wood, Norman A. Schultz, John Dineen

Maine-Syracuse Longitudinal Papers

Young adult (X- = 29) and middle aged (X- =50) hypertensive and normotensive subjects were compared with respect to seven neuropsychological test scores derived from tests on the Halstead-Reitan battery. Age main effects, with inferior performance for the middle aged subjects, were observed for the localization and time portions of the Tactile Performance Test (TPT) and for the Trail Making A test. The multivariate age effect was significant for the composite of seven scores. A multivariate blood pressure main effect was obtained and main effect blood pressure was significant for the category test; hypertensives made more errors than normotensives. A …