Psychology Commons^™

Exploring Touch: Art Therapy With Older Adults, Katherine Gilpatrick

Expressive Therapies Capstone Theses

Touch is an incredible tool that allows humans to connect with one another. It is instrumental in art therapy as we work with different populations and materials. Touch can occur in many ways but must be clearly defined in the therapeutic space, especially regarding ethical codes. This paper explored touch within senior living communities across different levels of care, including dementia care. A variety of art materials were used including drawing materials, collage, clay, and digital art. Art experiences were documented and analyzed through journaling and reflective artmaking. Four patterns emerged when examining the results including connection to product, differences …

Subjective Cognitive Decline: Examining The Contributions Of Adverse Childhood Experiences And Social Determinants Of Health, Amber Victoria Rusch

Graduate Theses, Dissertations, and Problem Reports

Subjective cognitive decline is one’s awareness of their own consistent memory loss or confusion that interrupts their day-to-day activities (CDC, 2022; Roehr et al., 2017). Several risk factors for subjective cognitive decline, such as demographic social determinants of health (SDOH) and adverse childhood experiences (ACEs) have been identified through previous research (Alzheimer’s Association, 2016; Dening & Sandilyan, 2015); however, less is known about the interaction between demographic SDOH and ACEs on subjective cognitive decline. The current study sought to examine how demographic SDOH (i.e., age, sex, race, and education) (research question 1) and ACEs (i.e., physical abuse, sexual abuse, and …

Male Caregiver Strain: The Mental Effects Of Being An Informal Caregiver For A Family Member With Dementia And Alzheimer's Disease, Alessandra M. Barillas, Elijah Rammel B. Borja

Nursing | Senior Theses

Background: Caregivers are vital in fulfilling patients' primary care needs, and families prefer them over sending their loved ones to skilled nursing facilities (SNFs). Alzheimer's Disease and Dementia are prevalent conditions necessitating continuous assistance due to memory and cognition impairments. As a result, support is essential for tasks like mobility, feeding, bathing, and perineal care, as well as emotional and physical challenges inherent in caregiving. Purpose: Upon diving into the mental health impacts of serving as an informal caregiver for individuals with Alzheimer's Disease and Dementia, a notable research gap becomes evident, especially concerning male caregivers. This lack of information …

Examining A Virtual Neuropsychological Battery For Older Adults, Robert W. Kessler

Doctor of Psychology (PsyD)

The restructuring of clinical service provision during the COVID-19 pandemic prompted neuropsychologists to reconsider telehealth options for patient care. Subsequent advances in teleneuropsychology (Tele-NP) research and practice have demonstrated that virtual assessment is not only practical, but also increases accessibility to neuropsychological services for the elderly, medically at-risk, and rural patients. In order to ensure services are in-line with professional standards of evidence-based practice, it is incumbent on research to demonstrate the validity of virtual assessment, as well as patient acceptability of Tele-NP findings. The objectives of this research project were three-fold. First, I aimed to determine the reliability of …

Nutrition As A Modifiable Risk Factor For Cognitive Decline: Associated Cognitive And Physical Health Changes, Taylor Mcmillan

Electronic Theses and Dissertations

Dementia is defined as gradual, progressive loss of cognitive functioning, greater than what is expected of normal aging, resulting in functional impairment. There are several types of dementia clinical syndromes that are accompanied by unique patterns of cognitive dysfunction and neuropathological changes. Alzheimer’s disease (AD) is the most common type of clinical dementia syndrome, accounting for approximately 60-70% of cases. Neuropathological mechanisms associated with AD include the disruption of the cholinergic system, accumulation of amyloid-beta plaques and hyperphosphorylated tau, as well as vascular pathology. Vascular pathology complicates the characterization of clinical and neuropathic changes in AD, as there becomes significant …

The Effects Of Music Therapy On Elderly Adults With Dementia, Jeante J. Jackson

Dissertations, Theses, and Capstone Projects

As people age, the brain is more susceptible to changes that diminish cognitive function. In recent years neuroscience has found convergent evidence between music therapy and brain architecture, as it has shown the generation of new connections in the brain or a reorganization and possible strengthening of existing connections already in the brain. However, the literature regarding music training’s effects on executive control, selective attention, and speech processing is lacking particularly when it comes to older populations.

This study investigated Verbal Working Memory, Visuospatial Attention and Task Initiation, and Auditory Selective Attention in a 91-year-old adult (B.P.) diagnosed with dementia. …

Locus Of Control, Mindfulness, And Perceived Caregiver Burden In Informal Caregivers Of People With Dementia, Tiffany Marinos-Sterge

Walden Dissertations and Doctoral Studies

AbstractAdult informal caregivers play an essential role in the care of people with dementia living in the community. Adult informal caregivers may experience a host of negative psychological, emotional, and physical effects because of their roles as caregivers. The purpose of this quantitative correlational study was to investigate the influence of locus of control and mindfulness on the perceived caregiver burden experienced by adult informal caregivers of people with dementia, controlling for relevant sociodemographic characteristics. Social determination theory and social learning theory provided the theoretical foundation for this study. Variables were measured using the Caregiver Burden Inventory, Mindfulness Attention Awareness …

Gender And Race Influence Young Adults' Impressions Of People With Dementia, Angel Collie

UNF Graduate Theses and Dissertations

Alzheimer’s Disease and Related Dementias (ADRD) are becoming more common among older adults around the United States, including African Americans, who are twice as likely to be clinically diagnosed with Alzheimer’s Disease. Though it is counter-intuitive, young adults are important when examining the future projections of ADRD because they will be the future caretakers of older adults. The current study investigated whether impressions of people with dementia are influenced by the interaction of gender and race among young adults. In Phase 1, young adults (N = 157, ages 18-25, median age = 20) completed a reverse correlation task where they …

The Motivations And Work-Life Balance Of Paid Home-Based Caregivers Of Clients Experiencing Dementia, Cheraire Lyons

Walden Dissertations and Doctoral Studies

With an expected increase in demand for professional caregivers for the growing older adult and aging population, caregivers need balance in their lives so they can provide quality patient care. The purpose of this qualitative multiple case study was to explore what motivates paid, professional home-based caregivers of clients with dementia to maintain their work–life balance. The caregiver ambition framework was the guide for exploring home-based caregivers’ work life issues along with caregivers’ motivations for work–life enrichment. Interview data were collected from five interviews that were analyzed first manually by exploring the transcribed interviews for commonly seen words and phrases. …

Predictive Abilities Of Neuropsychological Measures On Functional Outcomes In The Mild Cognitive Impairment (Mci) And Dementia Populations, Morgan Bare

PCOM Psychology Dissertations

During the aging process, a decline in ability to perform everyday tasks is commonly observed. This is increasingly so for those with dementia and is a diagnostic requirement. These daily tasks require certain cognitive skills which can be measured by various neuropsychological measures. The purpose of this study is to examine which neuropsychological measures are able to detect various deficits in self-reported activities of daily living (ADL) and instrumental activities of daily living (IADL) in individuals with mild cognitive impairment (MCI) and dementia. It is hypothesized that Trail Making Test– B (TMT-B) would be the most sensitive predictor in functional …

Locus Of Control, Mindfulness, And Perceived Caregiver Burden In Informal Caregivers Of People With Dementia, Tiffany Marinos-Sterge

Walden Dissertations and Doctoral Studies

AbstractAdult informal caregivers play an essential role in the care of people with dementia living in the community. Adult informal caregivers may experience a host of negative psychological, emotional, and physical effects because of their roles as caregivers. The purpose of this quantitative correlational study was to investigate the influence of locus of control and mindfulness on the perceived caregiver burden experienced by adult informal caregivers of people with dementia, controlling for relevant sociodemographic characteristics. Social determination theory and social learning theory provided the theoretical foundation for this study. Variables were measured using the Caregiver Burden Inventory, Mindfulness Attention Awareness …

The Association Of Burden And Social Engagement With Depression In Caregivers Of Adults By Age, Danielle Leigh Forbes

Master's Theses

As life expectancy begins to increase, the need for familial caregivers is growing. The aging of care recipients often means that those providing care continue to get older as well. Previous studies focus little on the differences between older and younger caregivers and rather combine them all into one group. The purpose of this study is to understand whether the caregiving experience is related to the age of the caregiver. Depression, burden, and social engagement, based on the descriptors of leisure, work, and social relationships, were studied in conjunction with the age of the caregivers. This study consisted of 63 …

Preimplantation Genetic Testing For Neurobehavioral Traits, Peter K. Zeller

Cal Poly Humboldt theses and projects

Differences in behavioral and mental health traits result from unique interactions of genetic and environmental factors. Genetic information has improved along with technological advancements allowing for more data points to be established and increased data resolution. Because of this, there is a greater ability to identify embryos that carry genetic risk. The approach of Preimplantation Genetic Testing (PGT) is routine for certain genetic diseases but has not been widely used for psychiatric or behavioral traits. This paper critically examines the potential application of PGT-P by focusing on one main example, Alzheimer’s disease (AD). AD is the most prevalent form of …

Changing Public Perception Of Dementia: The Effect And Credibility Of Three Informational Models., Diana Hedrick

Electronic Theses and Dissertations

Background: Since the 1970s, Alzheimer’s disease and dementia have been portrayed in a medicalized, symptom-focused manner to help spread awareness, improve diagnosis, and push for treatment research. In recent decades, there has been movement towards a biopsychosocial, person-centered approach that considers social and psychological factors that interact with biological diseases processes. Common biopsychosocial approaches retain an emphasis on deficits and symptoms. New research has integrated positive psychology constructs and dementia. This integration of positive psychology principles and dementia care and research has the potential to more accurately capture the experience of having dementia. Objectives: This dissertation tested how the portrayal …

The Impact Of Alzheimer Disease On Semantic Knowledge, Maileen G. Ulep

UNLV Theses, Dissertations, Professional Papers, and Capstones

The research furthers the understanding of the impact of Alzheimer disease (AD) on cognition and the organization of semantic knowledge in the brain, which might contribute to the development of diagnostic and staging tools, and interventions to palliate cognitive deficits. The disruption of semantic knowledge in AD is well documented in the literature. Much of the existing research focuses on the general impact AD has on semantic knowledge. This study explores the impact of AD on specific domains of knowledge, chiefly, living kinds and artifacts, critical to ordinary functioning. The content, organization and structure of the investigated domains of knowledge …

A Digital Application For Assessment Of Neurocognitive Disabilities, Thomas H. Auriemma

Theses and Dissertations

Background: Neuropsychological assessment is designed to identify neurocognitive impairment and has traditionally relied on pen-and-paper tests. The behavior collected from these tests is usually expressed as a total summary score or a score that reflects a restricted number of features that assess errors. There is now interest in coupling traditional paper and pencil tests with digital assessment technology. In this context traditional metrics such as summary scores are still available. However, using digital technology, a host of time-based parameters can now be obtained. These time-based parameters include the total time to complete the task or total time to completion, as …

The Use Of Non-Immersive Virtual Reality As A Functional Rehabilitation Tool For Older Adults With Cognitive Decline, Ross M. Divers

LSU Master's Theses

There is currently no cure for age-related cognitive decline or dementia and current pharmacologic interventions have had limited success at improving daily functioning. Consequently, older adults who experience cognitive decline require assistance with daily activities, which can be quite expensive and lead to caregiver burden. Repeated performance of everyday tasks has been shown to improve performance but requires supervision and direction by another person. The present study evaluated a low-cost computer training program that will use non-immersive virtual reality to enable participants with dementia or cognitive decline to independently practice meaningful everyday activities (e.g., meal preparation). Participants (N= 8) with …

Predicting Depression, Anxiety, And Burden: Self-Compassion, Self-Esteem, And Coping In Caregivers Of Individuals With Dementia, Claire Grant

ETD Archive

Caregivers of Individuals with Dementia (IWDs) face unique stressors as a result of their role as caregiver. While the negative outcomes associated with providing care for an IWD are well established, including increased levels of burden and increased symptoms of depression and anxiety, the predictors of these well-being outcomes are not. Based on previous research, in the proposed study, predictors include self-compassion, self-esteem, and coping techniques. It is currently unknown how these variables impact outcomes like depression, anxiety, and burden individually or how they fit together into a larger theoretical model of caregiving. This line of research has three main …

'The Memory Of All That': The Effects Of Music On Paradoxical Lucidity In Older Adults, Sarah Klapman

Electronic Thesis and Dissertation Repository

Some individuals with dementia experience unexplained periods of improved cognition in response to music. We examined the effects of music tempo and familiarity on a cognitively demanding task to replicate this improvement. We had 37 healthy older adults (21 females, mean age 67.5, SD = 5.49) complete a divergent thinking task before and after listening to a 25-minute personalized playlist. Playlists contained music that was either familiar or unfamiliar and either fast or slow. We expected participants in the familiar and fast conditions to score significantly better on the task after listening than those in the unfamiliar and slow conditions, …

A Secondary Data Analysis Of The Prevalence Of Reported Dementia And Subjective Cognitive Decline Across U.S. National Surveys, Matthew C. Picchiello

Arts & Sciences Electronic Theses and Dissertations

Within the United States, many large-scale, nationally representative studies exist with the goal of tracking and monitoring aspects of health. These studies are often used to establish the prevalence of dementia and subjective cognitive decline (SCD) in the population. The goal of the current study is to examine how different population-based studies probe respondents about conditions related to cognitive impairment, and to assess similarities and differences in point estimates. We reviewed eight studies and identified comparable items related to dementia and SCD. We calculated design-appropriate point prevalence estimates and compared weighted estimates across studies, finding a wide range and statistically …

Risk Factors For Early And Late Onset Depression And Subsequent Risk For Alzheimer's Disease And Related Dementias In An Older Adult Population, Jordan Kugler

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The Cache County Study on Memory in Aging (CCSMA) was a research study that followed 5092 participants aged 65 or older over the course of 12 years, examining risk and protective factors for dementia. One of these factors was depression history, which has evidence for a connection with dementia, such that those with a history of depression are more likely to develop dementia later in life. However, the existing literature has yet to examine sex differences, genetic and psychosocial factors that contribute to earlier or later onset of depression and how these factors in turn might later increase risk for …

Early Indicators Of Cognitive Dysfunction: The Role Of Mild Behavioral Impairment, Hillary J. Rouse

USF Tampa Graduate Theses and Dissertations

Older age is associated with an increased risk for cognitively impairing diseases such as dementia. Despite significant research to find ways to cure this disease, there has been little success. However, a critical need when an intervention is discovered is a need to find ways to identify people who are at the greatest risk of developing dementia earlier in the disease process so that interventions can be implemented at that time. This could potentially lessen their risk or delay when they are diagnosed. Using longitudinal data from the National Alzheimer’s Coordinating Center (NACC), the aims of this current dissertation were …

Handicraft Art Leisure Activities And Cognitive Reserve, Genna Mashinchi

Graduate Student Theses, Dissertations, & Professional Papers

With increasing age, older individuals face a higher likelihood of developing dementia. The rate of cognitive decline resulting from dementia is not equivalent for all, as some patients with dementia are able to function independently longer than others, despite having similar disease burden. The cognitive reserve (CR) theory provides one explanation for the differing rate of decline. CR suggests that there are factors — most notably, educational and occupational attainment — that can protect against the cognitive decline that is a hallmark of dementia. Although the beneficial effects of these notable CR factors are clear, they may not be modifiable. …

The Effects Of Dementia Knowledge On Dementia Worry, Attitudes, Social Comfort, Empathic Concern, And Personal Distress, Alexandria Rose Ebert

Graduate Theses, Dissertations, and Problem Reports

The present study examined the effects of different types of dementia knowledge on attitudes and affective reactions towards persons with dementia. Work has demonstrated that individuals with higher levels of personhood-based knowledge have lower levels of personal dementia fear and higher levels of social comfort. However, to our knowledge, work has not examined dementia attitudes more broadly or differentiated causal relations among different forms of dementia knowledge and attitude outcomes. Participants (N = 334) aged 19-78 (M = 44.53, SD = 16.57) were randomized into one of five experimental conditions: (1) biomedical-knowledge (BK; read biological and medical facts about …

Analyzing The Use Of A Montessori-Based Activity & Its Effect On Engagement & Affect In Persons With Dementia: A Replication Study, Emilee J. Andersen

All Graduate Theses, Dissertations, and Other Capstone Projects

Activities are an essential element in institutionalized settings for persons with dementia. Challenges are faced, however, when developing and implementing stimulating and meaningful activities for this population. Over the past two decades, Montessori-based activities (MBAs) have been investigated as a means for meeting the needs of persons with dementia residing in long-term care facilities. MBAs were developed to enhance the quality of life for individuals experiencing dementia through maximization of engaging and meaningful activities. The purpose of the current study was to expand on the empirical literature related to the use of MBAs for persons with dementia by replication of …

Music And Its Effects On The Brain, Caitlyn Herron

Williams Honors College, Honors Research Projects

This paper will discuss, in short, how music influences our brain, as well as some behavioral and physiological effects as a result. The brain consists of many regions responsible for different cognitive processes, such as learning, memory, recall, speech, and our emotions. It has been found that music helps to facilitate all of these cognitive processes, regardless of its emotional valence or whether the music is active or passive, such as singing or listening to it, respectively. It was discovered that music influences our ability to learn novel concepts related to mathematics, reading, and even language acquisition. It was also …

The Relation Between Hyperlipidemia, Hypertension, And Downstream Cognitive And Neuroanatomical Function, Victor James Wasserman

Theses and Dissertations

Objective: Cardiovascular risks (CVR) such as hypertension and hyperlipidemia play a critical role in the emergence of dementia syndromes. Medication to treat CVR may not obviate downstream risk for cognitive change.

Methods: To examine the relation between history of treatment with medications to treat CVR and cognitive outcomes, participants were seen at time points ~7 years apart, completed neuropsychological evaluations, assessed for history of treatment with medication associated with hypertension and hyperlipidemia as indicators of CVR, and classified into 3 groups: Not Treated, Inconsistently Treated, and Consistently Treated. Regression models associating neuropsychological outcome measures of cognition and CVR were explored …

Network Analysis Of Cognitive Symptom Domains In Alzheimer's Disease (Ad), Abigail Rose Baily

UNLV Theses, Dissertations, Professional Papers, and Capstones

Alzheimer’s Disease (AD) is a degenerative neurological disease process that results in cognitive and functional declines and ultimately results in death. The pattern and course of cognitive and functional decline has been well characterized in AD, however little is known about the interactions between the symptoms. Network Analysis is a recently developed mathematical approach of examining the interactions between symptoms, by exploring the covariance of symptoms. The current study utilized network analysis to examine the multivariate structural dependencies among cognitive domains known to be affected in Alzheimer’s disease. The sample consisted of 864 older adults (60-90 years old), selected from …

Intersectionality Between Sex/Gender And Race/Ethnicity On Cognitive Trajectories And Development Of Alzheimer’S Disease, Justina Frances Avila-Rieger

Psychology ETDs

The current study examined the interactive effects of race/ethnicity and sex/gender on cognitive trajectories of older adults. Participants were a total of 5258 non-Hispanic White (NHW), Black, and Hispanic men and women in the Washington/Hamilton Heights/Inwood Columbia Aging Project. Multiple-group latent growth curve modeling was used to examine trajectories across sex/gender by racial/ethnic groups and to determine the relationship between specific socio-cultural/health indicators and cognitive decline, including childhood socioeconomic position, years of education, adult income and occupation, cardiovascular risk factors, and marital status. Sex/gender differences in baseline cognitive test performance varied as a function of race/ethnicity and racial/ethnic differences in …

Dementia And Competency In United States Courtrooms: A Case Law Review, Dana Miller

Student Theses

The number of older adults in the United States is rising, as is the incidence of dementia. Older adults are coming into contact with the criminal justice system at greater rates than previously encountered. As such, individuals with dementia are likely appearing in courts at an unprecedented rate. While many civil competencies commonly related to older adults are well researched, competency in the criminal legal system has not received the same level of recognition in this population. This is particularly concerning given the growing awareness of the relevance of dementia in some criminal competencies (e.g., Madison v. Alabama, 2019). Of …