Psychology Commons^™

Quality Improvement Protocol: Improving The Use Of Nonpharmacological Pain Management Strategies Within The Inpatient Hospital Setting, Katherine Salamon, Christina Russell, Dara Devinney, Catherine M Soprano

Department of Medicine Faculty Papers

Background: There are many nonpharmacological pain management services available to hospitalized youth; however, not all youth are offered these services. Lack of knowledge about resources, difficulty with the referral process, and lack of understanding about nonpharmacological pain management services and when to refer patients are among the main reasons for lack of utilization. Quality improvement (QI) initiatives have grown within hospital settings and can serve to create change in fast-paced environments. Methods: The current QI project aimed to pilot an educational program to increase the use of nonpharmacological pain management interventions. Staff located on one floor of a pediatric hospital …

The Effect Of Parent-Child Relationships On Healthcare Utilization Among Children With Chronic Medical Health Concerns, Karina Guerra-Guzman

Theses and Dissertations

Parents of children with chronic health complaints are more likely to utilize healthcare services for their child, and are prone to experiencing increased stress and anxiety related to their child’s compromised health status. As these parents navigate managing their child’s health and integrating parenting behaviors, they are dealt with unique stressors that are likely to impact their parenting styles, anxiety, and use of healthcare services. However, most studies that have examined HCU in the context of parent-child relationships have neglected children with chronic health concerns (CHCs). This study examined the relationship between parenting styles across parents of children with a …

Comorbid Adhd And Pediatric Sickle Cell Disease: Prevalence And Risk Factors, Sarah Bills

Theses and Dissertations

Objective: Sickle cell disease (SCD) is a genetic blood condition that places youth at increased risk for deficits in attention and executive functioning suggestive of increased rates of Attention Deficit/Hyperactivity Disorder (ADHD). There is pronounced inconsistency in reported prevalence rates for attention deficits and ADHD diagnoses among youth with SCD, which is due in part to variability in methodology of previous studies. The primary aim of the present study is to use systematic screening to identify the prevalence of inattentive ADHD symptoms and ADHD diagnoses in a pediatric SCD population seen at a large hematology clinic. A secondary aim is …

International Strategies For Addressing The Needs Of Children With Disabilities: Comparing Pediatric Therapy Services In Italy And The United States, Cassidy Hearn, Lillian Hsiao, Lavinia Fanelli, Regina Harbourne

Physical Therapy Projects

This paper introduces and compares the professions of Neuro and Psychomotor Therapist of Developmental Age and pediatric physical therapy. Although pediatric physical therapy practice is prevalent in the United States, Italy utilizes another profession which encompasses many features of physical therapy, but also incorporates neuropsychological factors, specifically for children.

Perinatal Through 5-Years-Old Referral List, And Full Referral Flow Process For The Professional Psychology Clinic And Associated Clinics, Lauren V. Cruz

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Referrals are an important and underacknowledged component of ethical clinical practice. While clinical care is understandably the core focus for most organizations, effective and efficient referrals can aide in improving client outcomes through successful connections to services, effective use of conjunctive services, and increased trust in mental health and healthcare systems/providers. In addition, improvements in the referral process can serve to decrease undue burden on providers and organizations. This document aims to review the literature on the need for and use of referrals, as well as elements of successful referrals, to inform the development of a referral self-assessment and flow …

Child Pain Matters: A Training Protocol For General Nursing Staff In An Infusion Center On Procedural Anxiety In Pediatric Patients With Crohn's Disease And Ulcerative Colitis., Mera El Ramahi

Psychology Doctoral Specialization Projects

Procedural anxiety is a broad concept that encompasses fear, distress, and pain. Anxiety is the most critical factor affecting pain perception. There is a growing body of literature suggesting that early pain might have long-term consequences. There is also research evidence that has linked inadequately managed pain in the pediatric population to negative behavioral and physiological consequences later in life. Pediatric patients with inflammatory bowel disease (IBD) refers to Crohn’s disease and Ulcerative Colitis. These chronic conditions often require multiple and repeated medical procedures that may cause pediatric patients to experience procedural anxiety. Needle related procedures are any procedures involving …

Profiles Of Family Functioning In Pediatric Hematology-Oncology Patients: Longitudinal Associations With Child Well-Being, Sydney Sumrall

Theses and Dissertations

This study aims to assess 1) patterns of family functioning and 2) longitudinal associations between family functioning patterns and well-being in a vulnerable cohort of children with chronic illness. Caregivers of hematology (16.4%) and oncology (83.6%) patients ages 7-20 (N=55; M_age = 13.3 [SD = 2.7]; 52.7% female; 45.5% non-Latinx White, 38.2% Black or African American, 12.7% Latinx, 1.8% Asian, and 1.8% multi-racial,) reported on family functioning via the Family Assessment Device. Cluster analyses identified three mutually exclusive clusters: one high adaptive group, one moderate adaptive group, and one maladaptive group. Group membership was not significantly …

Evaluating Interest In Clinical Trial Participation For The Treatment Of Pediatric Food Allergy, Perry Allen Catlin

Master's Theses (2009 -)

Food allergy (FA) is a chronic medical condition that affects one out of every 13 children in the United States. Researchers have recently begun utilizing double-blind, placebo-controlled clinical trials to test novel biological treatments designed to retrain the immune system to be less reactive to food allergens. Although these treatments remain in the clinical trial stage, evidence suggests that individuals differentially engage with these options based on a variety of factors. Using a socioecological framework, this study sought to evaluate the effect of child, parent, and family-level factors on parental interest in clinical trial participation for the treatment of pediatric …

Treating Gut Feelings: A Systematic Review Of Psychological Treatments For Pediatric Inflammatory Bowel Disease, Venus Mirbod

Theses and Dissertations

Psychological comorbidities and psychosocial challenges are prevalent among children and adolescents with Inflammatory Bowel Disease (IBD). However, a comprehensive review of the availability and effectiveness of psychological treatments for pediatric IBD patients is lacking. This systematic review aimed to determine the availability and efficacy of psychological interventions for children and adolescents with IBD. The systematic review was conducted in accordance with PRISMA guidelines and performed using two electronic databases, PsycINFO and PubMed, from inception until March 2022. Databases were searched for English-language, controlled trials of psychological interventions for children and adolescents with IBD. Outcomes of interest included: depression, anxiety, health-related …

Using Individual Determinants To Predict Behavioral Health Service Use In Integrated Pediatric Primary Care, Alfonso L. Floyd Jr.

Theses and Dissertations

Mental health problems (e.g., attention, externalizing, internalizing) are commonly observed in youth and are often associated with significant impairment and an increased need for mental health services. Conceptual frameworks, such as Andersen’s Behavioral Model of Health Service Utilization, have proposed that several individual determinants (e.g., predisposing, enabling, and need factors) may influence service use for mental health problems among youth. Despite the glaring need for mental health treatment among youth with mental health problems, studies indicate that many affected youths do not receive mental health care. Integrated pediatric primary care (IPPC) settings provide an ideal setting for youth and families …

Child Temperament And Differential Susceptibility To Parenting : Implications For Pediatric Type 1 Diabetes Care, Anna J. Yeo

Legacy Theses & Dissertations (2009 - 2024)

Type 1 Diabetes Mellitus (T1DM) is a chronic autoimmune disease associated with increased risk for serious complications and premature mortality. T1DM treatment aims to maintain adequate glycemic control and involves a daily regimen of health behaviors (e.g., glucose monitoring, insulin administration, healthy diet). Among pediatric patients, both child self-regulation and quality of parental involvement have been found to influence treatment outcomes. However, it is unclear whether and how child and parental factors interact to shape glycemic control. The differential susceptibility hypothesis proposes that children with certain regulatory vulnerabilities (e.g., high negative affectivity [NA], low effortful control [EC]) may be more …

The Impact Of Socioeconomic Status (Ses) On Cognitive Outcomes Following Radiotherapy For Pediatric Brain Tumors: A Prospective, Longitudinal Trial, Victoria A. Torres, Jason M. Ashford, Evelyn Wright, Jiahui Xu, Hui Zhang, Thomas E. Merchant, Heather M. Conklin

Faculty and Student Publications

Background: Socioeconomic status (SES) is a determinant of cognitive and academic functioning among healthy and ill children; however, few pediatric oncology studies examine SES and long-Term cognitive functioning. The current study systematically investigated SES as a predictor of cognitive outcomes among children treated for localized brain tumors (BT) with photon radiation therapy (RT). Methods: 248 children treated on a prospective, longitudinal, phase II trial of conformal RT (54-59.4 Gy) for ependymoma, low-grade glioma, or craniopharyngioma were monitored serially with cognitive assessments (intelligence quotient [IQ], reading, math, attention, adaptive function) for 10 years (2209 observations, median age at RT = 6.6 …

Examining The Interplay Of Mental Health, Family Conflict, And Body Mass Index Among Mexican Origin Families: A Cross-Lagged Model, Laura Margaret Lehman Distel

Dissertations

Mexican-origin youth in the U.S. are at risk for obesity (Fryar et al., 2018) and mental health concerns (McLaughlin, Hilt, & Nolen-Hoeksema, 2007). One key psychosocial process implicated in this health inequity is family conflict (Conger et al., 1999), which has been associated with both poor mental health outcomes (e.g. Santiago & Wadsworth, 2009) and overweight and obesity (Halliday et al., 2013). However, no research to date has examined the complex interplay of family conflict, mental health problems and body mass indices (BMI) over time. The present study examined cross-lagged associations among child z-scored BMI (zBMI), mental health problems (internalizing …

Mothers Know Best: Guidance For Healthcare Providers On Early Identification Of Perinatal Mental Health Disorders, Klarissa I. Garcia Orellana

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Introduction: The perinatal period has been associated with an increased risk of developing psychiatric disorders among women. Perinatal mental health disorders (PMHD) are highly prevalent, yet highly underrecognized and untreated. The involvement of medical providers, especially obstetrics/gynecology and pediatric providers, in the early identification of PMHD is critical to ensure women with PMHD receive appropriate supports. However, providers lack the education, training, and ability to identify and screen for PMHD as well as the knowledge of appropriate referrals. Objective: This study explores the existing issues with healthcare providers’ early identification practices of PMHD from the perspective of ten mothers and …

Examining Psychological Distress In Parents Of Children With Food Allergies And Asthma During The Covid-19 Pandemic, Kelsey L. Hill

Master's Theses and Doctoral Dissertations

The COVID-19 pandemic in the United States (U.S.) was anticipated to have a tremendous impact on mental health, leading to heightened anxiety, depression, and post-traumatic stress disorder. The current study examined the psychological impact of the COVID-19 pandemic in parents of children with food allergies and asthma compared to parents of healthy children, examined associations between disease-specific measures and broad measures of anxiety, and explored moderating variables impacting the relationship between COVID-19-related stressors and psychological outcomes. A national sample of 265 parents completed an online survey between April and June 2020. Parents of children with food allergies and asthma experienced …

Cannabis Treatment Of Autism In Children: A Literature Review, Mai Xiong

All Graduate Theses, Dissertations, and Other Capstone Projects

Objectives: This literature review aims to summarize the effects of medical cannabis use in children on Autism Spectrum Disorder (ASD) symptoms, side effects and provide recommendations for practice, education, and research. Background: ASD is characterized by core behaviors of significant impairment in social communication and interaction and restricted and repetitive patterns of behavior, interests, or activities (APA, 2013). In addition to these core behaviors, individuals with ASD often have noncore behavioral disorders and several medical comorbidities. Treatment for ASD symptoms includes Cognitive Behavioral Therapy (CBT), aripiprazole (Abilify) and/or risperidone (Risperdal). As of this review, 14 states have added ASD …

Pediatric Asthma And Psychological Resilience: Examining Whether Family Functioning And Social Support Relate To Asthma Symptoms And Lung Function, Dalia Jaafar, Natasha H. Hikita, Pornchai Tirakitsoontorn, Azucena Talamantes, Anchalee Yuengsrigul, Eric Sternlicht, Brooke N. Jenkins

Student Scholar Symposium Abstracts and Posters

Upwards of 6 million children in the United States are afflicted with pediatric asthma. While previous research has linked asthma to multiple contributing biological and environmental factors, recent research suggests that psychological and social factors may have an impact on physiological outcomes of asthma like lung function and lung inflammation. Therefore, we suggest the need to study the impact of positive psychological factors such as a well-functioning family environment and beneficial social support on symptoms and lung function of children diagnosed with asthma. In the present pilot study, we recruited a total of 15 children with a confirmed asthma diagnosis …

The Use Of Animal-Assisted Therapeutic Interventions In The Hospital Setting During The Covid-19 Pandemic, Alicia Cesare

MSU Graduate Theses

Handlers of therapy and/or facility dogs working within hospital settings have experienced various barriers and challenges within their practice during the COVID-19 pandemic. Animal-assisted interventions, specifically therapeutic working dogs, are a valued source of support to individuals, communities, hospital settings, and disaster sites during times of community distress. The purpose of this study was to identify barriers and solutions to the continued use of animal-assisted therapeutic interventions in support of patients and families within the hospital setting during the COVID-19 pandemic. This researcher’s position within the research is the knowledge and experience of being a facility dog handler within the …

Parent And Child Emotion And Distress Responses Associated With Parental Accommodation Of Child Anxiety Symptoms, Erin E. O'Connor, Lindsay E. Holly, Lydia L. Chevalier, Donna B. Pincus, David A. Langer

Psychology Faculty Research and Publications

Objective

Parental accommodation contributes to the maintenance of child anxiety and related symptoms. The current study examines the contributions of parent and child factors to parental accommodation in a sample of anxious youth.

Methods

Sixty-four treatment-seeking youth (6–16 years) and their mothers, as well as a subset of fathers (N = 41) reported on parental accommodation, parental distress and emotion regulation, child psychopathology, child externalizing behaviors, and child intolerance of uncertainty.

Results

Parental accommodation was not related to parental distress or emotion regulation. Parents who viewed their child as being more symptomatic (e.g., anxious, externalizing, and intolerant of uncertainty) …

A Comprehensive Examination Of The Immediate Recovery Of Children Following Tonsillectomy And Adenoidectomy, Bryan K. Lao, Zeev N. Kain, Dina Khoury, Brooke N. Jenkins, Jeremy Prager, Robert S. Stevenson, Brenda Golianu, Jeannie Zuk, Jeffrey I. Gold, Qiu Zhong, Michelle A. Fortier

Psychology Faculty Articles and Research

Objectives

Using multiple well-validated measures and a large sample size, the goal of this paper was to describe the immediate clinical and behavioral recovery of children following tonsillectomy with or without an adenoidectomy (T&A) during the first two weeks following surgery.

Study design

Observational, longitudinal study.

Setting

Four major pediatric hospitals in the U.S. consisting of Children's Hospital of Orange County, Children's Hospital of Los Angeles, Lucile Packard Children's Hospital, and Children's Hospital Colorado.

Subjects

and Methods: Participants included 827 patients between 2 and 15 years of age who underwent tonsillectomy with or without adenoidectomy surgery. Baseline and demographic …

Demographic Predictors Of Adult Behaviors In The Pediatric Postoperative Environment, Natasha H. Hikita, Amber Osorno, Carlie Taurosa, Michelle A. Fortier, Zeev N. Kain, Brooke N. Jenkins

Student Scholar Symposium Abstracts and Posters

Over 85% of children experience postoperative pain. If poorly treated, pediatric postoperative pain may lead to various negative health outcomes. Adult behaviors may be associated with child experiences in the postoperative environment. For example, adult behaviors such as distraction, humor, and coping advice divert a child’s attention away from their pain and thus, may significantly reduce child postoperative distress. In contrast, adult behaviors such as empathy, reassurance, and apology direct a child’s attention towards their pain which may increase a child’s overall postoperative distress. Moreover, patient demographic factors, like child ethnicity, may significantly alter the frequency of use of these …

Children And Their Parents’ Assessment Of Postoperative Surgical Pain: Agree Or Disagree?, Olivia Kaminsky, Michelle Fortier, Brooke N. Jenkins, Robert S. Stevenson, Jeffrey I. Gold, Jeannie Zuk, Brenda Golianu, Sherrie H. Kaplan, Zeev N. Kain

Psychology Faculty Articles and Research

Objective

The purpose of this study is to compare postoperative pain scores between children undergoing tonsillectomy and adenoidectomy (T&A) surgery and their parents, identify potential predictors for this disagreement, and determine possible impact on analgesic administration.

Methods

This is a prospective longitudinal study conducted with children undergoing outpatient T&A in 4 major tertiary hospitals and their parents. Children and their parents were enrolled prior to surgery and completed baseline psychological instruments assessing parental anxiety (STAI), parental coping style (MBSS), child temperament (EAS) and parental medication administration attitude questionnaire (MAQ). Postoperatively, parents and children completed at-home pain severity ratings (Faces Pain …

Health And Quality Of Life Of Children Undergoing Elective Surgery, Vivian Luong

Student Scholar Symposium Abstracts and Posters

Multiple studies have found that poorer health is associated with significantly lower quality of life when comparing children and adults with health conditions such as cancer, diabetes, asthma, and ADHD to their normal healthy counterparts. The relationship between health and quality of life, however, has yet to be examined in children who have undergone elective surgery. More than 5 million children in the U.S. undergo surgery each year. These children are often undergoing surgery for a number of health issues that may impede quality of life. Consequently, this study analyzes the effects of health on the quality of life of …

Parent Perceptions Of Biofeedback Treatment Effectiveness For Pediatric Migraine, Andrea Grando Weber

Walden Dissertations and Doctoral Studies

Gate control theory posits the idea that the brain and spinal cord have the ability to control the perception of pain sensation throughout the body. Biofeedback provides a proven way to teach a person how they may control their heart rate, breathing, and skin temperature. Through this process, individuals learn to lessen their migraine frequency and intensity. There are no studies to date that have measured the effectiveness of biofeedback in conjunction with medication for migraines in children despite established evidence of success in adults. In this study, an online format via SurveyMonkey was used to document the perceptions of …

The Utility Of Neuropsychological Measures On The Differential Diagnosis Of Adhd-Inattentive Type Versus Anxiety In A Pediatric Outpatient Behavioral Health Population, Emily Stapleton

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This study examined the differences in inattention and executive function between a group of children diagnosed with ADHD and a group diagnosed with anxiety disorders to establish differential profiles for these two disorders. This study evaluated the differences among children with ADHD and anxiety disorders, using parent-report and performance-based measures of inattention and anxiety. A retrospective chart review was completed for a total of 58 patients who met the criteria for an anxiety disorder or for ADHD-C and ADHD-I at the completion of the neuropsychological assessment. Analyses compared the ADHD group and the Anxiety group on select scales and subscales …

Examining Sleep And Family Functioning In Pediatric Craniopharyngioma Using Ecological Momentary Assessment, Nour Al Ghriwati

Theses and Dissertations

Craniopharyngiomas are among the most common brain tumors in children and are associated with greater rates of sleep problems compared to other pediatric cancers. However, research examining sleep among youth with craniopharyngioma has been limited by a reliance on retrospective reports or sleep studies. Families also play a crucial role in children’s adjustment following a pediatric cancer diagnosis, yet remarkably little is known about transactional associations between family functioning and sleep in pediatric cancer. This study examined cross-sectional and daily associations among family functioning, affect, and sleep difficulties for youth with pediatric craniopharyngioma using retrospective reports and ecological momentary assessment …

Executive Functioning In Pediatric Youth: A Meta-Analysis, Draycen D. Decator

College of Science and Health Theses and Dissertations

Executive functioning (EF) represents a set of cognitive skills that are important for daily functioning. EF can be influenced by a number of biopsychosocial factors, many of which are present in the pediatric population (i.e., youth with at least one medical condition). It is important to understand EF in this population as it affects aspects of their physical health (e.g., treatment adherence). Previous meta-analyses have been conducted to examine EF in the pediatric population, and they have generally found deficits in EF compared to healthy peers. However, these previous meta-analyses have only focused on specific medical conditions (e.g., pediatric youth …

Effects Of Traumatic Brain Injury On Pediatric Brain Volume, Sanam Jivani Lalani

Theses and Dissertations

This study investigated the effects of lesion presence within larger brain networks (e.g., default mode network (DMN), salience network (SN), and mentalizing network (MN)) in the chronic phase of a pediatric traumatic brain injury (TBI) and the effect on social function. We compared children with a TBI to children with an orthopedic injury (OI) with three different aims. The first aim was to determine whether network volume differed by group (e.g., TBI vs. OI). Second, investigate if lesion presence in a sub component region of the network resulted in total network volume loss for that network. Finally, learn whether network …

Cognition And Behavioral Outcome In Children And Adolescents With Previous Ecmo Treatment: A Case Series With Neuroimaging Correlates, Juliann Thompson

Theses and Dissertations

Extra-corporeal membrane oxygenation (ECMO) is a life-saving procedure for patients in respiratory or cardiac distress. Prior studies have demonstrated several known risks to the procedure, such as hypoxia, stroke, and other neurological complications (Cheng et al., 2014) that can lead to temporary or permanent deficits in motor abilities, developmental trajectory, academic abilities, and cognition (Glass et al., 1995). Although several studies have investigated morbidity and mortality rates of pediatric ECMO patients, few have looked at cognitive deficits, and even fewer at magnetic resonance imaging in relation to neuropsychological outcome and behavioral, emotional, or social functioning. The aims of this study …

A Comparison Of Qualitative And Quantitative White Matter Methods In Pediatric Traumatic Brain Injury, Kacie Larae Wright

Theses and Dissertations

Magnetic resonance imaging is used to assess white matter (WM) abnormalities including total WM volumes and WM hyperintensities (WMHs). Comparisons between several qualitative and quantitative methods to assess WM that are used in research and clinical settings are lacking in pediatric traumatic brain injury (TBI). This study 1) WM methods including Scheltens ratings, manual tracings, NeuroQuant®, and FreeSurfer; (2) compared total WM volumes and WMHs to assess potentially similar reporting of WM integrity; and (3) assessed the relationship between cognitive functions (intelligence, attention, processing speed, and language) and WM in pediatric TBI.Sixty participants (65% male) between ages 8-13 years old, …