Clinical Psychology Commons^™

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 …

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 …

Creating Connection Through Dance/Movement Therapy Among Older Adults With Dementia: Development Of A Method, Anna J. Barnes

Expressive Therapies Capstone Theses

The purpose of this thesis is to examine the use of Dance/movement therapy (D/MT) with a focus on sensory stimulation among individuals living with dementia to promote a higher level of engagement, connection, and reminiscence. This thesis will provide a literature review on the challenges that individuals living with dementia experience and the importance of a person-centered approach to care that is grounded in relationship (Newman-Bluestein & Chang, 2017). Additionally, the role that Dance/movement therapy plays among people with dementia and the benefits of sensory stimulation within this population are also included. Finally, a Dance/movement therapy intervention that was implemented …

Applying A Metacognitive Framework In The Neuropsychological Assessment Of Subjective Cognitive Decline And Mild Cognitive Impairment, Susan Y. Chi

Dissertations, Theses, and Capstone Projects

The characterization of the earliest stages of Alzheimer's disease (AD) is a topic of major research interest because it is critical for early diagnosis and emerging interventions. Metamemory, or knowledge about memory, including awareness of one’s own memory functions, has been investigated in AD especially in relation to how impairment in memory and executive functions contribute to unawareness of cognitive deficits, termed anosognosia. Previous research, however, has not systematically investigated metamemory functioning in older adults with prodromal dementia conditions. Therefore, we investigated metamemory accuracy in cognitively healthy older adults (HC) and those with subjective cognitive decline but intact neuropsychological test …

Laughter Therapy And Coping Strategies For Dementia Patient Caregivers, Edith Ugwu

Walden Dissertations and Doctoral Studies

The purpose of this research was to address a gap in the literature concerning the experiences of dementia caregivers who use laughter therapy as a coping strategy to manage their caregiving stress. Dementia caregiving involves high levels of stress, depression, and anxiety, which can cause both psychological and physical health problems for caregivers. It is, therefore, critical to identify effective coping strategies to mitigate caregiving stress. Laughter therapy is an inexpensive and readily available coping strategy that can help manage this stress. The current study used a phenomenological qualitative approach to address the research question. The transactional model of stress …

Assessing Preferences For Montessori-Based Activities In Persons With Memory Impairment, Katelyn Danielle Smith

All Graduate Theses, Dissertations, and Other Capstone Projects

The population of older adults in the U.S is continuously increasing. With this comes an increased number of individuals with Alzheimer’s or other dementia related disease (ADRD), along with the need for quality care for these individuals. The use of activities to increase engagement has been shown to have a number of psychological benefits, especially when these activities are tailored to the abilities and preferences of the individual. However, individualizing activity programming is not always feasible for activity and care staff. The purpose of this study was to use a stimulus preference assessment to identify Montessori-based activities that persons with …