Digital Commons Network^™

Editorial: Midlife Brain Health: Understanding Brain Aging In Middle-Age And Effects Of Interventions To Prevent Neurodegeneration In Late Life, Junyeon Won, Marissa A. Gogniat, Takuya Kurazumi, Kristy A. Nielson

Psychology Faculty Research and Publications

With the rapid increase in the aging population, the prevalence of age-related neurodegenerative diseases such as Alzheimer's disease (AD) has risen significantly, affecting over 55 million people worldwide in 2023, with projections suggesting this number will exceed 78 million by 2030 (Better, 2023). While much research has been focused on understanding and treating AD in older adults, there is growing emphasis on early interventions to prevent its onset (Crous-Bou et al., 2017; Dohm-Hansen et al., 2024). In this regard, middle-age has gained recognition as a critical period for the development and prevention of AD (Ritchie et al., 2017). For example, …

Alcohol Misuse During The Covid-19 Pandemic: Stressors And Intersectionality Among Latinx Women, Lucas Torres, Alison Cerezo, Isaiah J. Jones, Fiorella L. Carlos Chavez, German Cadenas

Psychology Faculty Research and Publications

Objectives:

The COVID-19 pandemic has exacerbated previously existing disparities and introduced new challenges for individuals living at the intersection of marginalized identities, such as Latinx women. For instance, increases in alcohol use have been noted during the COVID-19 pandemic, yet it is unclear which circumstances experienced are more likely to predict alcohol use among Latinx women.

Method:

The present study sought to identify the profile of intersectional factors, namely immigrant status, socioeconomic standing, and age, and COVID-19 stressors that predicted high or hazardous alcohol use among 1,227 Latinx women living in the United States.

Results:

The main findings, in the …

How Identities Shape Belonging In Occupational Therapy Education: A Phenomenological Exploration Of Student Belonging, Quinn P. Tyminski, Rowhea Elmesky

Journal of Occupational Therapy Education

Belonging is defined in a variety of ways but most often refers to an individual’s feelings of acceptance, inclusion, support, and respect within a certain environment. Belonging is an innate human need and contributes to success in academic and professional settings. Within occupational therapy (OT) education, minimal attention has been paid to the specific concept of belonging with no research focused on long-term qualitative explorations of student belonging for students with historically minoritized identities (HMIs). Thus, the goal of the present study was to better understand how students with multiple HMIs experienced the phenomenon of belonging in OT education. Utilizing …

Improving The Psychosocial Work Environment To Prevent Sickness Absence And Turnover In Nurses: A Systematic Review, Laurent Corthésy-Blondin, Alessia Negrini, Samantha Vila Masse, Christine Genest

Revues de littérature, synthèses de connaissances

In nurses, the high rates of sickness absence (SA) and turnover generate staggering costs. Their prevalence could be reduced by acting on the work-related psychosocial factors (WRPFs) that can impact the mental health of nurses and lead to their absences and departures. However, there is a lack of consensus regarding the effectiveness of interventions that target WRPFs from a SA and turnover prevention perspective. This systematic review aims to identify interventions that target WRPFs to reduce SA and turnover in nurses, describe the methods used to evaluate their effectiveness, and report on their effectiveness at improving SA, turnover rates, and …

Caregiver Training To Enhance Care Interactions With Persons With Neurocognitive Disorders: An Additive Treatement Study, Samantha J. Killian

Master's Theses and Doctoral Dissertations

Persons with neurocognitive disorders (NCD) rely on family and friends to help them with everyday tasks, yet informal caregivers might not be aware of the need to scaffold tasks or know how to maximize the care recipients’ engagement. The current study recruited three men who were full-time family caregivers for women (spouses, their mother). The study assessed the care recipients’ need for scaffolding of instrumental tasks and the caregivers’ perception thereof and then trained the caregivers in task analysis and prompting. An additive treatment design examined the differential effects of a two-part training intervention on caregivers’ perceptions of the need …

Predicting 18-Month M-Chat-R/F With Pediatractmv3.0 Motor And Social/Communication/Cognition Domains, Ryan Krebs

Master's Theses and Doctoral Dissertations

Background. The developmental cascade framework suggests early delays in one system can impact others. Infants born preterm or with autism spectrum disorder (ASD) often show such delays. Methods. The study included 498 infants enrolled in PediaTracTM a novel caregiver-report measure. The convergent validity of PediaTrac with the Ages and Stages Questionnaire (ASQ-3) was examined, along with its ability to predict ASD risk at 18 months using cross-sectional (9- and 12-month) and longitudinal (0–12-month) latent traits of motor (MOT) and social/communication/cognitive (SCG) abilities. Results. Strong convergent validity was found between PediaTrac and ASQ-3 domains at both time points. MOT at 9-months …

Integrated Behavioral Health In Pediatric Primary Care: Identifying Latent Patient Subgroups And Differential Outcomes, Karen Glownia

Master's Theses and Doctoral Dissertations

Fifty percent of children do not receive care for their mental health concerns, while 95% are seen annually within primary care by age 6. Individual, cultural, and systemic barriers limit access to mental health care. Integrating mental health services into primary care has the potential to increase awareness, reduce costs, and decrease stigma. However, integrated primary care often relies on a brief and targeted intervention approach that may not be suitable for all families. Therefore, it is important to examine differential outcomes within this setting. Methods: This study analyzed retrospective data from 3,494 new patient medical records at a large …

The Relationship Between Adverse Childhood Experiences, Parenting Behavior, And Parenting Self-Efficacy In African American Families With Low-Income, Maleek Holmes

Master's Theses and Doctoral Dissertations

Early trauma is linked to adverse adult outcomes, including parenting deficits. While prior research has emphasized specific trauma types and severe parenting deficits, less is known about how cumulative trauma shapes normative parenting behaviors. Parenting self-efficacy (PSE) has been proposed as a potential mechanism linking early adversity to later parenting practices, though under-researched. This study examined the relationships between adverse childhood experiences (ACEs), PSE, and positive parenting behaviors in a sample of 56 caregivers of preschool-aged children enrolled in Head Start. PSE was significantly associated with greater use of limit-setting, positive behavior support, and proactive parenting strategies, reinforcing its role …

Exploring Stress, Fatigue, Burnout, And Resilience Among Healthcare Personnel In Southeast Asia: A Scoping Review, Kelsey Trulik, Vijaya Arun Kumar, Wendy Wu, Muralidhar Varma, Mauli M. Patel, Kajol Manglani, Trini A. Mathew

Global Health Research Collaborative

This study aims to compare methods used to measure burnout, fatigue, stress, and resilience, as well as resilience-building interventions among healthcare personnel (HCP) in Southeast Asia. Even before COVID-19, HCP faced high levels of burnout and stress, exacerbated by the pandemic. Identifying effective resilience-building strategies is essential to supporting a healthier workforce. Studies published from January 2016 to December 2021 focusing on burnout, stress, fatigue, and resilience in HCP in Southeast Asia. A comprehensive literature search of seven databases (Jan 2016-Dec 2021), using terms related to resilience, HCP, and Southeastern Asian countries identified relevant English-language studies. COVIDENCE software was used …

Effects Of Teacher Reinforcements On Student Outcomes In Adapted Physical Education: A Systematic Review, Juliana Jamison-Espinoza

Cal Poly Humboldt theses and projects

This systematic review examined the effectiveness of various reinforcement strategies on student outcomes in adapted physical education (APE) settings for individuals with disabilities. A comprehensive literature search spanning from 1979 to 2024 across six databases identified 18 studies meeting inclusion criteria, involving 140 participants aged 3–22 with diverse physical and cognitive disabilities. Reinforcement strategies evaluated included token economies, verbal praise, tangible rewards, and alternative techniques such as video modeling and peer-mediated interventions. Outcomes measured were categorized into affective states, behavioral improvements, and cognitive gains. Results showed mixed effectiveness across studies: while 7 of the 18 studies reported significant improvements in …

Contributions Of Birthing People’S Prenatal Parasympathetic Nervous System Functioning And Postnatal Sensitivity On Infant Temperament, Amanda M. Flagg

Electronic Theses & Dissertations (2024 - present)

Grounded in developmental psychobiology, this research aimed to elucidate how birthing people’s physiological regulation during pregnancy may shape the early emergence of socioemotional development in early infancy. The present study examined how birthing people’s prenatal parasympathetic nervous system (PNS) activity, specifically baseline high-frequency heart rate variability (HF-HRV) and HF-HRV withdrawal, and postnatal sensitivity contributes to infant temperamental reactivity at six months of age. The study aimed to clarify early developmental mechanisms through which birthing people’s PNS shapes emerging infant temperament. Data were drawn from a longitudinal cohort of Black and African American birthing people, a population underrepresented in psychophysiological research, …

Age-Of-Acquisition (Aoa) Effects Reflect An Orthographic Processing Advantage For Early-Acquired Words, Madison L. Martell

Electronic Theses & Dissertations (2024 - present)

Age-of-acquisition (AoA) effects, the processing advantage for words learned early in life, are well-documented across various tasks. While various theories attempt to explain these effects, the underlying mechanisms remain debated. This dissertation examined the role of orthographic processing in AoA effects through three experiments emphasizing orthographic rather than semantic processing. In Experiment 1, participants completed an eye-tracking and proofreading task to detect spelling errors in sentences containing early- versus late-acquired words, followed by a spelling dictation task to assess individual differences in spelling ability. Experiment 2 employed a spelling dictation task to test whether early-acquired words show better spelling accuracy …

A Story Of Oppression A Psychological And Creative Approach, Juan R. Morillo

Honors Undergraduate Theses

The aim of this project is to survey the manner in which oppression is expressed in selected works of literature. It is a topic that not only am I familiar with through my studies of literature and psychology, but one that I, as well as every Venezuelan expatriate has witnessed and felt for their country. The project focuses on social and political oppression, using the current Venezuelan crisis as a focal point, and selected literary sources as a framework. I will analyze dystopian classics such as George Orwell's 1984 and Ray Bradbury’s Fahrenheit 451, as well as Margaret Atwood’s The …

Self-Awareness And Self-Efficacy In The Novice Professional Phase Of Marriage And Family Therapists After Person Of The Therapist Training, A Comparative Survey, Rubio Betsabé

Dissertations

The study focuses on examining the influence of person-of-the-therapist or self-of-the-therapist training on therapists’ self-reports of self-awareness (as a conscious awareness of one’s internal states and interactions with others) and self-efficacy (perceived beliefs in personal capabilities to perform in ways that give control over events that affect their lives) at the novice professional stage of their career. The study will examine the experiences reported by mental health providers actively providing clinical care by utilizing a survey design focusing on person of the therapist connecting through alumni lists and online solicitation. This research adds to the current literature by using a …

What Works In Telehealth Play Therapy? An Appreciative Heuristic Inquiry, Veronica Ann Ball

Dissertations

With the onset of coronavirus disease 2019 (COVID-19) in the United States in March 2020 (World Health Organization, 2020), professional counselors providing traditional in-person play therapy found themselves in a quandary regarding the delivery of services during a global pandemic (Evans, 2022; Mitchell, 2020; Whaibeh et al., 2020). Online counseling proffered a means to prevent the disruption of services, respond to the need for emerging counseling services, and comply with social restrictions (Evans, 2022). Prior to the pandemic, telehealth play therapy was used sparingly (Haslam & Harris, 2011; Smith et al., 2021), and many child-serving mental health professionals lacked training …

What About The Children? An Exploration Of Family Counselors' Play Therapy Training And Preparedness To Integrate Children Into Family Counseling, Patricia J. Walker Monical

Dissertations

Children are an important part of families, yet family counselor education programs often do not incorporate training for including children in family counseling. At some point in their careers, family counselors and therapists will encounter clients who have children 3–12 years old. The problem is that since these professionals often receive little to no training in play therapy and thus do not typically include young children in family therapy, these younger family members are often overlooked. Research has confirmed that, due to a lack of sufficient training and supervision in play therapy, many family therapists report feeling unprepared to work …

Facing The Tension: A Grounded Theory Of Perceptions Of Bias, Cultural Responsiveness, And Social Justice Advocacy Among Forensic Evaluators, Magen M. Hauser

Antioch University Dissertations & Theses

Forensic psychologists are held to culturally responsive standards by the American Psychological Association, which reflect the latest research calling for professionals to acknowledge and reflect on power, privilege, and biases within themselves, their practice, and other elements of their work. However, forensic psychology has not kept pace with this movement. Additionally, the credibility and livelihood of forensic evaluators and their professional judgments rely on their ability to be as objective and unbiased as possible. Often, the idea of focusing on one’s own identities and biases as the evaluator is conflated with a lack of objectivity. This perceived conflict of expectations …

Relating To Pain: Attachment As A Framework For Understanding Chronic Pain, Katie H. Brenner

Antioch University Dissertations & Theses

Despite contemporary Western healthcare’s emphasis on the biopsychosocial model of illness, there has been relatively limited attention given to the way that attachment relationships, as part of the social sphere of the model, impact individuals’ chronic pain experiences and management. Attachment influences help-seeking behaviors, sense of self-efficacy, coping skills, and communication abilities, all of which are implicated in pain experience and management. As such, this dissertation examines the question: Do attachment experiences influence how individuals perceive and manage chronic pain? This study expands on the existing research by conceptualizing attachment as a fluid experience that varies across relationships and circumstances, …

Caretaker Of Captors: The Experience Of Role Conflict Among State Correctional Officers, Camille M. Botticelli-Pohl

Antioch University Dissertations & Theses

A variety of policies at the national level over the last 70 years have resulted in the mass incarceration of various marginalized populations, inclusive of individuals with mental health problems or severe mental illness. Although Constitutional mandates require that psychology staff be available at all state and federal facilities, these providers spend a fraction of the time with incarcerated people than correctional officers do. Correctional officers seem to play an important, if often overlooked, supporting role in the management of the day-to-day lives of people in custody, including elements of their mental health care. They are also, theoretically, tasked with …

Exploring Help-Seeking Experiences And Barriers Of Ethnic And Racially Marginalized Individuals With Ocd In The United States, Nayara Aparecida Da Costa Silva Beall

Antioch University Dissertations & Theses

This qualitative study explored the help-seeking experiences and barriers of ethnic and racially marginalized individuals with OCD living in the United States through a sociocultural model of OCD. Participants included eight adults who self-identified as members of a racial or ethnic marginalized group and with an OCD diagnosis. Individual interviews were conducted to gain an in-depth understanding of participants’ experiences and data was analyzed using a thematic analysis approach. Five themes emerged from the analysis: (1) OCD Emergence, (2) Barriers to Getting Help with OCD, (3) Desire for Help, (4) Ongoing Challenges with OCD, and (5) The Importance of Finding …

Home-Based Transcranial Direct Current Stimulation Treatment For Major Depressive Disorder: A Fully Remote Phase 2 Randomized Sham-Controlled Trial, Rachel D Woodham, Sudhakar Selvaraj, Nahed Lajmi, Harriet Hobday, Gabrielle Sheehan, Ali-Reza Ghazi-Noori, Peter J Lagerberg, Maheen Rizvi, Sarah S Kwon, Paulette Orhii, David Maislin, Lucia Hernandez, Rodrigo Machado-Vieira, Jair C Soares, Allan H Young, Cynthia H Y Fu

Faculty, Staff and Student Publications

Transcranial direct current stimulation (tDCS) has been proposed as a new treatment in major depressive disorder (MDD). This is a fully remote, multisite, double-blind, placebo-controlled, randomized superiority trial of 10-week home-based tDCS in MDD. Participants were 18 years or older, with MDD in current depressive episode of at least moderate severity as measured using the Hamilton Depression Rating Scale (mean = 19.07 ± 2.73). A total of 174 participants (120 women, 54 men) were randomized to active (n = 87, mean age = 37.09 ± 11.14 years) or sham (n = 87, mean age = 38.32 ± 10.92 …

Journey To Well-Being: An Exploration Of Thrivership Post-Domestic Violence, Kader Gumus

Antioch University Dissertations & Theses

Domestic violence profoundly affects multiple facets of a survivor’s life. While most existing literature on survivorship addresses the immediate aftermath of domestic violence, this study delves into the extended process following the trauma of abuse to attain “thrivership,” a new concept in the scholarly and practice literature that emphasizes enduring well-being and flourishing. This dissertation examines the journeys from surviving to thriving for 13 women who transformed themselves and their lives to achieve well-being after traumatic domestic violence. Bronfenbrenner’s ecological systems theory was applied to examine the multiple layers of environmental influences on an individual’s development, including the micro, meso, …

Scrupulosity: A Comprehensive Review Of The Research, Julie M. Painley

Antioch University Dissertations & Theses

This dissertation presents a comprehensive analysis of the current research on scrupulosity, a subtype of obsessive–compulsive disorder (OCD) characterized by intrusive thoughts and compulsive behaviors related to religious and moral concerns. The dissertation identifies key similarities and differences from OCD, and directs focus to thematically related yet unsubstantiated theoretical work in psychology that helps elucidate the core features and etiological factors of scrupulosity as differentiated from other OCD subtypes. The study addresses the critical dearth of research on scrupulosity, aiming to fill significant gaps in the literature regarding its historical context, varied presentation and prevalence in different cultural contexts, and …

Stigma Of Obesity And Healthcare Utilization, Moya A. O'Leary

Antioch University Dissertations & Theses

The impact of personal factors on healthcare utilization is an essential area of research to improve overall health outcomes among the population. This study explored the relationship between perceived stigma and healthcare avoidance among men and evaluated the relationship between self-reported body mass index (BMI) and avoidance of healthcare appointments due to weight-related stigma and other reasons. This study found no significant relationship between BMI and avoidance of preventive medical appointments due to perceived stigma. However, men from all weight categories endorsed avoiding preventive healthcare appointments due to weight-related reasons and for other reasons. This study explored the reported reasons …

Weaving Threads Of Identity: A Qualitative Study On Reconnecting Indigenous Folx, Rachael L. Fuller

Antioch University Dissertations & Theses

This research is a qualitative phenomenological inquiry into reconnecting Indigenous participants’ experiences in how they navigate and integrate their cultural heritage, identity, and intergenerational experiences to shape their present and future lives. Previous literature examines characterizing Indigeneity, navigating multiple spaces, and culture as wellness. Rooted in Tribal Critical Race Theory, semi-structured interviews were conducted with nine participants who self-identified as Indigenous. A thematic analysis highlighted six themes of reconnection: a) oppression, b) ancestors, c) belonging, d) barriers to reconnection, e) learning, and f) connection with community. This research makes a contribution to the growing Indigenous identity literature by providing an …

Psychological Techniques For Athletes With Orthopedic Musculoskeletal Injuries: A Systematic Review, Nicole L. Williams

Antioch University Dissertations & Theses

Musculoskeletal injuries and recovery from them play a vital role in both the physical and psychological wellbeing of the public. Existing research has been conducted primarily within the athlete population with rehabilitation from these injuries having a profound impact on the physical and mental health. One of the most frequent psychological responses related to sports injuries is a trauma response, which has been shown to hinder the rehabilitation process and to increase the likelihood for reinjury upon return to play. Embedded within the many inputs to trauma responses to these injuries are psychological distress reactions, in particular fear connected to …

Post-Migration Living Distress And Suicidal Behavior In Refugee Populations Resettled In Vermont, Phoebe K. Lewis

Antioch University Dissertations & Theses

The study of refugee psychology and suicidal distress is a comparatively nascent field when compared with the body of research concerning non-refugee populations. Over the past fifty years, however, the post-migration refugee experience has been the subject of growing clinical interest. In particular, the construct of post-migration living distress (PMLD) has been identified as a salient factor contributing to psychological distress in refugee populations. This dissertation explores the relationship between PMLD and suicidality in a sample of refugees resettled in a New England city. Guided by the Interpersonal Theory of Suicide (IPTS), this dissertation considers how elements of the post-migration …

The Importance Of Accessibility, Self-Advocacy, And Affirming Care: An Interpretive Phenomenological Analysis Of Transgender And Gender Diverse Older Adults’ Primary Care Experiences, Jason Vaught

Antioch University Dissertations & Theses

The present study explored the lived experiences of Transgender and Gender Diverse (TGD) older adults when receiving primary care. The methodology utilized for this study was Interpretive Phenomenological Analysis (IPA). Three participants completed individual, semi-structured interviews. The themes that emerged included “Lack of Accessibility to Services,” “Need for Self-Advocacy,” and “Value of Affirming Care from Providers.” These results illustrated the multifarious needs that arise for TGD older adults when accessing primary care. The findings provided recommendations for healthcare organizations, primary care physicians, and other healthcare professionals. Specifically, the recommendations emphasized two key practices for physicians treating TGD older adults: (1) …

Exploring The Lived Experience Of Grief In Adults With Attention Deficit Hyperactivity Disorder, Martina Bauer

Antioch University Dissertations & Theses

The purpose of this phenomenological descriptive-interpretive study was to understand the lived experience of maintaining attention to one’s responsibilities while grieving among adults diagnosed with ADHD who have recently experienced bereavement in the United States. The population for this study included adults aged 18 and over who had experienced the loss of a loved one in the past 5 years and had a current diagnosis of ADHD. Participants were recruited using a sample of convenience via social media, email, and flyers, employing a snowball sampling technique. There were eight participants who met the inclusion criteria and participated in a semi-structured …

Start From Zero: Reimagining Creative Arts Therapy Education In An International Context, Ling Cheun Bianca Lee

Antioch University Dissertations & Theses

This qualitative dissertation examines how Hong Kong-based art therapists trained in Western graduate programs adapt their educations to the cultural, institutional, and sociopolitical realities of their local contexts. Using photovoice methodology informed by decolonial, liberatory, and trauma-informed frameworks—referred to as stir fry praxis—the study centers the experiences of 11 participants navigating professional reentry, identity formation, and systemic constraints. Seven interrelated themes emerged: The evolving and precarious landscape of art therapy in Hong Kong; the dual role of practitioners as therapists and educators; the impact of sociopolitical forces, including self-censorship and limited access to care; the limitations of Western-centric education; grassroots …