Digital Commons Network^™

Changes In Physical Activity And Sleep In Relation To Reductions In Body Weight And Cholesterol Levels Among Adults With Ptsd, Jeffery Kibler, Karla Patricia Molina Valenzuela, Shalynn Murphy, Claudia Ocholski, Valeria Rangel Cunha, Dania Dabbagh, Blaise Desautels, Alexis B. Tola, Mindy Ma

Faculty Articles

There is evidence of strong relationships between posttraumatic stress and cardiovascular disease (CVD) risk. Interventions focused on healthy behaviors may promote CVD risk-reduction in posttraumatic stress disorder (PTSD). The present study includes analysis of the associations among key outcomes from an intervention study of a cognitive behavioral healthy lifestyle intervention in PTSD, treated as an adjunct to standard trauma therapy. Specifically, we examined whether changes in physical activity and sleep efficiency were associated with changes in body weight and cholesterol. The health behavior intervention is conducted in 12 weekly sessions and includes four overlapping modules (physical activity, nutrition, sleep, and …

Gene-Environment Interactions In Cardiovascular Aging: Volunteering, Polygenic Risk, And Biomarker Change In European And African Ancestry Populations, Seoyoun Kim, Byeongju Ryu, Erin Ware, Koichiro Shiba, Cal J. Halvorsen

Brown School Faculty Publications

Volunteering has been associated with better cardiovascular health, but whether this association varies by genetic susceptibility to cardiovascular disease remains unclear. This study examined associations between volunteering and cardiovascular biomarkers, assessed associations between biomarker-specific polygenic scores (PGSs) and these outcomes, and tested whether polygenic risk moderated volunteering–biomarker associations among U.S. adults aged 51 years and older.

Home, Neighborhood, And Community Environments And Social Isolation In Later Life: Joint Associations And Their Moderation By Life-Course Socioeconomic Mobility, Jeein Law

Graduate Doctoral Dissertations

Social isolation is a major public health concern among older adults, yet less is known about how multilevel residential environments shape isolation among those aging in place. Guided by the Socio-Ecological Model, Person–Environment Fit, and a life-course perspective, this dissertation examined whether micro-level home hazards, meso-level neighborhood social cohesion and physical disorder, and macro-level census-tract structural conditions were associated with social isolation. It also examined whether life-course socioeconomic mobility moderated the associations between home and neighborhood environments and social isolation.

This dissertation used two nationally representative longitudinal studies of U.S. older adults. Aims 1 and 2 used the National Health …

Chronological Intersectionality: Navigating Off-Time Career Reinvention For Women At Midlife And Beyond, Sara W. Bailey

Adultspan Journal

Counselors are trained to anticipate on-time retirement-linked risks but increasingly are serving women pursuing off-time midlife career reinvention within ageist, sexist, racist, and ableist systems of power. Grounded in the author’s personal narrative, this perspective article highlights the compounded burdens of gendered ageism, biopsychosocial aging, and non-prototypical professional acceleration for midlife women. Built upon Crenshaw’s (1989) framework, chronological intersectionality is introduced as a way for counselors to conceptualize the concurrent biopsychosocial and systemic pressures and marginalization that can occur when age-expected norms collide with career changes for midlife women. Implications for clinical practice are described.

Establishing And Validating Foundational Competencies In The Application Of Behavioral Gerontology Through Expert Consensus, Alexandra Doran

Dissertations

Behavioral gerontology continues to evolve and grow as an application of behavior analysis, but there remains a critical need to define competencies necessary for behavior analysts to provide ethical, effective care within their scope of competence. This study sought to establish and validate foundational competencies for Board Certified Behavior Analyst s® (BCBA s® ) working in this area. A mixed-methods design using three experiments was used. In Experiment 1, a review of discipline-specific competency frameworks and a job mapping process yielded a preliminary set of behavior-analytic competencies for behavioral gerontology. This produced a preliminary framework consisting of 142 competencies. Experiment …

How Psychological Capital Promotes Student Flourishing: Mediating Effects Of Career Adaptability And Study Engagement, Sana Nisar, Adnan Adil, Sultan Shujja, Samina Rashid

Journal of Social, Behavioral, and Health Sciences

In today’s rapidly evolving academic and occupational landscape, understanding the psychological resources that support student well-being is critical. This study investigates the predictive role of academic psychological capital (PsyCap) in fostering flourishing among Pakistani university undergraduates, specifically identifying the mediating mechanisms of career adaptability and study engagement. Grounded in career construction theory and the JD-R model, the research contributes to theory by positioning PsyCap as a key personal resource that facilitates adaptive capacity and meaningful engagement. Data from 350 undergraduates in public-sector universities were analyzed using path analysis. Results revealed that PsyCap significantly predicted flourishing (β = .35, p …

The Health And Well-Being Of Grandparents Who Report Major Responsibilities For Grandchildren: Perceived Physical Health, Depressive Affect, And Life Satisfaction, Tze-Li Hsu Phd, Patricia Drentea Phd

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

This study examines how grandparents who report major responsibilities for their grandchildren experience perceived physical health, depressive affect, and life satisfaction compared to grandparents who do not report these responsibilities. Using data from the third wave of MIDUS (2013–2014), a nationally representative dataset focused on mid to later life (n = 1,819), we analyzed a sample of grandparents. Ordered logistic regression was used for perceived physical health, and ordinary least squares (OLS) regression was used for depressive symptoms and life satisfaction. Results indicate that grandparents with caregiving responsibilities are more likely to be women, non-White, and have lower incomes and …

Equine-Assisted Therapy For Dementia: A Pilot Rct On Standardizing Sessions To Improve Cognition, Mood, And Quality Of Life, Madeline Alford, Maria Dos Prazeres Da Silva Gonçalves Dr., Maria Manuela Da Silva Leite Dr.

People and Animals: The International Journal of Research and Practice

Objectives: This study aimed to evaluate the effects of incorporating equine-assisted therapy (EAT) into memory workshops for older adults with mild to moderate dementia. EAT is hypothesized to enhance cognitive function, promote physical activity, and improve mood through multisensory experiences. To ensure consistency and replicability, a standardized 8-session cognitive stimulation therapy (CST) protocol was developed, structuring interventions across cognitive, emotional, and motor domains.

Methods: A 3-arm, parallel-group, randomized controlled trial (ClinicalTrials .gov: NCT06662578) was conducted with 36 older adults diagnosed with mild to moderate dementia. Participants were randomly assigned to one of three groups: equine-assisted therapy workshop (EATW), traditional …

Fostering Developmentally Nurturant Relationships To Promote Character And Thriving: Perspectives Of Program Practitioners In Rural South Africa, Jonathan M. Tirrell, Alexa Hasse, Margaret Mackin, Elizabeth Dowling, Kirsten Olander, Roya Abbasi-Asl, Katherine Mcconnel, Thobeka Kwela, Raah Msimango, Justine Mccarthy-Martin, Tyler Howard, Angela Larkan, Richard Lerner

Journal of Youth Development

Developmentally nurturant relationships are fundamental to enabling children to thrive across contexts, including homes, schools, and communities. Such relationships are also a central feature of effective positive youth development (PYD) programming. As strengths-based PYD programs are increasingly being adopted in majority-world countries, a better understanding of how to foster and promote developmentally nurturant relationships is needed. As part of the Thanda Study of Character and Health, we interviewed 15 program practitioners about their understandings of and approaches to fostering developmentally nurturant relationships with children enrolled in Thanda programs in rural KwaZulu-Natal, South Africa. Phenomenological analysis indicated that practitioners’ understanding of …

Analyzing The Impact: Foster Grandparent Program, Shanetta Weatherspoon, Miyue Chen, Monica Pereda

The Scholarship Without Borders Journal

The Foster Grandparent Program (FGP) is a multigenerational approach to community volunteerism. The study uses intergenerational solidarity to conceptualize the impact of the FGP. The study aims to examine the impact of two dimensions by analyzing data from the Assignment Assessment Forms and the New General Self-Efficacy Scale. Paired t-tests were conducted to determine whether there is a difference in the mentees’ behavior pre- and post-intervention over four years and by way of three priority areas. Results indicated that the FGP has an impact on both the mentees and volunteers. Findings suggest that the program’s activities are the vehicle for …

Dance/Movement Therapy As A Person-Centered Treatment For Alzheimer’S Disease And Dementia Through Physical, Social, And Sensory Elements: A Literature Review, Margaret Carson Thatcher

Expressive Therapies Theses

This thesis explores the use of dance/movement therapy as treatment for Alzheimer’s disease and dementia. The literature review covers dementia, Alzheimer’s disease, current and emerging approaches to treatment for Alzheimer’s disease, dance/movement therapy, and dance/movement therapy for individuals with dementia. The theme of dance/movement therapy as a person- centered treatment for Alzheimer’s disease and dementia is explored. The efficacy and outcomes of dance/movement therapy with the population are examined. Key components of dance/movement therapy with this population emerged. These elements, social, physical, and sensory, are described and connected to person-centered outcomes for treatment. Applications for treatment of Alzheimer’s disease and …

The Use Of Video Modeling With Older Learners With Autism Spectrum Disorder To Increase Adl Skill Acquisition: A Systematic Review, Marianne Feliciano

Seton Hall University Dissertations and Theses (ETDs)

Autism spectrum disorder (ASD) is a lifelong condition that can significantly impact functional independence across the lifespan. Although video modeling is an evidence-based intervention shown to improve adaptive and daily living skills in children and young adults with ASD, its effectiveness for adults aged 40 years and older remains unclear. This systematic review examined the existing literature on the use of video modeling to increase daily living (ADL) skills and independence among older adults with ASD. A systematic review of PsychINFO via EBSCO was conducted according to PRISMA guidelines. Of 578 records initially identified, 20 full-text articles were assessed for …

Perceived Parental Favoritism And Disfavoritism: Associations With Depression And Entitlement In College Students, Emma S. Hren

Senior Honors Projects, 2020-current

Research consistently shows that children’s perceptions of differential treatment can have negative and lasting impacts on their well-being. Suitor and colleagues (2017) examined perceptions of favoritism among adult children in the form of emotional closeness, disappointment, conflict, and pride. The current study builds upon prior research by adding fathers, entitlement, and dimensions of practical and financial help. At James Madison University, 235 undergraduate students completed an online survey, which measured depression, entitlement, and social comparison in relation to perceptions of parental treatment. Results indicated associations between perceptions of differential parenting across emotional closeness, disappointment, conflict, pride, and financial and practical …

Depersonalization/Derealization Symptoms And Their Association With Relationship Functioning In College Students, Edgar Silva

University Honors Program Senior Projects

Depersonalization/derealization disorder (DPDR) is a dissociative condition marked by persistent feelings of detachment from one’s thoughts, body, or external environment. Although DPDR most commonly emerges during late adolescence and early adulthood, it remains relatively understudied within college student populations, despite its potential consequences for psychological well-being and interpersonal functioning. The present study examines the association between depersonalization/derealization symptoms, mental health, and relationship functioning among university students. Specifically, this research investigates whether students reporting higher levels of depersonalization/ derealization symptoms differ from those with lower symptom levels in depression, anxiety, stress, and perceived social support. Participants will be undergraduate students recruited …

Building Resilience: How Protective Factors Mitigate Acculturative Stress In The Latinx Immigrant Community, Andres I. Delgado, Jamie Tierrablanca

Electronic Theses, Projects, and Dissertations

This literature underscores the vital role of protective factors in reducing

acculturative stress among Latinx immigrants. Key factors such as social

support, religious affiliation, familism, and physical activity help contribute to

mitigating the negative effects of acculturation. The Latinx community can

significantly benefit from integrative, culturally responsive interventions informed

by social work frameworks such as ecosystems theory and critical race theory

(CRT) as they are essential in addressing the mental health needs of this

population. Despite existing research, gaps remain in understanding the full

scope of the Latinx immigrant experience, suggesting a need for further

exploration. The expected findings will …

Exploring The Lived Experiences Within The First Two Years After Gray Divorce Among Middle-Aged Adults, April R. Hill

Doctoral Dissertations and Projects

The purpose of this research was to explore the lived experiences within the first two years after gray divorce among middle-aged adults. Historically, the research has focused on young adults who have experienced divorce, with limited data on middle-aged adults divorcing after being married for at least a couple of decades. Utilizing the suggestion by Polkinghorne, phenomenological researchers conduct interviews with 5 to 25 participants who have gone through the same phenomenon. Thus, this researcher interviewed 14 participants, reaching saturation. These participants were operationally defined as middle-aged adults who have had recently divorced after 20+ years of marriage. This study …

The Effects Of Visual Supports On The Acquisition Of Guitar Chords, Cole S. Jahna

Thesis Projects

There is a current literature gap in applied behavior analysis (ABA) and music-based leisure activities. This study utilized a multiple-probe design to evaluate the effects of visual supports on the guitar fretboard combined with behavioral skills training (BST) to teach correct strumming and finger placement of three guitar chords (i.e., E, C, and G) to a neurodivergent adult. By using a task analysis, the strum and each individual finger placement were scored as correct or incorrect during each chord trial. Three chords that were under 50% accuracy in baseline were selected for the intervention. The intervention was introduced sequentially to …

Creative Engagement For Community Through The Life-Span, D. Nicole English, Pelgy Vaz

SACAD: Scholarly Activities

Creative Engagement for Community Through the Life-Span

Creative Engagement includes crafts, cultural practices, expressive arts, and activities that bring people together. Having access to such activities enables people to develop healthy habits, social interactions, and build community that can sustain one throughout the lifespan. On-going research indicates that Creative Engagement Activities, and the Communities of Practice that build around them, benefit people throughout the life-span, but become particularly important to older adults, by building resilience and social connections, in the face of inevitable life losses.

https://youtu.be/r3JS5YP-MnM

Intergenerational Apologetics: A Strategy For Careful Confidence, Thomas C. Farley

Doctoral Dissertations and Projects

There is a subtle confusion between the objectives of evangelism and apologetics, leaving Open Door Baptist Church (ODBC) seniors unknowingly ill-equipped and intimidated to defend their Christian values. The purpose of this Doctor of Ministry research was to address that intimidation by training seniors in a dedicated faith-values curriculum to become confident apologetic communicators. The intervention leveraged the process of intergenerational values-sharing while training stakeholders to develop their own faith narratives by seamlessly integrating biblical values with relevant apologetic particulars into personal stories to be shared with their grandchildren. In this environment, participants could develop a personal faith narrative that …

Navigating End-Of-Life Decisions: Cultural Considerations For Latine Patients, Michelle Carbajal Hernandez

Honors Capstones

Healthcare professionals face many challenges when communicating terminal illness prognoses for individuals. This responsibility to address a terminal prognosis is further complicated when communicating with Latine patients who may face multiple barriers within the healthcare system and whose cultural preferences influence end-of-life care planning (Carrion, 2010). For example, Latines are less likely to enroll in end-of-life (EOL) care services (e.g., hospice) (Barragan-Carrillo et al., 2022). As well as engage in end-of-life care planning than White Non-Latines (Shen et al., 2016). To understand this hesitancy towards EOL care options, this literature review aims to explore how terminally ill Latine and …

From Strain To Strength: A Narrative Review Of Wellness Dimensions In Caregiving, Valerie Perkoski

Developmental Disabilities Network Journal

This narrative review investigates the positive aspects of being a family caregiver for individuals with developmental disabilities (DDs) using the National Wellness Institute’s Six Dimensions of Wellness (Emotional, Physical, Intellectual, Occupational, Spiritual, and Social). While much research has traditionally focused on “caregiver burden,” this review highlights the often-overlooked beneficial outcomes of caregiving. Emotional wellness is enhanced through gratitude and resilience. Physical wellness is discussed through interventions like physical activity, which can reduce caregiver distress. Intellectual wellness emphasizes personal growth and self-actualization, helping caregivers find fulfillment in their roles. Occupational wellness shows that employment and community engagement can reduce anxiety among …

Daily Coping Strategies, Unmet Needs And Daily Health Outcomes Among Family Caregivers Of Persons Living With Alzheimer's Disease And Related Dementias, Henrietta Armah Bennett

ETDs from 2020-2029

Providing care for an individual with Alzheimer’s Disease and Related Dementias (ADRD) is considered the most stressful type of family caregiving that impacts caregivers’ health. More than one in five ADRD family caregivers report their overall health as poor to fair. These adverse health outcomes are often exacerbated when caregivers’ emotional, informational, and practical needs remain unmet throughout the caregiving trajectory. Numerous studies have shown that the ways in which caregivers cope to caregiving-related stressors significantly shape their health outcomes. Despite this evidence, a clear and consistent understanding of caregivers’ own appraisals of their unmet needs, coping strategies and mental …

Gardening As A Psychosocial Well-Being Activity For Adults: Integrating Eco-Wellness And Developmental Theory, Christopher T. Belser, Helene Tavormina, Ann O'Hanlon

Adultspan Journal

Prior research has demonstrated the myriad of benefits that gardening can offer individuals, ranging from physical, mental, emotional, and social benefits. Though the counseling literature has begun to address the nature-wellness connection via EcoWellness theory (Reese & Myers, 2012), little attention has been paid to the benefits of gardening as a psychosocial well-being activity for adult populations. In this manuscript, authors offer a conceptual framework built on EcoWellness theory, psychosocial development theory, life-span, life-space career theory, and selection, optimization, and compensation theory that contextualizes gardening as a beneficial activity for young adults, middle adults, and older adults. Authors present specific …

Happiest People On Earth? A Look Into The Personality Traits Of Disney Adults, Brittannee Mahoney

Doctor of Psychology (PsyD)

The present study examined the personality traits of individuals who identify themselves as “Disney adults” and explored patterns of Disney-related engagement through a newly developed Disney Engagement Scale (DES). Personality traits have a history of being used in many capacities to identify themes within a population. As the Disney adult population grows larger, the opportunity for research increases. In popular media, Disney adults have frequently been shamed for their engagement with the company. The premise of the Disney experience is based on nostalgia, play and cheer. Further, holistic health benefits of nostalgia, playfulness and cheerfulness in adults can be found …

Nature-Based Approaches To Dementia, Cognitive Impairment, And Caregiver Well-Being: A Scoping Review Of Gardening And Therapeutic Strategies, Mary Dioise Ramos, Marcy Purnell, Jolie Harris, Gloria Giarratano

School of Nursing Faculty Publications

Background: Dementia is a growing global health concern, with behavioral and psychological symptoms (BPSD) contributing significantly to diminished quality of life and caregiver burden. Non-pharmacological interventions, such as gardening and nature-based therapies, are increasingly recognized for their therapeutic potential. Objectives: This scoping review aimed to: (1) map existing evidence on gardening and garden-based interventions for individuals with dementia; (2) assess impacts on caregivers; (3) identify mechanisms of benefit; and (4) summarize effective design and implementation strategies. Methods: Following Joanna Briggs Institute methodology and PRISMA-ScR guidelines, a comprehensive search was conducted across five databases. Studies were screened using Covidence. Inclusion criteria …

Fear Of Falling: A Collaborative Approach To Treatment, Alexandra Uhren, Celeste Delap, Kate Jansen

Journal of Interprofessional Practice and Collaboration

Purpose: Physical Therapy (PT) and Behavioral Health (BH) often overlap in patient care; however, collaborative treatment is always not utilized by providers. This case study details the interdisciplinary treatment of a 69-year-old female with a fear of falling; emphasizing the importance of interprofessional collaborative care in treating Fear of Falling (FOF) in individuals at risk for fall-related injury with Cognitive Behavioral Therapy (CBT) and PT interventions.

Problem: FOF is common among older adults and can result in physical, psychological, and social consequences (Lee & Tak, 2023; MacKay et al., 2021). Patients at risk of fall-related injury experience decreased self-confidence in …

Practical Considerations For Conducting Canine Behavioral Science, Lucrezia Lonardo, Madeline H. Pelgrim, Jeffrey R. Stevens

Jeffrey Stevens Publications

Research on behavior in domestic dogs (Canis familiaris) has increased rapidly recently due to the interest in them as pets, working dogs, and model species for understanding evolution, domestication, and even human health. This interest in canine behavioral science has resulted in the creation of dozens of dog lab worldwide, with more starting every year. Our aim here is to review practical issues that potential dog researchers might consider when deciding how to set up a dog lab and conduct research in canine behavioral science. We hope that this can offer a path forward in promoting high-quality, cutting-edge …

Mild Cognitive Impairment (Mci) And Exceptional Parental Longevity: A Retrospective, Longitudinal Approach, Deepak Seshadri M.S.

Selected Full Text Dissertations, 2011-

The specific determinants and mechanisms of genetic longevity are an intriguing area of research. There is evidence to show that longevity and associated phenotypes of successful aging are partially determined by genetic factors (Adams et al. 2008; Barzilai et al. 2006; Barzilai et al. 2003; Murabito et al. 2013; Newman et al. 2011). Further research shows that offspring of parents with exceptional longevity (OPEL) may age more successfully and be protected from age related decline than the offspring of parents with usual survival (OPUS) (Ayers et al. 2014; Barzilai et al. 2006; Barzilai et al. 2003). Studies demonstrated an inverse …

A Wellness Approach To Aging, Retirement, And Suicide Risk: Gerontological Considerations, Seth T. Robinson, Derek J. Lee

Adultspan Journal

Suicide risk in older adulthood represents complex interactions between developmental transitions; changing social contexts; and interactions between ecological context and individual perceptions of belongingness, burdensomeness, and hope. This paper presents an integrative,developmentally appropriate framework for conceptualizing and addressing suicide risk in older adulthood, which is grounded in the Indivisible Self model of wellness. Drawing on current empirical knowledge of wellness, suicidality, and older adulthood, this paper presents risk and protective factors associated with older adulthood through life transitions, changing social contexts, and other relevant factors. We present a novel integration of suicide intervention, wellness, and holistic care as a suitable …

Retirement As A Psychosocial Transition: A Social Determinants Of Mental Health Framework For Counseling Practice, Janelle L. Jones, Lauren Robins, Melanie Calhoun, Aaliyah Bond-Richardson, Latesha S. Holloman, Zoe N. Stuckey

Adultspan Journal

Retirement is commonly framed as a normative and voluntary developmental milestone; however, access to a psychologically healthy retirement is unevenly shaped by social, economic, and structural conditions. This conceptual article applies a social determinants of mental health (SDMH) framework to retirement, conceptualizing it as a complex psychosocial transition involving identity change, shifts in purpose and meaning, relational adjustment, and emotional variability. Drawing on interdisciplinary scholarship, the manuscript examines how socioeconomic status, race and ethnicity, gendered work histories, caregiving responsibilities, health status, and access to benefits influence both the ability to retire and the experience of retirement itself. Particular attention is …