Digital Commons Network^™

Association Between Social Participation And Nonmotor Symptoms Of Parkinson's Disease, Zackary B. Zanotelli

Electronic Theses, Projects, and Dissertations

Research has shown that social participation can aid in slowing cognitive decline and is associated with cognitive functioning in older adults. Being that Parkinson’s Disease (PD) is a neurodegenerative disorder primarily known for its motor and cognitive symptoms, it is worth evaluating social participation in patients with Parkinson’s Disease. The aim of this project is to determine whether social participation is associated with more favorable trajectories of neuropsychiatric symptoms among patients afflicted with Parkinson’s Disease. More specifically, this project will seek to examine how specific social activities may be uniquely associated with cognitive decline.

Participants (N = 8,389) who were …

Subjective Socioeconomic Status Moderates Self-Esteem Reactivity To Daily Stressor Exposure: Evidence From A Daily Diary Approach, Yi Jing Chua, Nadyanna M. Majeed, Verity Yu Qing Lua, Chi-Ying Cheng, Andree Hartanto

Research Collection School of Social Sciences

Research on self-esteem reactivity has demonstrated that self-esteem fluctuates in response to daily stressor exposure, and the strength of this relationship varies between individuals. Drawing upon the positive link between objective socioeconomic status (SES) and self-esteem, how subjective SES influences self-esteem reactivity to daily stressor exposure was explored. Using a 7-day daily diary study, the current study (N-participants = 243, N-days = 1651) adopted a multilevel analysis to demonstrate that subjective SES attenuated the within-person association between daily stressor exposure and daily self-esteem, even after controlling for demographics and objective indicators of SES. The interactions were also consistent across social …

A Lifespan Perspective On Positive Affect Fluctuations On Purpose In Life: Findings From A 9-Year Longitudinal Study, Jonathan L. Chia, Verity Y. Q. Lua, Andree Hartanto

Research Collection School of Social Sciences

Existing research has examined how static or average levels of positive affect (PA) influence purpose in life (PIL), but theoretical work suggests PA fluctuations may also play a role, potentially undermining PIL, especially in older adulthood. To this end, the present study examined the longitudinal association of PA fluctuations on PIL and the moderating role of age among 1,294 midlife and older adults in the United States, over a 9-year period (between 2004 and 2014). Results revealed a conditional effect of PA fluctuations on PIL – particularly among older individuals, and greater PA fluctuations were associated with a poorer sense …

Understanding The Physical Health Associations Of Intra-Individual Variability In Life Satisfaction Among Older Adults, Frosch Y. X. Quek, Kenneth Tan, David Chan

Research Collection School of Social Sciences

It is well established that inter-individual differences in life satisfaction positively predict health, but it is less clear how intra-individual variability in life satisfaction across time could influence health, particularly across individuals with different satisfaction levels. To address this gap, we analysed a large panel dataset from a national sample of 8,674 older adults, aged 50–70 (M = 59, SD = 5.42) in Singapore who completed surveys over 53 consecutive months. Results from multi-level modelling showed an interaction between variability in life satisfaction and life satisfaction mean on physical health. Specifically, there was no association between variability and health among …

More Schooling Can Delay The Onset Of Dementia Later In Life, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Iliana Kohler, Hans-Peter Kohler, Shana D. Stites

Employment Research Newsletter

No abstract provided.

Computational Thinking As A Novel Framework For Enhancing Cognitive Organization In Older Adults With Cognitive Frailty (Letter To The Editor), Daisuke Akiba

Publications and Research

As aging populations grow, especially in high-income nations, the burden of dementia-related care continues to escalate both economically and socially. In response, this article introduces Computational Thinking (CT) as a novel, non-pharmacological framework to support cognitive organization in older adults experiencing cognitive frailty. Though CT has gained traction in fields like PK-16 education, including special education, for enhancing executive function and problem-solving, it has not yet been applied to geriatric- or memory-care contexts. This perspective proposes that CT’s core components (i.e., decomposition, pattern recognition, abstraction, and algorithmic thinking) may align with residual cognitive strengths in mild-to-moderate dementia, offering a strengths-based, …

Stimulated Cytokine Production, Attachment, And Emotional Well-Being In Dementia Spousal Caregivers, Daniel L. Argueta, Sarah Roberts, Kelly N. Brice, E Lydia Wu-Chung, Vincent D. Lai, Jensine Paoletti-Hatcher, Bryan T. Denny, Charles Green, Samantha Henry, Multiple Additional Authors

Psychology Faculty Publications and Presentations

Proinflammatory cytokine production may be related to poor emotional adjustment in dementia spousal caregivers. People who display attachment insecurity may be at increased risk for adverse caregiving experiences and poor psychosocial outcomes.

The Virtual Kitchen Challenge: Psychometric Validation In Cognitively Healthy And Impaired Older Adults, Ross M. Divers

LSU Doctoral Dissertations

Decline in everyday functioning is core diagnostic criteria for mild cognitive impairment (MCI) and dementia. While historically, MCI was considered a stage of generally persevered everyday functioning, it is now widely accepted that subtle though clinically meaningful changes in everyday function can be observed and are predictive of increased risk of future decline and conversion to dementia. Despite this, self and informant report questionnaires of everyday function largely fail to capture this subtle decline in those with MCI, while performance-based measures that may be able to capture this decline are rarely administered clinically due to their laborious administration. Performance-based measures …

Intergenerational Design Challenges: Participants’ Perspectives On Moving From Ideas To Implementation, Tina M. K. Newsham, Matthew J. Peterson, Alicia M. Sellon, Logan Elkins, Abrielle Leblanc, Tess Ryan, Andrew Zeldin

Journal of Community Engagement and Higher Education

Many social innovation efforts are aimed at meeting social challenges presented by the aging of the population, yet older adults are often excluded from such efforts. The purpose of this case study was to examine an approach used in a midsized university in southeast North Carolina to create intergenerational opportunities for students, local community organizations, and older adult residents of the surrounding area to collaboratively develop suggestions for addressing challenges facing the older adult population.

Interprofessional Collaboration To Address Social Isolation And Facilitate Intergenerational Service Learning Within Graduate Education, Angela Lavery, Erin Knight, Stephanie Cole, Stacie Metz

Journal of Community Engagement and Higher Education

This article presents an interdisciplinary collaboration to address the needs of older adults at risk of social isolation exacerbated by the COVID-19 pandemic. An intergenerational service-learning program developed by the Pennsylvania Department of Aging was offered to several universities across the state of Pennsylvania. The authors share their experience and lessons learned from pairing older adults with graduate students studying in the fields of Gerontology, Public Health, and Social Work.

Conversations In Isolation: A Mixed-Methods, Multi-Perspective Evaluation Of Extreme Electronic Service Learning During Covid-19, Lauren M. Dinour, Jennifer Y. Daclan

Journal of Community Engagement and Higher Education

Due to physical proximity constraints imposed by COVID-19, extreme electronic service learning (e-service-learning)—instruction and service offered completely online—allowed for the safe continuation of service-learning experiences. Using a combination of surveys and an autoethnographic approach, this study describes findings of an intergenerational extreme e-service-learning project from four perspectives: students, assisted living facility residents, community partner, and course instructor. Positive impacts were noted on personal, social, and learning contexts among each of the four perspectives.

Exploring The Association Between Self-Esteem And Blood Pressure: A Cross-Sectional And Longitudinal Investigation, Bijou C. Allard, Julia K. Boehm

Psychology Faculty Articles and Research

High self-esteem is linked to favorable outcomes including better mental health and relationships, however, its impact on cardiovascular health is less understood. This study examined the relationship between self-esteem and blood pressure levels using data from the Midlife in the United States (MIDUS) study (M_age = 54.53; 57% women; 20% non-White). We hypothesized that higher self-esteem would be associated with lower systolic and diastolic blood pressure concurrently and 10 years later. Self-esteem was measured with the Rosenberg Self-Esteem Scale, and blood pressure was clinically assessed. Cross-sectional analyses included 1194 participants; longitudinal analyses included 566 participants. Contrary to expectations, …

Heightened Risk: Childhood Trauma And Anticipatory Grief Exacerbate The Impact Of Loneliness On Depressive Symptoms And Lps-Stimulated Cytokines In Dementia Caregivers, Kelly N. Brice, Jensine Paoletti-Hatcher, E Lydia Wu-Chung, Vincent D. Lai, Daniel L. Argueta, Michelle A. Chen, Itee Mahant, Bryan T. Denny, Charles Green, Luis D. Medina, Multiple Additional Authors

Psychology Faculty Publications and Presentations

Dementia spousal caregivers are at a disproportionate risk for adverse mental and physical health outcomes. Loneliness is associated with depressive symptoms and proinflammatory cytokine production among caregivers. Additionally, childhood trauma, anticipatory grief, and poor sleep quality are all associated with enhanced stress reactivity. This study used a cross-sectional design to investigate whether loneliness is associated with proinflammatory cytokine production and depressive symptoms in caregivers, and whether these relationships are strongest among caregivers who report high levels of childhood trauma, high amounts of anticipatory grief, or poor sleep quality. A sample of 111 dementia spousal caregivers provided blood samples and completed …

The Positivity Effect In Contracts, Megan Kathryn Stricker

College of Science and Health Theses and Dissertations

The positivity effect is a noted preference for positive information over negative information in older adults’ cognition. This effect has been observed in multiple domains of cognition, including both attention and memory (Carstensen & Mikels, 2005). Evidence for the positivity effect has shown up consistently in replications across type of memory (Reed et al., 2014), and this phenomenon can be considered within the context of other trends of cognitive aging. Most if not all research in this area has been constrained to laboratory settings, and there has been limited research as to the context sensitivity of this observed effect. What …

Does Schooling Improve Cognitive Abilities At Older Ages? Causal Evidence From Nonparametric Bounds, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Hans-Peter Kohler

Upjohn Institute Working Papers

We revisit much-investigated relationships between schooling and health, focusing on schooling impacts on cognitive abilities at older ages using the Harmonized Cognition Assessment Protocol in the Health & Retirement Study (HRS) and a bounding approach that requires relatively weak assumptions. Our estimated upper bounds on the population average effects indicate potentially large causal effects of increasing schooling from primary to secondary; yet, these upper bounds are smaller than many estimates from the literature on causal schooling impacts on cognition using compulsory-schooling laws. We also cannot rule out small and null effects at this margin. We do, however, find evidence for …

More Schooling Can Delay The Onset Of Dementia Later In Life, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Iliana Kohler, Hans-Peter Kohler, Shana D. Stites

Upjohn Institute Policy and Research Briefs

No abstract provided.

Causal Effects Of Schooling On Memory At Older Ages In Six Low-And-Middle-Income Countries: Nonparametric Evidence With Harmonized Datasets, Vikesh Amin, Jere R. Behrman, Jason M. Fletcher, Carlos A. Flores, Alfonso Flores-Lagunes, Iliana Kohler, Hans-Peter Kohler, Shana D. Stites

Upjohn Institute Working Papers

Higher schooling attainment is associated with better cognitive function at older ages, but it remains unclear whether the relationship is causal. We estimate causal effects of schooling on performances on the Consortium to Establish a Registry for Alzheimer’s Disease (CERAD) word-recall (memory) test at older ages in China, Ghana, India, Mexico, Russia, and South Africa. We used harmonized data (n=30,896) on older adults (≥50 years) from the World Health Organization Study on Global Ageing and Adult Health. We applied an established nonparametric partialidentification approach that bounds causal effects of increasing schooling attainment at different parts of the schooling distributions under …

Hardiness, Optimism And Hope: Longitudinal Study Of How Individuals May Build Resilience Through Experiential Undergraduate University Courses, Paul Lim, Chin Heng Low, Kevin Koh

Research Collection Lee Kong Chian School Of Business

This study explores the antecedents of students’ resilience in a management education setting, by looking at the role of state hope and dispositional optimism in cultivating their psychological hardiness. While resilience is recognized as integral to personal growth, extant research has predominantly focused on its correlations with psychological capital (PsyCap) elements such as hope and optimism; or examined the outcomes of hardiness as a proxy of resilience. Little has been done to explicate the directional causal relationships among the PsyCap elements and hardiness in view of resilience-building. Using a longitudinal mixed methods design, this study delves into how state hope, …

Understanding Parents’ Beliefs About The Etiology Of Youth Mental Health Problems: Differences Across Race/Ethnicity, Madeline Buchanan, Lindsay E. Holly

Psychology Faculty Research and Publications

Parents’ etiological explanations for youth mental health problems are relatively understudied; most studies focus on adult beliefs about the causes of mental disorders experienced by adults. This is concerning given research demonstrating that parents’ causal beliefs may influence several aspects of youth mental health service utilization including whether parents seek help for their youth and how they engage in treatment. The current study used a novel methodology to examine causal beliefs about youth mental health problems among a diverse group of parents (N = 417; 36.9% non-Hispanic White; 33.3% Black/African American; 29.8% Hispanic/Latino) who completed a series of questionnaires …

Mindfulness As A Buffer Against Death Anxiety: Implications For End-Of-Life Care, Chad Alexander

University Honors Theses

Death anxiety, defined as the distress associated with the awareness of mortality, has profound psychological and cultural impacts. Western societies often respond to death salience through avoidance and medicalization, reinforcing defensive strategies described by Terror Management Theory. This project aimed to investigate whether mindfulness can serve as a buffer against death anxiety. A structured literature review was conducted using PsycINFO, PubMed, the Portland State University Library, and Google Scholar between January 2025 and April 2025. One study found that mindfulness moderated the effects of death anxiety on health-related quality of life in people living with HIV. Two experiments linked mindfulness …

Spousal Bereavement Enhances Proinflammatory Cytokine Production To Acute, Psychological Stress., E Lydia Wu-Chung, Ryan L. Brown, Robert Suchting, Jensine Paoletti-Hatcher, Michelle A. Chen, Angie S. Leroy, Kyle W. Murdock, Cobi J. Heijnen, Christopher P. Fagundes

Psychology Faculty Publications and Presentations

Early widowhood is characterized by chronic stress and is associated with a higher risk of incident depression and cardiovascular-related morbidity and mortality. Peripheral inflammation is involved in the pathogenesis of major depressive disorder and atherothrombosis and may represent a common mechanism underlying widow(er)'s elevated risk for both health conditions. Chronic psychological stress sensitizes the release of proinflammatory cytokines during the peripheral stress response. The present study examined whether recent spousal bereavement enhances the inflammatory response to an acute, psychological stressor. Recently widowed older adults (n = 143) and non-widowed controls (n = 69) participated in a quasi-experimental study, during which …

Comparing Gains And Losses: Examining The Effects Of Incentives On Working Memory Capacity And Motivational Processes In Older Adults, Julie Q. Pham

Psychology Theses and Dissertations

Working memory is critical for the storage and maintenance of information but is susceptible to age-related changes. Prior studies have shown that incentives can be used to successfully modulate cognition in older age. However, research has largely focused on the use of reward incentives. Less is understood about the motivational processes of avoiding losses and whether this can also improve working memory capacity. Given that an aversion to losses may become more salient with age, it is important to determine whether these motivational shifts are reflected in how older adults attend to and store information. The current study compared how …

The Neuropsychiatric Value Of Expressive Arts Therapy Integrated With Psychedelic-Assisted Therapy In Treating Alzheimer's Disease And Related Disorders (Adrd), Alicia C. Hesse-Cleary

Expressive Therapies Theses

Neurodegenerative conditions, including Alzheimer's disease (AD), Parkinson's disease, and other dementias, are progressive disorders that lead to white matter damage in the brain, resulting in structural and functional consequences that disrupt neuronal pathways and contribute to significant cognitive and behavioral impairments. Alzheimer’s disease is the most common form and a leading cause of death among older adults. Nearly 97% of patients experience neuropsychiatric symptoms, which are incredibly challenging to treat effectively as the disease progresses and, in some cases, may be untreatable with pharmaceuticals. This situation significantly increases caregiver burden and healthcare costs. Traditional pharmacological treatments for these conditions have …

Market Days For Older Adults: Addressing Healthy Aging Among A High-Risk Population At The Downtown Farmers’ Market, Allyson Brothers, India Luxton, Cheryl Noble, Sue Schneider, Alison O'Connor, Yuqin Jiao

Journal of Extension

Market Days for Older Adults is a Colorado State University Extension program that supplies low-income older adults with fresh produce purchased from market vendors at the local farmers’ market. Designed for low-income seniors, this program aims to enhance nutrition while building a sense of community and connection. Program evaluation data from the first four years of the program demonstrate evidence of program feasibility, including high levels of participant satisfaction and program utilization. We also assessed a set of healthy aging indicators (diet quality, social connection, functional health, and well-being) to drive future work. Implications for Extension professionals are discussed.

Behavior Analysts’ Training And Practices Regarding Cultural Diversity: A Replication And Extension, Tania M. Valdez-Nuguid

Theses & Dissertations

Culturally responsive care, which involves adapting assessment and treatment methods to reflect the culture of individuals served (Sue & Torino, 2005), is crucial for client success, especially for minoritized and marginalized groups. This study replicated and extended Beaulieu et al. (2019) by surveying behavior analysts on their training, perceived competence, and practices in culturally responsive care. We extended Beaulieu et al. (2019) by including open-ended questions regarding culturally responsive practices and barriers faced in delivering culturally responsive care and offering the survey in Spanish. Participants reported feeling skilled and comfortable providing culturally responsive care, with increased training across various modalities. …

Integrating Positive Psychology And Spirituality To Foster Meaning And Well-Being In Older Adults, Crystal Morris

Adultspan Journal

This perspective article explores the integration of positive psychology interventions (PPIs) and spirituality in therapy to foster meaning and well-being in older adults. It highlights exercises such as the positive introduction, positive legacy, character strengths, mindfulness, mindful-based yoga, and a manifestation prayer journaling. The interventions presented are tools to support older adults that may experience depression, difficult life transitions, and the search for renewed meaning. Therapists who integrate PPIs and spirituality into therapy can promote a holistic, non-pathological approach to treatment.

The Lived Experiences Of Registered Behavior Technicians Using Applied Behavior Analysis With Children With Autism Spectrum Disorder, Rebecca Rene Wyble

Walden Dissertations and Doctoral Studies

The prevalence of autism spectrum disorder (ASD) has increased dramatically over the past 20 years; the Centers for Disease Control describe ASD as an epidemic of need. Individuals with ASD need proper treatment and support services. One of the most significant needs is for applied behavior analysis (ABA), which is considered the most effective treatment for ASD, yet several barriers impede caregivers’ ability to access ABA, such as the shortage of ABA practitioners, including registered behavior technicians (RBTs). This qualitative phenomenological study explored the lived experiences of RBTs working with children with ASD in ABA settings in the United States. …

Neighborhood Cohesion And Psychosocial Well-Being: Differences By Race/Ethnicity, Maverick E. Morales

Student Scholar Symposium Abstracts and Posters

Perceived neighborhood cohesion is related to numerous mental health benefits, yet some research suggests racial/ethnic disparities in access to neighborhood cohesion. Much of the existing research investigates only one outcome, limiting the ability to synthesize across findings. The strength of the current study is that it utilized an outcome-wide approach to investigate racial/ethnic differences in associations between perceived neighborhood cohesion and four psychosocial outcomes. Using data from the Health and Retirement Study, we tested the hypotheses that (1) higher perceived neighborhood cohesion would relate to higher life satisfaction and lower anxiety, loneliness, and perceived stress, and that (2) non-Hispanic White …

Impact Of Visual And Auditory Distractors On Spot-The-Difference Task Performance, Julia N. Gross, Alexia Urban, Julius Kloepfer, Hannah Eversole

Aurora

In everyday life, individuals are faced with tasks that require sustained, visual attention. However, distractions are also a part of everyday life, and with the increase in technology use came an increase in distractions that may affect concentration and performance on these visual tasks. Previous research has examined how task-unrelated visual and auditory stimuli, presented at different intensities, impact functions of learning and memory. However, it has yet to determine their impact on ongoing, attention-demanding, visual tasks. The present study used a 2x2 between-subjects design to test the impact of both visual and auditory distractors, presented at either a high …

Cumulative Lifespan Stress And Inflammation Are Associated With Black-White Racial Disparities In Mortality Among Americans, Isaiah Spears

Arts & Sciences Graduate Student Theses and Dissertations

Black Americans disproportionately experience higher rates of health challenges and mortality compared to White Americans, yet the mechanisms underlying these disparities remain inadequately understood. Prominent theoretical models highlight stress and resulting allostatic load as putative mechanisms through which these Black-White racial disparities emerge; however, empirical data supporting such models with regard to mortality remains sparse. The current study examined the potential role of cumulative stress exposure across the life span and elevated levels of C-Reactive Protein, a biomarker of inflammation, in contributing to the longstanding increased mortality risk among Black relative to White Americans. Data were drawn from the Saint …