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Virtual Versus In-Person Rose Program (La Luz) As Universal Prevention For Perinatal Depression: Protocol For A Randomized Controlled Trial In A Safety Net Hospital, Daphne Y. Liu, Nicholas S. Perry, Catherine H. Demers, Jennifer S. Hyer, Anely Alamo, Paige Vuksanovich, Nandi Dube, Erin R. Flanagan, Robert J. Gallop, Galena K. Rhoades, Elysia Poggi Davis

Psychology: Faculty Scholarship

Perinatal depression disproportionally affects underserved communities, who need effective and accessible prevention programs. Reach Out, Stay strong, Essentials for new mothers (ROSE) has demonstrated effectiveness in preventing postpartum depression in underserved populations when delivered in person. This ongoing randomized controlled trial (RCT) tests the novel virtual implementation of ROSE as universal prevention in a Federally Qualified Health Center setting. We adopted the name, La Luz, for ROSE to be culturally relevant to our population. Pregnant individuals < 30 gestational weeks (target N = 900) are randomized to either the virtual or in-person La Luz program, which consists of four 90-min group sessions. Groups are offered in English and Spanish, based on participants' preference. Participants complete surveys at seven timepoints: before program, 28 gestational weeks, 35 gestational weeks, and 6-weeks, 3-months, 6-months, and 12-months postpartum. Primary outcomes are postpartum depression severity measured by the 20-item Symptom Checklist (SCL-20) and 10-item Center of Epidemiologic Studies Depression Scale (CESD-10). We will perform intent-to-treat analysis to test whether virtual La Luz is non-inferior to in-person La Luz. This study also evaluates implementation process and outcomes of both modalities of La Luz to inform the development of an implementation toolkit. This RCT contributes to our knowledge of perinatal depression prevention and addresses access barriers for underserved populations. If effectiveness of virtual La Luz is demonstrated, the new evidence for a scalable low-cost prevention can be used to reduce perinatal depression and offer accessible treatment options for people who face significant barriers to care.

Storytelling In Reappraisal: How Narratives Can Change Emotion, Makabe Aberle

Undergraduate Theses, Capstones, and Recitals

Emotion regulation strategies, including cognitive reappraisal, are essential for maintaining psychological well-being. While prior work has demonstrated the effectiveness of reappraisal and begun to dig into different specific aspects such as the goals and structure of reappraisals, little is known about how the narrative quality of generated reappraisals impacts their success. The present, preregistered study investigated whether the quality of reappraisal narratives is associated with decreases in negative emotion following reappraisal. Participants across two studies (N = 342) wrote about a recent stressor and then reappraised the event by writing a redemption narrative. Narratives were rated for qualities such as …

Emotional Eating Behaviors And Parental Feeding Practices In Three-Year-Old Children And Their Association With Body Composition One Year Later, Keely Wright, Kenia Rivera, Elysia Poggi Davis

Undergraduate Theses, Capstones, and Recitals

Emotional eating – eating in response to negative emotions regardless of hunger – is an obesogenic trait that often develops in childhood and remains a habit through adulthood. Greater emotional eating is associated with a higher body mass index (BMI; kg/m2) in 7-12-year-old children (Webber et al., 2009). However, few studies have examined the relations between emotional eating and weight gain in preschool-aged children. Moreover, there is limited research on parental feeding practices and weight gain in preschool-aged children. The current work investigated the association of emotional eating behaviors during an emotional eating task in three-year-old children with change in …

Intrapersonal And Interpersonal Factors Of Participation In Physical Activity And Resistance Training In Adolescent Girls: A Narrative Review, Ben Banse-Fay

University Honors Theses

Low rates of participation in physical activity and resistance training among adolescent girls are a concern due to increased health and injury risks. Adolescent girls participate in physical activity and resistance training at a lower rate than boys, which may explain higher rates of injury. Research examining physical activity of adolescent girls often utilizes an ecological framework, identifying intrapersonal, interpersonal, and environmental factors. Of these ecological levels, intrapersonal and interpersonal factors are modifiable without large costs.

Therefore, this review aimed to identify and summarize recent research that explores the intrapersonal and interpersonal factors associated with participation in physical activity and …

The Effects Of Race And Ethnicity On School Connectedness And Academic Outcomes Among Adolescents, Hafsa Khan Owens

College of Science and Health Theses and Dissertations

This study examines the role of school connectedness and how racial/ethnic identity in academic outcomes among adolescents/. Guided by the self-determination theory (Ryan & Deci, 2017) and Garcia-Coll et al’s (1996) Integrative Model, it was hypothesized that higher school connectedness predicts higher GPAs, that students whose racial/ethnic identity aligns with their schools’ majority composition experience stronger school connectedness, and the relationship between school connectedness and GPA will be stronger in schools with more matching peers. Participants included 138 youth (M = 14.98, SD = 1.92) from three urban schools (two K-8th; one high school). The sample was 33.3% Hispanic, 23.9% …

Collaboration Across The Silos: Consultation As A Means For Integrating Services For Twice-Exceptional Learners, Kimberly Bowers Yoshino

Electronic Theses and Dissertations

Twice-exceptional (2e) learners are underserved in American schools. As students who demonstrate both giftedness and disabilities, 2e learners maintain profiles that warrant tailored educational services across special and gifted education programs. Yet, these programs are considered institutionally mutually exclusive as legal mandates create de facto isolation — the antithesis of what is recommended for the students’ optimal development. School psychologists have been identified as professionals critically positioned to support 2e learners because of their specialized skill set, namely in consultation. However, little is known about their consultative practices with the educators who serve 2e learners or how they traverse school …

Young Adults’ Metaperceptions Of Their Childhood Caregivers’ Appraisals And Young Adulthood Mental Health, Cassandra Svelnys

Electronic Theses and Dissertations

Early experiences and relationships have enduring impacts on the development of self and later mental health and wellbeing. In social relationships and interactions, the developing individual is continuously assessing how they view themself, how they view the other person, and how they believe the other person views them. Metaperceptions represent the latter construct: how an individual thinks another person perceives them. Childhood self-esteem, parent-child attachment, and metaperceptions are foundational constructs for the developing individual, yet metaperceptions have not previously been tested as a predictor for adulthood mental health while also accounting for childhood self-esteem and parent-child attachment. This study introduced …

Who Gets To Be A Child And When? The Pervasive Yet Contextually Shaped Nature Of Racialized Adultification Across Perceivers And Contexts, Kevin M. Summers

Electronic Theses and Dissertations

Racialized adultification is a pervasive bias in which individuals tend to judge Black children as older and more adult-like than White children of the same age. This racial bias is discussed across many scientific domains in addition to popular media, yet there is relatively little empirical work documenting its existence, consequences, and boundary conditions. In the current work, I aim to develop an empirical foundation that advances scientific understanding of racialized adultification and in turn contributes to a growing model that elucidates the conditions under which individuals are disproportionately likely to express this pernicious bias. In the current work, I …

The Role Of Adolescent Depression Heterogeneity And Resilience Resources In Adulthood Cardiometabolic Health And Depressive Symptoms, Samantha R. Scott

Electronic Theses and Dissertations

Depression in adolescence is a major public health problem and is a risk factor for early-onset cardiometabolic disease. Although adolescent depression is a risk factor for poor cardiometabolic health, depression is heterogeneous and associations may differ by sex. Additionally, if risk factors such as depression can predict adulthood cardiometabolic health, resilience factors (e.g., social, school, neighborhood) that are protective for depression may also be protective for physical health, but this is an ongoing area of research. The goals of the current dissertation were to gain a better understanding of what depressive symptom presentations in adolescents are most concerning for adulthood …

A Qualitative Examination Of Homelessness Risk Factors And Housing Histories Of Single Room Occupancy (Sro) Tenants In Chicago, Shadman Syed Saquib

College of Science and Health Theses and Dissertations

Single-Room Occupancy (SRO) housing is among the most affordable private market housing options and serves tenants who often have multiple oppressed identities, including economic marginalization, carceral histories, and disabling conditions. However, SRO buildings are often sold for redevelopment, displacing tenants with few alternative housing options and at risk of homelessness. Research suggests that multiple ecological factors, such as prior housing instability, predict future homelessness, which may be compounded for individuals with oppressed identities. Thus, the current study explores the housing histories and identities of displaced SRO tenants to understand their vulnerability to post-displacement homelessness. Seventeen participants who were displaced from …

Benefits Of Extended Unemployment Insurance On Post-Unemployment Outcomes, Alyssa Roche

Electronic Theses and Dissertations

This thesis investigates how unemployment insurance (UI) affects individuals during and after unemployment. Drawing on historical evidence from recent recessions in the United States, publicly available data, behavioral insights, and mathematical modeling, it argues that the benefits of extending UI outweigh the potential costs. The analysis incorporates a wide range of sources, including empirical economic studies using regression models and psychology and business research that highlight behavioral responses to financial stress and job insecurity. By combining quantitative data with behavioral context, the thesis offers a more comprehensive understanding of how extended UI influences job search decisions, wage outcomes, and overall …

The Motivating Factors Of A Multigenerational Workplace Based On Work Values And Reinforcements, Alaina Lister

Walden Dissertations and Doctoral Studies

There are currently four generations in the workplace—Generation Z, millennials, Generation X, and baby boomers—each having its own values and motivations due to different life experiences. Leaders are facing new challenges regarding how to motivate each generation in relation to rewards, recognition, and work values. It was unknown whether there are empirical differences in motivation and leadership preferences based on generational cohort. The purpose of this study was to examine how the members of four different generations are motivated based on their preferred rewards and recognition, and the work values they hold. The targeted population were members of Generation Z, …

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 …

The Relationship Of Organizational Democracy And Psychological Safety On Organizational Citizenship Behaviors, Thomas William Rice

College of Science and Health Theses and Dissertations

This study examines the relationship between organizational democracy and organizational citizenship behaviors through the mediating effect of psychological safety. This study contributes to the organizational democracy literature in the introduction of psychological safety as a mediator through the lens of social exchange theory. An online survey was completed by 245 participants who self-reported as being full-time, English-speaking employees in the United States. The survey was composed of a demographic section and different measures of organizational democracy (i.e., perceived organizational participation and democracy questionnaire, organizational democracy scale), psychological safety, and organizational citizenship behaviors. Utilizing mediated regression analysis, results indicated that psychological …

Mental Healthcare For Us: Examining Awareness Of, Barriers To, And Recommendations For Mental Healthcare Among Immigrant-Origin Chinese American Adolescents, Mengxue (Fiona) Sun

College of Science and Health Theses and Dissertations

Background. Ethnic minority adolescents face elevated mental health challenges and encounter significant barriers to accessing mental healthcare compared to their non-Hispanic White counterparts. Despite these challenges, limited research has explored culturally responsive mental healthcare for adolescents from specific Asian American communities, and even fewer studies have actively incorporated adolescents' perspectives to inform treatment and policy. This study aimed to examine the experiences of immigrant-origin Chinese American adolescents with mental health and mental healthcare.

Method. Ten immigrant-origin Chinese American adolescents, aged 14 to 17, were recruited through community organizations and participated in semi-structured individual interviews. Open-ended questions focused on …

Stigma, Shame, And Narcissism: A Literature Review, Alex Gaither

University Honors Theses

This thesis is a literature review of 12 peer reviewed journal articles accessible through the Portland State University library database on the relationship between stigma, shame, and Narcissistic Personality Disorder (NPD). This thesis discusses ideas brought up in these articles regarding the classification and conceptualization of NPD as a disorder, the role that shame plays in the pathology of NPD, the ways that shame is addressed through treatment, and public and practitioner held bias resulting from the stigmatization of the disorder. New and upcoming ways of conceptualizing the disorder are also briefly discussed as there has been a push to …

Changing Minds, Changing Modes: Optimizing Public Perception Strategies For Urban Cycling Through Behavior Change Theory, Brandon Barnhart

University Honors Theses

This thesis addresses the recent decline in bicycle mode share in cities like Portland, Oregon, despite decades of investment in cycling infrastructure. While the "build it, and they will come" approach succeeded through the early 2000s, it no longer meets targets for bicycle use or broader goals related to sustainability, congestion, health, and safety. A new approach is needed that effectively rebuilds the cultural and behavioral components of cycling. This research asks: What role can behavior change theory play in increasing the effectiveness of public perception campaigns to promote urban cycling? Using a qualitative methodology, this study draws on behavior …

How Mindfulness-Based Stress Reduction (Mbsr) Techniques Affect Obsessive-Compulsive Disorder: A Literature Review, Piper Ritke

Honors Theses

This literature review examines the potential effectiveness of mindfulness-based stress reduction (MBSR) as a non-invasive therapeutic intervention for individuals with obsessive-compulsive disorder (OCD). Traditional treatments for OCD, such as cognitive behavioral therapy (CBT) and exposure and response prevention (ERP), are evidence-based but can be distressing for some patients. MBSR, originally developed by Jon Kabat-Zinn, emphasizes nonjudgmental awareness of thoughts and may offer a less intrusive alternative. Three peer-reviewed studies were analyzed: a randomized controlled trial comparing MBSR with cognitive therapies, a technology-supported mindfulness intervention utilizing EEG feedback, and a case study documenting individualized MBSR treatment. All studies demonstrated reductions in …

Minority Stressors And Internalizing Symptoms In Sexual And Gender Minority Adolescents: A Systematic Review And Meta-Analysis, Anni R. Subar

Electronic Theses and Dissertations

Sexual and gender minority (SGM) adolescents are at elevated risk for internalizing symptoms, such as anxiety and depression, due in part to chronic exposure to minority stress. To provide a comprehensive synthesis of this literature, we conducted a meta-analysis of 32 studies, yielding 162 effect sizes from 41,360 participants aged 8– 22. All included studies examined the association between minority stress, defined as stigma-related stressors such as discrimination, victimization, and internalized stigma, and internalizing outcomes in SGM youth. The random-effects meta-analysis revealed a small but significant association (r = .25) between minority stress and internalizing symptoms, consistent across stressor …

The Intersection Of Education And Empowerment: How Comprehensive Sex Education Equips Adolescents To Navigate Complex Relational Dynamics, Joleigh Wood

University Honors Theses

This thesis examines the impact of comprehensive sex education (CSE) on adolescents' understanding of consent, personal boundaries, and relational competence. Drawing upon social learning theory, intersectionality, and relational-cultural theory, the study employs a multidisciplinary framework to analyze how CSE functions as both an instructional practice and a sociocultural intervention. Utilizing an integrative thematic review of empirical studies, policy analyses, and national curriculum standards, the research evaluates the extent to which CSE promotes emotional literacy, fosters ethical relationship skills, and addresses structural inequities in educational access. Findings indicate that well-implemented, inclusive CSE contributes to healthier developmental outcomes by enhancing students' emotional …

Effect Of Ipv On Latino Children's Perspectives Of Fatherhood, Elizabeth Berks

University Honors Theses

Intimate partner violence (IPV) can be found in many cultures throughout the world, with varying levels of acceptability, victimization, and perpetration. Approximately one in five couples report experiencing at least one instance of IPV in a given year. Women are victims of IPV more frequently than men, and experience more severe injuries. 20% of women report a lifetime history of physical IPV victimization by their current or past partners. Further, women are also ten times more likely to be killed due to IPV than men are. Presently, empirical research literature surrounding the dynamics and impacts of IPV is heavily focused …

Understanding The Roles Of Individual And Family-Based Resilience Resources And Mechanisms In Youth With Painful Disorders Of Gut-Brain Interaction, Corinne Taylor Evans

All ETDs from UAB

Background Children living with chronic pain are at risk for many negative physical and mental health consequences. However, certain positive attributes and factors can help lessen or prevent such consequences. Children with painful disorders of gut-brain interaction (DGBIs) experience deficits in social, emotional, and physical functioning. However, it is unknown whether a combination of individual and family-based resilience factors may lower these risks and contribute to improved physical and mental health responses. Methods 120 children with painful DGBIs were recruited from a pediatric gastroenterology clinic. Children and caregivers completed a series of questionnaires measuring individual and family-based resilience resources (e.g., …

Longitudinal Relations Between Self-Esteem And Depression: A Continuous Time Analysis With Exploration Of Sleep Duration Effects, Mackenzie Cummings

Clinical Psychology Dissertations

Adolescents and young adults face elevated risk for depression. While poor self-esteem and sleep disturbance are known risk factors, few studies have examined their unique and interactive contributions. Longitudinal research often overlooks unequal intervals and multiple sources of variance (e.g., between- and within-person). This study used continuous time structural equation modeling to address these gaps and examine relationships between self-esteem, sleep duration, and depression from adolescence into adulthood. Drawing on four waves of data from the National Longitudinal Study of Adolescent to Adult Health (N = 6,184), I tested whether sleep duration moderated the self-esteem–depression link and explored gender differences. …

A Multilevel Analysis Of Arrest For Sexual Assault In The United States: The Effect Of Incident, Police Department, And Community Factors, Erin Elizabeth Hoffman

College of Science and Health Theses and Dissertations

Police officers play an important role for sexual assault survivors seeking help from the criminal legal system in the United States. One of their main responsibilities is to investigate the crime to determine if there is enough evidence to arrest a suspect. Previous literature has documented police arrest decisions in sexual assault cases are influenced by legal and extralegal factors—factors that are legally relevant (e.g., presence of DNA evidence) and irrelevant (e.g., victim race) in a case. These factors span multiple levels of analysis, namely the incident (e.g., whether a weapon was used) and police department (e.g., % of woman …

Gi, Pain, Anxiety, And Mood Symptoms Among Youth With Fapds, Helen Bedree

College of Science and Health Theses and Dissertations

Pediatric functional abdominal pain disorders (FAPDs) frequently persist into adulthood, thus developmental considerations are critical for monitoring symptom presentation and tailoring treatments. In addition to core symptoms, such as pain and gastrointestinal symptoms, mood and anxiety symptoms often co-occur as well as negative impacts on functioning and quality of life. The current study took a developmental approach to assess core pain, gastrointestinal, anxiety, and mood symptoms among youth with FAPDs (N = 105), as well as agreement across youth and their caregivers on these key symptoms. Developmental stages included early childhood, middle childhood, adolescence, and emerging adulthood. A cluster …

The Impact And Perceptions Of Return-To-Office Mandates, Brooke E. Nyberg

College of Science and Health Theses and Dissertations

In the aftermath of stay-at-home mandates that resulted from the COVID-19 pandemic, many organizations have reinstated mandates requiring that employees return to the office either full-time or a few days per week. Although research has been conducted on the benefits and consequences of remote work throughout the pandemic, research is lacking on the perceptions of the return-to-office mandates and how these mandates impact employees. This study aimed to comprehensively understand what employees think and feel about a return-to-office mandate as well as identify group differences and impacts of the method in which the RTO mandate was communicated. To do so, …

Examining Changes In Control Beliefs And The Role Of Self-Determination In A Cognitive-Behavioral Intervention For Elementary-Aged Students, Laura Saldana

College of Science and Health Theses and Dissertations

To date, cognitive behavioral intervention studies for youth focus on symptom reduction to evaluate treatment efficacy without studying changes in youth coping. The present study, backed by Motivational Theory of Coping and Self-Determination Theory, used a randomized control trial design to examine the effects of a brief (5-session), group-based, cognitive-behavioral intervention called Act and Adapt – SP on adaptive coping, maladaptive coping, competence, and relatedness in a sample of academically underperforming 3^rd and 4^th graders (N = 56; M_age = 8.8 years; 62.5% female; 78.6% Latinx). Act and Adapt – SP was designed for Saturday …

A Mixed Methods Survey To Highlight Retrospective Drug Spending, Dillon Peter Thorpe

College of Science and Health Theses and Dissertations

The financial impact of substance use is poorly understood. What research has been conducted has focused on societal and medical costs, rarely on the personal finances of substance users. Less research has been conducted on the finances of people currently in recovery and abstinence. To fill in this gap, 284 current Oxford House residents completed a survey that inquired about demographics, spending habits, and reasons for staying in Oxford House. Following analysis, it was found that previous drug/alcohol spending is a highly variable metric, with a range of $0-$30,000 per month. In addition, the sample was homogenous in terms of …

The Effect Of Reading Goals On Conspiracy Believability And Memorability, Leah Patricia O'Neill

College of Science and Health Theses and Dissertations

Previous research shows that individuals who are assigned different goals for reading remember and comprehend text differently, which might also influence how individuals read texts that contain conspiracy theories. This research has revealed a connection between scores on the Schizotypal Personality Questionnaire-Brief (SPQ-B) and conspiracy theory belief, such that those who score higher are more likely to believe in conspiracy theories. Therefore, this study investigated the influence of reading goals (i.e., study vs entertainment) and different types of conspiracy theories (i.e., familiar and less familiar) on participant’s believability ratings for conspiracy texts. Participants were assigned a reading goal prior to …

The Impact Of Popularity Pressure: A Moderated Mediation Model, Molly Clare Walker

College of Science and Health Theses and Dissertations

Adolescence is a critical development stage where social pressures can significantly impact interactions and behavior. One such pressure, popularity pressure, refers to adolescents’ perceived obligation to meet social expectations related to having a popular status. Prior research by Wright (2020) highlights that perceived popularity pressure, often driven by parental and peer influence, is linked to maladaptive behaviors such as relational aggression. Despite these findings, limited research has yet to explore the effect of popularity pressure on adolescents’ internalizing symptoms such as anxiety and depression, in addition to the underlying mechanisms through which popularity pressure impacts adolescents’ mental health and behavior. …