Digital Commons Network^™

The Effect Of Automated Self-Monitoring On The Behavior Of Individuals Diagnosed With Pre-Diabetes Or Type 2 Diabetes, Leti Phillips Armenta

Cal Poly Humboldt theses and projects

Type 2 diabetes (T2D) and prediabetes affect millions of individuals in the United States and require effective self-management strategies to reduce glucose variability and improve health outcomes. This study evaluated the effects of automated self-monitoring using the Dexcom G7 continuous glucose monitor (CGM) on glucose management and health-related behaviors among adults diagnosed with prediabetes or at risk for T2D. A repeated-measures design was used to asses’ participants across two distinct 10-day periods. Data included CGM glucose readings, self-report questionnaires, and social validity measures. Results indicated that participants demonstrated reduced glucose variability, fewer prolonged glucose spikes, and increased engagement in health-related …

Beyond Ssris: Omega-3 Fatty Acids And The Neurobiology Of Impulsivity In Borderline Personality Disorder, Sujean Doo

Scripps Senior Theses

Impulsivity is a central and clinically significant dimension of Borderline Personality Disorder (BPD), and is strongly associated with self-harm, aggression, and suicide risk. Despite its prognostic importance, pharmacologic management of impulsivity in BPD remains inconsistent. Selective serotonin reuptake inhibitors (SSRIs) are frequently prescribed; however, randomized controlled trials demonstrate limited efficacy for impulsive-aggression, and some patients experience a paradoxical behavioral activation. Meta-analytic and systematic reviews further suggest that mood stabilizers and second-generation antipsychotics may outperform antidepressants, yet no specific medication is indicated to target impulsive behavioral dyscontrol.

This thesis synthesizes findings from systematic reviews, randomized trials, and neuroimaging research to evaluate …

Social Media, Masculine Body Ideals, And The Drive For Muscularity: A Serial Mediation Model Across Sexual Identities, Sean P. Mcdaniel

Theses and Dissertations

Body image concerns among men are increasingly prevalent yet remain understudied compared to women’s experiences. Drawing on objectification theory, the present study examines the relationship between social media influence and men’s drive for muscularity through a serial mediation model. Specifically, the present study investigates whether the internalization of masculine body ideals and engagement in body surveillance behaviors mediate the link between social media influence and the drive for muscularity. Furthermore, the present study model attempts to explore how these processes differ across sexual identities, given evidence that sexual minority men face distinct sociocultural pressures regarding appearance. Adult male-identifying social media …

Injury To Insight: Exploring The Influence Of Media On Acl Rehabilitation Experiences Of Female Soccer Players, Chynna Ho-Young Cadogan, Jill Tracey

Theses and Dissertations (Comprehensive)

Participation in soccer inherently carries a risk of injury, with female athletes facing a significantly higher susceptibility to anterior cruciate ligament (ACL) injuries (Campbell et al., 2014; Le et al., 2025; Silvers-Granelli, 2021). The increasing participation in women’s soccer, coupled with the growing demand for its consumption through spectatorship, has contributed to a rise in ACL injuries, and increase in media coverage on this phenomenon (Parsons et al., 2021). Understanding how media narratives surrounding ACL injuries and recovery may influence rehabilitation experiences can educate coaches, mental performance consultants, athletic therapists, and female soccer players to better understand and navigate ACL …

Fuel Your Focus: The Improtance Of Diet For Listening, Lauren Martins

A. The Science of Sound

This infographic presents an overview of the importance of diet for listening. Foods affect energy, memory, concentration, and other factors that influence listening.

Evaluation Of The Healthy Eating And Recovery Together (Heart) Digital Health Intervention To Support Head And Neck Cancer Caregivers And Survivors, Katherine R. Sterba, Jessica L. Burris, Rong Duan, Benjamin A. Toll, Kent Armeson, Christina Sithideth, Bhishamjit Chera, Kenneth Ruggiero, Evan M. Graboyes

Psychology Faculty Publications

Background: Head and neck cancer (HNC) survivors and their caregivers face significant challenges at the end of treatment and interventions are critically needed to support their needs. The Healthy Eating and Recovery Together (HEART) intervention includes a needs assessment and tailored care plan for dyads and an application (App) for caregivers. The objectives of this trial were to evaluate the feasibility, acceptability, and short-term effects of HEART on unmet needs and depression in HNC survivors and caregivers.

Methods: In a single arm clinical trial, HNC caregivers and survivors (n=23 dyads) completed baseline surveys followed by an in-person or virtual HEART …

Carrots, Not Sticks: A Contingency Management Model For Rural Methamphetamine Recovery, Ella House

Scripps Senior Theses

Rates of methamphetamine use disorder (MUD) have risen sharply across the United States, with rural Appalachia experiencing the steepest mortality increases. Contingency management (CM) is among the most effective treatments for stimulant use, yet implementation is constrained by cost, logistics, and clinician shortages. Utilizing digital CM platforms and peer recovery support specialists, who are central to addiction support in rural regions, may reduce these barriers. This thesis proposes a 16-week, three-arm randomized controlled trial (N ≈ 300) comparing: (1) Digital Abstinence CM Only (remote saliva toxicology and monetary vouchers for stimulant-negative tests); (2) Digital + Peer-Goal CM (digital abstinence-based CM …

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 …

Built Different: Place, Identity, And The Holistic Well-Being Of Female Student Athletes, Jaye Mack

Theses and Dissertations

This research furthers the conversation surrounding holistic female student-athlete wellness, recognizing that their experiences can be inequitable – influenced by the intersectionality of race, gender, and athletic identity (Armstrong et al., 2018; Druckman et al., 2018; Neeley et al., 2021). This research accredits the physical environments where athletes train, recover, and connect as an underexplored factor in holistic well-being.

The Indivisible Self Model of Wellness (IS-WEL) was used to (1) explore the influence of physical design features on female student athletes' holistic well-being and (2) understand how their identity shapes how they experience and attach meaning to their team environments. …

The Role Of Parenting In Mitigating Epigenetic Cardiometabolic Risk In Predominantly Latino Preschoolers, Adamari López

Open Access Master's Theses

Background: Childhood obesity is a highly prevalent public health concern with significant consequences for health and development across the lifespan. Risk is disproportionately elevated among children from marginalized racial and ethnic groups and socioeconomically disadvantaged backgrounds, highlighting persistent disparities in long-term health outcomes. Epigenomic mechanisms, including DNA methylation (DNAm), have emerged as a promising approach for understanding the biological embedding of metabolic risk; however, prior research has largely emphasized deficit-based models, with limited attention to protective family-level factors. The present study examined whether participation in a positive parenting intervention was associated with epigenetic cardiometabolic risk among preschool-aged children. Methods …

An Exploration Of Vicarious Trauma In The Integrated Trauma Team, Victoria L. Hadix

PCOM Psychology Dissertations

This study aimed to explore the impacts of self-care, coping skills, and resilience on the perceptions of vicarious trauma by members of the trauma team in a small community hospital in the Northeastern United States, through the use of qualitative methodology and a semi-structured interview. The goal of this study was to gain an understanding of the mental health factors impacting health care professionals functioning in the fast-paced, demanding environment of the emergency room. Furthermore, the study explored health care professionals’ perceptions of the integrated trauma team and the relationships between individual and team-based characteristics. This study helped increase understanding …

Utility Of Minnesota Multiphasic Personality Inventory–Third Edition (Mmpi-3) Eating Concerns Scale In A Bariatric Sample, Darryl Ray

Doctor of Psychology (PsyD)

The utility of the Eating Concerns (EAT) scale on the Minnesota Multiphasic Personality Inventory–3 (MMPI-3) was examined in a preoperative bariatric sample through comparisons with established measures and an assessment of internal consistency. Participants (N = 161) enrolled in a bariatric surgery program completed a comprehensive preoperative psychological evaluation that included the MMPI-3, the Three-Factor Eating Questionnaire (TFEQ), and the Weight Efficacy Lifestyle Questionnaire–Short Form (WEL-SF). The EAT scale differentiated the disordered eating groups and showed moderate associations with the TFEQ-C, TFEQ-D, and WEL-SF. Within this sample, the Cronbach’s alpha coefficient for the EAT scale was lower than the alpha …

Framing Of Obesity In Magazines, Chitrangda Malik

Selected Full-Text Master Theses 2021-

The aim of this study is to determine how the top four magazines in America portray the issue of obesity in terms of responsibility and in relation to mental health. Additionally, it is to determine the kind of framing used to present the issue of obesity. The data of this study is limited to Costco Connection, Better Homes & Gardens, AARP, and People magazine. Data has been divided into two timelines, one from January 2020-January 2026 and the other from January 2022-January 2026. Results indicate that magazine articles primarily attribute the cause of and solution to obesity as behavioral and …

Do Friendship Features Moderate Associations Between Body-Related (Co)-Rumination And Disordered Eating Behaviors?, Annabel Grace Susanin

Theses and Dissertations

For young adults, the transition to college includes increased responsibility and academic pressures, as well as new living environments with same-age peers. The demands of this transition can contribute to increased stress and uncertainty in students, resulting in engagement of behaviors that negatively impact physical and mental well-being. Among these behaviors include disordered eating. In this project, we sought to better understand individual and social risk factors for developing disordered eating behaviors. We measured a cognitive process that can occur within the self (rumination) or between the self and others (co-rumination), two concepts previously linked to other internalizing disorders, including …

Applied Psychophysiology: Evaluating The Feasibility Of A Digital Breathing Tool, Jessica Pavelka

PCOM Psychology Dissertations

Mental health in the United States is a growing public health concern, with one in five adults living with a diagnosed mental health disorder. The prevalence of mental health concerns among adults in the U.S. has not changed significantly from 2021 to 2024 (Reinert et al., 2025). This study examined how mental health providers can leverage technology to support symptom reduction for their patients during and beyond treatment. Biofeedback has demonstrated lasting health benefits, is cost-effective, and holds promise for novel interventions for conditions such as generalized anxiety disorder and panic disorder. This pilot study evaluated the feasibility, usability, engagement, …

Music To Move You: Comparing Effects Of Music Genre On Subjective Performance Of Football Players In A Practice Setting, Devin Deturk

PCOM Psychology Dissertations

Optimizing athletic performance has increasingly extended beyond conditioning to include psychological, health-related, and environmental interventions aimed at enhancing peak mental and physical fitness. However, advanced training mechanisms targeting these factors may not be readily available to all programs, necessitating cost-effective, accessible, and ethically sound adjuncts. Thus, music emerges as a potential solution that remains underutilized in applied sport settings but may be leveraged to address pervasive challenges such as fear of failure, burnout, and over-professionalization. The present dissertation investigated the effects of music in a practice setting, with particular emphasis on its capacity to enhance subjective performance, motivation, and positive …

Assessing Diagnostic Overshadowing For Co-Occurring Autism Spectrum Disorder (Asd) And Eating Disorders (Ed), Eden Sweet

Scripps Senior Theses

Significant behavioral overlaps in feeding patterns are observed among individuals with eating disorders (EDs) and autism spectrum disorder (ASD). These behavioral similarities can blur diagnostic boundaries, contribute to diagnostic overshadowing, and consequently increase the risk of misdiagnosis and the implementation of ineffective treatment approaches. The proposed study addresses the risk of diagnostic overshadowing as it relates to the ambiguous distinction between autism-driven feeding behaviors and clinically significant eating disorders (ED) within the autistic population. Although the literature has acknowledged behavioral similarities between ASD and EDs, limited research has systematically examined how they impact diagnostic practices and influence the likelihood of …

Fit Ideal Internalization And Muscularity-Oriented Disordered Eating Among College Women: Examining Social Comparisons And Body Dissatisfaction As Serial Mediators, Nicole Graumann

West Chester University Graduate Theses, Dissertations, and Final Projects

Muscularity-oriented disordered eating (MODE) comprises rigid eating behaviors driven by a desire to be toned and muscular (Cunningham et al., 2021; Murray et al., 2019). While MODE has been widely studied among men, it is increasingly prevalent among women, and it is vital to explore its associated risk factors. In particular, the fit ideal (thin but also toned) is an emerging issue among women’s body image and could be a factor for women engaging in MODE; however, there is limited research exploring this relationship. The present study examined the relationship between the fit ideal internalization and MODE among college women …

The Role Of Ombudsman And Social Work Protecting Rights, Roni Alicia Werner

Selected Full-Text Master Theses Collection 2018-

This thesis examines the role of the Ombudsman as an independent and impartial mechanism for addressing complaints, resolving conflicts, and promoting accountability within organizations. It explores how ombudsmen function across institutional contexts—such as higher education, government, and corporate settings—to provide confidential, informal, and accessible pathways for dispute resolution.

The study analyzes key principles guiding Ombudsman practice, including neutrality, independence, confidentiality, and informality, and evaluates their effectiveness in fostering trust and organizational transparency. Through a review of relevant literature and case examples, the thesis highlights how Ombudsman offices contribute to early conflict resolution, reduce formal grievances, and support ethical decision-making.

Additionally, …

Metabolic Mind: A Critical Literature Review On The Influence Of Mindset On Metabolic Health, Jordan Daniel M.A., M.S.

Selected Full Text Dissertations, 2011-

Evidence has demonstrated that psychological processes can influence metabolic functions, which are essential to overall health, as impaired energy metabolism can compromise physiological systems (Bobba-Alves N et al., 2022). Metabolic health is defined as a state of well-being characterized by optimal levels of blood glucose, lipids, cholesterol, blood pressure, and adiposity and is the absence of metabolic dysfunction, which encompasses but is not limited to cardiovascular diseases, type 2 diabetes mellitus, obesity, and metabolic syndrome. A powerful psychological construct that has demonstrated its influence on health is a mindset. Defined as core beliefs or assumptions about oneself and the world, …

Just A Slip: Cognitive Distortions Associated With Lapse And Relapse In Recovery, Matthew Karr

PCOM Psychology Dissertations

Substance use rates in the United States continue to rise despite low treatment utilization. Research has indicated the function of distorted patterns of thinking that can influence the relapse process. This study aimed to examine the relationships between relapse patterns, length of abstinence, and endorsed rates of cognitive distortions on the Cognitive Distortions Scale (CDS). This study sought participants 18 years or older with a history of problematic substance use and substance use treatment within the past 2 years. Participants were recruited through social media sites. Proposed statistical analyses included Pearson’s product-moment correlation, analysis of variance (ANOVA), and multivariate analysis …

Comparison Of Mental Illness Comorbidity Pre-Pandemic Vs. Pandemic-Era And Associations With Clinical And Demographic Characteristics For Virginia Public Hospital Inpatient Discharges With A Substance Use Disorder, Marilyn Bartholmae, Tharidu Gunawardena

Department of Medicine Faculty Publications

The rise in mental illnesses after the COVID-19 pandemic is well documented. However, it is not known whether the rates of mental illness comorbidity increased. The objectives of this study were to compare mental illness comorbidity rates before and after the pandemic among inpatients with SUD and to test associations between mental illness comorbidity, physical illness, and demographics. We used a retrospective cross-sectional design in a sample of inpatient discharges (N = 233,017) at Virginia public hospitals from January 2018 to December 2022. We used Z tests to compare rates of mental illness comorbidity pre- and post-pandemic and Chi-square tests …

Widowed And Wounded? Exploring The Health Impacts Of Adverse Childhood Experiences In Later Life Widowhood, Sierra Wickline

UNF Graduate Theses and Dissertations

Losing a spouse is considered one of the most stressful life events that disproportionately affect older individuals. Exposure to traumatic events at an early age can change the body’s response to subsequent stressors across the lifespan. These physical changes often impact people’s health. Utilizing data from the Health and Retirement Study, the current study aimed to investigate the link between: adverse childhood experiences (ACEs) and three indicators of health: inflammation (i.e., c-reactive protein [CRP], reflecting immune functioning), as well as self-reported depressive symptoms and physical health, among people who have lost a spouse. Participants included 97 widowed individuals aged 68 …

The Relationship Between Interoceptive Awareness And Eating Disorder Symptomatology, Madelyn G. Johnson

Electronic Theses & Dissertations (2024 - present)

Interoceptive awareness (IA; e.g., the ability to perceive and interpret internal bodily sensations) is increasingly recognized as central to eating disorder (ED) psychopathology, yet findings remain mixed regarding whether heightened IA is protective or maladaptive. Across two studies using a sample of 654 college students (Mage = 18.74, SD = 1.56; 46% White; 58% female) from a large northeastern U.S. university, we examined (1) how specific IA facets relate to ED symptom severity, and (2) whether anxiety sensitivity (AS) helps explain these associations. In Study 1, linear regressions predicting Eating Disorder Examination Questionnaire–7 (EDE-Q7) scores showed that nearly all MAIA-2 …

Weighing The Costs: Understanding How Eating Disorder History And Motivation For Use Impacts Experience On A Glucagon-Like Peptide-1 Receptor Agonist And Interest In Future Use, Kimberly M. Gauert

Electronic Theses & Dissertations (2024 - present)

Glucagon-Like Peptide-1 receptor agonist (GLP-1 RA) medications have become popular tools due to their effectiveness regarding weight loss and chronic disease management. The drastic increase in demand for these medications has led to widespread availability and an increase in “off-label” use for cosmetic purposes. Although GLP-1 RA medications have the potential to positively impact overall health and wellbeing, there is also concern regarding potential misuse of these medications by those with a history of eating disorder behaviors. However, few studies to date have examined the relationship between a history of eating disorder pathology, reason for GLP-1 RA use, and current …

Behind The Curtain: A Literature Review Of Personal And Ecological Risk Factors And Current Multi-Level Interventions For Performing Artists, Christopher A. Robles

Social Work Theses

Performing artists experience psychological distress, including anxiety, depression, burnout, and substance use disorders, at rates significantly exceeding those of the general population. Guided by Bronfenbrenner’s Ecological Systems Theory (EST) and the Person-in-Environment (PIE) perspective, this structured literature review synthesizes research published between 2010 and 2026 to examine individual personality traits, environmental stressors across meso- and macro-systems, and existing multi-level mental health interventions for performing artists. Findings reveal that while traits such as high openness to experience, sensory processing sensitivity, and perfectionism foster artistic expression, they also heighten vulnerability to occupational stressors, financial precarity, social isolation, and venue-based substance exposure. Current …

Identifying Maltreatment Classes And Their Associated Psychological Outcomes From Childhood To Adolescence, Colleen Bartlett

Graduate Research Theses & Dissertations

Previous research has consistently shown that experiencing maltreatment has significant, negative effects on youth’s psychological health; however, research on the psychological impact of maltreatment is often limited by challenges in accurately capturing children’s maltreatment experiences, as most children who are exposed to maltreatment experience multiple types of maltreatment. The present study utilized latent class analyses (LCAs), a person-centered, data-driven approach to empirically identify patterns in children’s maltreatment experiences at ages 3, 5, and 9. Maltreatment class indicators included frequency of behaviorally approximated emotional abuse, physical abuse, and neglect. Following the LCAs, associations between maltreatment class membership and youth internalizing and …

Parental Distress, Coercive Control With Food, And Child Self-Regulation, Kattie Nguyen

UNF Graduate Theses and Dissertations

Self-regulation is the management of one's emotions, thoughts, and behaviors to adapt to a situation (Smith-Donald et al., 2007). During infancy and toddlerhood, parents foster self-regulation through co-regulation (e.g., sensitivity, responsiveness), helping children manage their emotions, behaviors, and thoughts (Butler & Randall, 2013). Parents who experience distress (e.g., depression, stress, anxiety) are more likely to use less responsive and harsher, controlling practices like coercive control. Coercive control with food is a practice where parents use food as threats or bribes to control their child’s emotions and behaviors (Vaughn et al., 2016). The present study examined the associations between parental distress, …

Examining The Factor Structure And Subgroup Invariance Of The Deliberate Denial Of Disordered Eating Behaviors Scale, Lindsay Howard, Sage Hawn, Kayla D. Pitchford, Riley Mcgrath, Aubri Farniok, Arturo Sesma, Kristin E. Heron

Psychology Faculty Publications

The denial, concealment, or omission of disordered eating behaviors has received limited attention in the eating disorder literature, partly due to the lack of reliable and valid measures. This study re-examined the factor structure of the Denial of Disordered Eating Behaviors Scale (DDEBS-12) and tested measurement invariance across gender identity, racial identity, and levels of disordered eating in a non-clinical undergraduate sample (N = 3285). Confirmatory factor analyses did not support the original unidimensional structure. Instead, a seven-item model assessing denial of dietary restriction demonstrated the best fit and was renamed the DDEBS-restriction. The revised scale showed good internal consistency …

Best Practices For Using Biological Data In Psychological Research, Sage E. Hawn, Sinead M. Sinnott, Alicia K. Smith, Kyle Bourassa, Leslie Brick, Sian Hemmings, Soraya Seedat, Arash Javanbakht, Lauren Smith, Antonia V. Seligowski, Nathan A. Kimbrel, Divya Mehta, Hossein Abbasi, Erika Wolf

Psychology Faculty Publications

Advances in statistical techniques for analyzing biological data have driven the need for larger sample sizes, which are ultimately made possible through team science efforts. Findings from these efforts have led to a significant shift in approaches to biological data collection over the past decade, from traditional approaches relying on single measures or assays collected by individual investigators in small lab-based studies to high-dimensional methodologies embedded within large cohorts or multi-site studies. These recent large scale consortium efforts necessitate careful consideration across the full data pipeline, from pre-data generation and sample collection to processing and statistical analysis, while addressing challenges …