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Examining Cognitive And Behavioral Inflexibility : A Transdiagnostic Process Underpinning Maladaptive Exercise Behaviors And Attitudes, Mckenzie Miller

Legacy Theses & Dissertations (2009 - 2024)

Objective: Cognitive and behavioral inflexibility, or the inability to respond flexibly and adaptively to changing environmental demands, are hallmark features of eating disorders (ED). Individuals with EDs exhibit inflexibility across domains, often including in exercise behaviors, manifesting as exercise dependence and rigid workout routines. The purpose of this study was to assess how different motives for exercise are differentially associated with cognitive and behavioral flexibility, a marker of EDs. To the extent that inflexibility in exercise is a risk factor and symptom of disordered eating, increasing cognitive and behavioral flexibility as it relates to physical activity may be an effective …

Feasibility Of Acceptance-Based Health Coaching Targeting Food Cravings In Pregnancy, Lauren Blau

Legacy Theses & Dissertations (2009 - 2024)

Excess gestational weight gain (GWG) is the leading high-risk condition in pregnancy in the United States and associated with a variety of poor delivery and health outcomes for the mother and infant. The majority of interventions addressing diet and physical activity in pregnancy have at best small effects on weight gain and pregnancy health outcomes. Past studies on weight loss in non-pregnant samples have demonstrated the utility of addressing psychological factors to modify eating behaviors. Currently, there is a lack of research to evaluate the efficacy of targeting psychological factors to improve cognitive and affective coping skills when attempting to …

Incorporating Psychological Trauma Into Adhd Differentials: A Pilot Study Of Primary Care Providers' Perspectives, Amber Nipper

PsyD Program in Clinical Psychology Doctoral Dissertations (Seattle)

According to the American Academy of Pediatrics (AAP, n.d.), 40% to 50% of individuals seeking mental health services terminate prematurely due to lack of access, lack of transportation, financial constraints, child mental health professional shortages, and stigma related to mental health. These barriers contribute to primary care providers assessing and managing mental health concerns at increasing rates, particularly symptoms consistent with attention deficit/hyperactivity disorder (ADHD). ADHD is a neurobiological disorder beginning in childhood that is defined as “a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development” (American Psychiatric Association [APA], 2013, p. 59). Current literature shows …

Importance Of Childhood Maltreatment On Borderline Personality In Adults: Meta-Analysis, Lisa Nicole Trentacosti

Walden Dissertations and Doctoral Studies

Early childhood maltreatment (CM) is a risk factor for later psychopathology specifically Borderline Personality Disorder (BPD). CM has been found to negatively affect social, emotional, and psychological development as well as the ability to foster and sustain interpersonal relationships throughout all stages of life. There are evidence-based interventions for different kinds of CM including Trauma-Focused Cognitive-Behavior Therapy (TF-CBT), Alternatives for Families - Cognitive Behavioral Therapy (AF-CBT), relaxation training, and social skills training. The current study is a meta-analysis of published research into CM as it contributes to BPD in adults and is designed to examine the effect size of childhood …

The Lived Experience Of Quality Of Life Of Older Adults In Rural Ghana, Benjamin Arthur

Walden Dissertations and Doctoral Studies

The quality of life (QOL) of older adults in rural Ghana is of growing concern, locally and throughout the country. In Ghana, it is the tradition for family members to take care of older adults without any government support, but research has shown that changing economic and social structures make this tradition less optimal, so older adults suffer physically and emotionally. The purpose of this phenomenological study was to explore the lived experience of QOL for older adults in rural Ghana. The ecological systems theory was used to explore the integral role of family support and QOL in the microsystem, …

A Longitudinal Examination Of Depression Among Older Adults: The Role Of Working Memory And Sleep, David Brush

Electronic Theses and Dissertations, 2020-2023

Introduction: The development and regulation of depressive symptoms and the ability to regulate their development is a complex process. Both working memory and sleep disturbance relates to depressive symptom endorsement, though the mechanisms relating these variables have not been examined longitudinally. The current manuscript contains a series of three interrelated studies that aim to elucidate the relationship between potential emotion regulation resources longitudinally within the context of the Selection, Optimization, and Compensation of Emotion Regulation (SOC-ER) model. Study one examined the temporal relationship between working memory and depression, study two examined working memory and depression following loss of spouse, and …

Structured Training Programs For Direct Support Professionals On Behavior Intervention Support Plans, Melody Lane Barnes-Meisenhelder

Walden Dissertations and Doctoral Studies

Direct support professionals work with developmentally disabled individuals and are responsible for implementing behavior intervention support plans (BISPs). Little is known about the efficacy of supplemental BISP training in these professionals. The purpose of this quantitative experimental study was to investigate the efficacy of BISP training to improve knowledge and applied understanding of BISPs in direct support professionals. Social validation, treatment fidelity, and change theories served as the foundations of the study. Seventy-three newly hired direct support professionals were randomized into an experimental group with a 2-day workshop training or a standard training group. BISP knowledge was assessed before and …

Examining How Adverse Childhood Experiences And The Underlying Processes Of Trait And State Impulsivity Influence Suicidal Behavior, Julia K. Duran

Master's Theses or Doctor of Nursing Practice

ABSTRACT

Due to the effects of ACEs and impulsive behavior on mental and physical health, it is important to better understand the relationship between these two as well as how they both may influence choices, such as suicide. Numerous studies have identified impulsive behavior as a risk factor for suicide, however, recent research has identified several underlying independent processes that make up impulsivity. This study uses a broad assessment of trait and state impulsivity to gather a more discrete understanding of the underlying processes that contribute to impulsive behavior. The short version UPPS-P scale was used to measure negative urgency, …

Gender Differences In Cognitive Distortions In Adults With Adhd, Laura Salciunas

PCOM Psychology Dissertations

Research has established that men and women with ADHD often manifest varying symptom constellations and are typically referred at different ages for initial evaluation. However, there is a dearth of research into how such gender differences may impact the manifestation of various psychological processes, such as cognitive distortions, even though the latter may explain up to half the variance in many clinical syndromes and personality disorders. The primary objective of this study was to identify whether there is a significant difference in the frequency of cognitive distortions between men and women with ADHD. The secondary objective was to determine the …

Relationship Between Social Support And Childhood Trauma On Resilience, Carol Krieger

Walden Dissertations and Doctoral Studies

People who have not overcome childhood trauma and who have developed mental illnesses have difficulties dealing with life challenges. The purpose of this quantitative study used a correlational design to test any relationship between childhood trauma experience levels and resilience against life challenges in adulthood. The theoretical framework used for this study was Barnes’ social support theory. Data were collected from 104 participants over a 7-week period. Participants voluntarily answered the ACE questionnaire, 2-way support scale, and resilience scale. Key results indicate that people with mental illness who receive social support are positive impacted by that support. Receiving adequate levels …

Stress, Coping, And Adjustment Of Young Adults Who Have Transitioned Out Of Foster Care, Helen S. Hogin

Walden Dissertations and Doctoral Studies

Current research lacked information on the stress, coping, and adjustment of individuals transitioning to adulthood from foster care. Transitioning out of foster care when adulthood is reached can be challenging, resulting in mental and physical health problems, decline in overall wellbeing, and poor outcomes. Elevated stress can make coping and adjusting to social life more difficult. The purpose of this study was to explore former foster youths’ perspectives and experiences of stress and what coping strategies were effective as they adjusted to society. The transactional model of stress and coping served as the study’s framework. The research questions focused on …

Loneliness, Sense Of Control, And Risk Of Dementia In Healthy Older Adults: A Moderated Mediation Analysis, Hwajin Yang, Germaine Tng, Wee Qin Ng, Sujin Yang

Research Collection School of Social Sciences

Objectives: Despite the rising prevalence of dementia, little research has been conducted to identify modifiable psychological factors that alleviate the risk of dementia in older adults and the underlying mechanisms. Given that loneliness is, in part, concomitant with a weakened sense of control, we examined whether sense of control would mediate the relation between loneliness and dementia risk. Further, considering that working -memory capacity is a critical cognitive resource that serves as a buffer against age-related cognitive decline, we examined a second-order moderated mediational model whereby working-memory capacity moderates the relation between control beliefs and dementia risk in older adults. …

Sleep Consistency And Its Relation To Inflammation: Identifying The Role Of Emotional Regulation, Caitlyn Louzado

CMC Senior Theses

Sleep duration, quality, and consistency are associated with well-being and productivity. College students struggle to achieve the right balance of sleep and research demonstrates how this has severe repercussions on their physical health academic performance. The effects of sleep consistency interact with emotional regulation (ER). This observational study investigates the relationship between all three sleep characteristics and inflammation, while exploring the mediating and moderating role of ER. Participants included 138 undergraduate students (Females= 81 Males= 57). ER and sleep quality were measured through self-reported questionnaires and inflammation through blood spot analysis. Sleep consistency and duration were assessed using an Acti-Watch. …

Association Between Fruit And Vegetable Intakes And Mental Health In The Australian Diabetes Obesity And Lifestyle Cohort, Joanna Rees, Simone Radavelli-Bagatini, Johnny Lo, Jonathan M. Hodgson, Claus T. Christophersen, Robin M. Daly, Dianna J. Magliano, Jonathan E. Shaw, Marc Sim, Catherine P. Bondonno, Lauren C. Blekkenhorst, Joanne M. Dickson, Joshua R. Lewis, Amanda Devine

Research outputs 2014 to 2021

Increasing prevalence of mental health disorders within the Australian population is a serious public health issue. Adequate intake of fruits and vegetables (FV), dietary fibre (DF) and resistant starch (RS) is associated with better mental and physical health. Few longitudinal studies exist exploring the temporal relationship. Using a validated food frequency questionnaire, we examined baseline FV intakes of 5845 Australian adults from the AusDiab study and estimated food group-derived DF and RS using data from the literature. Perceived mental health was assessed at baseline and 5 year follow up using SF-36 mental component summary scores (MCS). We conducted baseline cross-sectional …

Effects Of States’ Laws On Youth Physical Activity Participation And Obesity Prevalence, Chae Young Chang

Midwest Social Sciences Journal

The alarming prevalence of obesity and lack of physical activity among adolescents led to immediate policy action to address these concerns. Accordingly, many states introduced and enacted their own legislation to encourage physical activity in schools. Few studies have explored the effectiveness of the new legislation, however, especially at the state level. To answer the fundamental question of whether policy is effective and to describe the varying effects of state obesity policies, this study analyzed the Youth Risk Behavior Surveillance System from 2007 to 2017. Using the difference-in-differences method, this study found that legislative efforts to encourage physical activity had …

Sensitray: An Integrated Measuring Device For Monitoring Children’S Mealtime Dietary Intake, Hunter S. Guru, Anthony D. Weng, Santosh Pitla, Dipti Dev

Department of Child, Youth, and Family Studies: Faculty Publications

Childhood nutrition establishes consumption norms that affect an individual’s health over the course of their lives. However, early nutrition interventions to establish such norms are uncommon owing to the various inefficiencies associated with current methods of measuring childhood nutrition. Here, we present an IoT measuring device, called the SensiTray, which accurately tracks mealtime intake in a child-friendly and cost-effective fashion. Principal technologies underlying the SensiTray (including mass-sensing technologies, microcontrollers) are identified and analyzed, along with other design choices. Operation of the SensiTray is explained with special attention given to SensiTray software peripherals and algorithms. Preliminary testing consisted of static and …

Effect Of Human-Animal Interactions On Retail Employees’ Job Satisfaction And Job Performance, Michelle Elizabeth Davis

Walden Dissertations and Doctoral Studies

Research has shown that companion animals can have a positive effect on people who suffer from mental and physical illnesses; however, few studies have considered the impact of human-animal interactions (HAIs) on employees in the work environment. This quantitative study investigated the effect of HAIs on 146 employees’ job satisfaction and job performance in three retail environments with a range of potential animal interactions: retail store with no animal presence (none), retail store with occasional animal presence (occasional), and retail store with persistent animal presence (constant). Retail employees’ job satisfaction and performance in each retail setting were assessed using the …

The Prevalence Of Burnout Among Entry-Level Dental Hygiene Program Directors, Jessica Suedbeck, Emily A. Ludwig, Susan Lynn Tolle

Dental Hygiene Faculty Publications

Purpose: Workplace burnout in academia is a problem that affects career satisfaction and longevity. The purpose of this study was to determine the prevalence of burnout among entry-level dental hygiene program directors.

Methods: The Copenhagen Burnout Inventory (CBI) survey was used to determine prevalence of burnout in 325 dental hygiene program directors from across the United States. The survey was disseminated electronically. The CBI contains 19 questions that measure overall, personal, work-related, and client/student-related burnout on a five-point Likert type scale. The survey also included nine demographic and three open-ended questions related to burnout. Descriptive statistics, one sample t-tests, and …

Ghanaian Immigrant Women In The United States Beliefs About Maternal Nutrition And Fetal Development, Yassi Azhdari

Walden Dissertations and Doctoral Studies

Ghanaian women, in their native country, experience a high rate of anemia, malaria, and malnutrition while pregnant. Poor health outcomes for mother and child are caused by a lack of protein in their diet, food taboos, consumption of nutrient-poor foods, and infections. These conditions may cause pregnancy complications such as premature birth, or maternal or fetal death. There is little known about, the differences between the Ghanaian and U.S. birth experience, and foods used by Ghanaian immigrant women while pregnant. The biopsychosocial model was used in this descriptive qualitative study to examine how Ghanaian immigrant women are impacted by pregnancy …

Physical And Behavioral Factors And Their Influence On Psychosocial Functioning And Adherence In Women With Celiac Disease, Joclyn R. Malys

PCOM Psychology Dissertations

Celiac disease is a chronic autoimmune disease with physiological symptoms including diarrhea, vomiting, abdominal pain, and anemia. Weight change before and after treatment is common among women with Celiac disease. The relationship between the physical manifestations of Celiac disease and their effects on psychosocial functioning is unclear. The purpose of this study was to examine the effects of the magnitude of weight change on depression, body image, and eating behaviors. This cross-sectional study used data that were collected via online anonymous surveys from 140 women with Celiac disease. Functioning and adherence were assessed using the Patient Health Questionnaire-9 (PHQ-9), The …

Resilience As A Moderator Between Food And Housing Insecurity And Mental Distress, Denise Mchugh Loggie

Walden Dissertations and Doctoral Studies

The prevalence of food insecurity (FI) and housing insecurity (HI) in college students has increased over the last decade along with an associated increase in mental health problems. Studies show significant increases in many markers for mental distress in this population including a higher prevalence of mood disorders, non-lethal self-harm, and attempted and completed suicides, particularly over the last decade. Compounding these challenges is the low level of resilience found in college-age young adults, potentially limiting their ability to cope with and recover from the hardship of FI and HI. This quantitative study, guided by resilience theory and Maslow’s hierarchy …

Lived Experiences Of Parents Regarding Their Elementary-Age Child’S Exclusion From School Due To Behavioral Problems, Lauren Claire Ferber

Walden Dissertations and Doctoral Studies

AbstractDisciplinary exclusion, particularly school expulsion, presents a significant challenge to school-age children and their families. Although the impacts of disciplinary exclusion from school on children are well-known, less is known about how this phenomenon affects their parents. The purpose of this qualitative phenomenological study was to understand the lived experiences of parents who have a child who has been subjected to disciplinary exclusion due to behavioral problems in the classroom. Bronfenbrenner’s ecological systems theory provided the framework for this study. Data were collected from semistructured interviews with 12 parents of children who faced exclusion. Four themes emerged from coding analysis: …

The Interactive Effects Of Brain-Derived Neurotrophic Factor (Bdnf) Polymorphisms And Posttraumatic Stress Disorder On Neurocognitive Functioning In U.S. Military Veterans, Colton Shafer Rippey

Theses and Dissertations--Psychology

Posttraumatic Stress Disorder (PTSD) is associated with mild-to-moderate deficits in neurocognitive functioning. Single nucleotide polymorphisms (SNPs) in the brain-derived neurotrophic factor (BDNF) gene, namely, the Met allele, may also be associated with mild deficits in neurocognitive functioning. However, findings are inconsistent and may be sensitive to environmental epigenetic moderators such as psychopathology.

The current study analyzed data from European-American U.S. military veterans (n = 1,244) who participated in the 2011 National Health and Resilience in Veterans Study (NHRVS). Multivariate analyses of covariances were conducted to evaluate the unique and interactive effects of the Met allele and probable PTSD on …

Catalytic Resilience Practices: Exploring The Effects Of Resilience And Resilience Practices Through Physical Exercise, Mackenzie Ruether

Industrial-Organizational Psychology Dissertations

Resilience is of increasing interest to researchers and practitioners as the organizations where they work have become increasingly complex and dynamic. The recent COVID-19 pandemic has only magnified its importance. COVID-19 provides a unique opportunity to study how people navigate challenges and face adversity to be resilient both at home and at work. The main question organizations, teams, and employees are asking is how individuals gain and sustain resilience. To that end, theory and research has suggested a vast array of practices or strategies that individuals can engage in to build resilience to be better prepared to overcome adverse situations …

A Review Of Sample Size And Design Efficacy In Crossover Design In Peer-Reviewed Psychology Research, Kyle Moxley

Wayne State University Dissertations

A REVIEW OF SAMPLE SIZE AND DESIGN EFFICACY IN CROSSOVER DESIGN IN PEER-REVIEWED PSYCHOLOGY RESEARCHby KYLE C. MOXLEY November 2021 Advisor: Dr. Shlomo S. Sawilowsky Major: Education Evaluation and Research Degree: Doctor of Philosophy The present study seeks to investigate the efficacy of crossover research designs, and the application of crossover designs, in the field of behavioral sciences. Under ideal conditions, crossover designs are assumed to be more efficacious than parallel studies in that participants are given both treatments. However, the presence of carryover effects from treatments may influence outcomes (Jones & Kenward, 2014). To prevent carryover effects, researchers frequently …

Shu Altop News Issue #2, Spring, Dr. Susan L. Davis, Rn & Richard J. Henley College Of Nursing

News, Magazines and Reports

Updates from the Davis & Henley College of Nursing Sacred Heart University Alternatives to Opioids for Pain Grant.

Alternatives to Opioids for Pain (ALTOP) is a HRSA funded project to help combat the opioid epidemic in Connecticut.

Using The Very Short Form Of The Children’S Behavior Questionnaire For Spanish-Speaking Populations In Low- And Middle-Income Countries: A Psychometric Analysis Of Dichotomized Variables, Elsa Lucia Escalante-Barrios, Sonia Suarez Enciso, Samuel P. Putnam, Helen Raikes, Sergi Fàbregues

Department of Child, Youth, and Family Studies: Faculty Publications

While the psychometric properties of the Spanish version of the Very Short Form of the Children’s Behavior Questionnaire (CBQ-VSF) have been assessed in the US and Europe in samples composed of middle- and high-income parents with high levels of education, no studies have tested the instrument in low-income Spanish-speaking populations living in low- and middle- income countries. To fill this gap, our cross-sectional study assessed the psychometric properties of the Spanish version of the CBQ-VSF version in a sample of 315 low-income and low-educated parents with preschool children living in the Caribbean Region of Colombia. While our findings revealed problems …

Food Program Participation Influences Nutrition Practices In Early Care And Education Settings, Bethany D. Williams, Susan B. Sisson, Irene Padasas, Dipti Dev

Department of Child, Youth, and Family Studies: Faculty Publications

Objective: To determine differences by Child and Adult Care Food Program (CACFP) participation on nutrition requirements and best practices and barriers to implementing both in early care and education programs (ECEs) stratified by context (centers vs home-based ECEs).

Design: Cross-sectional survey.

Setting: Three-thousand and fourteen licensed Nebraska ECEs in 2017.

Participants: One-thousand three hundred forty-five ECEs.

Main Outcome Measures: Director-reported nutrition practices in classrooms serving children aged 2-5 years (8 requirements for foods served, 5 best practices for foods served, and 14 best practices for mealtime behaviors).

Analysis: Chi-square analysis adjusted for multiple comparisons.

Results: Of the sample, 86.8% participated …

Improving Breastfeeding Environments And Feeding Practices In Family Child Care Homes With The Go Nap Sacc Program, Kara Kohel, Holly Hatton-Bowers, Natalie A. Williams, Dipti Dev, Donnia Behrends, Emily Hulse, Zainab Rida, Holly Dingman, Danae Dinkel, Liz Gebhart

Department of Child, Youth, and Family Studies: Faculty Publications

Purpose: Breastfeeding and responsive feeding are important practices that support the health of infants and women. In the United States, breastfeeding continuation rates remain lower than recommended, and working women face additional challenges with breastfeeding continuation. Providers in a family child care setting are uniquely positioned to support and provide important resources to families in their breastfeeding and infant feeding practices.

Methods: The Go NAP SACC program was designed to improve the nutrition and physical activity environments and practices in child care settings serving infants and young children. This evaluation focuses on Breastfeeding and Infant Feeding in Nebraska Family Child …

Supporting Children’S Healthy Development During Mealtime In Early Childhood Settings, Adrien D. Malek‑Lasater, Kyong‑Ah Kwon, Diane M. Horm, Susan B. Sisson, Dipti Dev, Sherri L. Castle

Department of Child, Youth, and Family Studies: Faculty Publications

The purpose of this study was to examine the frequency of and relationship between responsive feeding practices used during early childhood education (ECE) mealtimes and high-quality teaching practices and teacher characteristics. We found variation in teachers’ use of responsive feeding practices. Teachers were more often observed using role modeling than supporting eating self-regulation. Programs that implemented family style meal service had a generally higher use of responsive feeding practices. Overall, we found positive associations between high-quality teaching practices and responsive feeding practices. Teachers’ Head Start status was associated with teaching practices and role modeling during mealtime. Teachers’ education and salary …