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Burnout Treatment And Prevention Using Multimodal Expressive Arts Therapy In Massachusetts Wellness Programs., Amanda Medas

Expressive Therapies Capstone Theses

Abstract

This capstone thesis will explore the issue of burnout in the field of mental health and the argument for the promotion of using expressive arts as a therapeutic component to decrease and prevent symptoms of burnout. The writer of this thesis will be sharing her personal experiences with burnout while working in the field of mental health. The researcher will review a multimodal expressive arts self-study that she engaged in over the course of one month and will be using the Maslach Burnout Inventory to track symptoms of burnout. Burnout and its prevalence in the field of mental health …

The Impact Of Stress On Diet, Sleep, And Exercise Amongst College Students, Jessica Rizzo

Senior Honors Projects

Stress is something that everyone faces in their lifetime and has an everlasting impact on their health. College students face high levels of stress throughout the semester, but how is that impacting their behavior? I conducted a survey alongside Dr. Melanson, a professor in the Department of Nutrition and Food Sciences, to see just how college students are reacting to stress. The survey was circulated to different departments and classes to achieve a widespread collection of data. The survey remained completely anonymous and posed questions about eating, exercise, and sleep habits, along with questions on demographics and stress levels. Our …

Comparison Of Dietary And Physical Activity Changes Across Family-Based Maintenance Treatments For Childhood Overweight And Obesity, Jessica Jakubiak

Arts & Sciences Graduate Student Theses and Dissertations

No abstract provided.

Teen Stress And The High School Experience: Fostering The Adaptive Abilities To Survive And Advance, William P. Dewitt

Graduate Theses and Dissertations

The purpose if this study is to examine the stress experience of teenagers during their high school years. The study uses existing research to identify causes of stress and stress- management techniques and then gathers students’ perceptions through surveys and a group interview to provide student voice on the issue of stress.

Recent nation-wide efforts have been made in schools to provide more supports for the social and emotional well-being of students, but despite these efforts, stress levels of high school students remain elevated. Understanding the ways in which students identify stress and the adaptive abilities they use to manage …

The Effects Of Auditory And Olfactory Cues On Visual Attention Toward Food Images Under Acute Stress, Reza Moltaji

Graduate Theses and Dissertations

Psychological stress has been shown to increase preference for high calorie foods containing high levels of sugar and fat. Since excessive intake of high calorie foods may increase potential risk of obesity and other relevant health issues, relieving psychological stress may help in maintaining a balanced diet and good health status. Although a variety of strategies for relieving psychological stress has been suggested, little attention has been paid to regarding whether such strategies can result in balanced diets. Since music therapy and aromatherapy have proven popular approaches to relieving psychological stress, this thesis aimed at determining whether listening to music …

Barriers To Integrated Primary Care And Specialty Mental Health Services: Perspectives From Latinx And Non-Latinx White Primary Care Patients, Elizabeth A. Anastasia

Graduate Theses and Dissertations

High need, low access, and rising health care costs reveal the inadequacies of the current mental health system in the U.S. Racial/ethnic minorities, including Latinxs, face substantial disparities in accessing mental health treatment compared with non-Latinx Whites. Integrated primary care (IPC) offers an alternate model for meeting mental health needs by providing care in a way that is accessible to the general population. Though it has been suggested that IPC may reduce health disparities by decreasing barriers to mental health treatment, empirical data relevant to this question are limited. A series of three studies were conducted using a mixed methodology …

A Multifactorial Intervention To Reduce Weight Bias In Healthcare Providers, Rose M. Flinchum

Evidence-Based Practice Project Reports

No abstract provided.

Sample Size Calculations For Longitudinal Mediation Analysis With Continuous-Time Markov Chain Variables, Abigail Christine Sedory

Dissertations and Theses (Open Access)

Mediation is a type of analysis used to determine the causal mechanism linking a predictor and an outcome through a mediator variable. Various research has examined the inclusion of different variable types for the predictor, mediator, and outcome. However, no studies include the presence of a continuous-time Markov chain (CTMC) as any of the components in a mediating model. If researchers wanted to design a study with a CTMC in the mediating process, one of the first steps would be to determine the minimum number of subjects or observations needed to detect a significant mediating effect. Therefore, in this study, …

Development Of A Culinary Nutrition-Based Training For Dietitians And A Clinic-Based Nutrition Intervention To Improve Health Outcomes Among Low-Income Minority Patients, John Wesley Mcwhorter

Dissertations and Theses (Open Access)

Substantial evidence demonstrates the relations between a healthy dietary pattern rich in fruits, vegetables, and whole grains and a lower risk of chronic diseases including type 2 diabetes. Despite well supported studies, programs, and public health campaigns presenting the health benefits of consuming a healthy dietary pattern, most Americans fall far short of the recommendations. Further, the compounding effects of food insecurity and the consumption of energy-dense and nutrient-deficient foods disproportionately affect low income minority populations. Culinary medicine (CM) and food prescription programs are gaining popularity as tools for (1) decreasing food insecurity; (2) increasing personal agency; (3) promoting healthy …

The Intersection Of Diet, Health And The Environment: Plant Based Diets And Public Health, Christine E. Jovanovic

Dissertations and Theses (Open Access)

Both globally and within the United States, chronic disease has become a major driver of mortality and morbidity. In the United States in 2017, the top ten causes of mortality accounted for 74% of all deaths [2]; of these causes, half are closely linked to diet (heart disease, cancer, stroke, Alzheimer’s and diabetes). [3] In 2013, Ioannidis estimated that 26% of deaths and 14% of disability adjusted life years (DALYs) in the United States may be attributable to dietary risk factors, controlling for obesity. [4] At the same time, diet also has an important impact on the environment. Direct emissions …

Exploring Community-Based Weight Loss Initiatives, Retention, And Motivation, Miriam Martinez

Dissertations and Theses (Open Access)

Obesity puts individuals at risk of developing diabetes, cardiovascular disease, and cancer. Traditionally obesity was primarily perceived as a personal disorder requiring treatment at the individual level. Strategies to prevent obesity have shifted to an ecological approach. Organizations such as the World Health Organization recommend population based community approaches that connect people, families, schools, and municipalities. Community programs to facilitate weight loss are an effective strategy to reach large populations. The overall goal of this study is to assess community programs, factors associated with retention, and motivation for completing a community weight-loss initiative. A systematic review was conducted to characterize …

Estimating Means And Distributions Of Count Data From Surveys Invoking Complex Sampling Designs: Application To Measuring Cross-Sectional And Lifetime Alcohol Intake From Nhanes And Nlsy, Elysia A. Garcia

Dissertations and Theses (Open Access)

It is often of interest to measure the distribution (i.e. mean and percentiles) of count outcomes from national survey data to assess population consumption and guide public health efforts for substances such as alcohol, cigarettes, marijuana, and other illicit or licit drugs. Currently available methods for estimating the distribution of dietary intakes do not immediately lend themselves to estimating the consumption of substances measured as counts, nor do they accommodate the complex design elements – strata, cluster, and weight – characteristic of national surveys. We introduce an accurate methodology, called the Survey Adjusted Count (SAC) method, and an associated SAS …

Trends In Injection Drug Use In Texas Treatment Facility Admissions, Cara Dahlhausen

Dissertations and Theses (Open Access)

This is a serial cross-sectional secondary analysis of drug treatment admissions records from the TEDS-A from years 2013-2017. The prevalence of injected drug use was calculated for each year and analyzed across the five-year period using a chi-square test to determine the presence of significant change in injection drug use from 2013 to 2017. Prevalence of injection drug use also will be calculated for each year by drug type (heroin, methamphetamine, and cocaine), age, sex, ethnicity and race, and will be analyzed for trends using a chi-square test.

Exploration Of Breastfeeding As A Protective Factor For Breast Cancer In South African Women: A Nested Case-Control Study, Booker S. Quiera

Dissertations and Theses (Open Access)

Background. South African’s (SA) breast cancer incidence rate is continually increasing (39 per 100,000 (2012) versus 46.2 per 100,000 (2018) with trends towards later-stage diagnosis. In previous literature, breastfeeding has been assessed as a protective factor for breast cancer; however, the SA population experiences inconsistent breastfeeding trends, rates, and support services. Therefore, this study will evaluate the inverse association between breast cancer and breastfeeding history. Methods. Cases (breast cancer) and controls (mastalgia) were matched 1:1 on clinical visit from May-August 2019 at Groote Schuur Hospital (GSH) in Cape Town, Western Cape, South Africa. Breastfeeding history, breast carcinoma diagnosis, and clinically …

The Influence Of Sodium And Potassium On Blood Pressure Genetics In The Population Architecture Using Genomics And Epidemiology Study, Cynthia S. Bell

Dissertations and Theses (Open Access)

Multiple polymorphisms have shown associations with blood pressure (BP) levels and hypertension status, but the overall genetic effect on BP has been small and accounts for only a small fraction of the variation in population-wide BP characteristics. These weak associations of BP with genotype may not be attributable to the examining the “wrong” single nucleotide polymorphism (SNP) but may instead be the result of noisy BP phenotypes based on mmHg alone. Adding information from the underlying mechanisms of nutritional intake, reuptake, and excretion on BP may produce more informative BP phenotypes to study. To explore this complex relationship between diet, …

The Association Between Assorted Hormonal Contraceptive Methods And Advanced-Stage Epithelial Ovarian Cancer: A Systematic Review, Cheng Cheng

Dissertations and Theses (Open Access)

Epithelial ovarian cancer, the most lethal of the gynecological cancers, is typically diagnosed at advanced stages. Women diagnosed with advance-staged (i.e., stage III and IV according to the International Federation of Gynecology and Obstetrics) epithelial ovarian cancer are more likely to have recurrent episodes within 18 months17. According to a 2012 2016 case analysis conducted by the surveillance, epidemiology, and end results, or SEER program, the incidence of ovarian cancer was 11.4 per 100,000 women in all races per year with the highest incidence in non-Hispanic whites, of 11.9 per 100,000 women and the lowest incidence in Asians / Pacific …

Exploration Of Breastfeeding As A Protective Factor For Breast Cancer In South African Women: A Nested Case-Control Study, Quiera S. Booker

Dissertations and Theses (Open Access)

South African’s (SA) breast cancer incidence rate is continually increasing (39 per 100,000 (2012) versus 46.2 per 100,000 (2018) with trends towards later-stage diagnosis. In previous literature, breastfeeding has been assessed as a protective factor for breast cancer; however, the SA population experiences inconsistent breastfeeding trends, rates, and support services. Therefore, this study will evaluate the inverse association between breast cancer and breastfeeding history. Methods. Cases (breast cancer) and controls (mastalgia) were matched 1:1 on clinical visit from May-August 2019 at Groote Schuur Hospital (GSH) in Cape Town, Western Cape, South Africa. Breastfeeding history, breast carcinoma diagnosis, and clinically relevant …

Follow Up Care, Cancer Treatment Summaries And Patient Centered Communication, Ashleigh Gil

Dissertations and Theses (Open Access)

The adolescent and young adult (AYA) age group is the cohort of individuals who have been diagnosed with and/or are survivors of cancer. It is recommended they receive lifelong follow up care to prevent or mitigate late health effects associated with cancer and treatment. However, AYAs are caught between the pediatric and adult healthcare systems and they may not be able to fully advocate for their healthcare needs. Some factors that may be associated with AYAs survivorship care are treatment summaries and where they receive follow up care. This study aimed to identify if receipt of a treatment summary and …

Examining The Factor Structures Of The A-Des And Ptci To Identify Unique Predictors Of Ptsd Symptom Clusters In Maltreated Youth, Amanda Howard

UNLV Theses, Dissertations, Professional Papers, and Capstones

Research on childhood posttraumatic stress disorder (PTSD) has increased over the past decade. Youth who experience maltreatment are more likely to exhibit symptoms of PTSD. At present, the literature largely focuses on youth who have experienced general trauma or PTSD symptoms, while maltreated youth are understudied. To date, no studies have examined the psychometric properties of the Adolescent Dissociative Experiences Scale (A-DES) or the Posttraumatic Cognitions Inventory (PTCI) in a sample of maltreated youth. Predictors of childhood PTSD for maltreated youth remain unknown. The present study was the first research study to date to examine the factor structures of the …

The Role Of Dopamine In Decision Making Processes In Drosophila Melanogaster, Michelle C. Bowers

Undergraduate Honors Theses

Understanding the neural processes that mediate decision making is a relatively new field of investigation in the scientific community. With the ultimate goal of understanding how humans decide between one path and another, simpler models such as Drosophila Melanogaster, the common fruit fly, are often utilized as a way of determining the neural circuits involved in these decision-making processes. One of the most important decisions flies make is the decision of where to lay their eggs (oviposit). Choosing the proper substrate upon which to lay eggs is a crucial decision that can ultimately impact their fecundity. This paper investigates the …

Self-Care Domains, Benefits Of Self-Care In Graduate-Level Training Programs, And Ways To Incorporate Self-Care Education And Practices In Graduate-Level Training Programs, Krystel Segovia

Dissertations

A literature review was conducted to examine the concept of self-care as a proactive means to manage the stressors of life, enhance professional competency, and live a well-balanced lifestyle, particularly for graduate-level psychology students. Different levels of distress, including stress, compassion fatigue, and burnout, were researched and discussed. The various domains of self-care were discussed as were the benefits of engaging in regular self-care practices. Finally, various ways to incorporate self-care into already established graduate-level training programs at universities and practicum training sites were discussed to enhance the training experience as well as mitigate burnout in the novel clinician.

Motivating Clients To Exercise: Improving Adherence To Exercise-Based Treatment Through Psychoeducation, Reed Andrew Vierra

Antioch University Dissertations & Theses

Exercise has been consistently shown to have a positive effect on both physical and mental health, with past studies indicating exercise as an adjunctive treatment for diagnoses such as Major Depressive Disorder. However, despite the knowledge of exercise’s benefits, 80% of Americans do not regularly meet recommended levels of exercise in a week. Past studies have been hampered by high drop-out rates, as participants have difficulty sustaining a new exercise regimen over time. This study focused on understanding the motivational processes which sustained experienced exercisers. With the information gleaned from experienced exercisers in addition to past research on human motivation, …

An Interdisciplinary Study To Understand Treatment Seeking Behavior Among Female Survivors Of Anorexia Nervosa, Meaghan Victoria Tipton

Graduate Theses and Dissertations

This study was done to examine what psychosocial factors influence treatment seeking behavior among female survivors of eating disorders. This study uses a mixed methods survey consisting of open-ended item questions regarding treatment experience and social environment, and close-ended items to measure constructs from the Health Belief Model. Fourteen participants were recruited for this study to retrospectively detail their experiences of treatment during their eating disorder. All fourteen participants identified as Caucasian, thirteen identified as female, one identified with other gender, each with a history of medically diagnosed anorexia nervosa. The mean of age of current participants was 29.46, and …

Honors Senior Capstone Portfolio, Karen Hildebrand

Undergraduate Theses and Capstone Projects

Honors Senior Capstone Portfolio submitted in partial fulfillment of the requirements for Psych H428 Seminar Capstone Course in Psychology.

Through Their Eyes: Exploring The Relationship Between College Females' Body Perceptions And Recreation Center Messaging, Sydney Leigh Ann Cindrich

Dissertations and Theses @ UNI

The study aimed to investigate the influence that recreation center promotional messaging had on college females’ body perceptions. Body perceptions among young adult females have been linked to mental health (McKay, 2013; Miner-Rubino, Twenge, & Fredrickson, 2002). Female participants 18 to 25 years of age (N = 137, Mage = 20.41) from a mid-sized, Midwestern university completed two separate body perception questionnaires. These questionnaires assessed body appreciation (functionality) and body shame (objectification). Participants were divided into three groups and shown a collage of recreation center messages that were portraying one of three conditions (a) body functionality, (b) self-objectification, or (c) …

Black American Students With And Without Disabilities: Stress And Coping Strategies, Gabriel Asare Sarpong

Theses and Dissertations

This study examined if perceived level of stress for Black /African American students was exacerbated by their disability status. This study also examined the relationship between Africultural coping, minority stressors (racial minority stress, disability related stress) and perceive stress level. 123 students who identified themselves as Black/African American enrolled in two Midwestern universities participated in the online survey of this study (n = 39 with disabilities; n= 84 with no disabilities). Results showed that Black students with disabilities reported higher level of perceived stress compared to those with no disabilities. Racial minority stressors, and societal barrier component of disability related …

Incentive Sensitization For Exercise Reinforcement To Increase Exercise Behaviors, Kyle D. Flack, Harry M. Hays, Jack Moreland

Dietetics and Human Nutrition Faculty Publications

Individuals can be sensitized to the reinforcing effects of exercise, although it is unknown if this process increases habitual exercise behavior. Sedentary men and women (body mass index: 25–35 kg/m², N = 52) participated in a 12-week aerobic exercise intervention. Exercise reinforcement was determined by how much work was performed for exercise relative to a sedentary alternative in a progressive ratio schedule task. Habitual physical activity was assessed via accelerometry. Post-intervention increases in exercise reinforcement predicted increases in physical activity bouts among those who expended over 2000 kcal per week in exercise and who compensated for less than …

Vegetarians Versus Vegans, Hannah Kaplan

Senior Honors Theses

There is a gap in literature related to studies that explicitly compare vegetarians to vegans, as existing studies typically group these diets together and examine carnivorous and omnivorous diets in order to identify similarities and differences. The purpose of this study is to look at vegetarian and vegan diets to see if differences in attitudes towards animals, perceptions of animal usage, consumption, and morality exist. Participants included vegetarian and vegan Liberty University students (graduate and undergraduate, online and residential) who were at least 18 years old. Overall, one hundred students took part in the study, 50 of them were vegetarian …

130— Reducing Stereotypic Behavior With A Ketogenic Diet, Anna Beltramini, Andrew Guido, Alicia Bauers, Joe Spano

GREAT Day Posters

Now a popular fad diet, the ketogenic diet (KD) is a high-fat, low-carb diet that for decades has been used for treatment of intractable epilepsy. Recent therapeutic applications of KD in animal models include treatment of dementia, obsessive-compulsive disorder, and autism. These disorders are associated with stereotypic behaviors (repetitive, invariant behaviors with no apparent function) that are life-impairing and stigmatizing. However, little is known about their underlying mechanisms and no effective pharmacological treatments are available. Here, we present a novel application of KD to reduce stereotypic behavior in an inbred strain of mice (FVBN/J) that displays a prominent repetitive circling …

Caterpillars On A Phytochemical Landscape: The Case Of Alfalfa And The Melissa Blue Butterfly, Matthew L. Forister, Su'ad A. Yoon, Casey S. Philbin, Craig D. Dodson, Bret Hart, Joshua G. Harrison, Oren Shelef, James A. Fordyce, Zachary H. Marion, Chris C. Nice, Lora A. Richards, C. Alex Buerkle, Zach Gompert

Biology Faculty Publications

Modern metabolomic approaches that generate more comprehensive phytochemical profiles than were previously available are providing new opportunities for understanding plant‐animal interactions. Specifically, we can characterize the phytochemical landscape by asking how a larger number of individual compounds affect herbivores and how compounds covary among plants. Here we use the recent colonization of alfalfa (Medicago sativa) by the Melissa blue butterfly (Lycaeides melissa) to investigate the effects of indivdiual compounds and suites of covarying phytochemicals on caterpillar performance. We find that survival, development time, and adult weight are all associated with variation in nutrition and toxicity, including …