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Cerebrovascular Burden And Depression: Examining A Process Model Of Geriatric Developmental Psychopathology, Rosanna Scott

Electronic Theses and Dissertations

Depression is the second leading cause of disability worldwide, and is associated with substantial functional impairment and poor health implications in older adults. These adverse outcomes are exacerbated in older adults who exhibit comorbid depression and cerebrovascular burden (CVB). Given that the population of older adults is projected to double by year 2050, a process model of the development of depression in later-life and a subsequent clear delineation of the relationship between CVB and depression is paramount. One explanation of this process of disease development is the vascular depression theory, however alternative hypotheses have not been exhaustively falsified and the …

Evaluation Of A Diabetes Self-Management Program For Hispanics In Lexington Kentucky: A Pilot Study, Miguel A. Gamboa Oropeza

Theses and Dissertations--Nutrition and Food Systems

Hispanics are more affected by diabetes than non-Hispanic whites and they tend to experience more severe complications. Research shows that although self-management is poor among ethnic minorities, it is even more so among Hispanics. The “Taking Ownership of Your Diabetes” (TOYD) program has been shown to be successful in helping individuals manage their diabetes. However, no work has been conducted with Hispanic audiences in Kentucky. TOYD program allows individuals to modify lifestyle risks and solve problems related to diabetes management. The program was translated from English to Spanish. Hispanics males and females between ages 19 to 75 years …

Life After Bariatric Surgery: A Mixed-Method Analysis On Social Support And Quality Of Life, Caitlin M. Speck

Doctor of Psychology (PsyD)

Obesity is often described as a national epidemic; bariatric surgery is one form of treatment that has become increasingly popular. Bariatric surgery is successful and many patients experience significant weight loss; however, many patients struggle to maintain their new weight. In an attempt to respond to the problem of weight loss maintenance, bariatric surgery programs are incorporating behavioral management-strategies in addition to typical program support. Support groups are often offered by bariatric surgery programs and are commonly focused around psychoeducation, behavioral strategies, and community support. This study provides a mixedmethod quantitative and qualitative analysis on life after bariatric surgery, primarily …

Career Experiences Of Women With Major Financial Barriers, Madeline E. Clark, Jaime D. Bower

Counseling & Human Services Faculty Publications

The career experiences of women facing major financial barriers are unique and varied. To better understand and assist such women, the authors interviewed 10 women twice to explore their lived career experiences, using photographs in one interview as stimuli to increase participants' voice and triangulate data. Participants' responses were grouped into 20 themes across 4 domains: career as privilege, reasons for engaging in work, supports, and barriers. Women with major financial barriers appear to understand career as a privilege while experiencing significant obstacles to successfully obtaining work. Participants expressed resiliency and self-motivation to transcend and mitigate these obstacles. This study …

Proximity To Children: A Geospatial Approach To Understanding The Relationship Between Fast Food And Schools, Andrew Atwong

CMC Senior Theses

In a time when Americans are waking up to the health consequences of consuming fast food, researchers have discovered that fast food restaurants seem to be located in greater concentrations near primary or secondary schools. While this phenomenon affects the food environments of some children and carries implications as to their short term and long term health (which has also been well researched), this paper focuses primarily on fast food restaurants that are within walking distance of schools. Using Geographic Information Systems (GIS) to integrate geospatial, business, demographic, and food quality data, I use linear regressions to examine whether and …

The Maternal Personhood Of Cattle And Plants At A Hindu Center In The United States, Daniel S. Capper

Faculty Publications

Religious experiences with sacred nonhuman natural beings considered to be “persons” remain only vaguely understood. This essay provides a measure of clarification by engendering a dialogue between psychoanalytic self psychology on one side and, on the other, religious experiences of cattle and Tulsi plants as holy mothers at a Hindu cattle sanctuary in the United States. Ethnographic data from the Hindu center uncover experiences of sacred maternal natural beings that are tensive, liminal, and colored with affective themes of nurturance, respect, and intimacy, much like psychoanalytic maternal selfobjects. Devotees protect cattle and ritually venerate plants because these actions facilitate a …

Groundhog Oracles And Their Forebears, Daniel S. Capper

Faculty Publications

Groundhog Day animal weather forecasting ceremonies continue to proliferate around the United States despite a lack of public confidence in the oracles. This essay probes religio-historical and original ethnographic perspectives to offer a psychological argument for why these ceremonies exist. Employing Paul Shepard’s notion of a felt loss of sacred, intimate relationships with nonhuman nature, as well as Peter Homans’ concept of the monument that enables mourning, this essay argues that groundhog oracles serve as monuments that allow humans experientially to attempt to heal lost sacred relationships with animals like weather forecasting bears, hedgehogs, and badgers

The Role Of Chronic Sugar Consumption As A Moderating Variable On Acute Sugar Consumption And Aspects Of Executive Function, Caroline M. Joyce

Scripps Senior Theses

This study explores the relationship between acute sugar consumption and its effect on executive function (EF). Specifically, this study examines the effect of both acute and chronic sugar consumption on EF. An epidemiological survey was given on an online work distribution platform, where participants finished cognitive tasks of EF after completing questionnaires assessing sugar consumption both in the last year and last 24 hours (n = 273). It was hypothesized that acute and chronic sugar intake would significantly predict scores on measures of aspects of EF. Additionally, it was hypothesized that chronic sugar intake would significantly moderate the relationship …

Depressive Symptoms And Alcohol-Related Problems Among College Students: A Moderated-Mediated Model Of Mindfulness And Drinking To Cope, Adrian J. Bravo, Matthew R. Pearson, Leah E. Stevens, James M. Henson

Psychology Faculty Publications

Objective: In college student samples, the association between depressive symptoms and alcohol-related problems has been found to be mediated by drinking-to-cope motives. Mindfulness-based interventions suggest that mindfulness may attenuate the conditioned response of using substances in response to negative emotional states, and trait mindfulness has been shown to be a protective factor associated with experiencing fewer alcohol-related problems. In the present study, we examined trait mindfulness as a moderator of the indirect associations of depressive symptoms on alcohol-related problems via drinking-to-cope motives. Method: Participants were undergraduate students at a large, southeastern university in the United States who drank at least …

Effects Of Premature Birth And/Or Low Birthweight On Developmental Outcomes, Rachel L. Goldin

LSU Doctoral Dissertations

Advances in neonatal technology have improved survival rates of children born at lower and lower birthweight and after fewer and fewer weeks of gestation. However, these children are at increased risk of experiencing developmental delays. As weeks of gestation and birthweight decrease, the risk of developmental impairment and severity increases. Yet to be determined is whether premature birth and low birthweight (LBW) effect development differentially, and if the combined, have an additive effect on developmental outcomes. The first part of this study aimed to examine the independent effects of preterm birth and LBW in children at risk for developmental delays. …

Low Self-Esteem Leads To Depression Among Elderly: Case Study Of Nursing Home, Savera Aziz Ali, Nadir Suhail, Sumera Aziz Ali

School of Nursing & Midwifery

Background: Self-esteem is defined as “how we value our self”; it affects our trust and relationships in every part of life. Person with low self-esteem may feel powerless and incompetent about himself/herself. Moreover, low self-esteem operates as a risk factor for depression, which is most common disorder among elderly people both in developed and developing countries, causing multiple behavioral changes as well as may increase the chances of depression and suicide among the elderly people. Objective: The objective of this case study was to understand the problems faced by elderly people in the nursing home and to relate the self-esteem …

‘Let’S Work Together Towards Children’S Nutrition’: Building Bridge Between Child Care Providers And Parents For Promoting Child Health, Dipti A. Dev, Courtney Byrd-Williams, Samantha Ramsay, Brent A. Mcbride, Ashleigh L. Murriel, Chrisa Arcan, Anna M. Adachi-Mejia

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

Objective: To investigate childcare providers’ perspectives for communicating with parents to promote children’s nutrition and health.

Design, Setting, and Participants: In-person, semistructured interviews. Licensed center-based child care. Eighteenfull- time childcareproviders caring for children2-5 years old, 67% caring for children who pay with federal subsidy.

Outcome Measures and Analysis: Participants were selected using maximum variation purposive sampling. Interviews were conducted until saturation was achieved. NVivo, thematic analysis used to code and identify themes and meta-themes regarding providers' perspectives for parent communication.

Results: Two meta-themes emerged from providers’ responses: barriers to communication, and strategies to communication. Barriers to communication include: parents are …

Nutrition Education Resources In North Carolina–Based Head Start Preschool Programs: Administrator And Teacher Perceptions Of Availability And Use, Sarah Lisson, L. Suzanne Goodell, Dipti A. Dev, Kristi Wilkerson,, Archana V. Hegde, Virginia C. Stage

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

Objective: The purpose of this study was to provide new insight into common barriers to the availability and use of nutrition education (NE) resources in Head Start preschool programs based on administrator and teacher perceptions.

Methods: In-depth, semistructured phone interviews (n = 63) were conducted with administrators (n = 31) and teachers (n = 32) from North Carolina–based Head Start programs. Interviews were audio-recorded and transcribed verbatim. Data were analyzed qualitatively using content analysis to identify common themes.

Results: Five emergent themes were identified within the areas of NE resource availability and use and barriers to NE resource availability and …

Relationships And Sports: Mechanisms In Relational Motivation And Its Impact On Athletic Performance, Alexandra Szarabajko

Online Theses and Dissertations

Relationally-Autonomous Reasons (RARs) for pursuing goals are motives that take one’s own personal needs and the needs and desires of close others into account. These relational reasons motivate people in pursing health, school, or sports goals. The purpose of this study was to identify what mechanisms drive relational motivation that in turn affects athletic performance. Participants (n = 156) in this study were student-athletes from various sports, who completed a questionnaire. Athletic performance was obtained and standardized through each athlete’s performance statistics within their sport. The results of the study revealed that closeness, support, accountability, and shared values predicted relational …

Healthcare Stereotype Threat In Older Adults In The Health And Retirement Study, Adam W. Fingerhut, Cleopatra M. Abdou, James S. Jackson, Felicia Wheaton

Psychological Science Faculty Works

Introduction

Healthcare stereotype threat is the threat of being personally reduced to group stereotypes that commonly operate within the healthcare domain, including stereotypes regarding unhealthy lifestyles and inferior intelligence. The objective of this study was to assess the extent to which people fear being judged in healthcare contexts on several characteristics, including race/ethnicity and age, and to test predictions that experience of such threats would be connected with poorer health and negative perceptions of health care.

Methods

Data were collected as part of the 2012 Health and Retirement Study (HRS). A module on healthcare stereotype threat, designed by the research …

Self-Efficacy, Perceived Skills, And Real Knowledge Of Speech-Language Pathologists, Meredith Lynn Baker-Rush

Walden Dissertations and Doctoral Studies

Although speech language pathologists' (SLPs) knowledge of communication and swallowing has been undisputed, their knowledge and skills related to tracheostomy and mechanical ventilation (MV) seem varied. The consequences associated with the presence of tracheostomy or MV demonstrate the necessity of training. Guided by Bandura's social cognitive theory, this study was designed to determine if SLPs' training influenced self-efficacy and real knowledge, and to evaluate trends associated with SLPs' pursuit of specialized training. A total of 236 SLPs practicing in the United States responded to a researcher-developed knowledge and confidence test for tracheostomy and mechanical ventilation (KCT-TMV). Data were analyzed via …

Motivation For Volunteering With Older Adults In A Rural Community, Tonia Maria Truesdell

Walden Dissertations and Doctoral Studies

The Baby Boomer generation in the United States is growing older, and the number of adults age 65 years or older is expected to double by 2050. The increase in older adults combined with the reduction in services to older adults has created a gap in available social services and volunteers are needed to fill those gaps. This quantitative, nonexperimental study was designed to identify the motivations of volunteers who served the socialization needs of isolated older adults in a rural U.S. community. The functional approach theory was utilized to explain how volunteers engage in the same volunteer activity for …

Identifying Misconceptions Associated With Inaccurate Survey Reporting In The Combined Use Of Caffeine And Alcohol, Kathryn Polak

Theses and Dissertations

Research on college student use of caffeine combined with alcohol (CAC) and public health concern over such use has been hampered by the absence of psychometrically sound measures of caffeine and CAC use. The present study examined agreement between survey (CAS) and interview (TLFB) methods for collecting data on caffeine, alcohol and CAC use. Participants were N=50 college students randomized to complete CAS followed by TLFB or the reverse. Qualitative follow-up interviews with N=15 participants were used to identify factors contributing to CAS-TLFB discrepancies. Responses varied by method of administration, with largest discrepancy magnitudes found for CAC, followed …

An Examination Of The Technical And Relational Hypotheses Of Motivational Interviewing In A Sample Of African American Adolescent Girls Seeking Obesity Treatment, Rachel L. Boutte

Theses and Dissertations

Adolescent obesity has increased exponentially over the past three decades in the United States. In response, behavioral interventions have been developed and implemented to address this epidemic; however, treatment adherence is often suboptimal. Motivational interviewing (MI) is a directive, person centered approach to reducing patient ambivalence about change, which has been shown to increase engagement in obesity interventions. The current study investigated the underlying process of MI by exploring two different, but related pathways that explain how change happens (e.g., the technical and relational hypotheses) in the context of a multidisciplinary obesity intervention with African American adolescent girls (N …

Does Child Temperament Modify The Overweight Risk Associated With Parent Feeding Behaviors And Child Eating Behaviors?: An Exploratory Study, Allan D. Tate, Amanda Trofholz, Kathleen Moritz Rudasill, Dianne Neumark-Sztainer, Jerica M. Berge

Department of Educational Psychology: Faculty Publications

Background: Child temperament is a measure of an individual’s behavioral tendencies. The primary objective of this study was to examine whether child temperament modified the overweight risk associated with parent feeding behaviors and child eating behaviors. Methods: A sample of predominantly African American, Midwest families (N = 120) recruited from four metropolitan primary care clinics participated in this cross-sectional, mixed methods study. Parents reported on feeding practices, child eating behaviors, and child temperament. Results: Difficult temperament was not statistically related to parent feeding practices or child eating behaviors (p > 0.05). Tests of interaction indicated that the risk …

Cognitive Phenotypes And The Evolution Of Animal Decisions, Tamra C. Mendelson, Courtney L. Fitzpatrick, Mark E. Hauber, Charles H. Pence, Rafael L. Rodriguez, Rebecca J. Safran, Caitlin A. Stern, Jeffrey R. Stevens

Jeffrey Stevens Publications

Despite the clear fitness consequences of animal decisions, the science of animal decision making in evolutionary biology is underdeveloped compared with decision science in human psychology. Specifically, the field lacks a conceptual framework that defines and describes the relevant components of a decision, leading to imprecise language and concepts. The ‘judgment and decision-making’ (JDM) framework in human psychology is a powerful tool for framing and understanding human decisions, and we apply it here to components of animal decisions, which we refer to as ‘cognitive phenotypes’. We distinguish multiple cognitive phenotypes in the context of a JDM framework and highlight empirical …

Comparative Memory/Behavioral Symptoms Of Alzheimer's Disease: Eoad Vs. Load, Marcia Gale Roberson

Walden Dissertations and Doctoral Studies

Alzheimer's disease (AD) is a fatal disorder with no apparent cure. Early-onset AD (EOAD) occurs in individuals before the age of 65, and late-onset AD (LOAD) occurs in individuals age 65 and older. Past studies have proven that AD is fatal among Americans age 65 and older. The disease is characterized by impairments in memory and executive function as well as other cognitive and behavioral problems. The research questions addressed by this sequential, mixed-method study compared EOAD and LOAD by exploring common behavioral/cognitive symptoms and stage levels of AD. Research participants were recruited from the Alzheimer's Association who were members …

Young Adults Adherence To Cancer Treatment As Compared To Older Adults, Laurie Ann Cox

Walden Dissertations and Doctoral Studies

As compared to pediatric and older adult cancer patients, young adults are the only oncology group that has not demonstrated an increase in survival rates. Low treatment adherence rates have been one explanation for this discrepancy, although this hypothesis has not been explored specifically. Guided by the biopsychosocial model of health and wellness, this study compared the treatment adherence rates of 46 young adult cancer patients (ages 18-39 years) to 46 older adult cancer patients (ages 40 years and older). Adherence was measured by a dichotomized variable, as yes/no, adhering to radiation treatment and follow-up appointments recommended by the physician, …

Gender And Self-Care Behaviors In The Burnout Of Mental Health Professionals, Kafy-Ann Martin-Johnson

Walden Dissertations and Doctoral Studies

Difficulties experienced at work can cause feelings of burnout that become prolonged and intensified without acts of self-care. The intense nature of mental health workers' jobs may make them, more vulnerable to burnout than other professionals. Because mental health professionals' mental and emotional wellness can significantly affect their work, adequate self-care is critical to both their well-being and that of their clients. Previous researchers have investigated the self-care behaviors of mental health professionals, but little was known about how gender affected the use of these behaviors in burnout prevention among mental health professionals. The purpose of this quantitative study was …

Healthy Weight Maintenance: Narrative Analysis Of Weight Cycling In The Formerly Obese, Cheri Renee Lewis

Walden Dissertations and Doctoral Studies

Medical and economic costs for obesity are estimated at $147 billion per year, yet less than 1/3 of overweight individuals successfully maintain weight loss. The literature is replete with descriptions of the problem and research on treatments, yet demonstrations of effective loss and maintenance are lacking. Missing is an understanding of the experiences of individuals who successfully maintained healthy weight loss, which could provide insights regarding effective psycho-social interventions. The purpose of this qualitative narrative study was to explore key events and experiences in the lives of former weight cyclers. The primary phenomena of interest included weight cycling and sustained …

Police Officer Perception Of Wellness Programs, Ellen M. Chism

Walden Dissertations and Doctoral Studies

Police officer applicants need to be in top physical condition and must pass a physical

ability test in order to be accepted into the police academy. However, many police

departments do not require incumbent police officers to take such tests after passing the

academy, even though the job requirements may not change. Research has documented

the importance of police officer fitness and its applicability to their work. Separate

studies have also shown the benefit of organizational wellness programs to employees.

There is a gap in the literature, however, regarding police officer perceptions of physical

fitness as it relates to police …

Self-Compassion, Mindfulness And Wellbeing In Counselors-In-Training, Lea Fairbanks

All Master's Theses

The purpose of this study was to examine if self-compassion and mindfulness predict wellbeing in counselors-in-training. The sample was made up of counselors-in-training from CACREP accredited programs in the WACES region of the United States (N=45). Data was collected from three scales including the Self-Compassion Scale, Five Facet Mindfulness Scale and the Psychological Wellbeing Scale. To analyze the data, a simultaneous regression was used to determine if self-compassion and mindfulness significantly predicted wellbeing in counselors-in-training. The results showed that self-compassion and mindfulness was positively correlated with wellbeing and significantly predicted 64.9% of the variance in wellbeing for counselors-in-training. The results …

Mate Selection Comparisons In Heterosexual And Homosexual Individuals, Daina Lee Wierzbinski

All Master's Theses

The effects of character traits and socioeconomic status on mate selection for both heterosexual and homosexual individuals was studied. The current study recruited 347 Central Washington University students who ranked the importance of descriptive traits in a potential long-term mate, and also reported how willing they were to date a fictional potential mate in both a short-term and long-term context. Participants also described themselves in a dating profile scenario. The findings support the hypothesis that women are more interested in traits that signal resource acquisition and high socioeconomic status, and also support the hypothesis that men are more interested in …

Singaporean Mothers' Perception Of Their Three-Year-Old Child's Weight Status: A Cross-Sectional Study, Tuck Seng Cheng, Et Al., Yee-Man Ivy Lau

Research Collection School of Social Sciences

Objective: Inaccurate parental perception of their child's weight status is commonly reported in Western countries. It is unclear whether similar misperception exists in Asian populations. This study aimed to evaluate the ability of Singaporean mothers to accurately describe their three-year-old child's weight status verbally and visually.

Examining The Effect Of Caffeine And Technology On Adolescent Sleep, Kaci D. Clark

Masters Theses

The current study expands upon existing sleep research by assessing adolescent caffeine consumption and technology use around bedtime and group differences in caffeine consumption and technology use in regard to sleep onset time, duration and quality, as well as symptoms of delayed sleep phase syndrome (DSPS). Participants, ranging in age from 13 to 18 years, were recruited from two Midwestern high schools and one junior high school. Online survey software was used to capture adolescents' self-reported caffeine consumption, technology use, and sleep. Adolescents who drank more caffeine did not spend significantly more time using technology at night, nor did they …