Digital Commons Network^™

Sleep Attitudes As An Indirect Predictor Of Risk For Metabolic Syndrome In First Year College Students, Sophie Hirsch, Hannah Peach, Trudy L. Moore-Harrison, Philip Zendels, Aria Ruggiero, Jane F. Gaultney

Journal of Social, Behavioral, and Health Sciences

Background: Habit formation can be a challenge for first-year students. Research has suggested that regardless of sleep knowledge, favorable sleep attitudes predict better sleep.

Aim: Our aim was to investigate whether sleep attitudes directly or indirectly predicted risk for metabolic syndrome via sleep.

Method: Students completed self-report and physiological measures. Participants wore wristwatches to collect sleep data. Path analyses investigated the direct or indirect effect of sleep attitude on risk for metabolic syndrome via subjective sleep (sleep quality, duration, risk for apnea) and objective sleep (sleep efficiency, duration, subjective risk for apnea).

Results: In our subjective analysis that sleep attitudes …

Exploring The Spiritual Alliance Of Maintaining A 5-Acre Tropical Farm Through The Lens Of Occupational Engagement, Jose Rafols, Amy Wagenfeld

The Open Journal of Occupational Therapy

Large-scale commercial farmers and small scale “hobby” farmers engage in growing crops for subsistence and survival for themselves, their families, communities, and beyond. Their reverence and passion for farming make them good stewards of both community and world population nourishment. We suggest there may be a collective physical, emotional, and spiritual draw to farming that is interwoven with occupational engagement. Through a personal narrative approach, we reflect on the meaning and the work-focused occupation of farming and specifically how spirituality may be a guiding force that supports engagement despite seemingly insurmountable environmental and personal hardships. With an increasing interest in …

The Effects Of Social Gratitude On Anxiety, Depression, And Persistence To Graduate Among College Students, Terrie L. Hilbun

Doctoral Dissertations and Projects

Anxiety and depression have become increasingly prevalent among college students, leading to negative consequences such as decreased persistence to graduate. This study’s goal was to research the effects of a two-week gratitude intervention on attitude health, focusing on gratitude, depression, anxiety, and persistence of college students. The participants were drawn from a convenience sample of community college students located in northeast Alabama. A single pre-and post-test design was utilized, to compare the effects of a social gratitude intervention on gratitude, anxiety, depression, and persistence. A total of 25 volunteers, aged 18 or older, participated. It was hypothesized that there would …

Unveiling The Cognitive Impact: An Exploratory Study On Food Insecurity And Value-Driven Attentional Capture, Nichole S. Hogoboom

Master's Theses

Food insecurities have been shown to lead to serious negative health outcomes such as increased risk for diabetes and obesity in adulthood, food-related mental health and behavioral issues, all of which can have a crossover effect in many areas of a person’s life. This experiment explores whether previous history of food insecurity is associated with how people allocate attention to pictures of food; whether they are prioritizing or ignoring food stimuli in their environment. We hypothesized that the severity of food insecurity experienced in childhood would correlate with attentional bias towards food images, and that how hungry or thirsty participants …

A Systematic Review And Meta-Analysis Of Psychosocial Interventions For Early Childhood Problems, Ages 0-5, Hara Stephanou

Theses and Dissertations

Early childhood consists of important developmental milestones, including the acquisition of daily living skills, including toileting, feeding, and sleep. While previous reviews have focused on interventions for some childhood problems, no single study has broadly assessed interventions across common presenting problems in children ages 0-5. This study systematically reviewed 41 studies on interventions for externalizing (23 studies), internalizing (3), sleep (11), feeding (3), and toileting (1) using meta-analytic methods where applicable. Overall, externalizing interventions were effective (TX1 Hedges' g = -.60; TX2 g = -.51) and largely homogeneous. Individual interventions reduced externalizing behaviors more than group or self-guided interventions (TX1 …

Coping With The Covid-19 Pandemic: Examining Meaning-Making In A Socioecological Framework, Emilia Eva Mikrut

Theses and Dissertations

During 2020, the COVID-19 pandemic emerged as a threatening, unpredictable, and uncontrollable stressor. Meaning-making, or one’s ability to make sense of a stressful life event, integrate the event into one’s narrative of the world and meaning in life, and accordingly revise life goals, is a salient intrapsychic process contributing to psychological adjustment in the face of very stressful or traumatic experiences such as chronic health issues, interpersonal grief, and natural and man-made disasters. Early findings provide evidence for the critical role of meaning-making in coping with stressors associated with the COVID-19 pandemic. Though meaning-making is a universal process, one’s capacity …

Effects Of Gonadal Hormones On Sensory And Cognitive Tasks, John Prentice

Theses, Dissertations and Capstones

Participants were recruited from the local community, specifically through attendance at professional conferences and LGBTQ+ events in the surrounding area. This sample received a brief battery of cognitive and sensory tasks. Participants also provided a biological sample in the form of saliva collected by the free drool method and completed a short demographic survey regarding their gender identity, medication, and health history. One aim of the presented study and the data collected, is to shed light on the much-neglected area of transgender neurological research.

Paresthesia Due To Peripheral Neuropathy: Anxiety And Wellbeing, Nikolas Cirillo

Theses and Dissertations

Purpose: Neuropathic pain has been linked with mental health concerns such as anxiety and wellbeing, but specific symptoms of neuropathic pain have had much less attention than the construct as a whole. Paresthesia, meaning “abnormal sensation” (tingling, numbness, pins and needles, impaired sensation, and itching) is a neuropathic pain symptom. Tissue compression is the most common cause of peripheral neuropathy (PN) as well as paresthesia. This study aimed to test the following hypotheses: (1) if paresthesia due to PN is positively correlated with anxiety, negatively correlated with wellbeing, and if (2) anxiety and (3) wellbeing varied significantly by level of …

Identity Denial And Food Choice: Do Chinese Americans Reassert Their American Identity Through Food?, Shelagh Mahbubani

Theses and Dissertations

Food choice is impacted by a variety of different factors, including cultural, social and socioeconomic (Chen & Antonelli, 2020; Contento, 2008; Rozin, 2015). Food choice has a major impact on an individual’s health, and research has shown an association between the prototypical “American diet” and an increased risk for health conditions such as hypertension, diabetes, and stroke (Liu et al., 2020). One important social factor that can influence food choice is the desire to appear as a prototypical member of a social group (Cruwys et al., 2012). For example, when an individual’s social identity is questioned (identity threat), they may …

Does Dbt-Informed Treatment Address Comorbid Symptoms Of Social Anxiety For Adolescent Eating Disorder Patients In A Day Program? Exploring Emotion Regulation As A Mechanism For Change, Megan Bisanzo

Theses and Dissertations

Eating disorders, such as Anorexia Nervosa (AN) and Bulimia Nervosa (BN), often begin in adolescence and can be extremely challenging to treat effectively (Dawson, 2018; Martin & Golden 2014; Robatto et al., 2024). Eating disorder behaviors such as acute caloric restriction, excessive exercise, binging and purging can cause dangerous medical complications, while comorbid psychological conditions can lead to suicidal ideation and self-harm behaviors (American Psychiatric Association, 2022; Dancyger & Fornari, 2005; Martin & Golden, 2014). Social anxiety is one such comorbid disorder that can be a barrier to patients fully engaging in treatment (Goodwin & Fitzgibbon, 2002; Smith, 2018). Deficits …

Associations Of Blood Gas And Acid-Base Values With Motor And Language Outcomes In Preterm-Born Preschoolers, Christina Marie Dandar

Wayne State University Dissertations

Hypoxia and ischemia are of the most common causes of acquired brain injury in preterm infants and often results in damage to the periventricular areas of the preterm brain. Several biochemical indices are commonly associated with hypoxic-ischemic injury, including blood pH, base deficit (BD), oxygen, and carbon dioxide (pCO2). The aim of this study was to examine the contribution of early biochemical indexes of hypoxic-ischemic risk, particularly blood gas measures and acid-base balance measures, to neuropsychological outcome in preterm preschool-age children. I was particularly interested in the link between measures obtained either at birth, immediately after birth, or within the …

Food Accessibility Struggles For College Students With Dietary Restrictions, Ella Schleuning

Mahurin Honors College Capstone Experience/Thesis Projects

College is a time when many students experience independence for the first time in their lives. This is the first time they have had to do their laundry on their own, keep their room clean, and maybe most importantly, they are responsible for figuring out where they are going to eat every day, for every meal. The focus of this study is on food accessibility struggles for college students, specifically looking at Western Kentucky University’s (WKU) food on-campus, as well as students with dietary restrictions.

Since college is the first-time students are responsible for their own meals, it can often …

Conceptualizations Of Data Visualization Use Beyond Efficiency In Evaluation, Sarah Douville

CGU Theses & Dissertations

Data visualization (data viz) is a valuable tool within evaluation for its ability to aid cognitive efficiency over text-based presentation of data (Card et. al., 1999; Evergreen, 2017, 2018; Few, 2012; Nussbaumer Knaflic, 2015; Tufte 2001). This exploratory multi-phase mixed methods research study considers purposes for using data viz in evaluation that can be achieved with that increased efficiency through the research question: “What conceptualizations of data viz use do program evaluators have beyond increased efficiency?”

In Phase I, secondary analysis of existing interview data with experts in both data viz and evaluation was used to better understand conceptualizations of …

Examining Changes In Pain Sensitivity Following 8 Minutes Of Cycling At Varying Exercise Intensities, Brandi B. Antonio

Graduate Thesis and Dissertation 2023-2024

This study assessed the effect of an eight-minute cycling intervention using varying intensities on exercise-induced hypoalgesia (EIH). Generally, current research examines EIH using protocols that last for more than 10 minutes and reach 75% of an individual's VO2 peak. The main objective of this study was to examine the effect of varying intensities on pressure pain threshold (PPT) and heat pain threshold (HPT) at the thigh and forearm, tested pre- and post-cycling intervention.

Healthy male participants (n=16) performed a graded exercise test on a cycle ergometer to establish their peak power output (PPO). In subsequent visits, participants completed five different …

Boiling Behind Bars: Exploring The Hidden Toll Of Extreme Heat On Mental Health In Texas Prisons, Sandra K. Miller

Social Work Theses - Archive

The State of Texas supports the largest prison system in the US and held 132,859 people in 100 units scattered across the state as of December 2023. Approximately 70% of Texas prison beds are not air conditioned, despite the state’s reputation for dangerously hot, humid summers. The State has officially recorded temperatures inside Texas prison facilities as high as 120 degrees with heat index values of over 150. Although there is a growing body of research on the negative physiological and psychological consequences of extreme heat among the general public, little is known about the physical and emotional toll of …

Sympathetic-Cardiovascular Stress Reactivity In Adults With Major Depressive Disorder, Ashley Darling

Kinesiology Dissertations - Archive

Major depressive disorder (MDD) is a mood disorder characterized by persistently depressed mood and/or anhedonia that causes significant functional impairment in daily life. MDD affects nearly 15% of adults in their lifetime, and since 2019, prevalence estimates have increased up to ~30% in young adults (18-25 years old). In addition to its debilitating effects on daily functioning, epidemiological studies link MDD to ~3 times greater risk of cardiovascular disease (CVD), followed by accelerated CVD progression and mortality. Although the mechanisms contributing to MDD-CVD comorbidity are unclear, there is evidence of stress system dysfunction in adults with MDD.

Accordingly, the aim …

Transforming The Culture Of Care, Implementation Of Developmentally Supportive Care In The Neonatal Intensive Care Unit, Taylor Ann Jones

Graduate Theses/Dissertations

The current study examines the implementation of the evidence-based practices of the neonatal integrative developmental care model in the neonatal intensive care unit and how these practices are implemented in reference to initiation method and frequency. In recent years, research examining the effectiveness of individualized, developmentally supportive care to infants in the NICU has demonstrated a variety of positive effects. Although great strides have been made in efforts to provide developmentally supportive care, wide variability and inconsistency remain in the quantity and quality of experience for infants and families in the NICU. Even though a hospital may incorporate developmentally supportive …

The Effects Of Early Developmental Co-Exposure To Alcohol And Nicotine Via E-Cigarettes On Anxiety- And Motor-Related Behaviors In Mice, Carley Cirafesi

West Chester University Master’s Theses

Thirty percent of people who report consumption of alcohol while pregnant simultaneously report consuming nicotine. Prenatal co-exposure to alcohol and nicotine has increased with the popularity of electronic cigarettes due to their presumed safety, yet e-cigarette use may have a greater impact on fetal development than traditional cigarettes. Prenatal exposure to alcohol or nicotine is associated with increased anxiety-related behaviors and impaired motor coordination later in life, yet it is unknown whether prenatal co-exposure to alcohol and nicotine exacerbates these effects, particularly via e-cigarettes. This project examined the effects of co-exposure to alcohol and nicotine via e-cigarettes during early development …

Effect Of Family-Centered Care Interventions On Well-Being Of Caregivers Of Children With Cerebral Palsy: A Systematic Review, Deepalaxmi Paresh Poojari, Shashikiran Umakanth, G. Arun Maiya, Bhamini Krishna Rao, Sonia Khurana, Senthil Kumaran D., Radhika Attal, Marie Brien

Rehabilitation Sciences Faculty Publications

Background: Caring for a child with long-term functional limitations can have a negative impact on the physical and psychological well-being of the caregiver. Family-centered care (FCC) interventions have the potential to empower caregivers and contribute to their well-being. This systematic review aimed to synthesize existing evidence on the effectiveness of FCC interventions in improving the well-being of caregivers of children with cerebral palsy (CP), and identify the key components of such interventions that are most commonly practiced and deemed effective.

Methods: This review systematically searched seven databases for randomized controlled trials that evaluated the effectiveness of any FCC intervention on …

Outpatient Fall Prevention In Ambulatory Adults 65 Years Old And Over, Dorothy L. Osborne-White

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: In the United States (U.S.), falls are the leading cause of injury among adults 65 and over, resulting in 36 million falls yearly (Moreland et al., 2020). According to the Centers for Disease Control and Prevention (CDC, 2023), one in four older adults experiences a fall each year. Falls are the world's second most prominent cause of accidental deaths (World Health Organization [WHO], 2021). Falls are the leading cause of both fatal and non-fatal injuries among older adults (Moreland et al., 2020).

Methods: A quality improvement project that included a fall bundle was implemented in a primary clinic. A …

Household Chaos Relates To Cortisol Levels For Children In Head Start Preschool, Mary Ann Blumenthal

West Chester University Doctoral Projects

Poverty and related stressors have been demonstrated to negatively impact child development. Few studies to date have investigated the relationship between one such poverty related stressor, household chaos, and its impact on cortisol levels-a biomarker for stress- throughout the day. The present study investigated the relationship between household chaos and cortisol in a diverse sample of 288 children attending Head Start preschool. Household chaos was measured by a standardized parent report measure of chaos in the home. Salivary cortisol samples were obtained during four time points across the preschool day on two days at the beginning of the preschool year. …

Identifying Youth Appeals In Alcohol Alternative Social Media Content Through Framing, Melina Oneal

West Chester University Master’s Theses

Proposed regulations for alcohol advertising prevent beverage companies from targeting people under the legal drinking age. However, similar regulations for alcohol alternative beverages are less explored, which could allow alcohol alternative products to create awareness for alcoholic beverages among youth. Alcohol alternatives beverages, including no-alcohol and low-alcohol products, are increasing in popularity and can function as compliments to alcoholic products to decrease the total alcohol volume consumed or as substitutes for alcoholic products. Framing theory can be operationalized through the Content Appealing to Youth Index, an index of content elements found in research literature to be appealing to youth, to …

Screentime At Bedtime Relates To Lower Performance On Self-Regulatory Tasks For Young Children Facing Economic Hardship, Krista Donahue

West Chester University Master’s Theses

Given the prevalence of screentime, its impact on child development has become a question of key concern for researchers, practitioners, and policymakers, as well as parents. Recent attention has focused specifically on the potential negative effects of screentime on young children’s development of self-regulatory capacities. These negative effects of screentime could be particularly detrimental for children in poverty, who face stressors and forms of environmental adversity that can compromise self-regulatory development. The present study examines the relationship between screentime at bedtime and the inhibitory control aspect of young children’s self-regulation. Participants included 144 children ages of 3-5 years old who …

Self-Reported Multicultural Teaching Knowledge Of K-12 Teachers, Ailish Raftery

Masters Theses

Research continues to show that students who belong to racial and/or ethnic minority groups face a variety of challenges at school, such as disproportionate rates of drop out, behavioral problems, exclusionary discipline practices, absenteeism, placement in special education, and more. These challenges are thought to contribute to the academic achievement gap between White and racial/ethnic minority students throughout the American public school system. Therefore, it is important to assess the multicultural teaching competence of American teachers and investigate barriers to improving culturally responsive teaching practices. Past research has investigated teachers’ multicultural teaching competence, but fewer compared general and special education …

Covid-19 Pandemic And College Students’ Mental Health: Vulnerability And Resilience Factors, Jensyn Morrison

Masters Theses

The world became quickly and suddenly consumed by the COVID-19 pandemic in January 2020. Topics such as stay-at-home orders, isolation from society, and social distancing became trending discussion themes in news coverage and daily conversations. The present study aimed to examine the effects of the COVID-19 pandemic on the mental health of college students. Specifically, a total of 123 students from a rural Midwest university and an urban Southeast university in the United States participated in an online survey that assessed COVID-19-related vulnerability and resilience factors (e.g., employment status, living situation, religious beliefs, previous diagnosis, and vaccination status of individuals) …

Development Of A Novel Measure To Assess For Alcohol Misuse In Older Adults: The Alcohol Misuse Scale For Older Adults (Amsoa), Nathan Jensen

College of Graduate Studies: Theses & Dissertations

Alcohol is the most regularly used intoxicating substance in most geographic locations. Alcohol use in the United States specifically is well over global averages. While alcohol misuse is generally considered to be understood as a problem for younger adults, it is often unrecognized and understudied older adult populations. Currently, there is an absence of a comprehensive tool measuring for developmentally salient behaviors, symptoms, and features of alcohol misuse in older adulthood, which blocks researchers’ ability to measure alcohol misuse well. The purpose of this study is to develop a psychometrically valid and reliable assessment of alcohol misuse for older adult …

More Than Sleep Problems? Testing Five Key Health Behaviors As Reasons For Quality Of Life Issues Among Shift Workers, Yuxin Chen, Kaiyi Deng, Ian M. Hughes, Claire E. Smith, Hongdao Meng, Minh Quan Le, Min Sun, Xianyan Zhang, Danping Liu

Psychology Faculty Publications

The shift work schedule is a common work arrangement that can disrupt typical sleep-wake rhythms and lead to negative health consequences. The present study aims to examine the effect of shift work on health-related quality of life (QoL) and explore potential behaviorial mediators (i.e., sleep, eating, exercise, smoking, drinking). A cross-sectional survey was conducted among 4,449 petroleum workers in southwest China. Data on shift work status, health behaviors, and physical and mental health QoL were collected. We tested our model using path analysis and the Monte Carlo approach among 2,129 included participants. After adjusting for covariates, shift work did not …

The Fast-Food Industry's Mental, Emotional, And Physical Adverse Health Effects On Latine Workers, Ricardo Aguilar

CMC Senior Theses

This thesis investigates the adverse health effects experienced by Latine frontline workers in the fast-food industry, a sector where these workers are disproportionately affected by both physical and psychological challenges. The research was driven by the urgent need to address the health disparities that result from employment in environments characterized by high stress, negative customer interactions, and demanding physical activities. Utilizing a mixed-methods approach that includes historical analysis and quantitative assessment of workplace conditions, this study focuses on the common physical injuries such as repetitive motion disorders, and psychological stresses leading to conditions like depression. The results indicate a high …

Association Among Visual Attention, Anger Reactivity, And Emerging Executive Function: A Multi-Time Point Study In 2-Year-Old Children, Supattra Sittiwang

Chulalongkorn University Theses and Dissertations (Chula ETD)

Infant attention serves as a crucial foundation for learning; however, studies examining attention from birth to two years of age have been limited. This research aimed to conduct a multi-time point study to investigate the relationship between visual attention in three attention networks (alerting, orienting, and executive control networks) at ages 5 weeks, 4 months, 7 months, and 12 months, and emerging executive function (emerging EF) at 24 months, with anger reactivity at 12 months as a moderating variable. The study involved 322 mothers engaged in agriculture and their infants in Chiang Mai Province. Data were gathered through observations of …

Effect Of Video Game Playing On Character Strengths, Natdanai Iamwattanaseree

Chulalongkorn University Theses and Dissertations (Chula ETD)

Character strengths have been widely studied in areas such as the workplace, education, and relationships. However, little research has explored the relationship between video games and character strengths, particularly from a causal perspective. This research aims to examine how playing action and adventure video games may influence character strengths, drawing on game and behavior change theories. The study includes two parts: a correlational study and a field experiment. The first study surveyed 597 participants using snowball sampling to explore the effects of different game genres on character strengths. Results showed that game genre significantly had a main effect on character …