Digital Commons Network^™

Prenatal Morphine Exposure Increases Cardiovascular Disease Risk And Programs Neurogenic Hypertension In The Adult Offspring, Nermin Hassan Mohamed Selim Ahmed, Alana Kassis, Jena Malone, Jodie Yang, Esraa Zamzami, An-Hsuan Lin, Scott M. Gordon, Ming C. Gong, Michael T. Bardo, Carolina Dalmasso, Analia S. Loria

Psychology Faculty Publications

BACKGROUND: The opioid overdose and opioid use disorder epidemics are concomitant with increased metabolic and CVD risk. Although opioid use disorder causes adverse pregnancy outcomes, the offspring’s cardiovascular health is understudied. We hypothesized that offspring exposed to in utero morphine exposure (IUME) would show increased CVD risk factors and endogenous opioid system dysregulation.

METHODS: Sprague Dawley dams were treated with saline (vehicle, n=10) or escalating doses of morphine (5–20 mg/kg per day, SC, n=10) during gestation. Cardiovascular and metabolic parameters were assessed in adult offspring.

RESULTS: Litter size and pups’ birth weight were not different in response to IUME. Female …

The Association Of Burden And Social Engagement With Depression In Caregivers Of Adults By Age, Danielle Leigh Forbes

Master's Theses or Doctor of Nursing Practice

As life expectancy begins to increase, the need for familial caregivers is growing. The aging of care recipients often means that those providing care continue to get older as well. Previous studies focus little on the differences between older and younger caregivers and rather combine them all into one group. The purpose of this study is to understand whether the caregiving experience is related to the age of the caregiver. Depression, burden, and social engagement, based on the descriptors of leisure, work, and social relationships, were studied in conjunction with the age of the caregivers. This study consisted of 63 …

Closing The Gap: Culturally Competent Consultations In Schools, Kimmely Mechelle Williams

PCOM Psychology Dissertations

Poor academic achievement among minority students has historically been identified as one of the most pressing challenges of public education (Dorvil, 2011). However, even before the Elementary and Secondary Education Act (ESEA) adoption, there has been a focus on what should be done to improve the academic achievement of the nation’s children. With each of its subsequent incarnations and legislative renaming, policymakers, educators, and researchers alike have sought to ensure that all children are afforded the opportunity to receive a high-quality education delivered by competent educators enabling them to reach predetermined but vaguely defined levels of proficiency. Despite best efforts, …

Prevention In Schools: Examining School Personnel’S Attitudes And Knowledge Of Mandated Reporting, Aigner J. Allen

PCOM Psychology Dissertations

This study examined the factors that may affect school personnel’s implementation of mandated reporter procedures after student disclosure of child sexual abuse (CSA), with a focus on how school personnel think, reason, and act after a student discloses suspected CSA. Children spend most of their time in school, therefore, school personnel have significant roles in protecting children by being mandated reporters of child abuse. This study used a quantitative research design to examine school personnel’s attitudes and knowledge regarding mandated reporting child sexual abuse after student disclosure. The study used a cross-sectional survey methodology that included a single survey instrument. …

A Qualitative Examination Of Satisfaction And Support In Weight-Loss Surgery Patients, Simone Sims-Reiley

PCOM Psychology Dissertations

The present study investigated bariatric surgery patients’ perspectives about the factors associated with relationship success after surgery. Additionally, this study sought to recommend useful strategies to prepare partners for the postoperative changes that are required of bariatric patients. Female participants (N = 10) were chosen using voluntary response sampling to participate in semi-structured interviews before completing the Marital Adjustment Test to identify their level of relationship adjustment postoperatively. Participants reported changes to their relationship dynamic related to food choices, activities, varying levels of support from their significant others, and factors that impacted their relationship satisfaction throughout their bariatric surgery …

Utilization Of The Social Determinants Of Mental Health Framework With Older Adults For Assessment, Case Conceptualization, And Treatment Planning, Janelle L. Jones, Julia Lancaster, Lauren Robins, Wendy K. Killam, Matthew L. Nice, Bisola Duyile

Adultspan Journal

This conceptual paper will aid counselors and mental health professionals in obtaining insight to utilizing a Social Determinants of Mental Health Framework with older adult clients. Further, the article incorporates the Multicultural and Social Justice Counseling Competencies to further contextualize the therapeutic alliance. The authors utilize the Social Determinants of Mental Health Framework to frame counseling assessment, case conceptualization, and treatment planning to improve the mental health outcomes of older adults. The article utilizes a specific case example to assess, conceptualize, and plan treatment for an older adult client contextualized in their environment.

Bouncing Back: Resilience And Its Limits In Late-Age Composing, Louise Wetherbee Phelps

English Faculty Publications

This essay is one of a series on my mother’s late-age composing, studying a writing project she started at age 70 and worked on for more than 25 years. Her intention was to integrate extensive reading, personal experience, and cultural observations to explain changes in parenting (and, by extension, education and enculturation of the next generation) from her childhood in the 1920s through the 2000s. When she died at 97, she left behind a 75-page draft, but was unable to complete her plans for revisions and an ending. I focus here on identifying the multiple factors in the ecology of …

Aerobic And Anaerobic Exercises In Relation To Anxiety And Depression, Ethan D. Mote

Honors Undergraduate Theses

The use of exercise is crucial as a means of treatment for various psychological disorders. However, as more research is being done, there seems to be a lack of consensus as to which type of exercise is most effective, aerobic or anaerobic. 232 students participated in this study via Qualtrics, and were asked to participate in the study by answering 9 questionnaires: the Demographics Questionnaire, GAD7, Beck Depression Inventory, PCL5, QOLS, Exercise History and Attitudes Questionnaire, Satisfaction with Life Scale, the Healthy Eating Assessment, and the RYFF Psychological Well-being Scales. The results found that a combination of aerobic, anaerobic, and …

Rebranding The Battle Against Clinician Burnout, Taylor Albitar

DSW Capstone Projects

The purpose of this capstone project is to take a deep dive into the issue of burnout among marginalized healthcare providers. This paper will dissect key points in history that target wellness and define terms that are relevant to understanding the effects of burnout on a person’s work-life balance. It will be divided into several sections, including an overview of the problem and contributing factors, a thorough review of relevant literature, a conceptual idea that will explore both the problem at hand and theories that can help with its effects, and finally a practice application that will serve as the …

Digital Nudges: An Investigation Of Both Consumer And Designer Perspectives, Ja-Naé Duane

2023

This dissertation explores how knowledge of digital nudges impacts consumer decisions, and how consumer preferences based on that knowledge impacts design decisions. Paper 1 presents a systematic narrative literature review on the evolution of digital nudge literature. This investigation uncovers several themes and provides a basis for a revised definition of digital nudges and a taxonomy wheel of digital nudges. Paper 2 (co-authored with Jeffrey Livingston, Jonathan Ericson, and Patrick McHugh) investigates how knowledge about digital nudges impacts consumer preferences to have them within the digital experiences they use. This paper highlights how knowledge of digital nudges impact consumer online …

Mediators Between Job Stress And Health Quality Of Life Among Adults With Irritable Bowel Syndrome, Aida M. Benitez-Rexach

Walden Dissertations and Doctoral Studies

Irritable bowel syndrome (IBS) is a functional gastrointestinal affliction that affects millions around the globe, impacting health-related quality of life (HRQoL). The biopsychosocial model, Folkman and Lazarus’ transactional model of stress, Leventhal’s common sense model of self-regulation health and illness, and Bronfenbrenner’s human ecology theory are relevant to conceptualize interactions among environmental factors, biopsychosocial responses, and health-related quality of life (HRQoL). This quantitative, cross-sectional, complex correlational study sought to provide more understanding of how and whether IBS symptoms of pain, cognitive functioning, and interpersonal functioning serve as mediators between work stress and HRQoL. A total of 133 English-speaking volunteers from …

Peer Influence On Mental And Physical Health Symptoms: A Network Autocorrelation Model, Ashley N. Hall

Graduate Theses/Dissertations

Adolescent youth are similar to their friends in both personal attributes, such as gender and ethnicity, and exhibited behaviors. However, limited research has analyzed the role of peer influence on physical and mental health symptoms. The current study aimed to address this gap in the literature by investigating the association between friendships and individual health symptoms. A linear network autocorrelation model was used to examine the relation between adolescent friendships, physical health, and mental health symptoms in a sample of 336 seventh grade students from a Midwestern, public middle school. Results from the current study indicate a peer influence effect …

Thwarted Belongingness And Burdensomeness As Moderators Between Entrapment And Suicide Ideation In College Students, Tupelo Witte

Doctor of Psychology (PsyD)

College students are amid their search for identity development, desire to meet social expectations, and are juggling stressors that often lead to mental health concerns including suicidality. The integrated motivational-volitional model of suicidal behavior has established a three-phase framework to describe the process of suicidality. Life factors and feelings of defeat lead to entrapment and suicidal ideation followed by suicidal ideation and behaviors, as influenced or intervened by moderating factors. This study used data from the American College Health Association National College Health Assessment III to further investigate the integrated motivational-volitional model and specifically the motivational phase and relationship between …

Body Shame And Wellness: Consequences Of Being Fat, Edith Halina James

Doctor of Psychology (PsyD)

People who live in larger bodies have unique experiences which may influence their overall wellbeing. While primary care providers may choose to focus on weight and physical health, there are numerous emotional consequences to being fat, including social stigma and shame. Unfortunately, there are few studies researching the experience of fat people, resulting in a significant gap in knowledge. The present study seeks to provide some preliminary information about the fat experience, which can be utilized in future research and in clinical and interpersonal settings. A convenience sample of young adults (ages 18−30 years) was derived from undergraduate and graduate …

Relationships Harm, Relationships Heal: Exploring Larger Bodied People's Experiences Of Weight Stigma And Eating Disorders In The Context Of Family Relationships, Rebecca Erin Belinsky

Antioch University Dissertations & Theses

Eating Disorders are the second deadliest mental illness, after opioid addiction, and affect a significant amount of the population, with some studies estimating that almost one in ten people will struggle with an eating disorder in their lifetime and that many more will suffer from subclinical eating disorder symptoms like disordered eating (Deloitte Access Economics, 2020). The majority of people struggling with an eating disorder are not medically underweight, and traditionally eating disorder research and treatment has failed to address eating disorders in people in larger bodies (Galmiche et al., 2019). To better understand the needs and experiences related to …

Complex Narratives Of Individuals Living With Alpha-Gal Syndrome (Ags). A Mixed-Methods Investigation: Examined Through Self-Reported Data, In-Person Interviews, And A Group Body Mapping Art Therapy Intervention, Sylvan Streightiff

Art Therapy | Master's Theses

Alpha-gal (galactose-α-1,3-galactose) Syndrome or AGS is an under-recognized chronic condition which coincides with tick-bite exposure, resulting in a unique allergy to non-primate mammalian products and byproducts (in addition to other items caring the α-gal epitope such as carrageenan, agar-agar, and nori). This paper explores the experiences of individuals with this illness, establishing psychological context for expressed symptomatology, while emphasizing the complex trauma rooted in the population’s experiences of the life-altering and life-threatening contexts associated with managing AGS. This research is structured with Acceptance and Commitment Therapy (ACT) theory and utilizes a mixed-methods approach to arts-based research with the goal of …

Associations Among Executive Functioning, Family Functioning, Adolescent Responsibility, And Adherence In Pediatric Inflammatory Bowel Disease, Cecily Newel Conour

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Inflammatory Bowel Disease (IBD) is a common cause of chronic pain for adolescents in the United States. Adherence to the treatment regimen is a significant concern, particularly for adolescents. Barriers to adherence are varied, but include cognitive factors, such as forgetting. Parent involvement is associated with increased adherence in this population, though adolescent involvement is less studied. Family functioning is associated with adherence to medication regimen across pediatric chronic illnesses, including IBD treatment regimen. To better inform clinical care, this study aims to understand the relations among adolescent’s responsibility, executive functioning, family functioning, and adherence. Methods: The current study …

Child Pain Matters: A Training Protocol For General Nursing Staff In An Infusion Center On Procedural Anxiety In Pediatric Patients With Crohn's Disease And Ulcerative Colitis., Mera El Ramahi

Psychology Doctoral Specialization Projects

Procedural anxiety is a broad concept that encompasses fear, distress, and pain. Anxiety is the most critical factor affecting pain perception. There is a growing body of literature suggesting that early pain might have long-term consequences. There is also research evidence that has linked inadequately managed pain in the pediatric population to negative behavioral and physiological consequences later in life. Pediatric patients with inflammatory bowel disease (IBD) refers to Crohn’s disease and Ulcerative Colitis. These chronic conditions often require multiple and repeated medical procedures that may cause pediatric patients to experience procedural anxiety. Needle related procedures are any procedures involving …

Health Behaviors As Mediators Of Caregiver Physical Health, Michaela Clark

Graduate Theses, Dissertations, and Problem Reports (ETD)

Informal caregivers provide the bulk of care to older adults in the United States (Ali et al., 2021). Informal caregivers include family, friends, and neighbors, many of whom do not have any formal training for this role. There are costs associated with taking on a caregiving responsibility, such as scheduling appointments, helping with medications, household tasks, and even financial support (Rha et al., 2015). Many of these informal caregivers lack the coping skills necessary to manage the challenges associated with caregiving (Xu et al., 2021). Many also take on this role despite the personal costs on one’s own health, time, …

The Mediating Role Of Perceived Organizational Support On The Relationship Between Wellness Programs And Job Satisfaction, Andy Tran

Master's Theses

The purpose of the current study was to examine the mediating role of perceived organizational support (POS) on the relationship between wellness programs (participations and availability) and job satisfaction. A total of 83 employees participated in the study, which utilized online survey distribution. Results showed that POS fully mediated the relationship between both participation and availability of wellness programs and job satisfaction. In other words, employees who participated in a wellness program felt more supported by their organization, leading to greater job satisfaction. In addition, the results suggested that when organizations offered more wellness programs, employees were more likely to …

School Guidance Counselor Perceptions On Reintegrating Students To School After Mental Health Treatment, Maddie Roxandich

PCOM Psychology Dissertations

This study examined the perspectives of school guidance counselors to determine current and best practices in planning and supporting student returns to school after absences for mental health reasons. The literature review highlights the sharp decline in adolescent mental health over the years, the rise in hospitalizations for mental health concerns, and the need for attention to school practices that support student mental health when a student requires hospitalization. The intent of this study was to build upon previous literature that examined practices existing in schools to help reintegrate students after absences. It sought to investigate whether schools have a …

Predictive Abilities Of Neuropsychological Measures On Functional Outcomes In The Mild Cognitive Impairment (Mci) And Dementia Populations, Morgan Bare

PCOM Psychology Dissertations

During the aging process, a decline in ability to perform everyday tasks is commonly observed. This is increasingly so for those with dementia and is a diagnostic requirement. These daily tasks require certain cognitive skills which can be measured by various neuropsychological measures. The purpose of this study is to examine which neuropsychological measures are able to detect various deficits in self-reported activities of daily living (ADL) and instrumental activities of daily living (IADL) in individuals with mild cognitive impairment (MCI) and dementia. It is hypothesized that Trail Making Test– B (TMT-B) would be the most sensitive predictor in functional …

Theoretical Orientation Beliefs Among Adventure Therapy Professionals, Edward Spaulding

Walden Dissertations and Doctoral Studies

Adventure therapy as a therapeutic model for the treatment of mental health has been a growing area of psychology for more than 50 years. This quantitative study was conducted to explore the theoretical orientation beliefs to clarify the theoretical framework of this therapeutic approach using Coleman’s theoretical evaluation self-test (TEST) to gather data on self-identified adventure therapy practitioners’ theoretical beliefs. Data were collected from 150 participants recruited through their membership or affiliation with adventure therapy professional organizations or social media groups. Data were analyzed using a paired t-test to determine if adventure therapy professionals have higher scores on the cognitive, …

Occupational Stress Of Adult Protective Service Workers, Tiffany Taylor

Walden Dissertations and Doctoral Studies

Research has revealed that adult protective service workers experience high levels of occupational stress that often result in health complications such as burnout, secondary traumatic stress, and compassion fatigue. Although several qualitative studies have been conducted over the past decade, there was limited information on the phenomenon of how stress is experienced by adult protective service workers investigating cases of alleged elder abuse. The purpose of this study was to examine the lived experiences of a sample of adult protective service caseworkers from the southwestern United States that have experienced occupational stress while investigating cases of elder abuse. This study …

Evaluation And Management Of Postpartum Depression In South Asian Women, Gujri Chadha

Capstone Showcase

Postpartum depression is a worldwide phenomenon that affects about 10 to 20% of women within the first year of delivery. During the 12 months following delivery, about 85% of mothers experience a mood disturbance2. The importance of evaluating and managing postpartum depression is crucial as untreated postpartum depression can lead to a significant risk of morbidity for the child as well as the mother of the child3. Despite the remarkable prevalence of this diagnosis throughout cultures, the screening process for PPD is routinely missed, and the management is frequently incomplete for various reasons3. This phenomenon is exacerbated in minority populations …

Rim-To-Rim Wearables At The Canyon For Health (R2r Watch): Physiological, Cognitive, And Biological Markers Of Performance Decline In An Extreme Environment, Kristin Divis, Robert Abbott, Cathy Branda, Glory Emmanuel-Aviña, Jon Femling, J. Gabriel Huerta, Lucie Jelinková, J. Kyle Jennings, Emily A. Pearce, Daniel Ries, Danielle Sanchez, Austin Silva

Journal of Human Performance in Extreme Environments

Success in extreme environments comes with a cost of subtle performance decrements that if not mitigated properly can lead to lifethreatening consequences. Identification and prediction of performance decline could alleviate deleterious consequences and enhance success in challenging and high-risk operations. The Rim-to-Rim Wearables at the Canyon for Health (R2R WATCH) project was designed to examine the cognitive, physiological, and biological markers of performance decline in the extreme environment of the Grand Canyon Rim-to-Rim (R2R) hike. The study utilized commercial off-the-shelf cognitive and physiological monitoring techniques, along with subjective self-assessments and hematologic measurements to determine subject performance and changes across the …

The Out-Of-Sport Transition Experience Of Ncaa Athletes: A Systematic Review, Stephanie Tuncel

Theses and Dissertations

During the 2018-2019 academic year, the National Collegiate Athletic Association (NCAA) reported 1,004,450 student-athletes across Division I, II, and III universities. Of these athletes, only a small percentage will go on to play at a professional level. The majority of these student-athletes will go through an out-of-sport transition that, without proper preparation, can result in a variety of psychosocial difficulties. However, there are opportunities for student-athletes, athletic departments, academic departments, and psychological counseling centers to target different factors that could increase the likelihood of experiencing a positive out-of-sport transition. The focus of this systematic review was to address two primary …

A Systematic Review Of Training Programs For Mental Health Professionals Who Are Treating Eating Disorders, Shir Zion

Theses and Dissertations

Eating disorders are among the most dangerous mental health disorders, and the prevalence rates for them are on the rise. However, the literature is lacking when it comes to quantitative training recommendations for mental health professionals who wish to learn how to screen for, prevent, and treat individuals with eating disorders. This systematic review identified, reviewed, and synthesized the findings from studies (n = 14) concerning the impact of various training modalities on professionals and students who specialize in eating disorder prevention, screening, and treatment, on their knowledge, attitudes/beliefs, and skills. The aim was to identify training recommendations, across various …

A Review Of The Effects Of Mindfulness Meditation On Chronic Pain In Older Adults, Gregory H. Jacks

Theses and Dissertations

Pain is a biopsychosocial phenomenon, which draws from physiological responses as well as cultural and social context and mental states. Pain is most frequently treated through surgical and pharmacological interventions, which can be costly and time-consuming, especially when treating chronic pain. Older adults suffer from chronic pain at a higher rate than the rest of the population, and more accessible interventions are desperately needed to help manage the experience of chronic pain. Mindfulness meditation is increasingly being utilized for management of pain due to evidence of its effectiveness, cheaper cost, and ability to be practiced outside of medical facilities. Prior …

The Impact Of Single-Gendered Versus Coeducational Physical Education Settings On Female Adolescent Body Image And Self-Esteem: Resisting The Weight Of Body Image And Self-Esteem Issues In Adolescence, Jamison H. Stockslager

EWU Masters Thesis Collection

Resistance training is related to disease prevention, improved health, and positive psychosocial well-being in adults and adolescents. Further, resistance training is positively associated with body image and self-esteem. However, most adolescents do not meet activity guidelines, particularly for resistance training. Schools play an essential role for increasing physical activity. Little is known about the effects of different classroom formats for resistance training, i.e., single-gendered versus coeducational, on body image and self-esteem in female adolescents.

PURPOSE: To determine the effects of single-gendered versus coeducational resistance training on body image and self-esteem in adolescent females. METHODS: High school females (n = 30) …