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Impact Of Counselor Gender On Burnout After Controlling For Counselor Years Of Experience, Lara De Bono Jan 2021

Impact Of Counselor Gender On Burnout After Controlling For Counselor Years Of Experience, Lara De Bono

Walden Dissertations and Doctoral Studies

Burnout is an individual reaction to high levels of emotional demands in different social fields, such as counseling. Counselors who experience constant stress are more vulnerable to professional impairment, such as burnout. Understanding factors that impact burnout can aid in developing interventions to support and educate counselors. Grounded in the gender role theory, the purpose of this quantitative correlational study was to examine the impact of counselor gender on three measures of burnout (depersonalization, emotional exhaustion, and personal accomplishment) after controlling for counselor’s years of experience. Secondary data records (N = 123) were collected from a national survey of Thai …


Helping In The Home: Counselors’ Experiences Providing Clients With In-Home Services, Melissa Jane Franzen Jan 2021

Helping In The Home: Counselors’ Experiences Providing Clients With In-Home Services, Melissa Jane Franzen

Walden Dissertations and Doctoral Studies

Counseling is an essential service that helps individuals work through struggles and live their best lives. Such service now includes providing counseling in clients’ homes. Counselors may require specific training or education to prepare for counseling in a home environment. This need for training and education is due to a lack of knowledge of the lived experiences of counselors providing services in the home. Transcendental phenomenology was used to guide a qualitative exploration into the lived experiences of counselors providing services in clients’ homes. Participants were 7 professional counselors, 5 female and 2 male, having met minimum state licensure requirements …


Witnessed Intimate Partner Abuse And Later Perpetration: The Maternal Attachment Influence, Kendra Lee Wiechart Jan 2021

Witnessed Intimate Partner Abuse And Later Perpetration: The Maternal Attachment Influence, Kendra Lee Wiechart

Walden Dissertations and Doctoral Studies

Witnessing intimate partner abuse (IPA) as a child is linked to later perpetration as an adult. Questions remain regarding why some men who witnessed abuse go on to perpetrate, while others do not. The influence maternal attachment has on IPA perpetration after witnessed IPA has not been thoroughly researched. Maternal attachment is a complex variable grounded in attachment theory and may explain why some men fail to relate to their victimized mothers. The purpose of this study was to assess the influence maternal attachment has on men who witnessed IPA as a child and later perpetrated IPA as an adult. …


The Relationship Between Sexual Assault And Ptsd, Beverley Priest Jan 2021

The Relationship Between Sexual Assault And Ptsd, Beverley Priest

Walden Dissertations and Doctoral Studies

People who have experienced trauma, such as sexual assault, are more likely to develop posttraumatic stress disorder (PTSD). Women are twice as likely to develop PTSD from a traumatic event than men, especially from a sexual assault. Alcohol abuse is associated with more cases of and more severity of PTSD symptoms. Intimate partner violence can strongly contribute to or worsen the symptoms of PTSD. The research questions examined the relationship between sexual assault (SA) and the subsequent development of (PTSD, SA and the presence of alcohol dependence/addiction and the subsequent development of PTSD, and SA) and the presence of intimate …


Nonsuicidal Self-Injury, Suicide Planning, And Suicide Attempt Among High-Risk Adolescents Prior To Psychiatric Hospitalization, Christina M. Sellers, Antonia Díaz-Valdés, Andrew C. Porter, Catherine R. Glenn, Adam Bryant Miller, Adeline Wyman Battalen, Kimberly H. Mcmanama O'Brien Jan 2021

Nonsuicidal Self-Injury, Suicide Planning, And Suicide Attempt Among High-Risk Adolescents Prior To Psychiatric Hospitalization, Christina M. Sellers, Antonia Díaz-Valdés, Andrew C. Porter, Catherine R. Glenn, Adam Bryant Miller, Adeline Wyman Battalen, Kimberly H. Mcmanama O'Brien

Psychology Faculty Publications

The purpose of this study was to understand the trajectories of nonsuicidal self-injury (NSSI) and suicide plans (SP) in the 90 days prior to inpatient hospitalization, understand the role of NSSI and SP in predicting suicide attempts (SA) on a given day, and to test the interaction between NSSI and SP in predicting same-day SA. Participants included 69 adolescents (77% female, 65% white, 77% Non-Hispanic/Latinx, Mage = 15.77 SDage = 1.00) from an inpatient psychiatric unit. Past 90 day NSSI, SP, and SA were measured using the Columbia Suicide Severity Rating Scale and Timeline Follow Back. First, mixed effect models …


How/Can Gestalt Therapy Promote Liberation From Anti-Black Racism?, Michelle Billies Jan 2021

How/Can Gestalt Therapy Promote Liberation From Anti-Black Racism?, Michelle Billies

Publications and Research

Anti-Black racism is an interruption of contact that often takes place out of awareness, and is continuously enacted through innumerable fixed gestalts at every level of human experience. Gestalt therapy as a movement does not leverage its great potential for undoing fixed gestalts of anti-Black racism, or supporting fluid gestalts of racial liberation; this article explores GT theories and practices that do so. I first discuss how concepts of the field, ground, awareness, consciousness, and contact can be informed by ideas such as intersectionality and double consciousness from Black liberation history as well as theorists such as Crenshaw, DuBois, Fanon, …


The Student Experience Of Psychoeducational Assessment: A Phenomenological Study, Teresa Hoffman Jan 2021

The Student Experience Of Psychoeducational Assessment: A Phenomenological Study, Teresa Hoffman

Antioch University Dissertations & Theses

Emerging adults with specific learning disabilities (SLD) are interviewed to understand the student experience of the psychoeducational assessment process that is codified by the Individuals with Disabilities Education Act of 2004 (IDEA). The assessment practice is well established to qualify students for special education and related services (SERS) to ensure every child in the United States has the opportunity for free and appropriate education. An overview of the general psychoeducational assessment practice and specific assessment for SLD is supplemented by the literature regarding best-practices for psychological assessment with children/adolescents to set the context for a process that is encountered triennially …


The Strategically Broken System: A Grounded Theory Study Of The Clinical Implications Of Immigration Law, Policy, And Practice, Kelle Agassiz Jan 2021

The Strategically Broken System: A Grounded Theory Study Of The Clinical Implications Of Immigration Law, Policy, And Practice, Kelle Agassiz

Antioch University Dissertations & Theses

The majority of clinicians do not receive education pertaining to the legal aspects of immigration in their curriculum, training, or continuing education. In addition, the process of navigating the immigration system has been exacerbated in recent years due to rapid policy changes under the Trump administration, which has contributed to a hostile political climate, particularly for immigrants from Central America and Mexico. Using a classic grounded theory research approach, this study explored the relationship between the psychological implications of immigration and the legal challenges that immigrants face today, with a specific focus on immigration from Central America and Mexico. Through …


Pediatric Bullying And Victimization: Quality Improvement Project In A Primary Care Setting, Melanie Sklar Jan 2021

Pediatric Bullying And Victimization: Quality Improvement Project In A Primary Care Setting, Melanie Sklar

Antioch University Dissertations & Theses

Bullying is a form of aggression characterized by repeated psychological or physical oppression, which negatively impacts children. More recently, the phenomenon of cyberbullying, or electronic bullying, has become prevalent. Despite efforts by schools to address forms of bullying, young people continue to be victimized. Primary care settings are well placed to address these issues with patients and their families to improve care and outcomes. Screenings and mental health referrals by physicians have been shown to reduce future involvement in bullying and increase access to treatment. When thinking about healthcare improvements in primary care settings, screening has been shown to be …


The Relational Interpretation Of Dreams: A Book Proposal, Alicia Macdougall Jan 2021

The Relational Interpretation Of Dreams: A Book Proposal, Alicia Macdougall

Antioch University Dissertations & Theses

Dream interpretation has been a widely recognized component of psychological practice since the publication of Sigmund Freud’s (1900/2010) The Interpretation of Dreams. By providing initial conceptualizations of the dream’s function, Freud created the foundation for the numerous iterations of dream work to follow. What these modalities of dream work all have in common is the utilization of dream interpretation to uncover information, or the engagement in research and empirical practice to search for answers regarding the how and why of dreaming phenomenon. Dreams, however, have yet to be considered within the context of relationship. This dissertation, in the format of …


“Child Witches”: Sexual Exploitation And Abuse Of Homeless Girls In South-Southern Nigeria, Chima Agazue Jan 2021

“Child Witches”: Sexual Exploitation And Abuse Of Homeless Girls In South-Southern Nigeria, Chima Agazue

Dignity: A Journal of Analysis of Exploitation and Violence

Sexual exploitation and abuse of girls is one of the endemic social problems in Nigeria. Although this problem has attracted much research attention in recent times, some newly emerged factors contributing to the problem have been mostly ignored. This study explored how the abandonment of children following their stigmatization as witches contributes to sexual exploitation and abuse of the girls in the Akwa Ibom and Cross River states of Nigeria. The study was based on the qualitative research paradigm. Data was collected via semi-structured interviews of three senior staff members of the Child’s Rights and Rehabilitation Network (CRARN)—a children’s charity …


The Rise In Use Of Emotional Support Animals By College Students: The Impact Of Parenting Styles, Misty G. Smith, Samantha Ballard, Jill Willis Jan 2021

The Rise In Use Of Emotional Support Animals By College Students: The Impact Of Parenting Styles, Misty G. Smith, Samantha Ballard, Jill Willis

Journal of Higher Education & Student Affairs

As the generational context of higher education shifts, a rise of Emotional Support Animals (ESA) and mental health concerns are present for students on college campuses. While previous studies have aimed to address the relevancy and controversy of ESAs in higher education as well as their effectiveness in supporting individuals, less research has explored underlying factors that contribute to the use of an ESA. The purpose of this study was to explore the parenting behaviors of parents/caregivers of students with ESAs in comparison to parents/caregivers of students without ESAs. An embedded mixed methods design was used. Participants completed the Parenting …


Dimensional Latent Structure Of Icd-11 Posttraumatic Stress Disorder, Complex Ptsd, And Adjustment Disorder: Evidence From Ghana, Kenya, And Nigeria, Ruby Charak, Ines Cano-Gonzalez, Mark Shevlin, Menachem Ben-Ezra, Thanos Karatzias, Philip Hyland Jan 2021

Dimensional Latent Structure Of Icd-11 Posttraumatic Stress Disorder, Complex Ptsd, And Adjustment Disorder: Evidence From Ghana, Kenya, And Nigeria, Ruby Charak, Ines Cano-Gonzalez, Mark Shevlin, Menachem Ben-Ezra, Thanos Karatzias, Philip Hyland

Psychological Science Faculty Publications

With the release of ICD-11 in 2018, there has been a surge in studies examining the nosology of mental disorders, including disorders associated with stress, namely, posttraumatic stress disorder (PTSD), complex PTSD (CPTSD), and adjustment disorder (AjD). Few studies have examined the same in low- and middle-income countries that have disproportionate levels of exposure to trauma and stressors and are under-resourced in mental health services. The present study examined the latent factor structure of a joint model comprising PTSD, CPTSD, and AjD symptoms and their association with stressful and traumatic life events to assess the degree of distinctiveness between these …


The Role Of Psychological Inflexibility And Perspective Taking In Anti-Racism And Anti-Sexism, Carter Davis, Jennifer Krafft, Elizabeth Tish Hicks, Michael E. Levin Jan 2021

The Role Of Psychological Inflexibility And Perspective Taking In Anti-Racism And Anti-Sexism, Carter Davis, Jennifer Krafft, Elizabeth Tish Hicks, Michael E. Levin

Psychology Student Research

Racism and sexism are pervasive forms of discrimination that cause significant individual and societal burden.Understanding manipulable psychological processes that contribute to these modes of discrimination would aid in developing anti-prejudice interventions that target them. Psychological flexibility has been proposed as a potential tool in combating prejudice by modifying one’s relationship with unwanted or automatic prejudicial thoughts, in addition to the ability to take the perspective of marginalized groups. A survey assessing psychological inflexibility and perspective taking along with anti-racist/anti-sexist attitudes and behaviors was administered to a sample of 395 undergraduate students. Perspective taking predicted anti-racist/anti-sexist behaviors above and beyond their …


Exploring Eating Disorders In Athletes: A Literature Review And Analysis Of Prevention Strategies, Emily Schotzko Jan 2021

Exploring Eating Disorders In Athletes: A Literature Review And Analysis Of Prevention Strategies, Emily Schotzko

Honors Program Theses

Both clinical and subclinical eating disorders (ED) are marked by body image disturbance and preoccupation with food, weight, and body shape, and lead to harmful weight management behaviors if not prevented or treated (Bratland-Sanda & Sundgot-Borgen, 2013). While there is a multitude of risk factors that influence the likelihood of developing an ED, one particular factor that has garnered significant attention recently is participation in athletics. Studies show that while athletics can build self-esteem and promote overall well-being,there is evidence that athletes are at an elevated risk for ED development (Hinton & Kubas, 2005). Researchers suggest this risk can be …


Supervisors’ Experience Of Emotion Work In Higher Degree By Research Supervision, Natalia Hazell Jan 2021

Supervisors’ Experience Of Emotion Work In Higher Degree By Research Supervision, Natalia Hazell

Theses : Honours

This research explored academic supervisors’ experiences with emotion work specifically related to their role of supervision in higher degree by research (HDR) candidates and how supervisors managed the complexities inherent in the role of student supervision. This study utilised 45 to 90 minute semi-structured interviews with seven HDR supervisors and explored their lived experiences with emotion work, in the context of four Australian universities. A qualitative interpretative phenomenological analysis (IPA) approach was adopted to elicit a deep and rich understanding of this phenomenon. A comprehensive literature review informed the theoretical discussions and analysis of the data revealed four superordinate themes: …


Counseling System Documentation And The Relationship Between Treatment Plans And Client Outcomes, Moraima N. Frangiosa Jan 2021

Counseling System Documentation And The Relationship Between Treatment Plans And Client Outcomes, Moraima N. Frangiosa

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to provide a method for evaluating counseling services delivered to patients during treatment. The evaluation of the study required the use of methods that are repeatable and effective that would allow a clinic to continue using them over time to grow a database of valuable information about counseling and patient outcomes. The new database would allow the clinic to change counseling methods and approaches of delivery to promote organizational change. The evidence-based practice (EBP) for counseling therapy would encourage the connection between public administration and public policy in the health care system. Public …


Lived Experiences Of Haitian Immigrants In The United States During The Trump Administration, Klaudya Phillips Jan 2021

Lived Experiences Of Haitian Immigrants In The United States During The Trump Administration, Klaudya Phillips

Walden Dissertations and Doctoral Studies

Racism that is either blatant or perceived has contributed to all contemporary markings of group advantage and disadvantage along ethnic and racial lines, which includes differences in education, employment, housing, health, and health care. Understanding how these elements are impacting immigrants will be the key to helping this population overcome problems they might experience. One demographic whose emotional experiences have yet to be fully explored are Haitian immigrants. The purpose of this qualitative narrative study was to explore how the political climate under the Trump administration impacted the psychosocial lived experiences of Haitian immigrants who immigrated to the United States …


Using Chess As An Intervention To Improve Executive Functioning Among Youth, Anandita Oberoi Jan 2021

Using Chess As An Intervention To Improve Executive Functioning Among Youth, Anandita Oberoi

Walden Dissertations and Doctoral Studies

Youth represent a vulnerable segment of the population and may have underdeveloped levels of executive functioning (EF), which is important in both daily life and is shown to have far-reaching effects. This research study aimed to decipher if lessons in the game of chess could be used as an efficacious intervention for accelerating EF development in youth. The three research questions focused on determining whether there was a difference in the chosen indices of EF before and after a 14-session chess intervention. The theoretical framework used for this study was Piaget’s cognitive development theory. This quantitative, single group pretest–posttest design …


The Pre-School Teacher Experience Of Social Skills For Early Education Success, Cheryl Dorsey Jan 2021

The Pre-School Teacher Experience Of Social Skills For Early Education Success, Cheryl Dorsey

Walden Dissertations and Doctoral Studies

Abstract

Pre-school is foundational to future academic success, and social skills have been recognized as a critical component of that foundation. How pre-school teachers facilitate social skills development is an area requiring further study. The purpose of this research was to describe the experience of social skills development from the perspective of early educators. Attachment and social learning theories were used as theoretical frameworks to explore how early education teachers describe the social skills for early education success in young children and how early education teachers facilitate the development of important social skills. This study used a generic, qualitative design …


Identifying Factors Associated With Rapid Readmissions In Behavioral Health Organizations, Glennisha Maxwell Jan 2021

Identifying Factors Associated With Rapid Readmissions In Behavioral Health Organizations, Glennisha Maxwell

Walden Dissertations and Doctoral Studies

Healthcare reform and changes to traditional reimbursement models have placed increasing pressure on healthcare industry leaders to identify ways of remaining competitive while responding to the challenge of reducing excessive costs. Behavioral health organizations are included in this systemic challenge, and rapid readmissions have been identified as one significant contributor to increasing and unsustainable costs. A qualitative case-study design was used to identify factors associated with rapid readmissions in an inpatient psychiatric hospital. The research problem centered on insufficient information about the rapid readmission population of the inpatient psychiatric hospital involved in the study. Methodological triangulation of data was achieved …


Secondary Traumatic Stress Among Catholic Priests, Richard Ehusani Jan 2021

Secondary Traumatic Stress Among Catholic Priests, Richard Ehusani

Walden Dissertations and Doctoral Studies

Research suggests that the clergy could be at the risk of developing secondary traumatic stress (STS) because of their secondary exposure to trauma within pastoral work; however, there has been no explicit discussion of STS related to Catholic priests who may be more at the risk of developing STS than their counterparts in other churches. The requirement of priestly celibacy often leaves Catholic priests with little to no immediate social and emotional support network of family. Because of their sacred vow to keep the confessional seal unbroken in whatever circumstance, Catholic priests also may not share confessional information, even when …


Poststroke Depression And The Lived Experiences Of The Family Caregiver And Care Recipient Dyad, Tiffany Chere' Gurley-Nettles Jan 2021

Poststroke Depression And The Lived Experiences Of The Family Caregiver And Care Recipient Dyad, Tiffany Chere' Gurley-Nettles

Walden Dissertations and Doctoral Studies

AbstractPoststroke depression in stroke survivors is a more common occurrence than once believed as the survivor of stroke must contend with the loss of their former self and with residual physical, communicative, cognitive, and/or psychological changes. Family members who become informal caregivers, with minimal to no training in some cases, may experience stress from having to adjust to new family roles and responsibilities. Limited information is available on the lived experiences of the family caregiver and the survivor of stroke. The objective of this study was to explore the lived experiences of the survivor or stroke with poststroke depression and …


Strategies For Establishing A Diverse Workforce Within A University Health System’S Department, Shanee Chantel Morgan Jan 2021

Strategies For Establishing A Diverse Workforce Within A University Health System’S Department, Shanee Chantel Morgan

Walden Dissertations and Doctoral Studies

Balanced diversity in health care promotes patient satisfaction and enhances innovation. Obtaining a culturally balanced workplace requires recruitment strategies that encourage inclusiveness among team members from various backgrounds. The purpose of this doctoral study was to explore the issue of lack of diversity in a behavioral health organization’s (BHO’s) student intern program and identify strategies for creating greater diversity in the workplace. The Baldrige excellence framework, the conceptual framework that guided the research, was designed to help BHOs to improve their overall business performance to accomplish goals and increase organizational sustainability. Three themes emerged from the data analysis: diversity training, …


The Double Burden Of Racial Discrimination In Daily-Life Moments: Increases In Negative Emotions And Depletion Of Psychosocial Resources Among Emerging Adult African Americans, Nataria T. Joseph, Laurel M. Peterson, Heather Gordon, Thomas W. Kamarck Jan 2021

The Double Burden Of Racial Discrimination In Daily-Life Moments: Increases In Negative Emotions And Depletion Of Psychosocial Resources Among Emerging Adult African Americans, Nataria T. Joseph, Laurel M. Peterson, Heather Gordon, Thomas W. Kamarck

Psychology Faculty Research and Scholarship

Objective: Racial discrimination is a common experience for African Americans, but no research has examined how discrimination reported in daily-life moments influences concurrent negative emotions and psychosocial resources. Method: Emerging adult African Americans (N = 54) reported hourly on momentary racial discrimination, negative emotions, and psychosocial resources across two days. Results: Controlling for past discrimination and trait emotion, momentary racial discrimination was associated with greater negative emotions and lower psychosocial resources (ps < .05). The relationship between momentary racial discrimination and negative emotions was stronger among individuals residing in areas with fewer African Americans (simple slope p < .0001). The relationship between momentary racial discrimination and psychosocial resources was stronger among individuals reporting greater past discrimination (simple slope p < .0001). Vicarious discrimination (exposure to discrimination experienced by another person) was associated with higher negative emotions, p < .01, but not with psychosocial resources. Conclusion: These results are the first to demonstrate that personal and vicarious racial discrimination are associated with negative emotions and lower coping resources …


Skills-Based Intervention To Enhance Collaborative Decision-Making: Systematic Adaptation And Open Trial Protocol For Veterans With Psychosis, Emily B.H> Treichler, Borsika A. Rabin, William D. Spaulding, Michael L. Thomas, Michelle P. Salyers, Eric L. Granholm, Amy N. Cohen, Gregory A. Light Jan 2021

Skills-Based Intervention To Enhance Collaborative Decision-Making: Systematic Adaptation And Open Trial Protocol For Veterans With Psychosis, Emily B.H> Treichler, Borsika A. Rabin, William D. Spaulding, Michael L. Thomas, Michelle P. Salyers, Eric L. Granholm, Amy N. Cohen, Gregory A. Light

Department of Psychology: Faculty Publications

Background: Collaborative decision-making is an innovative decision-making approach that assigns equal power and responsibility to patients and providers. Most veterans with serious mental illnesses like schizophrenia want a greater role in treatment decisions, but there are no interventions targeted for this population. A skills-based intervention is promising because it is well-aligned with the recovery model, uses similar mechanisms as other evidence-based interventions in this population, and generalizes across decisional contexts while empowering veterans to decide when to initiate collaborative decision-making. Collaborative Decision Skills Training (CDST) was developed in a civilian serious mental illness sample and may fill this gap …


The Connection Between Body Modification And Personality, Taylor Ann Shoemaker Jan 2021

The Connection Between Body Modification And Personality, Taylor Ann Shoemaker

Murray State Theses and Dissertations

Previous research has been inconsistent in its findings regarding the associations between body modifications (e.g., piercings, tattoos, augmentation, scarification, split tongue) and the Big Five personality traits (i.e., openness to experience, conscientiousness, extraversion, agreeableness, neuroticism). All traits have been found to be significantly correlated with body modification in at least one study, but their significance differed from study to study. The purpose of the current study was to examine the associations between body modification and each domain of personality concurrently to add to the literature surrounding differences between modified and unmodified individuals. To participate in this study, participants were asked …


Integrated Primary Care Is Associated With Greater Job Satisfaction And Less Burnout Among Montana’S Medical And Behavioral Health Care Providers, C. Ivie English Jan 2021

Integrated Primary Care Is Associated With Greater Job Satisfaction And Less Burnout Among Montana’S Medical And Behavioral Health Care Providers, C. Ivie English

Graduate Student Theses, Dissertations, & Professional Papers

Most research to date on integrated behavioral health (IBH) or integrated primary care (IPC) practices has examined primary care settings nested within academic medical centers or clinics within the U.S. Department of Veterans Affairs. This leaves clinics in rural and/or underserved communities without much representation in the literature. Likewise, provider job satisfaction and burnout have rarely been linked to the IPC model. Through an online cross-sectional survey of medical and behavioral health care providers in various primary care-based health care settings throughout Montana, this cross-sectional study demonstrates that degree of behavioral health integration significantly predicts greater job satisfaction and lower …


Co-Constructing Stigma: Treating Trauma In Adolescence, Isabelle Sanderson Jan 2021

Co-Constructing Stigma: Treating Trauma In Adolescence, Isabelle Sanderson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Public stigma and self-stigma are major factors that impede the seeking of mental health treatment as well as the development of an effective therapeutic alliance. This paper explores the co-creation of stigma dynamics from an intersubjective systems theory lens suggesting these dynamics may play a role for adolescent clients who have experienced significant trauma. Specifically, the potential overlooking and/or misdiagnosis of trauma-related experiences and symptoms often occurring with adolescents diagnosed with ADHD may be contributing to a co-constructed dynamic between the therapist and client to avoid an exploration of trauma that would be experienced as more stigmatizing, more threatening, and …


Handicraft Art Leisure Activities And Cognitive Reserve, Genna Mashinchi Jan 2021

Handicraft Art Leisure Activities And Cognitive Reserve, Genna Mashinchi

Graduate Student Theses, Dissertations, & Professional Papers

With increasing age, older individuals face a higher likelihood of developing dementia. The rate of cognitive decline resulting from dementia is not equivalent for all, as some patients with dementia are able to function independently longer than others, despite having similar disease burden. The cognitive reserve (CR) theory provides one explanation for the differing rate of decline. CR suggests that there are factors — most notably, educational and occupational attainment — that can protect against the cognitive decline that is a hallmark of dementia. Although the beneficial effects of these notable CR factors are clear, they may not be modifiable. …