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Impact Of Pretreatment Self-Perceived Quality Of Life On Chronic Pain Patients, Michelle Laird

Walden Dissertations and Doctoral Studies

Researchers and practitioners have developed new treatment options for chronic pain management based on biopsychosocial models of pain known as interdisciplinary pain management programs (IPMP), which involve interdisciplinary care that integrates physical treatment with emotional, environmental, behavioral, and cognitive interventions. Despite literature documenting the effectiveness of IPMPs, patients find it difficult to obtain authorization for these programs from third party insurance payers. The purpose of this quantitative causal comparative study was to explore whether a patient's perceived quality of life after injury but prior to treatment will affect his or her success in an IPMP. This study was based in …

Perceptions Of Empty Nest Mothers From Diverse Socioeconomic Backgrounds With Boomerang Kids, Banning Kent Lary

Walden Dissertations and Doctoral Studies

In the United States, a growing number of young people are failing to launch into self-sufficiency, a characteristic of adulthood recognized by most cultural groups. These "boomerang children" return home and interrupt the life course development of their "empty nest" mothers who must suspend plans for self-development. How mothers from different socioeconomic backgrounds cope with this countertransitional phenomenon while preparing their children for successful relaunch is not well known. Elder's life course paradigm provided the theoretical framework for this phenomenological study. Perceptions were collected from an ethnically diverse group of 23 empty nest mothers with 30 boomerang children and seven …

The Effect Of Healing Touch Therapy For Youth Diagnosed With Reactive Attachment Disorder, Kelli Stiles

Walden Dissertations and Doctoral Studies

Reactive attachment disorder (RAD), a disorder marked by a severe disruption in developmental attachment, is most often diagnosed in youth who have received substandard or negligent care from their primary caregiver. Such youth have increased risk of behavioral and emotional issues as well as future relationship problems; they generally do not respond to traditional evidence-based practices of therapy. The present study examined the use of the biofield energy practice of Healing Touch (HT) as a viable therapeutic option for improved quality of life for youth diagnosed with RAD. A quantitative, quasi-experimental research study using secondary data was conducted. Eligible participants …

Do Depressive Symptoms Predict The Incidence Of Myocardial Infarction Independent Of Hopelessness?, Patrick Pössel, Amanda M. Mitchell, Kimmo Ronkainen, George A. Kaplan, Jussi Kauhanen, Maarit Valtonen

Faculty and Staff Scholarship

Depression and hopelessness predict myocardial infarction (MI), but it is unclear whether depression and hopelessness are independent predictors of MI incidents. Hopelessness, depression, and MI incidence rate 18 years later were measured in 2005 men. Cox regressions were conducted with hopelessness and depression serving as individual predictors of MI. Another Cox model examined whether the two predictors predict MI when adjusting for each other. Depression and hopelessness predicted MI in independent regressions but when adjusting for each other, hopelessness, but not depression, predicted MI incidents. Thus, these results suggest that depression and hopelessness are not independent predictors of MI.

Integrating Beck’S Cognitive Model And The Response Style Theory In An Adolescent Sample., Stephanie Winkeljohn Black, Patrick Pössel

Faculty and Staff Scholarship

Depression becomes more prevalent as individuals progress from childhood to adulthood. Thus, empirically supported and popular cognitive vulnerability theories to explain depression in adulthood have begun to be tested in younger age groups, particularly adolescence, a time of significant cognitive development. Beck’s cognitive theory and the response style theory are well known, empirically supported theories of depression. The current, two-wave longitudinal study (N = 462; mean age = 16.01 years; SD = 0.69; 63.9 % female) tested various proposed integrative models of Beck’s cognitive theory and the response style theory, as well as the original theories themselves, to determine if …

The Relationship Between Illness Representations, Avoidant Coping, And Health Outcomes In People With Ongoing Symptoms Of Chronic Illness, Emily A. Bell

UNF Graduate Theses and Dissertations

Illness representations play an important role in the way people with chronic illness manage symptoms and view their overall health. Those suffering from functional somatic syndromes as well as conventional diagnoses seek information and meaning about their health threats in order to make appraisals concerning health outcomes. The primary interest of this study was to determine whether illness representations predict coping strategies which in turn influence general health outcomes. Data was collected from a series of four online surveys that measured an individual’s illness representations (IPQ-R), coping responses (Brief COPE), and health outcomes (RAND-36). The sample included 204 participants (169 …

Clinical Significance Of Response Shift In A Spine Interventional Clinical Trial, Robin Carlson

Walden Dissertations and Doctoral Studies

The effectiveness of treatments for degenerative spine conditions, where the primary symptom is back pain, is typically determined using patient-reported quality of life (QoL) measures. However, patients may adjust their internal standards when scoring QoL based on factors other than their health. This response shift phenomenon could confound the interpretation of study data and impact effectiveness conclusions. In the current study, response shift was examined using structural equation modeling (SEM) and previously collected clinical trial data comparing 2 minimally invasive medical devices in lumbar spinal stenosis patients through 1 year postintervention. In subject QoL results, reprioritization shift between 3 months …

Interactions Between Patterns Of Gamer Behaviors And Time-On-Task For Mathematics Remediation In A Game-Based Hive, Marvin Gene Fuller

Walden Dissertations and Doctoral Studies

As the presence of digital game-based learning increases in United States classrooms, understanding their impact on achievement is critical. Digital games for learning offer many potential benefits, including reducing the number of students trapped in a remediation cycle, a contributor to college dropout. Despite the recognized potential of game-based learning, few researchers have explored the relationships between specific patterns of behaviors and types of digital game-based learning environments. The underlying theory for this study was patterns of gamer behaviors may predict in-game behaviors. Archival, third-party data regarding The Lost Function - Episode 1: Sum of the Forgotten Minds by Advanced …

The Effect Of Bullying Prevention Programs On The Perceptions Of Bullying Among Female Youth, Karen Tokarick

Walden Dissertations and Doctoral Studies

Bullying has become a widespread social issue. Previous research has focused on both genders and various grade levels; it has shown that programs reduce bullying and improve social climates and attitudes toward academics. The effect of these programs, specifically on female youth, has not been studied. This study addressed the effect of bullying prevention programs on perceptions of bullying among female youth in Grades 5-7 in 2 schools in rural eastern Pennsylvania. One school utilized a prevention program while the other did not. Teachers and administrators were also interviewed to gain insight regarding their perceived effectiveness of the program. The …

Social Intelligence Of Undergraduates Enrolled In Traditional Vs. Distance Higher Education Learning Programs, Bo Scott Bennett

Walden Dissertations and Doctoral Studies

Participation in, and acceptance of, distance education has reached an all-time high. Yet many academics, policy makers, and laypeople remain concerned that distance education can adversely affect one's social development. The purpose of this quantitative study was to test that concern by comparing the social intelligence of distance undergraduates with the social intelligence of traditional undergraduates at different class ranks (i.e., freshman, sophomore, junior, senior) while limiting the ages of the participants (n = 190) to 18-24. Social intelligence, an operationally defined measure of the construct often referred to as social development has been a popular focus of research in …

Perceptions Of Leadership: Impact Of Leadership Style And Gender On Employee Motivation, Kristin Marquette Walker

Walden Dissertations and Doctoral Studies

Researchers suggest that individuals in Corporate America have stereotypes about the ways in which men and women lead. They also have found that a leader's style and gender can impact employees' job satisfaction, performance, and engagement. However, researchers have provided little empirical evidence about the specific relationship of leadership style and gender on employee motivation. The purpose of this quantitative study was to examine the effects of leadership style, as measured by the Multifactor Leadership Questionnaire (MLQ), and a leader's gender on employee motivation, as measured by the Work Preference Inventory (WPI). Because it was assumed that small organizations would …

Comparison In Personality Profiles Between Child Abusers Versus Child Neglectors, Jodi R. Cuneo

Walden Dissertations and Doctoral Studies

Children who suffered parental abuse or neglect can be returned home if their safety can be ensured following offender treatment. However, some caregivers will continue to abuse or neglect their children upon return home, leading to additional treatment, state involvement, and harm to the child. This study assessed personality differences between child abusers and neglectors who were caregivers by applying a binary logistical regression analysis to the Minnesota Multiphasic Personality Inventory, Second Edition (MMPI-2) scores sampled from archival data for 215 caregivers. Analysis showed that the abusers had statistically significant higher scores on the F Scale ('Faking Bad'), but significantly …

Sociocultural Influences On Perceived Risk In Latinos At Risk Of Developing Type 2 Diabetes, Allyson S. Hughes

Open Access Theses & Dissertations

Previous studies have shown that perceived risk is a predictor of positive health behaviors to avert preventative chronic conditions. As a major factor in the Health Belief Model, high levels of perceived risk may operate as a "perceived susceptibility" to disease and may function as a "perceived threat" that triggers action towards preventing the onset of disease (Champion & Skinner, 2008). Following an Ecodevelopmental Model approach in an effort to prevent prediabetes and type 2 diabetes (Castro, Shaibi & Boehm-Smith, 2009) includes understanding the potential protective effects of certain cultural factors (including sources of social support that can promote healthy …

Acculturation, Psychological Distress, And Smoking In Latinos Living With Hiv/Aids, Jessica Armendariz

Open Access Theses & Dissertations

In the United States smoking cigarettes is the leading cause of preventable death, and smoking is of particular health concern among people living with HIV. Depression has been consistently linked to smoking in the literature, and data indicate that acculturation to the U.S. is associated with increased depression among Latinos.

This study examined if acculturation moderates the impact of depression on smoking behavior among Latinos living with HIV through the mediating effect of social support. The results may extend to the sociopsychological construct of culture. We studied 300 Latinos who live with HIV on the U.S./Mexico border.

Results demonstrated there …

Differences In Stress Biomarkers In Women With High And Low Stress Appraisal, Clarissa Sara Gomez

Open Access Theses & Dissertations

Measures of physiological biomarkers have been widely used in the field of stress research to explain how stress negatively impacts health outcomes. Women in particular have been shown to be more at risk for developing physiological and psychological stress-induced conditions (e.g., hypertension, depression) due to hormonal differences (Kirschbaum et al., 1992), but more importantly, because of their appraisal of stressful events (Schamus et al., 2008). Few studies however have examined whether womenâ??s stress appraisal is predictive of stress reactivity, as measured by stress biomarkers, during stressful events. The goal of this study was to examine whether stress appraisal predicted stress …

Perceived Gender Role Conflict And Violence: Mexican American Gang Members, Lorraine Gray

Antioch University Dissertations & Theses

The purpose of this phenomenological study was to examine gender role conflicts (the inability to express emotions or feelings) within the lived experiences of former Mexican American gang members. This study involved exploring the relationship between restricted emotionality, machismo, and violence. O’Neil developed the theory of gender role conflict in 1980 to identify areas of stress in masculine behavior, cognitions, affective behavior, and the unconscious. According to O’Neil (1981a), “Gender role conflict is a psychological state in which gender roles (masculine, feminine, or androgynous roles) have negative consequences or impacts on the persons” (p. 203). The extreme result of conflict …

Women Between The Ages Of 65 And 75: What Is Their Subjective Experience Of How Their Sexuality Is Portrayed In American Society?, Rebecca E. Gilda

Antioch University Dissertations & Theses

This dissertation focused on capturing and describing the experience of sexuality for women between the ages of 65 and 75 as they live in American society. The main research question asks how these women gain awareness, perceive, and react to the stereotypes, assumptions, expectations, and negative images associated with their sexuality. The participants completed a questionnaire and a semi-structured interview with the principal researcher. Information was gathered about age, relationships, family history, employment, and sexuality. In the interview general and specific questions were asked relating to sexuality in order to answer the research questions. The data from these was analyzed …

A Comparative Analysis Of Mississippi Rural Schools' Abstinence-Only And Abstinence Plus Programs, Alonzo Jeffrey Williams

Walden Dissertations and Doctoral Studies

The predominately rural state of Mississippi responded to high teenage pregnancy rates by enacting a 2011 law requiring school districts to choose between an abstinence-only and an abstinence-plus program for their high schools. However, there is limited extant research on Mississippi's sex education policies, creating a research gap that inhibits developing successful programs to reduce teenage pregnancy rates. There is specifically a need to compare the two types of allowed programs with a focus on rural areas. This study compared programs by examining students' abstinent sexual attitudes, social norms, self-efficacy, sexual abstinence behaviors, and perceived effectiveness of sexual education and …

A Critique Of Stephane Savanah’S “Mirror Self-Recognition And Symbol-Mindedness”, Robert Mitchell

EKU Faculty and Staff Scholarship

Stephane Savanah (Savanah Biol Philos 28:657–673, 2013) provides a critique of theories of self-recognition that largely mirrors my own critique (though without recognizing it) that I began publishing two decades ago. In addition, he both misconstrues my kinesthetic-visual matching model of mirror self-recognition (MSR) in multiple ways (though he appears to agree with the actual model), and misconstrues the evidence in the scientific literature on MSR. I describe points of agreement in our thinking about self-recognition, and criticize and rectify inaccuracies.

Cocaine-Induced Behavioral Sensitization And Conditioned Place Preference In Japanese Quail (Coturnix Japonica): A Focus On Sex Differences And Dopaminergic Mechanisms, Karin E. Gill

Theses and Dissertations--Psychology

Research has indicated that gonadal hormones may mediate behavioral and biological responses to cocaine. Estrogen, in particular, has been shown to increase behavioral responding to cocaine in female rats relative to male rats. The use of Japanese quail may add to our knowledge of sex differences in drug abuse because of their advanced visual system and the ability to control their gonadal hormones via alterations in photoperiod. In three experiments, cocaine-induced behaviors were examined using this avian model.

In Experiment 1, I investigated the potential sex differences in cocaine-induced locomotor activity between male and female Japanese quail and I examined …

Development Of An Avian Model For Identifying Individual Differences In Drug Vulnerability, Beth A. Rice

Theses and Dissertations--Psychology

The attribution of incentive salience to cues that become associated with drugs of abuse is a critical characteristic of individuals who may be vulnerable to drug addiction. Rodents with the propensity to sign track are thought to be vulnerable to drug abuse. The goal of the current work was to investigate whether sign trackers (STs) would acquire cocaine conditioned place preference (CPP) to a discrete cue using an avian species. In Experiment 1, sign and goal trackers (GTs) were first identified using a one third rank order split. Following identification, cocaine-CPP was conducted with a discrete cue in each end …

The Effects Of Alcohol-Related Visual Stimuli On Inhibitory Control And Attentional Bias: Testing The Roles Of Classical Conditioning And Semantic Priming, Ramey G. Monem

Theses and Dissertations--Psychology

Alcohol research has shown that alcohol-related stimuli can disrupt behavioral control and attract more attention in alcohol drinkers. Stimuli typically used in tasks assessing these mechanisms are likely representative of an individual's history. Responses to visual stimuli that no longer closely resemble an individual's history may help shed light on whether these behaviors are due to classical conditioning or processes such as semantic priming. Hypotheses were tested using typical visual stimuli and modified, abstract versions in these tasks. 41 participants were exposed to these stimuli types while using a visual dot probe task. The difference in degree of attentional bias …

Parenting Behaviors Of Sleepy Parents: Associations With Emotion Regulation And Stress, Lauren R. Gilbert

Theses and Dissertations--Psychology

Over the last decade, the topic of sleep has garnered a great deal of interest from psychologists, due to the physiological, emotional, and behavioral outcomes associated with its deprivation. However, questions remain to be answered regarding sleep's influence in the day-to-day life of families. The current study examines the importance of sleep deprivation for parents’ parenting behaviors during problem solving discussions with their children; emotion regulation and stress reactivity are examined as mediators of these associations. Participants were 196 families with a child between the ages of 6-11. Parents filled out diaries for 7 days prior to their in-lab visit, …

Effect Of Social Peers On Risky Decision Making In Male Sprague Dawley Rats, Virginia Weiss

Theses and Dissertations--Psychology

Adolescence is a time associated with increased risk taking and peer relations. Research has shown that adolescents are more vulnerable to peer pressure compared to adults, leading to exacerbated risk taking. Preclinical research suggests that these findings may also be applicable to adolescent rodents, which find social interaction rewarding and are prone to risky behavior. There is, however, little research on the effect of social interaction on rodent models of risky decision-making. This thesis utilized social chambers, which consisted of adjacent operant chambers separated by wire mesh. Adolescent rats performed a risky decision-making task in which they had a choice …

The Effects Of Alcohol And Hypoxia Exposure In The Developing Brain, Megan L. Carter

Theses and Dissertations--Psychology

Exposure to alcohol (ethanol (ETOH)) during fetal development results in a variety of cognitive/behavioral deficits. The effects of fetal ETOH exposure vary across individuals and numerous studies have shown that ETOH’s interaction with other variables can affect outcome in offspring. These studies investigated the effects of developmental ETOH and hypoxia. It was hypothesized that a history of ETOH during development alters the response to a subsequent hypoxic challenge, such as that which may occur during parturition; this results in central nervous system (CNS) damage and behavioral deficits.

The first study determined if developmental ETOH and hypoxia exposure produced behavioral deficits …

Interpersonal Rejection Sensitivity Predicts Burnout: A Prospective Study, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

We examined whether interpersonal rejection sensitivity (IRS)—the hallmark of atypical depression – prospectively predicted burnout, controlling for baseline symptoms, history of depressive disorders, antidepressant intake, gender, age, and length of employment (mean between-assessment duration: 21 months; n = 578; 74% female). IRS was related to a 119% increased risk of burnout at follow-up. Three of four burned out participants reported to be affected by IRS, or 2.5 times the rate observed in participants with no (or subthreshold) burnout symptoms. Our study highlights a dispositional factor in burnout’s etiology also known to be a key component of atypical depression’s etiology. The …

A Longitudinal Examination Of The Mediating Role Of Social Problem Solving Between Parental Attachment And Early Adolescents’ Life Satisfaction, Xu Jiang

Theses and Dissertations

Both attachment theory and empirical evidence indicate that the quality of parental attachment profoundly influences many different aspects of adolescent life. However, one area that has been somewhat neglected in the literature is the discovery of the psychosocial mechanisms that account for the link between parental attachment and important adolescent developmental outcomes, such as social problem solving (D’Zurilla & Goldfried, 1971) and life satisfaction (LS: Diener, 1994). Driven by the conceptual framework of development of LS proposed by Evans (1994), Attachment Theory and Social Problem Solving Theory, a mediation model was hypothesized to explore the link between parental attachment and …

Working Memory In Children With Neurocognitive Effects From Sickle Cell Disease: Contributions Of The Central Executive And Processing Efficiency, Kelsey Erin Smith

Theses and Dissertations

Children with sickle cell disease (SCD) are at risk for neurocognitive impairment due to disease effects including stroke, sleep disordered breathing, anemia-induced hypoxia, and small vessel occlusion. In particular, problems in working memory are an area of concern due to the importance of this construct in determining intelligence and academic functioning. According to Baddely’s model, working memory is composed of verbal and spatial working memory, but it is unclear whether one aspect of working memory is more impacted than another in children with SCD. In addition, little is known about the role of two key components in SCD-related working memory …

Antecedents Of Adolescents' Hope: Personality, Parental Attachment, And Stressful Life Events, Kristin L. Otis

Theses and Dissertations

In the past decade, psychology has concentrated on the importance of identifying psychological qualities in individuals that indicate positive mental health and flourishing. Hope has been proposed to be one of these qualities (Day, Hanson, Maltby, Proctor, & Wood, 2010; Marques, & Lopez, 2014). This study examined the relations among parental attachment, stressful life events, personality variables, and hope in a sample of 647 middle school students from one middle school in a Southeastern US state. The results showed statistically significant correlations between hope and all four predictor variables as well as students’ grade levels and socioeconomic status (SES). The …

Predictors And Profiles Of Antiretroviral Therapy Adherence Among African-American Adolescents And Young Adult Males Behaviorally-Infected With Hiv: A Classification Tree Analysis Approach, Israel Moses Gross

Dissertations

Adherence to antiretroviral therapy is crucial for thwarting disease progression and reducing secondary transmission, yet HIV+ youth struggle with adherence. The highest rates of new HIV infections occur in young African American men (YAAM), thus understanding reasons for non-adherence in this group is critical. Reasons for non-adherence can be complex and multifactorial, and innovative methods of exploration are needed for advancing prevention and treatment efforts. A sample of 387 HIV+ YAAM who reported currently taking HIV medications were selected from a cross-sectional assessment of 2,226 HIV+ youth from sites within the Adolescent Trials Network for HIV/AIDS Interventions (ATN) from 2009-2012 …