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Treatment Decision Making In The Postpartum Period: Examining Women’S Preferences And Perspectives, Jenessa Danielle Deleault Jan 2015

Treatment Decision Making In The Postpartum Period: Examining Women’S Preferences And Perspectives, Jenessa Danielle Deleault

Antioch University Dissertations & Theses

This research study aims to understand the medical decision-making process for new mothers who may be experiencing depression, anxiety, or psychological distress following birth, and understanding their treatment preferences. This study replicates one by Patel and Wisner (2011), and was developed from their suggestions in further research. The goal was to replicate the methodology with a more diverse sample of new mothers. The study reviews recent literature on postpartum depression and anxiety, including, symptoms, etiology, risk factors, the impact on family functioning and child development, as well as the literature on medical decision-making. The Decisional Conflict Scale, the Problem-Solving Decision …


Fostering Connections: Group Therapy For Young Women Aging Out Of Foster Care, Meaghan Elizabeth Pilling Jan 2015

Fostering Connections: Group Therapy For Young Women Aging Out Of Foster Care, Meaghan Elizabeth Pilling

Antioch University Dissertations & Theses

The following dissertation outlines a group intervention designed to improve the relational and mental health of female emerging adults who have aged out of foster care. It is argued through review of the literature that emerging adulthood is a unique developmental phase in which relational connections are vital to successful transition to adulthood. Female emerging adults who have aged out of foster care frequently lack these social supports; their isolation renders them particularly vulnerable to psychological and interpersonal problems. Therefore, a mentoring component might be valuable to this population and is included in the current intervention. Included in the following …


Developing A Neuroplasticity-Based Treatment Program For Psychopathy: Treatment Foci And Options, Mariah Villanueva Jan 2015

Developing A Neuroplasticity-Based Treatment Program For Psychopathy: Treatment Foci And Options, Mariah Villanueva

UROP Posters

Psychopathy is a neurodevelopmental disorder that is commonly misunderstood as the condition of criminals, and many people believe the best cure is simple confinement for those who ignore society’s laws. Psychopathy, though, is a genuine condition with a genetic basis that manifests itself through neurotransmitter system disruption and hormone imbalances. Psychopathy has a serious neurological impact on an individual, with impairments largely focused in the prefrontal cortex and amygdala, as well as overall negatively affecting the limbic system of the brain. Together, the total impact causes issues with that individual’s ability to empathize, to experience emotions normally, to develop a …


Neural Correlates Of Gender Differences And Color In Distinguishing Security Warnings And Legitimate Websites: A Neurosecurity Study, Bonnie Brinton Anderson, C. Brock Kirwan, David Eargle, Scott R. Jensen, Anthony Vance Jan 2015

Neural Correlates Of Gender Differences And Color In Distinguishing Security Warnings And Legitimate Websites: A Neurosecurity Study, Bonnie Brinton Anderson, C. Brock Kirwan, David Eargle, Scott R. Jensen, Anthony Vance

Faculty Publications

Users have long been recognized as the weakest link in security. Accordingly, researchers have applied knowledge from the fields of psychology and human–computer interaction to understand the security behaviors of users. However, many cognitive processes and responses are unconscious or obligatory and yet still have a profound effect on users’ security behaviors. With this in mind, researchers have begun to apply methods and theories of neuroscience to yield greater insights into the “black box” of user cognition. The goal of this approach—termed neurosecurity—is to better understand and improve users’ behaviors. This study illustrates the potential for neurosecurity by investigating how …


Perceived Relational Evaluation : Biological, Psychological, And Physical Health Correlates, Emily Christina Banitt Jan 2015

Perceived Relational Evaluation : Biological, Psychological, And Physical Health Correlates, Emily Christina Banitt

Dissertations and Theses @ UNI

Humans have a fundamental need to belong, and being rejected or devalued elicits strong emotional reactions such as stress and anxiety (Leary, 2001). Low perceived relational evaluation (PRE), as a type of rejection, occurs when one person in a relationship believes his or her significant other does not regard his or her bond with the other person as valuable, close, or important (Leary, 2001). The goal of the research was to examine the interrelations among PRE, cortisol (biological stress), relationship quality, and physical and psychological within dating couples. Undergraduate female students (N = 109) who were involved in dating relationships …


A Model For Measuring The Contribution Of Form To Perception Of Biological Sex In Point-Light Actors, Michael Mintz Jan 2015

A Model For Measuring The Contribution Of Form To Perception Of Biological Sex In Point-Light Actors, Michael Mintz

Dissertations and Theses @ UNI

People are able to judge the sex of actors represented in point-light displays. Much of the previous literature has focused on the contribution of motion information to this judgment, or has focused specifically on information gathered from the shoulders and hips. The purpose of the current study is to model how form information, based upon the distance between the dots representing a point-light actor’s key joints, the shoulder, hip, elbow, knee, wrist, and ankle points, contributes to the perception of biological sex. In a pilot study, 6 naïve observers responded to 63 computer generated stimuli that ranged from extremely female …


Mental Health Treatment Adherence And Minority Clients' Perception Of Clinician Cultural Awareness, Patricia Parker Jan 2015

Mental Health Treatment Adherence And Minority Clients' Perception Of Clinician Cultural Awareness, Patricia Parker

Walden Dissertations and Doctoral Studies

Psychological counseling is known to be an effective option for people in need of emotional support. Previous research has shown counseling to be valuable among various age, sex, religious, socioeconomic, and racial groups. Despite its successes, members of certain demographic groups reportedly end supportive psychological therapies early. The purpose of this study was to investigate the experiences of 10 self-identified African American and Hispanic clients who prematurely terminated therapy. A particular focus of this investigation was the clients' perceptions of clinician cultural awareness. This phenomenological study yielded descriptive data in a context sufficient for analysis with the use of broad …


Creativity As A Means To Expression Of Emotions By Older Adults, Britt Saga Eksell Jan 2015

Creativity As A Means To Expression Of Emotions By Older Adults, Britt Saga Eksell

Walden Dissertations and Doctoral Studies

Numerous researchers have explored the benefit of creative activities for the aging population diagnosed with dementia. However, there is a lack of data available to community administrators and organizers of senior residences about how successful aging may be enhanced, in the relatively healthy older adults, through their participation in creative art-making. Activities that provide mental stimulation, facilitate expression of emotions, and that are related to overall psychological well-being can provide a foundation for healthy aging. Accordingly, the purpose of this study was to explore older adults' subjective experience of engaging in creative artwork. The conceptual framework that guided this phenomenological …


Commentary: Applying Positive Development Principles To Group Interventions For The Promotion Of Family Resilience In Pediatric Psychology, Jessica C. Kichler, Astrida S. Kaugars Jan 2015

Commentary: Applying Positive Development Principles To Group Interventions For The Promotion Of Family Resilience In Pediatric Psychology, Jessica C. Kichler, Astrida S. Kaugars

Psychology Faculty Research and Publications

As described in the call for this special issue, resilience is often defined as “achieving one or more positive outcomes despite exposure to significant risk or adversity” (Hilliard, Harris, & Weissberg-Benchell, 2012, p. 739). Resilience is particularly relevant to pediatric psychology, as youth and their families are tasked with overcoming risk factors simply by the nature of a child’s diagnosis of a disease/chronic illness and subsequent medical management demands. In addition to identifying key resilience factors within this population, it is critical to develop empirically supported clinical interventions to promote healthy biological, psychological, and social development; reduce youth psychopathology; and …


College Students’ Perceptions Of Individuals With Anorexia Nervosa: Irritation And Admiration, Danielle M. Geerling, Stephen M. Saunders Jan 2015

College Students’ Perceptions Of Individuals With Anorexia Nervosa: Irritation And Admiration, Danielle M. Geerling, Stephen M. Saunders

Psychology Faculty Research and Publications

Background: Stigmatizing attitudes against anorexia nervosa (AN) may act as barriers to treatment.

Aims: Evaluated college students’ perceptions of AN as compared to major depressive disorder (MDD).

Method: One-hundred two female undergraduates read vignettes describing targets with mild or severe MDD or AN, then rated biological, vanity, and self-responsibility attributions; feelings of admiration, sympathy, and anger; and behavioral dispositions toward coercion into treatment, imitation, and social distance.

Results: AN was perceived more negatively than MDD in terms of vanity attributions, self-responsibility attributions, and feelings of anger, but more positively in terms of admiration and imitation.

Conclusions …


Human Behavior During Spaceflight - Evidence From An Analog Environment, Kenny M. Arnaldi, Guy Smith, Jennifer E. Thropp Jan 2015

Human Behavior During Spaceflight - Evidence From An Analog Environment, Kenny M. Arnaldi, Guy Smith, Jennifer E. Thropp

Journal of Aviation/Aerospace Education & Research

Spaceflight offers a multitude of stressors to humans living and working in space, originating from the external space environment and the life-support system. Future space participants may be ordinary people with different medical and psychosocial backgrounds who may not receive the intense spaceflight preparation of astronauts. Consequently, during a mission, a space participant’s mood and behavior could differ from a trained astronaut. This study was an exploratory research project that used an artificial habitat to replicate an orbital environment and the activities performed by humans in space. The study evaluated whether the type of environment affects mood and temperament. Two …


Assessment Of Phonological And Orthographic Differences In Adults With Reading Disabilities, Christina P. Hyers Mrs. Jan 2015

Assessment Of Phonological And Orthographic Differences In Adults With Reading Disabilities, Christina P. Hyers Mrs.

College of Graduate Studies: Theses & Dissertations

There is debate surrounding how to effectively identify and distinguish reading disabilities from other deficits in college populations. Although several theories have proposed a positive relationship between nonword decoding weaknesses and higher intelligence levels, currently there is no conclusive evidence supporting these claims. The primary purpose of the current study was to determine if individuals of diverging levels of verbal intellectual functioning display profile differences with regard to accuracy for spelling and single word reading of regular words and nonwords. Identifying the specific deficits displayed in populations with reading disabilities assists in formulating interventions targeted at areas of weakness and …


Psychopathy And Attachment: The Effect Of Security Priming On Psychopathy In A College Student Sample, Blake D. Herd Jan 2015

Psychopathy And Attachment: The Effect Of Security Priming On Psychopathy In A College Student Sample, Blake D. Herd

College of Graduate Studies: Theses & Dissertations

Psychopathy has been defined as a pattern of negative behaviors, social interactions, and affective features, including impoverishment of emotion, unethical and manipulative actions, and impulsivity (Neumann & Hare, 2008). It is estimated that between 15 to 30 percent of incarcerated adults meet the criteria for psychopathy (Hare, 1991, 1996; Salekin, Rogers, Ustad, & Sewell, 1998). Because psychopathy is linked with deviant behaviors and a significant portion of incarcerated adults are high in psychopathy, methods of reducing psychopathy are needed. The current longitudinal study sought to reduce state psychopathy levels through secure attachment priming. It was first hypothesized that the mean …


Excessive Tanning As A Presentation Of Body Dsymorphic Disorder, Jennifer Headrick Jan 2015

Excessive Tanning As A Presentation Of Body Dsymorphic Disorder, Jennifer Headrick

College of Graduate Studies: Theses & Dissertations

Body dysmorphic disorder (BDD) involves a potentially debilitating preoccupation with an imagined or minor flaw in one’s appearance (American Psychiatric Association, 2013; Phillips, 2005). Common body areas of preoccupation include the skin, face, hair, and muscles (Castle, Ross, & Kyrios, 2006; Mosley, 2009; Phillips, 2005; Veale, 2003). With the publication of the Diagnostic and Statistical Manual of Mental Disorders—5th edition (APA, 2013), BDD was moved from the Somatoform Disorder classification to the new diagnostic category of Obsessive-Compulsive and related disorders. A new example of preoccupation with skin tone and an associated behavior of excessive tanning were added to the BDD …


Green Exercise And Rural America: Cultural, Ecological, And Ideological Implications For Positive Social Change, Joshua M. Garrin Jan 2015

Green Exercise And Rural America: Cultural, Ecological, And Ideological Implications For Positive Social Change, Joshua M. Garrin

Journal of Sustainable Social Impact

As the global obesity pandemic continues to extend its epidemiological reach, its magnitude continues to transcend demographic boundaries. Increasingly, the extant literature highlights the myriad challenges experienced by socioeconomically disenfranchised populations to combat the insidious biopsychosocial impact of chronic health conditions. However, a counter argument suggests that rural Americans have wide ranging access to the natural environment—an intrinsic resource that offers a broad spectrum of health and wellness opportunities. Beyond its application as a tool for good health practices, green exercise—defined as physical activity in natural settings—can provide an existential platform for the ideals of self-sufficiency, solidarity, and sustainability. A …


Sociocultural Influences On Perceived Risk In Latinos At Risk Of Developing Type 2 Diabetes, Allyson S. Hughes Jan 2015

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 Jan 2015

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 Jan 2015

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 Jan 2015

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 Jan 2015

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 Jan 2015

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 …


Resiliency Of Multiple-Placed Foster Youth Experiencing Emotional Competence: A Mixed-Methods Study, Audrey Murph-Brown Jan 2015

Resiliency Of Multiple-Placed Foster Youth Experiencing Emotional Competence: A Mixed-Methods Study, Audrey Murph-Brown

Theses and Dissertations

This applied dissertation was designed to address the resilient processes of multiple placed foster youth to develop age-appropriate emotional competence. Adding texture to the study was the role played by race and culture. Inherent to the study were the voices of successful multiple-placed foster youth. The research attempted to respond to gaps in the literature regarding African American and Hispanic youth placed in foster placements that, if better understood, can positively impact the livelihoods of other multiple-placed foster youth. The minor participants, 10 to 17 years old, selected for this study were no longer wards of the state, having been …


Take A Deep Breath: How Yoga Postures And Breathing Techniques Can Impact Ptsd Symptoms, Sophia E. Armington Jan 2015

Take A Deep Breath: How Yoga Postures And Breathing Techniques Can Impact Ptsd Symptoms, Sophia E. Armington

Scripps Senior Theses

Yoga postures (asana) and yoga breathing techniques (pranayama) could be an effective method of treating Post Traumatic Stress Disorder (PTSD). This study investigates the importance of the style of yoga treatment (pranayama, asana, or both) and the frequency with which these interventions are conducted (two or five times per week). The participants in this study will be military personnel with diagnosed PTSD who are currently receiving CBT and pharmaceutical treatment. All participants will have their PTSD symptoms assessed before the study begins, and then once a week each of the 12 weeks of the study. Structured interviews will be administered …


Influence Of Learner Factors On Soldier Attitude Toward Army Serious Gaming, Mitchell L. Bonnett Jan 2015

Influence Of Learner Factors On Soldier Attitude Toward Army Serious Gaming, Mitchell L. Bonnett

STEMPS Theses & Dissertations

This study determined the influence of the learner factors on Soldier attitudes toward the use of serious gaming for U.S. Army training and leader development. It extended Selwyn's work (Selwyn, 1997a, 1997b, 2003, 2004, 2006, 2013; Selwyn, Gorard, Furlong, & Madden, 2003) identifying or measuring attitude toward using a technology and Bonanno and Kommers (2008) work extending Selwyn's work to measure the influence of learner factors on those attitude components toward the use of Army serious gaming for instructional purposes. The population studied was 709 Active duty U.S. Army Soldiers.

This quantitative non-experimental descriptive research design methodology used a 21-item …


Personalized Contact Strategies And Predictors Of Time To Survey Completion: Analysis Of Two Sequential Randomized Trials, Victor D. Dinglas, Minxuan Huang, Kristin A. Sepulveda, Mariela Pinedo, Ramona O. Hopkins, Elizabeth Colantuoni, Dale M. Needham Jan 2015

Personalized Contact Strategies And Predictors Of Time To Survey Completion: Analysis Of Two Sequential Randomized Trials, Victor D. Dinglas, Minxuan Huang, Kristin A. Sepulveda, Mariela Pinedo, Ramona O. Hopkins, Elizabeth Colantuoni, Dale M. Needham

Faculty Publications

Background

Effective strategies for contacting and recruiting study participants are critical in conducting clinical research. In this study, we conducted two sequential randomized controlled trials of mail- and telephone-based strategies for contacting and recruiting participants, and evaluated participant-related variables’ association with time to survey completion and survey completion rates. Subjects eligible for this study were survivors of acute lung injury who had been previously enrolled in a 12-month observational follow-up study evaluating their physical, cognitive and mental health outcomes, with their last study visit completed at a median of 34 months previously.

Methods

Eligible subjects were contacted to complete a …


Does Pornography Consumption Increase Participation In Friends With Benefits Relationships?, Scott R. Braithwaite, Sean C. Aaron, Krista Joy Dowdle, Kersti A. Spjut, Frank D. Fincham Jan 2015

Does Pornography Consumption Increase Participation In Friends With Benefits Relationships?, Scott R. Braithwaite, Sean C. Aaron, Krista Joy Dowdle, Kersti A. Spjut, Frank D. Fincham

Faculty Publications

Friends with benefits (FWB) relationships integrate two types of relationships—friendship and a relationship that includes sexual intimacy but without an expectation of commitment. These relationships are often seen as less risky than other casual sexual behaviors, but they still pose a high risk of contracting an STI. Pornography consumption has been connected to increases in risky sexual behavior in other types of casual sex. In two studies (Study 1 N = 850; Study 2 N = 992), we examined the hypothesis that pornography use influences FWB behaviors, specifically through the mechanism of sexual scripts. Our results demonstrate that more frequent …


The Dual Role Of Self-Enhancement : Protection And Stigma, Corina Evelyn Klein Jan 2015

The Dual Role Of Self-Enhancement : Protection And Stigma, Corina Evelyn Klein

Dissertations and Theses @ UNI

Despite the availability of effective treatment options for posttraumatic stress disorder (PTSD), these treatments are highly under-utilized. One of the most cited barriers to treatment among people with PTSD symptoms is public stigma. In fact, the majority of the population experiences a potentially traumatic event (PTE) in their lifetime and should contribute to an assumption of a lack of stigma toward people with PTSD symptoms. Yet, it may be that the stigma perceived by people with PTSD symptoms is more nuanced than what is seen in stigma for other disorders. More often than not, people who experience a PTE will …


A Phenomenological Exploration Of The Experience Of Parenting Half-Siblings Within A Blended Family, Nicole Josephsen Jan 2015

A Phenomenological Exploration Of The Experience Of Parenting Half-Siblings Within A Blended Family, Nicole Josephsen

Antioch University Dissertations & Theses

Blended families are a growing population and encompass a diversity of characteristics and family types. Among the different types of blended families are those with both stepchildren and mutual children. Research on the complex experience of parenting a mutual genetic child and a stepchild within a blended family is minimal. To better understand the unknown experience of such parents, this phenomenological study was conducted to provide an in depth description of the experience of simultaneously parenting mutual children and stepchildren within a blended family. In this phenomenological study the researcher conducted interviews with six participants who varied by gender, socioeconomic …


Organizational Leaders’ Experience With Fear-Related Emotions: A Critical Incident Study, Al Barkouli Jan 2015

Organizational Leaders’ Experience With Fear-Related Emotions: A Critical Incident Study, Al Barkouli

Antioch University Dissertations & Theses

This study used the Critical Incident Technique (CIT) to better understand how organizational leaders experienced fear-related emotions. Through semi-structured interviews, fifteen executive leaders, mainly chief executive officers (CEOs), shared their experiences in response to threatening, risky, or dangerous incidents. In addition to a phenomenological understanding of the experience, participants illuminated the role that fear-related emotions play in leader decisions, how these emotions influence leader-follower relationships, the impacts of fear-related emotions on leaders’ health and well-being, and the ways leaders managed their experience with fear-related emotions including the role courage played. Leaders often faced threats, risks, or dangers (stimuli) from within …


Behavioral Adjustment In Children With Life Threatening Illness A Qualitative Study, E. Joseph Becher Jr. Jan 2015

Behavioral Adjustment In Children With Life Threatening Illness A Qualitative Study, E. Joseph Becher Jr.

Antioch University Dissertations & Theses

This study investigated factors that affect adjustment in children with life-threatening illness from the viewpoint of the parents/caregivers. The data were collected from parents/caregivers whose children have a life threatening diagnosis. Parents/caregivers were interviewed and asked to complete the Parent Request Questionnaire (PRQ) which was given to them after the in-person interview. This newly developed PRQ was utilized into prior research to predict the levels of adjustment in children. It includes age, whether the child has been informed of the diagnosis, whether the child engages in age-appropriate activities, the child's prior experience with death, the child's family's involvement in treatment, …