Digital Commons Network^™

Early Parenting Stress And Later Abuse Risk: Dyadic Analysis Of Mediation By Maternal And Paternal Negative Attributions, Jewelian N. Fairchild, Christina M. Rodriguez

Psychology Faculty Publications

Predicting the likelihood parents will become physically abusive towards their children remains a high priority. Early parenting stress may increase the extent to which parents negatively appraise their children's behaviours, which in turn may influence their abuse risk. This study explored whether parental negative attributions mediated the association between early parenting stress and later abuse risk. A sample of 186 first-time mothers and 146 of their male partners reported on their parenting stress when infants were 6 months old and their negative attributions regarding child behaviours at 18 months. Parents' child abuse risk was assessed at age four using two …

Can An Experienced Qualitative Researcher Distinguish Ai From Human Qualitative Content Analysis?, Alexandra T. Lucas, Jianna Ramos, Maria Bajwa, Aaron Calhoun, Mark W. Scerbo, Janice C. Palaganas

Psychology Faculty Publications

Background

Artificial intelligence (AI) has become increasingly embedded in research workflows. Large language models (LLMs) are being used to code segments of text, organise codes into themes and interpret patterns within contexts. Recent comparisons between human and AI analyses demonstrate up to 80% thematic overlap, yet humans consistently exhibit deeper interpretive integration and contextual understanding. This study assesses whether experienced researchers can distinguish between entirely human-generated and AI-generated qualitative content analyses of a simulation debriefing.

Methods

We conducted a qualitative descriptive study comparing human-generated qualitative content analysis (QCA) with ChatGPT-4o-generated QCA using a single focus group transcript on emotion management …

Best Practices For Using Biological Data In Psychological Research, Sage E. Hawn, Sinead M. Sinnott, Alicia K. Smith, Kyle Bourassa, Leslie Brick, Sian Hemmings, Soraya Seedat, Arash Javanbakht, Lauren Smith, Antonia V. Seligowski, Nathan A. Kimbrel, Divya Mehta, Hossein Abbasi, Erika Wolf

Psychology Faculty Publications

Advances in statistical techniques for analyzing biological data have driven the need for larger sample sizes, which are ultimately made possible through team science efforts. Findings from these efforts have led to a significant shift in approaches to biological data collection over the past decade, from traditional approaches relying on single measures or assays collected by individual investigators in small lab-based studies to high-dimensional methodologies embedded within large cohorts or multi-site studies. These recent large scale consortium efforts necessitate careful consideration across the full data pipeline, from pre-data generation and sample collection to processing and statistical analysis, while addressing challenges …

A Real-Time Examination And Comparison Of Differentiation Among Suicidal Thinking And Affect Items In An Adolescent Sample, Elizabeth A. Edershile, Kinjal K. Patel, Annabelle M. Mournet, Richard T. Liu, Catherine R. Glenn, Evan M. Kleiman

Psychology Faculty Publications

Suicide risk assessments require individuals to differentiate among types of suicidal thoughts (e.g., passive vs. active); yet most research relies on aggregate metrics that obscure this differentiation. Indeed, more severe forms of suicidal thinking are thought to involve the simultaneous experience of multiple forms of thoughts at high intensities. The present study draws on concepts from the affect differentiation literature to (a) examine different ways to operationalize differentiation in suicidal thinking and (b) compare differentiation in suicidal thinking with differentiation in affect. Adolescents (N = 200) recently hospitalized for suicidal thoughts and behaviors completed a 28-day ecological momentary assessment …

Increasing Honest Statements In Young Children Through Presentation Of Social Contingencies And Emotionally Evocative Stimuli, George Noell, Kristin Gansle, Ella Wheelbarger, Hannah Sliman, Danielle De Lucia

Psychology Faculty Publications

Honesty is fundamental to interpersonal relationships and civil society. Although immediate contingencies often favor lying, many individuals respond honestly even when lying would be more efficient for contacting reinforcement. Across two experiments, we evaluated strategies for increasing honest responding by young children through exposure to social contingencies and emotionally evocative stimuli when material contingencies continued to reinforce lying. The stimuli were pictures of faces of children displaying happiness and sadness. The first experiment found that presession pairing of happy faces with honesty and sad faces with lying did not affect behavior; however, pairings combining verbal rule statements and faces contingent …

Prenatal Exposure To Nicotine And Postpartum Depression: A Systematic Review And Meta-Analysis, Reem Sharaf-Alddin, May Salama, Denise Mckinney, George Saade, Qi Zhang

Health Behavior, Policy & Management Faculty Publications

Purpose: Postpartum Depression (PPD) is the most common mental health complication of childbirth, and has short-term and long-term consequences for mother, child, and the entire family. PPD is a function of several factors. Prenatal exposure to nicotine (PEN) by Active Tobacco Smoking (ATS), Secondhand Smoking (SHS), or Electronic Nicotine Products (ENPs) is a major potential risk factor. This systematic review and meta-analysis aim to summarize and evaluate all evidence regarding the association between PEN and PPD.

Methods: We searched the following databases, PubMed, Medline, Cochrane, EMBASE, and CINHAL, for studies published between Jan.1st ,2000&Sep.19th ,2024, with the outcome PPD. Studies …

A Scoping Review To Conceptualize Social Privilege For Studying Patients' Health Outcomes And Health Disparities, Elizabeth A. Brown, Priyanka Patel, Esther May B. Sarino, Vladimir Markovic, Carles Muntaner

Health Behavior, Policy & Management Faculty Publications

Background

The continued reliance on single-category self-reported demographic data (e.g., race/ethnicity) reflects conceptual limitations that hinder the study and understanding of health outcomes research. There is a pressing need for more precise measures of social privilege that conceptualize privilege and oppression while enabling the examination of their effects on health outcomes in the United States (US) healthcare system.

Objective

The purpose of this scoping review was to review the literature, determine how researchers have measured aspects of privilege and oppression, and develop a conceptual framework to study patients' social privilege in the US healthcare system and public health research.

Methods …

Large Language Model-Assisted Research Question Development In Public Health: A Case Study In The Special Supplemental Nutrition Program For Women, Infants, And Children (Wic), Qi Zhang, Bidusha Neupane, Priyanka Patel, Futun N. Alkhalifah, Yi He, Leslie Hodges

Health Behavior, Policy & Management Faculty Publications

Objective:

To assess the feasibility of using large language models (LLMs) to develop research questions about changes to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food packages.

Design:

We conducted a controlled experiment using ChatGPT-4 and its plugin, MixerBox Scholarly, to generate research questions based on a section of the USDA summary of the final public comments on the WIC revision. Five questions weekly for three weeks were generated using LLMs under two conditions: fed with or without relevant literature. The experiment generated 90 questions, which were evaluated using the FINER criteria (Feasibility, Innovation, Novelty, Ethics, …

From Screens To Stress: Public Health Implications Of Cancer Worry In A Digitally Connected World, Shreya Mathur, Ethan Burns, Michael Pokojovy, Tzu-Liang Bill Tseng, Sunil Mathur

Mathematics & Statistics Faculty Publications

Aims:

This study examines how digital information environments, genetic testing experiences, health behaviors, and psychological distress influence cancer-related worry among adults in the United States. It further considers the public health implications of elevated or reduced cancer worry for prevention and risk communication.

Methods:

Data were drawn from a nationally representative survey of 6,252 U.S. adults. Measures included reliance on social media for health decision-making, smoking status, history of genetic testing, and psychological distress. Multivariable analyses assessed associations between these factors and levels of cancer worry.

Results/Findings:

Reliance on social media for health decisions was associated with greater cancer worry, …

Ocular Surface Disease Following Lasik And Cataract Surgery: A Review Of Their Interrelated Complications, Matthew D. Spangler, Nila Kirupaharan, John D. Sheppard

Department of Ophthalmology Faculty Publications

Background: Ocular surface disease is a multifactorial condition that is very commonly caused by dry eye disease (DED). Ophthalmic procedures intended to improve visual outcomes, laser-assisted in situ keratomileusis (LASIK) and cataract surgery, can paradoxically cause or exacerbate underlying ocular surface disease. This results in worsening vision and quality of life.

Areas covered: This review examines the pathophysiological mechanisms contributing to ocular surface disease development following LASIK and cataract surgery. Both procedures are associated with the transection of corneal nerves, leading to decreased tear production, surface instability, altered neurotrophin production, and impairment of the blink reflex. Furthermore, these incisional procedures …

Steady As She Goes: Remote Work Benefits Daily Goal Progress Through Reduced Energy Variability, Andrew A. Bennett, Kathleen R. Keeler, Emily D. Campion, Sheila K. Keener

Management Faculty Publications

As the prevalence and allowance of remote and hybrid work evolves, research has shown consistently mixed findings about how work location is related to worker energy and perceptions of daily performance. We aim to resolve this ambiguity by integrating affective events theory with ideas about emotion dynamics to develop new theorizing explaining why energy variability, rather than mean energy level, is an important predictor of daily goal progress. We test our hypotheses using a sample of 219 employees from one organization allowing remote and hybrid work, capturing individual hourly energy levels for five consecutive workdays (4,812 hourly observations). Our …

The Emerging Social Media Water Cooler? Motivations For Reddit Use In A Niche League, Jan Boehmer, Brendan O'Hallarn

Communication & Theatre Arts Faculty Publications

Social media play a key role in sport marketing—with athletes, teams, and leagues directly engaging with their audiences. While Facebook, Instagram, and Twitter have received much attention in the sport marketing and communication literature, research on Reddit is scant. This is particularly noteworthy, as the platform is growing rapidly and promises utility for users with nonmainstream interests to find and engage with each other. This study employs a uses and gratifications approach to investigate how prevalent Reddit use is among fans of the United Football League (UFL), what motivates users to engage with the platform, and whether Reddit use leads …

Stages Of Being Foreign As Portrayed In Daughter Of Keltoum And Lost Birds, Fran Hassencahl

Communication & Theatre Arts Faculty Publications

In this paper, I use the intercultural communication model, The Stages of Being Foreign, developed by anthropologist Oberg (1960) and modified by Gullahorn & Gullahorn (1963), Lewis & Jungman (1986), and Ward, Bochner, and Furnham (2001) to explain the experience of culture shock. This model describes the stages that individuals experience when they leave, either voluntarily or involuntarily, their home country/culture and must adapt to a new culture. These stages as described by Oberg are a preliminary stage (a spectator stage), an increasing participation stage, the pit of the culture shock stage, the adaptation stage, and for some migrants a …

Preoperative Patient Sentiment Is Associated With Postoperative Outcomes In Adult Spinal Deformity Surgery, Ross J. Gore, David Mazur-Hart, Mohan K. Sunkara, Aaqib Ali, Qizar Ali, Christopher J. Lynch

Center for Secure and Intelligent Critical Systems (CSICS) Publications

Study Design:

Prospective observational pilot study of adult spinal deformity surgery patients.

Objective:

To determine whether preoperative patient sentiment, quantified using a 21-class valence scale extending the CARP paradigm implemented through an offline Large Language Model, predicts postoperative outcomes.

Summary of Background Data:

Predicting adult spinal deformity surgery outcomes remains challenging with traditional clinical and radiographic parameters alone. Although patient psychological factors and expectations significantly influence postoperative satisfaction and quality of life, systematic approaches to capture these factors are underdeveloped. Offline Large Language Models offer scalable, privacy-preserving psychological risk stratification.

Materials and Methods:

We prospectively enrolled 18 patients undergoing adult …

A Phenomenological Analysis Of Sense Of Belonging Among Community College Educators, Muhammad Owais Aziz

EVMS School of Health Professions Theses & Dissertations

This phenomenological study explored the complex phenomenon of sense of belonging (SB) among diverse health professions educators (HPEs) and non-health professions educators (non-HPEs) at a Canadian community college. SB, as a dynamic construct shaped by an individual's perception of being valued and respected, is influenced by personal preferences and by complex interactions with the individual's surroundings. To better understand SB and foster a more inclusive environment for diverse educators, it is necessary to investigate SB among these educators. This qualitative study used eleven semi-structured interviews and seven steps of data analysis. The results of this study can inform strategies, policies, …

A Comprehensive Overview Of Neurophysiological Correlates Of Cognitive Impairment In Amyotrophic Lateral Sclerosis, Seyyed Bahram Borgheai, Brie E. Achorn, Alyssa H. Zisk, Sarah M. Hosni, Karl E. G. Richter, Frank S. Menniti, Yalda Shahriari

Computer Science Faculty Publications

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that leads to the gradual loss of motor control, typically resulting in paralysis and death within 3 to 5 years of diagnosis. ALS shares neuropathological and genetic associations with fronto-temporal dementia (FTD), a neurodegenerative condition primarily impacting cognitive functions. These two conditions are increasingly viewed as manifestations of a single molecular disease process that affects distinct brain systems, impacting motor neuronal pathways in ALS and fronto-cortical functions in FTD. However, this simple dichotomy belies the complexity of these conditions. In particular, patients with primary motor ALS can also experience significant cognitive …

An Explainable Transformer Framework For Sentiment Analysis In Aviation Workforce Data, Sovon Chakraborty, Protiva Das, Fahmid Al Farid, Fuyad Hasan Bhoyan, Farig Yousuf Sadeque, Jia Uddin, Hezerul Abdul Karim

Computer Science Faculty Publications

Aviation is one of the predominant sectors that contribute significantly to the global economy. With the advent of technology, this industry is witnessing a paradigm shift towards data-driven approaches. The morale of the airline employees is barely noticed, which causes fatigue and depression. Furthermore, these mental health issues can be active reasons for destructive accidents. In this research, the authors are focused on collecting insightful information on aviation employees from Glassdoor.com. Moreover, the authors focus on analyzing the sentiments of the employees of renowned aviation companies. Primarily, the authors scraped necessary data from Glassdoor.com and created a dataset named JetJobJoy …

Toward A Centralized Cross Domain Database For Reproducibility And Replicability Studies, Rochana R. Obadage, Sarah Rajtmajer, Jian Wu

Computer Science Faculty Publications

Reproducibility and replicability (R&R) are structural properties of scientific knowledge, yet existing R&R evidence remains fragmented across domains and initiatives. We present an ongoing effort to develop a centralized, cross-domain database of R&R studies that links published works to their corresponding R&R attempts and supporting assessments. Bibliographic metadata and title-based matching through scholarly indexing services identify canonical records and persistent identifiers. A heuristic, uncertainty-aware matching algorithm supports intra-source and inter-source deduplication, complemented by manual review of ambiguous cases. A unified schema accommodates heterogeneous assessment frameworks and records original studies, R&R studies, assessments, aggregated summaries, and source provenance. The database currently …

Replicatorbench: Benchmarking Llm Agents For Replicability In Social And Behavioral Sciences, Bang Nguyen, Dominik Soós, Qian Ma, Rochana R. Obadage, Zack Ranjan, Sai Koneru, Timothy M. Errington, Shakhlo Nematova, Sarah Rajtmajer, Jian Wu, Meng Jiang

Computer Science Faculty Publications

The literature has witnessed an emerging interest in developing and evaluating AI agents for automated assessment of research claims in scientific papers. Existing benchmarks focus primarily on the computational aspect of this task, testing agents' ability to reproduce or replicate research outcomes when having access to the code and data. This setting, while foundational, (1) fails to capture the inconsistent availability of new data for replication as opposed to reproduction, and (2) lacks ground-truth diversity by focusing exclusively on fully reproducible or replicable papers, thereby failing to evaluate an agent's ability to identify non-replicable research. Furthermore, most benchmarks only evaluate …

Contextual Scaffolding And Self-Efficacy: Supporting Computer Skill Development Among Blind Learners In India, Akshay Kolgar Nayak, Yash Prakash, Sampath Jayarathna, Hae-Na Lee, Vikas Ashok

Computer Science Faculty Publications

Inclusive computer literacy education efforts, broadening the participation of blind or visually impaired (BVI) individuals, have gained traction in recent years. Existing literature investigating these efforts primarily draws evidence from affluent Global North contexts, where accessibility resources and legal frameworks are relatively more mature. Little is known about the in-situ teaching and learning challenges faced by trainers and BVI students, respectively, in resource-constrained, multicultural Global South countries like India. To address this knowledge gap, we conducted a four-month contextual inquiry at two computer training centers catering to 94 BVI students in India. We notably observed a rigid, experience-driven training environment …

Voxvista: Enhancing Screen Reading Experience For Online User Comments, Yash Prakash, Akshay Kolgar Nayak, Mohammed Shoaib Alyaan, Sampath Jayarathna, Hae-Na Lee, Vikas Ashok

Computer Science Faculty Publications

Online discussions have become integral to how people exchange ideas, form opinions, and participate in collective deliberation. While sighted users can comfortably engage with online discussions, blind users who are dependent on screen readers are forced to listen to long threads narrated in a single, monotonic voice that lacks prosodic variation, rhythm, or emotion. This robotic auditory experience not only deteriorates the user engagement with the content but also increases cognitive strain, by making it difficult to remain attentive and discern meaning beyond literal words. In an interview study, most blind participants reported that monotonous narration hindered their ability to …

Modeling Joint Visual Attention In Naturalistic Dyadic Interactions, Kuushini Thennakoon, Yasasi Abeysinghe, Bhanuka Mahanama, Vikas Ashok, Sampath Jayarathna

Computer Science Faculty Publications

Joint visual attention (JVA) provides important insight into how individuals coordinate attention during social interaction. Egocentric eye tracking enables the study of JVA in natural, multi-user settings. This work presents a multi-stage framework to identify and analyze JVA using egocentric video and gaze data. The approach consists of three steps: spatiotemporal tube-based visual similarity, gaze-guided object detection, and attention pattern analysis using the ambient–focal coefficient K. Results show that object-focused collaborative activities exhibit high JVA, with object detection capturing higher joint attention than visual similarity, whereas conversation-based or independent activities show lower and more fragmented joint attention. Analysis of K …

Susceptibility To High-Fidelity Misinformation: An Eye-Tracking Analysis, Yasasi Abeysinghe, Gavindya Jayawardena, Enkelejda Kasneci, Sampath Jayarathna

Computer Science Faculty Publications

With the rise of online misinformation and AI-generated text, understanding human perception of news truthfulness is critical. In this study, we examine visual attention and cognitive processing using eye-tracking measures as individuals read fake and real news articles sharing nearly identical structure and imagery, differing only in subtle textual changes. Using the public FakeNewsPerception dataset, we analyze advanced gaze measures, including scanpaths, AOI transitions, and luminance-corrected pupil measures, beyond basic gaze features, in relation to news truthfulness and perceived believability. Results show that, given the high fidelity of the fake news, readers exhibited comparable visual scanning patterns, attention allocation across …

Memebuddy: Dialog-Style Audio Representations For Engaging Non-Visual Meme Experiences, Chirag Bhansali, Vikas Ashok, Hae-Na Lee

Computer Science Faculty Publications

Image memes are a pervasive form of online communication, widely used to convey humor, opinions, and cultural references. Prior work has explored making memes accessible to blind users, primarily through auto-generated descriptive captions. While these approaches improve comprehensibility and sometimes incorporate prosodic or emotional cues, they often fail to capture the humor, narrative structure, and contextual nuances that make memes engaging. We present MemeBuddy, a system that models memes as dialog, generating structured, multi-turn audio representations using role-based speakers. MemeBuddy reinterprets a meme as a conversation between two speakers, integrating extracted meme text with contextual knowledge implicitly inferred by a …

The Balance Of Power In Ukraine And Deterrence Effectivenes Against Nuclear-Armed Russia, Chick Edmond

Political Science & Geography Faculty Publications

Russia's invasion of Ukraine has raised several significant questions regarding the impact of deterrence, the European balance of power and the ability of current security frameworks to restrict the actions of nuclear-armed revisionist powers. This paper uses an integrated theoretical framework consisting of deterrence theory, the balance of power theory, the security dilemma and neorealism to analyze the dynamic relationships between Russia, Ukraine and the Western alliance. The primary contribution of the paper is to develop a comprehensive analytical framework to evaluate the relationship between different aspects of deterrence (i.e., to prevent an initial attack, to limit further escalation and …

Nuclear Deterrence And The Security Dilemma In A Complex Multipolar World, Chick Edmond

Political Science & Geography Faculty Publications

Objectives: The purpose of this research project is to examine how nuclear deterrence intersects with the concept of security dilemma, i.e., when a state takes an action intended to increase its own security it may inadvertently create a risk or threat to another state and contribute to increased levels of tension. Fourth, how nuclear and conventional systems are becoming increasingly interconnected, which will serve to potentially amplify risks associated with these systems.

Methods: Utilizing a qualitative analytical approach of documents such as national strategy documents, defense policy statements and historical records of crises dating from 1945-2025, the study identifies four …

The Contested Kinmen Model, Ian Murphy

Political Science & Geography Faculty Publications

[Introduction] Kinmen County, Taiwan, stands as an anomaly in East Asia- it is an archipelago administered by Taipei but visually and geographically tethered to the coastline of the People's Republic of China (PRC). For over seven decades, these islands have served as the physical frontline of the unfinished Chinese Civil War, functioning first as a kinetic battleground and later as a laboratory for cross-strait engagement. Yet, to view Kinmen as a relic of the Cold War is to miss it's contemporary strategic significance. The region has now become the primary theater for the PRC's "Kinmen Model" (Jinmen Moshi, symbols redacted), …

Effect Of Antipsychotic Medication Use And Type On Mortality And Cardiovascular Risks In Nursing Home Patients With Dementia, Hamid R. Okhravi, Fang Fang, Melissa P. Hunter, Brynn E. Sheehan

Glennan Center for Geriatrics and Gerontology Faculty Publications

Introduction

Antipsychotic medication (APM) use in nursing home (NH) patients with dementia is common but carries risks. This study assessed the association between APM use and mortality, stroke, and myocardial infarction (MI) compared to non-use, as well as differences between first- and second-generation APMs.

Methods

A serial cross-sectional study using Medicare data examined outcomes from 2012 to 2015 in a national sample of 328,138 US NH residents aged 50 and older with dementia. Multivariate logistic regressions were used to analyze risk.

Results

APM use was associated with increased mortality in all years (odds ratio [OR] range: 2.39 to 1.23, all …

Prevalence And Correlates Of Anxiety And Depression Symptoms Among Medical Students: The Role Of Student Debt Burden, Foroozan Afsharchi, Joshua F. Edwards, Kailash S. Ram, Jingru Huang, Valicia Hale, Ismail El Moudden

Department of Family and Community Medicine Faculty Publications

Background

This cross-sectional study examined whether anxiety and depression symptoms decrease as medical students progress through training (suggesting adjustment disorder) or persist (suggesting chronic conditions), while identifying associated risk factors, including student debt burden and treatment effectiveness.

Methods

We surveyed medical students (years 1-4) at VHS-ODU using a sociodemographic questionnaire and validated screening instruments (GAD-7 for anxiety and PHQ-9 for depression) via RedCap from September to November 2024.

Results

Among 126 students, Scores were higher in Years 2-3 than in Years 1 and 4, but differences by year were not significant (GAD-7 p=0.055; PHQ-9 p=0.352). Students with a prior mental-health …

China's Spy Network In America: A People's War Against An Open House: America Needs To Confront The Reality Of The New Cold War, Shaomin Li

Management Faculty Publications

The article discusses China's extensive espionage activities in the United States, framing it as part of a broader "people's war" strategy employed by the Chinese Communist Party (CCP). It highlights historical cases of espionage, such as those involving Qian Xuesen and Bo Jiang, to illustrate the ongoing threat posed by Chinese intelligence efforts, which leverage both state-sponsored and civilian participation. The article contrasts the CCP's ruthless approach to espionage with the U.S. legal system's more restrained response, emphasizing the asymmetry in their respective strategies. It concludes by urging the U.S. to recognize and confront the realities of this new Cold …