Digital Commons Network^™

Evidence-Based Programs & Measures Of Mental Health Literacy Among Adolescents: A Narrative Research Review, Roxana Naemi, Sabrina Hawa, Chloe Walker

UROP Posters

Evidence-Based Programs & Measures Of Mental Health Literacy among Adolescents: A Narrative Research Review

Roxana Naemi, Dept. of Psychology, Sabrina Hawa, & Chloe Walker, Dept. of Psychology Graduate Student, with Dr. Chelsea D. Williams, Dept. of Psychology

This current narrative research review aims to provide a review of measures that assess the principles of mental health literacy among adolescents. Mental health literacy can be defined as the degree to which an individual processes and understands mental health information and is able to seek further treatment (Olsson & Kennedy, 2010) and varies based upon age (Farrera et al., 2008), sex differences …

Resilience In Relation To Post-Traumatic Stress Disorder And Coping Behaviors In Combat-Exposed Veterans, Abigale Dagher

UROP Posters

Resilience in Relation to Post-Traumatic Stress Disorder and Coping Behaviors in Combat-exposed Veterans

Abigale Dagher, Dept. of Psychology, with Dr. Christina Sheerin, Dept. of Psychology and Virginia Institute for Psychiatric and Behavioral Genetics, and Dr. Ananda Amstadter, Dept. of Psychology and Virginia Institute for Psychiatric and Behavioral Genetics

Post-Traumatic Stress Disorder (PTSD) is a psychiatric disorder that can occur following a traumatic experience. Many veterans who are exposed to combat develop PTSD, yet many also show resilience following these stressors. Resilience can be defined as adaptive functioning in the face of stress or trauma. PTSD is often associated with less …

The Relationship Between Anxiety And Depressive Symptoms And Substance Misuse (In Terms Of Marijuana, Illicit Drugs, Tobacco, And Alcohol) In College Students, Devin Singh

UROP Posters

The Relationship between Anxiety and Depressive Symptoms and Substance Misuse (in Terms of Marijuana, Illicit Drugs, Tobacco, and Alcohol) in College Students

Devin Singh, Depts. of Psychology and Chemistry, with Dr. Sally Kuo and Dr. Amy Adkins, Dept. of Psychology

The prevalence of substance use (in terms of marijuana, illicit drugs, tobacco, and alcohol) in college students is of consistent concern as are rising rates of mental health concerns (i.e., anxiety and depression). College is a critical developmental period for establishing health in young adults. Previous studies have shown that students experienced anxiety and depressive symptoms when they used alcohol, …

Game-Theoretical Model Of Retroactive Hepatitis B Vaccination In China, Vooha Putalapattu

UROP Posters

Game-Theoretical Model of Retroactive Hepatitis B Vaccination in China

Vooha Putalapattu, Depts. of Psychology, Chemistry, & Biology, with Dr. Jan Rychtar, Dept. of Mathematics

Hepatitis B (HepB) is one of the most common infectious diseases affecting over two billion people worldwide. About one third of all HepB cases are in China. In recent years, China made significant efforts to implement a nationwide HepB vaccination program and reduced the number of unvaccinated infants from 30% to 10%. However, many individuals still remain unprotected, particularly those born before 2003. Consequently, a catch-up retroactive vaccination is an important and especially cost-effective way to …

Impulsivity In Sexual Trauma Survivors And Their Use Of Alcohol And Substances, Kayla Mclean

UROP Posters

Impulsivity in Sexual Trauma Survivors and their Use of Alcohol and Substances

Kayla McLean, Dept. of Psychology, with Dr. Jasmin Vassileva, Depts. of Psychology and Psychiatry

The current study investigates the associations of neurocognitive ‘choice’ impulsivity (delay discounting) and personality ‘trait’ impulsivity (UPPS Impulsive Behavior Scale) with alcohol and substance use among female college students reporting history of sexual trauma. Participants included 2476 students enrolled in the Spit for Science study of college student mental health at VCU. Bivariate correlations were used to examine the associations between lifetime use of alcohol and different types of drugs with delay discounting and …

Academic Socialization And Its Effects On Academic Success, David Lim, Maria Cisneros-Elias

UROP Posters

Academic Socialization and Its Effects on Academic Success

David Lim, Dept. of Psychology and Maria J. Cisneros-Elias, Dept. of Psychology Graduate Student, with Dr. Chelsea D. Williams, Dept. of Psychology

Academic socialization in education is how parents use their own educational beliefs and expectations to provide messages to their children to help navigate or influence their academic success and development (Hill & Tyson, 2009). There is currently very little research done on academic socialization, and recent studies have just started addressing the lack of research on this subject. This narrative review focuses on parental academic socialization, to understand the influence …

Behavioral Health Integration In Primary Care, Casey Zapata, Demetrius Carter, Marykate Crawford, Samantha Mladen, Emily Donovan, Amber Fox, Kristen O'Loughlin

UROP Posters

Behavioral Health Integration in Primary Care

Casey Zapata, Depts. of Psychology and English, Demetrius Carter, & MaryKate Crawford, and Samantha Mladen, Emily Donovan, Amber Fox, & Kristen O’Loughlin, Dept. of Psychology Graduate Students, with Dr. Bruce Rybarczyk, Dept. of Psychology

Background/Aims: Due to limited access to mental health care, many patients present to primary care with mental health concerns, such as depression and anxiety. Integrated primary care (IPC), an emerging practice model that integrates behavioral health providers with medical providers in primary care, has been demonstrated to improve patient outcomes. This project aims to characterize patients being seen in safety-net …

Vicarious Trauma Exposure And Its Effects On Mental Health Among Adolescents And Adults: A Narrative Research Review, Harrison Davis, Angel Whitfield, Sydney Judge, Bailee Beverly, Jenna Minter, Eryn Delaney, Chloe Walker

UROP Posters

Vicarious Trauma Exposure and Its Effects on Mental Health among Adolescents and Adults: A Narrative Research Review

Harris Davis, Dept. of Psychology, Angel Whitfield, Sydney Judge, Bailee Beverly, Jenna Minter, Harrison Davis, and Eryn DeLaney and Chloe Walker, Dept. of Psychology Graduate Students, with Dr. Chelsea Williams, Dept. of Psychology

A narrative research review was conducted to examine studies that have tested the relation between vicarious trauma (i.e., witnessing abuse of others; Trautmann, S., Reineboth, M., Trikojat, K., Richter, J., Hagenaars, M. A., Kanske, P., & Schäfer, J. (2018). and mental health in adolescents and young adults. Using psycinfo to …

From Bedside To Bench: Use Of Patient-Derived Xenograft Models To Develop Novel Therapeutic Strategies For Triple-Negative Breast Cancer, Tia H. Turner

Theses and Dissertations

Triple-negative breast cancer (TNBC) is a clinically aggressive disease that is associated with bleak outcomes due to its metastatic propensity, frequent failure to respond to chemotherapy, and lack of alternative treatment options. Despite decades of major translational research efforts, there has been very little success thus far in the development of effective targeted therapies for this disease. It is imperative to develop novel therapeutic strategies to improve patient outcomes, as well as minimize the toxicity associated with standard-of-care chemotherapeutics. Given that metastatic disease accounts for the vast majority of TNBC-related deaths, a better understanding of therapeutic responses within common sites …

Phenotype Extraction: Estimation And Biometrical Genetic Analysis Of Individual Dynamics, Kevin L. Mckee

Theses and Dissertations

Within-person data can exhibit a virtually limitless variety of statistical patterns, but it can be difficult to distinguish meaningful features from statistical artifacts. Studies of complex traits have previously used genetic signals like twin-based heritability to distinguish between the two. This dissertation is a collection of studies applying state-space modeling to conceptualize and estimate novel phenotypic constructs for use in psychiatric research and further biometrical genetic analysis. The aims are to: (1) relate control theoretic concepts to health-related phenotypes; (2) design statistical models that formally define those phenotypes; (3) estimate individual phenotypic values from time series data; (4) consider hierarchical …

A Microlongitudinal Study Of Menopause Symptoms And Problematic Eating In Midlife Women, Dana R. Schreiber

Theses and Dissertations

Women in midlife are at risk for engagement in problematic eating behavior which is associated with negative mental and physical health outcomes. Despite this risk, little is known about precipitating factors that may increase risk in this population. One specific, yet unstudied, factor that may increase risk for problematic eating in midlife women is menopause, which is characterized by distinct symptomatology (e.g., vasomotor symptoms, negative mood, sleep). The purpose of the current study was to investigate the associations among psychological, behavioral, and social symptoms of menopause and problematic eating behavior in midlife women using both retrospective and prospective methodologies. As …

Mef2-Bound Genes May Influence Ethanol Sedation In Drosophila Melanogaster, Katlyn M. Myers

Theses and Dissertations

Alcohol Use Disorder (AUD) is a global health issue that affects millions of people every year. This disorder has serious negative mental and physical consequences. Currently, treatment options for this disorder are largely limited to psychological therapy, with very few medications available to treat it. Being able to identify the environmental and genetic components that influence AUD can help improve diagnosis and treatment options. Previous studies in humans have shown a link between initial sensitivity and risk for alcohol abuse. Our laboratory uses Drosophila melanogaster as a model to study the genetic and environmental components of alcohol-related behaviors. Previous lab …

Estimating Response Status In Sequential Multiple Assignment (Smar)-Like Trials, Keighly Bradbrook

Theses and Dissertations

Sequential, multiple assignment, randomized trials (SMARTs) allow investigators to develop and compare experimental treatment regimens in which individuals are successively randomized to different treatments based on some set of predetermined rules. The rules used to make decisions on when and how to switch treatments are based on a chosen set of tailoring variables. Although not always true, intermediate response is commonly used as the primary tailoring variable as it is often predictive of future treatment success. As such, successful implementation depends on identifying patients who respond to treatment, though in some situations such mechanisms may not exist. Further, patient-level covariates …

Examining The Role Of Racial Discrimination In Obesity Treatment Disparities Among African American Emerging Adult Women, Kristal Brown

Theses and Dissertations

The overarching goal of the proposed work was to examine how racial discrimination contributes to disparities in adiposity and treatment response between non-Hispanic Black and non-Hispanic White emerging adult women, and to identify potential protective and risk factors that might moderate this association—all in service of improving lifestyle interventions for this high-risk population. Project aims were achieved across three studies. In Study 1, we extracted data for emerging adults (N=261, BMI=33.8+4.9 kg/m², age=21.9+2.1 years) who recently completed a BWL program adapted specifically for emerging adults and compared treatment outcomes for non-Hispanic White and non-Hispanic Black women. In Study …

Flexible Methods For Accounting For Distributional Misspecification Of The Response-Adaptive Randomization Ratio In Two-Arm Clinical Trials With Continuous Or Survival Outcomes, Victoria C. Garcia

Theses and Dissertations

Optimal response-adaptive randomization (RAR) is used in clinical trials (CTs) to balance ethics and power by randomizing patients according to the unknown population parameters of an assumed parametric response distribution selected prior to data collection. If the distribution of the observed response data is misspecified, the resulting randomization may produce unanticipated trial characteristics. This dissertation introduces flexible estimators of the optimal RAR ratio that adjust for such misspecification.

When observed response data were continuous in nature, sample moments were estimated from a continuous fit of the empirical CDF. These sample moments then served as the operands for the first flexible …

Integration Of Multi-Omic Platforms To Understand The Regulation Of Genes In Human Disease, Eva Lancaster

Theses and Dissertations

Epigenetic mechanisms have been hypothesized to modify gene expression (GE) in response to both genetic variation and environmental exposures, ultimately contributing to the development of complex traits. Epigenome-wide association studies (EWAS) aim to test the theory that marks of DNA methylation (DNAm) have downstream consequences that result in the development of complex diseases. Although these methods have been successful in identifying DNAm patterns in complex traits, specific molecular mechanisms involved in the etiology of complex diseases remain unidentified. This knowledge gap does not originate from a lack of DNAm-trait associations, but rather stems from study design issues that affect the …

Black Women And Body Image: Implications Of The Racialized Beauty Aesthetic, Rachel L. Boutte

Theses and Dissertations

Black women have the highest prevalence of overweight and obesity relative to any other demographic group in the United States, however current weight management interventions appear least effective for them. Although several hypotheses have been proposed to explain these outcomes, few studies have collected data to evaluate how well they fit the lived experiences of Black women. In particular, the potential roles of body image and body dissatisfaction in the development and maintenance of overweight and obesity in Black women are not well understood. Extant literature largely reports that Black women are inoculated from body dissatisfaction due to cultural factors, …

Adverse Childhood Experiences In Children Presenting To Integrated Pediatric Primary Care, Irene A. Jacobs

Theses and Dissertations

The prevalence of adverse childhood experiences (ACEs) has created a significant public health concern in the United States. A vast body of literature examining adult populations has displayed a dose-response association between cumulative ACEs and chronic illnesses (Chapman et al., 2004; Felitti et al., 1998). ACEs research conducted with children and adolescents has indicated higher ACE scores associated with learning and behavioral problems (Burke et al., 2011), health risk behaviors (Garrido et al., 2018), and mental health challenges (Mackner et al., 1997). However, ACEs research and subsequent interventions have largely relied upon retrospective data retrieved from adults (Felitti et al., …

Separate And Unequal: Latinx Access, Enrollment And Completion Of Ap Coursework In The State Of Virginia, Virginia Elizabeth Palencia

Theses and Dissertations

In response to the national problem of overrepresentation of Latinx students in general education classes, this study addresses Latinx access to Advanced Placement (AP) coursework, enrollment, and completion patterns in Virginia, a growing destination state for many Latinx families and students. Through a secondary data analysis of both the Civil Rights Data Collection (2015-6) and College Board data (2016), this quantitative study mapped patterns of disproportionality in AP access, enrollment, and completion for Latinx students, who comprise 13% of enrollment in Virginia public high schools. In addition, a case study of two diverse school districts provides evidence of segregation and …

An Online Mindfulness Training For Improved Eudaimonic Well-Being And Sleep Outcomes In Caregivers: A Preliminary Study, Tarah L. Raldiris

Theses and Dissertations

As the United States population continues to age, the number of older adults with dementia is projected to rise. Much of the care for those with dementia is provided by unpaid, informal caregivers who are typically family members. Unfortunately, these informal caregivers express significantly higher levels of negative psychological and physical health outcomes compared to non-caregivers. One potential pathway for improving caregiver outcomes may be through increased mindfulness. Using a two-week, online-based mindfulness training program and a structurally equivalent cognitive reappraisal training program, study aims were to: 1.) investigate the acceptability and feasibility of using an online intervention format for …

Differential Identification Of Hyperacusis And Misophonia: Implications Of Discrete Decreased Sound Tolerance (Dst) Condition Subtypes, Rachel E. Wallace

Theses and Dissertations

Hyperacusis and misophonia are two conditions of decreased sound tolerance (DST) studied in the psychological literature due to their association with psychological symptoms and mechanisms. DSTs are differentiated from normal sound sensitivity due to the reported impairment and distress individuals experience. Researchers suggest that DSTs are differentiated by types of sounds and emotional reactions elicited, such that hyperacusis is a fear and pain response to ordinary environmental sounds perceived as uncomfortably loud, and misophonia is an anger and disgust response to human-made sounds, but these distinctions, and associated characteristics, have not been empirically demonstrated. Undergraduate students (N = 1572) …

The Role Of Receptive Reasoning In The Development Of Intellectual Humility, Cathryn Richmond

Theses and Dissertations

Intellectual humility (IH) develops throughout childhood and adolescence and is critically important for effective learning, particularly with regard to science; however, the research examining the development of IH in children is quite limited. As such, this study utilized an exploratory, mixed methods, community-engaged research design with children ages three to 10 (n = 60; M_age = 5.98; 69.6% female) and their parents/guardians recruited from a public children’s museum.. As the construct of IH is intended to describe adult cognition, I operationalized the set of components that may lead to the development of IH in preschool children as Receptive …

Bee Diversity Of Three Appalachian Shale Barren Sites, Olivia C. Latham

Theses and Dissertations

Insect pollination is vital to ecosystem function. However, climate change, habitat loss, pesticides, and a variety of other anthropogenic sources are contributing to a decline in pollinator diversity. Fragile small ecosystems with a high composition of specialized plant species that rely on specific pollinators such as Appalachian shale barrens, are especially at risk of losing biodiversity. This study combines the use of active sweep net sampling of endemic shale barren forbs and passive trap methods over the course of a bloom season (April-August) in three barren sites to identify bee community populations and visitation relationships between pollinator species and endemic …

The Impact Of Occupational Therapy Acute Care Services On Readmission Rates For Patients In Medicare’S Hospital Readmission Reduction Program, Jessica M. Edelstein

Theses and Dissertations

The United States (US) health care system is faced with the daunting challenge to make healthcare payments commensurate with quality of care provided. To assess quality, metrics for reimbursement have been established by Medicare. One such quality metric is hospital readmissions (readmissions). Readmissions are associated with poor patient outcomes and costly. Associated poor patient outcomes include higher risk for mortality, deconditioning, nutritional issues and cognitive impairments. As a result, readmissions cost Medicare $26 billion annually. Current strategies for reducing readmissions in the US are fragmented and hospital-specific. While specific strategies may vary, hospitals that have low readmissions rates tend to …

The Moderating Effect Of Comfort From Companion Animals And Social Support On The Relationship Between Microaggressions And Mental Health In Lgbtq+ Emerging Adults, Angela Matijczak, Jennifer L. Murphy, Camie A. Tomlinson, Kelly O'Connor, Shelby E. Mcdonald

Graduate Research Posters

Introduction: Sexual and/or gender minority (SGM; e.g., lesbian, transgender, nonbinary, LGBTQ+) individuals are frequently exposed to various forms of minority stress that impact their mental health and wellbeing. Microaggressions, a form of minority stress, are defined as unconscious behaviors or statements directed at members of marginalized groups that reflect a hostile or discriminatory message. Microaggressions have been associated with several detrimental outcomes, such as depression and anxiety. Social support has been found to be an important protective factor for SGM emerging adults. Additionally, relationships with companion animals are an underexplored source of support that may be important for SGM individuals. …

Relationship Of Demographic Characteristics Of Occupational And Physical Therapists Towards Their Knowledge And Attitude On Person-Centered Care In Skilled Nursing Facilities, Sadashiv R. Aggarwal

Theses and Dissertations

The study aimed to assess the relationship of specific demographic characteristics of occupational (OTs) and physical therapists (PTs) with their knowledge and attitudes towards principles of Person-Centered Care (PCC) in skilled nursing facilities (SNFs). The study further examined if knowledge and/or attitudinal differences exist between OTs and PTs towards PCC. The proposed descriptive study used the Person-Centered Care theory, which is a holistic (bio-psychosocial-spiritual) health care delivery approach. PCC delivers services that are respectful and individualized, allowing negotiation of care, and offering choice through a therapeutic relationship where persons receiving care are empowered to be involved in health decisions at …

The Impact Of The Fda Warning On Post-Tonsillectomy Opioid Prescribing In Publicly And Privately Insured Children, Dianna J. Soelberg

Theses and Dissertations

Due to reports of significant adverse events, the U.S. FDA placed a Boxed Warning on the opioid codeine in February 2013 – contraindicating its use in pediatric patients undergoing tonsillectomy and/or adenoidectomy. Studies conducted in privately insured children showed a reduction in codeine prescribing and a slight increase in alterative opioid prescribing following the FDA warning, yet the extent to which the FDA warning impacted prescribing in publicly insured children is unknown. Using a quasi-experimental interrupted time series design, this study evaluated codeine and alternative opioid prescribing before and after the FDA warning in both publicly and privately insured children …

The Lived Experiences Of Division I Student-Athletes Coping With A Season-Ending Injury, Michael E. Deitz

Theses and Dissertations

The purpose of the qualitative studywas to examine the lived experiences of Division I collegiate student-athletes who coped with a season-ending injury. The researcher used a hermeneutic phenomenological approach to understand how injury impacts identity development, mental health, and coping among student-athletes. As one of the only studies to examine all of these factors, the present study aimed to enhance counselor educators’ understanding of the specific needs of this population to provide developmentally appropriate support for injured student-athletes. The researcher collected data through 14 interviews with present or recently retired NCAA Division I student-athletes. Data analysis showcased diverse experiences with …

Comorbidity In Context: Identifying Patterns Of Depressive And Anxiety Symptoms In African American Early Adolescents, Kathryn Behrhorst

Theses and Dissertations

Depression and anxiety during adolescence includes symptoms of irritability, sleeplessness, feelings of guilt or worthlessness, worry, avoidance, and/or restlessness. Anxiety and depressive symptoms are often comorbid and are associated with impairments across academic, social, and emotional areas of functioning. No studies to date have examined patterns of depressive and anxiety symptoms together for African American adolescents using person-centered analyses. The current study examined patterns of symptoms and domains of anxiety and depression during early adolescence using latent profile analyses (LPA). A sample of 196 African American early adolescents in grades six through eight (M_age = 12.6; 50% female) were …

Against Our Will: Sexual Trauma In American Art Since 1970, Andrew D. Hottle

Art Inquiries

Book review of Against Our Will: Sexual Trauma in American Art Since 1970, by Vivien Green Fryd.