Medicine and Health Sciences Commons^™

Therapy Approaches Provided To Traumatized Refugee Children, Esther Ekeh

Independent Study Project (ISP) Collection

The study examined various trauma treatments provided to traumatized refugee children and evaluated their effectiveness. Interviews were conducted with five mental health professionals, comprising two males and three females. The professionals included a psychologist at Caritas, a coordinator at Syrian American Medical Society (SAMS), a manager of an international non-governmental organization (NGO), a clinical psychologist at the Happiness Again Project, and a psychologist at an NGO. All interviews were conducted in person. Thematic analysis was employed to analyze the interview data. The findings revealed that play therapy and group therapy emerged as the most effective trauma treatments for traumatized refugee …

"I Just Want To Be Me, Authentically": Identity Shifting Among Racially And Ethnically Diverse Young Adults, Aerika Brittian Loyd, Dulce Wilkinson Westberg, Lenisha Williams, Marisha Humphries, Alan Meca, Julie Carmen Rodil

Psychology Faculty Publications

Identity shifting represents a common but complex social, behavioral, and cognitive phenomenon. However, some forms of identity shifting originate in response to structural, institutional, and interpersonal marginalization enacted on lower status groups, such as people of color in the United States. The current study investigated ways young adults from diverse ethnic/racial groups discussed shifting to fit in with White Americans (a dominant group) in the United States and their own ethnic/racial group (a minoritized group) and elucidated self-reported motivations for shifting. Participants consisted of 764 young adults (ages = 18–23) recruited from two large public universities in the Southeast and …

Demographic Predictors Of Adult Behaviors In The Pediatric Postoperative Environment, Natasha H. Hikita, Amber Osorno, Carlie Taurosa, Michelle A. Fortier, Zeev N. Kain, Brooke N. Jenkins

Student Scholar Symposium Abstracts and Posters

Over 85% of children experience postoperative pain. If poorly treated, pediatric postoperative pain may lead to various negative health outcomes. Adult behaviors may be associated with child experiences in the postoperative environment. For example, adult behaviors such as distraction, humor, and coping advice divert a child’s attention away from their pain and thus, may significantly reduce child postoperative distress. In contrast, adult behaviors such as empathy, reassurance, and apology direct a child’s attention towards their pain which may increase a child’s overall postoperative distress. Moreover, patient demographic factors, like child ethnicity, may significantly alter the frequency of use of these …

The Relationship Between Social Functioning And Anxiety Symptoms In Preschoolers With Autism, Kaylee L. Cox

Senior Theses

Autism spectrum disorder (ASD) is characterized by impairments in social functioning. Furthermore, children with ASD have been found to have high rates of comorbid anxiety. Understanding the relationship between ASD and comorbid anxiety is essential in raising awareness of anxiety symptomology in children with ASD in hopes of better informing treatment and support. The present study examines the relationship between social functioning and general anxiety in children with ASD compared to typically developing (TD) children. The first objective of this study was to examine group differences in social impairments and anxiety symptoms between children diagnosed with ASD and TD children. …

Fostering Trauma-Informed Schools By Considering The Experiences Of Teachers In Working With Trauma-Exposed Students, Allison A. Stiles

Electronic Theses and Dissertations

High rates of trauma exposure among youth in the United States and the detrimental effects of trauma on students’ psychosocial and academic outcomes are well-established. Such findings have engendered the emergence of trauma-informed schools across the nation. While research regarding trauma-informed schools has understandably focused on the needs of students, shockingly little is known about teachers’ experiences in working with trauma-exposed students. In particular, very few studies have examined the relationship between teachers’ indirect exposure to student trauma and related symptoms of secondary traumatic stress (STS), as well as factors that may predict STS levels or explain variation in the …

Examining Sleep And Family Functioning In Pediatric Craniopharyngioma Using Ecological Momentary Assessment, Nour Al Ghriwati

Theses and Dissertations

Craniopharyngiomas are among the most common brain tumors in children and are associated with greater rates of sleep problems compared to other pediatric cancers. However, research examining sleep among youth with craniopharyngioma has been limited by a reliance on retrospective reports or sleep studies. Families also play a crucial role in children’s adjustment following a pediatric cancer diagnosis, yet remarkably little is known about transactional associations between family functioning and sleep in pediatric cancer. This study examined cross-sectional and daily associations among family functioning, affect, and sleep difficulties for youth with pediatric craniopharyngioma using retrospective reports and ecological momentary assessment …

Family Income, Cumulative Risk Exposure, And White Matter Structure In Middle Childhood, Alexander J. Dufford, Pilyoung Kim

Psychology: Faculty Scholarship

Family income is associated with gray matter morphometry in children, but little is known about the relationship between family income and white matter structure. In this paper, using Tract-Based Spatial Statistics, a whole brain, voxel-wise approach, we examined the relationship between family income (assessed by income-to-needs ratio) and white matter organization in middle childhood (N = 27, M = 8.66 years). Results from a non-parametric, voxel-wise, multiple regression (threshold-free cluster enhancement, p < 0.05 FWE corrected) indicated that lower family income was associated with lower white matter organization [assessed by fractional anisotropy (FA)] for several clusters in white matter tracts involved in cognitive and emotional functions including fronto-limbic circuitry (uncinate fasciculus and cingulum bundle), association fibers (inferior longitudinal fasciculus, superior longitudinal fasciculus), and corticospinal tracts. Further, we examined the possibility that cumulative risk (CR) exposure might function as one of the potential pathways by which family income influences neural outcomes. Using multiple regressions, we found lower FA in portions of these tracts, including those found in the left cingulum bundle and left superior longitudinal fasciculus, was significantly related to greater exposure to CR (β = -0.47, p < 0.05 and β = -0.45, p < 0.05).

An Initial Application Of A Biopsychosocial Framework To Predict Posttraumatic Stress Following Pediatric Injury, Meghan L. Marsac, Nancy Kassam-Adams, Douglas L. Delahanty, Jeffrey Ciesla, Danielle Weiss, Keith F. Widaman, Lamia P. Barakat

Pediatrics Faculty Publications

Objectives—Each year millions of children suffer from unintentional injuries that result in poor emotional and physical health. This study examined selected biopsychosocial factors (i.e., child heart rate, peritrauma appraisals, early coping, trauma history) to elucidate their roles in promoting emotional recovery following injury. The study evaluated specific hypotheses that threat appraisals (global and trauma-specific) and coping would predict subsequent posttraumatic stress symptoms (PTSS), that coping would mediate the association between early and later PTSS, and that heart rate would predict PTSS and appraisals would mediate this association.

Method—Participants were 96 children hospitalized for injury and assessed at 3 …

General And Emotion-Specific Alterations To Cognitive Control In Women With A History Of Childhood Abuse, Kristen L. Mackiewicz Seghete, Roselinde H. Kaiser, Anne P. Deprince, Marie T. Banich

Psychology: Faculty Scholarship

Background

Although limited, the literature suggests alterations in activation of cognitive control regions in adults and adolescents with a history of childhood abuse. The current study examined whether such alterations are increased in the face of emotionally-distracting as compared to emotionally neutral information, and whether such alterations occur in brain regions that exert cognitive control in a more top-down sustained manner or a more bottom-up transient manner.

Methods

Participants were young adult women (ages 23–30): one group with a history of childhood physical or sexual abuse (N = 15) and one with no trauma exposure (N = 17), as assessed …

Relations Between Adverse Childhood Experiences And Current Maladaptive Beliefs In A College Sample, Ilana Starr Berman

Graduate Theses and Dissertations

Cumulative childhood trauma has been associated with both symptoms of post-traumatic stress disorder and depression. However, few studies have examined these relations with normative young adult populations nor have they explored the relation between childhood adversities and cognitive distortions as an outcome variable. The current study aimed to: 1) replicate and extend research on the relations between cumulative adversity, using a broad measure of adverse childhood experiences (ACEs; Felitti et al., 1998), which assesses both maltreatment (e.g., physical, sexual, emotional abuse and neglect) and exposure to elements of household dysfunction (e.g., caregiver substance use, witnessing maternal abuse), and mental health …

Examining The Literature On Fluoxetine Treatment For Selective Mutism In Children, Kelsey West

Psychology: Student Scholarship & Creative Works

Published literature on the research on using Fluoxetine, a specific type of SSRI, for children who have selective mutism was reviewed and then critiqued to determine conclusions on this type of treatment.

An Overview Of Limited Literature On Diagnosis And Treatment Of Deaf And Hard Of Hearing Individuals With Pediatric Bipolar Disorder, Hannah A. Joharchi, Carolyn A. Corbett, Michele Dadson

JADARA

The current literature indicates children and adolescents with bipolar disorder and severe mood dysregulation find it more difficult to make decisions, recognize facial display of emotions, etc. (McClure, et. al, 2005; Rich, Grimley, Schmajuk, Blair, Blair, & Leibenluft, 2008; Kim, et. al, 2013). While treatment with this population is unclear (Miklowitz, et. al, 2013; Miklowitz, et. al, 2014), there is even less literature pertaining to treatment with d/Deaf and hard of hearing (DHH) children who have bipolar disorder. An additional challenge for DHH individuals with bipolar disorder is access to treatment (McClure, et. al, 2005; Rich, Grimley, Schmajuk, Blair, Blair, …

Asthma-Related Anxiety And Quick-Relief Medication Use In Urban Children With Asthma, Sarah E. Astrab, Robin Everhart

Undergraduate Research Posters

Among children, asthma is the most common chronic illness. Although not curable, asthma is manageable with the use of both daily controller medication and quick relief or rescue medication. Anxiety has been found to increase asthma symptoms in children. Caregivers who are anxious about their child’s asthma symptoms may perceive their child’s asthma as more severe or doubt their ability to manage their child’s asthma, which can result in the misuse of asthma medication. This study focused on the association between asthma-related anxiety and the use of quick-relief asthma medications in a low-income, urban sample in Richmond, Virginia. Child participants …

What Are The Relations Among Stress Perception, Health Perception And Activity Participation In School-Aged Children?, Allison Caplin

Honors Theses and Capstones

This correlational study examined possible relations among children’s activity patterns, perceived stress, and perceived health. A variety of self-report questionnaires were administered to a sample of 33 school age children. The Pediatric Activity Sort (PACS) was used to measure activity participation, a health questionnaire was used to assess health, and the Childhood Stress Questionnaire (CSQ) was used to measure perceived stress. Correlations showed no significant relationships between stress level and the amount of reported activity participation. The absence of significant relationships may be due to testing a sample of middle to upper class, Caucasian children, as there was a skewed …

A Punishment-Free, Toilet-Training Protocol For Children With Developmental Disabilities, Chelsea Lynn Pearsall

All Master's Theses

The present investigation adapted a behaviorally-based toilet-training protocol for use with two male children with developmental disabilities. Positive practice and verbal reprimands were eliminated, and reinforcement, scheduled sits, and a urine alarm were utilized. Data were collected on the number of intoilet urinations, urinary accidents, and self-initiations. Results show that both participants exhibited significant improvement in their toileting skills and met the final success criteria rapidly. These results were maintained through follow-up. Implications for the elimination of punishment procedures in future toilet training protocols are discussed.

The Influence Of Ethnic Identity And Family Support On Posttraumatic Symptoms In Maltreated Youth, Harpreet Kaur

UNLV Theses, Dissertations, Professional Papers, and Capstones

Maltreated children are at greater risk of developing PTSD than nonmaltreated children (Ackerman et al., 1998; Epstein et al., 1997; Famularo et al., 1996; Kilpatrick et al., 2003; Widom, 1999). This study sought to assess the role of ethnicity, ethnic identity, and family support on the effects of maltreatment and trauma in adolescents. Participants (n=145) included adolescents from Child Haven, a Department of Family Services (DFS)-related site in Las Vegas, and youths in foster care assessed at the offices of Dr. Stephanie Holland. The first hypothesis was that non-Caucasian youth would have higher levels of PTSD-related symptoms than Caucasian youth. …

Executive Function Profiles In Pediatric Traumatic Brain Injury, Erik Nelson Ringdahl

UNLV Theses, Dissertations, Professional Papers, and Capstones

Traumatic brain injury is a common cause of disability and death among children in the United States. Insult to the frontal and temporal lobes are frequent in closed head brain injury. Cognitive deficits in a variety of domains are common sequelae of brain trauma. In many cases, trauma to the frontal and temporal lobe regions engender prominent deficits in higher-order cognitive processing, memory, and attention.

Higher-order cognitive processing, or Executive Functions are the grouping of cognitive processes necessary for organization of thoughts and activities, attending to the activities, prioritizing tasks, managing time efficiently, and making decisions (Alvarez & Emory, 2006; …