Medicine and Health Sciences Commons^™

Student Healthcare Providers' Illness Narratives: Impact On Family-Focused Care, Lindsey Ann Lawson

Loma Linda University Electronic Theses, Dissertations & Projects

In this study, we interviewed 30 students training for three areas of healthcare: medicine, nursing, and medical family therapy (MedFT). Through grounded theory analysis of these interviews, we looked to understand how these providers connected their own experiences with illness to their clinical work, particularly in including patients’ family members in care. The majority of participants, and especially those in medicine and nursing disciplines, described a tension between their desire to connect with patients and families and their developing definition of professionalism. For others, the impact of students’ personal experiences with illness seemed to provide a different definition of professionalism, …

Effects Of Parental Trauma Experience On Second Generation Cambodian Americans, Sophorn Theam Choau

Loma Linda University Electronic Theses, Dissertations & Projects

This study explores the parent-child relationship between second generation Cambodian Americans (SGCA) and their first generation parents, as reported by SGCA. Specifically this study examined the effects of parental trauma from the Khmer Rouge (Cambodian genocide), on SGCA in relation to SGCA's mental health status, parent-child communication, cohesion, flexibility, and academic achievements. This study was conceptualized through the effects of intergenerational trauma. A quantitative approach was used to analyze the data. Instruments used to measure the variables in the research included Harvard Trauma Questionnaire Revised Cambodian Version (HTQ), Brief Symptom Inventory-18 (BSI-18), Family Adaptability and Cohesion Evaluation Scales (FACES-IV), and …

Study Of Brief Single Session Medical Family Therapy With Low-Income Patients, Mayuri Pandit

Loma Linda University Electronic Theses, Dissertations & Projects

Medical Family Therapy (MedFT) has been promoted as beneficial for vulnerable patient populations. However, there is a need for MedFT effectiveness studies with longitudinal randomized control trials. Thus, this pilot study investigated the results of a brief single session of MedFT over a one-week period with low-income primary care patients. Effectiveness in this study was defined as increasing a sense agency and communion and decreasing psychological distress. Results suggested that over time, MedFT may increase some sense of agency for lower-income patients, increase patient satisfaction with care, increase family support for patients with higher education, and decrease depression symptoms for …

Physician Couples: A Qualitative Inquiry Focused On Gendered Power And Marital Equality, Sarah C. Stuchell

Loma Linda University Electronic Theses, Dissertations & Projects

How couples “do” gender and power in their marriages is a relevant topic for today’s couples. Despite social changes toward equality in many realms, gender continues to organize relationships in ways that give husbands more power than wives. However, some contemporary couples make conscious decisions to resist forces toward organizing according to stereotypical gender ideals and to “do” gender differently in their relationships. For couples in which one or both is a physician, power is also deeply embedded in the physician status, with families tending to organize around the physician’s demands. While these effects reinforce male dominance when the husband …

Maternal Smoking, Weight Status And Preecalmpsia And Eclampsia Risk Among Women Living In San Bernardino County, Fiona Bedelia Lewis

Loma Linda University Electronic Theses, Dissertations & Projects

Preeclampsia is defined as pregnancy-induced hypertension affecting between 2% and 8% of pregnancies and accounting for about 10-15% of maternal deaths worldwide. Eclampsia is defined as the occurrence of one or more episodes of seizures in a pregnant woman related only to a preeclampsia diagnosis. Preeclampsia, if poorly managed, can progress to eclampsia resulting in injury and death to both mother and infant. The etiology of preeclampsia is not completely understood. Oxidative stress leading to abnormal placenta development and endothelial dysfunction are thought to be key components in the biological mechanism of preeclampsia.

Modifiable risk factors include maternal body weight …

Negotiating Marital Care: Co-Creating The Connected Egalitarian Relationship, Lena Lopez Bradley

Loma Linda University Electronic Theses, Dissertations & Projects

Research suggests that couples seek connection and equality within the marital relationship, yet they continue to struggle due to the continued impact of traditional gender ideologies (Coontz, 2006; Knudson-Martin & Mahoney 2009). The current body of literature reveals little about how specific relational negotiation practices contribute to attaining an equal and connected relationship over time. This study utilizes grounded theory methodology and a feminist social constructionist framework to explore how traditional gender constructs impact couples’ ability to negotiate connected egalitarianism within relationship over time.

The analysis of 68 interviews with two sets of couples—parents of children 5 years old and …

Buffering Effect Of Relational Support In African American Marriages, Aimee Galick

Loma Linda University Electronic Theses, Dissertations & Projects

Racial discrimination is a common experience for African Americans in this country. Racial discrimination can have a negative effect on the physical and mental health of marital partners, as well the quality and stability of the relationship. Few studies investigate relational support as an important coping strategy. Bodenmann's (1995) divorce-stress model asserts that positive dyadic coping strategies such as relational support can buffer partners and marriages from the negative consequences of stress. Socio-emotional relational therapy (SERT) provides marital and family therapists with a model of relational support in couple relationships. SERT's definition formed the basis for the conceptualization of relational …