Medicine and Health Sciences Commons^™

Factors Associated With Quality Of Life Among Mothers Of Children With Autism Spectrum Disorder, Marian Marconyak

Health Services Research Dissertations

The increasing prevalence of Autism Spectrum Disorder (ASD) has levied associated effects upon the quality of life (QOL) of mothers of children with ASD. These mothers are subjected to various influences upon their lives as a result of their role as caregivers to children with ASD. The purpose of this study was to assess the International Classification of Functioning, Disability and Health (ICF) Body Functions and Structures, Activities, Participation, Environmental, and Personal Factors associated with QOL among mothers of children with ASD.

English literate, inhabitants of the United States, mothers over the age of 18, of children with ASD were …

The Influence Of Childhood Maltreatment On Substance Abuse In Adulthood, James Michael Blinco

Sociology & Criminal Justice Theses & Dissertations

This study examines the relationship between suffering physical or sexual abuse as a child and drug or alcohol use in adulthood. Data was used from the first three waves of the National Longitudinal Study of Adolescent Health survey. This study found that being a victim of childhood physical abuse can lead to abuse of alcohol later in life. In addition being male and African American are key factors in predicting alcohol abuse and other illegal drug use in adulthood. No significant relationship was found between being a victim of sexual abuse and abusing alcohol, using marijuana, or using any other …

The Interplay Of Trait Anger, Childhood Physical Abuse, And Alcohol Consumption In Predicting Intimate Partner Aggression, Rosalita C. Maldonado, Laura E. Watkins, David Dilillo

Department of Psychology: Faculty Publications

The current study examined three well-established risk factors for intimate partner aggression (IPA) within Finkel and Eckhardt’s I³ model, including two impellance factors—trait anger and childhood physical abuse history—and the disinhibiting factor of alcohol consumption. Participants were 236 male and female college students in a committed heterosexual dating relationship who completed a battery of self-report measures assessing childhood physical abuse, trait anger, alcohol consumption, and IPA perpetration. Results revealed a significant three-way interaction showing that as the disinhibition factor alcohol consumption increased, the interaction of the two impelling factors, trait anger and childhood physical abuse, became increasingly more positive. …

A Glimmer Of Hope? Assessing Hope As A Moderator Of The Relationship Between Parenting And Adolescent Depressive Symptoms, Lisa D. Bishop

Theses and Dissertations

Prior research has established that a portion of depressive symptoms in adolescents is predicted by parenting behaviors. The purpose of this study was to identify the moderating role of hope on the relationship between two parenting variables (warmth and psychological control) and adolescent depressive symptoms. Participants included 459 adolescents ages 13 to 14 years and their families from waves 3 and 4 of the Flourishing Families Project. Path analysis was utilized to answer the proposed hypotheses and research questions. Multiple group analysis was utilized to determine if results were different for boys and girls. Significant results indicated that in low-hope …

Partner Attachment And The Parental Alliance, Ashley B. Bell

Theses and Dissertations

Previous research has demonstrated that cooperation and support between parents, called the parental alliance, is an important predictor of parent and child well-being. Consequently, it is important to understand what factors promote the formation of a strong parental alliance. Because of research on the impact of attachment security on individuals' abilities to depend and rely on others and to appropriately manage conflict, partner attachment is a potential predictor of the parental alliance, with insecure attachment negatively weakening the parental alliance. This study analyzed data from 321 couples to examine the relationship between partner attachment and the parental alliance. Using the …

Decreases In Self-Reported Alcohol Consumption Following Hiv Counseling And Testing At Mulago Hospital, Kampala, Uganda, Judith A. Hahn, Robin Fatch, Rhoda K. Wanyenze, Steven Baveewo, Moses R. Kamya, David Bangsberg, Thomas J. Coates

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Alcohol use has a detrimental impact on the HIV epidemic, especially in sub-Saharan Africa. HIV counseling and testing (HCT) may provide a contact opportunity to intervene with hazardous alcohol use; however, little is known about how alcohol consumption changes following HCT.

Methods: We utilized data from 2056 participants of a randomized controlled trial comparing two methods of HCT and subsequent linkage to HIV care conducted at Mulago Hospital in Kampala, Uganda. Those who had not previously tested positive for HIV and whose last HIV test was at least one year in the past were eligible. Participants were asked at …

Commitment, Forgiveness, And Relationship Self-Regulation: An Actor-Partner Interdependence Model, Heather Michele Smith

Theses and Dissertations

Relationship self-regulation (RSR) refers to the “work”, or effort and strategies, that partners exert over time to maintain the health of their romantic relationships. Most research focuses on self-reports of RSR, however, several studies suggest that partner perceptions are more influential in relationship appraisal. In addition, most RSR research has focused not on partners' attitudes and virtues like commitment, but instead on personality traits, emotional health, and communication skills. In this study, we examine the relationship between partners' levels of commitment and forgiveness within their relationships, and how they perceive their partner's use of RSR behaviors. Using paired data from …

Treatment Outcomes For Mood Disorders With Concurrent Partner Relational Distress: A Comparison By Treatment Modality And Profession, Holly Pack

Theses and Dissertations

Mood disorders are often linked with concurrent partner relational distress. The present study compared the cost effectiveness of treating mood disorder alone versus when the condition is comorbid with partner relational distress. Cigna, a leading health insurance management company in the US, provided outpatient data. Participants included patients with solely a mood disorder diagnosis (n = 72,712) and those with both a mood disorder and a comorbid partner relational distress diagnosis (n = 113, including 69 females and 44 males). These participants were treated in outpatient settings throughout the US. These numbers are surprisingly low considering the extensive literature showing …

A Grounded Theory Of Suicidality In Children Ten And Younger, Katherine Angela Heimsch

Counseling & Human Services Theses & Dissertations

Once every two days in the United States, a child aged 5 to 14 years old dies by suicide (World Health Organization, 2010). When viewed on a spectrum that includes suicidal ideation, verbalizations, behaviors, and attempts, the problem of youth suicidality is actually far greater than the numbers of completed suicides suggest (Cheng, Tao, Riley, Kann, Ye, Tian...Hu, 2009). This study examined suicidality in children ages 10 and younger, and included the characteristics of suicidal children, factors that influence childhood suicidality, and treatment implications. The researcher conducted 12 semi-structured qualitative interviews with experienced treatment providers and performed a content analysis …

A Review Of Mental Health Rehabilitation Technician Qualifications And Training Procedures, Kimberly I. Snow Mhsa, Ba, Nadine Erdis Msw, Janice Daley Msw

Disability & Aging

This report was prepared by Kimberly Irvin Snow, Nadine Edris, and Janice Daley of the University of Southern Maine's Muskie School of Public Service and submitted to the Maine Department of Health and Human Service, Office of Substance Abuse and Mental Health Services. Results of this report were also presented in a webinar on November 21, 2014.

The authors investigated the training and certification processes used by other states for their mental health case management workforce. Ten states were selected for indepth comparative review because they provide a certification process for case managers, provide case management services similar to those …

The Impact Of Parentification On Depression Moderated By Self-Care: A Multiple Group Analysis By Gender For South Korea And The U.S., Sunnie Giles

Theses and Dissertations

Parentification, the process of role reversal between parent and child, has long-term deleterious consequences. Using 500 men and 501 women, ranging from 18 years to 55 years old, residing in Korea and the U.S., this study examined the relationship of parentification experienced during childhood and depression in adulthood. The moderating impact of gender and self-care was examined in both the Korean and U.S. samples. Multiple-group analysis showed that the relationship between parentification and depression was statistically significant in all groups (U.S., Korean, male, and female), and self-care was negatively linked to depression. However, self-care did not moderate the relationship between …

Stable Conflict Resolution Styles And Commitment: Their Roles In Marital Relationship Self-Regulation, Rebecca Suzanne Boyd

Theses and Dissertations

Gottman's (1994a) three stable conflict resolution styles (CRSs), validating, volatile, and avoidant, are different on several dimensions, yet all are predictors of good marital satisfaction. Despite the CRSs equality in marital satisfaction and stability research, teaching couples a validating style is often explicitly more preferential in therapeutic settings. Relationship self-regulation (RSR), described as relationship “work”, is also a strong predictor of relationship satisfaction. Identifying the CRS environment in a relationship that most contributes to the practice of RSR can inform clinical and couple relationship education interventions. Based on its success in improving marital satisfaction in therapeutic settings, a validating CRS …

Sharing Medicine: The Candidacy Of Medicines And Other Household Items For Sharing, Dominican Republic, Michael N. Dohn, Hugo Pilkington

Population and Public Health Sciences Faculty Publications

Background:

People share medicines and problems can result from this behavior. Successful interventions to change sharing behavior will require understanding people’s motives and purposes for sharing medicines. Better information about how medicines fit into the gifting and reciprocity system could be useful in designing interventions to modify medicine sharing behavior. However, it is uncertain how people situate medicines among other items that might be shared. This investigation is a descriptive study of how people sort medicines and other shareable items.

Methods and Findings:

This study in the Dominican Republic examined how a convenience sample (31 people) sorted medicines and rated …

Money Management For The Severe And Persistently Mentally Ill, Simone Kurtz-Dougherty

Theses and Dissertations

Five men diagnosed with Severe and Persistent Mental Illness (SPMI) were recruited from a partial care program to participate in a study on the efficacy of teaching money management skills. The participants were also assessed on perceived stress, financial strain, and symptomology. The men were randomly assigned to either an experimental group or a waitlist control group; both groups received an intervention for money management consisting of a workshop on budgeting and weekly coaching based on expenses. Participants in the experimental group received the money management class immediately after a pretest baseline was established and the wait-list control group received …

Trauma-Informed Research And Planning: Understanding Government And Urban Native Community Partnerships To Addressing Substance-Exposed Pregnancies In Portland, Or, Amanda Mercier

Dissertations and Theses

In 2011, representatives from the Multnomah County Health Departments and several Native-serving organizations came together to address substance-exposed pregnancies among urban Native Americans in Portland, Oregon. From these partnerships, the Future Generations Collaborative was formed representing a significant shift toward community-led maternal child health research and planning. Additionally, the Future Generations Collaborative adopted a historical trauma-informed community based participatory research and planning process. This is particularly significant considering government agencies' role in colonization within Native communities. The purpose of this case study is to explore partnerships between government agencies and the Portland Native community within the Future Generations Collaborative. Given …

Kids Alive! Support For Children Of Parents With Cancer: An Exemplar Program For Children Of Parents With Cancer, Shane Spears

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Cancer in a parent or caregiver is an event that affects the whole family. The roles and responsibilities of the diagnosed parent, as well as those of each family member, are affected at the time of diagnosis and throughout the progression of the illness. According to the American Cancer Society, there will be an estimated 1,665,540 new cancer cases diagnosed and 585,720 cancer deaths in 2014. This staggering statistic means there are a number of cancer diagnoses that will directly affect thousands of parents and their children. Past research suggests this upheaval in the system is particularly stressful on children …

The Use Of High-Fidelity Simulation In Psychiatric And Mental Health Nursing Clinical Education, Bethany A. Murray

International Journal of Health Sciences Education

Background: High-fidelity simulation recreates real-life situations in a safe learning environment and encourages critical thinking in students. Published research in simulation in psychiatric/mental health nursing is sparse.

Methods: Four scenarios exemplifying drug or alcohol abuse utilizing the computerized, mannequin SimMan® were implemented. Students evaluated their learning experience following completion of the simulation via a 20-item, Likert-scale survey which included open-ended questions.

Results: Results were positive. Students rated all items on the survey as “agree” or “strongly agree” (Mean 4.77, SD=0.55).

Conclusions: High fidelity clinical education simulations are an effective means of facilitating student learning of psychiatric and mental health clinical …

Spirituality, Creativity, Identity, And Art Therapy, Theresa Crooks

LMU Theses and Dissertations

This research explores the question: how does an art therapist’s understanding of God as Creator form his/her identity and inform his/her clinical practice? A review was done in the art therapy, spirituality and psychology integration, and creation theology literature to look at existing research that answers this question. A lack of information in the art therapy literature prompted the development of this study to respond to this inquiry. This involved gathering data from LMU MFT graduates who expressed in a survey that they were willing to participate in this study. Four graduates were able to attend an art workshop to …

Integrating Restorative Justice Approaches In An Art Therapy Group, Jenna Walters

LMU Theses and Dissertations

The purpose of this research was to explore the integration of restorative justice approaches within the structure of group art therapy. The research approach was based on a mixed methods design that incorporated both a survey and a case study of a group. The open group structure posed some challenges; however, four of the adolescents agreed to participate in the research study. Each of the eight group art therapy sessions was structured to include an art directive, psychoeducation, and group discussion. Based on the analysis of the data, restorative justice approaches can be successfully integrated into group art therapy. Findings …

Art Therapy And Runaway Homeless Youth: An Exploration Of Trauma And The Survival Response Of "Flight", Leann K. Marschall

LMU Theses and Dissertations

This qualitative case study examined the influencing factors of runaway behavior, trauma, and the survival response of “flight.” The participant, an 18-year-old male residing at a transitional living program, ran away at age 17 and experienced a significant trauma history. Throughout the course of treatment, artwork and clinical notes were used as data. Many themes surfaced in the analysis process, including controlled chaos, body fragmentation, sun symbols, female imagery, and lack of color. The act of running away emerged subtly, whereas, traumatic experiences, chronic in nature and beginning early in life, were acutely evident. While the study was specifically concerned …

Using Photography And Poetry In Group Therapy For People With Severe And Persistent Mental Illness: An Outcome Study, Sarah H. Eggers

LMU Theses and Dissertations

This research explores the experience of participation in a pilot program that integrated poetry and photography for a group of seven adults living with severe and persistent mental illness. Data was gathered in the form of written, visual and verbal responses generated through a semistructured, qualitative focus group that took the week after the end of the pilot program. The data was categorized and coded using a analytical procedure based on Photovoice, a participatory action research model that seeks to empower research participants by providing them with cameras to document and share issues of importance to their lives. Analysis of …

Latino Cultural Implications For Art Therapy: The Influence Of Cultural Risk Factors And Academic Performance In High School, Piera Lynn Carfagno

LMU Theses and Dissertations

Through art therapy, this research examines the influence of the main components of Latino culture as risk and/or protective factors for internalizing and externalizing behaviors and disorders in Latino adolescents. The goal of this research is to also identify how these factors impact academic performance for Latino high school students. First, a literature review examines preexisting research evaluating the presence and influence of particular cultural factors like family expectations and roles, gender, religion, language, and parental involvement in education. Non-cultural factors include peer influence and socioeconomic influences. The literature further examines the impact these factors have been found to influence …

Perceptions Of Healing: Mind, Body And Spiritual Implications For Yoga Therapy And Art Therapy Students, Robin L. Kusilka

LMU Theses and Dissertations

This study employed a mixed method approach to explore perceptions of healing, particularly as it relates to the mind, body and spirit. The data was collected via a questionnaire consisting of word lists, scaling questions, narratives and an art based component among thirty-two yoga therapy students and twenty-one art therapy students at Loyola Marymount University in Los Angeles, CA. The information gathered was used to explore, compare and contrast the perceptions of healing within and between the two groups. The findings suggested that both study groups shared similar concepts about the integration of the mind, body and spirituality in their …

Post-Disaster Group Art Therapy Treatment For Children, Caitlin Frances Murphy

LMU Theses and Dissertations

A qualitative research study presents a thorough examination of a group art therapy curriculum for child survivors of disaster or traumatic events. A review of the existing literature was used to inform the current study. The researcher utilized focus group method of inquiry to gain a better understanding of the topic from experts in the art therapy field. Through the gathering of data and analysis, the findings suggest that the curriculum developed to assist child survivors of traumatic events or disasters has intrinsic value and can assist in the recovery process. The focus group provided a means to analyze the …

Art Making For The Art Therapist: A Study On Clinical Insight, Therapist Identity, Self-Care, And Countertransference, Saira Crawford, Guadalupe Solis, Eliza Ann Pfister

LMU Theses and Dissertations

This arts-based and quantitative study looked at the effects of reflective art making as a tool for stress reduction, clinical insight and therapist identity formation. Research was completed by three Loyola Marymount University, art therapy graduate students. Data was collected over nine sessions consisting of inventory scores from the State-Trait Anxiety Inventory (STAI-Y), as well as artwork made in response to each participant’s client presentation. The research questions answered were: How does the reflective art-making process inform clinical identity as an art therapist? What effect did regular self-exploration have on burnout for the art therapist, as indicated by scores on …

Visualizing Levels Of Family Satisfaction And Quality Of Life In Families With An Autistic Member(S), Sarah Christolini, Camille Werstler

LMU Theses and Dissertations

This research served to visualize levels of family satisfaction and quality of life in families with an Autistic member(s). Art-based qualitative survey was the primary method of gathering data. The vast majority of the literature on autism focused on the treatment of the child, yet some literature suggested a re-focusing on the family as the unit of treatment may improve family satisfaction and quality of life. Taking this into consideration this research explored how parents experience family satisfaction through written and visual responses. The theme of independence for the child with autism was present in all five visual responses which …

Organizational Restructuring And The Process Of Image Making: An Arts-Based Inquiry Of The Image Making Experiences Provided For The Delegates Of A Religious Congregation Involved In Restructuring, Donna L. Gibbs

LMU Theses and Dissertations

This phenomenological study examines the impact image-making experiences had on the leadership restructuring of a women’s religious congregation. Six Catholic women religious ranging in ages 65-85 participated in an arts-based workshop informed by art therapy theories to explore the meaning of making art during their Province Chapter meetings in which leadership restructuring was on the agenda. In addition, 42 of the 80 Province Chapter delegates responded to a survey about their experience. The data collected includes the survey, the workshop process, the images made by the six participants, their verbal sharing about their image, and their written reflections. Five common …

Toward A Biocommunicable Cartography Of Health Decision-Making In The Amazon Basin Of Ecuador, James Cartwright

Lawrence University Honors Projects

This paper comprises a critical, ethnographic study of health communication in a rural community of Amazonian Ecuador. By synthesizing approaches from anthropology, discourse studies, and public health, the study explores how conversations influence health decisions, how communities understand health systems, and how macrostructural discourse changes the political economy of healthcare in Ecuador. My work draws on the recent theoretical development of ‘biocommunicability’ in anthropology as well as earlier sociological research on knowledge construction. Most importantly, this paper offers a critique of current interventions by NGOs in the region.

Incorporation Of Equine Assisted Therapy In University Curriculum, Shelby Y. Sabati

Animal Science

Equine-assisted activity and therapy incorporates physical, mental and language treatments through equine movement to remediate medical conditions or impairments in clients. For all the opportunities that equine-assisted therapy provides there is little education on the practice. The focus of this project is to present the process, benefits and limitations of adopting an equine-assisted therapy course at California Polytechnic State University so it may be used as a reference for future course proposal.

Objective: The aim of this proposal is to offer insight into Equine-assisted therapy, understanding how to integrate the Professional Association of Therapeutic Horsemanship (PATH) International curriculum into the …

Treatment Preferences Among Problem Drinkers In Primary Care., Daniel Z Lieberman, Anne Cioletti, Suena H Massey, Rochelle S Collantes, Brad B Moore

Psychiatry and Behavioral Sciences Faculty Publications

OBJECTIVE: Alcohol misuse is common among primary care patients, yet many do not receive treatment because doctors believe problem drinkers are "in denial," or are unwilling to change their drinking habits. The real problem, however, may be that patients are being offered treatment modalities that do not meet their needs. This study was designed to measure the acceptability of various treatment options among drinkers who were currently not receiving treatment.

METHOD: Patients in a primary care clinic were given a self-report questionnaire that included: (1) the Alcohol Use Disorders Questionnaire, (2) a measure of readiness to change drinking behavior, and …