Medicine and Health Sciences Commons^™

Moderate Alcohol Use And Mortality From Ischaemic Heart Disease: A Prospective Study In Older Chinese People, Mary Schooling, Sun Wenji, Sai Yin Ho, Wai Man Chan, May Ked Tham, Kin Sang Ho, Gabriel M. Leung, Tai Hing Lam

Publications and Research

Abstract
Background: Moderate alcohol use is generally associated with lower ischaemic heart disease (IHD) mortality but it is difficult to ascertain whether this is due to attributes of moderate alcohol users or the properties of alcohol itself. Evidence from populations with different patterns of alcohol use and IHD can provide crucial evidence. We assessed the association of moderate alcohol use with IHD mortality in older Chinese people from Hong Kong.

Methodology
We used Cox regression to determine whether moderate alcohol use was associated with IHD mortality in a prospective, population-based cohort study of all 56167 attendees, aged 65 years or …

A Geospatial Approach For New Perspectives On Satisfaction With Health Services In Malawi, Gideon Mazinga

Loma Linda University Electronic Theses, Dissertations & Projects

This dissertation explored the spatial pattern of user satisfaction with health services and factors, including policies that potentially explain the variation in the district-level of user satisfaction with health services. Nationwide secondary data was extracted from the 2002 Core Social Welfare Indicators Survey and the National Health Services Statistics databases obtained from National Statistics of Malawi. The National Health Facilities inventory obtained from the Malawi diffusion project was also geocoded to display the distribution of health care facilities in the country. Spatial autocorrelation and regression modeling techniques were applied on the national representative data set.

The spatial autocorrelation test revealed …

Using Social Construction Theory As A Foundation For Macro-Level Interventions In Communities Impacted By Hiv And Addictions, David Allen Patterson, Robert H. Keefe

The Journal of Sociology & Social Welfare

Many professionals working with people living with HIV and alcohol and other drug addictions rely heavily on micro and mezzo-level interventions. The authors argue that although these approaches are effective for helping people living with some social problems they are too narrow for working effectively with HIV-positive and alcohol and other drug-addicted individuals. The authors use social construction theory to analyze the social problems of HIV/AIDS and addictions and make recommendations for macro-level interventions that may help curtail the dual problems of HIV and addictions.

The Psychophysiology Of Information Processing Differences In Eating Disorders, Kathryn Grace Truitt

Loma Linda University Electronic Theses, Dissertations & Projects

Maladaptive or dysfunctional cognitive factors are believed to be significant contributors to pathology in eating disorders. The emotional Stroop task was used to examine [the] these dysfunctional cognitive factors. A sample of 31 women (14 nonclinical controls, 13 BN, 4 AN) participated in this investigation, after exclusion for ocular and movement artifacts and equipment problems the remaining sample contained 4 women diagnosed with BN, 4 women diagnosed with AN, and 9 matched non-clinical control subjects. Participants completed an Emotional Stroop task comprised of 8 blocks of words. On each trial, a word was presented in one of four colors (black, …

Assessing The Reliability Of Scores Produced By The Substance Abuse Subtle Screening Inventory (Sassi)., Joshua A. Woodson

Electronic Theses and Dissertations

The fundamental principle that reliability is a property of scores and not of instruments provides the foundation of a meta-analytic technique called reliability generalization (RG). RG studies characterize the reliability of scores generated by a given instrument and identify methodological and sample characteristics that contribute to the variability in the reliability of those scores. The present study is an RG of the Substance Abuse Subtle Screening Inventory (SASSI). Reliability estimates were obtained from 19.8% of studies using the SASSI. Bivariate correlations revealed strong, positive correlations between SASSI score reliability and score variability of the Subtle Attributes (r = .877, …

Adult Attachment As A Risk Factor For Intimate Partner Violence: The “Mispairing” Of Partners’ Attachment Styles, Diana Doumas, Christine L. Pearson, Jenna E. Elgin, Lisa L. Mckinley

Counselor Education Faculty Publications and Presentations

This study examined the relationship between intimate partner violence and adult attachment in a sample of 70 couples. The attachment style of each partner and the interaction of the partners' attachment styles were examined as predictors of intimate partner violence. Additional analyses were conducted to examine violence reciprocity and to explore differences in the relationship between attachment and violence using continuous and dichotomous violence measures. Results of hierarchical regression analyses indicated the "mispairing" of an avoidant male partner with an anxious female partner was associated with both male and female violence. When controlling for partner violence, the relationship between attachment …

The Ohio Substance Abuse Monitoring Network: Overview And Recent Drug Trends, Robert G. Carlson, Russel S. Falck

Population and Public Health Sciences Faculty Publications

No abstract provided.

Discipline, Facial Affect Recognition And Self-Efficacy, Julie Harris

Graduate Theses

The present study explored facial affect recognition, discipline and self-efficacy correlates, predicted using the Social Cognitive Theory framework. A sample of undergraduate students (N—114) from The University of Texas of the Permian Basin, were surveyed on parental style, discipline, self-efficacy, and then tested for facial affect recognition. The results indicated that participants reporting more corporal punishment scored lower on facial affect than those reporting less corporal punishment (p < .05). No significance was found for corporal punishment and self-efficacy (p > .05). The parental style of the father emerged as a significant predictor for the relationship between corporal punishment and facial affect recognition (p < .05). Results appear to support the idea that the social environment parents, especially fathers, create via discipline may hinder ability to interpret emotion. One important implication of this study is that paternal influence may be more vital to emotional detection development than previously considered.

Broken Masks: A Study In Sanity, Jessica Ann Schmidt

All-Inclusive List of Electronic Theses and Dissertations

"Broken Masks: A Study in Sanity" is a mixed work of fiction and nonfiction short stories that explore the lives of people who are off center of normal. Some of the protagonists are different because of psychological trauma, some are different because of the circumstances of their birth, and some are different because what is normal to them seems horrific to the reader. The idea of the mask, sense of Self or social role, has interested me since my undergraduate days in psychology, and I have attempted to blend current psychological understanding of trauma and psyche with fictional and nonfictional …

Art Made By Native American Women With Breast Cancer, Hanni Woelk

EVMS School of Health Professions Theses & Dissertations

This study sought to find recurrent themes in artwork made by Native American women with breast cancer. The hypothesis of this analysis stated that a theme concerning body image would emerge. Subjects were found through the “Healing Pathways: Art for Survivors” workshop in which art therapy tasks were given to Native American cancer survivors. Analysis of the artwork occurred using situational content analysis from a grounded theory perspective. Results found many recurrent themes in the participant’s artwork, but did not support the hypothesis that body image was a concern. Themes concerning the self, anxiety, religion, and the body were found …

Prostate Cancer Patients’ Physiological Responses To Coloring A Mandala Or Working A Maze Puzzle, John Daniel Lorance Jr.

EVMS School of Health Professions Theses & Dissertations

Prostate cancer presents the patient with numerous stressors including diagnosis, treatment, rehabilitation, possible income hardship, and social implications. The purpose of the present study was to examine the effects of a known stress-reducing art task on levels of stress, anxiety and immunity. Four participants diagnosed with prostate cancer were randomly assigned to either a control group that worked a maze puzzle or an experimental group that colored a pre-designed mandala. Pretest-posttest measurements included psychological and physiological indicators of stress, anxiety and immunity. In summary, coloring a pre-designed mandala enhanced immunity and significantly lowered levels of anxiety. This randomized, controlled investigation …

An Exploration Of The Effects Of An Arm Movement Intervention Upon Artwork: Implications For Art Therapy, Alicia K. Hurst

EVMS School of Health Professions Theses & Dissertations

Why have pioneers of art therapy and modern art therapists discussed the importance of body movement in art therapy and yet not one study has been conducted to test its benefits? How can an art therapist overlook body movement in an art therapy session when one must move in order to create art? Observing the need for more research in this area, this study explored how body movement may affect art using one of Florence Cane’s (1951/1983) arm exercises and the scribble technique.

Four adult volunteers were individually videotaped while completing the scribble technique, then the arm exercise, and then …

Visual Journaling: An Intervention To Influence Stress, Anxiety And Affect Levels In Medical Students, Amanda Patton

EVMS School of Health Professions Theses & Dissertations

Research has shown that medical students suffer from higher levels of stress and anxiety than the general population, increasing their risk of health problems, mental illness and suicide. This study looked at the effects of visual journaling as a possible stress reduction technique. Visual journaling combines written journaling, which has been shown to reduce stress and anxiety, and artmaking, which has been shown to improve mood. Five students and five staff members attending or working at Eastern Virginia Medical School participated in the research. The study consisted of an initial session, which involved participants completing pretests of the State-Trait Anxiety …

Art Therapy With Native American Cancer Survivors: An Observation Of Nonverbal Communication Styles, Kathryn Dengler

EVMS School of Health Professions Theses & Dissertations

There is a high morbidity rate among Native American women with breast cancer. Research suggests that traditional beliefs in addition to miscommunication within the healthcare setting may affect the treatment Natives receive. This study observed the nonverbal communication patterns of ten Native American cancer survivors participating in an art psychoeducational workshop. Mapping techniques and situational analysis were used to observe nonverbal communication patterns during the workshop. It was hypothesized that Native Americans would use nonverbal cues more readily than verbal communication.

The results of the study supported the hypothesis. Nonverbal cues were the primary means of communication throughout the workshop. …

Integrating Rational Emotive Behavioral Therapy Into Art Therapy: Depression Treatment In Juvenile Justice Settings, Elizabeth Illig

EVMS School of Health Professions Theses & Dissertations

This single case mixed methods research study integrated Rational Emotive Behavioral Therapy (REBT) into art therapy in the treatment of incarcerated adolescents experiencing a depressed mood. The review of the literature focused on depression treatment as approached by REBT practitioners and art therapists, and revealed that an integration of these approaches had not been previously attempted. Before the study commenced the Reynolds Adolescent Depression Scale-2 was administered to both participants. Then individual REBT-enhanced art therapy sessions were conducted. After the conclusion of these sessions the RADS-2 was re-administered, an exit interview conducted, and a formal analysis of the artwork was …

Dietary Folate, Other B-Vitamins And Incident Alzheimer's Disease: The Cache County Memory, Health, And Aging Study, Chailyn Nelson

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study involves data from the Cache County Study, which began in 1994 with joined efforts by Duke University, Utah State University, and Johns Hopkins University. It consisted of 5,092 participants from Cache County, Utah, located in the northern part of the state. Characteristics of the population include high participation rates (~ 90%), a majority of participants are members of The Church of Jesus Christ of Latter-day Saints, longer life expectancy than the general US population, a greater than 80% rate of at least a high school education, and low rates of migration.

Subjects cognitive status was screened using the …

Predictors Of Depressive And Anxiety Symptoms Among African American Hiv-Positive Women, Nina Katherine Sublette

Theses and Dissertations (ETD)

This descriptive correlation study had four purposes: describe depressive and anxiety symptom levels in pregnant and non-pregnant African American (AA) HIV-positive women, examine the association between underlying vulnerabilities and depressive symptoms in HIV-positive AA women, determine the association between underlying vulnerabilities and anxiety symptoms in AA HIV-positive women, and determine the predictors of depressive and anxiety symptoms among African American HIV-positive women. A convenience sample of 80 African American HIV-positive women was recruited from university-based obstetrics/-gynecology and infectious disease practices in a large metropolitan city in the Mid-South. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale …

Guidelines For Group Art Therapy Videos: Connecting Group Process With Production, Sarah D. E. Newton

EVMS School of Health Professions Theses & Dissertations

Group art therapy professionals, educators, and students have limited resources available to enhance learning and professional practice. Video productions and literature about group art therapy have seemingly decreased over the past 10 years. Due to the limited number of group art therapy videos, few resources exist for training purposes. This study employed an exploratory mixed-method design with a preliminary qualitative analysis of currently available group psychotherapy and group art therapy videos and follow-up quantitative analysis of a needs assessment from group art therapy educators. It was hypothesized that the survey results will demonstrate a generalized dissatisfaction among art therapy educators …

A Content Analysis Of Acculturating Hispanics’ Artwork: Implications For Art Therapy, Sarah Bufogle

EVMS School of Health Professions Theses & Dissertations

Research in art therapy and other mental health fields on Hispanics is limited. In an attempt to further understand Hispanics and the impact of the acculturation process, this study explores similarities and/or differences between the content of drawings of Hispanics who have lived in the United States for 7 years or less and non-Hispanics. Participants consisted of 9 Hispanics and 11 non-Hispanics. A content analysis of the Free Choice Drawing was utilized to determine graphic differences between drawings of both groups. It was hypothesized that there might be considerable visual differences between drawings by acculturating Hispanics and by non-Hispanics.

The …

Social Health Insurance: Can We Ever Make A Case For Pakistan, Farina G Abrejo, Babar Tasneem Shaikh

Community Health Sciences

Social Health Insurance has been used as an approach to increase efficiency of healthcare system and consumer satisfaction in provision of healthcare services. Many developed countries have successfully planned and implemented insurance models which provide almost universal coverage and addresses issues of equity. The phenomenon is established however, developing countries especially Eastern Mediterranean region is still struggling to present one successful model of social health insurance which can be compared with European or Scandinavian countries. Pakistan likewise faces huge challenges in public sector healthcare provision and considerable proportion of population prefers to go to private sector. Quality of care, access …

Native American Flute Meditation: Musical Instrument Design, Construction And Playing As Contemplative Practice, Daniel Cummings

Senior Honors Projects

For almost two years now, I have been involved in hand-crafting and playing my own Native American-style flutes. In the course of that time, this hobby has gradually merged with my interests in mindfulness and meditation practices to produce a unique result, nearly a fully fledged form of contemplation in its own right. For me, flute making and playing have become inseparable and vital components of a seamless process, one whose various stages can all be undertaken as occasions for the application of meditative techniques. Defining meditation in essence as the expansion of awareness in any activity—whether focused on a …

Raising Girls’ Self-Esteem: An Art Therapy Approach Using Photography, Alison Mcallister

EVMS School of Health Professions Theses & Dissertations

American girls’ self-esteem plummets around age 12, negatively affecting various aspects of their lives. This group art therapy research study explored the effectiveness of the use of photography in raising girls’ self-esteem. The study included seven girls between the ages of 10 and 12 in their fifth grade year. The participants attended six group sessions over an 8 week period. The study utilized a mixed methods design and data collection came from the Coopersmith Self-Esteem inventory, taped interviews, and analysis of artwork. Comparison of Coopersmith pretest and posttest scores indicates that the majority of participants made gains in the total …

Sleep, Fatigue And Caregiver Burden In Parents Of Children With Acute Lymphoblastic Leukemia (All), Jerithea Tidwell

Theses and Dissertations (ETD)

Parents often report that their child diagnosed with acute lymphoblastic leukemia (ALL) and receiving steroid therapy experience altered sleep patterns, fatigue, irritability, and other behavioral changes. As a consequence, parents may experience altered sleep, fatigue, and increased caregiver burden. If so, the differences seen in parental sleep efficiency and sleep duration may be attributed to the child experiencing altered sleep secondary to receiving dexamethasone. The purpose of this study was to describe, caregiver sleep, fatigue, and caregiver burden immediately before and during their child’s dexamethasone pulse in continuation therapy for ALL and to compare parent quality of sleep and fatigue …

Primary Care: A Mandatory Requirement For Effective Health Care, Waris Qidwai

Department of Family Medicine

No abstract provided.

Surviving The War, Surviving The Peace: Supporting Women Survivors Of War-Rape And Domestic Violence In Medica Zenica, Zoë Brennan-Krohn

Independent Study Project (ISP) Collection

My research sought to examine the transition from war to post-war services provided in a women’s non-governmental organization, Medica Zenica, located in central Bosnia-Hercegovina. Opened in 1993, in the midst of the war in Bosnia, Medica Zenica began providing support for war-rape survivors. Today, Medica Zenica is still running, but the majority of clients are now survivors of domestic violence.

By interviewing women currently and previously employed in Medica Zenica, I pieced together a picture of how Medica has evolved in the last fifteen years, as well as how these evolutions are seen as a reflection of changing society in …

College Athletes Having More Than Just A Sip, Lia M. Barros

Inquiry Journal 2008

No abstract provided.

Gambaran Korban Dalam Menghadapi Kekerasan Dalam Rumah Tangga, Farida Hayati Tobri, Dini Widinarsih

Jurnal Ilmu Kesejahteraan Sosial

Domestic violence is a social problem which has multiple causes and complex This research has founds that there are variety of domestic violence backgrounds, the intent of violence, the form of domestic violence, the impact of violence for women, and also the effort to ends domestic violence

Preventing High-Risk Drinking In Youth In The Workplace: A Web-Based Normative Feedback Program, Diana M. Doumas, Elizabeth Hannah

Counselor Education Faculty Publications and Presentations

This study evaluated the efficacy of an alcohol web-based personalized feedback program delivered in the workplace to young adults. Participants (N = 124) were randomly assigned to one of three conditions: web-based feedback (WI), web-based feedback plus a 15-minute motivational interviewing session (MI), or a control group. Results indicated participants in the intervention group (WI and MI conditions combined) reported significantly lower levels of drinking than those in the control group at a 30-day follow-up. This was particularly true for participants classified as high-risk drinkers at the baseline assessment. Similar results were found when comparing the WI condition to the …

A Program To Change The Approach To Care Of Children With Asthma In The Primary Care Setting Did Not Reduce Rates Of Hospital Admissions: Lessons Learned From A Descriptive Study, Sheniz Moonie, Robert C. Strunk, Mario Castro

Environmental & Global Health Faculty Research

Asthma is a critical global health issue. It affects people of all ages in countries throughout the world. The prevalence of asthma is increasing in most countries among young children who also represent the greatest proportion of health care utilization. Outpatient asthma-treatment programs managed by chest physicians or allergists have reduced hospitalizations, yet programs in pediatric offices have not successfully impacted hospitalizations. The Community Asthma Program (CAP) was designed to support pediatrician use of clinical guidelines in their everyday office practice. The goal was to reduce asthma hospitalizations by 15 percent from selected pediatric practices. A study was done in …

Mothers Versus Babies: Constitutional And Policy Problems With Prosecutions For Prenatal Maternal Substance Abuse, Meghan Horn

William & Mary Journal of Race, Gender, and Social Justice

This note examines the constitutional and policy implications of criminal prosecutions for prenatal maternal substance abuse under statutes criminalizing drug delivery, child abuse, and manslaughter. Although only one of these convictions has been upheld in the thirty years since a prosecutor first brought such charges, prosecutors continue to propose new and increasingly inventive theories of prosecution. Not only do these cases present procedural due process, substantive due process, and equal protection problems, they also cannot be supported by public policy. The prosecutions are opposed by healthcare workers, pit the interests of mothers and unborn children against each other, and actually …