Medicine and Health Sciences Commons^™

Posttraumatic Stress Disorder And Associated Risk Factors In Canadian Peacekeeping Veterans With Health-Related Disabilities, Don Richardson, James A. Naifeh, Jon D Elhai

MacDonald Franklin OSI Research Centre

Objectives:

This study investigates posttraumatic stress disorder (PTSD) and its associated risk factors in a random, national, Canadian sample of United Nations peacekeeping veterans with service-related disabilities.

Methods:

Participants included 1016 male veterans (age < 65 years) who served in the Canadian Forces from 1990 to 1999 and were selected from a larger random sample of 1968 veterans who voluntarily and anonymously completed a general health survey conducted by Veterans Affairs Canada in 1999. Survey instruments included the PTSD Checklist-Military Version (PCL-M), Center for Epidemiological Studies-Depression Scale (CES-D), and questionnaires regarding life events during the past year, current stressors, sociodemographic characteristics, and military history.

Results:

We found that rates of probable PTSD (PCL-M score > 50) among veterans were 10.92% for veterans deployed once and 14.84% for those deployed more than once. The rates of probable clinical depression (CES-D score > 16) were 30.35% for veterans deployed once and 32.62% for those deployed more than once. We found that, in multivariate analyses, probable PTSD rates and PTSD severity were associated with younger …

A Model For Preventing Anorexia In College Students, Laura Ann Negin

Loma Linda University Electronic Theses, Dissertations & Projects

The prevalence of anorexia nervosa in the general population is relatively low, but anorexia is at the forefront of health concerns because of its seriousness. Unhealthy weight loss has numerous physical, psychological, and social consequences. Most seriously, the mortality rate for people with eating disorders is the highest of all the major psychiatric disorders.

This dissertation presents a model for preventing anorexia nervosa in a population of college students that includes a comprehensive institutional approach, psychoeducational software, a high-risk population, a holistic approach that identifies an individual’s personal risk factors and protective factors, and individual therapy.

The model is built …

Behavioral Compliance And Verbal Intelligence In Children, Jared Jackson

Loma Linda University Electronic Theses, Dissertations & Projects

Compliance with parental requests is an important developmental task necessary in the socialization of children. The majority of research has focused on the relationship between child compliance and variables related to age, parental interactions, and child temperament. While these variables account for almost half of the variance related to compliance in children, there is still a large amount of variance unaccounted for. An area that has not been fully explored is the role of verbal intelligence in behavioral compliance of children. This study explored the contributions that verbal intelligence may play in the behavioral compliance of children. Results from this …

Religious Coping And Depression In Home Care Patients, Kirsten Ingheim

Loma Linda University Electronic Theses, Dissertations & Projects

This study examined the impact of a medical illness in 36 elderly male and female home health care patients with a primary diagnosis of heart disease, cancer, diabetes, or chronic obstructive pulmonary disease (COPD) and how they coped with their medical condition. Relationships between depression and religious coping, functional status, quality of life, and depression, as well as relationship between functional status and quality of life were investigated. In addition, a moderating effect of the relationship between functional status and depression by religious coping was explored. The participants completed the Religious Problem-Solving Scale (RPSS) (Collaborative, Deferring, and Self-Directing), the SF-12 …

Does State Certification Or Licensure Influence Outpatient Substance Abuse Treatment Program Practices?, Jamie Chriqui, Yvonne Terry-Mcelrath, Duane C. Mcbride, S Eidson, Curtis J. Vanderwaal

Faculty Publications

In the United States, state governments legally authorize outpatient substance abuse treatment programs. In some states, programs are certified or accredited (ideal standards). Other states license programs (minimal standards). Additionally, some states authorize programs through "deemed status", which is afforded to programs attaining accreditation from a national accrediting body. Primary legal research and the National Survey of Substance Abuse Treatment Services' (N-SSATS) data were used to examine the relationships between state authorization type (certification/accreditation vs licensure with and without deemed status) and outpatient treatment program practices. Programs in certification/accreditation (vs licensure) states had significantly higher odds of offering wrap-around and …

Effects Of Therapy Dogs On Anxiety In Children Participating In Sexual Abuse Forensic Interviews At Children's Advocacy Center, Andra K. Chamberlin

Graduate Theses

This study investigated the effect of therapy dogs on physiological and psychological measures of anxiety before and after a forensic interview in children who may have been sexually abused. A convenience sample consisted of 37 children ages 6 to 12 years who presented at a children’s advocacy center for sexual abuse forensic interviews. Twenty children had a therapy dog present during their time at the Center and 17 did not. Researchers measured systolic blood pressure (SBP) and heart rate (HR) using a Zelwa WS-TS Touch Screen Wrist Blood Pressure Monitor. State- anxiety was assessed using the State-Trait Anxiety Inventory for …

Examining The Ability Of The Halstead -Reitan Battery And The Wide Range Achievement Test To Utilize Severity In Discriminating Among Alzheimer's Dementia Patients, Gina Gibson-Beverly

Doctoral Dissertations

Measuring change in cognitive status is essential for the diagnosis, prognosis, and treatment of brain dysfunction. Psychological abilities are differentially affected by brain dysfunction severity, as some abilities are more vulnerable to brain dysfunction than others. Neuropsychological assessments can be viewed as a continuum of "hold" and "don't hold" tests. "Hold" tests assess abilities that remain stable in spite of brain dysfunction, while "don't hold" tests measure skills that are significantly compromised by brain impairment. The present study ranks the Halstead-Reitan Battery (HRB) and the Wide Range Achievement Test (WRAT) subtests based on their ability to discriminate between two levels …

Evaluation Of A Sleep Hygiene Program To Improve Inmate Sleep Quality, Jennifer F. Hodges-Crowder

Doctoral Dissertations

Research investigating the effectiveness of treatments for inmates with poor sleep quality appears minimal. Some difficulties related to poor sleep quality can be addressed effectively with little time and expense. Studies show that psychoeducational interventions are effective in reducing sleep complaints and improving sleep quality in a variety of populations including college students and adults. However, the effect of sleep hygiene interventions on inmate sleep complaints is unknown. Thus, the purpose of this study was to evaluate a psychoeducational intervention program aimed at improving prison inmate sleep habits, length, and quality.

Participants of this study were inmates at a department …

The Importance Of Gender And Readiness To Change In The Prediction Of Drinking And Negative Consequences Of First-Year Student Drinkers, Margot E. Ackermann

Psychology Theses & Dissertations

College drinking is widespread, and binge drinkers can experience serious consequences. The present study examined the effectiveness of two interventions, expressive writing and behavioral monitoring, as well a combined condition, in reducing drinking and negative consequences associated with drinking. Gender differences and differences in readiness to change binge drinking were also assessed. Participants (N = 97) completed a pretest, eight weekly intervention activities, and a posttest during their first semester of college. An ANOVA tested the hypothesis that individuals higher in readiness to change binge drinking participated in more of the weekly intervention activities; this hypothesis was not supported. A …

Incidence, Patterns And Severity Of Reported Unintentional Injuries In Pakistan For Persons Five Years And Older: Results Of The National Health Survey Of Pakistan 1990–94, Zafar Fatmi, Wilbur C. Hadden, Junaid A. Razzak, Huma Qureshi, Adnan A. Hyder, Gregory Pappas

Community Health Sciences

Background

National level estimates of injuries are not readily available for developing countries. This study estimated the annual incidence, patterns and severity of unintentional injuries among persons over five years of age in Pakistan.

Methods

National Health Survey of Pakistan (NHSP 1990–94) is a nationally representative survey of the household. Through a two-stage stratified design, 18, 315 persons over 5 years of age were interviewed to estimate the overall annual incidence, patterns and severity of unintentional injuries for males and females in urban and rural areas over the preceding one year. Weighted estimates were computed adjusting for complex survey design …

The Health Implications Of Violence Against Women: Untangling The Complexities Of Actual And Chronic Effects: Part Two, Carol E. Jordan

Office for Policy Studies on Violence Against Women Publications

No abstract provided.

Female Patients’ Perspectives On The Stages Of Eating Disorder Recovery, Cherish C. Knoll

Loma Linda University Electronic Theses, Dissertations & Projects

Eating disorders are severe psychiatric disorders that most commonly begin in the female population during adolescence and across ethnicity (Lucas, 2004). However, the face of eating disorders is changing as they become more apparent across cultures and lifespan, impacting both young and aging women as well as males. In the past few decades progress has been made in the diagnostic, treatment, and recovery phases of eating disorders. These gains have contributed to a better understanding of eating disorders, assisting in the decrease of mortality and morbidity rates seen in eating disorder patients. Nevertheless, there are significant challenges that still remain …

The Effects Of Communication On Adolescent Sexual Behavior In Eastern Europe, Sharon Mieras Perugini

Loma Linda University Electronic Theses, Dissertations & Projects

HIV/AIDS rates have continued to rise in Eastern Europe where adolescents are particularly vulnerable. The theory of reasoned action (TRA) has successfully been applied to understanding adolescent sexual risk behavior and provides a theoretical framework for the prevention of HIV/AIDS. According to TRA, attitudes and subjective norms predict behaviors via the mediating role of intentions, and in order to have an impact on behavior, changes must occur at the attitude and subjective norm level. Because parents have been found to influence their children's attitudes, subjective norms, and intentions, the moderating effects of parent communication on sexual risk behavior of adolescents …

Globalization And Drug And Alcohol Use In Rural Communities In Nigeria: A Case Study, Charles Fiki

The Journal of Sociology & Social Welfare

This paper presents an exploratory study of alcohol and drug use in two rural communities in Plateau State, Nigeria. The aim is to raise awareness of the rural alcohol and drug problem. The paper examines the patterns of alcohol consumption and drug use, and their perceived functions for substance use among rural farmers in Nigeria. The study shows the common use of marijuana and alcohol in addition to prescription drugs. There is also evidence of multiple or combinational drug use. Pleasure and relaxation emerged as the major reasons for drug and alcohol use. Factors influencing alcohol and drug use are …

Eight Key Household Practices Of Integrated Management Of Childhood Illnesses (Imci) Amongst Mothers Of Children Aged 6 To 59 Months In Gambat, Sindh, Pakistan, Ajmal Agha, Muhammad Younus, Muhammed Masood Kadir, Sajid Ali, Zafar Fatmi

Community Health Sciences

Objective:

To determine Knowledge, Attitudes and Practices (KAP) regarding eight key integrated management of childhood illness (IMCI) suggested practices and the association of these key practices with stunting as outcome.

Methods:

Sampling proportionate to sub-population sizes was employed to ensure representation from all the Union Councils of taluka Gambat-Sindh.

Results:

Low female education and mobility show the status of child's first care provider in a typical rural community. Few women knew about giving more food to a child suffering from diarrhoea. Moreover, very few exclusively breastfed their children for first 4-6 months, got their children completely immunized, washed hands before …

Post Traumatic Stress Symptoms And Critical Incident Stress Debriefing (Cisd) In Emergency Medical Services (Ems) Personnel., Ginger Lee Woods

Electronic Theses and Dissertations

EMS personnel were examined for Post Traumatic Stress symptoms and the usefulness of Critical Incident Stress Debriefing (CISD) using the Los Angeles Symptom Checklist (LASC) and a demographics questionnaire. This study revealed that women in this group show higher PTSD symptoms than male coworkers. Level of Training (LOT) of the EMS provider did not demonstrate a significant difference in whether a provider developed PTSD. EMS personnel receiving debriefing actually suffered greater levels of PTSD than those that did not receive debriefing. And 16% of EMS providers in this study suffered from PTSD, while approximately 20% suffered from partial PTSD or …

Values In Family Therapy Practice And Research: An Invitation For Reflection, Stephen T. Fife, Jason B. Whiting Phd

Faculty Publications

Values have been shown to be a pervasive part of both marriage and family therapy (MFT) clinical practice and research. Yet, many therapists and researchers remain unclear about how values affect their work. This article examines the influence of Western philosophical assumptions and therapy traditions in light of current understandings of values in therapy. The influence of values in MFT research processes is similarly examined. Implications for how family therapy professionals can be more reflective and sophisticated in their understanding of values in clinical practice and scientific inquiry are discussed. Suggestions for addressing values in MFT training also are given.

The Effects Of Child Sexual Abuse And Posttraumatic Stress On Levels Of Self-Efficacy, Lary L. Anderson

Graduate Theses

Sexually abused children often develop posttraumatic stress disorder, a distressing and potentially debilitating condition that renders children to feelings of helplessness. Past studies have explored these effects in adults concerning sexual abuse, health issues, war, and natural disaster but not much research has been done for children. This study examined childhood sexual abuse, PTSD, and the relation that exists with self-efficacy. Thirty-nine children, 7 males and 32 females, participated in the study. The ages ranged from age eight through age eighteen, with a mean age of 12.5. Each participant was tested for levels of PTSD, using the Trauma Check list …

Assimilation Into A Therapeutic Community For Substance-Abusing Women, Joni Furlong

Masters Theses & Specialist Projects

Therapeutic communities provide structure, support and a safe living environment for individuals attempting to recover from addiction. Using peer influence, counseling, education, self-help groups, and case management, they assist residents in conforming to social norms and developing effective coping mechanisms while remaining drug-free. Prior studies have consistently demonstrated the effectiveness of these programs. But, why are they effective for some and not others? This study explored the residents1 backgrounds and the methods employed by them to assimilate into the therapeutic community, the recovering community, and then society at large. The data confirmed my suspicion that the women's ability to conform …

College Athletes’ Human Figure Drawings, Kaitlin Taggart

EVMS School of Health Professions Theses & Dissertations

The demands of both lean and non-lean sports upon male athletes can lead to body image dissatisfaction and eating disorders. This study explored whether the Human Figure Drawing (HFD) is a valid method for assessing male college athletes’ body image. A total of 86 male athletes who were competitive on a lean (cross-country or wrestling) or non-lean (football or ice hockey) sport participated in the study. The score recorded on the Male Body Attitude Scale (MBAS) (Tylka, Bergeron, & Schwartz, 2005), a 24-question survey administered to each participant, focused specifically on assessing muscularity, body fat, and height attitudes of these …

A School Art Therapy Group: Helping Eighth Grade Students Decrease Disruptive Behaviors And Increase Coping Skills Before The Transition To High School, Erin Spier

EVMS School of Health Professions Theses & Dissertations

The transition to high school can be difficult for adolescents, especially those exhibiting disruptive behaviors and poor coping skills. This study was concerned with developing conducting a group art therapy intervention that would help increase coping skills and decrease disruptive behaviors in eighth grade students preparing for the transition to high school. Two girls and four boys from a private school in southeastern Virginia participated in the study after the start of their final semester in eighth grade. The study consisted of 8 sessions conducted on alternating days, twice a week for a four-week period.

During the group art therapy …

Exploring The Applicability Of Visual Thinking Strategy To Group Art Therapy With Adolescents, Jessica Rae Hirsh Angle

EVMS School of Health Professions Theses & Dissertations

Because adolescence is a time marked by physical, psychological, and cognitive changes and stressors, group art therapy with teens can be difficult. Art history enriched art therapy has proven effective with adults to aid in overcoming treatment difficulties. The Visual Thinking Strategy (VTS) is a research supported approach to art history which emphasizes group dynamics and student-directed art discussion. Therefore, this study explores the applicability of VTS to adolescent group art therapy.

In this study, a group of four 13 to 14-year-old girls participated in a three session workshop. Session one included personal art-making and an open discussion of the …

Adults’ Responses To The Art Process And Interaction With Art Media, Madeline Couch

EVMS School of Health Professions Theses & Dissertations

The art materials are a major component in art therapy. Their actual usage in sessions with clients, especially with adults, has rarely been the topic of investigation. The ideas about the qualities and purposes that the art materials bring to art therapy sessions are based on older theories, which were created without evidence-based research. The purpose of this study was to gain an understanding of how adults interact with and react to art media. Five adult volunteers, who were not formally trained as artists and who did not regularly engage in artistic processes, participated in the study. The participants experimented …

A Group Art Therapy Intervention To Increase Self-Efficacy In Battered Women, Sheryl Marie Morrison

EVMS School of Health Professions Theses & Dissertations

Domestic violence is a problem that affects an estimated six million women every year (Berry, 1998). There are many theories that attempt to explain the phenomenon such as, learned helplessness and battered woman syndrome. It is clear that the affects of domestic violence can leave lasting damage in the survivor’s ability to cope and function. One aspect that might be hindered in battered women is self-efficacy. Self-efficacy is the degree to which one believes he or she has the ability to be successful. The Self-Efficacy Scale (SES) created by Sherer, et al. (1982) was used to assess the clients’ self-efficacy. …

Mandala As A Measure Of Change With Adult Residents Of A Homeless Shelter, Mary W. Cochran

EVMS School of Health Professions Theses & Dissertations

Homelessness in the United States is a problem that continues to be addressed at the local, state, and federal levels. Diverse solutions to the problem of homelessness include emergency shelters, transitional shelters, and long-term housing. Shelters for families have become a common shelter type, offering diverse programs and types of services. Art therapy with the homeless has concentrated on the aspect of building self-efficacy through the creative process, however, there is limited research concerning the use of art products as a measure of change for the homeless. This study explores the use of mandala drawings to assess changes occurring in …

Graduate Art Therapy Experience Of Students Of Color, Keena Tarrant

EVMS School of Health Professions Theses & Dissertations

This narrative inquiry explored the perspectives of three professional art therapists of color. This study explored the past experience of being a graduate art therapy student of color on several levels. It also explored the impact of cultural competency course in relation to the experience of being a student of color. This experience is important in terms of how being an ethnic minority can affect the learning environment in relation to graduate experience of students of color and how cultural competency is taught to all students. This study explored the art recommendations of therapy professionals of color for cultural competency …

A Study On The Effects Of Wheel Throwing And A Child Diagnosed With Attention Deficit/Hyperactivity Disorder, Jennifer Evans

EVMS School of Health Professions Theses & Dissertations

It has been estimated that 3-7 percent of children are diagnosed with Attention Deficit/Hyperactivity Disorder (ADHD) (Barkley, 2005). Research has found many treatment options to be effective; however, the most efficacious treatment is a combination treatment of medication and cognitive/behavioral therapy. Some art therapists have discussed the treatment of ADHD; however, few studies have large enough samples and repeatable results to provide empirical support. It was hypothesized that an eight week ceramic/wheel-throwing intervention in individual art therapy sessions would help calm and focus a child diagnosed with ADHD. This study consisted of a six week, six sessions, ceramic wheel-throwing intervention …

Toward An Understanding Of Serial Killers Through Their Artwork: Implications For Forensic Art Therapy, Kelly Macionis

EVMS School of Health Professions Theses & Dissertations

This research study explored the formal elements and content of 258 images of artwork created by 47 serial killers to see if common themes or content could be discovered. The images were found on five Internet websites containing serial killer artwork. The 47 serial killer artists were all male and it was assumed they were imprisoned when they created their art. The artwork gathered was viewed on a laptop and analyzed using the methods of content analysis. After categories of content and formal elements in the images were entered into a spreadsheet, frequencies and percentages of each category and subcategory …

Health Barriers, Health Perceptions, And Cardiovascular Risk Factors Of Adolescent Black American Males, Desmarie Jackson Decuir

Theses and Dissertations (ETD)

Area of Investigation: Cardiovascular (CV) diseases are the leading cause of death among Black American adult males. Health behaviors that contribute to CV disease are probably learned during adolescence yet few researchers have studied the factors that influence health promotion behaviors in adolescent Black American males. This study described the health barriers, health perceptions (health self-efficacy and health status), and CV risk factors reported by and the influence of these variables on health promotion behaviors of a sample of Black American adolescent males without known CV disease.

Methods and Procedures: A descriptive correlation study design was used to …

Methamphetamine: The New Epidemic, Jessica Gingery

Honors Capstones

Capstone submitted as a graduation requirement for the BSU Honors Program.