Medicine and Health Sciences Commons^™

Experiences Of Single-Session Improvisational Group Music Therapy: Therapist And Patient Reflections From Inpatient Psychiatry, Yu-Ying Chen

Expressive Therapies Dissertations

The purpose of this study was to explore therapists’ and patients’ experiences in order to draw a composite picture of single-session improvisational group music therapy. This phenomenological study included ten therapist participants and nine patient participants. Each participant engaged with a single-session group musical improvisation and verbal discussion in a pre-designed protocol. The data analysis was conducted in three stages. In the first analysis stage, participants’ verbal feedback and discussion were analyzed using Moustakas’s (1994) method, yielding key words with quotations. In the second stage, Moustakas’s (1994) method of analysis was also adapted for an analysis of the music, yielding …

Watering Black Roots: Exploring Black Ecological Identity Development Within Nature-Based Expressive Arts Therapy, Stormy Saint-Val

Expressive Therapies Capstone Theses

Nature-based expressive arts therapy promotes the holistic healing and recovery of individuals by interweaving the practices of ecopsychology, ecotherapy, and expressive arts therapy. These interventions have been proven to mediate ranges of symptomologies, such as anxiety disorders and PTSD. Research conducted by the U.S. National Park Services indicates that African- Americans are less likely to have a positive relationship to nature than all other racial groups. The amplification of this report without introspection of its context perpetuates racialized generalizations. This can limit a black individual’s ability to embrace their ecological identity and be receptive of nature-based expressive arts therapy interventions. …

Orthorexia Nervosa Among Collegiate Female Student-Athletes, Maryse Bard-Martel

Graduate Theses/Dissertations

Orthorexia nervosa (ON) is a specific style of disordered eating defined as an unhealthy obsession with eating healthy food, or going to extremes in the pursuit of a diet that is supposed to be good for you. The purpose of this study was to explore the prevalence of orthorexia nervosa tendencies in college female soccer players in the NCAA Division 1. Purposive sampling was used, and participants were current student-athletes from the Missouri State women’s soccer team (n=18). Survey research was utilized to assess athletes’ attitudes and behaviors related to various aspects of diet and training, and the control it …

Evaluating The Effectiveness Of Peer Engagement And Knowledge (Peak): A Community-Based Group Intervention For Youth In Hawai‘I, Jennifer T. T. Ho

Doctoral Dissertations

This study is a program evaluation with a mixed methods design that evaluated the effectiveness of Peer Engagement and Knowledge (PEAK), a six-week community-based group intervention that incorporates mindfulness-based interventions (MBIs) to address multiple health behaviors for multiracial youth in Hilo, Hawai‘i. A total of 51 youth, ages 12-23 years old, participated in this study which included pre-/posttest analyses of health risk factors such as substance use and depression and health promoting factors such as resilience, self-esteem, and mindfulness. Responses from two subsets of participants, who engaged in a focus group (n = 11) and composed gratitude letters ( …

Efficacy Of Integrated Mental Health Care With Dual Diagnosis Patients And Their Utilization Of Psychiatric Emergency Services, Denton Scott

Doctoral Dissertations

Historically, patients with dual diagnosis have been subjected to ineffective treatment and negative attitudes from healthcare providers. Further, these patients are plagued with myriad afflictions that exist beyond substance abuse and mental illness. The treatments and collateral damage associated with the diagnosis impose excessive healthcare costs and can be of significant detriment to society. Largely, patients suffering from dual diagnosis do not receive adequate treatment. As such, psychiatric emergency services are frequently utilized as an alternate treatment, wherein the main focus of care is on the substance abuse alone. This study argues that solely treating the substance abuse is not …

Perilous Times Call For Emergency Preparedness, Sonia K. Wrate, Ronda Christman

Adventist Human-Subject Researchers Association

As disasters become more frequent it is important that people are ready to respond. University students along with community volunteers learn with and from each other during a disaster simulation. Learn how participant’s perceptions of spirituality and civic engagement has changed following a disaster simulation.

Ten Questions Concerning The Built Environment And Mental Health, Andrew J. Hoisington, Kelly A. Stearns-Yoder, Steven J. Schuldt, Cody J. Beemer, Juan P. Maestre, Kerry A. Kinney, Teodor T. Postolache, Christopher A. Lowry, Lisa A. Brenner

Faculty Publications

Most people spend the majority of their lives indoors. Research over the last thirty years has focused on investigating the mechanisms through which specific elements of the built environment, such as indoor air quality, influence the physical health of occupants. However, similar effort has not been expended in regard to mental health, a significant public health concern. One in five Americans has been diagnosed with a mental health disorder in the past year, and, in the United States, the number of suicide deaths are similar to the number of deaths due to breast cancer. Increases in mental health disorders in …

Trajectories Of Self-Reported Sleep Disturbance Across Inpatient Psychiatric Treatment Predict Clinical Outcome In Comorbid Major Depressive Disorder And Generalized Anxiety Disorder, Elizabeth M Hartwig, Katrina A Rufino, Cara A Palmer, Christopher Shepard, Candice A Alfano, Bella Schanzer, Sanjay J Mathew, Michelle A Patriquin

Staff and Researcher Publications

Background: As there has been a demonstrated link between sleep disturbance and suicide, the present study investigated the relationship between self-reported sleep disturbance during inpatient psychiatric treatment and clinical outcomes at discharge and six months post-discharge.

Methods: Participants were 2,970 adults receiving care in a long-term inpatient psychiatric hospital. Greater than 90% of inpatients reported at least mild sleep disturbance throughout treatment. Group-based trajectory modeling was used to determine patterns of sleep disturbance changes over time.

Results: Participants fit into distinct categories based on their trajectories of sleep problems across treatment: No Sleep Problems (10.3% of participants, no sleep problems …

A People's History Of Art Therapy, Jessie Mccurdy, Alexandria Richardson, Kathaleena Thirtle

LMU Theses and Dissertations

The following research examined a survey on the identity and feelings of inclusion among alumni of Loyola Marymount University’s Marriage and Family Therapy with Specialization Training in Art Therapy graduate program. The survey found that a majority of the responding alumni did not feel their identities were represented in multiple aspects of the program, and there was a clear call to action for more representation of diversity. More research on the subject is needed to expand a variety of art therapy programs to better understand implications of art therapy pedagogy on identity, representation, and inclusivity within the art therapy community.

Exploring Individual Experiences Obtaining Medication-Assisted Treatment For Opioid Use Disorder In Rural New Mexico, Krista L. Scorsone

Nursing ETDs

In the United States, more than 2.5 million people struggle with opioid use disorder. Compared to people living in urban areas, rural residents are twice as likely to overdose from opioid misuse. Reasons for this increase include excessive opioid prescribing and illegal diversion of opioids. This holds true in the rural counties of northern New Mexico, where drug overdose deaths are among the highest in the nation. Although medication-assisted treatment (MAT) with buprenorphine, methadone, or naltrexone is globally accepted as the most effective treatment, it is still accessed half as often rurally. The reasons for this imbalance are unknown, and …

Use Of Smartphone Application To Facilitate Weight Loss And Promote Accountability In Obese And Overweight Patients, Angela M. Turner

Evidence-Based Practice Project Reports

In 2015, the U.S. Department of Health and Human Services published a National Health and Nutrition Survey (NHANES) on obesity from 2011 through 2014. From the survey, it was determined that the prevalence of obesity in the U.S. was 36% in adults and 17% in young adults/children (Ogden et al., 2015). Lifestyle modifications including moderation of caloric intake and increased exercise have been shown to be effective for both prevention and treatment of obesity. The purpose of this evidence-based practice (EBP) project involved the design, administration, and evaluation of a technology-assisted weight loss intervention to address the health problem of …

The Effects Of Learning Mindfulness Based Stress Reduction On Psychosocial Variables And Hba1c In Adolescents With Type 1 Diabetes, Denise Van Sant - Smith

Electronic Theses and Dissertations

ABSTRACT

THE PHYSIOLOGICAL AND PSYCHOSOCIAL EFFECTS OF AN ONLINE MINDFULNESS BASED STRESS REDUCTION INTERVENTION ON ADOLESCENTS WITH TYPE 1 DIABETES

By

Denise E. Van Sant – Smith

Date: 4-5-2019

Dissertation Supervised by Linda Goodfellow, PhD, RN, FAAN

Background: Stress has been shown to increase glucose levels through a sympathetic physiological response resulting in a release of chemicals such as adrenalin and cortisol, a response which results in an even greater need for insulin. Adolescents with Type 1 Diabetes may not be able to change or decrease the amount of stress in their lives but they may be able to …

Rising Rural Body-Mass Index Is The Main Driver Of The Global Obesity Epidemic In Adults, Honor Bixby, James Bentham, Bin Zhou, Mariachiara Di Cesare, Christopher J. Paciorek, James E. Bennett, Cristina Taddei, Gretchen A. Stevens, Andrea Rodriguez-Martinez, Rodrigo M. Carrillo-Larco, Young Ho Khang, Maroje Sorić, Edward W. Gregg, J. Jaime Miranda, Zulfiqar A. Bhutta

Journal Articles

Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities1,2. This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity3–6. Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55% …

An E-Learning Adaptation Of An Evidence-Based Media Literacy Curriculum To Prevent Youth Substance Use In Community Groups: Development And Feasibility Of Real Media, Anne E. Ray, Kathryn Greene, Michael L. Hecht, Sarah C. Barriage, Michelle Miller-Day, Shannon D. Glenn, Smita C. Banerjee

Communication Faculty Articles and Research

Background: There is a need for evidence-based substance use prevention efforts that target high school-aged youth that are easy to implement and suitable for dissemination in school and community groups. The Youth Message Development (YMD) program is a brief, four-lesson, in-person curriculum that aims to prevent youth substance use through the development of youth media literacy. Specifically, YMD aims to increase understanding of advertising reach and costs, along with the techniques used to sell products; develop counterarguing and critical thinking skills in response to advertisements; and facilitate application of these skills to the development of youth-generated antisubstance messages. Although …

Qualitative Assessments Used In Art Therapy Programs With Cancer Patients In A Medical Settings, Melissa Garcia

LMU Theses and Dissertations

This document reviews qualitative assessments used to explore the impact on art therapy interventions with patients in cancer treatment. The study explored the use of qualitative assessment in evaluating patient perspective on receiving art therapy adjunctly with cancer treatment. In addition, the research aimed to determine if art therapy interventions are perceived as effective in helping cancer patients reduce stress, cope, improve quality of life, express emotions, and reduce cancer-related symptoms during and after cancer treatment through qualitative assessment. Approximately 300 cancer patient experiences were reviewed through surveying qualitative studies that explored the effects of art making in cancer treatment …

Rising Rural Body-Mass Index Is The Main Driver Of The Global Obesity Epidemic In Adults, Con Burns, Tara Coppinger, Janette Walton, Et Al

Publications

Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities1,2. This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity3,4,5,6. Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to …

An Exploration Of Factors Of Lgbt Cultural Competency Among Prospective Healthcare Professionals, Heather Isbell

Electronic Theses and Dissertations

Literature suggests there is a relationship between cultural competency and health outcomes as well as a perceived fear of discrimination LGBT individuals face when attempting to receive healthcare services. The aim of this study is to assess the level of LGBT CC (cultural competency) among prospective professionals who are expected to provide health care services and to explore factors that affect those attributes. Multiple linear regressions were conducted to test the effect of the following factors of LGBT CC: postsecondary experience, relations with LGBT individuals, and religion using a sample of 57 different healthcare students in a faith-based university during …

A Heuristic Exploration Of White Lesbian Identity And Cultural Humility Through Art Therapy, Jennifer Phelps

LMU Theses and Dissertations

In this heuristic exploration, data was collected through in vivo reflections using the cultural humility model. The researcher used art making, journaling, and a process of indwelling to collect data exploring the relationship between multiple identities and cultural humility. Through this exploration, four main themes emerged. These themes were explored in a final creative synthesis art process. This research serves as a starting point for developing a culturally humble stance as an art therapy trainee. In addition, this exploration highlights the way that art making can enhance the heuristic research experience by deepening the reflection and pulling out themes not …

Evaluation Of An Underage Drinking And Driving After Drinking Intervention In Rusk County, Texas, Tim Sefa

Health and Kinesiology Theses

Background: Youth drinking and driving after drinking remains an important public health concern to this nation. Alcohol is the most frequently abused drug among youth. Alcohol-impaired-driving-fatalities are a significant mortality risk for youth. The average age of first consumption was 14.25 years in this study. A school-based intervention called Shattered Dreams was selected to address the problem of youth drinking, by educating high school juniors and seniors about the dangers of alcohol use through an intense, up-close vehicle crash simulation.

Purpose: The purpose of this study was to evaluate the effectiveness of this intervention in terms of changing student beliefs …

An Introduction To Transformative Inquiry: Understanding Compelling And Significant Relationships For Personal And Societal Transformation, Mark L. Mccaslin, Kelly A. Kilrea

The Qualitative Report

Transformative inquiry is a theoretical model designed to facilitate the inquiry of important and meaningful relationships that transform and potentiate us. Creswell (2007) described the essential elements of a research agenda: the axiological, ontological, epistemological, methodological, and rhetorical. Each carries with it assumptions that hold implications for practice and research. Transformative inquiry addresses all of these elements through considerations given to deep ecology, transdisciplinarity, integral meta-theory, heuristic research, and eudaimonistic philosophy, respectively. Transformative inquiry is an approach to understanding and fostering the full range of deep and meaningful relationships from the personal to the political, and beyond. It is a …

The Experience Of Empathy Within Law Enforcement: An Art Exploration, Brianne Timmons, Isabella Williams

LMU Theses and Dissertations

Empathy within law enforcement has not been examined in the art therapy literature. This qualitative study provides insight into how empathy is perceived and experienced by retired law enforcement officers in San Diego, CA. Fourteen participants responded to a brief questionnaire, created an art piece and a written response about how empathy is experienced within law enforcement. The results illuminated common themes within the art and written responses including interactions, witnessing of a traumatic situation, intersection of roles within law enforcement, understanding of feelings, and communication. Future research in this area is recommended to also include current officers as well …

The Effects Of Dance And Movement Therapy With Adolescents Who Have Experienced Trauma, A Literature Review, Katherine Anderson

Expressive Therapies Capstone Theses

With the growing number of trauma-informed practices in the mental health field, it is necessary to look at what best practices should be implemented in treating adolescents who have experienced trauma, specifically from a body-based intervention, such as dance and movement therapy. In this literature review, articles are discussed that encompass the following topics: dance and movement therapy and trauma, general dance interventions for the adolescent population, empowerment models as a way to cope with trauma symptoms, and cultural considerations of treating adolescent females of color. The gaps in current research must be acknowledged, specifically dance and movement therapy interventions …

Visual Art Therapy, Attachment, And The Adoption Constellation: A Literature Review, Caitlin Woodstock

Expressive Therapies Capstone Theses

The following literary review is intended to synthesize existing data pertaining to art therapy and its application within adoption informed therapy. The adoption experience will be explored, and the basic tenants of trauma and attachment will be outlined. Current modes of trauma-informed therapy will be introduced and their compatibility with art therapy will be explored. The author will introduce a variety of art therapy interventions as presented through an assortment of theoretical lenses. These applications will be subdivided into their application with individual constellation members, families, groups, and will extend to immigrants and displaced individuals likely to enter into the …

Health Literacy Challenges And Opportunities: Bringing Children’S Mercy And Kansas City Together, Jennifer A. Lyon, Angie Knackstedt, Barbra Rudder, Mamta Reddy Md, Courtney R. Butler

Posters

BACKGROUND: A multidisciplinary group at Children's Mercy Kansas City applied for and received the NNLM MCR's Immersive Workshop Grant in December, 2017, and used the funding to organize and host a two-day immersive, interprofessional workshop in April, 2018, that 1) brought together health literacy-invested groups and individuals within the Kansas City community to learn about health literacy including cultural, language, numeracy and digital inclusion factors; and 2) provided specialized training to targeted CM participants to improve the provision of bedside health information to patients and caregivers. Objectives included: increasing community-wide collaboration, sharing resources, encouraging participants to become change agents, and …

God, I Hope This Part Of My Life Is Over: A Focused Ethnography Of A Correctional Youth Facility’S Therapeutic Climate, Eric Meyer

Theses & Dissertations

Although all prisons have the same goal of isolating offenders from society, the precise strategies used vary from one jurisdiction to the next. Some prisons use means of punishment to gain inmate compliance. Other prisons concentrate their limited resources on rehabilitation. Contained within the following pages are details of a focused ethnography that was completed in a state correctional youth facility that housed males between the ages of 15 and 21 years, all of whom were convicted of violent crimes. This study had the objective of exploring the climate of therapy in this correctional youth facility where rehabilitative programs were …

The Correlation Between Undergraduate Students Who Attend The University Recreation Center And Students Exhibiting Symptoms Of An Eating Disorder, Olivia Daniels

Senior Honors Projects, 2010-2019

Background: The prevalence of eating disorders on college campuses indicates an important issue in contemporary society. As students experience a heightened level of freedom, they have the option to explore multiple forms of weight- management, including compulsive exercise.

Methodology: An online survey was distributed to female undergraduate students(n=206) at James Madison University.

Results: A significant relationship was found between eating disorder symptomology and where participants decided to spend their time at the University Recreation Center (UREC), as well as what type of physical activity they chose to perform. A significant inverse relationship between increasing muscle mass and burning calories was …

Opioid Withdrawal Post Incarceration, Samantha Spampinato

CURCE Annual Undergraduate Conference

This literature review attempts to provide a more complete understanding of the increasing opioid concern and its detrimental effects from withdrawal in incarcerated individuals. Opioid-related fatal overdoses will significantly decrease with the implementation of opioid treatment in jails and prisons nationwide. The incarcerated populations that are typically affected by Opioid Use Disorder (OUD) include about 8.5% of Hispanics and Whites, and about 7.4% of Blacks. One solution involves Medication-Assisted Treatment (MAT) with the use of opioid agonists, such as methadone and buprenorphine-naloxone. These medications offer a slow release of dopamine and can reduce the patient’s opioid withdrawal effects. However, fewer …

Mental Sensorium, Brittany Adkins

Bachelor of Architecture Theses - 5th Year

According to ADAA, nearly one-half of those diagnosed with depression are also diagnosed with an anxiety disorder. Anxiety disorders are highly treatable but only 36.9% are receiving any kind of treatment. Anxiety disorders develop based on a set of factors including genetics, brain chemistry, personality, and life events. Many do not realize but our environment, especially the built environment we inhabit every day can have a positive or negative effect on our mental well-being. Architecture should not just focus on the physical needs of their inhabitants but the mental health needs as well.

The built environment has a considerable impact …

Intrusive Thoughts - Guitar, Voice, & String Quintet, Joseph M. Young

Theses and Dissertations

This four-movement song addresses mental health, specifically that of Obsession Compulsive Disorder and the symptom of intrusive thoughts that are often associated. From the point of view of an individual suffering from OCD, each movement describes the disorder and portrays different stages of dealing with and managing emotions and relationships.

Affective Disturbance In Mild Cognitive Impairment, Jason Greenhagen, Emily Matusz, Sheina Emrani, David Libon, Sherry Pomerantz

Rowan-Virtua Research Day

Mild cognitive impairment (MCI) is an identifiable, prodromal stage of cognitive impairment and has been further defined into subtypes: amnestic, language, executive functioning, and multi domain/mixed MCI (Jak et al. 2009 ). The purpose of this study is to (1) examine the differences in depression, anxiety, and apathy between MCI subtypes; and (2) assess the relationship between the neurocognitive domains (executive functioning, language, and memory and affective symptoms. We hypothesize that apathy will be greater in dysexecutive/mixed MCI (dys/mixed MCI) and be more highly correlated to neurocognitive deficits compared to depression or anxiety. This is a retrospective study of 113 …