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Articles 1 - 30 of 43
Full-Text Articles in Medicine and Health Sciences
Cognitive Processes And Race Differences: Possible Factors Contributing To Ptsd, Christina Fay
Cognitive Processes And Race Differences: Possible Factors Contributing To Ptsd, Christina Fay
Graduate Theses
Past research suggest differences in racial group’s perceived experiences in traumatic situations and different ways of coping can affect individual levels of posttraumatic stress disorder (PTSD) symptoms. The author examined how race, methods of coping and risk/resilience factors interact with PTSD symptomology. A total of 28 Black, Hispanic and Non Hispanic Caucasian Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans were assessed for PTSD symptoms, methods of coping and risk/resilience factors related to deployment. Findings indicate no significant differences for minorities and non Hispanic Caucasians on level of PTSD symptoms. Findings indicate significant differences between minorities and non Hispanic Caucasians on …
Use Of Emoticons For Assessing Emotion And Mood States In Web-Based Interventions, Jennifer Chua So
Use Of Emoticons For Assessing Emotion And Mood States In Web-Based Interventions, Jennifer Chua So
Loma Linda University Electronic Theses, Dissertations & Projects
In the rapidly growing field of online psychotherapeutic interventions, an increasing number of clinicians are seeking to extend therapeutic interventions into cyberspace. However, because communication with clients in this medium is often devoid of auditory and visual feedback, these clinicians are not able to rely on their clinical observations. It then becomes incumbent to develop a psychometrically and theoretically sound means of assessing emotion and mood states that can be easily utilized in this forum. Utilizing cross-culturally and empirically supported models of emotion structure shown to be influential in the self-report data, the Positive Affect and Negative Affect factors, this …
The Development Of An Advanced Filial Therapy Model, Amy Cathleen Wickstrom
The Development Of An Advanced Filial Therapy Model, Amy Cathleen Wickstrom
Loma Linda University Electronic Theses, Dissertations & Projects
This study sought to develop an advanced filial therapy model by examining the experiences of seven parents who participated in a preliminary advanced filial therapy intervention. These parents had previously completed a 10-week basic filial therapy model called Child Parent Relationship Therapy. A phenomenological qualitative design was employed, wherein data was obtained from parent playtime notes, researcher field notes, group process transcriptions, and focus groups. Parent experiences of the intervention were examined from a systems-relational lens, and four categories emerged, which include relational epiphanies, enhanced understanding of the playtimes, model format, and skill development. Additionally, a variety of themes were …
Neurodevelopmental Outcome & Mr Spectroscopy Of Therapeutic Hypothermia After Pediatric Drowning, Sharon Mieras Perugini
Neurodevelopmental Outcome & Mr Spectroscopy Of Therapeutic Hypothermia After Pediatric Drowning, Sharon Mieras Perugini
Loma Linda University Electronic Theses, Dissertations & Projects
Despite advances in medical treatment and technology, outcome following pediatric drowning can vary widely from mild to severe impairments and death. Prognosis is often difficult to predict given a number of contributing factors. As such, this study examined the relationship between clinical indicators including submersion duration, initial GCS and PRISM scores, and waking time with outcome as well as metabolite ratios based on magnetic resonance spectroscopy. Research stemming from the area of cardiac arrest as well as anecdotal case study reports of cold water drownings suggests that lowering the body temperature may be helpful and protective. As such, the use …
Comparison Of Rationally-Derived And Empirically-Derived Methods For Predicting Failure In Residential Treatment, Jennifer Pester Grattan
Comparison Of Rationally-Derived And Empirically-Derived Methods For Predicting Failure In Residential Treatment, Jennifer Pester Grattan
Loma Linda University Electronic Theses, Dissertations & Projects
Patient-focused research methods have been used in adult mental health treatment to improve outcomes by tracking individual treatment response and comparing it with expected recovery patterns. One such approach has used rationally- and empirically-derived methods to analyze data from the OQ-45 and identify patients who are not responding as expected to treatment. Treatment is then adjusted, improving outcomes and lowering overall costs.
Similar but less extensive research has shown analogous methods can be used with children and adolescents. This would be particularly useful in residential treatment, which is an expensive and inadequately researched approach. This study used archival data gathered …
Study Of The Four Factor Theory Of Women’S Sexual Function, Julie M. Merrell
Study Of The Four Factor Theory Of Women’S Sexual Function, Julie M. Merrell
Loma Linda University Electronic Theses, Dissertations & Projects
Tiefer, Hall, and Tavris (2002) described factors comprising four categories of female sexual function. They suggested that unique factors need to be examined to understand sexual function in women. Socio-cultural, political, or economic factors, partner and relationship factors, psychological factors, and medical factors were described as aspects of women’s lives that can be the source of sexual dysfunction. In a previous study, Merrell (2007) utilized Tiefer et al’s (2002) four factor model of sexual functioning to examine female sexual functioning looking specifically at body shame, relationship satisfaction, positive and negative affect, sexual self-schema, and overall health. Based on the results …
Profiles Of Drug Endangered Children: Investigation In A Clinical Sample, Imanie Samanmali Wijayaratne
Profiles Of Drug Endangered Children: Investigation In A Clinical Sample, Imanie Samanmali Wijayaratne
Loma Linda University Electronic Theses, Dissertations & Projects
Despite the increase in children born prenatally exposed to methamphetamine, little is known about the cognitive and neuropsychological outcomes of these children. Research specific to prenatal-methamphetamine exposure is extremely limited and has been primarily restricted to rat studies. This research combined with the few studies examining children prenatally exposed to methamphetamine suggests that methamphetamine-exposure is associated with various cognitive and neuropsychological delays and is impacted by both biological and environmental factors. Given the scarcity of research in this area, the current study used archival data from a psychological assessment clinic to (1) describe the frequency of prenatal methamphetamine-exposure cases, (2) …
The Effects Of The Introduction Of An Electronic Medical Record (Emr) On Self-Reported Treatment Effects In A Psychological Service In A Family Medicine Clinic, Michael D. Herman
The Effects Of The Introduction Of An Electronic Medical Record (Emr) On Self-Reported Treatment Effects In A Psychological Service In A Family Medicine Clinic, Michael D. Herman
Loma Linda University Electronic Theses, Dissertations & Projects
The healthcare system in the United States has traditionally focused on pathogenic disease prevention and treatment of acute illness, only addressing physical health (Grzywacz & Keyes, 2004). This approach is limited, as it does not often acknowledge the influence of mental health and health promotion on outcomes. Approximately, 25-75% of all presenting cases with uncertain etiology in medicine are psychosocial or behavioral in origin (Schulte et. al., 2004). Improvements can be made through integrated care; however, divergent viewpoints and often proximity across providers disrupts, psychologist-physician communication, collaboration, and subsequently care access (McDaniel, 1995). The current study examines the self reported …
Patient/Physician Communication In Type 2 Diabetes-Related Health Behavior Change, Barbara Marie Thomas
Patient/Physician Communication In Type 2 Diabetes-Related Health Behavior Change, Barbara Marie Thomas
Loma Linda University Electronic Theses, Dissertations & Projects
Adult type 2 diabetes is an increasing problem in the United States and affected over 16 million Americans in 2004. Most patients are treated in primary care settings and managed medically, but controlling insulin resistance through activity and diet is considered the greatest challenge for the next 30 years (Katen, et al., 2007). Understanding how physicians and patients communicate about health behaviors is necessary for developing the most effective strategies for facilitating health behavior change in this population. In the current study, adults with type 2 diabetes (n= 87) from the Loma Linda University Diabetes Treatment Center (LLUDTC), …
Examining The Relationships Between Parental Efficacy, Parenting Styles And Repetitive Behaviors In Children With Autism, James R. Carrillo
Examining The Relationships Between Parental Efficacy, Parenting Styles And Repetitive Behaviors In Children With Autism, James R. Carrillo
Graduate Theses
The purpose of this study was to examine the relationships between parental efficacy, parenting styles and stereotypical behaviors exhibited by children with autism. Fourteen mothers and their children with autism (ages 14-21) were recruited from local schools and the rehabilitation center. Surveys used in this study included the Repetitive Behavior Scale-Revised (RBS-R), Parents Sense of Competence (PSOC) and the Parents Locus of Control (PLOC) scale. Also incorporated was the Autism Diagnostic Observation Schedule (ADOS). Even though there was no correlation between the PLOC and stereotypical behaviors of the RBS-R, results revealed a significant relationship between the PSOC and the RBS-R. …
Knowledge, Attitudes, And Job Satisfaction In Long-Term Care: A Comparison Between Licensed Nurses And Nursing Assistants, Lynne Almand
Knowledge, Attitudes, And Job Satisfaction In Long-Term Care: A Comparison Between Licensed Nurses And Nursing Assistants, Lynne Almand
Graduate Theses
Knowledge, attitudes, and job satisfaction of long-term care workers were examined to determine if a relationship existed between these factors and if differences existed between licensed nurses and nursing assistants. Participants included 36 nurses and 60 assistants from five nursing homes in the Midland/Odessa area. Results indicated that nurses had significantly more positive attitudes toward (t(94) = -5.72, p<.05) and increased knowledge of older adults (t(94) = 2.71, p<.05) than assistants. In addition, more positive attitudes were significantly associated with more knowledge of the elderly (r(96) = -0.36, p<.05) as well as increased levels of job satisfaction (r(96) = -0.53, p<.05).
Posttraumatic Spiritual Growth: A Phenomenological Study Of Cancer Survivors, Ryan Myles Denney
Posttraumatic Spiritual Growth: A Phenomenological Study Of Cancer Survivors, Ryan Myles Denney
Dissertations
A small but growing body of research has sought to investigate the specific role of religion and spirituality in posttraumatic growth. Recently investigations have begun to focus on spiritual growth following trauma, specifically that of cancer patients and survivors. The purpose of this qualitative study was to investigate how having cancer effects the spiritual growth of cancer survivors across a multidimensional conceptualization of spirituality (Hill 2005; Tsang & McCullough, 2003). The researcher investigated the lived experience of thirteen cancer survivors with posttraumatic spiritual growth using a phenomenological method of data analysis. Participants reported experiencing spiritual growth across the following domains …
The Effects Of A Psychoneuroimmunology Based Lifestyle Intervention In Modifying The Progression Of Major Depression In Clinically Depressed Adults, Ruth A. Tanyi
Loma Linda University Electronic Theses, Dissertations & Projects
Chronic stress can lead to poorly controlled upsurges of cortisol and dysregulation of the hypothalamic pituitary-adrenal axis, thereby contributing to major depression. Hence, researchers have begun to examine the effects of individual psychoneuroimmunology (PNI) interventions and their impact on modifying stress and depression. However, there is a lack of studies that have examined the composite effect(s) of a PNI-based lifestyle intervention and major depression. Thus, this randomized interventional study examined the composite effect(s) of a PNI-based lifestyle intervention: combined progressive muscle relaxation and spiritual guided imagery and humor as an adjunct therapy to modifying the progression of depression. Participants were …
A Psychoeducational Group Intervention For Fibromyalgia Patients, Derek O. Bacchus
A Psychoeducational Group Intervention For Fibromyalgia Patients, Derek O. Bacchus
Loma Linda University Electronic Theses, Dissertations & Projects
This study examined the effect of a multidisciplinary psychoeducational treatment group on Fibromyalgia Syndrome (FMS) pain, depression, catastrophizing, and quality of life. The Short-Form McGill Pain Questionnaire (SF-MPQ), Center for Epidemiologic Studies Depression Scale (CES-D), Coping Strategies Questionnaire (CSQ), and the World Health Organization Quality of Life Assessment—Abbreviated Version were used to assess these constructs in 15 participants. The sample was composed entirely of female participants and was predominantly middle aged, which is typical of the FMS population. Two separate groups of FMS patients—seven in Group 1, eight in Group 2—completed a 10-week psychoeducational intervention where they were presented with …
Accuracy Of A Rationally-Derived Method For Predicting Failure In Residential Treatment, Jennifer Pester Grattan
Accuracy Of A Rationally-Derived Method For Predicting Failure In Residential Treatment, Jennifer Pester Grattan
Loma Linda University Electronic Theses, Dissertations & Projects
Recent studies of adult mental health treatment have used patient-focused research methods to improve outcomes, by tracking treatment response and comparing it with expected recovery patterns. One such line of research has used rationally-derived and empirically-derived methods to analyze data gathered by the OQ-45 and identify patients who are not responding as expected to treatment. This allows for adjustment of treatment, which results in improved outcomes and lower overall costs.
Similar but less extensive research has provided evidence that these approaches may also improve outcomes in outpatient treatment for children and adolescents. These approaches might be particularly useful in residential …
Posttraumatic Stress Disorder In Combat Veterans And The Effect On Their Life And Marital Satisfaction, Amy Rodriguez Alford
Posttraumatic Stress Disorder In Combat Veterans And The Effect On Their Life And Marital Satisfaction, Amy Rodriguez Alford
Graduate Theses
Various studies have been conducted within our United States military service members and their problems with posttraumatic stress disorder (PTSD). There are several factors as to why a combat veteran can develop PTSD (Committee on Gulf War and Health, 2008) , PTSD could effect their life and marital satisfaction. The present study consisted of 15 married couples, in which the husband has served combat duty in Iraq or Afghanistan. The total level of PTSD symptomology was compared to each individual's life and marital satisfaction. There was no significance correlations found between the husbands' PTSD symptoms and their quality of life, …
Mental Skills Usage Among Collegiate Track And Field Throwers, Chad A. Perry
Mental Skills Usage Among Collegiate Track And Field Throwers, Chad A. Perry
Graduate Theses
The purpose of this study was to examine how often collegiate track and field throwers use goal setting, imagery, and arousal management. The second purpose was to determine if there was a significant difference between mental skills usage in practice and competition. The Test of Performance Strategies was administered to 50 collegiate track and field throwers. First, it was hypothesized that less than 20% of the participants would use mental skills very often and that the majority would report using mental skills in either moderate or low amounts. Results indicated goal setting and relaxation in practice were the only two …
Asthma Severity In School-Children And The Quality Of Life Of Their Parents, Noelle S. Cerdan
Asthma Severity In School-Children And The Quality Of Life Of Their Parents, Noelle S. Cerdan
UNLV Theses, Dissertations, Professional Papers, and Capstones
Background . The everyday management of a child with asthma can affect the parent's quality of life. Past studies which examined the effects of asthma characteristics of the child on parental quality of life have not reached a consensus over findings. Few studies examine parent characteristics such as mental health and sociodemographics on the quality of life of parents of asthmatic children.
Purpose . To examine the effect of asthma severity of school-children and sociodemographic characteristics onthe caregiver's quality of life. It also investigates whether agreement exists between the caregiver's perception of asthma severity and physician-diagnosed asthma severity.
Methodology . …
Advance Practice Nurses Readiness To Change Assessment Methods In Parents Of Obese Children, Carolyn Leach
Advance Practice Nurses Readiness To Change Assessment Methods In Parents Of Obese Children, Carolyn Leach
UNLV Theses, Dissertations, Professional Papers, and Capstones
The worldwide epidemic of child and adolescent overweight and obesity continues to increase at disturbing rates. Unhealthy dietary practice is one of multiple causative behaviors leading to child and adolescent overweight and obesity. This behavior can contribute to short and long-term health consequences. Parents are modulators in the development of children's dietary behavior practices. It is recommended clinical practice that pediatric nurse practitioners (PNPs) assess readiness to change behavior in parents of overweight or obese children. The components of the Prochaska and DiClemente's Transtheoretical Model (TTM) in correlation with the counseling style of Rollnick, Miller and Butler's methods of Motivational …
Social Cognitive Predictors Of Diabetes Outcomes In Latinos And Whites, Diana Brown
Social Cognitive Predictors Of Diabetes Outcomes In Latinos And Whites, Diana Brown
Loma Linda University Electronic Theses, Dissertations & Projects
Investigating health care disparities in ethnic minority populations is an increasingly urgent issue as these disparities lead to higher morbidity and mortality in minorities (National Center of Health Statistics, 2000). There is clear evidence that Latino Americans, the fastest growing minority group in the United States, are more likely to be diagnosed with and experience more severe complications from type 2 diabetes than Anglo Americans. This study surveyed 38 White and 33 Latino diabetes patients from outpatient clinics in an academic medical center. Cultural values (individualism and collectivism), mental health (social support, mental health), and self-efficacy (diabetes and exercise) were …
Does Type Of Stimulus Influence Task-Irrelevant Evaluative Categorization Processes?, Guadalupe Corral
Does Type Of Stimulus Influence Task-Irrelevant Evaluative Categorization Processes?, Guadalupe Corral
Open Access Theses & Dissertations
The effect of stimulus type on task-irrelevant evaluative categorization was examined in two separate studies by using the P3 component from event-related brain potentials. The first study presented idiosyncratic stimuli consisting of individuals that were rated by participants as either positive or negative within sequences of pictorial and verbal stimuli. The second study presented sequences of novel and familiar stimuli consisting of previously normed unattractive and neutral individuals. It was hypothesized that pictures would elicit task-irrelevant evaluative categorization processes and so would novel stimuli (relative to words and familiar stimuli, respectively). Task-irrelevance was examined by assessing P3 peak amplitude to …
The Tactile Motion Aftereffect, Peggy Joanne Planetta
The Tactile Motion Aftereffect, Peggy Joanne Planetta
Theses and Dissertations (Comprehensive)
The tactile motion aftereffect (tMAE) is a perceptual phenomenon in which illusory motion is reported following adaptation to a unidirectionally moving tactile stimulus. Unlike its visual counterpart, relatively little is known about the tMAE. For that reason, the purpose of this dissertation was to gain a better understanding of the tMAE using both psychophysical and neuroimaging techniques. In a series of five experiments the skin was adapted using a plastic cylinder with a square-wave patterned surface. Chapter 2 consists of two experiments, both of which adapted the glabrous surface of the right hand. Experiment 1 showed that the prevalence, duration, …
Confronting The Unknown: Mothers’ Reactions, Challenges, And Ways Of Coping With A Child's Diagnosis Of Long Qt Syndrome, Twain Gonzales
Confronting The Unknown: Mothers’ Reactions, Challenges, And Ways Of Coping With A Child's Diagnosis Of Long Qt Syndrome, Twain Gonzales
PCOM Psychology Dissertations
Long QT syndrome (LQTS) is a life-threatening inherited cardiac condition. It is caused by a disturbance in the ion channel genes that control cardiac repolarization, resulting in ventricular arrhythmias that can lead to syncope, sudden cardiac arrest (SCA), or sudden cardiac death (SCD). Most deaths occur in children, adolescents, and young adults. Although congenital LQTS occurs in 1/3000 to 1/5000 individuals, to date, little research has been conducted on the psychosocial effects of LQTS. Mothers who are confronted with a new diagnosis of their children’s LQTS are likely to have never heard of the disease prior to diagnosis, and few …
An Investigation Of The Knowledge And Beliefs Held By Teachers And Parents In A Parochial School System Regarding Attention-Deficit/Hyperactivity Disorder And The Variables That Predict Their Knowledge, Kendra-Lee Yvonne Pearman
An Investigation Of The Knowledge And Beliefs Held By Teachers And Parents In A Parochial School System Regarding Attention-Deficit/Hyperactivity Disorder And The Variables That Predict Their Knowledge, Kendra-Lee Yvonne Pearman
Dissertations
Problem
Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most prevalent childhood disorders affecting 3 to 5% of school populations in the United States and other countries. Due to the behavioral and/or academic challenges of children with ADHD, they are at risk for grade retention, dropping out of high school, and teenage delinquency, which can lead to negative consequences in society. Children with ADHD are found in every school setting, including parochial schools. Past studies have found teachers and parents have inadequate knowledge about ADHD, which can negatively affect these children. This study investigated what teachers and parents of children in …
The Lived Experience Of Hiv-Positive Tanzanian Orphans, Carol A. Parker
The Lived Experience Of Hiv-Positive Tanzanian Orphans, Carol A. Parker
Walden Dissertations and Doctoral Studies
The purpose of this investigation was to generate a context- specific model of the lived experience of HIV positive Tanzanian orphans. With the advent of anti-retroviral drugs, Sub-Saharan African populations with high burdens of human immunodeficiency virus (HIV) face annually accumulating increases in the number of HIV positive children, and ultimately adults. Perinatally infected, these children often become orphans while still young. Extended interviews were performed with a purposive sample of 12 HIV infected orphaned children between 9 and 12 years of age. Half of the research participants lived in an orphanage and half were children living with guardians in …
Locus Of Control And Adjustment To Vision Loss Among People With Age Related Macular Degeneration, Delinda Stinnette
Locus Of Control And Adjustment To Vision Loss Among People With Age Related Macular Degeneration, Delinda Stinnette
Walden Dissertations and Doctoral Studies
People aged 65 and older account for 12.8% of the population and for 30% of all visually impaired individuals. Age-related Macular Degeneration (ARMD) has been identified as a significant public health issue, with a potential 8 million Americans at risk. While the literature supports a connection between LOC and adaptation to ARMD, there is a gap in the current literature supporting this relationship even when other factors are controlled (i.e. age, sex, education, type of ARMD, when diagnosed, the use of medical treatments, the use of visual assistance devices, participant engagement in rehabilitation, and depression). The present survey study used …
Implementation And Data Tracking Of School-Linked Mental Health Services At A Rural Mental Health Agency, Jim Redmond
Implementation And Data Tracking Of School-Linked Mental Health Services At A Rural Mental Health Agency, Jim Redmond
All Graduate Theses, Dissertations, and Other Capstone Projects
In late December of 2007 Tom McNeely, the clinical director for the Sioux Trails Mental Health Center, received a Request for Proposals (RFP) from the Minnesota Department of Human Services soliciting grant applications for a new school-linked mental health program. The school-linked program would provide students (K-12) attending public schools full therapeutic services in an effort to reduce mental health issues as a barrier to learning. This approach mirrored Sioux Trails’ belief that a holistic philosophy incorporating prevention and early intervention is the most effective healthcare service. Since the RTF seemed a good fit for the agency, Mr. McNeely, along …
Personality Traits, Self -Efficacy Of Job Performance, And Susceptibility To Stress As Predictors Of Academic Performance Of Nurse Education Programs, Nancy Wilson-Soga
Personality Traits, Self -Efficacy Of Job Performance, And Susceptibility To Stress As Predictors Of Academic Performance Of Nurse Education Programs, Nancy Wilson-Soga
Walden Dissertations and Doctoral Studies
The United States is experiencing a shortage of registered nurses, and institutions of higher education are unable to graduate enough prepared nurses to reduce this employment shortage. A significant relationship between personality traits and academic performance has been found; however, how personality traits combine with students' self-efficacy of job performance and stress susceptibility to impact nursing students' academic performance has yet to be demonstrated. This study, grounded in the five-factor model (FFM) of personality traits, self-efficacy, and stress theories, sought to determine whether self-assessments of the NEO-Five Factor Inventory, the Nursing Practice Self-Efficacy survey, and the Susceptibility Under Stress Survey …
Beliefs And Attitudes Regarding Health -Enhancing Behaviors In African American And Caucasian Women, Cassaundra Murray
Beliefs And Attitudes Regarding Health -Enhancing Behaviors In African American And Caucasian Women, Cassaundra Murray
Walden Dissertations and Doctoral Studies
A disproportionate number of African American (AA) women are overweight, obese, and more likely to have weight related health concerns compared with Caucasian (C) women. Previous research indicates perception about health-enhancing behaviors influences AA females' health behavior. A gap exists in the current literature regarding AA women's perception of eating and exercise behavior and the impact social support has on AA women's adherence to USDA recommendations. The purpose of this study was twofold: (1) to examine AA women's weight locus of control, perceived susceptibility to weight related diseases, and perceived barriers to healthy eating and exercise relative to C women; …
The Effects Of An Integrated Behavioral Health Initiative On The Behavior Of Providers In An Ob/Gyn Primary Care Clinic, Dean Moritz
Walden Dissertations and Doctoral Studies
The separation between behavioral services and traditional medicine is increasingly being seen as counterproductive on personal and societal levels. Despite this, there has been little research examining how integrated models blending mental and physical health services could be implemented. The literature revealed that behavioral interventions have been incorporated into traditional medical treatments, but this often has been piecemeal in nature and has yielded equivocal results. This study examined the assertion that effective integration between behavioral and medical services will increase the standard of care for the patient. Integration in this study was accomplished by colocating a psychologist on the primary …