Medicine and Health Sciences Commons^™

Human Factors And Simulation In Emergency Medicine, Emily M. Hayden, Ambrose H. Wong, Jeremy Ackerman, Margaret K. Sande, Charles Lei, Leo Kobayashi, Michael Cassara, Dylan D. Cooper, Kimberly Perry, William E. Lewandowski, Mark W. Scerbo

Psychology Faculty Publications

This consensus group from the 2017 Academic Emergency Medicine Consensus Conference "Catalyzing System Change through Health Care Simulation: Systems, Competency, and Outcomes" held in Orlando, Florida, on May 16, 2017, focused on the use of human factors (HF) and simulation in the field of emergency medicine (EM). The HF discipline is often underutilized within EM but has significant potential in improving the interface between technologies and individuals in the field. The discussion explored the domain of HF, its benefits in medicine, how simulation can be a catalyst for HF work in EM, and how EM can collaborate with HF professionals …

Early Procedural Pain Is Associated With Regionally-Specific Alterations In Thalamic Development In Preterm Neonates., Emma G Duerden, Ruth E Grunau, Ting Guo, Justin Foong, Alexander Pearson, Stephanie Au-Young, Raphael Lavoie, M Mallar Chakravarty, Vann Chau, Anne Synnes, Steven P Miller

Brain and Mind Institute Researchers' Publications

Very preterm human neonates are exposed to numerous invasive procedures as part of life-saving care. Evidence suggests that repetitive neonatal procedural pain precedes long-term alterations in brain development. However, to date the link between pain and brain development has limited temporal and anatomic specificity. We hypothesized that early exposure to painful stimuli during a period of rapid brain development, before pain modulatory systems reach maturity, will predict pronounced changes in thalamic development, and thereby cognitive and motor function. In a prospective cohort study, 155 very preterm neonates (82 males, 73 females) born 24-32 weeks' gestation underwent two MRIs at median …

Physiological And Cognitive Factors Related To Human Performance During The Grand Canyon Rim-To-Rim Hike, Kristin Divis, Clifford Anderson-Bergman, Robert Abbott, Victoria Newton, Glory Emmanuel-Aviña

Journal of Human Performance in Extreme Environments

Exposure to extreme environments is both mentally and physically taxing, leading to suboptimal performance and even life-threatening emergencies. Physiological and cognitive monitoring could provide the earliest indicator of performance decline and inform appropriate therapeutic intervention, yet little research has explored the relationship between these markers in strenuous settings. The Rim-to-Rim Wearables at the Canyon for Health (R2RWATCH) study is a research project at Sandia National Laboratories funded by the Defense Threat Reduction Agency to identify which physiological and cognitive phenomena collected by non-invasive wearable devices are the most related to performance in extreme environments. In a pilot study, data were …

Analysis Of Endocrine Response To Perceived Difference In Cross-Cultural Interactions, Carole Woolford-Hunt, Marlene Murray, Tevni Grajales Guerra, Kristina Beenken-Johnson

Faculty Publications

We live in a world where awareness of ethnic and cultural diversity is an ever increasing reality. Business and education turn to the social sciences to inform them about how to manage and optimize cross-cultural interactions. Although much research has been done on the impact of cross-cultural interactions on a wide range of variables, one less researched area is the endocrine response to cross-cultural interactions. In this study we set out to investigate the endocrine response to cross cultural interactions and the impact of these interactions on perceived differences. To do so we measured the pre and post levels of …

Patient Perspectives On Adherence To The New Hepatitis C Antiviral Medications: ‘A New Lease On Life’, Nicole M. Giordano, Anthony J. Brinn, Guadalupe Garcia-Tsao, Steve Martino

The Qualitative Report

This study explored patients’ perspectives about taking the new direct-acting antivirals (DAAs) for the treatment of Hepatitis C (i.e., sofosbuvir, simeprevir, ledipasvir/sofosbuvir, ombitasvir/paritraprevir/ritonavir and dasabuvir) to identify facilitators of medication adherence. The project was conducted using semi-structured interviews with 12 Veterans who successfully completed a treatment course on the new DAAs. The Veterans were recruited using purposive sampling. The data collected from the semi-structured interviews was analyzed using an adapted open coding method outlined by Auerbach and Silverstein (2003), with identification of relevant text sub-grouped into repeating ideas, and then creation of overarching themes and constructs. Results obtained provide insight …

Emotion Regulation And Positive Affect In The Context Of Salivary Alpha-Amylase Response To Pain In Children With Cancer, Brooke N. Jenkins, Douglas A. Granger, Ryan J. Roemer, Ariana Martinez, Tara K. Torres, Michelle A. Fortier

Psychology Faculty Articles and Research

Background

Children with cancer routinely undergo painful medical procedures invoking strong physiological stress responses. Resilience to this pain may be conferred through resources such as emotion regulation strategies and positive affect.

Procedure

This study measured dispositional positive affect in children with cancer (N = 73) and randomly assigned participants to one of three emotion regulation strategy conditions (distraction, reappraisal, or reassurance). Children applied their assigned strategy during an experimental pain procedure (the cold pressor task [CPT]) and provided saliva samples before, immediately after, and 15 min after the CPT. Saliva samples were later assayed for salivary alpha amylase (sAA)—a surrogate …

The Rewarding Nature Of Provocation-Focused Rumination In Women With Borderline Personality Disorder: A Preliminary Fmri Investigation, Jessica R. Peters, David S. Chester, Erin C. Walsh, C. Nathan Dewall, Ruth A. Baer

Psychology Faculty Publications

Background: Understanding why individuals with borderline personality disorder (BPD) ruminate on prior provocations, despite its negative outcomes, is crucial to improving interventions. Provocation-focused rumination may be rewarding in the short term by amplifying anger and producing feelings of justification, validation, and increased energy, while reducing self-directed negative affect. If provocation-focused rumination is utilized regularly as a rewarding emotion regulation strategy, it could result in increased activation in reward-related neural regions. The present pilot study examined neural correlates of provocation-focused rumination, relative to other forms of thought, in BPD.

Method: Functional magnetic resonance imaging (fMRI) was utilized to examine this theory …

Childhood Interpersonal Violence And Adult Alcohol, Cannabis, And Tobacco Use Disorders: Variation By Race/Ethnicity?, Jacquelyn Meyers, Carolyn Sartor, Kimberly Werner, Karestan Koenen, Bridget Grant, Deborah Hasin

Nursing Faculty Works

No abstract provided.

A Supramodal Role Of The Basal Ganglia In Memory And Motor Inhibition: Meta-Analytic Evidence, Yuhua Guo, Taylor W. Schmitz, Marieke Mur, Catarina S. Ferreira, Michael C. Anderson

Brain and Mind Institute Researchers' Publications

© 2017 The Authors The ability to stop actions and thoughts is essential for goal-directed behaviour. Neuroimaging research has revealed that stopping actions and thoughts engage similar cortical mechanisms, including the ventro- and dorso-lateral prefrontal cortex. However, whether and how these abilities require similar subcortical mechanisms remains unexplored. Specifically of interest are the basal ganglia, subcortical structures long-known for their motor functions, but less so for their role in cognition. To investigate the potential common mechanisms in the basal ganglia underlying action and thought stopping, we conducted meta-analyses using fMRI data from the Go/No-Go, Stop-signal, and Think/No-Think tasks. All three …

An Exploration Of The Perceived Usefulness Of The Introductory Statistics Course And Students’ Intentions To Further Engage In Statistics, Rossi A. Hassad

Numeracy

Students’ attitude, including perceived usefulness, is generally associated with academic success. The related research in statistics education has focused almost exclusively on the role of attitude in explaining and predicting academic learning outcomes, hence there is a paucity of research evidence on how attitude (particularly perceived usefulness) impacts students’ intentions to use and stay engaged in statistics beyond the introductory course. This study explored the relationship between college students’ perception of the usefulness of an introductory statistics course, their beliefs about where statistics will be most useful, and their intentions to take another statistics course. A cross-sectional study of 106 …

Do Gender Differences In Perceived Prototypical Computer Scientists And Engineers Contribute To Gender Gaps In Computer Science And Engineering?, Joyce Ehrlinger, E. Ashby Plant, Marissa K. Hartwig, Jordan J. Vossen, Corey J. Columb, Lauren E. Brewer

Faculty Publications

Women are vastly underrepresented in the fields of computer science and engineering (CS&E). We examined whether women might view the intellectual characteristics of prototypical individuals in CS&E in more stereotype-consistent ways than men might and, consequently, show less interest in CS&E. We asked 269 U.S. college students (187, 69.5% women) to describe the prototypical computer scientist (Study 1) or engineer (Study 2) through open-ended descriptions as well as through a set of trait ratings. Participants also rated themselves on the same set of traits and rated their similarity to the prototype. Finally, participants in both studies were asked to describe …

Prescription Drug Abuse, Jiaxi Tian

Global Issues in Public Health

Prescription drug abuse is an action that portrayed as misuse or overuse of prescription drugs. It is a prevalent problem all over the world. U.S is a particular country that has drug abuse as a serious problem has several different causes of the drug abuse. In the U.S., most prescription drugs are pain killers. The outcomes of drug abuse vary but may lead to death.

Physical Activity Mediates The Association Between Personality And Biomarkers Of Inflammation, Eileen K. Graham, Emily D. Bastarache, Elizabeth Milad, Nicholas A. Turiano, Kelly A. Cotter, Daniel K. Mroczek

Faculty & Staff Scholarship

Objectives: The current study investigated whether personality traits and facets were associated with interleukin-6, C-reactive protein, and fibrinogen, and whether physical activity mediated the relationship between personality and biomarkers of inflammation. Methods: Personality was assessed in the Midlife Development in the United States study using the Multi-Dimensional Personality Questionnaire and Midlife Development Inventory personality scale. Data were included from 960 participants (mean age = 57.86 years, standard deviation = 11.46). Personality was assessed from 2004 to 2009. Serum levels of interleukin-6, fibrinogen, and C-reactive protein were assessed in 2005–2009 as part of the Midlife Development in the United States biomarkers …

Assessment Of Pain-Related Fear In Individuals With Chronic Painful Conditions, Manasi M. Mittinty, Daniel W. Mcneil, David S. Brennan, Cameron L. Randall, Murthy N. Mittinty, Lisa Jamieson

Faculty & Staff Scholarship

Background: Heightened fear and anxiety related to pain may result in emotional and behavioral avoidance responses causing disability, distress, and depression. Fear and anxiety associated with pain can potentially change the course of the pain experience. It is plausible that fear and anxiety related to pain affect the duration and frequency of pain experienced by the patient. Aim: The study aimed to examine the applicability of the Fear of Pain Questionnaire-III (FPQ-III) in identifying who are likely to report longer duration and greater frequency of pain experience. Methods: To test this hypothesis, a cross-sectional study was conducted with 579 individuals …

Tasseography From Jung's Perspective, Avetisian, Elizabeth

CONSCIOUSNESS: Ideas and Research for the Twenty-First Century

Approaching from Jung’s perspective this paper aims to understand how the unconscious communicates through symbolism that may be the basis for synchronicity arising from mantic procedures. A particular ritual of divination called tasseography will be studied whereby the seer interprets patterns in coffee grounds intuitively and by following a standard system of symbolism to foretell the seeker’s future life events or provide answers to seeker’s pressing life questions. The paper will examine various processes involved in the experience of tasseography and its ritual that enable the reader to predict the seeker’s future or bring light to the present or past …

Psychometric Properties Of The Difficulties In Emotion Regulation Scale (Ders) And Its Short Forms In Adults With Emotional Disorders, Lauren S. Hallion, Shari A. Steinmann, David F. Tolin, Gretchen J. Diefenbach

Faculty & Staff Scholarship

Objective: The Difficulties in Emotion Regulation Scale (DERS) is a widely used self- report measure of subjective emotion ability, as defined by a prominent clinically derived model of emotion regulation (Gratz and Roemer, 2004). Although the DERS is often used in treatment and research settings for adults with emotional (i.e., anxiety, mood, obsessive-compulsive, or trauma-related) disorders, its psychometric properties are not well-characterized in this population.

Method: We examined the psychometric properties of the DERS and three popular short forms (DERS-16; DERS-18; and DERS-SF) in a large (N = 427) sample of treatment-seeking adults with one or more DSM-5 emotional disorders. …

Autoethnography Of A Whitegirl Marriage And Family Therapist's Experience Working On The Rez, Andrea L. Cuva

Department of Family Therapy Dissertations and Applied Clinical Projects

Despite the abundance of literature regarding potentially effective treatment modalities for Native American clients, researchers have been unable to identify an empirically proven effective treatment modality for this population. Common recommendations/considerations for therapists working with Native clients have been identified throughout literature; however, such findings were gathered by insiders (i.e., Native researchers or trained Tribal staff), which has left questions regarding the efficacy of such recommendations when applied by non-Native therapists. Due to Native American history, elaborate IRB requirements were put in place to ensure ethical research with this population but impedes the research process. I conducted an analytic autoethnography …

An Exploratory Study Of Session Limited Models Of Therapy Outcomes In An Employee Assistance Program, Ivy C. Donaldson

Electronic Theses and Dissertations

Employee Assistance Programs (EAPs) have grown increasingly popular over recent years. The prevalence of organizations utilizing and investing in EAP services for their employees has grown; however, companies that purchase EAPs are not well-informed as to which session-models are most effective for various diagnoses. The current study is the first to explore treatment outcomes of session-limited models (measured by Therapist Perception of Change, TPC) for diagnoses (anxiety and depression) in an EAP delivery system. Outcomes were measured by TPC ratings including: a) Regressed, b) remained at Baseline, c) Improved, and d) issue was Resolved. Analyses (Chi-Square and =t-test) were used …

Psychotropic Medications And Children: Perceptions Of Mental Health Professionals, Elinor Jane Brereton

Electronic Theses and Dissertations

This project explores mental health professionals' perspectives on the prescription of psychotropic medications to children. It emphasizes the placement of biomedicine within its larger social, economic, and political context, and the influence these structures have on the way mental illness is conceptualized and treated in children. Eight semi-structured interviews were conducted in Denver, Colorado with psychiatrists, psychologists, social workers, and a pharmaceutical board member to capture multiple perspectives from different positionalities within the field. Participants discussed factors that they believe influence prescribing practices including: professional role changes, issues of access, limited evidence, cost, and institutional pressures to practice within a …

The Impact Of Sudden Gains And Deteriorations On The Psychotherapy Process, Joanna Mary Drinane

Electronic Theses and Dissertations

Within the field of psychotherapy research, there has been significant evidence to suggest that people change and improve because of treatment (Lambert & Ogles, 2004). One common phenomenon that has been observed when looking more closely at outcome trajectories has been termed sudden gains/deteriorations. These are defined as sudden changes in outcome (either positive or negative) of 25% or more from the pre-change level of symptoms that are in turn sustained over time (Tang & DeRubeis, 1999). Although there are data regarding how people who experience sudden gains end up after treatment, no studies have examined the impact that sudden …

Preparedness Of School Psychologists To Provide Services For Students Diagnosed With Cancer, Lauren Mckenzie Blevins

Theses, Dissertations and Capstones

Children who survive cancer face many challenges when reintegrating into the school system. School psychologists are among the school support professionals who may aid in providing support and identifying appropriate interventions and accommodations for the academic and mental health needs of these students. This study identifies whether school psychologists in West Virginia perceive themselves to be adequately prepared to assist students who have survived cancer upon returning to school. A survey containing fourteen questions regarding the individual’s experience, training, and knowledge was distributed to school psychologists in attendance at the Fall 2016 West Virginia School Psychologists’ Association conference. Of the …

Sourcing Enchantment: From Elemental Appropriation To Imaginal Symbolics, Schwartz, Michael

CONSCIOUSNESS: Ideas and Research for the Twenty-First Century

Critical theorists and social commentators agree that modernity and postmodernity suffer from historical pathologies of world disenchantment. What might be done? Drawing on John Sallis’ phenomenology of the elemental and Tibetan Buddhist teachings on elemental practices, this paper investigates the imagination in its doubling as imaginal in generating a symbolics of the self, world, and other that is always already enchanted; an aesthetics of existence where the world itself shows forth like a work of art replete with exorbitant logics.

Interaction Between Body Talk In Romantic Relationships And Body Dissatisfaction On Unhealthy Body Change Behaviors, Lillian Ellis

Master's Theses and Doctoral Dissertations

Unhealthy body change behaviors, such as eating disorder symptoms and muscle dysmorphia symptoms, can cause serious harm in individuals’ lives, impacting physical and emotional health. Body change behaviors have been shown to be associated with body dissatisfaction and body talk. However, individuals’ body talk with their romantic partner has not been well examined. The current study investigated the relationships between body talk with a romantic partner, gender, and body dissatisfaction with body change strategies, using a hierarchical regression that included direct relationships and interaction effects. Participants were college students who took an online study for class credit. Body dissatisfaction and …

The Signature Of Undetected Change: An Exploratory Electrotomographic Investigation Of Gradual Change Blindness, John E. Kiat, Michael D. Dodd, Robert F. Belli, Jacob E. Cheadle

Department of Psychology: Faculty Publications

Neuroimaging-based investigations of change blindness, a phenomenon in which seemingly obvious changes in visual scenes fail to be detected, have significantly advanced our understanding of visual awareness. The vast majority of prior investigations, however, utilize paradigms involving visual disruptions (e.g., intervening blank screens, saccadic movements, “mudsplashes”), making it difficult to isolate neural responses toward visual changes cleanly. To address this issue in this present study, high-density EEG data (256 channel) were collected from 25 participants using a paradigm in which visual changes were progressively introduced into detailed real-world scenes without the use of visual disruption. Oscillatory activity associated with undetected …

Towards A Physio-Cognitive Model Of Slow-Breathing, Chris Dancy

Faculty Conference Papers and Presentations

How may controlled breathing be beneficial, or detrimental to behavior? Computational process models are useful to specify the potential mechanisms that lead to behavioral adaptation during different breathing exercises. We present a physio-cognitive model of slow breathing implemented within a hybrid cognitive architecture, ACT-R/Φ. Comparisons to data from an experiment indicate that the physiological mechanisms are operating in a manner that is consistent with actual human function. The presented computational model provides predictions of ways that controlled breathing interacts with mechanisms of arousal to mediate cognitive behavior. The increasing use of breathing techniques to counteract effects of stressors makes it …

Structural And Functional Brain Imaging In Acute Hiv, Vishal Samboju, Carissa Philippi, Phillip Chan, Yann Cobigo, James Fletcher, Merlin Robb, Merlin Robb, Joanna Hellmuth, Khunthalee Benjapornpong, Netsiri Dumrongpisutikul, Mantana Pothisri, Robert Paul, Jintanat Ananworanich, Serena Spudich, Victor Valcour, Rv Teams

Psychology Faculty Works

Background:HIV RNA is identified in cerebrospinalfluid (CSF) within eightdays of estimated viral exposure. Neurological findings and impaired neuropsychological testing performance are documented in a subset of individuals with acuteHIV infection (AHI). The purpose of this study was to determine whether microstructural white matter and resting-state functional connectivity (rsFC) are disruptedin AHI.Methods:We examined 49 AHI (100% male; mean age = 30 ± SD 9.9) and 23 HIV-uninfected Thai participants (78% male; age = 30 ± 5.5) with diffusion tensor imaging (DTI) and rsFC acquired at 3 Tesla, and four neuropsychological tests (summarized as NPZ-4). MRI for the AHI group was performed …

Internet-Delivered Dialectical Behavior Therapy Skills Training For Suicidal And Heavy Drinkers, Chelsey Wilks, Qingqing Yin, Sin Yee Ang, Brandon Matsumiya, Anita Lungu, Marsha Linehan

Psychology Faculty Works

Background: The need to develop effective and accessible interventions for suicidal individuals engaging in heavy episodic drinking (HED) cannot be understated. While the link between alcohol use and suicidality is a complex one that remains to be elucidated, emotion dysregulation may play a key role in alcohol-related suicide risk in these individuals. Objective: In the current study, an 8-week Internet-delivered dialectical behavior therapy (DBT) skills training intervention was developed and preliminarily evaluated for suicidal individuals who engage in HED to regulate emotions. The aim of the study is to evaluate the feasibility and effectiveness of the therapist-assisted and Internet-delivered intervention, …

Inclusive Community Service Among College Students With And Without Intellectual Disability: A Pilot Study., Alexandra Manikas, Erik Carter, Jennifer Bumble

Educator Preparation & Leadership Faculty Works

No abstract provided.

Decreasing Stigma Against Depression In Chinese International Students, Elizabeth Trader

Mahurin Honors College Capstone Experience/Thesis Projects

Higher levels of stress and a shift in support systems during the transition to another culture can put international students at risk for mood disorders like depression. Previous research supports there is also a higher level of depression stigma within Eastern cultures in comparison to Western cultures (Rao, Feinglass, & Corrigan, 2007). This may account for the strikingly low numbers from the Chinese population that seek and maintain professional counseling services while studying in the U.S. (Yakushko, Davidson, & Sandford-Martens, 2008). The present study sought to determine whether two self-produced Chinese videos regarding information about stigma, symptoms, and treatment of …

Social Media And Negative Aspects Of Well-Being: Does Fomo Play A Role?, Casey J. Mcandrew

Bridges: A Journal of Student Research

Fear of missing out (FOMO) is a relatively new concept, however researchers have found that FOMO and social media use cause negative aspects of well-being, such as depression, anxiety, stress (Alabi, 2013; Alavi, 2011) and lack of academic motivation (Jacobsen and Forste, 2011). When using a correlational design, the current study examined the associations between social media engagement and negative aspects of well-being, while also examining the mediating role of FOMO between these variables. Participants (198 college students, M = 19 years old, 86 percent female, 74 percent Caucasian) completed online surveys, where participants reported on their levels of social …