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Full-Text Articles in Medicine and Health Sciences

Inventory Of Cognitive Distortions: Validation Of A Measure Of Cognitive Distortions Using A Community Sample, Michael B. Roberts Jan 2015

Inventory Of Cognitive Distortions: Validation Of A Measure Of Cognitive Distortions Using A Community Sample, Michael B. Roberts

PCOM Psychology Dissertations

The purpose of this study was to examine and evaluate further the psychometric properties of a self-report inventory of cognitive distortions using a nonclinical, community sample. A group of 474 individuals were contacted via the social networking site, Facebook, and through a college list-serve and were asked to complete multiple measures and also to send the link to other individuals, thus utilizing a snowball sample. The measures used included the Inventory of Cognitive Distortions (ICD), Dysfunctional Attitude Scale (DAS), Perceived Stress Scale (PSS), and a brief questionnaire to collect demographic information on each participant. Results revealed positive psychometric properties for …


A Qualitative Study Of How Children Experience And Live With Long Qt Syndrome, Patrick Mcelwaine Jan 2015

A Qualitative Study Of How Children Experience And Live With Long Qt Syndrome, Patrick Mcelwaine

PCOM Psychology Dissertations

Long QT syndrome (LQTS) is an inherited and potentially fatal disorder affecting approximately 1 in 2,000 people. Children often experience anxiety and a sense of loss of control as they try to manage the medical, social, and psychological stress that accompanies being diagnosed with LQTS. The present study utilized a qualitative research design to examine how children experience and live with long QT syndrome. Semistructured interviews were conducted with eight children between the ages of 7 to 12 who were diagnosed with LQTS. This period in a child’s life is very important for developing social skills and self-esteem as peers …


The Influence Of Positive And Negative Death Attitudes On Medical Students' Empathy And Attitudes Toward End-Of-Life Care, Elizabeth Palumbo Jan 2015

The Influence Of Positive And Negative Death Attitudes On Medical Students' Empathy And Attitudes Toward End-Of-Life Care, Elizabeth Palumbo

PCOM Psychology Dissertations

This quantitative study employed a cross-sectional survey research design in order to examine the relationships between medical students’ death attitudes, empathy, and attitudes toward end-of-life care. The participants were 206 medical students currently enrolled in the Doctor of Osteopathic Medicine program at the Philadelphia College of Osteopathic Medicine, Philadelphia campus. Results indicated that there were no significant differences in the level of empathy between medical students who held strong positive death attitudes and medical students with strong negative death attitudes. However, results indicated that significant differences existed in attitudes toward end-of-life care between medical students who held strong positive death …


Effectiveness Of Psychoeducation For Adult Survivors Of Sexual And Domestic Violence, Sophia Laun Jan 2015

Effectiveness Of Psychoeducation For Adult Survivors Of Sexual And Domestic Violence, Sophia Laun

PCOM Psychology Dissertations

The current study investigated psychoeducational programs for adult, female survivors of sexual violence and domestic violence in a community-based, nonprofit organization in the Northeastern United States. Participants’ trauma symptoms were measured by the Trauma Symptom Checklist-40 (Briere & Runtz, 1989) and knowledge of interpersonal violence was measured by a Client Questionnaire developed by the organization. The study used the intent-to-treat analysis, using paired-samples t-tests to examine changes from pretest to posttest. There were 35 participants in the sexual violence sample and 61 participants in the domestic violence sample. The results indicated that for participants in both the sexual violence psychoeducational …


The Psychometric Properties Of The Professionalism Assessment Rating Scale, Jennifer K. Olivetti Jan 2015

The Psychometric Properties Of The Professionalism Assessment Rating Scale, Jennifer K. Olivetti

PCOM Psychology Dissertations

The issue of professionalism in the training of medical students has become a major focus within the field of medical education. For years, the Philadelphia College of Osteopathic Medicine (PCOM) has measured the quality of osteopathic medical students (DO students) interpersonal and communication skills through SP (SP) encounters in which SPs rate the DO students relative to eight criteria (items) which, in aggregate, are known as the Professionalism Assessment Rating Scale (PARS). These criteria are linked in the literature to patient outcomes, patient adherence, patient satisfaction, and malpractice. This study investigated the psychometric properties of the PARS, based on data …


The Effectiveness Of A Computer-Assisted, Cognitive-Behavior Program For Treating Anxiety Symptoms In Children With Autism Spectrum Disorder, Jennifer A. Zabel Jan 2015

The Effectiveness Of A Computer-Assisted, Cognitive-Behavior Program For Treating Anxiety Symptoms In Children With Autism Spectrum Disorder, Jennifer A. Zabel

PCOM Psychology Dissertations

Autism Spectrum Disorder (ASD) is a complex and multifaceted, neurodevelopmental disorder that severely impacts children and families across a variety of settings. Prevalence rates of ASD are continuing to increase rapidly, with sizeable intervention and treatment costs placed on families and society. Further complicating the matter, many individuals with ASD also evidence co-occurring anxiety symptoms or disorders and tend to be at a higher risk for developing such problems when compared to other clinical populations or typically developing children. This study investigated the effectiveness of a computer-assisted CBT program, Camp Cope-A-Lot (CCAL), in regards to reducing anxiety symptoms in four …


Impact Of Group Cognitive Behavior Therapy On Adolescents With Deficits In Inhibition, Jessica L. Morley Jan 2015

Impact Of Group Cognitive Behavior Therapy On Adolescents With Deficits In Inhibition, Jessica L. Morley

PCOM Psychology Dissertations

Existing literature connects impulse control dysfunction to high-risk behaviors and negative life outcomes. Evidence-based interventions for children and adolescents who are at-risk or who are displaying significant levels of impulsive behavior are necessary in order to promote self-control, and in turn, positive life outcomes. This study investigated the impact of an eight-week, school-based GCBT intervention on cognitive inhibition and behavioral impulsivity in adolescent participants. The intention of the study was to evaluate the trend in inhibition and impulsivity from baseline to post-intervention assessments across five middle school students dually enrolled in a residential treatment facility and a center-based emotional support …


Neurocognitive Patterns, Symptom Clusters, And Premorbid Factors That Predict Protracted Recovery From Concussion In Females, Sarah Pulaski Jan 2015

Neurocognitive Patterns, Symptom Clusters, And Premorbid Factors That Predict Protracted Recovery From Concussion In Females, Sarah Pulaski

PCOM Psychology Dissertations

Concussion is an increasingly diagnosed injury that affects individuals of all ages. Although the underlying cause is unknown, research has demonstrated that females who sustain a concussion experience longer recoveries. Existing research has documented a relationship between age, gender, post-concussive headache and mental health conditions, and recovery; however, limited research has investigated the relationship between premorbid clinical variables and recovery. Research on post-injury neurocognitive declines and recovery has also demonstrated varied findings. Moreover, dizziness has been identified as significantly predictive of prolonged recovery, but no studies have investigated the effect of premorbid headache conditions on the development of dizziness. The …


Early Maladaptive Schemas In An Australian Adult Alcohol Dependent Clinical Sample: Differences Between Men And Women, Diana Lanie Janson Jan 2015

Early Maladaptive Schemas In An Australian Adult Alcohol Dependent Clinical Sample: Differences Between Men And Women, Diana Lanie Janson

Theses : Honours

Recent literature suggests that there are widespread differences between men and women’s Early Maladaptive Schemas (EMSs) and that EMSs are highly prevalent in alcohol dependent populations. The present study examined differences between men and women’s EMSs in an Australian clinical sample who had sought treatment specifically for alcohol dependence. A total of 111 men and 114 women completed the Young Schema Questionnaire – Long Form (YSQ-L3) between 2012 and 2015 in order to assess them on 18 EMSs. Despite previous findings suggesting that women report higher levels on a number of EMSs the present study found that women only scored …


Construct Validity Of The Developmental Test Of Visual-Perception Third Edition (Dtvp-3) In Western Australian Primary School Children, Kirsten Clarke Jan 2015

Construct Validity Of The Developmental Test Of Visual-Perception Third Edition (Dtvp-3) In Western Australian Primary School Children, Kirsten Clarke

Theses : Honours

Visual perception is the ability to identify, organise, make meaning of and provide sense to what is seen in the world in which we live. Visual perceptual skills continuously develop in primary school children as seen in academic performance. If visual perceptual difficulties are unaddressed, the cumulative academic result can be detrimental throughout life. Thus, visual perceptual difficulties must be identified using tests that possess sound measurement properties to allow for early intervention. The purpose of the research was to determine the construct validity of the Developmental Test of Visual Perception Third Edition (DTVP-3). The DTVP-3 was designed and standardised …


Developing Executive Functions Through Mindfulness Training In School-Aged Children, Ashley Black Adams Jan 2015

Developing Executive Functions Through Mindfulness Training In School-Aged Children, Ashley Black Adams

PCOM Psychology Dissertations

Well-developed executive functions are necessary for successful classroom functioning. Students with executive function deficits can fall behind academically as well as socially and emotionally, relative to their same-aged peers. Effective interventions for developing executive functions within the school environment are essential for addressing this issue. This study examines changes in students’ executive functions as a result of their participation in a mindfulness training intervention. Participants included four ten-year old elementary school boys who took part in a ten-week mindfulness training intervention. The data were generated through pre and post assessments with an executive function teacher rating scale and a Goal-Attainment …


The Anxiolytic Effects Of Self-Selected Music Among Primary Care Patients, Jennifer West-Gavin Jan 2015

The Anxiolytic Effects Of Self-Selected Music Among Primary Care Patients, Jennifer West-Gavin

PCOM Psychology Dissertations

The primary care setting is commonly referred to as the first line of medical treatment sought for health related services. Anxiety is one of the most frequently encountered mental health issues in primary care. The purpose of this study was to examine the level of state anxiety experienced among primary care patients, attending for routine and nonroutine appointments; its further purpose was to examine if self-selected relaxing music accounts for the greatest reductions in state anxiety among primary care patients, as compared with investigator-selected (classical) music, audio commercials, or no music. Patients included a primarily underserved primary care population between …


The Relationship Between Adhd And Trait Facets Of The Five-Factor Model, Todd William Bennett Jan 2015

The Relationship Between Adhd And Trait Facets Of The Five-Factor Model, Todd William Bennett

PCOM Psychology Dissertations

Facets of the Five-Factor Model (FFM) were examined in order to understand its interaction with Attention Deficit Hyperactivity Disorder (ADHD)-symptoms. By utilizing archival data, in a correlational design, adults between the ages of 18-66 were tested for the presence of ADHD, which was then compared with data gathered from the NEO-PI-R. Comorbid psychiatric conditions often associated with ADHD were accounted for in the design. Results partially supported the hypotheses, specifically, that altruism was inversely related to Impulsivity, as predicted. However, other findings largely did not support a relationship between other specific NEO-PI-R facets and ADHD. Other significant relationships that were …


Impacts Of Objective And Subjective Social Inclusion On The Quality Of Life Of Individuals With Schizophrenia Spectrum Disorders And Major Depressive Disorder, Katie A. Johanning-Gray Jan 2015

Impacts Of Objective And Subjective Social Inclusion On The Quality Of Life Of Individuals With Schizophrenia Spectrum Disorders And Major Depressive Disorder, Katie A. Johanning-Gray

PCOM Psychology Dissertations

Increased social inclusion and enhanced quality of life for individuals with severe mental illnesses (SMIs) are goals of the recovery movement. The present study examined the differences in reported subjective social inclusion (SubSI) and objective social inclusion (ObjSI) between individuals diagnosed with schizophrenia spectrum disorders (SSDs) and those diagnosed with Major Depressive Disorder (MDD). Furthermore, the amount of variance in quality of life (QOL) which can be predicted by type of diagnosis, SSDs or MDD, symptom severity, and SubSI and ObjSi was determined. An archival data set was used. Participants were 337 individuals whose primary diagnosis was an SSD or …


Siblings Of Children With Long Qt Syndrome: Relationships And Coping, Courtney Mccuen-Wurst Ms, Lcsw Jan 2015

Siblings Of Children With Long Qt Syndrome: Relationships And Coping, Courtney Mccuen-Wurst Ms, Lcsw

PCOM Psychology Dissertations

Long QT syndrome (LQTS) is a congenital heart disorder, usually diagnosed in childhood, that may lead to cardiac arrest, seizures, syncope, and sudden death. The birth of a child with LQTS, as well as the social, physical, and psychological functioning of the affected child, can have a significant impact on the family. The family stress associated with having a child with any disability or chronic illness is likely to affect the lives of siblings. The lack of research on the effects of having a sibling with long QT syndrome on individuals who do not have LQTS provided the rationale for …


The Impact Of Baby Sign Training On Stress Levels Of Daycare Providers, Grisel Julieta Rodriguez Jan 2015

The Impact Of Baby Sign Training On Stress Levels Of Daycare Providers, Grisel Julieta Rodriguez

Open Access Theses & Dissertations

Proponents of baby sign claim improvements in child-caregiver interactions and reductions in parental stress as benefits of implementing baby sign. Due to research contradicting the claims, and to the rise in daycare attendance, the current study investigated the effects of a baby sign workshop on the stress perception of daycare providers. A pre-test post-test between groups design with 20 participants was conducted using the Perceived Stress Scale (PSS10) and a workshop-specific descriptive survey as measures. The difference between the post-test stress levels of experimental and control groups approached significance, as did the differences between pre-test and post-test results for the …


Examining Biopsychosocial Factors In The Drive For Muscularity And Muscle Dysmorphia Among Personal Trainers, Beau J. Diehl Jan 2015

Examining Biopsychosocial Factors In The Drive For Muscularity And Muscle Dysmorphia Among Personal Trainers, Beau J. Diehl

Walden Dissertations and Doctoral Studies

This cross-sectional quantitative study was conducted to assess the presence of muscle dysmorphia (MD) and a drive for muscularity (DFM) in 1,039 personal trainers using the Muscle Dysmorphia Inventory (MDI) and the Drive for Muscularity Scale (DMS). Muscle dysmorphia is considered a subtype of body dysmorphic disorder that can be exacerbated by an intense DFM, which may in turn lead to negative psychobehavioral outcomes. Because personal trainers are an unresearched population with regard to these 2 constructs, a multidisciplinary framework was used to ground the present research study. Independent variables were structured using a biopsychosocial foundation where the biological dimension …


Health-Related Beliefs Among Low-Income African American Women And Their Perceptions About Obesity, Cenora Kimberly Akhidenor Jan 2015

Health-Related Beliefs Among Low-Income African American Women And Their Perceptions About Obesity, Cenora Kimberly Akhidenor

Walden Dissertations and Doctoral Studies

The aim of this study was to explore the health-related beliefs and perceptions of low-income African American women regarding obesity. Phenomenology served as the conceptual framework for this study. African American women, especially those in low-income brackets, have been shown to weigh more than women of other racial/ethnic groups. The consequences of these high rates are increased risks of developing chronic health disorders, such as type II diabetes and cardiovascular disease. The study sample consisted of 7 low-income obese African American women, ranging in age from 20 to 62, who resided in the Pacific Northwest. Recruitment for participation occurred via …


Mental Health Disorders As Predictors Of Relapse In Previously Detoxified Individuals, Toni Lee Simonson Jan 2015

Mental Health Disorders As Predictors Of Relapse In Previously Detoxified Individuals, Toni Lee Simonson

Walden Dissertations and Doctoral Studies

Researchers have shown a relationship between mental health disorders and alcohol dependence. However, only 5-10% of individuals with substance use problems co-occurring with mental health problems are correctly identified. The purpose of this research was to identify predictors of relapse using three different instruments of varying complexity: the Patient Health Questionnaire-9 (PHQ-9), the Modified Mini Screen (MMS), and the Millon Clinical Multiaxial Inventory-III (MCMI-III). Researchers have found that using alcohol produces relief, similar to a pharmacological intervention, from troublesome mental health symptoms that individuals experience. Considering this association, the self-medication hypothesis was the conceptual lens used for the study as …


Relationship Between Adverse Childhood Experiences And Illness Perceptions Among Individuals With Fibromyalgia, Susan D. Fay Jan 2015

Relationship Between Adverse Childhood Experiences And Illness Perceptions Among Individuals With Fibromyalgia, Susan D. Fay

Walden Dissertations and Doctoral Studies

Relationship between Adverse Childhood Experiences and Illness Perceptions among Individuals with Fibromyalgia

by

Susan D. Fay

MS, Drexel University, 1994

BS, Metropolitan State University of Denver, 1983

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Psychology

Walden University

February 2015

Adverse childhood experiences (ACEs), including abuse and neglect, are a significant social health problem. Exposure to ACEs can place a child at a high risk for developing different diseases or illnesses in adulthood, including fibromyalgia. The purpose of this study was to determine if exposure to ACEs, moderated by perceived social support and/or …


Compassion Development In Higher Education, Roxanne Rashedi, Thomas G. Plante, Erin S. Callister Jan 2015

Compassion Development In Higher Education, Roxanne Rashedi, Thomas G. Plante, Erin S. Callister

Psychology

Many schools of psychology and religious studies intend to promote the cultivation of compassion. Compassion is currently an integral area of study in psychology, religious studies, and higher education, specifically in faith-based higher education. While secular universities in the United States strive to generate disciplinary-based knowledge through scholarship, their ability to promote students' use of the information they are learning to create positive social change has typically lagged. Conscious of the magnitude of today's global issues and dissatisfied with the current disparity between the world's reality and university curricula, scholars have begun to re-imagine the role of higher education in …


The Psychological Resilience Of Spousal Caregivers Of Multiple Sclerosis Family, Marisa Diane Diaz Jan 2015

The Psychological Resilience Of Spousal Caregivers Of Multiple Sclerosis Family, Marisa Diane Diaz

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to examine an under-researched topic: the relationship between psychological resilience and personal growth with spousal caregivers of patients diagnosed with Multiple Sclerosis (MS). Chronic illnesses contribute to potentially stressful changes (i.e., lifestyle, quality of life, financial wellbeing, and interpersonal relationships) for the caregiver. The theoretical foundation for this study was Walsh's family resilience theory, which contends that resilience is vital for coping with stressful life experiences and leading a more successful life. Three separate analyses were conducted to examine the relationship between the total scores of the RS and the PGIS, the SWLS, …


Differences In Stress Biomarkers In Women With High And Low Stress Appraisal, Clarissa Sara Gomez Jan 2015

Differences In Stress Biomarkers In Women With High And Low Stress Appraisal, Clarissa Sara Gomez

Open Access Theses & Dissertations

Measures of physiological biomarkers have been widely used in the field of stress research to explain how stress negatively impacts health outcomes. Women in particular have been shown to be more at risk for developing physiological and psychological stress-induced conditions (e.g., hypertension, depression) due to hormonal differences (Kirschbaum et al., 1992), but more importantly, because of their appraisal of stressful events (Schamus et al., 2008). Few studies however have examined whether womenâ??s stress appraisal is predictive of stress reactivity, as measured by stress biomarkers, during stressful events. The goal of this study was to examine whether stress appraisal predicted stress …


The Nonreligious – Nonspiritual Scale (Nrnss): Measuring Everything From Atheists To Zionists, Ryan T. Cragun, Joseph H. Hammer, Michael Nielsen Jan 2015

The Nonreligious – Nonspiritual Scale (Nrnss): Measuring Everything From Atheists To Zionists, Ryan T. Cragun, Joseph H. Hammer, Michael Nielsen

Psychology: Faculty Publications

Although hundreds of measures of personal religiousness and spirituality exist, none are capable of reliably and validly assessing individuals who identify as nonreligious and nonspiritual. There is a need to develop a valid and reliable measure of (non)religiousness and (non)spirituality. This article discusses these problems, and presents the development and initial validation of a 17-item Nonreligious-Nonspiritual Scale (NRNSS) across three studies. The NRNSS exhibited high internal consistency (α > .94) and high test-retest reliability (r = .92). Two exploratory and one confirmatory factor analysis of the NRNSS supported the hypothesized two-factor solution: (a) institutional religiousness and (b) individualistic spirituality. The NRNSS …


The Role Of Anger Rumination And Autism Spectrum Disorder– Linked Perseveration In The Experience Of Aggression In The General Population, Cara E. Pugliese, Matthew S. Fritz, Susan W. White Jan 2015

The Role Of Anger Rumination And Autism Spectrum Disorder– Linked Perseveration In The Experience Of Aggression In The General Population, Cara E. Pugliese, Matthew S. Fritz, Susan W. White

Department of Educational Psychology: Faculty Publications

This study (a) examined the role of anger rumination as a mediator of the relation between social anxiety and the experience of anger, hostility, and aggression, in the general population, and (b) evaluated the degree to which the presence of autism spectrum disorder characteristics moderates the indirect influence of anger rumination. We then explored whether social cognition and perseveration characteristic of autism spectrum disorder uniquely accounted for the predicted moderation. In this survey study of young adults (n = 948), anger rumination mediated the relation between social anxiety and hostility, as well as verbal and physical aggression, as predicted. Greater …


A Study On The Relationship Between Emotional Intelligence And Mental Illness Stigma, E. Nicole Armstrong Jan 2015

A Study On The Relationship Between Emotional Intelligence And Mental Illness Stigma, E. Nicole Armstrong

Walden Dissertations and Doctoral Studies

Stigmatizing mental illness involves negative perceptions or attitudes about mental illness and the individuals who have mental illness, generating problematic consequences for both the general population and for people with mental illness. The theory of multiple intelligences proposes that intelligence includes skills and abilities in any area; emotional intelligence (EI), therefore, includes an individual's ability to identify, interpret, and regulate emotions and emotional responses. This study was designed to evaluate level of familiarity with mental illness as a potential predictor for stigmatizing mental illness, to assist in evaluating the relationship between stigmatizing mental illness and EI. The study was specifically …


Toward A Therapeutic Use Of Spirituality Among Individuals With Mild To Moderate Intellectual Disabilities, Tony Terrell Lee Jan 2015

Toward A Therapeutic Use Of Spirituality Among Individuals With Mild To Moderate Intellectual Disabilities, Tony Terrell Lee

Walden Dissertations and Doctoral Studies

Toward a Therapeutic Use of Spirituality among Individuals with Mild to Moderate Intellectual Disabilities

by

Tony Terrell Lee

MS, William Carey University, 2005

BS, University of Southern Mississippi, 1992

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Clinical Psychology

Walden University

May 2015

Research has shown that community employment, different levels of independent living, and advocacy groups are factors that influence self-esteem in individuals with mild to moderate intellectual and developmental disabilities (ID). One gap in the literature is whether there is a correlation between spirituality and self-esteem in individuals with mild to …


Decision Making And Pediatric Bipolar Disorder Assessment/Diagnosis: A Phenomenographic Study, Kristen Davies Jan 2015

Decision Making And Pediatric Bipolar Disorder Assessment/Diagnosis: A Phenomenographic Study, Kristen Davies

Walden Dissertations and Doctoral Studies

Prior to the 1990s, bipolar disorder, a behavioral disorder characterized by severe mood fluctuations, was not considered an suitable diagnosis for children. However, in recent decades, an increase in pediatric bipolar disorder (PBD) diagnosis has occurred in the U.S. The purpose of this study was to explore the perceptions and lived experiences of licensed mental health clinicians regarding their decision-making processes used during assessment and diagnosis of PBD. This phenomenographic study utilized individual, semi-structured interviews to explore the perceptions and lived experiences of 14 licensed clinicians in the Commonwealth of Massachusetts who assess and diagnose PBD. Data were collected with …


The Impact Of Self-Imposed Barriers On African Americans Successes, Pennie L. Murray Jan 2015

The Impact Of Self-Imposed Barriers On African Americans Successes, Pennie L. Murray

Walden Dissertations and Doctoral Studies

Researchers and economists have argued that the economic and social stagnation of African Americans is the result of their lack of self-confidence, initiative, and commitment toward their own advancement. This qualitative study examined whether historical conditioning and personal experiences have created a hypersensitivity in this population to events triggering behaviors that mirror the success fearing personality when seeking social, economic, and political advancement. It used Zuckerman and Allison's fear of success scale to identify the range of success fearing in 30 African American men and women aged 35 years or more; this group was also interviewed regarding their lived experiences …


Massage Therapy Effects On Pain And Distress/Anxiety In Breast Cancer Patients, Tanya Brigitte Buchrieser Jan 2015

Massage Therapy Effects On Pain And Distress/Anxiety In Breast Cancer Patients, Tanya Brigitte Buchrieser

Walden Dissertations and Doctoral Studies

Pain and distress/anxiety are likely to result from breast cancer and/or the medical treatment associated with this illness. Breast cancer researchers have focused on massage therapy and its influence on pain and distress in breast cancer patients; however, these research efforts were limited by small sample sizes, homogeneous populations, and small to medium effect sizes. This study explores the effectiveness of massage therapy for decreasing pain and distress in a larger, heterogeneous population of breast cancer patients and across all durations and frequencies of treatment by pooling the findings of former studies. The gate control theory which relates to the …