Medicine and Health Sciences Commons^™

Assessment Of Suny Upstate Medical University’S Child Telepsychiatry Consultation Program, Mary E. Lau

Renée Crown University Honors Thesis Projects - All

Objectives: The project assesses the child telepsychiatry services provided by SUNY Upstate psychiatrists to several county mental health clinics in central New York State. Method: Data for forty-five patients was extracted from pre-consultation forms completed by the referring clinic and post-consultation summaries completed by the Upstate psychiatrists that occurred between July 13^th, 2009 and May 12^th, 2010. The study identified characteristics of patients for whom telepsychiatry consultations were sought, reviewed recommendations provided by the telepsychiatry consultant, and noted recommended changes in therapy and medication. Results: Analysis of the data showed that there was a large variation …

Effect Of Anchoring On Perceived Amniocentesis Related Miscarriage Risk Within A Latina Population, Laura E. Panos

Dissertations and Theses (Open Access)

Most recognized pregnancies are completed without difficulty, yet there is always a 3-5% background risk to have a child with a birth defect. Amniocentesis, the most common type of prenatal diagnostic test, is used to detect chromosomal abnormalities, such as Down syndrome. Amniocentesis is associated with a risk of complications that can lead to a miscarriage, which is typically quoted to be between 1 in 300 and 1 in 500. Amniocentesis uptake rates are typically lowest within the Latina community, and although the factors related to this have been studied before, no specific conclusions have been reached.

The general population …

Factors That Inhibit Or Enhance Maternal Coping With Stillbirth In Chhattisgarh, India, Lisa R. Roberts

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Over half of the known stillbirths occur in four highly populated countries—India among them. While acknowledged as a significant public health issue in western societies, little is known about maternal coping with stillbirth in developing countries. The purpose of this mixed methods study is to explore how issues of gender and power, social support, coping efforts, and religious beliefs influence perinatal grief outcomes among poor women in rural Chhattisgarh, India.

Methods: In Phase 1 of this mixed methods study, grounded theory methods were used to explore perceptions regarding stillbirth. A de-identified medical records review of 536 deliveries at Christian …

Child/Adolescent Sexual Abuse And Alcohol: Proposed Pathways To Problematic Drinking In College Via Ptsd Symptoms, Emotion Dysregulation, And Dissociative Tendencies, Alicia K. Klanecky

Department of Psychology: Dissertations, Theses, and Student Research

Research has discussed the use of alcohol to self-medicate posttraumatic stress (PTSD) symptoms following child/adolescent sexual abuse (CASA). Less research has examined the self-medication hypothesis in college students. Further, investigation of the self-medication hypothesis generally precludes the integration of additional psychological vulnerabilities that may impact students’ alcohol consumption. Supported by the “dynamic” stress-diathesis perspective, emotion regulation (ER) difficulties and insufficient dissociative tendencies existing prior to and potentially altered after CASA exposure may relate to problematic alcohol use. The current study aimed to provide an initial, cross-sectional examination of 1) the relations between CASA exposure severity and alcohol use, 2) the …

Reassessing The Architecture Of The Health Beliefs Models In Low-Income Diverse Families, Krista B. Highland

Department of Psychology: Dissertations, Theses, and Student Research

Health beliefs contribute to health outcomes. These health beliefs extend to include health beliefs parents have regarding their children’s health. However, the role of parental health beliefs remains unexplored among a low-income population. This study aims to assess these beliefs and the effects they have on child health. Furthermore, this study aims to delineate potential belief differences between socioecological-level groups (e.g. population density, Latino identification, and insurance coverage).  The long-term goal is to understand the relationships among various personal health beliefs and parental health beliefs, psychosocial factors, community factors, cultural factors, organizational factors, and healthcare perceptions among this at-risk population. …

Out Of The Mouths Of Babes: Vocal Production In Infant Siblings Of Children With Asd, Rhea Paul, Yael Fuerst, Gordon Ramsay, Kasia Chawarska, Ami Klin

Communication Disorders Faculty Publications

Background: Younger siblings of children with autism spectrum disorders (ASD) are at higher risk for acquiring these disorders than the general population. Language development is usually delayed in children with ASD. The present study examines the development of pre-speech vocal behavior in infants at risk for ASD due to the presence of an older sibling with the disorder. Methods: Infants at high risk (HR) for ASD and those at low risk, without a diagnosed sibling (LR), were seen at 6, 9, and 12 months as part of a larger prospective study of risk for ASD in infant siblings. Standard clinical …

The Effects Of Body Characteristics On Perceived Competence, Courtney Michelle Kneip

Masters Theses and Doctoral Dissertations

The purpose of this study was to examine the effect of different body characteristics on perceived competence; specifically, height, weight, and physical appearance. Participants were asked to login to their online school accounts and were then directed to a specific survey. All surveys consisted of the same questions, but included a different photograph. Participants then listened to a pre-recorded speech after being told that the individual in the photograph was the individual giving the speech. All surveys asked participants to rate judgments of height, weight, and physical appearance, compared to the average American. The speech provided the basis for the …

Knowledge And Perception Of The Role Of Targeted Ultrasound In Detecting Down Syndrome Among A High Risk Population, Ashley M. Henriksen

Dissertations and Theses (Open Access)

The purpose of this study was to determine the perception and knowledge of targeted ultrasound in women who screen positive for Down syndrome in the first or second trimester, and to assess the perceived detection rate of Down syndrome by targeted ultrasound in this population.  While several studies have reported patient perceptions’ of routine ultrasound, no study has specifically examined knowledge regarding the targeted ultrasound and its role in detecting Down syndrome.  A targeted ultrasound is a special ultrasound during the second trimester offered to women who may be at a higher-than-average risk of having a baby with some type …

Therapists' And Families' Views On Family Involvement In Adolescent Residential Treatment, Jonathan D. Zabriskie

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study of 24 therapists and 64 family members representing 109 adolescent residents of six residential treatment centers aimed to better understand therapists' and family members' points of view about family involvement in residential treatment for troubled adolescents. The study also provided the therapists' and family members' recommendations for family involvement in residential treatment.

Findings from this mixed-methods study suggest that (a) the families from this study were involved in many different ways in their adolescents' treatment, including phone calls, visits to the treatment center, participation in therapy, and so forth; (b) there were areas in which therapists and family …

The Self: Your Own Worst Enemy? A Test Of The Self-Invoking Trigger Hypothesis, Bradley J. Mckay

UNLV Theses, Dissertations, Professional Papers, and Capstones

The self invoking trigger hypothesis was recently proposed by Wulf and Lewthwaite (2010) as the mechanism underlying the robust effects of attentional focus on motor learning and performance. The hypothesis suggests that causing individuals to access their self schema will negatively impact their ability to learn and perform a motor skill. The purpose of the present study was to provide an initial test of this hypothesis by causing one group of participants to activate their self schema in a straightforward manner. Participants (N = 32) were assigned to either a self-activated or control condition and asked to practice a wiffleball …

The Development And Evaluation Of A Safety Skill Intervention For Child Victims Of Neglect, Heather H. Hill

UNLV Theses, Dissertations, Professional Papers, and Capstones

Child neglect is the least studied, yet most frequently indicated, type of child maltreatment. Still, there are few assessment and treatment methods specifically designed for victims of child neglect. Unintentional injuries have long remained the leading cause of death for children in the United States after the first year of life, and research suggests the majority of these child fatalities are actually the result of child neglect. Homes of neglectful families are often inundated with safety hazards but child-focused home safety skill interventions have yet to be developed. Thus, the present study focused on the development and initial evaluation of …

Playing With Fire Or Arson? Identifying Predictors Of Juvenile Firesetting Behavior, Mary Ellen Britt

UNLV Theses, Dissertations, Professional Papers, and Capstones

Firesetting is a complex behavior that spans a wide range of developmental stages in childhood and adolescence and involves varying motivations and intents. A better understanding of this destructive behavior is critical to developing strategies to control its devastating effects. The purpose of this research project was to identify potential predictors of juvenile firesetting behavior by studying youth who were enrolled in a regional firesetting intervention program. Data collected from firesetting assessment instruments completed by parents or guardians of program participants were examined. In the analyses, special emphasis was placed on evaluating associations between juvenile firesetting behavior and the socioeconomic …

School Refusal Behavior: The Relationship Between Functions And Symptom Sets, Marisa Charlene Hendron

UNLV Theses, Dissertations, Professional Papers, and Capstones

The current study examined the relationship between functions of school refusal behavior and internalizing and externalizing symptom sets in a community sample of 200 youth and parents recruited from two truancy settings. The first hypothesis was that youth who endorsed refusing school primarily to avoid stimuli that provoke negative affectivity (function 1) would report more symptoms of generalized anxiety and depression. The second hypothesis was that youth who endorsed refusing school primarily to escape from aversive social or evaluative situations (function 2) would report more symptoms of social anxiety. The third hypothesis was that youth who endorsed refusing school primarily …

The Hormonal Correlates Of Stress And Posttraumatic Stress Disorder Symptoms In Female Veterans, Meghan Pierce

UNLV Theses, Dissertations, Professional Papers, and Capstones

With the increase of female veterans serving in the military, a better understanding of posttraumatic stress disorder is needed to provide comprehensive treatment. This study examines salivary cortisol in female veterans with PTSD, female veterans without PTSD, civilian females with PTSD and healthy controls. The Posttraumatic Stress and Beck Depression Inventory-II were used to assess posttraumatic stress and depressive symptoms. Saliva samples were collected at bedtime and awakening, as well as in response to the Trier Social Stress Test. Significant results were not found for diurnal cortisol levels [ F (3, 11)= .979, p < .05] or stress cortisol levels (F (3,12) = 1.140, p >.05). …

Development Of A Scale To Assess Avoidance Behavior Due To A Fear Of Falling: The Fear Of Falling Avoidance Behavior Questionnaire (Ffabq), Cortney Durand, D. Shalom Powell

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: A history of falls or imbalance may lead to a fear of falling which may lead to self-imposed avoidance of activity; this avoidance may stimulate a vicious cycle of deconditioning and subsequent falls.

Objective: The purpose of this study was to develop a questionnaire that would quantify avoidance behavior due to a fear of falling.

Design: This study consisted of two parts, questionnaire development and psychometric testing. Questionnaire development included an expert panel and 39 assisted living residents. Psychometric testing included 63 community dwelling subjects with various health conditions.

Methods: Questionnaire development included the evaluation …

Executive Function Profiles In Pediatric Traumatic Brain Injury, Erik Nelson Ringdahl

UNLV Theses, Dissertations, Professional Papers, and Capstones

Traumatic brain injury is a common cause of disability and death among children in the United States. Insult to the frontal and temporal lobes are frequent in closed head brain injury. Cognitive deficits in a variety of domains are common sequelae of brain trauma. In many cases, trauma to the frontal and temporal lobe regions engender prominent deficits in higher-order cognitive processing, memory, and attention.

Higher-order cognitive processing, or Executive Functions are the grouping of cognitive processes necessary for organization of thoughts and activities, attending to the activities, prioritizing tasks, managing time efficiently, and making decisions (Alvarez & Emory, 2006; …

The Relationship Of Child Maltreatment Potential And Mothers’ Satisfaction With Their Neglected Children, Kelsey M. Bradshaw

UNLV Theses, Dissertations, Professional Papers, and Capstones

Parental satisfaction refers to the extent to which parents are satisfied with their children in relation to parent-child interactions and child behavior. The relationship between parental satisfaction and child behavior problems has been demonstrated extensively in the literature. Children who exhibit increased behavior problems appear to be at increased risk of parental aggression. Maltreating parents evidence greater levels of parental dissatisfaction as compared to caregivers of children who are not maltreated. Thus, low parental satisfaction is a suspected risk-factor for child maltreatment. Previous studies have shown that parental substance abuse is also strongly related to occurrence of child maltreatment. This …

To Consult Or Not To Consult? Investigating Barriers To Dysparenia Treatment-Seeking In Young Women, Robyn L. Donaldson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Little is known about mediators of treatment-seeking in dyspareunia. The general health belief literature as well as some existing qualitative data specific to dyspareunia, however, suggests a number of potentially significant barriers that may delay or prevent women from enlisting the aid of health care professionals. The aim of this study was to investigate influences on dyspareunia treatment-seeking behavior in young women, for whom the consequences of treatment avoidance are hypothesized to be the greatest. Given the lack of standardized health behavior measures relevant to intercourse pain, we constructed a measure assessing potential barriers to dyspareunia treatment-seeking. An exploratory principal …

Clark County Mental Health Court: An Outcomes-Based Evaluation Model Of Residential And Treatment Programs Beyond Recidivism, Mark J. Nichols

Graduate Research Symposium (2010 - 2017)

The number of America’s mental health courts has grown significantly over the course of the past 15 years. Mental health courts can be seen as a form of therapeutic jurisprudence where the court implements therapeutic interventions, case management and treatment (Palermo, 2010). A mental health court was established in Clark County during 2003. Its mission is to promote engagement in treatment, improve quality of life, decrease recidivism, and increase community safety and awareness (Glass, 2008).

The focus of the evaluation of the Clark County Mental Health Court, limited to performance measures related to the decreased recidivism by its clients and …

Attachment And Couple Sexual Functioning, Kathryn Z. Devis, Melissa A. Louder, Kara L. Thompson, Katherine M. Hertlein

Graduate Research Symposium (2010 - 2017)

Within the last several years, there has been a surge in the publications that focus on attachment within the couple relationships, including how it pertains to infidelity treatment. Despite the interest in couple relationships and attachment, however, a limited amount of literature focuses on how varying styles of attachment manifest in a couple's level of sexual functioning. This study is a response to the need to explore the literature and related gaps in literature.

The Effects Of Working Memory On High And Low Working Memory Capacity, Colleen M. Parks, Christine Agnir

Festival of Communities: UG Symposium (Posters)

Acute stress is a factor that impairs working memory (McHugh et al.,2010). Emotional stimuli have been used in long-term memory studies. The emotional content of information is important in long-term memory studies that have focused on stress, but it is unknown if the valence of the stimuli matter for working memory tasks. Little research is know to use emotional pictures of N-back stimuli. Our goal is to determine whether these factors may significantly disrupt the working memory process of efficiently completing complex tasks.

Can Female Genital Mutilation Victims Benefit From Corrective Surgery: To Regain Sexual Pleasure And Be “Whole” Once Again?, Monique Sulls

Festival of Communities: UG Symposium (Posters)

Female Genital Mutilation (FGM) is defined by the World Health Organization, (WHO), as the removal or cutting of the external female genitalia. WHO estimates between 100 and 140 million girls and women worldwide currently live with the consequences of FGM. The study finds that through corrective surgery, pre/post therapy, counseling, and sexual education victims to FGM can regain sexual pleasure providing them a chance to be “Whole” once again.

Examining Physiological, Physical, And Cognitive Changes Over A Thirteen Week Training Program, Vanessa L. Roof

Department of Psychology: Dissertations, Theses, and Student Research

Ten members of Lincoln Fire and Rescue in Lincoln,  Nebraska agreed to participate in a thirteen week tactical strength and conditioning fitness program conducted by Athology Inc. that included a Physiological, Physical, and Cognitive Component.  Participants completed three workouts per week lasting approximately 90 minutes each, conducted by fitness trainers from Athology Inc.  Participants completed lab draws at the beginning and end of the program as well as an EKG at the onset of the program, conducted off-site at a local hospital.  Participants completed performance and agility testing at the onset and end of the program.  Lastly, participants completed cognitive …

Episcopal Applicants To Ordained Ministry: Are They Psychological Healthy?, Thomas G. Plante, Christopher Apodaca

Psychology

The current investigation evaluated psychological and personality profiles of applicants to the diaconate and priesthood for several Episcopal dioceses. Applicants included both genders and their ages ranged from 29 to 67 years. A psychological testing battery including the MMPI-2, 16PF, and MCMI-III was administered to 42 applicants between 2008 and 2009 who subsequently entered the diaconate or priestly formation program in the Episcopal Church. Results indicate that these applicants were generally well-adjusted. Findings also suggest some tendency for defensiveness, repression, naïveté, and a strong need for affection, as well as for being emotionally stable, intelligent, trusting, and open to change. …

Implementation Of The 2009 Cacrep Standards Addiction Competencies, Tiffany K. Lee

Dissertations

Addiction issues have been and continue to be significant problems affecting the United States. Over the past few decades, substantial scholarly attention has been paid to the lack of addictions training in the counseling profession. The purposes of this mixed-method study were to examine the current status of addiction training among institutions that offer counselor education programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP) and determine how institutions plan to integrate the addiction-related competencies outlined in the 2009 CACREP standards.

The quantitative data were obtained from a 15-item online survey completed by 74 CACREP …

41st Annual Wku Student Research Conference, Student Research Council, Western Kentucky University

Student Research Conference Select Presentations

No abstract provided.

Differential Effects Of Dopaminergic Therapies On Dorsal And Ventral Striatum In Parkinson's Disease: Implications For Cognitive Function., Penny A Macdonald, Oury Monchi

Brain and Mind Institute Researchers' Publications

Cognitive abnormalities are a feature of Parkinson's disease (PD). Unlike motor symptoms that are clearly improved by dopaminergic therapy, the effect of dopamine replacement on cognition seems paradoxical. Some cognitive functions are improved whereas others are unaltered or even hindered. Our aim was to understand the effect of dopamine replacement therapy on various aspects of cognition. Whereas dorsal striatum receives dopamine input from the substantia nigra (SN), ventral striatum is innervated by dopamine-producing cells in the ventral tegmental area (VTA). In PD, degeneration of SN is substantially greater than cell loss in VTA and hence dopamine-deficiency is significantly greater in …

Policy And Practice: An Analysis Of The Implementation Of Supported Employment In Nebraska, Heng-Hsian N. Liu

Department of Psychology: Dissertations, Theses, and Student Research

Supported employment (SE) is an evidence-based practice (EBP) for persons with severe mental illness (SMI) aimed at competitive employment.  SE has a large evidence base, demonstrating outcomes across settings and populations. SE has been promoted by the Centers for Medicare and Medicaid Services (in the U.S. Department of Health and Human Services) and widely disseminated through the internet via a “community tool-kit” sponsored by the Substance Abuse and Mental Health Services Administration.

The SE literature expresses the opinion that state governments can successfully implement SE.  Researchers have developed implementation guidelines and identified stages of statewide implementation; however, most SE implementation …

Juror Perceptions Of Juveniles Transferred To Criminal Court: The Role Of Generic Prejudice And Emotion In Determinations Of Guilt, Megan Beringer Jones

Department of Psychology: Dissertations, Theses, and Student Research

Research examining juror perceptions of juveniles tried as adults has provided mixed results, with some studies providing evidence of bias against juveniles tried as adults, and others finding no evidence of this bias.  The present research aimed to clarify this issue by examining the roles of generic prejudice and emotion in jurors’ judgments of juveniles tried as adults.  Study 1 assessed which stereotypes people associate with juveniles tried as adults compared to juveniles tried in juvenile court and adults tried in criminal court.  Study 2 examined to what extent angry, fearful, sad, and neutral mock jurors used these stereotypes to …

Anti-Saccade Performance Predicts Executive Function And Brain Structure In Normal Elders, J. B. Mirsky, H. W. Heuer, A. Jafari, J. H. Kramer, A. K. Schenk, Indre Viskontas, B. L. Miller, A. L. Boxer

Psychology

Objective—To assess the neuropsychological and anatomical correlates of anti-saccade (AS) task performance in normal elders.

Background—The AS task correlates with neuropsychological measures of executive function and frontal lobe volume in neurological diseases, but has not been studied in a well-characterized normal elderly population. Because executive dysfunction can indicate an increased risk for cognitive decline in cognitively normal elders, we hypothesized that AS performance might be a sensitive test of age-related processes that impair cognition.

Method—The percentage of correct AS responses was evaluated in forty-eight normal elderly subjects and compared with neuropsychological test performance using linear regression analysis …