Medicine and Health Sciences Commons^™

Design And Implementation Of The Domestic Violence Services In Rural Clinics Intervention, Ann L. Coker, Paige H. Smith, Vicki C. Flerx, Daniel J. Whitaker, Mary Kay Fadden, Melinda Williams

CRVAW Faculty Book Chapters

No abstract provided.

Evaluation Of Program Outcomes: Assessment In Children, Cheryl M. Romano

Loma Linda University Electronic Theses, Dissertations & Projects

In an age of increased concern for accountability and the review of services, administrators of health programs should be able to present their clinics effectiveness, and demonstrate their excellent service to the community, along with providing evidence for the continued need of such clinics. Outcome evaluation plays an integral part in providing this information, and is intended to provide information concerning the effectiveness of a particular program, thus allowing for modification, and even better outcomes.

This project addressed pre and post functioning in children referred for academic and/or behavioral difficulties, in a university of health sciences-based clinic. The aim was …

Key Leadership Roles In The 9/11 Terrorist Attack, Aubrey Immelman

Psychology Faculty Publications

Personality assessment of three al-Qaida leaders in the September 11, 2001 terrorist attack on the United States – Osama bin Laden, Ayman al-Zawahiri, and Mohamed Atta – provides evidence for a rudimentary model of the leadership roles required for a global-reach terrorist operation: (1) a narcissistic, charismatic leader devoid of core values beyond personal self-interest, adept at exploiting others in pursuit of his grandiose ambitions (e.g., bin Laden); (2) a strategic-thinking “true believer” without constraints of conscience regarding the level of violence he is willing to employ in his single-minded pursuit of mission (e.g., al-Zawahiri); and (3) unobtrusive, disciplined operatives …

The Effects Of Prolonged Job Insecurity On The Psychological Well-Being Of Workers, Cynthia Rocha, Jennifer Hause Crowell, Andrea K. Mccarter

The Journal of Sociology & Social Welfare

Job insecurity has been increasing since the 1980s. While researchers have found job insecurity to be negatively associated with multiple indicators of well-being for workers and their families in cross sectional studies, less is known about the long term effects of prolonged job insecurity. Specifically, there is a need to collect measures of both insecurity and its consequences at multiple time periods. The current study followed workers for 3 1/2 years to assess the effects of chronic job insecurity on psychological distress. Results indicate that while workers reported increased feelings of security over time, there were longer term negative effects …

Sorority Eating Patterns: A Longitudinal Investigation, Marissa Hobbs

Masters Theses & Specialist Projects

To date, most research in the area of college women and eating disorders has only been conducted to determine the prevalence of eating disorders among selected college subgroups. Although such research is limited, particularly for those women that choose to join social sororities, it generally indicates that sorority women represent a subgroup with high instances of eating disorders and often presents a conflicting view of these women's eating patterns and beliefs regarding weight loss and food. The present study was designed to continue the investigation of sorority women and their eating patterns by conducting a longitudinal study, consisting of five …

A Critical Review Of The Clinical Applications Of Continuous Performance Tests, Yvette Gutierrez

All-Inclusive List of Electronic Theses and Dissertations

Computerized testing has emerged as an important assessment tool for clinicians. In particular, continuous performance tests (CPTs) have become popular measures to assess sustained attention; yet research regarding the clinical usefulness of CPTs appears mixed. This paper will review research literature on CPTs published in peer-reviewed journals/periodicals between 1980 and 2004. A range of descriptive data will be gathered and summarized from the articles including history and present uses of CPTs and psychometric information on various versions of commercially available CPTs. This information will be used to present a summary of the strengths and weaknesses of CPTs as well as …

College Students And Gambling: Gauging The Effects Of Gender On Impulse Control, Sensation Seeking, And Mental Health As Predictors Of Involvement, Terry D. Burger

All-Inclusive List of Electronic Theses and Dissertations

The main purpose of the current study was to enhance the global understanding of adolescent Internet gambling involvement by examining rates of participation and the influence of impulse control, sensation seeking, and mental health problems as predictors of involvement. In addition to a demographic survey to gather information including year in school, age, gender, mode of gambling participation (online vs. traditional venues), age gambling participation began (for both non-Internet and Internet modes), disposable income, and hours spent online each week, the current research study questionnaire was comprised of a three standardized instruments: {a) the South Oaks Gambling Screen (SOGS); (b) …

Functional Family Therapy: An Interview With Dr. James Alexander, Dr. Jill D. Duba

Counseling & Student Affairs Faculty Publications

This article presents the functional family therapy of James Alexander, focusing on his work with high risk youth who are high risk, delinquent, and who abuse substances. The interview addresses evidence-based interventions, indivudalizing treatment, and prevention of violence. Training efforts and recent developments in functional family therapy are discussed.

Sleep Quality Of College Students And Its Relationship To Coping Styles And Well-Being, Cathy Alison Word

Doctoral Dissertations

College students suffer from more sleep disturbances than the general population. Sleep difficulties in college students can lead to lower levels of performance, memory, and cognitive ability, as well as increased levels of anxiety and decreased levels of well-being. Sleep quality is known to impact individuals' physical and psychological health, which are indicators of well-being. Sleep also appears to influence individuals' choices of coping strategies. Sleep quality is also highly correlated with college students' emotional response to stress. The relationships between and among sleep quality, well-being, and coping style have not been fully examined. The purpose of this study was …

Adverse Impact Of A History Of Violence For Women With Breast, Cervical, Endometrial, Or Overian Cancer, Susan C. Modesitt, Alisa C. Gambrell, Hope M. Cottrill, Lon R. Hays, Robert J. Walker, Brent J. Shelton, Carol E. Jordan, James E. Ferguson

Office for Policy Studies on Violence Against Women Publications

The experience of physical and sexual violence (victimization) is common among U.S. women and is associated with adverse health consequences. The study objectives were to estimate the prevalence of victimization in women with cancer and to examine associations with demographics, cancer screening, and cancer stage.

METHODS:

From 2004 to 2005, 101 women with breast, cervical, endometrial, or ovarian cancer were interviewed to collect demographics, cancer screening history, health care access/use, and violence history. Chisquare and Fisher exact tests were used test risk-factor associations. A multinomial logistic regression model was used for multivariable analysis.

RESULTS:

The prevalence of a history of …

Using The Outcome Questionnaire 45.2 In Obesity Treatment, Adam L. Arechiga

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The purpose of this study was to determine if the Outcome Questionnaire 45.2 (OQ-45) can be used in the treatment of obesity to predict participant dropout and initial treatment success, in terms of weight loss (Lambert et. al, 2002a). The OQ-45 has been used with success to predict dropout from psychotherapy in clinical populations. It was hypothesized that higher pretreatment OQ-45 scores would be associated with less program completion and less weight loss by the end of treatment.

Method: The study employed a non-experimental time series design. Seventy-eight participants were recruited from the three local obesity treatment programs, which …

Comparing Chemical Dependency And Mental Health Programs For The Dually Diagnosed, Kelly L. Hacker

Loma Linda University Electronic Theses, Dissertations & Projects

In order to better understand the needs of an increasing dually diagnosed population, this study compares the efficacy of integrated vs. nonintegrated treatment programs for a dually diagnosed population, residing at a Long Term Care facility in San Bernardino, California. Patients in this setting are diagnosed with chronic and acute mental illness and chemical dependency. This study tested the hypotheses that the nonintegrated treatment program would result in a higher frequency of assaults, PRNs, Q15s, and Code Reds; increase the duration of Q15s; and, increase the Addiction Severity Index’s (ASI) Family/Social and Psychiatric subscales’ scores, which would indicate lower levels …

Representation Of Head-Centric Flow In The Human Motion Complex., Jeroen Goossens, Sean P Dukelow, Ravi S Menon, Tutis Vilis, Albert V Van Den Berg

Brain and Mind Institute Researchers' Publications

Recent neuroimaging studies have identified putative homologs of macaque middle temporal area (area MT) and medial superior temporal area (area MST) in humans. Little is known about the integration of visual and nonvisual signals in human motion areas compared with monkeys. Through extra-retinal signals, the brain can factor out the components of visual flow on the retina that are induced by eye-in-head and head-in-space rotations and achieve a representation of flow relative to the head (head-centric flow) or body (body-centric flow). Here, we used functional magnetic resonance imaging to test whether extra-retinal eye-movement signals modulate responses to visual flow in …

Psychological Response To Injury, Recovery, And Social Support: A Survey Of Athletes At An Ncaa Division I University, Courtney A. Klenk

Senior Honors Projects

According to the National Athletic Trainers’ Association, “In the last 10 years, college sports have flourished, with athletes required to train and compete year-round rather than seasonally . . .At the same time, athletes are getting bigger, stronger and more physical – which leads to a greater risk of injury.” Sports injury can be traumatic for many athletes because it is an important component of their self-identity. In addition to the physical pain of an injury, athletes struggle psychologically, however little is known about their emotional response, recovery, and need for social support. The Emotional Response of Athletes to Injury …

An Examination Of The General Mobility Of Older Adults Based On Late-Life Depression And Its Treatment, Heather Kossick

Masters Theses & Specialist Projects

Older adults experience a variety of cognitive and physical declines as they age. Consequently, these changes can impact mobility and mental health (i.e., depression). Studies have suggested a relationship between driving habits changes (in particular, driving cessation) and depression (Fonda, Wallace & Herzog, 2001; Marottoli et al., 1997). Very little research has been conducted to examine the relationship between depression and other mobility changes in treated and untreated community dwelling older adults. Older drivers who ranged in age from 65 to 91 with a mean age of 73 completed the Center for Epidemiologic Studies Depression Scale (CES-D) (Radloff, 1977), Life …

Blood Volume And Hemoglobin Oxygenation Response Following Electrical Stimulation Of Human Cortex, Minah Suh, Sonya Bahar, Ashesh Mehta, Theodore Schwartz

Physics Faculty Works

No abstract provided.

When And Where I Enter: Social Determinants Of Mental Health Services Use Among African American Women, Shonreh Doss

Masters Theses & Specialist Projects

African Americans utilize mental health services significantly less frequently than do White-Americans. This study examined the social factors that work to influence the decision to seek services outside of the social circle. Using the National Survey of Black Americans, 4th wave, factors were examined using logistic regression analysis to test the likelihood of accessing the sick role. In addition to the sick role, regression analysis was used to determine the sick role's effect on the decision to seek outside care. Controlling for education, perceived racism, religiosity and employment problems, the findings suggest that life control and socioeconomic status factors influence …

Training Program To Improve Estimation Of Patients' Periodontal Pain Experience, Yoon Jeong Kim

Loma Linda University Electronic Theses, Dissertations & Projects

Background: The purpose of this study was to determine if periodontal residents could enhance their ability to appraise the pain levels experienced by their patients from probing, using Visual Analog Scale (VAS) to record pain. We hypothesized that with increasing experience by repeated comparisons of the patients' VAS pain ratings with independent ratings by the residents, they would improve their ability to appraise their patients' pain experiences.

Methods: For each of three periodontal residents, 40 consecutive periodontitis patients were asked to express the degree of pain they experienced during the probing. Independently, the residents rated the pain level they perceived …

The Healing Potential Of Art: A Psychobiographical Study Of Three Artists, Amy Reahard

EVMS School of Health Professions Theses & Dissertations

The statement that art in itself is healing may not always be true as demonstrated by the destructive, often short lives of many artists. This may appear to contradict the fundamental belief, held by many art therapists, that art is healing. Studying the fields of creativity and art history could help understand this apparent contradiction.

One way to combine the studies of creativity, the healing power of art, and art history is through the practice of psychobiography. The psychobiographer who studies the life of a prominent artist combines various psychological approaches with the literary records, art history, and visual evidence …

Self-Appraisal Decisions Evoke Dissociated Dorsal-Ventral Ampfc Networks, Taylor W. Schmitz, Sterling C. Johnson

Brain and Mind Institute Researchers' Publications

The anterior medial prefrontal cortex (aMPFC) is consistently active during personally salient decisions, yet the differential contributory processes of this region along the dorsal-ventral axis are less understood. Using a self-appraisal decision-making task and functional magnetic resonance imaging, we demonstrated task-dependent connectivity of ventral aMPFC with amygdala, insula, and nucleus accumbens, and dorsal aMPFC connectivity with dorsolateral PFC and bilateral hippocampus. These aMPFC networks appear to subserve distinct contributory processes inherent to self-appraisal decisions, specifically a dorsally mediated cognitive and a ventrally mediated affective/self-relevance network. © 2005 Elsevier Inc. All rights reserved.

Low Doses Of Memantine Disrupt Memory In Adult Rats, Catherine Creeley, David Wozniak, Joanne Labruyere, George Taylor, John Olney

Psychology Faculty Works

Memantine, a drug recently approved for treatment of Alzheimer’s disease, has been characterized as a unique NMDA antagonist that confers protection against excitotoxic neurodegeneration without the serious side effects that other NMDA antagonists are known to cause. In the present study, we determined what dose of memantine is required to protect the adult rat brain against an NMDA receptor-mediated excitotoxic process and then tested that dose and a range of lower doses to determine whether the drug in this dose range is associated with significant side effects. Consistent with previous research, we found that memantine confers a neuroprotective effect beginning …

Perceived Smoking Environment And Smoking Initiation Among Multi-Ethnic Urban Girls, Tracy R. Nichols, Amanda Birnbaum, Sara Birnel, Gilbert J. Botvin

Department of Public Health Scholarship and Creative Works

Purpose

To examine associations between the perceived smoking environment and smoking initiation among urban multi-ethnic adolescent girls in New York City.

Methods

Self-report surveys completed in grades 7, 8, and 9 assessed girls’ (n = 858) smoking initiation, and perceived smoking environment (family smoking, friends’ smoking, smoking norms, and cigarette availability). Carbon monoxide breath samples were collected from girls using a variation of the bogus pipeline procedure.

Results

Differences were found in smoking prevalence with white girls reporting the highest prevalence of smoking at baseline and the greatest increase in smoking prevalence from seventh to eighth grade. Black girls reported …

Visual-Spatial & Visual-Motor Function In Pediatric Heart Transplant Recipients, Stephanine Dianne Griffone

Loma Linda University Electronic Theses, Dissertations & Projects

Heart surgery is commonly used to repair congenital heart defects and to perform heart transplantation. The associated hypoxia before or during the surgery may cause damage in the parasaggital area of the cerebral cortex, with resulting difficulty during tasks requiring visual-spatial and visual-motor skills. This study compares the performance of children who received a heart transplant during infancy to that of nonclinical children with no medical complications on three visual-motor measures, three visual-spatial measures, and two computerized visual-spatial tasks - a Block Design Matching task and a Mental Rotation task. The children who received a heart transplant achieved significantly lower …

Pnes: Neuropsychological Impairments & Psychological Symptomatology, Adriana Macias

Loma Linda University Electronic Theses, Dissertations & Projects

The present study utilized a standardized neuropsychological evaluation and self report measures to compare 52 female patients, 18 years of age and older with a video-electroencephalogram (V-EEG) confirmed diagnosis of psychogenic non-epileptic seizures (PNES) (n₁=29) to a group of left temporal lobe epilepsy (L-TLE) demographically matched patients (n₂=23). In an attempt to overcome methodological confounds of previously reported studies, participants were chosen based on stringent exclusion criteria, which barred mixed etiologies. The purpose of this study was to investigate possible differences in neuropsychological functioning, mood, and personality characteristics between individuals with PNES and those with L-TLE. …

Task-Dependent Posterior Cingulate Activation In Mild Cognitive Impairment, Michele L. Ries, Taylor W. Schmitz, Tisha N. Kawahara, Britta M. Torgerson, Mehul A. Trivedi, Sterling C. Johnson

Brain and Mind Institute Researchers' Publications

Neuroimaging research has demonstrated that the posterior cingulate cortex (PCC) is functionally compromised in individuals diagnosed with amnestic mild cognitive impairment (MCI), a major risk factor for the development of Alzheimer's disease (AD). In functional MRI studies with healthy participants, this same region is active during self-appraisal (requiring retrieval of semantic knowledge about the self) as well as episodic recognition of previously learned information. Administering both types of tasks to people with MCI may reveal important information on the role of the PCC in recollection. This study investigated fMRI activation in the PCC in individuals with MCI and matched controls …

Reduced Hippocampal Activation During Episodic Encoding In Middle-Aged Individuals At Genetic Risk Of Alzheimer's Disease: A Cross-Sectional Study, Mehul A. Trivedi, Taylor W. Schmitz, Michele L. Ries, Britta M. Torgerson, Mark A. Sager, Bruce P. Hermann, Sanjay Asthana, Sterling C. Johnson

Brain and Mind Institute Researchers' Publications

Background: The presence of the apolipoprotein E (APOE) ε4 allele is a major risk factor for the development of Alzheimer's disease (AD), and has been associated with metabolic brain changes several years before the onset of typical AD symptoms. Functional MRI (fMRI) is a brain imaging technique that has been used to demonstrate hippocampal activation during measurement of episodic encoding, but the effect of the ε4 allelle on hippocampal activation has not been firmly established. Methods: The present study examined the effects of APOE genotype on brain activation patterns in the media[ temporal lobe (MTL) during an episodic encoding task …

Historical Perspectives On Attitudes Concerning Death And Dying, David San Filippo Ph.D.

Faculty Publications

Beliefs and practices concerning death have changed throughout human history. In pre-modern times, death at a young age was common due to living conditions and medical practices. As medical science has advanced and helped humans live longer, attitudes and responses to death also have changed. In modern Western societies, death is often ignored or feared. Changes in lifestyles and improved medical science have depersonalized death and made it an encroachment on life instead of part of life. This has left many people ill equipped to deal with death when it touches their lives.

Religious Interpretations Of Death, Afterlife & Ndes, David San Filippo Ph.D.

Faculty Publications

This E-book reviews religious beliefs concerning death, afterlife, and near-death experiences. The discussion will provide commentary regarding the similarities between different religious beliefs and experiences concerning death, as well as between religious interpretations of near-death experiences.

Perspectives On The Fears Of Death & Dying, David San Filippo Ph.D.

Faculty Publications

This E-Book will examine some perspectives on fear, the fears of death, and constructs used to overcome or deal with the fears of death. By examining the literature on fear in general, a framework can be developed to understand how individuals become fearful. In the section, “Fears of Death,” what people fear about death and why they fear it will be discussed.

Philosophical, Psychological & Spiritual Perspectives On Death & Dying, David San Filippo Ph.D.

Faculty Publications

This Ebook reviews the philosophical perspectives on death, the psychological perspectives on death and the fears of death and some religious perspectives of death. The philosophic section will review perspectives of death from ancient Greece through modernity. The psychological section will review death, and the fear of death, from the perspectives of psychoanalytic, humanistic, and existentialist theories. The religious section will provide a brief overview of Prehistoric, African, Buddhist, Hindu, Islamic, Jewish, and Christian religious beliefs concerning death and afterlife.