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2015

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Full-Text Articles in Medicine and Health Sciences

Evaluation Of A Modified Food Frequency Questionnaire To Measure Lignans In Australian Men And Women, Ying Qi Winnie Li Jan 2015

Evaluation Of A Modified Food Frequency Questionnaire To Measure Lignans In Australian Men And Women, Ying Qi Winnie Li

Theses: Doctorates and Masters

Phytoestrogens are plant compounds that possess estrogenic and biological properties that have been postulated to protect against chronic diseases. Isoflavonoids and lignans are two main classes of phytoestrogen that have been investigated for their estrogenic efficacy and occurrence in the human diet. Isoflavonoids are found in soy and related products, whereas lignans are found in a wider range of plant-based foods, such as cereals, vegetables, fruits, legumes, nuts and seeds; and in beverages such as tea, coffee and wine. In Western populations with low dietary intake of soy products, compared to the Asian counterparts, lignans could be a more important …


What Significance Does Physical Activity And Sedentary Behaviour Have For Members Of Online Health Promoting Communities? Learning From Austraiia’S Heartnet Community, Gloria Askander Jan 2015

What Significance Does Physical Activity And Sedentary Behaviour Have For Members Of Online Health Promoting Communities? Learning From Austraiia’S Heartnet Community, Gloria Askander

Theses: Doctorates and Masters

My study used the HeartNET (HN) community to investigate the significance of physical activity and sedentary behaviour for members of online health-promoting communities by using online surveys and netnography. It found concerns about heart health and general health can be both a barrier and an enabler to increasing physical activity or reducing sedentary behaviour.

Gentle efforts to address sedentary behaviour could build confidence to increase physical activity. By offering role models and encouraging friendly rivalry, peer support via an online community (or other type of social networking sites) can increase physical activity and reduce sedentary behaviour. Fun, laughter and peer …


The Regulation Of Human Iron Metabolism In Hypoxia, Andrew Govus Jan 2015

The Regulation Of Human Iron Metabolism In Hypoxia, Andrew Govus

Theses: Doctorates and Masters

Athletes commonly use altitude exposure in an attempt to improve their aerobic performance at sea level. Altitude exposure enhances erythropoiesis and iron-dependent oxidative and glycolytic enzyme production, for this reason, athletes must maintain a healthy iron balance at altitude. A negative iron balance at altitude may limit such physiological adaptations, potentially reducing the performance benefits of altitude exposure.

This thesis examined the regulation of iron metabolism during acute (~31 min, Study One) and prolonged altitude exposure (14 days, Study Two). Finally, Study Three examined how daily oral iron supplementation influenced haemoglobin mass (Hbmass) and iron parameter responses to prolonged, moderate …


Living After Confronting Death; Story Telling During The Recovery Trajectory Of Intensive Care Unit Survivors: An Interpretive Biographical Approach, Beverley Anne Ewens Jan 2015

Living After Confronting Death; Story Telling During The Recovery Trajectory Of Intensive Care Unit Survivors: An Interpretive Biographical Approach, Beverley Anne Ewens

Theses: Doctorates and Masters

Aim: To create new meaning of the experiences of intensive care survivors during early recovery and the meaning of “self” during this time. To add to the understanding of how support should be focussed for survivors during recovery.

Background: Survival from a critical event/illness and intensive care unit experience is increasing, as is associated physical and psychological complications. Complications are due to the severity of illness, the intensive care experience itself and the nature of the treatments which promote survival. If complications remain untreated increased health care service uptake and reduced quality of life can ensue. Despite the …


Perceived Harms And Benefits Of Parental Cannabis Use, And Parents’ Reports Regarding Harm-Reduction Strategies, Kathleen J. Donoghue Jan 2015

Perceived Harms And Benefits Of Parental Cannabis Use, And Parents’ Reports Regarding Harm-Reduction Strategies, Kathleen J. Donoghue

Theses: Doctorates and Masters

This research focussed on families in which at least one parent was a long-term cannabis user; I explored family members’ perceptions of the benefits and harms of cannabis use and the strategies parents used to minimise cannabis-related harm to themselves and their children. In depth, semi-structured interviews were undertaken with 43 individuals from 13 families, producing a series of family case studies that enabled examination of multiple perspectives within each family. In Study 1, I used an interpretive framework guided by Miles and Huberman’s (1994) thematic content analysis technique to analyse interview data, while study 2 yielded detailed descriptive vignettes …


Training Load Quantification In Professional Australian Basketball And The Use Of The Reactive Strength Index As A Monitoring Tool, William Markwick Jan 2015

Training Load Quantification In Professional Australian Basketball And The Use Of The Reactive Strength Index As A Monitoring Tool, William Markwick

Theses: Doctorates and Masters

Study 1: The intraday reliability of the reactive strength index (RSI) calculated from a drop jump in professional men’s basketball.

Purpose: To evaluate the reliability of the reactive strength index (RSI) and jump height (JH) performance from multiple drop heights with elite basketball players. Methods: Thirteen professional basketball players (mean ±SD: age 25.8 ± 3.5 y, height 1.96 ± 0.07 m, mass 94.8 ± 8.2 kg) completed 3 maximal drop jump attempts on to a jump mat at 4 randomly assigned box heights and 3 counter movement jump (CMJ) trials. Results: No statistical difference was observed between …


Landing Performance And Lower Extremity Injuries In Competitive Surfing, Lina Elizabeth Lundgren Jan 2015

Landing Performance And Lower Extremity Injuries In Competitive Surfing, Lina Elizabeth Lundgren

Theses: Doctorates and Masters

Competitive surfing involves highXrisk manoeuvres that may impose injury risk, especially in the lower extremity. Although the dynamic environment of surfing is a major factor of unpredictable determinants for injury risk, there may be athlete qualities with importance for prevention. Previous studies suggest that dynamic loading and landing tasks represent major risk factors, and should therefore be included in athlete assessments and risk analysis.

The purpose of this thesis was to investigate landing tasks that may be related to surfing performance and injury risk. It involved studying manoeuvres and landing tasks to establish its relevance for surfing athletes, develop multifactorial …


The Development Of An Objective Multi-Dimensional Approach To Talent Identification In Junior Australian Football, Carl T C Woods Jan 2015

The Development Of An Objective Multi-Dimensional Approach To Talent Identification In Junior Australian Football, Carl T C Woods

Theses: Doctorates and Masters

Talent identification (TID) is a pertinent component of the sports science discipline given the considerable influence it may have within the pursuit of excellence. Thus, research has attempted to identify the determinants of a talented performance through the use of objective testing procedures. However, many of these ‘traditional’ approaches have been operationalised by mono-dimensional objective physical performance tests that do not inherently account for the multi-dimensional requisites of game-play, particularly within a team sporting context. This is problematic when attempting to identify talent, as a successful performance in team sports is often the combination of physical, technical and tactical elements. …


Development And Characterization Of A Live-Attenuated Vaccine To Combat Equine Herpesvirus Type-1 Infections, Shiliang Anthony Liu Jan 2015

Development And Characterization Of A Live-Attenuated Vaccine To Combat Equine Herpesvirus Type-1 Infections, Shiliang Anthony Liu

LSU Doctoral Dissertations

Equine Herpesvirus 1 (EHV-1) is an important ubiquitous enzootic equine pathogen and one of the most common pathogens of the horse, causing, respiratory disease, epidemic abortion, occasionally neurological disease in horses, which leads to significant economic losses to the horse industry. EHV-1 induces several clinical signs of disease ranging in severity, from mild respiratory disease to abortion in pregnant mares, neonatal foal death and neuropathogenic disorders. Natural EHV-1 infection stimulated short lived protective immunity and had both humoral and cellular immune responses. Currently vaccination remains the best option to prevent EHV-1 infection and different applications of vaccination have been investigated …


Reliability Of Subjective Endoscopic Parameters In The Differentiation Of Essential Voice Tremor And Adductor Spasmodic Dysphonia Using High-Speed Videoendoscopy, Lindsey A. Parker Jan 2015

Reliability Of Subjective Endoscopic Parameters In The Differentiation Of Essential Voice Tremor And Adductor Spasmodic Dysphonia Using High-Speed Videoendoscopy, Lindsey A. Parker

LSU Master's Theses

Certain neurogenic voice disorders present with similar or overlapping audio perceptual voice characteristics. Developing reliable and standardized perceptual measures of vocal fold vibratory characteristics for such voice disorders can enable accurate diagnosis and lead to faster, targeted treatment. In this study, subjective perceptual vocal fold vibratory characteristics and the presence and absence of supraglottic events during phonation were investigated to differentiate between Adductor Spasmodic Dysphonia (ADSD) and Essential Vocal Fold Tremor (EVT) using high-speed videoendoscopy (HSV). The specific aims of the study were to 1) assess which subjective endoscopic vocal fold vibratory measures differentiate EVT from AdSD; and 2) assess …


Evaluation Of Teacher Ratings To Improve Child Language Screenings In Speech-Language Pathology, Kyomi Dana Gregory Jan 2015

Evaluation Of Teacher Ratings To Improve Child Language Screenings In Speech-Language Pathology, Kyomi Dana Gregory

LSU Doctoral Dissertations

The purpose of this study was to examine the validity of teacher ratings for screening children’s language skills. Teacher ratings were measured through the use of two tools, the Children’s Communication Checklist-2 (CCC-2; Bishop, 2006) and the Teacher Rating of Oral Language and Literacy (TROLL; Dickinson, McCabe, & Sprague, 2001). The data for this study were from 77 kindergarteners who lived in rural Louisiana and spoke a non-mainstream dialect of English; 51 were classified as typically developing and 26 as presenting with Specific Language Impairment. Convergent validity was examined by comparing the two teacher rating tools to each other and …


Caregiver Perceptions Of Speech-Language Pathologist (Slp) Communication: Examining How Slps Talk With Caregivers About Child Language Disorders, Karmen L. Porter Jan 2015

Caregiver Perceptions Of Speech-Language Pathologist (Slp) Communication: Examining How Slps Talk With Caregivers About Child Language Disorders, Karmen L. Porter

LSU Doctoral Dissertations

The purpose of this study was to identify how SLP communication regarding language disorders was perceived by caregivers. Employing a qualitative methodology, the caregivers of 10 children, identified with a language-based reading impairment, participated in semi-structured interviews concerning their experiences communicating with SLPs. As a whole, the findings showed the value caregivers place on receiving clear, concrete, and timely diagnostic information, the variability and complexity associated with caregivers’ understanding of language disorders, and the reciprocal relationship between key SLP communication practices, caregiver knowledge, and effective collaboration. Some of the key themes emphasized in regard to SLP communication practices included: recognition …


Transient Trunk Flexion: The Potential To Alleviate Low Back Pain During Prolonged Standing, Danielle M. Stewart Jan 2015

Transient Trunk Flexion: The Potential To Alleviate Low Back Pain During Prolonged Standing, Danielle M. Stewart

Theses and Dissertations (Comprehensive)

The current study examined potential benefits of intermittent, short-term periods of full trunk flexion on the development of low back pain (LBP) over two hours of standing. Sixteen participants completed a 2-hour standing protocol, on two separate days. On one day, participants stood statically for 2 hours; on the other day participants bent forward to full spine flexion for 5 seconds every 15-minutes. During both protocols, participants reported LBP using a 100mm visual analogue scale every 15-minutes. During the flexion trials, erector spinae muscle activation was monitored. Ultimately, intermittent trunk flexion reduced LBP by 36% (10mm) at the end of …


The Felt Sense Of Interconnectedness: A Qualitative Analysis Of Perceptions On Finding Resilience In The Aftermath Of Trauma Using The Mind-Body Connections Of Yoga, Ashley Collette Jan 2015

The Felt Sense Of Interconnectedness: A Qualitative Analysis Of Perceptions On Finding Resilience In The Aftermath Of Trauma Using The Mind-Body Connections Of Yoga, Ashley Collette

Theses and Dissertations (Comprehensive)

Members and veterans of the military are at an increased risk of exposure to traumatic experiences due to the very nature of their occupation. The most recent statistics on Canada’s deployment to Afghanistan show that 13.2% of the (Canadian Armed Forces (CAF) members deployed have been diagnosed with a mental injury within a five year follow up period of redeployment from the theatre of operations. The present preliminary study was designed to examine Yoga as a therapeutic intervention for trauma in a population of CAF members and veterans. The author interviewed 4 service providers and 2 service users of Yoga-based …


Investigation Of Low Back And Shoulder Demand During Cardiopulmonary Resuscitation: The Effect Of Different Compression-Ventilation Ratios, Richard Scott Dainty Jan 2015

Investigation Of Low Back And Shoulder Demand During Cardiopulmonary Resuscitation: The Effect Of Different Compression-Ventilation Ratios, Richard Scott Dainty

Theses and Dissertations (Comprehensive)

Background: The current American Heart Association (AHA) standard cardiopulmonary resuscitation (CPR) is performed with a compression-ventilation ratio of 30:2 (standard CPR), meaning 30 compressions are applied to the chest followed by the administration of two breaths to the victim. Some evidence has shown that performing continuous chest compressions rather than standard CPR with breaks in chest compressions for administering breaths, may increase survival rates after cardiac arrest. Cont-CPR has been shown to be very fatiguing in nature, with a significant drop in chest compression force within the first two minutes of CPR. The purpose of this study was to examine …


The Lived Experiences Of Sandwich Generation Women And Their Health Behaviours, Allison Steiner Jan 2015

The Lived Experiences Of Sandwich Generation Women And Their Health Behaviours, Allison Steiner

Theses and Dissertations (Comprehensive)

Sandwich generation caregivers simultaneously provide care to their aging parents/in-laws and at least one child under 18 years living in the home (Sinha, 2013). In 2012, 2.23 million Canadians were considered sandwiched caregivers. This group is expected to grow as individuals are delaying marriage, resulting in delayed childrearing (Robinson, Barbee, Martin, Singer, Yegidis, 2003). Further, the government has been advocating for caregiving to move from formal to informal caregiving. Although this would help the government immensely, this creates challenges for middle-aged adults occupying multiple roles. The purpose of this study was to explore the lived experiences of sandwich generation women …


Assessing Deaf Culture Awareness Of Physician Assistant Students In The Midwest, Sheryl E. Delude, Morgan, Kay Foizie Jan 2015

Assessing Deaf Culture Awareness Of Physician Assistant Students In The Midwest, Sheryl E. Delude, Morgan, Kay Foizie

All Electronic Theses and Dissertations

Currently, there has been insufficient research to support the need for implementation of deaf awareness training into physician assistant (PA) program curriculums. To address this gap in research, PA students in the Midwest United States were surveyed in order to assess student knowledge of Deaf culture and knowledge regarding appropriate management of patients who are deaf. Survey knowledge scores were compared to previously documented knowledge scores of medical students enrolled in the Medical Students, Cancer Control, and the Deaf Community Training (DCT) program at the University of California, San Diego (UCSD). PA student scores were also compared to scores of …


An Assessment Of The Health Needs Of The Transgender Community In Montana, Karishma Chainani Jan 2015

An Assessment Of The Health Needs Of The Transgender Community In Montana, Karishma Chainani

Graduate Student Theses, Dissertations, & Professional Papers

Transgender individuals face a unique set of challenges in their day to day lives. While issues regarding stigma and discrimination are well documented in the literature, most of the information about transgender people has been gathered in urban settings. The purpose of this study, therefore, was to explore factors that influence quality of life and risk of infection with Human Immunodeficiency Virus (HIV), Hepatitis C (HCV), Sexually Transmitted Diseases (STD’s) among transgender people living in Montana. A questionnaire was developed after a thorough review of the literature as well as a review of existing assessments. The questionnaire was reviewed by …


Maximal Femoral Artery Blood Flow During Cycle Ergometry, Tucker W. Squires Jan 2015

Maximal Femoral Artery Blood Flow During Cycle Ergometry, Tucker W. Squires

Graduate Student Theses, Dissertations, & Professional Papers

MAXIMAL FEMORAL ARTERY BLOOD FLOW DURING CYCLE ERGOMETRY

Chairperson: Matthew Bundle Ph.D.

The delivery of oxygen to working muscle in order to support aerobic respiration has long been recognized as one of the critical elements conferring endurance performance. Oxygen is transported from the environment to the active cells by the cardiovascular system, which is classically understood to deliver progressively greater amounts of gas to support increased levels of aerobic metabolism. However, the vast majority of existing studies have used modes of exercise that activate relatively small volumes of muscle and consequently have relatively small demands for oxygen delivery. We measured …


Behavioral Effects Of Fluoxetine On Aggression And Associative Learning In Betta Splendens, Benjamin Eisenreich Jan 2015

Behavioral Effects Of Fluoxetine On Aggression And Associative Learning In Betta Splendens, Benjamin Eisenreich

Graduate Student Theses, Dissertations, & Professional Papers

While the link between serotonin and the behaviors of aggression and learning has been elucidated, few studies have examined the impact serotonin has on learning for aggressive rewards. In particular, the SSRI fluoxetine has been demonstrated to reduce aggression as well the acquisition of instrumental responding for rewards indicating that this drugs behavioral effect may be related to motivational processes important for learning. To examine the relationship between fluoxetine and motivational process important for learning, two experiments were conducted using Betta splendens, a species well known for their robust aggressive response and drive to engage in aggressive behaviors, to examine …


Acl Injuries In Female Athletes: Are Prevention Programs The Answer?, Brooke Chandor Jan 2015

Acl Injuries In Female Athletes: Are Prevention Programs The Answer?, Brooke Chandor

Honors Theses

Around 400,000 people tear their anterior cruciate ligaments (ACLs) every year in the United States. The majority of these injuries occur during athletics, and most commonly to females. Their neuromuscular abilities, anatomies, and hormones put female athletes at a much higher risk of ACL injury than male athletes. The current gold standard of treatment, ACL reconstruction, is an imperfect technique at best. It leaves patients with much higher risk of both ACL reinjury and early onset of osteoarthritis. Prevention programs, aimed at reducing the neuromuscular risk factors in female athletes, have proved to effectively reduce the number of noncontact ACL …


The Role Of Cognitve Distortions In Adaptation To Disability And Perceived Quality Of Life In Spinal Cord Injury Survivors, Kerri M. Garruba Jan 2015

The Role Of Cognitve Distortions In Adaptation To Disability And Perceived Quality Of Life In Spinal Cord Injury Survivors, Kerri M. Garruba

PCOM Psychology Dissertations

Traumatic spinal cord injury (SCI) is a sudden, dramatic insult to the central nervous system that results in instant loss of sensory and/or motor function. In addition to physiological changes, survivors also endure both cognitive and emotional changes that increase susceptibility to depression, anxiety, and suicidality, all of which have been associated with cognitive distortions. This study sought to investigate the influence of cognitive distortions in relation to the ability to adapt to disability and establish a high quality of life among spinal cord injury survivors. Participants were 116 men and women living with spinal cord injury recruited via the …


The Lived Experience Of Transgender College-Aged Students Receiving Healthcare, Lisa Schaffer Jan 2015

The Lived Experience Of Transgender College-Aged Students Receiving Healthcare, Lisa Schaffer

Graduate College Dissertations and Theses

Background

There is a relative dearth of information regarding transgender patient perceptions of healthcare provider interactions and experiences. Previous studies have examined the experiences of transgender patients across multiple generations.

Purpose

This research focuses on understanding the lived experience of transgender college-aged students receiving healthcare. The goal of this research is to help inform the practices of healthcare providers in order to improve care experiences.

Methods

Hermeneutic phenomenology was utilized to illuminate the lived experiences of three college-aged transgender patients receiving healthcare. Interviews were conducted with research participants. After transcription, interview content was read and re-read for significant statements. Significant …


Transient Ischemic Attack (Tia) Guideline Knowledge And Perceived Barriers To Implementation Amongst Emergency Department Health Care Providers In A Rural State, Christopher T. Ingvoldstad Jan 2015

Transient Ischemic Attack (Tia) Guideline Knowledge And Perceived Barriers To Implementation Amongst Emergency Department Health Care Providers In A Rural State, Christopher T. Ingvoldstad

Graduate College Dissertations and Theses

Transient Ischemic Attack (TIA) is a prominent risk factor for subsequent stroke, and its associated morbidity, mortality, and health care costs. Studies have demonstrated up to 80% reductions in subsequent stroke rate with prompt, optimized protocols for rapid TIA evaluation and treatment. National Stroke Association (NSA) and American Heart Association (AHA) guidelines have recommended institution of protocols assuring timely completion of the recommended testing, and evaluation by a stroke expert within 48 hours. However, limited literature exists on the implementation of guideline-based care in rural regions, and the few studies related to TIA suggest that barriers including difficulty accessing services …


Do Air Pollutant Emissions Lead To An Increase In Total Personal Health Care Costs By State?, Dana Jespersen Jan 2015

Do Air Pollutant Emissions Lead To An Increase In Total Personal Health Care Costs By State?, Dana Jespersen

MPA/MPP/MPFM Capstone Projects

Total personal health care costs are increasing in the United States every year. Currently personal health care costs are predicted to increase at a national average rate of 6.5 percent. This is on track with the historical data. The increase has returned to the 6.0 percent mark after falling down to an increase of 3.7 percent in 2013. Recovering from the recession and the implementation of the Affordable Care Act has contributed to the steady increase back up to the average 6 percent increase per year. When looking at individual states, all averaged around the 6 to 8 percent increase …


Cyber-Victimization, Depression, And Social Anxiety Among College Students, Kenna L. Mager Jan 2015

Cyber-Victimization, Depression, And Social Anxiety Among College Students, Kenna L. Mager

Masters Theses

Cyber-victimization, a new form of bullying, emerged with the development and evolution of technology. Recent research shows discrepancies in cyber-victimization definitions and there are inconsistencies of methods used to measure cyber-victimization. This paper reviewed the literature on cyber-victimization and developed a new scale to measure cyber-victimization with the intention of making cyber-victimization research more consistent. The current study examined known correlates of cyber-victimization (e.g., depression and social anxiety) in a sample of college students using the newly developed measure. The current study also explored the moderating role of social support in the relationship between cyber-victimization and depression, as well as …


Moral Judgments Of Differing Transgressions & The Influence Of Willingness To Seek Counseling & Religiosity, Marni Naleway Jan 2015

Moral Judgments Of Differing Transgressions & The Influence Of Willingness To Seek Counseling & Religiosity, Marni Naleway

Masters Theses

The purpose of this study was to examine how moral judgments differ towards substance abusers and unfaithful spouses. Furthermore, the study compared judgments regarding the gender of the transgressor, the transgressor's willingness to go to counseling, and the participant's level of religiosity. Participants in the study were provided with a scenario describing a substance abuse transgression or an infidelity transgression followed by a survey of questions inquiring about their judgments towards the transgressor. Results indicated individuals judge a transgressor more harshly in an infidelity transgression compared to a substance abuse transgression. Results also indicated a gender bias between transgressions as …


Assessing The Impact Of Pre-Meal To-Go Containers On Consumption And Satiety, Claudia Bueno Jan 2015

Assessing The Impact Of Pre-Meal To-Go Containers On Consumption And Satiety, Claudia Bueno

Masters Theses

Lack of portion control is one of the main causes of obesity. Restaurants offer portions larger than recommended by the USDA. This can lead to portion distortion among consumers and increased consumption. The purpose of this study was to evaluate the effect of offering a to-go box before a meal on reducing consumption.

In this quasi-experimentally designed study, a convenience sample of diners (N=35) served as subjects. The experimental group (n=18) was offered a to-go box before the meal, and the control group (n=17) was offered a to-go box after the meal. The food was …


The Effects Of Cued Speech On Phonemic Awareness Skills, Jessica M. Phillips Jan 2015

The Effects Of Cued Speech On Phonemic Awareness Skills, Jessica M. Phillips

Masters Theses

Research suggests phonemic awareness is enhanced through multimodality training. Cued Speech is a multimodality system that combines hand signs with mouth movements to represent phonemes of the spoken language. This system has been utilized successfully in developing phonological awareness with children with hearing loss. However, no research is available on its effectiveness with children who are not deaf or hard-of-hearing. The efficacy of the use of Cued Speech for the enhancement of phonological skills in typically developing 1st grade students was evaluated in this study. Twenty-six 1st graders identified as low-achieving readers by their classroom teachers were administered the …


Facebook Addiction And Impulsive Decision-Making, Daniel Delaney Jan 2015

Facebook Addiction And Impulsive Decision-Making, Daniel Delaney

Masters Theses

This study examined the relationship between Facebook "addiction" and impulsive decision-making. Impulsive decision-making as measured by the delay discounting task is associated with a number of addictions and other problem behaviors. We gave 152 students a paper-based packet including the Bergen Facebook Addiction Scale to measure problematic Facebook use and a delay discounting task to assess impulsivity. 16 Facebook "addicted" participants were matched to 16 control participants on demographic data to compare differences in impulsivity. Likewise, we explored whether a correlational relationship between Facebook addiction scores and impulsivity existed. We found that Facebook "addicts" discounted delayed rewards more quickly than …