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Full-Text Articles in Medicine and Health Sciences

The Relationship Between Psychotherapist Personality And Therapeutic Alliance, Michael Finlay Sep 2018

The Relationship Between Psychotherapist Personality And Therapeutic Alliance, Michael Finlay

Loma Linda University Electronic Theses, Dissertations & Projects

Time-limited effective psychotherapy is a topic that is frequently addressed in clinical therapy research. Though a wide range of therapeutic factors, expectancy effects, techniques, and extratherapeutic have all been demonstrated to be related to outcome, researchers have consistently identified the therapeutic alliance as one of the strongest factors in predicting psychotherapy outcomes. Researchers are beginning to measure the effectiveness of therapy by evaluating improvements in outcome measures, and client reported therapeutic alliance. Researchers have recently began investigating the common personality profiles among psychotherapists, and have hypothesized that there is a relationship between psychotherapist personality and therapeutic alliance. The goal of …


Healthy Aging: Factors That Predict Preservation Of Cognitive Functioning In Older Adults, Imari-Ashley F. Palma Aug 2018

Healthy Aging: Factors That Predict Preservation Of Cognitive Functioning In Older Adults, Imari-Ashley F. Palma

Loma Linda University Electronic Theses, Dissertations & Projects

As the human race continues to defy chronological aging in due part to medical advancements, an overarching goal for the older adult population and researchers is to determine how to promote aging well. Cognitive functioning is a heavily researched area due to the exponentially increasing number of older adults experiencing cognitive decline. Preservation of cognitive functioning is one aspect of aging well. Three domains of cognition that have shown to be particularly sensitive to the effects of aging are memory, executive functioning, and processing speed. The aims of this current study are: (i) to provide supporting evidence for research that …


An Empirical Examination Of Doctoral Training Models In Clinical Psychology In The United States, Katherine E. Dautenhahn Aug 2018

An Empirical Examination Of Doctoral Training Models In Clinical Psychology In The United States, Katherine E. Dautenhahn

Loma Linda University Electronic Theses, Dissertations & Projects

Since as early as 1908, psychology as a discipline has grappled with how to integrate research and practice into the field’s professional identity. To further define the area of expertise of a psychologist, three main models of clinical training have been proposed: the scientist-practitioner model, the practitioner-scholar model, and the clinical scientist model. Despite clinical psychology’s universal claim for empirical moorings, the debate about the foundation of training in clinical psychology has remained primarily theoretical. The purpose of this study is to expand upon the limited research exploring the differences between training models to empirically determine which factors significantly predicted …


Effects Of Emotional Content On Working Memory Updating: Proactive Interference And Resolution, Maria Guadalupe Corona Jun 2018

Effects Of Emotional Content On Working Memory Updating: Proactive Interference And Resolution, Maria Guadalupe Corona

Loma Linda University Electronic Theses, Dissertations & Projects

The working memory (WM) system refers to the structures and processes supporting the encoding, maintenance, manipulation, and retrieval of information to be used for goal-directed behavior. Proactive interference (PI) is often experienced when information to be processed shares physical properties with information that is no longer relevant. The working memory system may then process such information less efficiently (i.e., slower processing time) and less accurately, and control processes involved in interference resolution become triggered in order to maintain performance. The current study investigated the effects of emotional content on interference resolution by using a working memory updating paradigm. Specifically, an …


Sociocultural Attitudes Towards Appearance Questionnaire-4-Revised In Asian Americans, Dean Lim Jun 2018

Sociocultural Attitudes Towards Appearance Questionnaire-4-Revised In Asian Americans, Dean Lim

Loma Linda University Electronic Theses, Dissertations & Projects

Prior research has indicated that the prevalence of eating disorders, which are recognized as one of most lethal psychological disorders with an approximately 20% mortality rate, are increasing among Asian Americans with rates comparable to those of the general population in the United States. However, research has also suggested that Asian Americans may not be fully reporting symptoms related to eating disorders because of sociocultural stigma and the desire to uphold cultural values, such as interdependence, harmony within the community, humility, and emotional restraint. The SATAQ-4R is a widely-used measure of sociocultural influences on body image and eating disturbance, which …


Neurocognitive And Psychosocial Effects Of Repeated Concussions In Children And Adolescents, Shina Halavi Jun 2018

Neurocognitive And Psychosocial Effects Of Repeated Concussions In Children And Adolescents, Shina Halavi

Loma Linda University Electronic Theses, Dissertations & Projects

In the United States, an estimated 1.7 million people sustain a traumatic brain injury (TBI) annually. About 75% of these TBIs are mild, which are referred to as “concussions.” This study assessed the neurocognitive and psychosocial effects of repeated concussions in children and adolescents and their interactions with age and gender. It also assessed the correlation between psychosocial functioning and neurocognitive functioning. Given the paucity of research on the effects of concussion in the developing brain, the current study characterized the neurocognitive and psychosocial effects of concussion in young populations. The overarching hypothesis stated that repeated concussions would induce more …


African Americans Navigating Through Relationships Towards Marriage: A Grounded Theory Study, Moosgar Yrveens Borieux Jun 2018

African Americans Navigating Through Relationships Towards Marriage: A Grounded Theory Study, Moosgar Yrveens Borieux

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to explore if and how early parent-participant relationships affect subsequent intimate relationships among African American couples. Given the clear gap between African Americans’ attitudes about marriage and the data that show them to be the least likely to be married among other racial or ethnic groups in the United States of America, a unique conceptualization [Life Course Developmental framework, Object Relations theory, Symbolic Interactionism perspective] was used to explore the role that early key figure-child social interactions potentially have in influencing young African Americans interactions with their significant others. To carry out the research …


Risk Markers Associated With Caregiver Elder Abuse: A Meta-Analytic Study, Annie Johansson Jun 2018

Risk Markers Associated With Caregiver Elder Abuse: A Meta-Analytic Study, Annie Johansson

Loma Linda University Electronic Theses, Dissertations & Projects

Elder abuse is a significant public health problem affecting approximately 10% of the US population, with international prevalence rates ranging from 3% to 30% (e.g. Burnes et al., 2015; Melchiorre, Penhale, & Lamura, 2014; Roepke-Buehler & Dong, 2015; Selwood, Cooper, & Livingston, 2007). A quantitative meta-analysis was performed to assess risk markers associated with caregivers who abuse the elderly. This dissertation will identify background information specific to this study, discuss specific objectives of the study, and explain the rationale for why this study is being done. Two theoretical frameworks will be discussed and linked with caregiver elder abuse: Bronfenbrenner’s ecological …


The Role Of Glucocorticoid Signaling In Prostate Cancer Health Disparities, Leanne W. Burnham Jun 2018

The Role Of Glucocorticoid Signaling In Prostate Cancer Health Disparities, Leanne W. Burnham

Loma Linda University Electronic Theses, Dissertations & Projects

African-American men are more likely to develop aggressive prostate cancer (PCa) and die from the disease than other ethnic groups. Glucocorticoid signaling is a contributing biological factor to worse PCa prognosis, and is emerging as a key driver of PCa progression in the absence of androgens. The mechanism involves glucocorticoids binding to glucocorticoid receptor (GR) and bypassing the androgen receptor (AR) signaling pathway to activate AR-target genes that promote tumor aggressiveness and therapy-resistance. This is problematic as African-American men have hypersensitive GR signaling and chronically-elevated levels of glucocorticoids linked to cumulative stressful life events. To explore the role of glucocorticoid …


Evaluating Cognitive Changes In Patients Receiving Outpatient Alcohol Treatment, Michelle Mcdonnell Mar 2018

Evaluating Cognitive Changes In Patients Receiving Outpatient Alcohol Treatment, Michelle Mcdonnell

Loma Linda University Electronic Theses, Dissertations & Projects

Chronic alcohol use has been linked to various physical health concerns, neurological changes, and cognitive deficits. Research has shown that some of these neurologic and cognitive deficits can improve over time following detoxification and abstinence; however, the exact nature or timeline of this recovery process has not been established. The aim of the current study is to identify cognitive deficits and changes present in the alcohol addiction treatment population, the influence of cognitive deficits on treatment completion, and the effect of previous engagement in treatment (which is indicative of previous relapse) on cognitive functioning at both treatment onset and treatment …


Consequences Of Attributions For Unfair Healthcare Treatment Among Culturally Diverse Patients, Nathalie Serna Mar 2018

Consequences Of Attributions For Unfair Healthcare Treatment Among Culturally Diverse Patients, Nathalie Serna

Loma Linda University Electronic Theses, Dissertations & Projects

Ethnic minority and lower SES populations report less positive healthcare encounters and worse health outcomes as compared to higher SES and mainstream populations. In Chile, the prevalence of type 2 diabetes (T2D) is one of the highest in South America and among the indigenous Mapuche population it has quadrupled over the last decade (Perez-Bravo et al., 2001). Research suggests that Mapuches have been historically discriminated in everyday life as well as in healthcare (Alarcon, et al., 2004). Based on Weiner’s attribution theory of motivation and emotion (1986, 1995, 2006) and guided by Betancourt’s integrative model of culture, psychological factors, and …