Medicine and Health Sciences Commons^™

A Meta-Analysis Of The Correlation Between Historical Trauma And Health Outcomes In The Native American Population, Taylen Day

Psychological Science Undergraduate Honors Theses

Native Americans experience significant health disparities such as increased rates of
cardiovascular disease, diabetes, and mental illness. Recent research has suggested that historical trauma may be a contributing factor. This meta-analysis examined the association between historical trauma and health outcomes in Native Americans in the United States and Canada. Data from 14 studies (N = 14,698, 35 effect sizes) examining the physical health, mental health, and substance use domains and using the Historical Loss Scale were collected for analysis. Possible moderating factors were also examined. Overall, a small, significant association (r =.124) was found between historical trauma and health outcomes. …

The Influences Of The Public Health Care System And Education System On The Economic Growth Of Swaziland, Grace Greer

International and Global Studies Undergraduate Honors Theses

The Kingdom of Eswatini, also known as Swaziland, has one of the youngest populations in the world with over 70% of citizens being under the age of 18 years old. This creates a substantial opportunity for economic, social, and educational growth in a country previously plagued with diseases such as HIV/AIDS, poor health care infrastructure cutting off thousands from basic care, and an educational system with a very low attendance rate and an even lower graduation rate. By evaluating the root causes of such issues dating back to the colonial era there is an opportunity to reprioritize health care and …

Disharmony Of The Soul: A Philosophical Analysis Of Psychological Trauma And Flourishing, Adam Blehm

Graduate Theses and Dissertations

In this dissertation I argue that psychological trauma hinders human flourishing by disrupting psychic harmony and hindering virtuous relationships. Given the negative symptomology of posttraumatic stress related disorders (i.e., PTSD) this conclusion may seem a bit obvious to some. However, making the case for trauma as a hindrance to human flourishing is more complicated than it may first appear.

First, in the extant literature, trauma as a concept tends to be unclear. In much of the empirical and philosophical literature, trauma can include a certain kind of event, experience, effect, or a combination of all three. Furthermore, because of practical …

Church, Country, Culture: How Three Aspects Of Authoritarianism Predict Support For Donald Trump, Trenton Leslie

Graduate Theses and Dissertations

In the American bipartisan system, ideologies and beliefs create political views that sort voters between two groups. Political sorting increases polarization based on cultural preferences for an in-group that become ethnocentric views, which develop into ethnocentric cultural politics. I present an augmented concept of authoritarianism in America that encompasses sorting based on aspects of political belief, encapsulating sources of polarization and cultural attachments to political associations.

I develop the argument that authoritarianism is the result of political attachment to identities that feed off one another as individuals identify with an in-group, such as a party platform. My central theory is …

The Need For Specialized Substance Abuse Treatment For Gay Men In The United States, Sarah Nance

Health, Human Performance and Recreation Undergraduate Honors Theses

Substance misuse and abuse is a global public health issue that affects sexual minority populations at a higher rate than the heterosexual population. Many popular gay socialization strategies include gay bars and chemsex, or sexualized drug use, in which substance use is common in both. The Minority Stress Model provides an explanation as to how stigma embedded in a society and within a person can act as a stressor and manifest into a substance abuse disorder. This stigma acts for many as a barrier to seeking healthcare out of fear of discrimination, causing many to hide their identity when seeking …

Hallucinogenic Neoshamanism As Antimodernism: Development And Ethical Considerations, Ethan Thompson

Graduate Theses and Dissertations

Humans have been using hallucinogenic plants and fungi for thousands of years. Historically, people around the world have made use of these substances to aid in their spiritual development. Studies of the usage of hallucinogens in indigenous societies often use the term “shamanism” to characterize the associated system of belief and ritual practices. In popular understanding, shamanism is a religious system that features highly ritualized performances in which a practitioner (shaman) utilizes an altered state of consciousness to gain access to realms inhabited by spirits with the intent of recruiting their help to resolve a problem, cure a patient, correct …

The Lived Experiences Of Transmasculine Speakers: A Phenomenological Investigation Of Vocal Quality And Function In Relation To Gender, Micah Wylie

Graduate Theses and Dissertations

The objective of this study was to learn how transmasculine individuals perceive the quality and function of their voices, and how those perceptions influence how they experience gender identity and communicate with others. This qualitative study adopted a hermeneutical phenomenological approach that involved using content analysis and thematic analysis to describe and interpret phenomena. This approach assumes that the researcher is not biased, but is a part of the world being studied and, therefore, understands the phenomenon by interpretive means. Saturation was achieved when all relevant information was introduced, and patterns of information had been identified. Sixteen interviews were conducted. …

The Effects Of Hormonal Contraceptive Use On Perceptions Of Social Stress In Women, Ashton Jones

Biological Sciences Undergraduate Honors Theses

Hormonal contraceptives are widely used due to their efficiency in preventing pregnancy. Although women are often informed of the physical effects of hormonal contraceptives, there is little emphasis on mental effects, such as increased rates of depression and changes in social perception. The current study examined perceptions of social stress among women before beginning hormonal contraceptives, and two months after using hormonal contraceptives. I hypothesized that women would experience increased social stress after beginning hormonal contraceptives, compared to a control group of women who were also assessed twice. Results did not support this hypothesis; there was no difference in interpersonal …

The Ethics Of Masking During A Pandemic, Mason Bennett

Philosophy Undergraduate Honors Theses

The COVID-19 pandemic has been disastrous, approaching a million deaths in the United States alone, and has demonstrated the world’s lack of preparation for a severe airborne virus. Countermeasures to infection are important to implement in order to lessen loss of life, but also must be justified and shown to be ethical. A countermeasure which is especially viable is wearing masks because of their high efficacy in preventing disease transmission compared to their relatively low restriction of liberty; studies have shown that mask wearing effectively impairs the spread of airborne pathogens and creates little physical or social harm. I argue …

Exploring Higher Weight Women's Experiences Of Provider Weight Stigma, Meredith W. Moore

Graduate Theses and Dissertations

The purpose of this phenomenological study is to explore the phenomena of weight stigma as experienced by higher weight women in mental health treatment who also engage in restrictive eating behaviors. Women in larger bodies who are emotionally or behaviorally restrictive in their eating behaviors face a unique set of challenges and barriers. These include challenges due the disordered eating behaviors themselves, along with barriers related to weight stigma perpetuated by the mental health providers treating them (Harrop, 2019). Distinct hurdles to proper treatment including delay of diagnosis, longer duration of symptoms, and increased distress related to eating and body …

Covid-19 Masks In Terms Of Functional, Expressive, And Aesthetic Consumer Needs, Lily Highley

Apparel Merchandising and Product Development Undergraduate Honors Theses

The purpose of this study was to assess consumers' perspectives of COVID-19 masks under the functional, expressive, and aesthetic areas. Due to the COVID-19 pandemic, masks have become an “accessory” to everyday life, and it was essential to research masks under these unique areas and explore consumer perceptions.

This study took place after background research on the topic and the FEA model. The study included a survey sent to Bumpers College students upon approval from the IRB. The data was analyzed and interpreted specifically in the FEA areas and can be useful to better understand the students at the University …

Campus Mental Health Service Use Among Female Survivors Of Sexual Violence: An Interpretative Phenomenological Analysis, Hannah Coffman

Graduate Theses and Dissertations

Description: Despite the increase in resources to address the alarming rates of collegiate sexual violence (SV), survivors consistently do not disclose or seek mental health treatment from campus supports (Halstead et al., 2017). The purpose of this study was to understand the lived experiences of women who survived SV during college.

Method: Seven women who experienced SV during college completed a series of two semi-structured interviews using a HIPAA-compliant, web-conferencing software (Seidman, 2013). The interviews were transcribed verbatim and analyzed using an interpretative phenomenological analysis (IPA) framework (IPA; Smith, 2004; Smith et al., 2009). A six-step data analysis procedure identified …

How Music Shapes Our Identities And Why It Matters: Case Studies Of Professional Musicians, Annabelle C. Linker

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Brain research has demonstrated that music uniquely contributes to neural functioning, but little is known about how losing the ability to produce music, which may be inherent to personal identity for professional singers, impacts quality of life. This study explored identity and music in the lives of five well-known vocal music professionals selected because they have publicly talked about the role of music in their lives via books, televised interviews, and documentaries. The careers of three of the individuals were disrupted by neurogenic disease; one lost the ability to sing after treatment for vocal nodules; and the fifth individual remains …

Media’S Portrayal Of Women And Its Impact On Body Image And Self-Esteem, Hannah Bareis

Marketing Undergraduate Honors Theses

This project addresses the portrayal of women in media and its damaging effects on body image and self-esteem. It raises two critical questions: What negative impact is media creating on women? What can be done to combat these destructive effects?

According to a study done by Common Sense Media, "American teens use an average of 9 hours of media daily, not including for school and homework" (Common Sense Media, 2015). This data, along with many others, shows the severity of media exposure to teens. This has brought a valuable discussion to the table. How has this impacted female body image, …

Associations Of Sex, Gender, And Gender Role Beliefs With Mental Health Attitudes, Ariel Erazo

Graduate Theses and Dissertations

Mental health stigma is a strong deterrent for individual with mental illness utilizing mental healthcare. Individuals living with a mental illness experience shame and marginalization due to stigma. Stigma is perpetuated through stereotypes created and used by people in the majority. Studies have been done to assess individual’s attitudes toward mental healthcare seeking in regards to gender, age, race, and profession. This study aimed to look at traditional gender role beliefs, sex, and gender expression as predictors of individual’s mental health attitudes and individual’s views of mental health norms. Using a cross-sectional survey, 392 participants completed scales that included the …

Perceptions Of Help-Seeking Likelihood For Depression: Examining The Relative Predictive Value Of Ethnicity And Barriers To Care, Linda Esperanza Guzman

Graduate Theses and Dissertations

Latinx and non-Latinx White adults 18 years of age and older experience depression at proportional rates. However, Latinxs seek specialized care for depression at lower rates than non-Latinx Whites, suggesting these groups experience barriers in accessing care differently. This study sought to test the theoretical steps of help-seeking as informed by the Gaining Access and Treatment Equity model (GATE model; Bridges, 2018). According to the GATE model, successful help-seeking means navigating a series of barriers: sequentially, these are perceived need, attitudinal barriers, and structural barriers. Participants (N = 987) were either Latinx (n = 437) or non-Latinx White (n = …

Barriers Of African American Football Student-Athletes In Seeking Mental Health Services, Todd Andrew Wilkerson

Graduate Theses and Dissertations

Nearly half (48%) of collegiate football student-athletes are African American (NCAA, 2018). African American student-athletes face adversity at their respective institutions in the forms of racism and unfair treatment (Hill, Hall & Appleton, 2010). African American male student-athletes face educational stressors, campus stressors and athletic stressors. These stressors consist of academics, family, athletics and social relationships (Miller & Hoffman, 2009). Many African American student-athletes do not seek mental health treatment due to their status on campus (Watson, 2006). However, few studies have examined mental health and barriers for African American male student-athletes when seeking mental health services. As such, the …

Implicit Bias And The Boundaries Of Belief: A Single-Representational Dual-Attitude Account Of Implicit Attitudes, Austin Dakota Synoground

Graduate Theses and Dissertations

Since their inception, implicit attitudes have been defined as associative mental states, separate from beliefs, which are considered to be propositional in nature. Recently, several philosophers have challenged this distinction, arguing that implicit attitudes are actually unconscious beliefs. In turn, I argue that the attitudes detected by current experimental paradigms are blind to distinctions between implicit attitudes, which I define as the products of an associative learning mechanism, and unconscious beliefs, which are the products of a propositional learning mechanism. Specifically, I argue for a single-representational dual-attitude account of implicit bias.

A Bilingual Approach To Pediatric Occupational Therapy: The Importance Of Communication Between Providers & Spanish-Speaking Families In Northwest Arkansas, Emily Ann Davidson

World Languages, Literatures and Cultures Undergraduate Honors Theses

Due to the demographic demands of Northwest Arkansas and the prevalence of disparities in health care, this study aims to assess the current practices, perceived need, and willingness to provide bilingual Spanish-English outpatient pediatric occupational therapy options in Northwest Arkansas. The hope of this study is to better inform pediatric occupational therapy providers of the growing need for bilingual services so that they may respond appropriately in order to better serve Latino and Spanish-speaking patients and their families or caregivers.

Effect Of Consistent Singing On Maintenance Of Speech Intelligibility Following Lsvt®: A Retrospective Longitudinal Case Study, Rachel Ricca Beck

Graduate Theses and Dissertations

Parkinson’s Disease is a common neurodegenerative disease affecting one’s ability to hone and refine volitional movement. Many with Parkinson’s report significant effects on voice and communication. Speech-language pathologists have long targeted the achievement of increased vocal volume through intensive voice therapy, with the most common program being Lee Silverman Voice Treatment® (LSVT®) (Ramig et al., 1994). While LSVT® is the most prominent type of voice therapy for individuals with Parkinson’s, other researchers have begun investigating therapeutic singing because of the similar functions it employs (e.g., increased breath support, utilization of entire vocal range).

The current project is a retrospective, longitudinal …

The Influence Of Interpersonal Dyadic Differences On Condom Use Among Men Who Have Sex With Men, Andrew M. O'Neil

Health, Human Performance and Recreation Undergraduate Honors Theses

Background: Men who have sex with men (MSM) continue to be disproportionately affected by HIV/AIDS and other STIs. Condom use is one of the most effective methods of prevention, but rates of condom use have been steadily declining among MSM. Therefore, determining what factors influence condom use decision-making among MSM is important. Interpersonal factors such as physical attractiveness, race, and age have been explored in relation to condom use. However, there is a dearth of research exploring the influence of discrepancies between casual partners in these social categories and its influence on condom use directly.

Purpose: The purpose of this …

Shifting Abortion Attitudes Using An Empathy-Based Media Intervention: A Randomized Controlled Study, Mary Ellen Hunt

Graduate Theses and Dissertations

U.S. abortion restrictions diminish access and perpetuate a culture of hostility toward abortion seekers. Support for restrictions is high—potentially, because restriction knowledge is low and attitudes are complex. The current study focused on knowledge and support of restrictions and empathy for abortions seekers among Arkansans. The purpose was to evaluate the effectiveness of a video intervention intended to increase awareness of Arkansas abortion restrictions and induce empathy for abortion seekers.

Using a randomized controlled trial with pre-, post-, and follow-up design, a sample of Arkansans (N = 369) were randomly assigned to one of five video conditions--either a control or …

Effects Of An Educational Intervention On Exclusive Breastfeeding Rates In Marshallese Mothers Residing In The U.S., Connor K. Otto

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background: The largest population of Marshallese immigrants in the Contiguous U.S. resides in Northwest Arkansas. Despite adequate access to healthcare, the Marshallese face many health disparities, perhaps partly due to the language barrier they face in healthcare settings and education. Regarding breastfeeding rates, women in the Marshall Islands have a significantly higher rate of exclusive breastfeeding than in Marshallese women residing in the U.S. who face cultural barriers. Breastfeeding is positively correlated to many benefits for infants and is recommended exclusively for at least 6 months by pediatric policy organizations.

Objective: The purpose of this research is to examine breastfeeding …

Changes In Cultural Competency Of Nurses Caring For Marshallese Islanders Following An Educational Intervention, Abigail Childers

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Background: Marshall Islanders are one of the fastest growing migrant populations in the US and Northwest Arkansas. Health disparities and maintenance of strong cultural values and norms may adversely affect the Marshallese participation in the health care system. Evidence shows that cultural competency training can improve the attitudes, knowledge, skills and behaviors of health professionals and has many positive impacts. The Clinical Cultural Competency Questionnaire (CCCQ) is a research-validated tool that can be used to measure perceived cultural competency through many subscale categories.

Objective: The purpose of this study is to implement a cultural awareness educational program and to …

Attention Deficit Hyperactivity Disorder Medication Abuse At The University Of Arkansas, Morgan Mutti

Supply Chain Management Undergraduate Honors Theses

When a student enters the University of Arkansas, ADHD medications are frequently introduced and classified by students as a common aid for studying. Because the University does not have a specific program to inform and warn students about the consequences of ADHD medication abuse, students who are new to the vigorous demands of college can easily start inadvertently taking the medication.

To further knowledge on ADHD medication abuse at the University of Arkansas and its effects, a student research study was conducted. This study includes the history of ADHD as well as brief inspections of current studies on Attention Deficit …

An Investigation Into The Relationship Between Spirituality And Coping Responses Among Women With A Visual Impairment, Sandra Marie Bullins

Graduate Theses and Dissertations

The purpose of this study was to examine coping responses, specifically by women, and the relationship between those coping responses and a woman’s self-reported spirituality. The sample was comprised of women (n = 175) from the United States and 10 foreign countries. The results of a correlational analysis showed a strong positive relationship (r= 0.46, p<0.0001) between scores on the Spirituality Assessment Scale (SAS) and the Brief Cope (BC). There were also statistically significant correlations among subscales of the SAS and BC subscales. A multivariate analysis of variance was performed to evaluate the impact that select demographic variables might have on spirituality and coping responses. The results of the MANOVA showed no effect and were not statistically significant at alpha 0.1.

A Mixed-Methods Study Of Sexual Assault In Lesbian, Gay, And Bisexual Adults In The U.S., Sasha Nichole Canan

Graduate Theses and Dissertations

Background. Previous research finds that (1) lesbian and bisexual (LB) women as well as gay and bisexual (GB) men have higher rates of rape victimization compared to their heterosexual (H) peers and (2) perceived familial support reduces the impact of some of rape’s negative health outcomes in heterosexual victims. However, specific contextual factors regarding rape and assessment of familial support for LGB victims are severely lacking. Also, measurements of sexual assault victimization have yet to be validated in this population.

Methodology. The current study used a mixed-methods design that included two phases of data collection. Phase 1 was a national …

Phoenix Ink: Psychodynamic Motivations For Tattoo Attainment By Survivors Of Trauma, December Renee Maxwell

Graduate Theses and Dissertations

Tattoos adorn people from all over the world and date back as far as the Stone Age. Tattoos adorn people from all over the world and motivations for tattoo attainment have been studied recently. Still, there remains limited research on the potential therapeutic properties of tattoo attainment, particularly for survivors of sexual trauma. The purpose of this study was to investigate the experience of the tattoo process for survivors of sexual trauma and their motivations for tattoo attainment. This qualitative exploratory study interviewed both survivors of sexual trauma (N=10) and tattoo artists (N=7) to gain a wider perspective on the …

Musical Ear Syndrome: What Do We Know?, Cara D. Pestel

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study was to review the existing literature regarding Musical Ear Syndrome and other related auditory hallucinations. While the existence of auditory hallucinations is evident, their cause is unclear and widely understudied. There was a need for existing information to be compiled for use in the healthcare field. This review of existing literature will aid speech-language pathologists, audiologists, nurses, psychologists, and physicians in understanding this condition and what differentiates it from other various disorders. This will allow these professionals to better understand the experiences and needs of those with Musical Ear Syndrome.

Aging American Prisons: Length Of Stay, Dying Behind Bars, And Implications For Public Health, Stephanie G. Barger

Sociology and Criminology Undergraduate Honors Theses

One notable consequence of mass incarceration is the growing population of elderly prison inmates in the U.S. This growth raises questions concerning the causes and implications of such a change, as housing older prisoners places a financial strain on state and federal correctional systems. Because this added cost is largely a result of medical needs, the growing elderly inmate population has raised questions about the impact of incarceration on health. This study investigates the causes of this “graying” of American prisons and its potential effects on correctional and community health. Using National Corrections Reporting Program data from 1990 to 2009, …