Medicine and Health Sciences Commons^™

Cognitive Processes And Race Differences: Possible Factors Contributing To Ptsd, Christina Fay

Student Dissertations & Theses

Past research suggest differences in racial group’s perceived experiences in traumatic situations and different ways of coping can affect individual levels of posttraumatic stress disorder (PTSD) symptoms. The author examined how race, methods of coping and risk/resilience factors interact with PTSD symptomology. A total of 28 Black, Hispanic and Non Hispanic Caucasian Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans were assessed for PTSD symptoms, methods of coping and risk/resilience factors related to deployment. Findings indicate no significant differences for minorities and non Hispanic Caucasians on level of PTSD symptoms. Findings indicate significant differences between minorities and non Hispanic Caucasians on …

Use Of Emoticons For Assessing Emotion And Mood States In Web-Based Interventions, Jennifer Chua So

Loma Linda University Electronic Theses, Dissertations & Projects

In the rapidly growing field of online psychotherapeutic interventions, an increasing number of clinicians are seeking to extend therapeutic interventions into cyberspace. However, because communication with clients in this medium is often devoid of auditory and visual feedback, these clinicians are not able to rely on their clinical observations. It then becomes incumbent to develop a psychometrically and theoretically sound means of assessing emotion and mood states that can be easily utilized in this forum. Utilizing cross-culturally and empirically supported models of emotion structure shown to be influential in the self-report data, the Positive Affect and Negative Affect factors, this …

Pharmaceutical Direct-To-Consumer Advertising And Print Media, Vanessa Khim

Graphic Communication

The purpose of this study was to determine which type of pharmaceutical direct-to-consumer (DTC) advertising would be the best marketing strategy for pharmaceutical companies to use. The main argument was that one-to-one marketing in the forms of print media and the Internet was the best strategy over mass media marketing in the forms of television and radio.

The study researched various literary sources on the different marketing strategies which facilitated in examining the positive and negative aspects of each. One hundred surveys were distributed to medical personnel and pharmaceutical prescription consumers in both the Bay Area and San Luis Obispo …

The Development Of An Advanced Filial Therapy Model, Amy Cathleen Wickstrom

Loma Linda University Electronic Theses, Dissertations & Projects

This study sought to develop an advanced filial therapy model by examining the experiences of seven parents who participated in a preliminary advanced filial therapy intervention. These parents had previously completed a 10-week basic filial therapy model called Child Parent Relationship Therapy. A phenomenological qualitative design was employed, wherein data was obtained from parent playtime notes, researcher field notes, group process transcriptions, and focus groups. Parent experiences of the intervention were examined from a systems-relational lens, and four categories emerged, which include relational epiphanies, enhanced understanding of the playtimes, model format, and skill development. Additionally, a variety of themes were …

Neurodevelopmental Outcome & Mr Spectroscopy Of Therapeutic Hypothermia After Pediatric Drowning, Sharon Mieras Perugini

Loma Linda University Electronic Theses, Dissertations & Projects

Despite advances in medical treatment and technology, outcome following pediatric drowning can vary widely from mild to severe impairments and death. Prognosis is often difficult to predict given a number of contributing factors. As such, this study examined the relationship between clinical indicators including submersion duration, initial GCS and PRISM scores, and waking time with outcome as well as metabolite ratios based on magnetic resonance spectroscopy. Research stemming from the area of cardiac arrest as well as anecdotal case study reports of cold water drownings suggests that lowering the body temperature may be helpful and protective. As such, the use …

Profiles Of Drug Endangered Children: Investigation In A Clinical Sample, Imanie Samanmali Wijayaratne

Loma Linda University Electronic Theses, Dissertations & Projects

Despite the increase in children born prenatally exposed to methamphetamine, little is known about the cognitive and neuropsychological outcomes of these children. Research specific to prenatal-methamphetamine exposure is extremely limited and has been primarily restricted to rat studies. This research combined with the few studies examining children prenatally exposed to methamphetamine suggests that methamphetamine-exposure is associated with various cognitive and neuropsychological delays and is impacted by both biological and environmental factors. Given the scarcity of research in this area, the current study used archival data from a psychological assessment clinic to (1) describe the frequency of prenatal methamphetamine-exposure cases, (2) …

The Effects Of The Introduction Of An Electronic Medical Record (Emr) On Self-Reported Treatment Effects In A Psychological Service In A Family Medicine Clinic, Michael D. Herman

Loma Linda University Electronic Theses, Dissertations & Projects

The healthcare system in the United States has traditionally focused on pathogenic disease prevention and treatment of acute illness, only addressing physical health (Grzywacz & Keyes, 2004). This approach is limited, as it does not often acknowledge the influence of mental health and health promotion on outcomes. Approximately, 25-75% of all presenting cases with uncertain etiology in medicine are psychosocial or behavioral in origin (Schulte et. al., 2004). Improvements can be made through integrated care; however, divergent viewpoints and often proximity across providers disrupts, psychologist-physician communication, collaboration, and subsequently care access (McDaniel, 1995). The current study examines the self reported …

Patient/Physician Communication In Type 2 Diabetes-Related Health Behavior Change, Barbara Marie Thomas

Loma Linda University Electronic Theses, Dissertations & Projects

Adult type 2 diabetes is an increasing problem in the United States and affected over 16 million Americans in 2004. Most patients are treated in primary care settings and managed medically, but controlling insulin resistance through activity and diet is considered the greatest challenge for the next 30 years (Katen, et al., 2007). Understanding how physicians and patients communicate about health behaviors is necessary for developing the most effective strategies for facilitating health behavior change in this population. In the current study, adults with type 2 diabetes (n= 87) from the Loma Linda University Diabetes Treatment Center (LLUDTC), …

Comparison Of Rationally-Derived And Empirically-Derived Methods For Predicting Failure In Residential Treatment, Jennifer Pester Grattan

Loma Linda University Electronic Theses, Dissertations & Projects

Patient-focused research methods have been used in adult mental health treatment to improve outcomes by tracking individual treatment response and comparing it with expected recovery patterns. One such approach has used rationally- and empirically-derived methods to analyze data from the OQ-45 and identify patients who are not responding as expected to treatment. Treatment is then adjusted, improving outcomes and lowering overall costs.

Similar but less extensive research has shown analogous methods can be used with children and adolescents. This would be particularly useful in residential treatment, which is an expensive and inadequately researched approach. This study used archival data gathered …

Study Of The Four Factor Theory Of Women’S Sexual Function, Julie M. Merrell

Loma Linda University Electronic Theses, Dissertations & Projects

Tiefer, Hall, and Tavris (2002) described factors comprising four categories of female sexual function. They suggested that unique factors need to be examined to understand sexual function in women. Socio-cultural, political, or economic factors, partner and relationship factors, psychological factors, and medical factors were described as aspects of women’s lives that can be the source of sexual dysfunction. In a previous study, Merrell (2007) utilized Tiefer et al’s (2002) four factor model of sexual functioning to examine female sexual functioning looking specifically at body shame, relationship satisfaction, positive and negative affect, sexual self-schema, and overall health. Based on the results …

Sport As A Vehicle For Socialization And Maintenance Of Cultural Identity: International Students Attending American Universities, James Taylor Allen

Dissertations

Sport can be utilized by immigrants as a vehicle for maintaining cultural identity. Conversely, sport participation provides immigrants with opportunities for adopting an entirely new culture. Previous research also suggests that sport provides individuals with opportunities for attaining social capital. While this can be a beneficial situation for some, sport is also promoting elitism and serving as a powerful mechanism for exclusion. Globalization has led large numbers of foreign nationals to seek educational opportunities in the United States. Due to the increase in the number of international students and the lack of empirical studies, the need to study their participation …

Posttraumatic Spiritual Growth: A Phenomenological Study Of Cancer Survivors, Ryan Myles Denney

Dissertations

A small but growing body of research has sought to investigate the specific role of religion and spirituality in posttraumatic growth. Recently investigations have begun to focus on spiritual growth following trauma, specifically that of cancer patients and survivors. The purpose of this qualitative study was to investigate how having cancer effects the spiritual growth of cancer survivors across a multidimensional conceptualization of spirituality (Hill 2005; Tsang & McCullough, 2003). The researcher investigated the lived experience of thirteen cancer survivors with posttraumatic spiritual growth using a phenomenological method of data analysis. Participants reported experiencing spiritual growth across the following domains …

Knowledge, Attitudes, And Job Satisfaction In Long-Term Care: A Comparison Between Licensed Nurses And Nursing Assistants, Lynne Almand

Student Dissertations & Theses

Knowledge, attitudes, and job satisfaction of long-term care workers were examined to determine if a relationship existed between these factors and if differences existed between licensed nurses and nursing assistants. Participants included 36 nurses and 60 assistants from five nursing homes in the Midland/Odessa area. Results indicated that nurses had significantly more positive attitudes toward (t(94) = -5.72, p<.05) and increased knowledge of older adults (t(94) = 2.71, p<.05) than assistants. In addition, more positive attitudes were significantly associated with more knowledge of the elderly (r(96) = -0.36, p<.05) as well as increased levels of job satisfaction (r(96) = -0.53, p<.05).

Stigma Cities: Dystopian Urban Identities In The United States West And South In The Twentieth Century, Jonathan Lavon Foster

UNLV Theses, Dissertations, Professional Papers, and Capstones

This dissertation examines how historical events and representation of those events relative to the wider historical context have allowed the media, opinion setters, and the ordinary public to use the names of San Francisco, California, Birmingham, Alabama and Las Vegas, Nevada as denigrating adjectives and the effect of this usage on those cities. Exploration of Birmingham’s image as a racist city, San Francisco’s as a gay Mecca, and Las Vegas, Nevada’s as an adult playground or sinful city serves this purpose. These case studies support a central argument that the nature of place-based stigmatization’s influence depends upon ever-shifting cultural values …

Examining The Relationships Between Parental Efficacy, Parenting Styles And Repetitive Behaviors In Children With Autism, James R. Carrillo

Student Dissertations & Theses

The purpose of this study was to examine the relationships between parental efficacy, parenting styles and stereotypical behaviors exhibited by children with autism. Fourteen mothers and their children with autism (ages 14-21) were recruited from local schools and the rehabilitation center. Surveys used in this study included the Repetitive Behavior Scale-Revised (RBS-R), Parents Sense of Competence (PSOC) and the Parents Locus of Control (PLOC) scale. Also incorporated was the Autism Diagnostic Observation Schedule (ADOS). Even though there was no correlation between the PLOC and stereotypical behaviors of the RBS-R, results revealed a significant relationship between the PSOC and the RBS-R. …

Attitudes And Beliefs That Predict Taiwanese Older Adults' Intentions To Attend Strength And Balance Training Programs, Shih-Fan Lin

Loma Linda University Electronic Theses, Dissertations & Projects

The rate of participation in the strength and balance training (SBT) program, an effective fall prevention intervention, is very low among older adults. To increase older adults' participations in SBT programs, this study involved an observational and cross-sectional study design to understand factors that affect Taiwanese older adults' intention to attend SBT programs utilizing the theory of planned behavior. Questionnaires that measured constructs of the theory of planned behavior (attitude, subjective norm, perceived behavioral control, and behavioral, normative, and control beliefs) were collected from 221 community-dwelling Taiwanese elderly women between the age of 55 and 94. Simple correlations and multiple …

Clergy Stress: Seventh-Day Adventist Pastors In Hong Kong, Singapore, And Taiwan, Onn Liang

Loma Linda University Electronic Theses, Dissertations & Projects

This research utilized an expanded ABC-X model of family stress, one that incorporated the culture and boundary ambiguity constructs of the contextual approach as a paradigm to examine the outcomes of job-related stress experienced by the Seventh-day Adventist pastors in Hong Kong, Singapore, and Taiwan. All together 89 Adventist pastors or 86.4% of the total pastoral workforce in the three regions participated in the 52 self-administered questionnaire survey. In addition, two focus groups made up of 15 pastors in Taiwan were utilized to generate descriptive data related to pastors and their families in the context of stressful situations. This research …

A Psychoeducational Group Intervention For Fibromyalgia Patients, Derek O. Bacchus

Loma Linda University Electronic Theses, Dissertations & Projects

This study examined the effect of a multidisciplinary psychoeducational treatment group on Fibromyalgia Syndrome (FMS) pain, depression, catastrophizing, and quality of life. The Short-Form McGill Pain Questionnaire (SF-MPQ), Center for Epidemiologic Studies Depression Scale (CES-D), Coping Strategies Questionnaire (CSQ), and the World Health Organization Quality of Life Assessment—Abbreviated Version were used to assess these constructs in 15 participants. The sample was composed entirely of female participants and was predominantly middle aged, which is typical of the FMS population. Two separate groups of FMS patients—seven in Group 1, eight in Group 2—completed a 10-week psychoeducational intervention where they were presented with …

Accuracy Of A Rationally-Derived Method For Predicting Failure In Residential Treatment, Jennifer Pester Grattan

Loma Linda University Electronic Theses, Dissertations & Projects

Recent studies of adult mental health treatment have used patient-focused research methods to improve outcomes, by tracking treatment response and comparing it with expected recovery patterns. One such line of research has used rationally-derived and empirically-derived methods to analyze data gathered by the OQ-45 and identify patients who are not responding as expected to treatment. This allows for adjustment of treatment, which results in improved outcomes and lower overall costs.

Similar but less extensive research has provided evidence that these approaches may also improve outcomes in outpatient treatment for children and adolescents. These approaches might be particularly useful in residential …

The Effects Of A Psychoneuroimmunology Based Lifestyle Intervention In Modifying The Progression Of Major Depression In Clinically Depressed Adults, Ruth A. Tanyi

Loma Linda University Electronic Theses, Dissertations & Projects

Chronic stress can lead to poorly controlled upsurges of cortisol and dysregulation of the hypothalamic pituitary-adrenal axis, thereby contributing to major depression. Hence, researchers have begun to examine the effects of individual psychoneuroimmunology (PNI) interventions and their impact on modifying stress and depression. However, there is a lack of studies that have examined the composite effect(s) of a PNI-based lifestyle intervention and major depression. Thus, this randomized interventional study examined the composite effect(s) of a PNI-based lifestyle intervention: combined progressive muscle relaxation and spiritual guided imagery and humor as an adjunct therapy to modifying the progression of depression. Participants were …

An Investigation Of Temporal Resolution Abilities In School-Aged Children With And Without Dyslexia, Elena Zaidan

Open Access Dissertations

Dyslexia is a clinical diagnosis often associated with phonological processing deficits. There are, however, other areas of concern, such as the presence of auditory temporal processing (ATP) disorders. One method of investigating ATP is the gap detection (GD) paradigm. This study investigated GD performance using the Gaps-in-Noise © (GIN) test in three groups of 30 children, aged 8 to 9 years. GD thresholds and gap identification scores (%) were determined for each participant. The three groups of participants included (Group I) children with dyslexia and phonological deficits, (Group II) children with dyslexia and no significant phonological deficits, and (Group III) …

The Adoption Of Shamanic Healing Into The Biomedical Health Care System In The United States, Lori L. Thayer

Open Access Dissertations

Following cultural anthropological inquiry, this dissertation examines the adoption of shamanic healing techniques into Western medicine and the resultant hybrid modality of health care fostered by two disparate healing traditions. As the U.S. populace increasingly turns to alternative forms of healing in conjunction with, or in lieu of, conventional Western medicine, shamanic healing has been added to the list of recognized non-conventional therapies. Shamanism, once prevalent throughout most of the world in various cultural forms, is purported to be the oldest healing modality, dating back to the Upper Paleolithic in Siberia. Historical excoriation and extermination from religious and political dogma …

Posttraumatic Stress Disorder In Combat Veterans And The Effect On Their Life And Marital Satisfaction, Amy Rodriguez Alford

Student Dissertations & Theses

Various studies have been conducted within our United States military service members and their problems with posttraumatic stress disorder (PTSD). There are several factors as to why a combat veteran can develop PTSD (Committee on Gulf War and Health, 2008) , PTSD could effect their life and marital satisfaction. The present study consisted of 15 married couples, in which the husband has served combat duty in Iraq or Afghanistan. The total level of PTSD symptomology was compared to each individual's life and marital satisfaction. There was no significance correlations found between the husbands' PTSD symptoms and their quality of life, …

Mental Skills Usage Among Collegiate Track And Field Throwers, Chad A. Perry

Student Dissertations & Theses

The purpose of this study was to examine how often collegiate track and field throwers use goal setting, imagery, and arousal management. The second purpose was to determine if there was a significant difference between mental skills usage in practice and competition. The Test of Performance Strategies was administered to 50 collegiate track and field throwers. First, it was hypothesized that less than 20% of the participants would use mental skills very often and that the majority would report using mental skills in either moderate or low amounts. Results indicated goal setting and relaxation in practice were the only two …

A Descriptive Study Examining Motivation, Goal Orientations, Coaching, And Training Habits Of Women Ultrarunners, Rhonna Zena Krouse

Boise State University Theses and Dissertations

Ultrarunners are people who participate in running events that exceed the 26.2 mile marathon distance. Currently, women make up approximately 20% of this population. To date, no studies have investigated female ultrarunners. The present study sought to describe these women (N = 344) by evaluating motivational factors for participation, goal orientations, training habits, and coach utilization. Motivation was measured using the Motivation for Marathoners Scale (7 point Likert scale). General health orientation (M = 4.71± 1.06) and psychological coping (M = 4.71±1.03) were the two categories most endorsed whereas social motives were least endorsed (M = …

Advance Practice Nurses Readiness To Change Assessment Methods In Parents Of Obese Children, Carolyn Leach

UNLV Theses, Dissertations, Professional Papers, and Capstones

The worldwide epidemic of child and adolescent overweight and obesity continues to increase at disturbing rates. Unhealthy dietary practice is one of multiple causative behaviors leading to child and adolescent overweight and obesity. This behavior can contribute to short and long-term health consequences. Parents are modulators in the development of children's dietary behavior practices. It is recommended clinical practice that pediatric nurse practitioners (PNPs) assess readiness to change behavior in parents of overweight or obese children. The components of the Prochaska and DiClemente's Transtheoretical Model (TTM) in correlation with the counseling style of Rollnick, Miller and Butler's methods of Motivational …

Women's Health And Fitness Magazines: An Accurate Portrayal?, Jennifer M. Shymansky

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study is a content analysis examining the representation of health information, particularly the leading causes of death, in cover story headlines of one year of the top women's health and fitness magazines: Prevention , Shape , Fitness , Self , Health and Women's Health. The study is grounded in social responsibility theory, a normative media theory. The findings show that women's health and fitness magazines' cover story headlines predominately discuss diet and exercise for weight loss, rather than the leading causes of death facing women. This under representation of actual societal health concerns can limit the vast readerships' health …

Asthma Severity In School-Children And The Quality Of Life Of Their Parents, Noelle S. Cerdan

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background . The everyday management of a child with asthma can affect the parent's quality of life. Past studies which examined the effects of asthma characteristics of the child on parental quality of life have not reached a consensus over findings. Few studies examine parent characteristics such as mental health and sociodemographics on the quality of life of parents of asthmatic children.

Purpose . To examine the effect of asthma severity of school-children and sociodemographic characteristics onthe caregiver's quality of life. It also investigates whether agreement exists between the caregiver's perception of asthma severity and physician-diagnosed asthma severity.

Methodology . …

Visual Impairment And Eye Care Among Older Americans: Secondary Analysis Of The Behavioral Risk Factor Surveillance System (Brfss), Amy L. Freeland

Dissertations

The aim of this three-paper format dissertation is to explore three topics relevant to public health and vision loss. The three papers are independent studies, yet build upon each other by first describing the population of people aged 40 years and older in the United States in terms of visual impairment, diagnosed eye disease/injury, and their use of eye care, and then next exploring the factors that influence eye care use for both the general population and the subpopulation of people with diagnosed diabetes. The first paper provides a state-level examination of the characteristics of people aged 40 years and …

Reflective Visual Journaling During Art Therapy And Counseling Internships, Sarah P. Deaver

Counseling & Human Services Theses & Dissertations

Visual journaling is thought to promote students' critical reflection upon their previous learning, their current experiences, and their ongoing professional growth. Research supports the value of written journals as educational tools that encourage reflection, but the potential for visual journaling to facilitate reflection has not been explored through systematic inquiry until now.

This qualitative multiple case study explored four art therapy students' and four counseling students' responses to visual journaling during their internships. They maintained their journals throughout one 15-week academic semester, and were interviewed four times over the course of the study. Data consisted of transcribed interviews and photographs …