Medicine and Health Sciences Commons^™

"There’S More To Us Than This:" A Qualitative Study Of Black Young Adults’ Perceptions Of Media Portrayals Of Hiv, Maya Corneille, Anna Lee, Roseina Britton, Judith C. Barker

Journal of Health Disparities Research and Practice

The extent to which the targeted group attends to and is engaged by HIV/STI prevention messages is one component of effective health communication. Through an empirical examination of the cumulative perceptions of HIV/STI prevention media messages targeted to Black youth and young adults, this qualitative study privileges the voices of Black/ African American young adults as a group that is frequently targeted in HIV prevention campaigns. Semi-structured interviews with 23 Black/African American young adults yielded key themes that suggest barriers to effective health communication. Traditionally, health promotion has advocated for targeted messages as a means to increase risk perception and …

Smoking And Exercise: Mechanisms And Effects During Simulated And Genuine Quit Attempts, Stefanie De Jesus

Electronic Thesis and Dissertation Repository

Cigarette smoking is a leading agent for premature morbidity and mortality among the global community. Most individuals surrender to tobacco use disorder due to the inability to cope with cravings and withdrawal symptoms. Exercise appears to provide acute relief. Currently, it is unclear how exercise attenuates these reductions. Furthermore, the available evidence has focused on acute outcomes besides smoking behaviour and is limited to simulated quit attempts. Three experimental studies were designed to address these outstanding issues. Not surprisingly, a bout of moderate intensity exercise was found in study 1 (chapter 2) to reduce cravings associated with a temporary period …

The Use Of Peer Mentoring To Decrease Stress In Student Registered Nurse Anesthetists, Elise G. Head

Doctoral Projects

Nurse anesthesia programs throughout the nation are extremely competitive with strict admissions criteria and demanding curriculum. Students enrolled in these programs, termed Student Registered Nurse Anesthetists (SRNAs), experience high average daily stress levels throughout their enrollment in a nurse anesthesia program (NAP). This quantitative study examined whether there is a decrease in SRNA average daily perceived stress when peer mentoring is employed. Inclusion criterion was all SRNAs enrolled in a single 3 year, post-baccalaureate Doctor of Nursing Practice (DNP) NAP at a comprehensive Carnegie research university with Southern Regional Education Board-Level 1 designation. Fifty-six SRNAs were surveyed using a modified …

Utilization Of A Focus Group To Evaluate The Perceived Stress Levels And Coping Mechanisms Of Student Registered Nurse Anesthetists, Cillora Hicks

Doctoral Projects

Each year, thousands of Student Registered Nurse Anesthetists (SRNAs) matriculate into a nurse anesthesia educational program, confronted with unforeseen challenges and stressors. Although a certain amount of stress is essential to stimulate learning, excessive stress can have dire consequences in delaying a students’ academic and clinical progression. The purpose of this Capstone Project was to explore and describe the perceptions of 12 SRNAs relevant to their stress levels and coping behaviors in the management of academic and personal stress. The clinical research questions guiding the study examined the stress levels and coping behaviors of the SRNAs as measured by the …

Community-Based Rehabilitation Supports For Social Inclusion And Work Participation Of Young Adults With Visual Impairment In Kenya: A Case Study, Philomena Jepkemboi Tanui

Graduate Theses and Dissertations

Young adults with a visual impairment (VI) experience less interaction with the community that impacts the way they relate to the world as they transition to the larger society where they face significant barriers of adjustment, exclusion, and work participation. Young adults with VI contend with cultural stigma, inequality, poor self-esteem caused by marginalization, a low quality of life (QOL), and lack of Social support systems that exist beyond the home. The aim of this study was to understand the perceptions of young adults with VI in Elgeyo-Marakwet and Kisumu Counties of Kenya concerning the barriers to community inclusion and …

Poverty Indicators And Mental Health Functioning Among Adults Living With Hiv In Delhi, India, Ezer Kang

Department of Psychology Faculty Publications

Poor mental health functioning among persons living with HIV (PLHIV) has gained considerableattention particularly in low-income countries that disproportionately carry the global HIV/AIDSburden. Fewer studies, however, have examined the relationship between poverty indicators andmental health among PHLIV in India. Based on this cross-sectional study of 196 HIV-seropositiveadults who received medical services at Shalom AIDS Project in Delhi, India, structural equationmodeling and mediation analysis were employed to estimate the associations between povertyindices (household asset index, food security, unemployment, water treatment, sanitation), HIVhealthfactors (illness in the past 3 months, co-morbid medical conditions), and psychologicaldistress. In the final model, ownership of fewer household …

Differences In The Prevalence, Severity And Symptom Profiles Of Depression In Boys And Adolescents With An Autism Spectrum Disorder Versus Normally Developing Controls, Vicki Bitsika, Christopher Sharpley

Vicki Bitsika

The prevalence, severity and symptom profiles for major depressive disorder (MDD) were compared in samples of boys and adolescents with and without an autism spectrum disorder (ASD). Self-reports were obtained on the Depression subscale of the Child and Adolescent Symptoms Inventory (CASI-D) with 70 ASD and 50 non-ASD male participants between the ages of 8 and 18 from Queensland, Australia who were matched for age and IQ. Results indicated that the ASD participants had significantly higher total CASI-D scores, a greater proportion of participants who qualified for a diagnosis of MDD, and over 50% higher scores for 8 of the …

Eight-Month Test-Retest Agreement In Morning Salivary Cortisol, Self- And Parent-Rated Anxiety In Boys With An Autism Spectrum Disorder, Christopher Sharpley, Vicki Bitsika, Linda Agnew, Nicholas Andronicos

Vicki Bitsika

The agreement over time in morning salivary cortisol concentrations and also self- and parent-rated anxiety was investigated in a sample of 16 boys with an ASD. Cortisol and anxiety data were collected eight months apart. Results indicated that there were significant correlations between each pair of measures from the two occasions, suggesting that cortisol concentrations and anxiety did not vary much at all over that time, challenging the assumption that cortisol needs to be measured over multiple days to obtain reliable data from children with an ASD. Implications for research into the ways these children respond to chronic stressors are …

A Neurobiological Pathway That Mediates Stress-Induced Drug Use, Oliver Vranjkovic

Dissertations (1934 -)

Cocaine addiction represents a tremendous health and financial burden on our society and the high rate of relapse to cocaine use in abstinent addicts represents a major barrier to effective therapy. Thus, understanding the factors that contribute to relapse and the underlying neurobiological processes is important for guiding the development of treatment for addiction. Stressful life events often trigger drug use in recovering addicts. The contribution of stress to drug use is problematic due to the unpredictable and often uncontrollable nature of stress. A growing literature indicates that norepinephrine and corticotropin releasing factor (CRF) in the brain play key roles …

The Sixties Scoop Among Aboriginal Veterans: A Critical Narrative Study, Munira Abdulwasi

Electronic Thesis and Dissertation Repository

This study explored the experience of Aboriginal Veterans adopted and/or fostered during the Sixties Scoop using critical narrative inquiry. The objectives were to: 1) understand the lived experience of Aboriginal veterans adopted and/or fostered during the Sixties Scoop, 2) explore any health needs expressed by Aboriginal veterans adopted and/or fostered during the Sixties Scoop, and 3) provide recommendations for the implementation of health services and programs to assist this group of Aboriginal veterans with their health needs. Eight individual interviews were conducted with participants in Kitchener-Waterloo, London, Ottawa, Winnipeg, and Vancouver. All interviews were audio-taped, transcribed verbatim, and analyzed using …

Use Of Complementary Therapies By Registered Psychologists: An International Study, Peta Stapleton, Hannah Chatwin, Emma Boucher, Sue Crebbin, Sandra Scott, Dean Smith, Gail Purkis

Peta B. Stapleton

Complementary and alternative medicine (CAM) is a category of diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine. However, the use of CAM by lay people is increasing worldwide. This study investigated the utilization pattern of CAM among registered psychologists, and level of training in delivering a CAM service. Psychologists (N = 193) participated from Australia, the United States, the United Kingdom, and New Zealand. Almost all (99.6%) respondents reported using at least 1 CAM service in the past, and 64.2% indicate they were trained to deliver at least 1 area …

Body Image Avoidance, Body Dissatisfaction, And Eating Pathology: Is There A Difference Between Male Gym Users And Non–Gym Users?, Peta Stapleton, Timothy Mcintyre, Amy Bannatyne

Peta B. Stapleton

With research highlighting the increasing prevalence and severity of body image and eating disturbances in males, particularly athletes and regular gymnasium users, the current study examined body image and eating disturbances in a sample of male gym users and non–gym users (N = 180). Based on previous research, it was predicted that male gym users would report greater body image disturbance (e.g., body image avoidance and body dissatisfaction) and eating pathology, compared with non–gym users. Results of the study partially supported hypotheses, revealing body dissatisfaction and eating pathology were significantly increased in male gym users. However, no significant differences were …

Psychosocial Moderators Of Perceived Stress, Anxiety And Depression In University Students: An International Study, Aileen Pidgeon, Stephanie Mcgrath, Heide Magya, Peta Stapleton, Barbara Lo

Peta B. Stapleton

Extensive research shows university students experience high levels of stress, which can lead to the development of mental health problems such as anxiety and depression. Preliminary evidence supports the role of psychosocial factors such as perceived social support (PSS) and campus connectedness (CC) as protective factors in the development of mental health problems in university students. However, research conducted on the potential ameliorating effects of social support on stress applying Cohen and Wills’ (1985) stress-buffering hypothesis produced weak, inconsistent, and even contradictory results. In addition, little attention has been given to examining the protective role of CC in the relationships …

Examining Characteristics Of Resilience Among University Students: An International Study, Aileen Pidgeon, Natasha Rowe, Peta Stapleton, Heidi Magyar, Barbara Lo

Peta B. Stapleton

Attending university is a particularly stressful time due to unique emergent stressors such as changes in environment, loss or diminishment of social support networks, academic pressures, developing peer relationships, and financial management. There is growing recognition that these common stressors may have deleterious effects on the mental health of students. Resilience, a personality characteristic that moderates the negative effects of stress and promotes adaptation, has been associated with increased psychological well-being. Despite a growing body of research on resilience and its clinical significance in preventing mental health problems, relatively little is known about contributing factors for resilience in well-adjusted university …

Confidence And Connectedness: A Mixed Methods Study On Patients Managing Co-Occuring Physical And Behavioral Health Conditions, Peter Young Fifield

All Theses And Dissertations

Treating chronic illness is becoming increasingly team based, yet most team building concepts relate to the team as a dichotomous unit: the medical team and the patient. Patients are expected to be “engaged” and “activated” members of the team, yet there is a gap in knowledge regarding how patients most effectively integrate into the team. Exacerbating the complexity of patient as team member is the multifaceted, ever-changing mood state of patients with co-occurring medical and mental health conditions. The medical field is well aware of the correlations between mental health and chronic illnesses. The purpose of this study is to …

Differences In Major Depressive Disorder And Generalised Anxiety Disorder Symptomatology Between Prostate Cancer Patients Receiving Hormone Therapy And Those Who Are Not, Christopher Sharpley, Vicki Bitsika, Addie Wootten, David Christie

Vicki Bitsika

Objective: The aim of this study is to explore the associations between hormone treatment variables and depression, and the nature of depression in prostate cancer (PCa) patients by comparing the severity and symptom profile of anxiety and depression in men who were currently receiving hormone therapy (HT) versus those who were not. Method: Self-reports of anxiety and depression on standardized scales of GAD and major depressive disorder (MDD) were collected from 156 PCa patients across two recruitment sites in Australia. Patients who were currently receiving HT were compared with patients not receiving HT for their severity and symptom profiles on …

Variation In The Profile Of Anxiety Disorders In Boys With An Asd According To Method And Source Of Assessment, Vicki Bitsika, Christopher Sharpley

Vicki Bitsika

To determine any variation that might occur due to the type of assessment and source used to assess them, the prevalence of 7 anxiety disorders were investigated in a sample of 140 boys with an Autism spectrum disorder (ASD) and 50 non-ASD (NASD) boys via the Child and Adolescent Symptom Inventory and the KIDSCID Clinical Interview. Boys with an ASD were significantly more anxious than their NASD peers. Data collected from the boys with an ASD themselves showed differences in the severity and diagnostic criterion of anxiety disorders to data collected from the boys’ parents. There were age-related variations to …

Stay-At-Home-Fathers Navigating Depression: A Consensual Qualitative Research Study, William Douglas Meyers Caperton

Dissertations (1934 -)

Evidence suggests that the practices through which men are socialized to become masculine may serve both to restrict their potential in ways that lead to psychological distress, and also to restrict the ways in which they respond to such distress (Addis & Mahalik, 2003; Mahalik, Good, Tager, Levant, & Mackowiak, 2012; O’Neil, 2008). While we are beginning to understand masculine depression (Cochran & Rabinowitz, 2000; Magovcevic & Addis, 2008) and paternal depression (Paulson & Bazemore, 2010; Ramachandani & Psychogiou, 2009), almost nothing is known about how SAHFs experience depression, nor their experiences and beliefs regarding help-seeking and psychotherapy. The trend …

Role Of Shared Care In The Relationship Between Depressive Symptoms And Self-Care In Patients With Heart Failure, Susan Cole

Dissertations (1934 -)

Heart failure (HF) is a chronic condition affecting over 5 million Americans. Heart failure accounts for over 32 billion dollars in total cost each year, and is the most common cause of hospitalization for persons 65 years of age or older. Patients with HF experience poor self-care, are at risk for depressive symptoms, and have high rates of 30-day hospital readmissions. Social support influences depressive symptoms, self-care, and hospital readmissions. Shared care was used to operationalize social support. Shared care is a system of three relationship processes communication, decision making, and reciprocity, used to exchange social support. The purpose of …

The Association Of Racial Identity And Locus Of Control With Eating Attitudes And Obesity In African American College Women, Jamie Grisham

Psychology Theses & Dissertations

African-American women have been disproportionately affected by the obesity epidemic in the United States, and studies have suggested that sociocultural factors may have a negative influence on weight and weight loss efforts. Relatedly, other studies have found that African-American women have reported feeling less motivated to lose weight than other ethnic groups. Previous research has also indicated that locus of control plays a role in some health outcomes for African America women. The current study aimed to examine the impact of Black identity, external locus of control, and exercise motivation on obesity in African-American college women. Uncontrolled eating and exercise …

An Investigation Of The Characteristics Of Muscle Dysmorphia In A Non-Clinical Population Of Adult Male Weight Lifters In Australia, Johanna Elizabeth Nieuwoudt

Dr Johanna E Nieuwoudt

This thesis investigated the characteristics of muscle dysmorphia (MD) among adult weight lifters in Australia. Results of Study 1 (N = 48) indicated low inter-rater reliability for the proposed MD criteria, and that MD represented a syndrome of frequently co-occurring symptoms.Results of Study 2 (N = 648) indicated participants were at risk of having MD (17%), body dysmorphic disorder (10.6%), and eating disorders (33.8%). Evidence was provided for the comorbidity of, and symptomatic similarities between, symptoms of MD and body dysmorphic disorder, and symptoms of MD and eating disorders.

Modeling Bmi, Dietary Habits, And Physical Activity Among Ethnically Diverse Urban College Students, Hollie Jones, Nicholas Freudenberg, Lorraine Mongiello

Journal of Health Disparities Research and Practice

Objectives The objective of this research study was to examine the relationship between BMI, physical activity, dietary habits, and student demographic factors (age, ethnicity, income, immigration, and sex). Given the association between overweight and obesity and the inequitable burden of chronic health conditions among ethnic minority populations, a deeper understanding of the socioeconomic, gender, age, and racial/ethnic variation in BMI, physical activity, and dietary habits is needed. The shifting demographics of urban college populations make urban college campuses an important setting for addressing the lifetime health needs of ethnically diverse urban populations.

Methods In this cross-sectional non-experimental study, we used …

Variability Modifies Life Satisfaction's Association With Mortality Risk In Older Adults, Julia K. Boehm, Ashley Winning, Suzanne Segerstrom, Laura D. Kubzansky

Psychology Faculty Articles and Research

Greater life satisfaction is associated with greater longevity, but its variability across time has not been examined relative to longevity. We investigated whether mean life satisfaction across time, variability in life satisfaction across time, and their interaction were associated with mortality over 9 years of follow-up. Participants were 4,458 Australians initially at least 50 years old. During the follow-up, 546 people died. After we adjusted for age, greater mean life satisfaction was associated with a reduction in mortality risk, and greater variability in life satisfaction was associated with an increase in mortality risk. These findings were qualified by a significant …

The Emotional Experience Of American Indians Receiving Hemodialysis And How It Relates To Treatment Adherence, Anitra M. Warrior

College of Education and Human Sciences: Dissertations, Theses, and Student Research

This study used a phenomenological approach as an attempt to capture the essence of the experience of American Indians with diabetes who are receiving dialysis. The purpose of this study and this approach was to develop an understanding of factors that influence treatment adherence, specifically with mental health concerns. As an additional component of this study, this research also followed an advocacy/participatory approach (Creswell, 2007) in which steps to reform services are provided to the Indian Health Service in support of this marginalized group through a written Agenda for Change.

Participants for this study were recruited from multiple states serving …

Sleep Hygiene Practices: A Cross Cultural Survey Of Sleeping And Dreaming In College Students, Ivan Noe Martinez Salazar

Masters Theses

There is consensus that a sizeable percentage of people in most developed countries do not obtain adequate amounts or quality of sleep. These disruptions in sleep, when chronic and severe, can lead to psychological, behavioral and health consequences. The focus on behavioral and contextual factors that impact sleep has been termed “sleep hygiene”. An on-line anonymous survey collected sociodemographic information, as well as self-reports on sleep, sleep hygiene practices and dreaming across two cultural groups (English & Spanish speaking responders). A total of 204 participants (majority of them college and graduate students) answered the survey. Both cultural groups, English and …

Predictors Of Money Spent On Drugs In Substance Users, Simona Ciobotaru

DePaul Discoveries

Financial need is a major stressor for individuals who are reentering the community after substance abuse and/or incarceration. Family members and friends make up a great majority the support networks from which reentering people can receive financial support. However, that financial support could possibly contribute to drug use when the individual is actively using. The goal of this study was to further understand the implications of material and financial support specifically being transmitted from family members. This study looks at psychosocial predictors in relation to money spent on drugs in the last 30 days of 270 individuals entering substance abuse …

Fatalism, Diabetes Management Outcomes, And The Role Of Religiosity, Vincent Berardi, John Bellettiere, Orit Nativ, Slezak Ladislav, Melbourne Hovell, Orna Baron-Epel

Psychology Faculty Articles and Research

This study aimed to determine whether fatalistic beliefs were associated with elevated levels of glycated hemoglobin (HbA1c) and to establish the role of religiosity in this relationship. A cross-sectional survey was conducted on a sample of 183 Jewish adults with diabetes visiting a large medical center in northern Israel. Self-administered questionnaires assessed level of religiosity, fatalistic beliefs, diabetes management behaviors, and demographic/personal characteristics; laboratory tests were used to measure HbA1c. Multivariate regression indicated that fatalism was significantly associated with HbA1c (β = 0.51, p = 0.01). The association was no longer statistically significant after including self-reported religiosity in the …

Amyotrophic Lateral Sclerosis, The Primary Motor Neuron Disease, Jacob P. Naumann

The Downtown Review

Amyotrophic lateral sclerosis is a degenerative neurological disease that damages nerve cells in the brain, in particular the neurons that are involved in voluntary muscle movements. Internationally the disorder is also known as Charcot’s disease and motor neuron disease. In the United States, amyotrophic lateral sclerosis is often referred to as Lou Gehrig’s disease, motor neuron disease, and more colloquially ALS. Amyotrophic Lateral Sclerosis is the most prominent of the five motor neuron diseases, distinguishing itself from the others through degeneration of both upper motor neurons (UMN) and lower motor neurons (LMN) respectively. The “Father of neurology” Jean-Marie Charcot founded …

The Role Of Cultural And Family Values On Social Connectedness In Visible Minority Elders: An Exploratory Study, Laura Garcia Diaz

Electronic Thesis and Dissertation Repository

Assumptions about the family providing enough social support to visible minority elders can be found in the literature, contradicting reported levels of social isolation and loneliness by visible minority elders. While structural barriers have been recognized to influence feelings of isolation and loneliness, limited information exists about the role of cultural factors such as acculturation and family values. Accordingly, this study investigated the role of acculturation and the ‘family as referents’ dimension of familism, which refers to the belief that family members’ behaviour should meet with familial expectations, on isolation and loneliness among visible minority elders (N = 123). …

The Effect Of Communication Type On Knowledge Retention Of Brain Injuries, Alyson Cregger

Senior Honors Projects, 2010-2019

Misconceptions about traumatic brain injuries have been seen in the general population since 1988. Previous research has demonstrated that the misconceptions are not limited to geographical area and have been seen in health care professionals. A possible explanation for these misconceptions could be the ineffective transmission of knowledge. The current study examined the effect of an educational intervention on eight misconceptions and their ‘real life’ applications, as well as the general knowledge surrounding traumatic brain injuries. Comparative and absolute risk were also examined. Thirty undergraduate students were given a pre-test consisting of four surveys (misconceptions, application of misconception, general knowledge, …