Medicine and Health Sciences Commons^™

The Quest For Self: Using Mandala Art In Reflective Practice Journaling, Kathleen Quinn

Comparative Woman

This article is a nexus of research, personal journaling reflections, and mandala creation from the authors own journals and focuses on the use of Mandalas as part of a reflective practice journaling process. Attention to mandala usage within reflective practice considering depth interiority, engaging and sharing with others. The authors approach to mandala construction is included followed by an exercise for observation and assessment of mandalas. The structure for reflective practice helps shape transformational leaders, using expressive arts, narratives in journaling. This transformational Discovery pathway and narrative exercises can be used for creating professional learning communities. This form of reflective …

Prenatal Risk For Autism Spectrum Disorder (Asd): Fetal Cortisol Exposure Predicts Child Asd Symptoms, Sheena Ram, Mariann A. Howland, Curt A. Sandman, Elyssia Poggi Davis, Laura M. Glynn

Psychology Faculty Articles and Research

The etiology of autism spectrum disorder (ASD) is multifactorial, complex, and likely involves interactions among genetic, epigenetic, and environmental factors. With respect to environmental influences, a growing literature implicates intrauterine experiences in the origin of this pervasive developmental disorder. In this prospective longitudinal study, we examined the hypothesis that fetal exposure to maternal cortisol may confer ASD risk. In addition, because ASD is four times more prevalent in males than in females, and because sexually dimorphic responses to intrauterine experiences are commonly observed, we examined whether or not any associations differ by fetal sex. Maternal plasma cortisol was measured at …

Prenatal Risk For Asd: Fetal Cortisol Exposure Predicts Child Autism-Spectrum-Disorder Symptoms, Sheena Ram, Mariann A. Howland, Curt A. Sandman, Elyssia Poggi Davis, Laura M. Glynn

Psychology Faculty Articles and Research

The etiology of autism spectrum disorder (ASD) is multifactorial, complex, and likely involves interactions among genetic, epigenetic, and environmental factors. With respect to environmental influences, a growing literature implicates intrauterine experiences in the origin of this pervasive developmental disorder. In this prospective longitudinal study, we examined the hypothesis that fetal exposure to maternal cortisol may confer ASD risk. In addition, because ASD is four times more prevalent in males than in females, and because sexually dimorphic responses to intrauterine experiences are commonly observed, we examined whether or not any associations differ by fetal sex. Maternal plasma cortisol was measured at …

As A Pediatrician, I Don’T Know The Second, Third, Or Fourth Thing To Do: A Qualitative Study Of Pediatric Residents’ Training And Experiences In Behavioral Health, Rachel Petts Phd, Jeffrey D. Shahidullah Phd, Paul W. Kettlewell Phd, Kathryn A. Dehart Md, Kris Rooney Md, Ilene G. Ladd Ms, Tyler Bogaczyk Bs, Sharon L. Larson Phd

International Journal of Health Sciences Education

Despite a mandated 1-month rotation in developmental-behavioral pediatrics (DBP), pediatric residents report inadequate training in behavioral health care. As a first step in much needed curriculum development in this area, this study sought to assess learner experiences regarding the management of behavioral health problems during residency. Four focus groups were conducted for residents in years 1-3 of training in 2 residency programs in a northeastern state. Transcripts were analyzed and coded by researchers through qualitative classical content analysis. The exploratory analysis revealed 9 key themes: time requirements, rapport building, resources and referrals for behavioral health, psychiatric medications, diagnosis vs. treatment, …

Syndemics Of Severity And Frequency Of Elder Abuse: A Cross-Sectional Study In Mexican Older Females, Mireya Vilar-Compte, Pablo Gaitán-Rossi

Department of Public Health Scholarship and Creative Works

Background: Elder abuse is a common phenomenon with important effects on the health and well-being of older adults. There are important gaps in elder abuse measurement, as it is usually reported as the absence or presence of elder abuse, disregarding its severity and frequency.

Objectives: Identify different ways of measuring severity and frequency of elder abuse and assess whether different experiences of severity and frequency suggest syndemic relationships.

Methods: Through a sample of 534 non-institutionalized Mexican older women, we assessed how severity (i.e., number of abusive experiences and number of types of abuses) and frequency (i.e., if abusive experiences had …

Comparisons Of Eating Disorder Presentation, Research Participation, And Treatment Utilization Between Racial And Ethnic Groups Of College Women With Eating Disorders, Grace Monterubio

Arts & Sciences Electronic Theses and Dissertations

The inclusion of racial and ethnic minority individuals in research is imperative in furthering generalizable and comprehensive research on eating disorder (ED) populations and improving the disparities for minorities with EDs. The current study investigates such disparities by 1) assessing the presentation of EDs and comorbidities across racial and ethnic groups, as well as 2) assessing whether minority individuals are less likely to participate in a research study, or utilize the offered interventions versus their majority counterparts in the Healthy Body Image Program (HBI), a study of an online, guided self-help, ED intervention vs. referral to in-person care among college …

Addicted To The Answer, Charumathi Raman

Capstones

Hypochondria, which is now broadly known as health anxiety, is the fear of a serious illness that continues despite evidence to the contrary from laboratory tests and the reassurance of physicians. In the past people with this disorder would go from doctor to doctor seeking an answer, but now many people rely solely upon online information.

For people with health anxiety, the Internet provides a lot of fodder. Researchers have recently coined the term "cyberchondria" to describe the phenomenon of increased health anxiety due to online health searches.

Entering questions like “Who started World War Two?” or “Who was the …

"The Possibility Of Ptsd In Roman Soldiers Stationed At Vindolanda On The British Frontier", Emma Kelly

Writing Excellence Award Winners

In the late 1970’s, at Vindolanda, a fort near Hadrian’s wall on the northern frontier of Roman Britain, archaeologists first discovered a series of tablets with writing dating to the first and second centuries C.E. Since the initial discoveries, more tablets have been discovered at the same site; the current body of writing from Vindolanda now numbers upwards of one thousand tablets. These documents, now called the Vindolanda tablets, are an extremely rare example of primary source documents from the Roman Empire, and scholars have used them to determine everything from the ethnic makeup of the Roman army to early …

Songbook And Activities: Popular Black Music Popular Songs From The 70’S To Present Day, Akeira Hill

Music Therapy Theses

Songbook and Activities: Popular Black music Popular Songs from the 70’s to present day

Stuck In Somatic Countertransference: A Heuristic Study, Katie Hochleutner

Creative Arts Therapies Theses

This heuristic research study explored how somatic countertransference in my own body, as a clinician, is related to my freeze response when working with clients in a behavioral health hospital. Primary questions that led the research, included: what does somatic countertransference feel like in my own body as a clinician, what happens in my body during a stress response of freezing, and, how can I modulate through my stress response to become regulated in session? These curiosities led to my ultimate research question, how can I, as an emerging dance/movement therapist, modulate through my freeze response while experiencing somatic countertransference …

The Manzano Movement Method (M3): Development Of A Dance/Movement Therapy-Influenced Seated Ballroom Dance Program For Adult Day Services For Persons With Dementia, Joshua Reese "Zano" Manzano

Creative Arts Therapies Theses

The purpose of this thesis was to develop a dance/movement therapy (DMT)-influenced seated ballroom dance program for adult day services for persons with dementia. This program development project, named the Manzano Movement Method (M3), aims to support quality of life by encouraging creative expression, reminiscence and socialization. M3 explored how seated ballroom dance can support the quality of life for this population via six different lessons of the following dances: waltz, cha cha, rumba, tango, foxtrot and swing. It also explored how the program can be utilized by care providers that are not dance/movement therapists. With collaborator help—stakeholders at an …

I Don't Know: An Artistic Inquiry Self-Study Of Clinical Decision Making In Dance/Movement Therapy, Sarah Wiltgen

Creative Arts Therapies Theses

The purpose of this artistic inquiry self-study was to engage in an embodied, in-depth process of exploration regarding how I engage in clinical decision-making. My research question was: “how do I, as an emerging dance/movement therapist, approach the clinical decision-making process?” Data was recorded through written journaling and video recorded improvisational movement. Journaling and movement were elicited through the visualization of a moment in a dance/movement therapy session in which I was caught off guard and needed to make a clinical decision. Such moments provoked anxiety and a freeze response that interfered with effective clinical intervention. Data was analyzed through …

Grief Moves: An Embodied Artistic Inquiry Into Losing And Finding The Self, Joanna Taubeneck

Creative Arts Therapies Theses

The purpose of this embodied artistic inquiry self-study was to investigate the role and felt-experience of grief during the process of professional identity loss. The use of this particular methodology offered the researcher an opportunity to use movement as the means towards both collecting and analyzing data so that the relationship between grief and identity transition could be sensed physically. Data was collected with a research consultant during six sessions of movement improvisations inspired by each of Elisabeth Kübler-Ross’ (1969) five stages of grief. The researcher and research consultant met six times as a result of their decision to include …

Dance/Movement Therapy Utilizing Therapy Dogs For Adults Diagnosed With Psychotic Disorders, Alyssa Danielle Owens

Creative Arts Therapies Theses

The purpose of this project was to develop dance/movement therapy (DMT) interventions incorporating therapy dogs with the goal of increasing present moment awareness in adults diagnosed with psychotic disorders. Individual interviews were held with two therapy dog handlers who served as consultants for the purpose of obtaining information regarding therapy dogs and how they are used in sessions. These individual interviews were audio recorded and transcribed to inform the development of three DMT interventions in collaboration with the dog handlers. A version of the Delphi Method was utilized in order to systematically organize the data obtained from the interviews (Hsu …

Caring For The Whole Clinician: A Body-Based Framwork For Self-Care And Supervision, Aliza Roth

Creative Arts Therapies Theses

The purpose of this program development project was to create a framework for clinical supervision that utilizes yoga and dance/movement therapy in support of the holistic wellness of mental health professionals. Clinicians are at risk for burnout and compassion fatigue, especially when they place more emphasis on their client’s well-being than their own. Research points to the significance of incorporating self-care, stress-management and embodied awareness of self and client into the supervision process; however, there remains an underdeveloped body of knowledge related to body-based frameworks for clinical supervision and how such frameworks relate to clinician self-care. Utilizing the five yogic …

Making Meaning Of Repetitious Movement Patterns: A Heuristic Inquiry, Elise Marie Ringenberg

Creative Arts Therapies Theses

The purpose of this research study was to explore how I, an emerging dance/movement therapist, understand and embody my own and my clients’ repetitious movement patterns. Through a heuristic inquiry, I explored how my body knowledge/body prejudice informs my observations and assessments of repetitious movement patterns exhibited in others. I also investigated how I may use my findings to create unbiased dance/movement therapy interventions. I collected data in the form of journal responses following individual dance/movement therapy sessions where I observed repetitious movements in children at my internship site, a medical unit at a children’s hospital. Secondly, I collected movement …

The Art Of Fortune-Taking, Allison Weintraub

Capstones

People suffering grief or emotional distress turn to many places for comfort, which can make them a target of psychic scam artists. Stigma about falling for scams might prevent victims from seeking help. https://medium.com/@allison.weintraub/the-art-of-fortune-taking-5cdedb6718d0

Change In Brain Volume And Cortical Thickness After Behavioral And Surgical Weight Loss Intervention, Cara Bohon, Allan Geliebter

Lander College of Arts and Sciences Publications and Research

Obesity is associated with reduced cortical thickness and brain volume, which may be related to poor nutrition. Given that brain atrophy in anorexia nervosa recovers with nutritional improvements and weight gain, it is worth examining how brain structure changes at the other end of the weight spectrum with weight loss. Thus, this study aimed to examine change in cortical thickness and brain volume in 47 patients with severe obesity who participated in no treatment, behavioral weight loss, or bariatric surgery. T1-weighted MRI scans were conducted pre-treatment and approximately four months later. Measures of cortical thickness, gray matter volume, and white …

Conceptual Disorganization And Redistribution Of Resting State Cortical Hubs In Drug-Naive First Episode Psychosis: A 7t Functional Magnetic Resonance Imaging Study, Avyarthana Dey

Electronic Thesis and Dissertation Repository

Network level dysconnectivity has been studied in positive and negative symptoms of schizophrenia. Conceptual disorganization (CD) is a symptom which predicts impaired real-world functioning. Systematic reviews have reported aberrant connectivity in formal thought disorder, a construct related to CD. However, no studies have investigated whole-brain functional correlates of CD in psychosis. We sought to investigate brain regions explaining the severity of CD in patients with first-episode psychosis (FEPs) compared with healthy controls (HCs). We computed whole-brain binarized degree centrality maps of 31 FEPs, 25 HCs and characterized the patterns of network connectivity in the two groups. In FEPs, we related …

Assessment Of Interprofessional Team Collaboration Scale (Aitcs): Further Testing And Instrument Revision., Carole Orchard, Linda L Pederson, Emily Read, Cornelia Mahler, Heather Laschinger

Nursing Publications

INTRODUCTION: The need to be able to assess collaborative practice in health care teams has been recognized in response to the direction for team-based care in a number of policy documents. The purpose of this study is to report on further refinement of such a measurement instrument, the Assessment of Interprofessional Team Collaboration Scale (AITCS) first published in 2012. To support this refinement, two objectives were set: Objective 1: to determine whether the items from the data collected in 2016 load on the same factors as found for the 2012 version of the 37-item AITCS. Objective 2: to determine whether …

Evaluation Of Short Term Cognitive Behavioral Therapy Intervention In A Primary Care Setting, Kevin Hengeveld

Doctoral Projects

Introduction: Depression and anxiety are chronic recurring medical conditions that impact all aspects of health. When depression and anxiety are present with other comorbid diseases, mortality and health care costs are higher. Children and young adults are particularly vulnerable to mental health issues. Suicide is the 2nd leading cause of death for this demographic. Depression is common in adolescents with an incidence of 8 to 20 percent. Primary care provides 70 percent of mental health care in the United States, and the primary intervention offered is pharmacological. Evidence suggests that a combination of medication and psychotherapy provide superior relief of …

Investigating Affective Pathways For The Influence Of Justification On Self-Control, Morgan Hill

Graduate Theses and Dissertations

People struggle with temptation in their everyday lives. Research often attributes failures in self-regulation to overwhelming and uncontrollable impulses. However, research also supports the idea that cognitive factors (e.g., justification) can license tempting behavior and allow individuals to behave in ways that run counter to their long-term goals. In addition, it is likely that affect plays a role in justification-based self-control failure. The current set of three studies investigated the role of affect in justification-based self-control failure. Study 1 tested the prediction that recall of past successes would result in increased positive affect. Study 2 assessed whether justification results in …

Father–Daughter Bonds: A Comparison Of Adolescent Daughters’ Relationships With Resident Biological Fathers And Stepfathers, Cynthia G. Campbell, Elizabeth J. Winn

Psychological Sciences Faculty Publications and Presentations

Objective: To investigate whether the interpersonal dynamics of closeness are different in stepfather–stepdaughter versus father–daughter relationships during adolescence.

Background: Establishing a general process model of the relational factors contributing to greater closeness between fathers and daughters is a preliminary step toward examining variations in such processes.

Method: The data were from the National Longitudinal Study of Adolescent to Adult Health (ADD Health), a nationally representative sample of adolescents. Respondents were female adolescents who were living with either a biological father (n = 1,881) or stepfather (n = 273) and reported on the availability and involvement of their (step)fathers, …

Biculturalism Dynamics: A Daily Diary Study Of Bicultural Identity And Psychosocial Functioning, Seth J. Schwartz, Alan Meca, Colleen Ward, Ágnes Szabó, Verónica Benet-Martínez, Elma I. Lorenzo-Blanco, Gillian Albert Sznitman, Cory L. Cobb, José Szapocznik, Jennifer B. Unger, Miguel Ángel Cano, Jaimee Stuart, Byron L. Zamboanga

Psychology: Faculty Publications

We examined two conceptualizations of bicultural identity – the Bicultural Identity Integration (BII) framework (cultural identity blendedness-distance and harmony-conflict) and cultural hybridizing and alternating (mixing one’s two cultural identities and/or switching between them). Utilizing data from a 12-day diary study with 873 Hispanic college students, we examined three research questions: (1) cross-sectional and longitudinal intercorrelations among these biculturalism components, (2) links among daily variability in these biculturalism components, and (3) how this daily variability predicts well-being and mental health outcomes over time. Bicultural hybridizing was positively related to, and longitudinally predicted by, both BII blendedness and harmony. Daily fluctuation scores …

Diurnally Active Rodents For Laboratory Research, Roberto Refinetti, G. J. Kenagy

Psychological Sciences Faculty Publications and Presentations

Although inbred domesticated strains of rats and mice serve as traditional mammalian animal models in biomedical research, the nocturnal habits of these rodents make them inappropriate for research that requires a model with human-like diurnal activity rhythms. We conducted a literature review and recorded locomotor activity data from four rodent species that are generally considered to be diurnally active, the Mongolian gerbil (Meriones unguiculatus), the degu (Octodon degus), the African (Nile) grass rat (Arvicanthis niloticus), and the antelope ground squirrel (Ammospermophilus leucurus). Our data collected under 12L:12D light-dark cycles confirmed and expanded …

Values Vs. Self-Interest As Determinants Of Attitudes: Through A Construal Level Theory Lens, (Sometimes) Self-Interest Wins, Austin D. Eubanks

Graduate Theses and Dissertations

The present study (n = 335) attempted to conceptually replicate Hunt, Kim, Borgida, and Chaiken (2010) with a high-powered design to investigate whether values and self-interest differentially impact attitudes depending on psychological distance. Participants were assigned to complete a task that made self- or other-focused values more accessible, then indicated their attitudes about a student fee increase at a university to fund scholarships the participants would not be eligible to receive (thus going against their own financial self-interest for the well being of someone else). The memo describing the fee increase was manipulated such that the increase would be occurring …

Training Non-Board Certified Behavior Analyst (Bcba) Behavior Specialists To Conduct Trial-Based Functional Analyses In Residential Settings, Devon S. Millington

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study investigated a process for identifying the reasons why a person with an intellectual disability has problem behaviors. This process is called a trial-based functional analysis (TBFA). The researchers wanted to know if a person who was not an expert behavior analyst could be trained to perform the TBFA and if the results obtained from the TBFA could be used to create a program to reduce the problem behavior of a person with an intellectual disability living in a community-based group home for persons with disabilities. The results of this study show that a person who is not an …

Pharmacy Staff Perspectives On Alcohol And Medication Interaction Prevention Among Older Rural Adults, Faika Zanjani, Hannah Allen, Rachel Vickers Smith, Demetra Antimisiaris, Nancy E. Schoenberg, Catherine A. Martin, Richard Clayton

Behavioral Science Faculty Publications

Older adults are at high risk for alcohol and medication interactions (AMI). Pharmacies have the potential to act as ideal locations for AMI education, as pharmacy staff play an important role in the community. This study examined the perspectives of pharmacy staff on AMI prevention programming messaging, potential barriers to and facilitators of older adult participation in such programming, and dissemination methods for AMI prevention information. Flyers, telephone calls, and site visits were used to recruit 31 pharmacy staff members who participated in semistructured interviews. A content analysis of interview transcriptions was conducted to identify major themes, categories, and subcategories. …

The Effects Of Limiting Punitive Damage Awards, Edith Greene, David Coon, Brian H. Bornstein

David R. Coon

In response to concerns that jury awards in tort cases are excessive and unpredictable, nearly every state legislature has enacted some version of tort reform that is intended to curb extravagant damage awards. One of the most important and controversial reforms involves capping (or limiting) the maximum punitive damage award. We conducted a jury analogue study to assess the impact of this reform. In particular, we examined the possibility that capping punitive awards would cause jurors to inflate their compensatory awards to satisfy their desires to punish the defendant, particularly in situations where the defendant’s conduct was highly reprehensible. Relative …

"Use It Or Lose It": How Online Activism Moderates The Protective Properties Of Gender Identity For Well-Being, Mindi D. Foster

Psychology Faculty Publications

Regardless of criticisms that online activism does nothing but increase positive feelings, there is merit to understanding the role of online activism for well-being. This research sought to integrate two separate but complimentary lines of research (the well-being effects of activism and social identity) by suggesting that online activism may enhance the ability of social identity to protect against the negative well-being consequences of pervasive discrimination. Three studies, each with different operational definitions of online activism, showed a similar pattern: online activism enhanced the relationship between gender identity and well-being. Consistent with theory on activism’s role as a dynamic predictor …