Mental and Social Health Commons^™

Objectively-Measured Physical Activity And C-Reactive Protein: Nhanes 2003–2004, Paul D. Loprinzi, Bradley J. Cardinal, Carlos J. Crespo, Gary R. Brodowicz, Ross Andersen, Edward J. Sullivan, Ellen Smit

Community Health Faculty Publications and Presentations

The association between physical activity (PA) and C-reactive protein (CRP) is inconsistent, with nearly all studies using self-report measures of PA. The purpose of this study was to examine the association between objectively-measured PA and CRP in U.S. adults and children. Adults (N=2912) and children (N=1643) with valid accelerometer data and CRP data were included in the analyses. Logistic regression analysis was used to assess the odds of meeting physical activity guidelines across CRP quartiles for children and among adults with low, average, and high CRP levels. For adults, after adjustments for age, gender, race, body mass index, smoking, diabetes, …

Approximating Confidence Intervals About Discrete Time Survival/Cumulative Incidence Estimates Using The Delta Method, Alexis Dinno, Jong-Sung Kim

Community Health Faculty Publications and Presentations

Poster focuses on answering the questions whether and when and event will happen in a population at risk.

Breast Cancer Medications And Vision: Effects Of Treatments For Early-Stage Disease, Alvin Eisner, Shiuh-Wen Luoh

Community Health Faculty Publications and Presentations

This review concerns the effects on vision and the eye of medications prescribed at three phases of treatment for women with early-stage breast cancer (BC): (1) adjuvant cytotoxic chemotherapy, (2) adjuvant endocrine therapy, and (3) symptomatic relief. The most common side effects of cytotoxic chemotherapy are epiphora and ocular surface irritation, which can be caused by any of several different regimens. Most notably, the taxane docetaxel can lead to epiphora by inducing canalicular stenosis. The selective-estrogen-receptor-modulator (SERM) tamoxifen, long the gold-standard adjuvant-endocrine-therapy for women with hormone-receptor-positive BC, increases the risk of posterior subcapsular cataract. Tamoxifen also affects the optic nerve …

Transitioning From First Episode Psychosis Treatment To Prodrome: Lessons And Outcomes From The East Program In Oregon Usa, Ryan P. Melton, Robert Wolf

Regional Research Institute for Human Services

This presentation discusses the outcomes of the Early Detection in Preventing Psychosis (EDIPP) model.

Early Psychosis Intervention And Its Implications For Mental Health Counselors, Advocates And Supervisors: Lessons And Outcomes From The East Program, Ryan P. Melton

Regional Research Institute for Human Services

This presentation focuses on early psychosis intervention, identification, prevention, and intervention.

Reducing Overdose Deaths Associated With Pharmaceutical Opioid Treatment Of Chronic Pain: Analyzing Interventions With A System Dynamics Model, Wayne Wakeland

Systems Science Friday Noon Seminar Series

A dramatic rise in the use pharmaceutical opioids to treat pain, and the associated opioid abuse and addiction, has created a substantial public health problem in the United States. Effective tools and interventions are needed to identify policies to reduce opioid abuse, addiction, and overdose deaths. A system dynamics model is used to identify policy interventions that will reduce the prevalence of adverse outcomes attributed to pharmaceutical opioids. Results suggest that it will be difficult to minimize negative outcomes without adversely affecting the degree to which chronic pain patients can access pharmaceutical treatment, and also indicate the importance of the …

The One-Pager: A Practical Policy Advocacy Tool For Translating Community-Based Participatory Research Into Action, Betty T. Izumi, Amy J. Schulz, Barbara A. Isreal, Angela G. Reyes, Jenifer Martin, Richard L. Lichtenstein, Christine Wilson, Sharon L. Sand

Community Health Faculty Publications and Presentations

The multiple and diverse perspectives, skills, and experiences inherent in community–academic partnerships make them uniquely positioned to educate policy makers and advocate for health equity. Effective communication tools are critical to successfully engage in the policy-making process. Yet few resources emphasize the development and use of practical tools for translating community-based participatory research (CBPR) findings into action. The purpose of this article is to describe a CBPR process for developing and using a one-page summary, or “one-pager,” of research findings and their policy implications. This article draws on the experience of the Healthy Environments Partnership (HEP), a community–academic partnership in …

A Pilot Study Of Riders’ Noise Exposure On Bay Area Rapid Transit Trains, Alexis Dinno

Community Health Faculty Publications and Presentations

Excessive noise exposure may present a hazard to hearing, cardiovascular and psychosomatic health. Mass transit systems, such as the Bay Area Rapid Transit (BART) system, are potential sources of excessive noise. The purpose of this study was to characterize transit noise and riders' exposure to noise on the BART system using three dosimetry metrics.

Computational Pharmacology: Simulating Circuits Of The Brain For Drug Development, Patrick D. Roberts

Systems Science Friday Noon Seminar Series

The pharmaceutical industry is approaching unsustainable research costs to develop new drug therapies for mental disease because of the high failure rate in clinical trials. These failures are due to limitations of pre-clinical studies in animal models that fail to predict the efficacy of new drugs in human subjects. The gap between pre-clinical trials and clinical trials is particularly difficult in complex mental diseases such as schizophrenia because of the complex dynamics of the brain and the multiple chemical pathways that drugs can affect.

However, many biological mechanisms associated with schizophrenia are now understood, and computational power and methods have …

Early Psychosis Intervention In Oregon: Building A Positive Future For This Generation, Ryan P. Melton, Tamara Sale

Regional Research Institute for Human Services

The article focuses on the importance of early Schizophrenia intervention.

State Experiences With Affordable Housing Plus Services: Report To Seniors And Persons With Disabilities, On The Move, Paula C. Carder, Erika Zoller

Institute on Aging Publications

Housing developers, providers, policy makers, and advocates, increasingly recognize that for some groups of individuals, access to affordable housing alone is "not enough." That is, some individuals require more than shelter. Examples include individuals who have chronic health conditions (e.g., HIV/AIDS), those with physical or cognitive limitations (e.g., persons with developmental disabilities, adults with physical disabilities), and those who have a combination of health conditions or who cannot thrive in traditional housing (e.g., persons who have been homeless, individuals with chronic mental illness). Increasingly, housing providers, social service agencies, advocates, states, and federal agencies have recognized the need to combine …

Adolescent Daily Cigarette Smoking: Is Rural Residency A Risk Factor?, M. Nawal Lutfiyya, K. K. Shah, M. Johnson, R. W. Bales, I. Cha, C. Mcgrath, L. Serpa, Martin S. Lipsky

Community Health Faculty Publications and Presentations

Introduction: Daily cigarette smoking among US adolescents remains a significant public health problem. Understanding risk is important in order to develop strategies to reduce this type of tobacco use. Purpose: The primary objective of this research was to examine whether rural residency is an independent risk factor for being a daily smoker among adolescents ages 12 to 18 years.

Methods: This is a cross-sectional study where univariate, bivariate, and multivariate analyses were performed on a merged 1997- 2003 Youth Risk Behavior Surveillance System dataset to determine whether rural residence was a significant risk factor for daily cigarette smoking, after adjusting …

Increased Hiv Risk Associated With Criminal Justice Involvement Among Men On Methadone, Matthew Epperson, Nabila El-Bassel, Louisa Gilbert, E. Roberto Orellana, Mingway Chang

School of Social Work Faculty Publications and Presentations

This paper examines the relationship between HIV risk and criminal justice involvement among a random sample of 356 men enrolled in methadone maintenance treatment programs in New York City. Bivariate and logistic regression analyses were performed to estimate the associations between measures of criminal justice involvement and participant HIV risk, controlling for socio-demographic variables. A lifetime history of incarceration was significantly associated with being HIV positive (Adjusted OR = 5.08). Recent arrest was associated with unprotected vaginal sex and having multiple female sexual partners. Sex trading was associated with both arrest and incarceration, and the strongest association was found between …

Advancing Transdisciplinary And Translational Research Practice: Issues And Models Of Doctoral Education In Public Health, Linda Neuhauser, Dawn M. Richardson, Sonja Mackenzie, Meredith Minkler

Community Health Faculty Publications and Presentations

Finding solutions to complex health problems, such as obesity, violence, and climate change, will require radical changes in cross-disciplinary education, research, and practice. The fundamental determinants of health include many interrelated factors such as poverty, culture, education, environment, and government policies. However, traditional public health training has tended to focus more narrowly on diseases and risk factors, and has not adequately leveraged the rich contributions of sociology, anthropology, economics, geography, communication, political science, and other disciplines. Further, students are often not sufficiently trained to work across sectors to translate research findings into effective, large-scale sustainable actions. During the past 2 …

Detecting Overweight Children In Primary Care: Do National Data Reflect The Typical Urban Practice?, Elena Sutu, Carlos J. Crespo, Barbara Shine, Anita Doshi, Teresa Quattrin

Community Health Faculty Publications and Presentations

The article presents a study which aims to obtain data about the feasibility of detecting risk for overweight and overweight in infants and young children seen for well-child visits based on pediatricians' standard practice, to compare these estimates with the national data, and to compare the data gathered during well-child visits with data collected during well-child visits with data obtained in preschool children seen for a sick-child visit. It was stated that earlier children started increasing in adiposity, the greater the risk for being obese as adolescents and adults with 40 percent of infants whose weight was above the 95th …

Noise Induced Hearing Loss In Children: Preventing The Silent Epidemic, William Hal Martin, Judith L. Sobel, Susan E. Griest, Linda Howarth, Shi Yongbing

Community Health Faculty Publications and Presentations

Noise-induced hearing loss and related tinnitus are often unrecognized problems, especially in non-occupational settings. Research indicates that increasing numbers of children and adolescents have or are acquiring noise induced hearing losses. Noise induced hearing loss can almost completely be prevented with simple precautionary measures. Educational programs rarely exist outside of those mandated in occupational settings. Health Communication theory can be applied to hearing health for developing effective loss prevention programs. Dangerous Decibels is one example of an effective multi-disciplinary effort to develop and disseminated prevention strategies.

A Question Of Neutrality: Divorce Mediation Literature, The Role Of The Mediator, And Perspectives On Bias, Cory Michael Mathews

Dissertations and Theses

Research on mediation processes have addressed the role of the mediator, but often obliquely. In divorce mediation, the literature has sketched various approaches to the role, which diverge from each other in some significant ways. What is lacking is an integrated picture as to how these approaches to the field differ on key questions in the practice of divorce mediation.

This thesis is a preliminary attempt at such an integrated sketch, focusing on the question of whether or not the mediator is truly neutral in the process. Two major schools of thought of emerge from the literature, here referred to …

Comparison Of Cardiovascular Disease Risk In Japanese Natives And Japanese Americans, Mayumi Takeda

Dissertations and Theses

This research examined potential differences in cardiovascular disease risk (CVR) in two groups: Japanese Natives living in Saga, Japan and Japanese Americans living in or near Portland, Oregon. It explored data gathered in an effort to build a theoretical framework for future studies. Environmental, nutritional, and lifestyle differences were also examined to compare the health status of Japanese residents in the two countries. The history of Japan from World War II to present, and the history of Japanese Americans both first and second generation, are discussed in the literature review.

Accelerated plethysmography (APG) is a technique which presumably allows the …

Informational Supports For Caregivers Responsible For Spouses With Alzheimer's Disease, Janet Lynn Mathews

Dissertations and Theses

Alzheimer's disease currently affects four million Americans and is increasing as "America grays." Although health complications can cause death within the first two to ten years, some persons with Alzheimer's disease live twenty years. Because three times as many persons with the disease live at home instead of in institutions, caregiver researchers have investigated caregiving in the home environment, focusing on caregivers' perspectives. Surprisingly, many caregivers reported that they did not receive the information or support they needed to manage home care from the traditional information resources, family and medical providers. The purpose of this study was to explore what …

The Family Caregivers' Health Decision Making About Early Diagnosis For Alzheimer's Disease Patients, Ping Zhong Zhao

Dissertations and Theses

This study investigated the family caregivers' role in seeking early diagnosis for Alzheimer's Disease (A. D.) patients within the theoretical framework of the Health Belief Model (HBM). The research question was why some family caregivers sought diagnosis for their A. D. family members in the presence of mild symptoms while other caregivers delayed seeking diagnosis until severe symptoms had occurred.

Focus-group interviews were conducted to gather data. Participants were family caregivers whose family members had been diagnosed by the A. D. diagnostic units of the Good Samaritan Hospital, Portland, Oregon as having A. D. or related disorder. Participants were divided …

Predictors Of Depression In American Indian Adolescents, Quang Duong-Tran

Dissertations and Theses

Discriminant analysis was conducted to examine the empirical use of psychosocial variables and stressful life events scales in classifying depressed and non-depressed American Indian adolescents using a standardized criterion measure. Subjects attending a Bureau of Indian Affair boarding school were administered a mental health screening survey and were interviewed within four weeks using the Diagnostic Interview Schedule f or Children-Revised (DISC-R). Three models of discriminant analysis were used to determine the overall and incremental variance contributed by the stressful life events scales and the related psychosocial variables (i.e., gender, perceived social support from family and from friends, self-esteem, and depressive …

Toward Predicting Completion Of Substance Abuse Treatment, Rebecca Lee Bragg

Dissertations and Theses

This investigation attempts to identify factors which influence whether or not someone is likely to drop out of a chemical dependency treatment program. Dropping out is defined as someone who leaves treatment against medical advice.

The subjects were patients from a private, non-profit, medically based, residential program. Nine demographic characteristics were abstracted from the charts on file for the patients at the treatment center. Two groups of 45 patients each were selected from the inpatient population. One group, the Completed Treatment group, comprised patients who had completed the 28 day program. The second group, the AMA Discharge group, comprised patients …

A Study Of The Identification And Referral Components Of Substance Abuse Intervention Programs In Washington State's Public High Schools, Todd C. Herberg

Dissertations and Theses

This multiple-case study investigated the characteristics of successful high school substance abuse intervention programs.

The unit of analysis for this multiple-case study is the public high school substance abuse intervention program of twelve selected Washington State high schools. Sub-units of analysis within the multiple-case study include the various components and attributes of a substance abuse intervention program. Examples of these sub-units include: formal drug education policies; staff training on substance abuse issues and intervention skills; formal curriculum and student instruction; central office administration and building administration support for the program; community support for the program, staff time to administer the …

The Relationship Of The Perception Of Choice And Positive Behavior Change In Adolescent Residential Treatment With Future Success In The Community, Rita Harding Mcclellan

Dissertations and Theses

The purpose of this study was to explore the relationship of clients' perception of choice in treatment planning and the clients' positive behavior changes made within the treatment setting, with the clients' successful return to the community after release from the residential treatment setting.

Effects Of Stress Management Instruction And Anxiety Monitoring In Adult Day Treatment Population, Jack Blanton Wills

Dissertations and Theses

This study examines the effectiveness of a particular stress management intervention with adult outpatients diagnosed as chronic schizophrenics. The setting for the study was the Portland, Oregon, Veteran's Administration, Outpatient Clinic, Day Treatment Center. The intervention was composed of two factors; 1) stress management training and 2) Behavior-Graph Instruction. Both of these were presented using a psychoeducational model of classroom instruction, role play, and discussion.

Development, Diagnosis And Treatment Of Post Traumatic Stress Disorder And The Vietnam Veteran Population, Bari S. Fisher

Dissertations and Theses

Over the past 15 years, mental health professionals have seen an increasing number of Vietnam combat veterans suffering from stress disorders resulting from the trauma of combat and continued exposure to life threatening situations. Prior to 1980, professional repudiation of and hostility toward Vietnam veterans and toward a clinical reality of Post Traumatic Stress Disorder was common while nondiagnosis and nontreatment was prevalent.

Serving Primary Caregivers Of Persons With Alzheimer's Disease : An Integrated Service Delivery Model, Greta Krahn Stapleton

Dissertations and Theses

Alzheimer's disease (AD) is the most common form of nontreatable dementia, a syndrome which reflects a progressive and global impairment of memory, intellect, and other cognitive abilities. This devastating condition directly touches the lives of as many as 10 million Americans, including not only persons suffering from the disease but their primary caregivers and other family members as well. At present the course of AD cannot be halted or reversed, and no cure is known. The problem, then, is how to most effectively respond to the psychosocial needs of primary caregivers in order to help them provide the best possible …

Internal External Locus Of Control And The Choice Of Therapy, Marlene Eid

Dissertations and Theses

The purpose of this study was to determine whether a relationship exists between the scores subjects obtain on Rotter's Internal-External Locus of Control Scale and the type of therapy they prefer. Two hundred and fifty-four students in general psychology classes were given Rotter's Scale. Considering their upper- and lower-third scores, 54 were classified as " Internals," 53 as "Externals." Subjects also were given written descriptions of both psychoanalytic and behavioristic therapies. Each of these descriptions dealt with the goal and the specific therapeutic procedure of the respective therapies. Subjects were asked to identify which therapy they preferred and to provide …

Wilhelm Reich's Character Analysis In Its Historical Context, R. Daniel Mccauley

Dissertations and Theses

The thesis is an attempt to reconcile contradictions and devise historical meaning from a problematic text. The book is Wilhelm Reich's Character Analysis, first published in 1933. This influential psychoanalytic work embodies both a radical social theory and disturbing authoritarian attitudes. The thesis uses a variety of methodologies, in particular Roland Barthes' techniques for ascribing historical meaning to certain formal qualities of writing. The thesis proceeds from a summary of methodological studies in intellectual history and criticism, including those of I. A. Richards, R. G. Collingwood, and Dominick LaCapra, as well as Barthes, to a description of Character Analysis and …

Career Lines In The Area Of Mental Retardation, Charlotte Ballard

Dissertations and Theses

In the past few years there has been a large growth in the number of facilities and services provided to the mentally retarded in the community, as contrasted to the institutional setting.

This thesis reviews some of the factors involved in the transition to community care for the mentally retarded as a background for an examination of the characteristics and perceptions of the persons who provide community care.