Psychiatry and Psychology Commons^™

A Randomized Controlled Trial Of A Faith-Placed, Lay Health Advisor Delivered Smoking Cessation Intervention For Rural Residents, Nancy E. Schoenberg, Christina R. Studts, Brent J. Shelton, Meng Liu, Richard Clayton, Jordan Baeker Bispo, Nell Fields, Mark Dignan, Thomas Cooper

Behavioral Science Faculty Publications

Introduction. Rural US residents smoke at higher rates than urban or suburban residents. We report results from a community-based smoking cessation intervention in Appalachian Kentucky.

Study design. Single-blind, group-randomized trial with outcome measurements at baseline, 17 weeks and 43 weeks.

Setting/participants. This faith-placed CBPR project was located in six counties of rural Appalachian Kentucky. A total of 590 individual participants clustered in 28 churches were enrolled in the study.

Intervention. Local lay health advisors delivered the 12-week Cooper/Clayton Method to Stop Smoking program, leveraging sociocultural factors to improve the cultural salience of the program for Appalachian smokers. Participants met with …

Physical Activity Improves Depressive Symptoms In Older Adults, Karen Lee Fahey

Walden Dissertations and Doctoral Studies

Engaging in physical activity can help older adults to take part in community activities, maintain relationships, and initiate new friendships, thus preventing loneliness and depression. The purpose of this quality improvement (QI) project was to evaluate whether participation in physical activity improved depressive symptoms in 15 older adults at a local senior center. Pender’s health promotion model was used to determine nursing and behavioral science views on components that affect health behavior. The Exercise Benefit/Barrier Scale (EBBS) survey was evaluated before implementation of the walking program to measure the benefits of and barriers to exercise. The EBBS results showed that …

Bupropion Induced Hyponatremia In An Elderly Patient: A Case Report And Review Of The Literature, Sahil Munjal, Yvette Smolin

NYMC Faculty Publications

We present the case of a 72-year-old female with a major depressive episode who developed hyponatremia associated with bupropion. In reviewing the literature, there are only a few case reports which pertain to this topic. The clinical symptoms of hyponatremia can be misinterpreted as a worsening of the primary psychiatric illness and can lead to potentially serious consequences if not fully evaluated. We recommend that clinicians should be well aware of this side effect and that sodium levels should be checked within the first 2 weeks after initiating treatment in patients, especially those with additional risk factors for hyponatremia, such …

Exercises On Overcoming Perfectionist Tendencies, Jake Yoo

Bachelor of Fine Arts Senior Papers

In my latest series, I investigate my neurotic perfectionist tendency through repetition of phrases that I understand to be true in my head, but have a problem with accepting it in my heart. This way, I am studying my personal biases and the way I perceive the world in order to break free from unwanted behaviors and process negative emotions. Louise Bourgeois is a historical precedence to my practice as whole, while the series functions similarly to Yayoi Kusama’s dot and net paintings—a psychological portrait achieved through continuous repetition of a few elements.

Science, Symptoms, And Support Groups:Adhd In The American Cultural Context, Kealy D. Fallon

Theses and Dissertations

This thesis is a cultural analysis of the behaviorally- and psychiatrically-defined disorder ADHD, socio-historically contextualizing it in the United States and exploring ethnographically how people affected by it talk about and organize their experience of its symptoms.

Understanding The Employment Barriers And Support Needs Of People Living With Psychosis, Margaret Hampson, Richard Hicks, Bruce Watt

The Qualitative Report

This study investigated the employment barriers and support needs of people living with psychosis. A purposive community sample of 137 volunteers drawn from six key stakeholder groups were invited to participate in focus groups and semi-structured individual interviews to elicit their perceptions on the employment barriers and support needs of people living with psychosis. The stakeholder groups included in this study were people with lived experience of schizophrenia or bipolar disorder, carers, health professionals, employers, employment service providers, and community members. Data obtained from 14 focus groups and 31 semi-structured individual interviews were transcribed, imported into NVivo 10, and coded …

Build-Up Effect Of Auditory Stream Segregation Using Amplitude-Modulated Narrowband Noise, Harley J. Wheeler

Senior Honors Projects, 2010-2019

Recent psychoacoustic experiments (Böckmann-Barthel et al., 2014; Deike et al., 2012) have re-examined research regarding stream segregation and the build-up effect. Stream segregation is the ability to discern auditory objects within a stream of information, such as distinguishing one voice amongst background noise or an instrument within an orchestra. Initial works examining this topic proposed that auditory information is not immediately distinguished as various streams, but rather that differences accumulate over time, allowing listeners to segregate information following a period of build-up (i.e., the build-up effect); whereas more current findings indicate a build-up period is unnecessary for segregation. This experiment’s …

Social Communication As An Early Indicator Of Autism In High-Risk Infant Populations, Alexis Marie Brewer

Senior Theses

This senior thesis analyzes the social communicative profiles of children at high-risk for autism compared to typically developing controls. The project focuses specifically on the differences in initiating joint attention gaze shifts and joint attention gestures at 12 months in two high-risk groups, children with fragile X syndrome and younger siblings of children already diagnosed with autism. Their frequencies of gaze shifts and gestures were also analyzed to determine whether the joint attention behaviors are indicative of later autism symptom severity at 24 months.

Standpoint: Black Queer Southern Revelations, Mitchell Joseph Sewell

Senior Theses

This senior thesis project is a collection of spoken word poetry organized around the theme of the experience of one black, southern, queer man.

What Do We Know About Gmos: A Comparison Of Regulations And Labeling In The United States And Netherlands, Alexa Nicole Black

Senior Theses

This senior thesis will articulate the similarities and differences in food regulations related to organic and GMO foods in the US versus the Netherlands and identify factors that contribute to these differences. The main goal of this thesis is to explain, through research and my own observations, the need for more comprehensive research and labeling of GM foods.

A Mixed Methods Analysis Of The Relationship Between Attachment, Post-Traumatic Stress, And Post-Traumatic Growth Among United States Service Members, Chauncy T. Brinton

Dissertations, 2014-2019

The impact of secure military relationships on US service members’ response to trauma during military service was examined in this mixed methods study. Veterans with and without combat exposure evidence a high rate of post-traumatic stress disorder (PTSD) and the military has tried to institute resilience-based programs in anticipation of the psychological challenges experienced by soldiers. At the same time, research has shown that some service members report positive outcomes associated with military service including the phenomena of post-traumatic growth (PTG). The constructs from attachment theory (safe haven and exploration) have begun to be the focus of research with service …

A Critical Analysis Of The "Young Life" Program: Implications For The Creation Of A "Leader" Manual, Christina Anne Romano

Senior Theses

The goal of this project was to create a useful and informative manual for current Young Life leaders in Columbia, South Carolina based on research from developmental literature about adolescent needs. Young Life is a nondenominational Christian youth group made up of volunteer leaders and staff people who go into local high schools to build relationships and develop an opportunity for ministry and sharing the Gospel. This project intends to critique what Young Life could be doing better in terms of catering to the needs of adolescents in this critical stage of development while coming from the perspective that the …

Effect Of A 72 Hour Stroke Care Bundle On Early Outcomes After Acute Stroke: A Non Randomised Controlled Study, Martha Sajatovic, Anthony J. Furlan

Faculty Scholarship

Background Integrated care pathways (ICP) in stroke management are increasingly being implemented to improve outcomes of acute stroke patients. We evaluated the effect of implementing a 72 hour stroke care bundle on early outcomes among patients admitted within seven days post stroke to the national referral hospital in Uganda. Methods In a one year non-randomised controlled study, 127 stroke patients who had ‘usual care’ (control group) were compared to 127 stroke patients who received selected elements from an ICP (intervention group). Patients were consecutively enrolled (controls first, intervention group second) into each group over 5 month periods and followed to …

The Relationship Between Time Of Day, Mood, And Electroencephalography (Eeg) Asymmetry, Morgan Tantillo

Honors Projects

Previous researchers have had success in finding a correlation between exercise and an increase in positive mood. Researchers have also found a correlation between time of day and mood. The current study will explore the relationship between time of day, mood, and electroencephalography (EEG) asymmetry. The study utilized a convenient sample of ten undergraduate students at Bowling Green State University. Participants had baseline EEG recordings taken, and then participated in moderate exercise, followed by another EEG recording. Participants’ mood was assessed through a self-reported mood questionnaire before the condition as well as immediately after. Due to multiple statistical tests, the …

The Effect Of Descriptive Norms On Resistance Exercise Self-Efficacy In College-Aged Females 2016, Justin Kompf

Master's Theses

Resistance training is a form of physical activity that provides substantial health benefits. Despite these widespread benefits, participation in resistance training is considerably low, particularly among females. To engage in a skill-related activity such as resistance training, individuals need to have confidence in their abilities. Self-efficacy is a cognitive construct that is used to describe situation-specific self-confidence. Descriptive norms are a type of social norm that describes the behavior of others. Descriptive norms have been useful in positively changing health related behaviors. The exact mechanism of how descriptive norms alter behavior is unknown. However, it has been show in research …

Music Therapy In Patients With Dementia And Behavioral Disturbance On An Inpatient Psychiatry Unit: Results From A Pilot Randomized Controlled Study., Joanna Thornley, Hussein Hirjee, Akshya Vasudev

Psychiatry Publications

The prevalence of dementia continues to grow worldwide due to an aging population and is projected to affect 65.7 million people by 2030 (World Health Organization, 2012). Behavioral and psychological symptoms of dementia (BPSD), including agitation, anxiety, aggression, depression, and psychosis, can occur in as much as 80% of the affected population, frequently necessitating psychiatric admission. Traditionally BPSD have been treated using pharmacological approaches. However, such medications could have serious adverse effects and additionally have limited efficacy in reducing such symptoms (Ballard et al., 2009).

Capturing Success At Autistry Studios: A Qualitative Study, Ali Ives, Vince Colombano, Joey Bava

Dissertations, Masters Theses, Capstones, and Culminating Projects

This qualitative study examined the perceived outcomes of participation at Autistry Studios among young adult students with Autism Spectrum Disorder (ASD). Autistry Studios is a unique program offering services to individuals with ASD similar to that of a pre-vocational training program. The mission of Autistry Studios is to help students with ASD become independent adults by engaging in “project-based therapy.” A setting is provided where individuals with ASD can achieve personal and functional growth with the use of creative resources like art supplies, raw materials, and power tools to pursue and complete a project that is client-centered. The purpose of …

Qualitative Exploration Of Spirituality In Heart Failure Patients, Abigail M. Reggio

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background.

Heart failure (HF) is a severe, progressive disease that afflicts large numbers of

individuals around the world. One significant factor affecting quality of life in persons

with HF is the extent to which spiritual needs are met. Developing an understanding of

spirituality in the HF patient is essential in order for the healthcare professional to

provide the highest quality care possible. This study focused on examining spirituality

in HF patients by means of conducting in-depth interviews with individuals diagnosed

with HF and completing a descriptive analysis of the responses. The goal of this study

was to gain insight into …

Apolipoprotein E And Clusterin Can Magnify Effects Of Personality Vulnerability On Declarative Memory Performance In Non‐Demented Older Adults, Sharaddha Sapkota, Sandra A. Wiebe, Brent J. Small, Roger A. Dixon

Aging Studies Faculty Publications

Objectives: Recent research has linked psychological (personality) factors and specific genetic risk polymorphisms to performance on neurocognitive phenotypes. We examined whether episodic or semantic memory performance is associated with (a) three personality traits (i.e. neuroticism, extraversion, and openness to experience), (b) two neurodegenerative‐related polymorphisms (i.e. Apolipoprotein E (APOE; rs7412; rs429358), Clusterin (CLU; rs11136000)), and (c) cross‐domain risk interactions (magnification effects).

Methods: Linear growth models were examined to test independent associations between personality traits and declarative memory performance, and potential interaction effects with APOE and CLU genetic risk. Normal older adults (n = 282) with personality …

Treating Chronic Pain At A Federally Qualified Health Center: Staff Perspectives, Nathan K. Goins

Doctor of Psychology (PsyD)

Although half of all patients with chronic pain seek treatment with their primary care practitioner, many physicians report being overburdened, with limited confidence in their training in the treatment of chronic pain. Opiate monotherapy remains the most common treatment utilized, despite strong correlations with addiction issues and increased distrust between patients and providers. In response to these issues, multidisciplinary stepped-care approaches utilizing psychoeducation, cognitive therapies, movement-based therapy, pharmaceutical treatment, yoga, and acupuncture have been developed. However, treatment within Federally Qualified Health Centers (FQHC) are complicated by financial constraints and high complexity in patient populations. This study examined the perspectives of …

Stepped Care Versus Standard Trauma‐Focused Cognitive Behavioral Therapy For Young Children, Alison Salloum, Wei Wang, John Robst, Tanya K. Murphy, Michael S. Scheeringa, Judith A. Cohen, Eric A. Storch

Social Work Faculty Publications

Background

To compare the effectiveness and cost of stepped care trauma‐focused cognitive behavioral therapy (SC‐TF‐CBT), a new service delivery method designed to address treatment barriers, to standard TF‐CBT among young children who were experiencing posttraumatic stress symptoms (PTSS).

Methods

A total of 53 children (ages 3–7 years) who were experiencing PTSS were randomly assigned (2:1) to receive SC‐TF‐CBT or TF‐CBT. Assessments by a blinded evaluator occurred at screening/baseline, after Step One for SC‐TF‐CBT, posttreatment, and 3‐month follow‐up. Trial registration: ClinicalTrials.gov: https://www.clinicaltrials.gov/ct2/show/NCT01603563.

Results

There were comparable improvements over time in PTSS and secondary outcomes in both conditions. Noninferiority of SC‐TF‐CBT …

The Indelible Power Of The Intraverbal: Expanding The Intraverbal Repertoire And Utilizing Conditioned Praise Words To Decrease Problem Behaviors Of Typically Developing Students In Schools, Jose A. Zamudio

Theses and Dissertations

This study tested a disciplinary strategy that aimed at teaching students positive behaviors to decrease (or eliminate) problem behavior at school. In this study, data of five disruptive students from a middle school in South Texas were analyzed to evaluate the outcomes of the disciplinary strategy implemented by a disciplinary program facilitator at the campus. Students were conditioned to be more receptive to particular praise words related to positive thinking, and ten teachers at the campus were trained to deliver the conditioned praise words when the students expressed positive behaviors that corresponded with the conditioned praise words. Positive thinking celerated …

The Relationship Between Entity Beliefs And Socioeconomic Status-Based Rejection Sensitivity: Academic Achievement In A Predominantly Hispanic Sample, Anna Kushner

Theses and Dissertations

Previous research has shown that entity beliefs can moderate or buffer the impact of class-based rejection sensitivity on expected and official grade point averages of low-income college students. This study attempted to replicate previous research, which found that class-based rejection sensitivity (RS-class) and entity beliefs had negative main effects on academic outcomes (grade point average), and that entity beliefs served as a moderator in the relationship between RS-class and academic outcomes. While the predicted relationships were not replicated, this study found that higher acculturation scores are related to greater levels of academic achievement as measured by GPA. This attempted replication …

The Psychosocial Effects Of The Li-Fraumeni Education And Early Detection (Lead) Program On Indivdiuals With Li-Fraumeni Syndrome, Jessica L. Ross

Dissertations and Theses (Open Access)

Li-Fraumeni syndrome (LFS) is a hereditary cancer syndrome that leads to an increased risk of multiple cancers. In the past five years new screening protocols have been developed that provide improved screening options for individuals with LFS. However, very little has been published on the psychosocial impact of these screening protocols. The goals of this study were to determine how participation in screening impacts individuals psychosocially, to examine the benefits and drawbacks of screening, and to evaluate possible barriers to continued screening. This qualitative study consisted of phone interviews with 20 individuals that took part in an LFS screening program …

The Behavioral Addiction Indoor Tanning Screener (Baits): An Evaluation Of A Brief Measure Of Behavioral Addictive Symptoms, Jerod L. Stapleton, Joel J. Hillhouse, Rob Turrisi, Katie Baker, Sharon L. Manne, Elliot J. Coups

ETSU Faculty Works

No abstract provided.

Factors Associated With African American Women’S Sexual Health And Risk Behavior: A Mixed Methods Study, Melody N. Waller

Theses and Dissertations (ETD)

Introduction: When looking at the health status of our nation, an examination of sexual and reproductive health reveals that there are multiple conditions related to sexual behavior posing a burden on the health of African American women (AAW). Disproportionate rates of sexually transmitted infections, unintended/teen pregnancy, and sexual violence in this group reveal the need to integrate a broader construct to address the multiple factors known to contribute to disparities in sexual and reproductive health affecting AAW. Current health promotion efforts including the encouragement of abstinence and condom use fail to address the multiple components involved in sexual health and/or …

Predictors Of Quality Of Life For African American Women Who Assist Persons Who Receive Dialysis, Shaquita A. Starks

Theses and Dissertations (ETD)

The purpose of this predictive correlational study was to describe predictors of quality of life (QoL) for African American women who were caregivers of persons with end stage renal disease (ESRD). Five purposes, derived from a review of literature and conceptual model, guided this study. First, the study described the association between demographic factors (i.e., education, employment, age, marital status), and QoL. Second, the study explored the relationship between stress and QoL. Third, the study described the association between depressive symptoms and QoL. Fourth, the study described the association between family health/happiness and QoL. Fifth, the study described the extent …

Concurrent Mental Health And Sport Performance Enhancement In An Athlete Initiating Behavioral Intervention With No Assessed Pathology: A Case Examination Supporting Optimization, Yulia Gavrilova

UNLV Theses, Dissertations, Professional Papers, and Capstones

Collegiate athletes are often exposed to unique environmental stressors that may negatively impact the way they think, behave, and feel in athletic, academic, and social domains, potentially compromising their performance and mental health when cognitive and behavioral skills are relatively underdeveloped. Behavioral interventions have been shown to enhance cognitive and behavioral skills in persons with assessed mental health deficits in the general population. However, little is known about the relative effects of psychologically-based programs in persons who do not evidence pathology. Along these lines, The Optimum Performance Program in Sports (TOPPS), based on Family Behavior Therapy, was recently developed with …

Nursing Perception Of Psychogenic Nonepileptic Spells: Improving Patient Outcomes, Amanda J. Cramer

Doctor of Nursing Practice Scholarly Projects

Patients with psychogenic nonepileptic spells (PNES) have generally poor outcomes and many fail to engage in evidence-based treatments (Thompson et al., 2013). Negative healthcare provider perceptions have been implicated as a barrier to patient engagement in treatment recommendations for PNES (Whitehead, Kandler, & Reuber, 2013; Worsely et al., 2011). Illness perception of these patients has been evaluated from the perspective of physicians in multiple settings but perceptions by nurses are not well studied despite the close interactions that nurses have with these patients.

This project used Pender’s health promotion model to collect information about the nursing experience with patients with …

The Consequences Of Failing: A Memoir, Olivia M. Zajac

All College Thesis Program, 2016-2019

Failing is part of our human nature. I have never met a person who has never failed at something. Sometimes when I look back at my failures I feel like crying, and other times I laugh at the mistakes that I have made. But no matter the type of failure I have suffered, I have learned one thing. Failures, along with successes, have shaped me into the person I am today. When I fail, I often fall. But each fall is a chance for me to get back up. I don’t plan to stop failing any time soon.

Just like …