Psychiatry and Psychology Commons^™

Does The Use Of Volunteers And Playbooks In Pediatric Primary Care Clinic Waiting Rooms Influence Patient Experience?, Tara Servati, Kalpana Pethe, Victoria Tiase

Patient Experience Journal

The purpose of this secondary data analysis was (1) to understand the use of a playbook as a positive distraction technique and (2) to explore the use of volunteers in the waiting room of an outpatient pediatric clinic setting. Specifically, the study examined the impact on perceived wait time, overall quality of care, and patient experience in a convenience sample of patients. Data obtained for a pilot program for improving patient experience were aggregated for exploratory analysis. Although significant differences in perceived wait time or patient experience were not found, the cohort exposed to both the playbook and volunteer intervention …

The Relationship Between Biological And Psychosocial Risk Factors And Resting‐State Functional Connectivity In 2‐Monthold Bangladeshi Infants: A Feasibility And Pilot Study, Ted K. Turesky, Sarah K.G. Jensen, Xi Yu, Swapna Kumar, Yingying Wang, Danielle D. Sliva, Borjan Gagoski, Joseph Sanfilippo, Lilla Zöllei, Emma Boyd, Rashidul Haque, Shahria Hafiz Kakon, Nazrul Islam, William A. Petri Jr., Charles A. Nelson, Nadine Gaab

Center for Brain, Biology, and Behavior: Faculty Publications

Childhood poverty has been associated with structural and functional alterations in the developing brain. However, poverty does not alter brain development directly, but acts through associated biological or psychosocial risk factors (e.g. malnutrition, family conflict). Yet few studies have investigated risk factors in the context of infant neurodevelopment, and none have done so in low‐resource settings such as Bangladesh, where children are exposed to multiple, severe biological and psychosocial hazards. In this feasibility and pilot study, usable resting‐state fMRI data were acquired in infants from extremely poor (n = 16) and (relatively) more affluent (n = 16) families in Dhaka, …

Managing Madness: The Ethics Of Identifying And Treating Mental Illness, Mason Seely

Helene Lafrance Library Undergraduate Research Award

This essay analyzes different contemporary models for defining mental illness and offers a new framework that promotes the use of normative values during the clinical diagnostic process. Although ethic centric models for identifying mental illness do currently exist, these accounts are limited. Specifically, these accounts acknowledge the relationship between mental illness labels and implied responsibility in making their argument to support a normative framework, yet do not explain what capacities are necessary for an agent to have full responsibility. Recognizing this shortcoming, this paper provides an enriched model for identifying mental illness by marrying a normative conception of psychiatric dysfunction …

A Study Of Music: Music Psychology, Music Therapy, And Worship Music, Jessica Whittemore

Senior Honors Theses

There are three specific fields related to music: the psychology of Music and how it affects human brain and functions, the methodology of Music Therapy and how it affects individuals undergoing treatment, and the psychological effects of Worship Music and how it can be used in music therapy. Music therapy is a growing field in which the therapeutic outcomes greatly benefit the patients. The overall purpose is to create a greater understanding of music and music therapy in order to a provide a system for introducing group worship services into music therapy to ultimately bring spiritual healing to individuals.

Delay Discount Rate Moderates A Physical Activity Intervention Testing Immediate Rewards, Christine B. Phillips, Jane C. Hurley, Siddhartha S. Angadi, Michael Todd, Vincent Berardi, Melbourne Hovell, Marc A. Adams

Psychology Faculty Articles and Research

Financial incentives can increase physical activity (PA), but differences in the immediacy of reward delivery and individual differences in delay discount rates (i.e., higher discount values associated with less tolerance for delayed rewards) may explain differential responding. The current study tested whether delay discount rate moderated the relative effectiveness of immediate financial rewards on increasing daily PA. Inactive, overweight adults (ages 18–60, N = 96) were randomized to receive either smaller, immediate goal-contingent rewards or larger, delayed rewards for participation. Delay discount rates were derived for those who completed the Monetary Choice Questionnaire (N = 85). Linear mixed models tested …

The Effects Of Stress Mindset Interventions On University Students' Health And Functioning, Abigail Fate

Undergraduate Honors Papers

In modern society, the overwhelming cultural narrative proclaims that stress is detrimental to health and should be limited and avoided at all costs. However, recent research has demonstrated that it is one’s stress mindset, rather than their stress level, that determines the psychological and physiological outcomes. Mindsets are lenses that simplify and order the world, and have been proven to influence daily behavioral and physiological responses to create cascading effects. Recent research has demonstrated that one’s mindset about stress is the demining factor in health, performance, and productivity in response to stressful conditions, and that these mindsets can be manipulated …

Professional Impressions And Experiences Of The Complex Needs Of Human Trafficking Survivors, Jackie Klock, Kelsey Haynes

Thinking Matters Symposium Archive

Abstract Human trafficking is a monumental and pervasive human rights issue, and one that carries immense physical, psychological, and psychosocial repercussions to its survivors. This project explores the complex needs and service gaps that exist for survivors of human trafficking. Through a qualitative study, with six in-person interviews of professional providers in Maine, we gain access to important information regarding complex needs of human trafficking survivors. Using thematic analysis we analyze common themes throughout the interviews in relation to previous literature. Recommendations for practice are also presented.

Facilitating Return To Work Among Individuals With Mental Illness Through Occupational Therapy Interventions, Cleo Miller, Blakelee Jordan

Thinking Matters Symposium Archive

The side effects of mental illness can affect areas of occupation, including: play, leisure, work, social participation, activities of daily living, etc. (Brown & Stoffel, 2011). Through collaboration with Riverview Psychiatric Center (RPC) in Augusta, Maine, as well as Maureen Martin OTR/L, an evaluation of relevant research was conducted to determine occupational therapy’s (OT) roll in the process of returning to work (RTW) for clients newly discharged from an inpatient psychiatric facility. This evaluation devised three themes: personal factors related to RTW; assessment tools & frameworks used to guide intervention; and OT interventions that can facilitate RTW. Research suggests that …

Child Poverty, Physical & Mental Health In Maine, Katelyn Malloy

Thinking Matters Symposium Archive

Children who live below the national poverty line account for nearly one fifth of Maine’s overall population. Child poverty is a determinant of health that can lead to negative health outcomes that affect childhood development, educational achievement, as well as physical and mental health. The purpose of this study was to identify five Maine counties with the highest rates of child poverty according to the national average. Comparison of poverty rates between counties were analyzed along with two leading health indicators – mental and physical distress. This study used 2016 county-level childhood poverty estimates, assessed by the American Community Survey …

Medication Moderates Link Between Adhd And Some Intimate Partner Violence Measures, Griffin Williams, Jamie Wood

Posters

Intimate partner violence (IPV), is a significant public health concern involving physical or psychological threats from a current or former romantic partner. (Centers for Disease Control and Prevention [CDC], 2014). Previous investigations have revealed that nearly half of all women and men have suffered from psychological aggression by an intimate partner at some point (Black et al., 2011). While IPV affects both genders, females suffer more than five million IPV incidents each year and nearly two million injuries (National Center for Injury Prevention and Control, 2003). While many predictors have been linked to IPV, we focused on Attention-Deficit/Hyperac­tivity Disorder (ADHD) …

Self-Regulation: A Cross-Sectional Study Of Preschool-Age Children, Sam J. Fugate

Mahurin Honors College Capstone Experience/Thesis Projects

Self-regulation predicts school readiness and consists of “cool” and “hot” self regulation. “Cool” self-regulation is characterized by inhibition of a dominant response, working memory, and set shifting. “Hot” self-regulation involves inhibition, shifting attention, and regulation of emotion in arousing situations. In this study, self-regulation was measured in 80 preschool-age children (3-5 years). Two “cool” tasks (Pencil Tap and Day/Night) were coded for percent correct, and the other two “cool” tasks (Dimensional Change Card Sort and Head-Toes-Knees-Shoulders) were coded for total score. The “hot” task (Snack Delay) was coded for compliance to task demands (no touching of snack/materials until timer beeped …

Age-Related Metric Invariance Of The Bis/Bas, William Hornsby

Mahurin Honors College Capstone Experience/Thesis Projects

The goals of this study were to examine the suitability of Carver and White’s (1994) BIS/BAS for use in adults of different ages, by examining the construct validity of the BIS/BAS, and testing for age-related invariance of the BIS/BAS. In addition, this study predicted that older adults would score higher on subscales of the BIS/BAS related to pursuit of immediate positivity, based on Carstensen’s (2006) theory of Socioemotional Selectivity. This study recruited 314 adults under the age of 30, 320 adults of age between 30 and 60, and 341 adults over the age of 60. Participants completed Carver & White’s …

Age Differences In Attentional Capture Effects Of Emotional Faces, Shelby King

Mahurin Honors College Capstone Experience/Thesis Projects

Sustained attention is necessary to accurately complete cognitive tasks. However, sustained attention can often be disrupted by distracting information. When distractors contain emotional content, past research suggests that they might attract attention. The rapid detection of emotional information is important in everyday life because emotion often emerges in social interaction, including unpleasant interactions where others might pose a threat. The attentional capture effects of emotional faces were explored by inserting them into a visual search task that included differing levels of perceptual load. Twenty-five younger adults and twenty older adults identified target letters in standard trials containing distracting elements, but …

Mental Health Stigma In College Students By Academic Major, Kristen Miller

Mahurin Honors College Capstone Experience/Thesis Projects

Stigma is best defined as the disapproval and shame felt by people who display characteristics not widely accepted in society. Although mental illness has become more prevalent in society through advocacy and awareness campaigns, it fails to be accepted and often individuals may feel shame that prevents them from seeking help (Dyrbye, Eacker, Durning, Brazeau, Moutier, Massie, S., et al, 2015; Givens & Tjia, 2002). Physicians in particular have been shown to have decreased help-seeking behaviors for psychological issues due to fear of professional repercussions (Dyrbye et al., 2015). Physicians also show increased levels of stress, anxiety, depression, and elevated …

An Experimental Test Of An Online Growth Mindset Intervention: Challenging College Students' Beliefs About Vak Learning Styles, Colten Collings

Mahurin Honors College Capstone Experience/Thesis Projects

At post-secondary institutions, student attrition and graduation rates are of great concern. One contributing factor could be a student’s belief in inaccurate information about the brain and human cognition (a neuromyth). Previous studies have shown among teachers, college graduates, and pre-service teachers the prevalence of neuromyth beliefs – the most rampant being the visual, auditory, and kinesthetic (VAK) learning styles myth. Though studies have hinted at some possible negative effects of holding the VAK learning styles myth, none have systematically investigated the matter. Therefore, the purpose of this mixed-methods experimental study was to expose college students’ misconceptions about learning, investigate …

Approaches To Parenting And Information Processing, Alyssa Berry

Mahurin Honors College Capstone Experience/Thesis Projects

Corporal punishment can be defined as using physical force with intent to cause pain when punishing a child (Straus, 2000). A substantial amount of research supports that corporal punishment has a negative effect on a child’s social and emotional development, specifically empathy and moral development. Studies also support that those who received corporal punishment as children are more likely to use corporal punishment with their own children (Gagné, Tourigny, & Pouliot-Lapointe, 2007). This current study elaborates on both these aspects of previous research. Three hypotheses frame this study: 1) Receiving corporal punishment as a child predicts lower empathy and moral …

The Impact Of A Therapist's Language In Computer-Mediated Communication, Robert E. Twidwell

Masters Theses & Specialist Projects

Background: Nearly 45 million adults in the United States live with a mental health disorder and only 43% of them seek treatment. One of the major barriers to seeking treatment is accessibility and can be addressed through telepsychology, or providing services with technology. With technological improvements in written communication, using computer-mediated communication (CMC; e.g. text messaging) has become more regularly used and examined in healthcare. To date, little research has focused on the use of practitioner language in telepsychology.

Method: Two samples (university sample and national sample) totaling 396 participants were asked to rate a therapist on attractiveness (i.e. likability …

Validity Of Evaluative Factors From Big Five And Hexaco Questionnaires, Michael D. Biderman, Samuel T. Mcabee, Nhung T. Hendy, Zhuo Job Chen

Publications

Highlights

• Applied bifactor models to NEO-FFI-3, HEXACO PI-R, and BFI-2 data estimating domain, evaluation, and acquiescence factors.

• The evaluation factor was a significant, positive predictor of GPA.

• The acquiescence factor was not a strong predictor of GPA.

• Domain factor score validities were more negative than corresponding summated scale validities.

• Results suggest that extraneous factor contamination can be measured and used with the modeling techniques employed here.

“Uno Logra Olvidar La Tortura”: Impactos De Las Dictaduras Militares Y Conversaciones Sobre Las Secuelas De La Tortura En El Instituto De Terapia E Investigación, Em Rosner

Independent Study Project (ISP) Collection

Investigué el impacto real de las dictaduras militares, y específicamente cómo las experiencias de tortura continuan marcando las vidas de los sobrevivientes y su habilidad de procesar los eventos de sus propias vidas, compartir sus experiencias con otras personas y hacer conexiones interpersonales. Mis preguntas primarias eran, ¿Cómo la tortura ha marcado la vida a largo plazo de las personas que la sufrieron? ¿Cómo impactan las experiencias de represión y tortura en las formas en que se construyen relaciones sociales y proyectos de vida? Para investigar este tema, entrevisté a personas que han tenido experiencias de tortura o que han …

Rationale And Methods For A Multicenter Clinical Trial Assessing Exercise And Intensive Vascular Risk Reduction In Preventing Dementia (Rrad Study), Amanda N. Szabo-Reed, Eric Vidoni, Ellen F. Binder, Jeffrey Burns, C. Munro Cullum, William P. Gahan, Aditi Gupta, Linda S. Hynan, Diana R. Kerwin, Heidi Rossetti, Ann M. Stowe, Wanpen Vongpatanasin, David C. Zhu, Rong Zhang, Jeffrey N. Keller

Neurology Faculty Publications

Alzheimer's Disease (AD) is an age-related disease with modifiable risk factors such as hypertension, hypercholesterolemia, obesity, and physical inactivity influencing the onset and progression. There is however, no direct evidence that reducing these risk factors prevents or slows AD. The Risk Reduction for Alzheimer's Disease (rrAD) trial is designed to study the independent and combined effects of intensive pharmacological control of blood pressure and cholesterol and exercise training on neurocognitive function. Six hundred and forty cognitively normal older adults age 60 to 85 years with hypertension and increased risk for dementia will be enrolled. Participants are randomized into one of …

What To Expect When You Are Not Expecting: The Biological, Psychological, And Cultural Setbacks Following Infertility, Lauren Butler 19

Honor Scholar Theses

No abstract provided.

Improving Depression Screening And Follow-Up In Primary Care Through Implementation Of An Evidence-Based Protocol, Cheryl Fowler

Doctoral Projects

Depression is a leading cause of disability in adults and is a major contributor to burden of disease (World Health Organization [WHO], 2018). The United States Preventative Services Task Force (USPSTF) provides evidence-based recommendations to promote disease prevention. Among these, is the recommendation that all adults, regardless of risk factors, should be screened for depression in the primary care setting with adequate systems in place to allow for appropriate diagnosis and management (USPSTF, 2016). The purpose of this Doctor of Nursing Practice (DNP) student project was to develop and implement an evidence-based protocol in the primary care setting with aims …

Increasing Utilization Of Cognitive Behavioral Therapy To Reduce Morbid Obesity In A Primary Care Setting, Erin J. Mccue

Doctoral Projects

Background: Obesity among adults is characterized by a body mass index (BMI) of 30 or higher. The impairment and disability resulting from obesity indicates a significant health problem that is often seen in primary care settings. Research indicates that cognitive behavioral therapy (CBT) is an underutilized, but extremely beneficial intervention that may support individuals in achieving weight loss. Adults suffering from obesity with or without comorbid conditions such as psychiatric disorders (e.g. anxiety and depression) have benefitted from CBT.

Purpose: To implement the increased utilization of CBT in the adult population with obesity and depression or anxiety in a primary …

Using The Rapid Assessment For Adolescent Preventive Services (Raaps) To Screen For Risk Taking Behaviors Of 13 To 18 Year-Olds In A Regional Family Practice Office, Megan E. Carpenter

Doctoral Projects

Risk-taking behaviors are a significant problem in the adolescent population and the three leading causes of mortality for adolescents are suicide, homicide, and unintentional injury (Heron, 2017). National organizations support screening for adolescent risk-taking behaviors and research demonstrates effectiveness of screening. This quality improvement (QI) project implemented the Rapid Assessment for Adolescent Preventive Services (RAAPS) screening tool at a regional family practice office as a vehicle to accomplish the objectives of increased identification of, and intervention for, risk-taking behaviors in adolescent patients. Included in the methods were baseline and implementation chart reviews that were used to assess the change in …

The Acute Effects Of Melatonin On Striatal Dopamine Release: Progressive Electrochemical Analysis In An Ex Vivo Mouse Model Utilizing Fast Scan Cyclic Voltammetry, Kevin D. Hughes

Graduate Theses

The caudate putamen is a sub region of the basal ganglia, containing neural tracts important for cognition, reward learning, and voluntary motor function. Dopamine (DA) signaling received from the dopaminergic neurons of the substantia nigra pars compacta mediate locomotion, degradation of which is the characteristic neuropathology for Parkinson’s disease (PD). PD is an initially neurovegetative motor disorder but can progress to include cognitive impairments as well. Sundowner’s syndrome (SS) has been observed in patient populations with neurodegenerative diseases, characterized by the decline of cognition into evening hours. Due to the circadian influence which the hormone melatonin has on the sleep-wake …

Beyond The Employment Dichotomy: An Examination Of Recidivism And Days Remaining In The Community By Post-Release Employment Status, Amanda Marie Bunting, Michele Staton, Erin Winston, Kevin Pangburn

Behavioral Science Faculty Publications

Criminological research has tended to consider employment in a dichotomy of employed versus unemployed. The current research examines a sample of individuals 1-year post-release to assess the extent to which four distinct employment categories (full-time, part-time, disabled, and unemployed) are associated with reincarceration and days remaining in the community. Findings indicate disabled individuals remain in the community longer and at a higher proportion compared with other employment categories. Furthermore, unique protective and risk factors are found to be associated with each employment category while some risk factors (e.g., homelessness) highlight the importance of addressing reentry barriers regardless as to employment …

Critical Embodied Praxis For Social Justice And Peace Educators: A Story Of Personal Transformation Through Analysis Of My Jewish And Settler Identities, Cara Michelle Silverberg

Capstone Collection

In this paper, I examine definitions of and relationships between violence, oppression, peace, liberation, and embodiment in the context of critical pedagogy in order to construct a theory of critical embodied praxis for social justice and peace educators. Considering the body to be a tangible vessel through which narratives and mechanisms of violence are expressed and maintained, I explore the potential of the body to be a vessel through which liberatory narratives may be generated and shared. After constructing a theory of critical embodied praxis, I illustrate this framework in action through a personal narrative that explores the intersections …

Unpacking The Opioid Epidemic: Intervention Methods And Effects On Women And Children, Olivia Miller 19

Honor Scholar Theses

No abstract provided.

College Student Perceptions Of Varying Disability Types: Does Contact Experience Matter?, Gianna Anderson

Senior Honors Theses

Studies exploring prejudices between groups have suggested that contact is related to attitudes. This relationship has been studied in the context of attitudes toward people with disabilities and has yielded inconsistent results. Other variables, such as gender, type of relationship, and the type of disability, have been studied in conjunction with and distinct from the contact variable. The present study, conducted among college students, investigated if the contact experience or the exposure to a specific type of disability in a vignette individually were associated with the attitude variable of social distance, as well as if there was an interaction between …

An Investigation Of Social Communication Behaviors In Children With Siblings Who Have Asd, Nicole Vonada

Senior Theses

Autism spectrum disorder (ASD) is distinguished by deficits in social communication and the presence of restricted, repetitive, and stereotypic behavior. Research into familial patterns of ASD has indicated there is a behavioral phenotype in relatives, including siblings, that is milder but qualitatively similar to behaviors within ASD. This broader ASD phenotype (BAP) is characterized by sub-clinical impairments in cognition, language, and social communication, but more research is required to understand the developmental trajectory of these high-risk siblings (ASIBs). Thus, this study utilizes the Brief Observation of Social Communication Change (BOSCC), a behavioral coding assessment intended to track subtle change in …