Psychiatry and Psychology Commons^™

The Use Of Mindfulness Meditation To Increase The Efficacy Of Mirror Visual Feedback For Reducing Phantom Limb Pain In Amputees, Nicolas Sebastian Mills

Doctoral Dissertations

Phantom limb pain is a chronic pain condition that negatively impacts the lives of over half of amputees, and results in considerable morbidity. Currently, there is no gold standard for treatment for phantom limb pain. However, a frequently used intervention is the use of mirror visual feedback, in which the amputee watches the reflection of the adjacent non-amputated limb move and exercise. In the last few decades, mindfulness-based interventions have been increasingly used with individuals living with different types of chronic pain. This study attempts to discover if the addition of a mindfulness-based intervention, such as guided meditation, will augment …

Development Of A Binge-Like Eating Animal Model Using Foods Of Varying Palatability: Effects Of The Catecholamine Uptake Blocker Lisdexamfetamine, Ariba Memon

Honors Scholar Theses

Binge Eating Disorder (BED) is a psychiatric disorder that is characterized by the consumption of an excessive amount of food in a short period of time despite not being hungry. Numerous animal models have been developed that can induce binge-like eating behavior through limited access to a highly palatable food. One such model utilizes Cadbury’s milk chocolate that is very successful in inducing binge-like eating behavior in both male and female rats. Lisdexamfetamine (LDX), a d-amphetamine prodrug and the only FDA approved pharmaceutical treatment for BED, has been shown to significantly reduce chocolate consumption in the chocolate binge-like animal model. …

Bmi And Associated Variables In A Pediatric Gender Clinic Sample, Mirae J. Fornander

Research Days

Background: Studies of transgender/gender diverse (TGD) youth indicate a high prevalence of overweight/obesity and concern for unhealthy weight control behavior.

Objectives/Goal: Describe BMI and the association of medication use, well-being, and recreational activities in treatmentnaïve pediatric TGD patients.

Methods/Design: Chart review of 302 patients (age 3-19, 73.5% sex assigned at birth (SAB) female; 85.8% white) from 2017-20. BMI was calculated by age and SAB using CDC growth charts. Parents reported medication use. Parent and self-reported Pediatric Quality of Life (PEDS-QL) Well-Being and activities were surveyed electronically.

Results: By BMI category, 3.3% were underweight (BMI85% and 29.5% fell >95%. Overweight and …

Letting It Go: A Transformative Session Of Massage Therapy, Amanda Brauman King

Journal of Transformative Touch

This personal essay the role of skilled touch, in this case massage therapy, in healing from loss.

Psychosocial Factors Affecting Quality Of Life In Patients With Anorectal Malformations And Hirschsprung’S Disease – A Qualitative Systematic Review, Wendy Jo Svetanoff

Research Days

Background: While great strides have been made in surgical techniques and bowel management therapies for patients with anorectal malformations (ARM) and Hirschsprung’s disease (HSCR), little is known about psychosocial and behavioral factors that impact the quality of life at each stage of development.

Objectives/Goal: We aimed to perform a qualitative literature review to highlight the psychosocial, emotional, and behavioral themes that affect the quality of life as patients born with congenital colorectal disease.

Methods/Design: A systematic literature review of all articles published between 1980-2019 was performed in the PubMed and CINAHL databases. Inclusion criteria included articles that reported on the …

Impact Of Covid-19 On Families With A Child In Cancer Treatment, Mirae J. Fornander

Research Days

Background: A new diagnosis of pediatric cancer diagnosis is a sudden and tremendous stressor to families (Long & Marsland, 2011). The COVID-19 pandemic presented an acute, universal stressor that impacted daily life around the world (Brooks et al., 2020). The impact of the COVID-19 pandemic on children with cancer and their families is not yet known.

Objectives/Goal: The current study is a pilot investigation of COVID-19 exposure and impact among a sample of families with a child being treated for cancer.

Methods/Design: Primary caregivers (N=22) of a child (M age=7.4, SD=4.6) who was diagnosed with cancer within the last 18 …

Intracranial Vcam1 At Time Of Mechanical Thrombectomy Predicts Ischemic Stroke Severity, Benton Maglinger, Madison Sands, Jacqueline A. Frank, Christopher J. Mclouth, Amanda L. Trout, Jill M. Roberts, Stephen Grupke, Jadwiga Turchan-Cholewo, Ann M. Stowe, Justin F. Fraser, Keith R. Pennypacker

Behavioral Science Faculty Publications

BACKGROUND: Emergent large vessel occlusion (ELVO) strokes are devastating ischemic vascular events for which novel treatment options are needed. Using vascular cell adhesion molecule 1 (VCAM1) as a prototype, the objective of this study was to identify proteomic biomarkers and network signaling functions that are potential therapeutic targets for adjuvant treatment for mechanical thrombectomy.

METHODS: The blood and clot thrombectomy and collaboration (BACTRAC) study is a continually enrolling tissue bank and registry from stroke patients undergoing mechanical thrombectomy. Plasma proteins from intracranial (distal to clot) and systemic arterial blood (carotid) were analyzed by Olink Proteomics for N=42 subjects. Statistical …

Predicting Covid-19 Behavior: Is It All Due To Political Orientation?, Caleb Potts

Electronic Theses and Dissertations

ABSTRACT

Adherence to COVID-19 preventing measures is becoming increasingly important as governments across the world realize COVID-19 is not an acute, but a chronic problem. There is, however, disagreement over to what extent COVID-19 is a problem. In the United States, the division appears to be primarily along party lines (Democrat and Republican[1]), though even within parties there is division. This division might be explained by differences in: the behavioral immune system and trust in government. Additional factors to examine include: personality, fear of COVID-19, and religious beliefs. The present study used previously validated self-report measures to assess …

The Effect Of Implementing A Generalized Anxiety Disorder Protocol For Anxiety And Depression Symptoms In The Primary Care Setting, Bailey J. Hinman

Evidence-Based Practice Project Reports

Generalized anxiety disorder (GAD) is very prevalent in the United States with 5.7% of citizens affected (National Institute of Mental Health [NIMH], 2017). This number is expected to be even higher because individuals avoid care due to stigma of mental illness (Andrews et al., 2018). GAD can have significant implications such as decreased ability to function, decreased quality of life and increased risk of suicide (Fong, 2018; Lizarondo, 2018). The purpose of this project was to improve outcomes for adult patients with GAD in the primary care setting by improving treatment to follow best practice recommendations. The Johns Hopkins Evidence …

Art And Empathy: Self Discovery In A Dark Forest, Younser Lee

Graduate School of Art Theses

According to the National Institute of Mental Health, 40 million people report feelings of depression, anxiety, and stress as the world moves at an increasingly rapid pace and faces unprecedented challenges. However, many ignore these negative thoughts and fail to acknowledge them as a serious issue. My art, which shares my own experiences, creates safe, cathartic places for viewers to think about their own emotional experiences. Crucial to this process is my use of daily objects and the creation of individualized, participatory, and multisensory experiences.

My art relates to daily life and the negative emotions that we experience daily. I …

Academic Stressors, Perceived Stress, And Coping Strategies Among Undergraduate Students, Danielle J. Levin

Senior Honors Projects, 2020-current

Stress is common among college students and is a predominant factor interfering with academic performance. This study evaluated how college students perceive their level of stress, the coping strategies used, and the use of resources to offset stress offered by the university. This study showed that overall, undergraduate students at JMU experienced moderate levels of stress. Pressure to succeed, balancing coursework, and lack of motivation were the most prevalent academic stressors experienced by students. This study provides evidence that perceptions of stress greatly impact student behavior and use of coping strategies. Variation in coping strategies among students highlights the importance …

The Power, (Problem), And Potential Of Prayer, Meghan E. Stretar

School of Theology and Seminary Graduate Papers/Theses

This paper illuminates the complex and nuanced relationship between mental health and prayer, particularly seeking theologically grounded understandings of prayer and of our relationship with God in times of mental distress that goes beyond intercessory prayer. The paper begins with an evaluation of social structures that cause mental health problems (notably in college students). A discussion on emotional agility, scarcity, and vulnerability serves as a transition to examining this question from a theological perspective, the second main section of this paper. In this section, I claim that a misunderstanding of the divine-human relationship and of prayer is one potential source …

The Prevalence Of Postpartum Depression In Black And Hispanic Women In New Jersey, Courtney Chineme, Rachel Shmuts, Chris Canlas

Rowan-Virtua Research Day

Postpartum depression (PPD) is defined as symptoms of major depressive disorder (MDD) within one month of giving birth with the prevalence in the United States being 10-15%. There are well documented instances of racial differences and their effects on maternal outcomes including infant, maternal mortality and postpartum mood disorders. In New Jersey, there are monitoring systems that explore the relationships between maternal characteristics such as race, age, education level, insurance status, and racial bias and how they may correlate with higher incidences of Postpartum Depression (PPD) in these communities of women. The purpose of this comparative study is to analyze …

Neuroactivational And Behavioral Correlates Of Psychosocial Stress-Induced Cocaine Seeking In Rats, Nicole M. Hinds, Ireneusz D. Wojtas, Desta M. Pulley, Stephany J. Mcdonald, Samantha De Guzman, Nicole E. Hubbard, Colin M. Kulick-Soper, Jessica J. Debski, Bianca Patel, Daniel Manvich

Rowan-Virtua Research Day

A prominent feature of cocaine abuse is a high risk of relapse even despite prolonged periods of abstinence. Psychosocial stress is thought to be a major contributor to the onset of cocaine craving and relapse in human substance abusers, yet most preclinical models of stress-induced relapse employ physical stressors (e.g., unpredictable footshock) or pharmacological stressors (e.g., yohimbine to elicit a drug seeking response) and do not rely upon psychosocial stress per se. Importantly, social stressors are well known to activate distinct neural circuits within the brain as compared to other stressors. It is therefore possible that currently available animal models …

A Terrible Prank Gone Horribly Wrong The Development Of Delusional Infestation As An Adjustment Reaction To A Traumatic Hoax, Timothy Wong, Nardin El-Shammaa, Munaza Khan, Stephen Scheinthal

Rowan-Virtua Research Day

Delusional infestation (DI) is a somatic type delusional disorder, characterized by a fixed belief that one is infested by living or nonliving pathogens (1,3) . DI is a relatively rare disorder (4,5), with an estimated 20-80 cases per million people annually (6). Effective management of patients suffering from DI is crucial, as patients may cause significant harm to themselves in their attempts to remove the pathogens (7,8). Regarding treatment options, antipsychotic medications such as pimozide and risperidone have been promising (8,10). However, there remain many barriers to care (11), and patients are hardly ever seen in psychiatry as they preferably …

Surmounting Disembodiment: Architecture And Suicide Prevention, Jack Mcgeehan

Bachelor of Architecture Theses - 5th Year

Suicide is currently the 10th leading cause of death in the United States, more than double the number of homicide deaths. This thesis questions how architects can design more appropriately for people who are at risk for suicide in the United States. While suicide is individualistic and varies from person to person, there are consistencies that can serve as a basis for mitigating the problem and building an infrastructure for the solution. This thesis begins by examining four key cohorts that are typically high risk in the United States; veterans, the elderly, the homeless, and youths. It examines the behavioral …

Consequence Of Patient Education On Health Habits, Esha M. Patel, Adarsh Gupta

Rowan-Virtua Research Day

Hypothesis: Patients who participate in an specific health habit do so due to a lack of knowledge about the consequences of that choice.

Goal: Correlate patient participation in specific health habits with their knowledge of the consequences of these choices. Understand why patients continue to participate in specific habits and what influences their decision. The end goal of my project is to provide insight to encourage physicians to evaluate patient’s health education and get physicians to try to apply consequences of these habits on the patient’s life to help them understand health outcomes.

Conclusion: This study showed more correlations between …

Case Of New Onset Alice In Wonderland Syndrome In Adolescent After Prolonged Hospitalization, Michaela Margolis, Timothy Wong, Richard Hadi

Rowan-Virtua Research Day

Alice in wonderland syndrome (AIWS) has been described as body image illusions involving distortions of the size, mass, or shape of the patient’s own body or its position in space, often occurring with depersonalization and derealization. Most cases typically affect young children.

Common distortions are micropsia, macropsia, metamorphopsia, and pelopsia.

The term was adopted from the book by Lewis Carroll, wherein the main character perceived her size and shape to change in different scenarios.

These distortions are often expressed as sensory perceptions rather than illusions or hallucinations, and are often distressing to the patient.

AIWS onset has been found to …

Effects Of Wearable Devices On A Person’S Lifestyle, Krima Patel, Adarsh Gupta

Rowan-Virtua Research Day

Lifestyle of the general population is a genuine concern currently due to processed foods and sedentary lifestyles. Also, technology has geared the new generation towards introversion but, not all technology is bad. If used in the correct way, technology can be helpful in transitioning from an unhealthy lifestyle to a healthy lifestyle. Through the Summer Medical Research Fellowship (SMRF) research program, it addressed whether or not wearable devices have an effect on lifestyle.

During SMRF, everyone above the age of 18 was targeted. The hypothesis was to address if devices have an effect on lifestyle. During the first week of …

Do You K Now D.O.?: Pre Medical Students’ Knowledge Of Osteopathic Medicine And Its Relation To Burnout, Philip Collins, Laura Collins, Gianna Bowler Darrow, Jennifer C Sepede

Rowan-Virtua Research Day

It is estimated that in the near future there will be a shortage of physicians available to keep up with the needs of a growing older population. To try to account for this, medical schools are expanding class sizes and new schools are being created. While both allopathic and osteopathic schools are expanding, osteopathic schools are doing so a much faster rate. Unfortunately, it seems many students enter their undergraduate careers unaware of osteopathic medicine despite having an interest in medical school. Undergraduate student interest in becoming a medical doctor continues to rise, but so too does the difficulty of …

Death Anxiety, Artmaking And The Facilitation Of Death Discourse, Heather Conley

Art Therapy Counseling Final Research Projects

Discussion about death, known as death discourse, has been historically limited to the confines of the palliative care, elderly and hospice arenas (Bradshaw, 1996; Granek, 2013; Safrai, 2013; Zimmerman, 2012). This study examined the impact of artmaking on facilitating death discourse in college-aged students from a midwestern United States campus. A mixed methods design was implemented in which participants completed the Communication Apprehension about Death Scale (CADS; Carmack & DeGroot, 2016), an artmaking directive addressing feelings about death, followed by a Post-Artmaking Reflection about their artwork. Following a 10-day time period after the artmaking session, participants were re-administered the CADS …

How College Men Describe Their Understanding Of Sexual Assault, Sarah Anolik

Dissertations, 2020-current

Despite the proliferation of many vital bystander intervention programs across the country, approximately one in four college women will experience sexual violence. Though it was once believed that a small minority of men were responsible for the vast majority of sexual violence, an estimated 12%-25% of college men report having used sexual violence as an undergraduate student. Research across disciplines suggests several factors associated with the perpetration of sexual violence. While numerous studies have explored these constructs quantitatively on and off college campuses, there have been far fewer qualitative studies that provide insight into how men who have perpetrated violence …

A Tailored Multicomponent Intervention In Primary Care For Survivors Of Adverse Childhood Experiences (Aces), Rebecca L. Peterson

Evidence-Based Practice Project Reports

Adverse childhood experiences (ACEs) include 10 traumatic events of abuse, neglect, and household dysfunction that occur before 18 years of age. Adverse childhood experiences affect greater than 60% of the population, and approximately one in six individuals affirm that they have experienced four or more types of ACEs. They are associated with negative, long-term health outcomes in adults, including 9 out of the 10 leading causes of death in the United States (Centers for Disease Control and Prevention, n.d.; Felitti et al., 1998). The purpose of this evidence-based practice project was to implement a tailored, multicomponent intervention to mitigate the …

Human Factors Considerations For Urban Air Mobility, Bhoomin B. Chauhan, Meredith Carroll

International Symposium on Aviation Psychology - 2021

Before urban air mobility (UAM) flights are safely integrated into the current airspace system, it is necessary to identify and address human factors issues associated with UAM. Various industry and academic institutions are currently exploring a range of different aspects of UAM, such as vehicle concepts, airspace integration, and ground infrastructure, all of which have human factors implications. These human factors issues, which will heavily influence how UAM operations will evolve with growth in demand and autonomous technology, are in need of research. Potential human factors issues include UAM pilot’s trust in automation, situational awareness, visual scanning, decision-making capabilities, as …

Viewing Air Battle Management Through The Lens Of Interdependence, Jordan E. Peterson, John M. Mcguirl, Michael E. Miller, Danielle Bales, Brianna Sternitzky

International Symposium on Aviation Psychology - 2021

Recent work has shown the importance of understanding and supporting interdependence relationships among agents engaging in complex, joint activities. Building on the Coactive Design Method of Johnson, the goal of this research was to determine the impact of providing operators with real-time information of team interdependencies. It was hypothesized that allowing operators to focus on maximizing the opportunities for team synergy would result in better planning in a dynamic environment. Operators in the Air Battle Management field used a decision aid that provided information on team interdependence during three combat scenarios. Effectiveness of the decision aid was measured by expert …

Toward Modeling Pilot Workload In A Cognitive Architecture, Christopher Stevens, Christopher R. Fisher, Megan B. Morris

International Symposium on Aviation Psychology - 2021

Characterizing and predicting pilot cognitive workload remains a formidable challenge, especially in tasks with a high perceptual/motor demand like aerial refueling. Cognitive models are useful tools for this, as they offer the potential to derive both performance and workload simulations before a test is conducted. We conducted a task analysis of a C-17 aerial refueling mission and developed a low-fidelity Atomic Components of Thought – Rational (ACT-R) model and environment to simulate the task. ACT-R models have been successful in predicting workload in other domains, such as menu navigation and problem solving. Eight aerial maneuvers were examined, including takeoff, climb, …

Informing Aviation Security Workforce Assessment And Selection Amidst The Covid-19 Pandemic, Stephen R. Mitroff, Benjamin Sharpe

International Symposium on Aviation Psychology - 2021

The COVID-19 pandemic has presented the aviation security industry with short-and long-term challenges relating to workforce assessment that require thoughtful responses. In the short-term, the pandemic has made it difficult to administer typical assessment methods. In the long-term, as the pandemic’s impact lessens and travel regains pre-pandemic levels, organizations will need to decide how best to allocate current employees and onboard new employees. While the pandemic has created both selection and assessment challenges, it now opens the door for innovations to support organizations to be better prepared to support the traveling public. The current paper discusses a tool, XRAY Screener, …

Measuring Motivation In Pilot Training Applicants, John D. Trent, Mark R. Rose

International Symposium on Aviation Psychology - 2021

This study evaluated applicant motivation in pilot selection. Traditional measures of motivation have moderate to low predictive validity in flight training and often show large subgroup differences. The purpose of this study was to evaluate a self-report measure of motivation by examining 1) dimensionality, 2) reliability, 3) predictive validity, 4) construct validity, 5) validity based on known groups, and

Covid-19 Impacts On Collegiate Aviation Training, Xiaoyu O. Wu, Jacob J. Shila

International Symposium on Aviation Psychology - 2021

In 2020, the COVID-19 pandemic has had a significant impact on the aviation industry. The regular day-to-day fight training routines have been altered for several reasons, including physical distancing requirements, disrupted training schedule, and the increased level of concern. Aviation educators will likely need to adapt their programs to optimize the learning experience, maintain effective safety delivery, and ensure competent graduates. The impact of the month-long break in fight training on the airmanship skills is also unaccounted for. This study surveyed collegiate aviation students to identify the COVID-19 shut down impacts on both their fight skill developments and the over-all …

Reports Of Resilient Performance: Investigating Operators’ Descriptions Of Safety-Producing Behaviors In The Aviation Safety Reporting System, Jolene Feldman, Immanuel Barshi, Brian Smith, Bryan Matthews

International Symposium on Aviation Psychology - 2021

While many existing taxonomies and frameworks provide a common vocabulary for describing how human operators fail in the context of sociotechnical systems, at present, there is no common vocabulary to describe how humans succeed. Such a framework would facilitate systematically collecting and analyzing data on how human performance can produce safety, not just how it can reduce safety. One potentially rich source of currently available information for exploring desired performance is the reports submitted to NASA’s Aviation Safety Reporting System (ASRS). These de-identified, confidential, and voluntary narrative reports are submitted by pilots, controllers, ground operators, and others within aviation operations. …