Social and Behavioral Sciences Commons^™

Parental Influences In Child Obesity, Janel Lynn Calinisan

Loma Linda University Electronic Theses, Dissertations & Projects

One of the greatest concerns in American society is peoples’ health. In the past several years there has been an overwhelming increase in obesity in Americans. This concern relates not only to adults, but also to children, as more are found to be overweight. Many factors have been suggested as to why more children are becoming obese, including parenting, demographics, physical activity, nutrition, and biological factors. Studies have shown that parental influence or involvement can be related to child obesity such that neglected children were more likely to be obese in adolescence and sustain it through adulthood. In order to …

Psychological Distress And Change In A Pediatric Obesity Population, Amy Rebecca Beck

Loma Linda University Electronic Theses, Dissertations & Projects

Pediatric overweight and obesity is a growing national epidemic with 15 percent of children ages 6-19 considered obese and at least 22 percent considered overweight. While there is considerable research pointing to contributing factors of obesity, there is a paucity of research which elucidates what contributes to successful intervention. Considering that by the year 2050, nearly 50 million Americans may be obese, understanding the factors delineating success of weight loss and prevention is a necessity. The purpose of this study was to utilize archival data from the LLU Growing Fit Program to evaluate the levels of psychological distress experienced by …

Ethical Decision-Making Regarding Multiple Relationships Between Therapist And Client, Diana Jochai

Loma Linda University Electronic Theses, Dissertations & Projects

The current study examined a new conceptual model of factors critical to a therapist’s decision-making process when faced with the potential of a nonsexual multiple relationship with a client. This new model was founded on the conceptual framework proposed by Street, Douglas, Geiger, & Martinko (2001) and integrated the components of the decision-making process and the individual and situational factors influencing those components identified in existing general conceptual models and specific behavioral guidelines. For the ethical decision-making process to begin, a practitioner must be able to recognize the presenting problem as an ethical dilemma (Brazerman, 1986; Jones, 1991; Street et …

Promoting Animals For Well-Being And Self-Acceptance With The Human Patient, Vicki J. Marquardt

Loma Linda University Electronic Theses, Dissertations & Projects

Few empirical studies have been conducted in order to scientifically measure the benefits of using animals with individuals suffering from neurological disorders, or traumatic brain injuries, with or without the inclusion of chronic pain. This study looked at the benefit of using horses in the therapeutic setting, by measuring the levels of anxiety, depression, self-esteem and quality of life pre- and post-therapy, in individuals diagnosed with Multiple Sclerosis (MS). Three groups were used in this study, and were measured pre and post therapy over an eight week period of time. The first group did not participate in the therapy at …

The Evaluation Of Sharper Future: A Community-Based Sex Offender Treatment Program, Lindsay M. Cunningham

Loma Linda University Electronic Theses, Dissertations & Projects

A program evaluation of Sharper Future’s Substance Abuse Services Coordinating Agency (SASCA) sex offender treatment program was conducted in order to ascertain whether the program is meeting its treatment goals as outlined by the SASCA contract and Sharper Future program goals. The participants of this evaluation were 248 past male Sharper Future clients who had been mandated to treatment at the Sharper Future facilities and were funded by the SASCA program. The data used in this program evaluation was archival, as it existed in the clients’ file as supplied by the Sharper Future clinics that run a SASCA treatment program. …

Psychosocial Predictors Of Adolescent Sexual Initiation In The Caribbean, Tenesha Samantha Berry

Loma Linda University Electronic Theses, Dissertations & Projects

Literature supports that adolescent early sexual initiation is more likely to result in multiple sex partners and less protection, making early sexual activity an HIV/ AIDS risk. Delaying sexual initiation may thus be an important combatant to the spread of HIV/ AIDS. This study's objective was to examine sexual initiation in 234 Jamaican youth ages 13-19. Perception of peers' and parents' pro-risk attitudes, parental monitoring, parental discussions about sex; religious importance and HIV/AIDS knowledge were investigated via a survey including items from the Center for Disease Control's Youth Risk Behavior Survey (YRBS).

This study utilized archival data as part of …

A Theory Of Positive Mental Health, Jason D. Rowden

Loma Linda University Electronic Theses, Dissertations & Projects

For many decades psychological research has erred on the side of looking toward pathology and has neglected to define what positive mental health functioning is on an individual level (Dahlsgaard, Peterson, & Seligman, 2005, p. 203). Without a sound theory of positive mental health, the field of psychology is left guessing as to its meaning. The importance of having a clear definition of mental health cannot be underscored enough. Without a clear understanding of mental health, the field of psychology is forced to function with varying opinions, defined by each clinician. The goal of the current thesis is to contribute …

Predictive Measures Of Cognitive Outcome In Adults Sustaining Brain Injury, Herminia De La Rosa-Trujillo

Loma Linda University Electronic Theses, Dissertations & Projects

To date, there is no consistent and accurate outcome prediction method for patients with traumatic brain injury (TBI). Commonly used clinical measures such as the Glasgow Coma Scale (GCS) and traditional radiological methods of x-rays and computed tomography (CT) scans do not always accurately predict patient functional outcome. These radiological methods are adequate in determining gross structural anatomical disturbances, however, they are unable to detect more diffuse cellular damage believed to be responsible for the functional impairments evidenced in patients sustaining TBI. Magnetic resonance imaging allows for various non-invasive sequencing techniques that have demonstrated to be a potentially valuable method …

Cognitive And Language Development In Young Children With Plagiocephaly, Vidhya Krishnamurthy

Loma Linda University Electronic Theses, Dissertations & Projects

Deformational plagiocephaly is a craniofacial condition where the occipital region of an infant’s skull becomes flattened as a result of prenatal or external factors. It is considered to be a primarily cosmetic condition that has no significant long term consequences. A few recent studies, however, have begun to suggest that children with deformational plagiocephaly may exhibit developmental delays or deficits. The purpose of this study was to examine the cognitive and language functioning of preschool age children who had been diagnosed with deformational plagiocephaly. Further, the study hoped to understand the relationship between developmental functioning in infancy and cognitive and …

Sensitivity To Change Of The Behavior And Symptom Identification Scale (Basis-32), Christopher S. Corbett

Loma Linda University Electronic Theses, Dissertations & Projects

With the increased demand for evidence based mental health interventions, there has been an increased need for comprehensive ways to determine the validity of certain measures used to measure therapy effectiveness. The Behavior and Symptom Identification Scale (BASIS-32) is one of the most widely used measures for measuring therapy outcomes. This study was conducted on the BASIS-32 investigating the validity of the instrument, not only on the overall and subtest level, but also on the item level. This study is particular in that it also measured the validity of the instrument in being sensitive to client reported change over time. …

Arginine Vasopressin And Male Attachment: A Marital And Family Therapy Perspective, Calvin James Thomsen

Loma Linda University Electronic Theses, Dissertations & Projects

Social neuroscience offers a promising way to understand some dimensions of adult attachment. Arginine vasopressin (AVP) is a neuropeptide with significant implications for human social behavior and it provides an important testing ground to explore links between social/interpersonal neurobiology and attachment. It has a distinctive impact on the social/relational behavior of certain male animals, most notably prairie voles. It fosters monogamy, creates attachment to both mate and offspring, and increases affiliation and a desire for physical proximity with other animals of the species. There has been much speculation that it might play a similar role with human males. This study …

A Pilot Study Tracking Physiological And Psychological Indicators Of Stress, Garrett G. Chesley

Loma Linda University Electronic Theses, Dissertations & Projects

Aims: It is the aim of this research to investigate the degree to which psychological and physiological distress levels coincide for those receiving psychological treatment. Another aim of this research is to investigate the effects of feedback to therapists on patient progress on a psychological and physiological outcome measure.

Methods:Adult outpatient partial hospitalization patients participating in eating disorder treatment were invited to take part in this research. In addition to demographic data, each participant was asked to fill out the Outcome Questionnairre - 45 and to deposit 4 ml of saliva into a collection tube to obtain cortisol measurements …

The Effectiveness Of Treatment In An Inpatient And Outpatient Psychiatric Facility, Timothy Quan Tran

Loma Linda University Electronic Theses, Dissertations & Projects

The present study is aimed at examining treatment outcome in a large psychiatric facility that provides both inpatient and outpatient services to a broad range of patients. Not only will patient outcomes be assessed at a facility-wide level, but patient outcomes on the various units/programs in the facility will also be assessed and compared. It is expected that, facility wide, patients will show significant improvement on the outcome measure from admission to discharge, but that patient outcomes will differ across the various units/programs in the facility. In sum, the results of the paired-sample t-test and effect size obtained in this …

Breast Cancer Screening Disparities In Japanese-American Women, Theodora Stratis

Loma Linda University Electronic Theses, Dissertations & Projects

Cancer screening disparities in ethnic minority women have received much research attention in the last several years due to a marked increase in ethnic minority cancer incidence and poor survival rates (Miller, Kollnel, Bernstein, Young Swanson, West et ah, 1996). Breast cancer is the leading cause of death for Asian American women (Asian American Network for Cancer Awareness, Research & Training, 2002) and, although their incidence and mortality rates are lower than Caucasian women, these rates continue to increase every year. This increasing mortality rate is likely due to the underutilization of breast cancer screening by Asian American women. Asian …

Study Of Executive Functioning Training In Adolescents Diagnosed With Autism, Jessica Postil

Loma Linda University Electronic Theses, Dissertations & Projects

This study investigated the effectiveness of a manualized executive functioning training program used with adolescents diagnosed with autism. Three male adolescents were trained on executive function activities using a combination of Applied Behavioral Analysis and executive functioning activities. Training programs were administered individually, lasting for 2 hours per day for 20 days. Participants were tested 1 month before training, 1 week before treatment, immediately after training and at a one-month follow-up. Significant improvements were seen in performance on executive functioning tasks that required motor speed, verbal fluency, monitoring, predicting, planning and organization skills. Significant changes in the participant’s adaptive behavior …

Family Variables As Predictors Of Adolescent Substance Abuse Treatment Outcome, Gina R. Sillo

Loma Linda University Electronic Theses, Dissertations & Projects

The current study sought to investigate the importance of family variables as they potentially predict treatment outcome for adolescents at two intensive outpatient drug treatment programs. A growing body of research has demonstrated that family dynamics serve to influence drug using behaviors and substance abuse treatment. More specifically, empirical support has suggested that the quality of family relationships is an important factor serving to influence affective treatment. The current investigation considered two primary domains of family influence: family cohesion and family conflict. Results revealed that the study variables comprising these domains were not found to be associated with adolescent treatment …

Attachment Pathologies Among Incarcerated Sex Offenders, Kelly J. Hunsicker

Loma Linda University Electronic Theses, Dissertations & Projects

Attachment theory underscores the central role of how individuals form and interact within interpersonal and intimate relationships and emphasizes the importance of harmony between caregiver and infant as a foundation for healthy interpersonal relationships. It is believed that amongst the sex offender population that a pathological attachment style will be found which has implication on the types of treatment that would work best for this difficult population. The current research endeavor aggregated empirical research on attachment styles among incarcerated sex offenders. The results suggest a relationship between pathological attachment and sex offender populations.

Effects Of Multiple Types Of Maltreatment On Mental Health, Harland Travis Boreen

Loma Linda University Electronic Theses, Dissertations & Projects

Literature on childhood maltreatment has primarily focused on sexual abuse and, in limited instances, physical abuse. Typically, the samples are limited to females. This study was aimed at exploring gender differences in those sexually maltreated by family members versus non-family members. In addition, the effect of multiple types of maltreatment (psychological, physical, and sexual abuse) on mental health, and whether outcomes vary by gender were evaluated. The sample consisted of an archival data set from students who attended a southern California university. This study used a sample that included 131 females and 135 males. The results of the study indicated …

Parental Readiness For Change And Involvement In Treating Children With Obesity, Aileen Arratoonian Vedda

Loma Linda University Electronic Theses, Dissertations & Projects

Several studies have demonstrated benefits of parental involvement in intervention programs for Childhood Obesity. However, limited research is available on Parent Readiness for Change. This study utilized archival data from the LLU Growing Fit Obesity Clinic to assess Parent Readiness for Change (PRC) and involvement in a 12- week multidisciplinary program for obese children, as a predictor of medical and psychological outcomes. Data from forty-nine children aged 6-16 (M= 10.47) were eligible and included. Their caregivers who participated in the program included; 86% mothers, 7 % fathers, and 7 % relatives. The caregiver mean age was M=39.6. PRC was assessed …

Child Sexual Trauma: Testing The Robustness Of Browne & Finkelhor's Theory, Jose Mauricio Ramirez

Loma Linda University Electronic Theses, Dissertations & Projects

Trauma has received great attention in the last three decades and a major societal issue today is child sexual abuse. Twelve percent of victims of maltreatment every year are victims of child sexual abuse (CSA). Several studies have suggested that the prevalence of CSA in women is in the range of 6% to 62% depending on how the data was collected (e.g., interviews, surveys) and the nature of the population sampled (e.g., general population, clinical population). Because of CSA, victims are impacted by the experience and encounter a change in the way they perceive the world on both the way …

Factors That Affect Performance On Executive Functioning After Coronary Artery Bypass Grafting, Sapna Mahesh Patel

Loma Linda University Electronic Theses, Dissertations & Projects

Research suggests that individuals who undergo coronary artery bypass grafting (CABG) experience declines in neuropsychological functioning post-operatively. This decline has been observed in up to 80% of patients early after surgery, and in up to 30% of patients after six months. Many studies have examined the potential effects of CABG on neuropsychological functioning in general, and numerous studies have found that executive functions are impaired in particular. However, none have examined what factors contribute to observed executive dysfunction after CABG. This study investigated the role of memory functions on executive functions in a selected sample of patients undergoing CABG. This …

Predicting Long-Term Memory In Adult Brain Injury Patients Using Mr Spectroscopy, Herminia De La Rosa-Trujillo

Loma Linda University Electronic Theses, Dissertations & Projects

Accurate outcome prediction has proven to be somewhat elusive for patients with traumatic brain injury (TBI). The difficulty is due to the sometimes inaccurate methods of prediction currently available. Despite the advances seen in radiological technology, the traditional methods of x-rays, CT scans and MRIs are not always accurately able to predict patient functional outcome. These radiological methods are adequate in determining gross structural anatomical disturbances, however, they unable to detect more diffuse cellular damage believed to be responsible for the functional impairments evidenced in patients sustaining TBI. Magnetic Resonance Spectroscopy (MRS) is an imaging technique which measures brain metabolites …

Cultural Beliefs About Health Professionals, Attributions For Mistreatment, And Continuity Of Cancer-Related Care, Jennifer Anne Tucker

Loma Linda University Electronic Theses, Dissertations & Projects

This research examined attributions for health care mistreatment, related emotions, and the role of cultural beliefs about health care professionals as determinants of cancer-related continuity of care among Anglo and Latino women in Southern California. This research was guided by Betancourt’s model of culture adapted for the study of health behavior (Betancourt & Flynn, 2008) and Weiner’s (1996) attribution theory of motivation and emotion. As predicted, higher levels of negative cultural beliefs about health professionals resulted in lower intentions for continuity of care indirectly through mediating psychological perceptions of intentionality for mistreatment, controllability of its causes, and anger toward the …

The Psychophysiology Of Information Processing Differences In Eating Disorders, Kathryn Grace Truitt

Loma Linda University Electronic Theses, Dissertations & Projects

Maladaptive or dysfunctional cognitive factors are believed to be significant contributors to pathology in eating disorders. The emotional Stroop task was used to examine [the] these dysfunctional cognitive factors. A sample of 31 women (14 nonclinical controls, 13 BN, 4 AN) participated in this investigation, after exclusion for ocular and movement artifacts and equipment problems the remaining sample contained 4 women diagnosed with BN, 4 women diagnosed with AN, and 9 matched non-clinical control subjects. Participants completed an Emotional Stroop task comprised of 8 blocks of words. On each trial, a word was presented in one of four colors (black, …

Memory For Emotional Images : Recognition And Temporal Contexts, George E. Devore

Loma Linda University Electronic Theses, Dissertations & Projects

Negative emotional stimuli are usually better remembered than neutral emotional stimuli. Previous examination of binding theory found no differences in recall for homogeneous lists of taboo and neutral words. The current study expands on binding theory using negative and neutral visual stimuli in homogeneous lists. A rapid serial visual presentation paradigm and recognition and temporal memory item-discrimination tasks were used. Binding theory predicts no differences between negative and neutral images for recognition and temporal memory. Results were consistent with the assumptions of binding theory and no significant differences were found. This result suggests that binding theory generalizes for visual stimuli …

Infant Feeding Decisions Among Pregnant Black Wic Participants And The Role Of Peer Support, Astrid D. Mickens

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to identify the important factors that impact infant feeding decisions among Black women, and to determine whether peer support influences the relationship among theoretical constructs of the social learning theory. A convenience sample of 110 Black pregnant women, ages 18-45, attending Women, Infant and Children (WIC) clinics throughout Riverside and San Bernardino Counties were recruited to participate in the study through the Nutrition Services Department. Eligible participants included pregnant Black WIC clients in any stage of pregnancy.

The survey questions contained information about perceived support, cognitive knowledge, abilities and beliefs regarding breastfeeding. The goal …