Social and Behavioral Sciences Commons^™

An Analysis Of Psychological Distress Profiles And Their Correlates In Interdisciplinary Health-Care Professional Students, Samantha Mladen, Ashlee Loughan, Patricia Kinser, Marykate Crawford, Anna Jones, Sarah Edwards, Bruce Rybarczyk, Sarah E. Braun

Psychology Publications

Background: Health-care professional (HCP) students experience high levels of burnout, characterized by work- and school-related stress. Burnout is associated with a host of negative psychological and health outcomes. It may also contribute to cognitive dysfunction and decreased work productivity and may be related to trait mindfulness. This study cross-sectionally explored psychological distress and its correlates in a sample of interdisciplinary HCP students using cluster analysis.

Method: Fifty-seven interdisciplinary HCP students completed validated measures of burnout, depressive and anxiety symptoms, perceived stress, and rumination, which were entered into a cluster analysis. A neuropsychological test measured executive function; validated questionnaires assessed work …

Being Mindful: A Long-Term Investigation Of An Interdisciplinary Course In Mindfulness, Sarah Ellen Braun, Patricia Kinser, Caroline K. Carrico, Alan Dow

Psychology Publications

Background: Burnout and work-related stress in health-care professionals (HCPs) is a growing concern to the optimal functioning of the health-care system. Mindfulness-based interventions may be well-suited to address burnout in HCPs.

Objective: The purpose of this study was (1) to quantitatively evaluate the effect of a mindfulness-based intervention for interdisciplinary HCPs over time and at a long-term follow-up and (2) to explore perceived benefits, facilitators, and barriers to the practice of mindfulness at the long-term follow-up.

Design: A mixed-method, repeated measures, within-subjects design was used to investigate Mindfulness for Interdisciplinary HCPs (MIHP) at baseline, post-MIHP, and a follow-up (6 …

Impact Of Socialization In Elderly Public-Housing Residents, Taylor M. Wilkerson, Schanea Ward, Amy Popovich, Pamela Parsons, Faika Zanjani

Graduate Research Posters

Older adults who experience social isolation have higher rates of mortality relative to their counterparts. Social interactions are an important way to combat this isolation. This research aims to better understand how social isolation in older adults living in low-income households in Richmond, Virginia (RVA) is related to their economic, physical, and psychological health status. As part of the iCubed Health and Wellness Aging Core and in collaboration with the Richmond Memorial: East End Housing Coalition for Older Adults, older adults from a selected public housing unit (n=28) self-reported their financial status, experiences with physical and psycho-social health, and feelings …

The Association Between Discrimination And Sleep Is Exacerbated In Individuals With Comorbid Chronic Health Conditions, Sarah M. Ghose, Natalie D. Dautovich, Joseph M. Dzierzewski, Sahar M. Sabet, Janna L. Imel, Dana R. Schreiber, Ashley R. Macpherson, Morgan P. Reid

Graduate Research Posters

Introduction: The consequences of recurrent, stressful daily experiences for sleep health appear intensified in individuals with pre-existing health conditions. Although discrimination has been associated with sleep outcomes, the role of comorbid chronic health conditions (CCHCs), and impact of perceived discrimination, remains unclear. The present study investigated (1) the associations between daily discrimination and sleep and (2) moderating roles of CCHCs and daily life interference and hardship.

Methods: The current study utilized archival data from the Midlife in the United States (MIDUS) Study II. Participants, 174 adults (51% female, M_age=57 yrs., SD=11.5 yrs.), completed 7 days of actigraphy, …

An Exploration Of Racial/Ethnic Differences In The Association Between Perfectionism And Disordered Eating In College Students, Neha J. Goel, C Blair Burnette, Suzanne E. Mazzeo

Graduate Research Posters

Perfectionism is a robust risk factor for eating disorders (EDs). Although individually-oriented dimensions of perfectionism are strongly related to eating pathology, less is known about the contribution of parent-oriented dimensions, specifically parental expectations (PE) and parental criticisms (PC). Further, few studies have investigated these effects within racially/ethnically diverse samples. However, PE and PC might be particularly relevant to eating pathology among certain cultural groups, such as those from collectivistic and interdependent societies. This study examined associations among PE, PC, and ED symptoms across racial/ethnic groups. Undergraduates (N=706; 74.8% Female; 48% White, 19.8% Black, 7.1% Latinx, 16% Asian, 9.1% …

Weight Loss And Self-Monitoring Among Young Men In A Technology-Driven Weight Loss Intervention, Jean M. Reading, Jessica G. Larose

Graduate Research Posters

Background

Young men with obesity have double the mortality risk compared to young men with a healthy weight, but are notoriously challenging to recruit for behavioral weight loss (BWL) programs. Emerging evidence suggests that young men might prefer self-guided or low touch interventions, but limited data are available as to their effectiveness. To inform future efforts, we conducted a secondary analysis of young men’s performance in a technology-driven BWL trial developed specifically for young adults. Objectives were to: 1) examine young men’s enrollment rates; and 2) compare young men and women’s weight loss outcomes and self-regulation behaviors.

Methods

Data were …

The Impact Of Social Determinants Of Health On The Efficacy Of School-Based Interventions For Adolescents With Adhd, Cathrin D. Green

Theses and Dissertations

Adolescents with Attention-deficit/hyperactivity disorder (ADHD) often experience impairment in academic functioning in the school and home environment. Because of this, many school- and clinic-based interventions have been developed to target these problems. Initially, clinic-based interventions were mainly used; however, these interventions were associated with many barriers to care, such as lack of transportation, financial resources, and time. Therefore, school-based interventions were developed to address these barriers. However, there has been minimal research evaluating the role of social determinants of health on the efficacy of school-based interventions. In a sample of 222 adolescents with ADHD randomly assigned to receive either a …

Weaponization Of Space: Subverting The Architecture Of Occupation, Majdulin Nasrallah

Theses and Dissertations

Israel’s illegal occupation of Palestine and oppression of the Palestinian people has manifested itself in countless ways. The built environment, fueled by spatial theory, has been transformed into an instrument of war that serves a military agenda. In this context, the physical environment is not simply the arena of conflict, but a weapon wielded by occupying forces. This research investigates spatial control through seemingly mundane architecture and military practices, which are deployed deliberately to strangulate Palestinian livelihood and prosperity. Derived from Deleuze and Guittari’s delineation of smooth and striated space, with an emphasis on walls and barriers, this thesis subverts …

A Contextual Approach To Understanding Psychiatric Comorbidities In Adolescents With Autism Spectrum Disorder: Individual, Peer, And Family Factors, Jessica L. Greenlee

Theses and Dissertations

Psychiatric comorbidities are common in youth with Autism Spectrum Disorders (ASD) and can have a negative impact on adaptive functioning and quality of life. Research has primarily focused on individual characteristics associated with internalizing problems such as age, intelligence, and social functioning. However, developmental theory supports the notion that individual level factors are necessary but not sufficient to understand the mental health of youth with ASD. Using the Family Ecology Framework as a guide, the purpose of this study was to examine how peer and family contexts are associated with anxiety and depression symptoms of adolescents with ASD. Using data …

A Cross-Cultural Examination Of The Relations Among Parkinson’S Disease Impairments, Caregiver Burden And Mental Health, And Family Dynamics In Mexico And The United States, Erin Smith

Theses and Dissertations

Parkinson’s Disease (PD) is a common progressive neurodegenerative disorder that leads to both physical and cognitive impairment over time. Eventually, these impairments may include the loss of autonomy, and the individual may require the assistance of an informal caregiver. Informal caregivers are critical in the care of individuals with PD and spend substantial time providing care, which may be associated with negative caregiver outcomes such as burden, mental health issues, as well as poor family dynamics. Although research in the United States and Europe has generally supported these relations, there is very limited research on PD caregiving in Latin America. …

A Longitudinal Investigation Of Interpersonal Trauma Exposure, Posttraumatic Stress Disorder, And Cannabis Use Phenotypes Among College Students, Terrell A. Hicks

Theses and Dissertations

College students have an increased risk for cannabis use, trauma exposure, and posttraumatic stress disorder (PTSD). Cannabis use disorder (CUD) and PTSD comorbidity is high, and given the negative consequences of the comorbidity (e.g., poor academic outcomes), there is a need to understand comorbid CUD-PTSD etiology. Two primary etiologic models exist: self-medication (i.e., PTSD à CUD) and high-risk (i.e., CUD à PTSD) hypotheses. This study 1) examined the prevalence and predictors of cannabis use and interpersonal trauma (IPT) exposure; 2) investigated the relationship between cannabis use and IPT; and 3) examined cannabis use, IPT, and PTSD through mediational self-medication and …

The Context Of African American Emotion Expression: College Campus Influences, Deon Brown

Theses and Dissertations

Theoretical frameworks suggest that African Americans express emotion in context-specific ways that are unique to their familial socialization experience (Boykin, 1986; Dunbar, Leerkes, Coard, Supple, & Calkins, 2017). However, less is known about how African Americans express emotion across familial and public contexts. The current study was interested in exploring the contextual differences in emotion expression among 188 African American/Black college students from 3 different types of college campuses: predominantly White (i.e., PWI), historically Black (i.e., HBCU), and racially diverse. Data were collected via an online survey in which students reported the school they attend, their emotion expression in the …

An Evaluation Of Differences In Motivations To Receive Cervical Cancer Screening And Follow-Up Care Between Black And White Women, Ashlee Sawyer

Theses and Dissertations

Background: Cervical cancer among Black women is a major individual and public health concern. Despite advancements in medical technology and policy, disparities in cervical cancer diagnosis and mortality still exist between White and Black women, with Black women having higher rates of diagnosis (10.0 vs 7.1 per 100,000) and mortality (4.1 vs 2.0 per 100,000). Previous studies have focused heavily on barriers to obtaining cervical cancer screening among Black women and efforts to improve screening rates. Despite speculation by researchers that gaps in receipt of quality follow-up care may contribute to disparities, its role in disparate mortality rates between Black …

Predictors Of Peripartum Care Attendance Among A Sample Of African American Women At Increased Risk For Poor Prenatal Care Compliance, Anna B. Parlier-Ahmad

Theses and Dissertations

Prenatal and postpartum care are important for reducing maternal and infant morbidity. Racial and ethnic disparities are prevalent in maternal peripartum health and infant birth outcomes as well as peripartum care access and utilization. They highlight the need to identify and better understand correlates of poor prenatal and postpartum care compliance. While risk factors for low adherence to peripartum care have been identified, no studies have looked specifically at predictors of prenatal and postpartum care attendance in an at-risk sample of African American pregnant women. Using existing data from an RCT targeting maternal and infant health disparities and comparing a …

Examining Sleep And Family Functioning In Pediatric Craniopharyngioma Using Ecological Momentary Assessment, Nour Al Ghriwati

Theses and Dissertations

Craniopharyngiomas are among the most common brain tumors in children and are associated with greater rates of sleep problems compared to other pediatric cancers. However, research examining sleep among youth with craniopharyngioma has been limited by a reliance on retrospective reports or sleep studies. Families also play a crucial role in children’s adjustment following a pediatric cancer diagnosis, yet remarkably little is known about transactional associations between family functioning and sleep in pediatric cancer. This study examined cross-sectional and daily associations among family functioning, affect, and sleep difficulties for youth with pediatric craniopharyngioma using retrospective reports and ecological momentary assessment …

Discriminating Between Technical And Global Competence In Cbt Programs For Youth Anxiety, Jennifer Cecilione

Theses and Dissertations

Therapist competence refers to the skillfulness and responsiveness demonstrated when delivering an intervention and is an important factor to consider in the training and evaluation of therapists. However, competence research is sparse, especially in the youth psychosocial treatment field. A primary discrepancy is whether technical (related to interventions associated with a specific treatment program) and global (general clinical expertise) competence can be measured as distinct dimensions of competence. The goal of the current study was to determine whether instruments of technical (Cognitive-Behavioral Treatment for Anxiety in Youth Competence Scale; CBAY-C; McLeod et al., 2018) and global (Global Therapist Competence Scale …

Competing Strength-Based Models Of Trauma And Suicidality In A High-Risk Primary Care Sample, Samantha Mladen

Theses and Dissertations

There is limited research on the relationship between trauma exposure, depression, and suicidality, particularly in high-risk primary care samples. The present study aims to: 1) characterize the prevalence of suicidality, depression, and trauma exposure in this sample; 2)develop and test models of the relationships between suicidality, depression, and trauma exposure in this sample; 3) augment the selected model with key protective factors, including social support and religiosity; and 4) further elaborate the nature of religiosity as a potential protective factor using the subscales of the Attitudes toward God scale, Anger toward God and Comfort with God.

Patients (n …

Alcohol Use And Drinking Motives In Bereaved Undergraduates, Laura J. Smith

Theses and Dissertations

This study examined the effect of the experience of a loss on alcohol use and drinking motives in a college sample. Participants for this study were drawn from the “Spit for Science” project (Dick et al., 2014). The sample included 3,013 students (31.8% men, 68.2% women; 44.3% White, 21.1% Black, 19.6% Asian, 6.0% Latinx; mean age = 18.96; 16.2% bereaved) from Virginia Commonwealth University. Data were collected from participants’ freshman spring and sophomore spring time points on the Life Events Checklist, Alcohol Consumption items, and Drinking Motives Questionnaire-Revised. Participants who were bereaved between the freshman and sophomore timepoint did not …

The Puppets Look Like Flowers At Last, Evie Metz

Theses and Dissertations

The urge to uncover aspects of human condition permeates my work, from the fundamental curiosity of a child tearing apart their doll to uncover what lies within to continuing a quest in uncovering basic human urges through my puppet animated dramas and tragedies. There is a controversial line between the childlike and the adult-like that can be ambiguous, and at some times more discernible while other times less. I create handcrafted stop-frame puppet animations that explore self-conscious emotions such as embarrassment, shame, and envy within unpredictable life scenarios. These are animations about inner life, attempting to resolve conflicting elements of …

Executive Functions As Moderators Of Response To Behavioral Interventions For Adolescents With Attention-Deficit/Hyperactivity Disorder, Stephen J. Molitor

Theses and Dissertations

Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) experience significant academic impairment and multiple interventions have been developed to address common academic problems, such as difficulties with homework, organization, and planning skills. Given cost and resource constraints, research is needed on factors that mental health providers can use to select the most appropriate interventions. To date, there has been minimal research evaluating moderators of response to ADHD interventions. Further, many of the variables that have been studied do not have strong theoretical ties to the mechanisms of change invoked by the interventions. This study examined potential moderators of treatment response to two academic …

Racism, Healthcare Provider Trust, And Medication Adherence Among Black Patients In Safety-Net Primary Care: A Strength-Based Approach, Mickeal Pugh Jr

Theses and Dissertations

Integrated primary care has been incorporated into a variety of healthcare settings. The benefits of these services are empirically supported by a plethora of studies, which highlight the integration of behavioral and physical healthcare to be beneficial for both patient and healthcare providers. Integrated care models are typically incorporated in Veterans Affairs hospitals, general primary care facilities, and community clinics. Community-based clinics, such as safety-net clinics, typically serve underrepresented populations, and research has shown several mental and physical health disparities to exist among minority populations. Further, the minority stress model posits that distal and proximal minority-based stress processes can result …

Longitudinal Patterns Of Depression Symptoms Among Emerging Adults, Sarah W. Clark

Theses and Dissertations

Research has suggested that depression symptoms generally decrease after late adolescence; however, there is increasing attention paid to depression symptoms among college students given the stressors unique to this time period and negative outcomes associated with depression. This study examined latent trajectories of depression symptom severity among college students. Participants were 9,889 college students who participated in the Spit for Science project (Dick et al., 2011). Growth Mixture Modeling was used to identify the presence of four subgroups of individuals with similar patterns of initial level and change in depression severity over four years of college, including Low/Minimal (55.9%), Decreasing …

The Efficacy Of A Group Visual Art Bereavement Intervention With Older Adults, Rachel E. Weiskittle

Theses and Dissertations

Research on expressive art interventions for bereavement has burgeoned in recent years. Studies have supported their effectiveness in facilitating participants’ adjustment to loss (e.g., Rosner, Kruse, & Hagl, 2010; Uttley, 2015) and have revealed the frequency with which they are clinically implemented (Thompson & Neimeyer, 2014). Clinicians and recipients of expressive art interventions advocate for their helpfulness in grief processing (e.g., Gamino, 2015). Publications have highlighted particular visual art modules that facilitate adaptive adjustment to loss by providing avenues for self-expression, meaning making and continuing bonds with the deceased (Neimeyer, 2016), but few studies have quantitatively investigated whether they improve …

Training Future Mental Health Professionals In An Evidence-Informed System Of Care, Julia R. Cox

Theses and Dissertations

High quality mental health services do not reach the youth who need them, leading to efforts to implement effective treatments more broadly. One focus of these efforts concerns training the mental health workforce, of which master’s-level social workers represent a large proportion. However, the curricula of master’s in social work (MSW) programs do not often emphasize evidence-based approaches. One possible solution is Managing and Adapting Practice (MAP; PracticeWise, LLC), a system that allows clinicians to (1) identify clinically indicated evidence-based programs by searching a growing evidence-base of randomized controlled trials (RCTs) and (2) build individualized evidence-informed treatment plans by focusing …

From Sunrise To Sunset: A Lifespan Approach To Understanding The Mental Health Of A Subset Of American Farmers, Janna L. Imel

Theses and Dissertations

Prior research has indicated higher risk of suicide for farmers and identified depression and anxiety as mental health concerns, though the majority of research was conducted in the 1980s-1990s. In today’s economic, social, and political climate, farmers are exposed to situations and stressors reminiscent of the 1980s Farm Crisis. An added risk is the aging workforce of farmers, as age-related conditions can make farming even riskier. This study investigated the mental health of a subset of American farmers by exploring farm-related stressors, coping mechanisms, and mental health outcomes. Dispositional mindfulness was explored as a specific coping mechanism. Participants (N …

Trauma Related Drinking To Cope: A Phenotypic And Molecular Genetic Investigation Of The Self-Medication Model, Sage E. Hawn

Theses and Dissertations

Posttraumatic stress disorder (PTSD) and alcohol use problems (AUP) commonly co-occur, have shared latent genetic risk, and are associated with many negative public health outcomes. Via a self-medication framework, trauma-related drinking to cope (TRD), an unexplored construct to date, may help explain why these two disorders co-occur, thus serving as an essential target for treatment and prevention efforts. The present study aimed to create a novel measure of TRD and examine its psychometric properties, investigate its indirect influences on the association between PTSD and AUP, as well as explore its potential shared molecular genetic risk with PTSD in a genetically-informative …

The Influence Of Electronic Cigarette Heating Coil Resistance On Nicotine Delivery, Heart Rate, Subjective Effects, And Puff Topography, Marzena M. Hiler

Theses and Dissertations

Electronic cigarette (ECIG) users can manipulate several device features including liquid nicotine concentration (mg/ml) and heating coil resistance (Ohms). One class of ECIG models, called “sub-Ohm” devices, use coils with a resistance of < 1 Ohms, lower than those observed in conventional ECIGs (e.g., ≥ 1.5 Ohms). Increasing voltage or decreasing coil resistance increases device power. Given that ECIG coil resistance and liquid nicotine concentration have not been manipulated systematically and simultaneously in clinical laboratory studies, the influence of these factors on ECIG acute effects remain unclear. The primary purpose of this study was to examine the influence of coil resistance and liquid nicotine concentration on nicotine delivery, heart rate (HR), subjective effects, puff topography, and liquid consumption.

Thirty-two experienced ECIG users completed four independent laboratory sessions that differed by coil resistance (0.5Ohm or 1.5Ohm ) and liquid nicotine concentration (3 or 8 mg/ml). In each session, participants used a 4.5 V “Kanger SUBOX” loaded with 3.5 ml ECIG liquid in a 10-puff directed and 60-minute ad libitum bout. Nicotine delivery was greatest when using 8 mg+0.5Ohm combination and lowest when using the 3 mg/ml+1.5Ohm …

When Empathy Only Goes So Far: Development Of A Trait Parochial Empathy Scale, Anna Maria C. Behler

Theses and Dissertations

Empathy, the ability to feel and/or understand another’s emotional state, plays a significant role in interpersonal interactions, mitigating hostility and enhancing affiliation and helping. However, empathy also biases interpersonal reactions. For example, at the group level empathy can become amplified towards members of their ingroup and blunted towards individuals in outgroups, a term called parochial empathy. Currently, no validated measures of parochial empathy at the dispositional level exist, and development of such a scale would be important to understanding the role of group-based emotions in prejudice and discrimination against outgroups. I conducted five studies to develop and validate a …

Construction And Validation Of A Non-Medical Use Of Prescription Opioids Outcome Expectancies Scale Among College Students In China, Cheuk Chi Tam

Theses and Dissertations

Background:Non-medical use of prescription opioids (NMUPO) has become a clear threat to public health. Young adults (aged 18 to 25) have a high risk of NMUPO. My prior work on Chinese undergraduates indicates a high prevalence of lifetime NMUPO (49.2%). Health behavior theories propose that outcome expectancies are robust psychosocial determinants of substance use. Literature has identified the influence of outcome expectancies on alcohol and drug use. However, the role of outcome expectancies in NMUPO in China is unknown, and a scarcity of a valid measures for NMUPO outcome expectancies may be a barrier. Our previous research also found …

Predictors Of Employment In A Treatment Sample Of Individuals With Substance Use Disorders, Enkelejda Ngjelina

Theses and Dissertations

Efforts to increase employment rates through vocational skills training and job interview skills development have yielded mixed results. While initial studies of Job Seekers Workshop (JSW) found greater employment success for participants randomized to JSW as compared to a control condition (Hall, Loeb & Norton, 1977), a more recent Clinical Trials Network (CTN) study found no differences in employment outcomes between the JSW and control groups and the rate of employment overall was substantively lower than those reported in the early studies (Svikis et al., 2012). To better understand these discrepant findings, the present study conducted secondary analyses using the …