Social and Behavioral Sciences Commons^™

Parental Factors Impacting Neurobehavioral Late Effects In Latino Pediatric Cancer Survivors, Pamela R. Perez

Loma Linda University Electronic Theses, Dissertations & Projects

While the survival rate for children with cancer has increased markedly over the past 50 years, the side effects resulting from cancer and cancer treatment have become a major concern for health care providers and families alike. Survivors of childhood cancers are at risk for late occurring sequelae, called late effects, which are associated with disease, chemotherapy, radiation, and surgery. Neurobehavioral late effects are some of the most debilitating late effects found, particularly in survivors of central nervous system (CNS) cancers. The purpose of this study was to explore the impact of clinical and socio-demographic parenting factors on neurological late …

Neuropsychological, Psychosocial, And Mood Outcomes Following Mild Traumatic Brain Injury, Julia L. Evans

Loma Linda University Electronic Theses, Dissertations & Projects

Traumatic brain injury (TBI) in adolescents and adults can result in cognitive, emotional, behavioral and neurological deficits that can persist more than a year after an injury. The aim of the current preliminary study was to use a comprehensive neuropsychological assessment to determine the nature of cognitive impairments and their relationship with specific psychosocial factors, including coping skills and perceived quality of life, following mild TBI (mTBI). Neuropsychological tests administered measured intelligence, pre-morbid intelligence, executive functioning, verbal memory, complex visual construction and non-verbal memory, sustained attention distractibility, and vigilance, verbal learning and memory, fine motor speed, and novel problem solving …

The Application Of Dialectical Behavior Therapy To Chronic Pain Management, Jacob S. Iwaszewski

Loma Linda University Electronic Theses, Dissertations & Projects

Pain affects more than 50 million Americans annually, costs over 150 billion dollars each year in healthcare and legal expenses, and results in decreased work productivity and missed work days (Ballantyne, 2006; Boll, Raczynski, & Leviton, 2004; Thom, 2004). It is estimated that chronic pain negatively impacts 15% to 33% of the US population (Bokarius et al., 2008). Third-wave acceptance-based therapies, such as Dialectical Behavior Therapy (DBT), have demonstrated significant improvements in mental health functioning for a variety of populations (Carmody & Baer, 2008; Cusens, Duggan, Thome, & Burch, 2010). DBT, one of the primary treatment modalities for Borderline Personality …

Self-Efficacy For Independent Living In Retirement, Jennifer Summers

Loma Linda University Electronic Theses, Dissertations & Projects

A person's ability to live independently plays an important role in their quality of life. Variables such as perceived health, functional status, retirement preparedness, social support, and leisure activities are considered to play pivotal roles in the belief one can live independently. Therefore, self-efficacy towards living independently in the retirement phase of life will be impacted by the elements that set the framework for a rewarding life. The present paper reviews social cognitive theory, the construct of self efficacy as well as current research in the area of retirement and how the two are related. The review concludes with a …

Integrating The Development Of Children And Gestalt Therapy, Jennifer J. Thompson

Loma Linda University Electronic Theses, Dissertations & Projects

There are many theories that have contributed to what we know about the development of children; for instance, theoretical diversity supports the complexities of human nature. A child's developmental level will impact his ability to relate. Gestalt theory supports the child's phenomenological view by focusing on the here-and-now of what is happening in the therapeutic environment. Most of what a child will do is in response to a need or want. The child will work toward fulfilling that need. The child may develop maladaptive ways to fulfill his needs based on the environment in which he lives. Gestalt play therapy …

Guidelines For Culturally Informed Interventions: Culture, Attributions And Continuity Of Care, Chung Mu Seo

Loma Linda University Electronic Theses, Dissertations & Projects

Although early detection can improve survival of breast and cervical cancer, U.S. Latinas are more likely to be diagnosed at later stages of cancer and have poorer survival rates compared to Anglo women. Poorer continuity of care and adherence to recommended screening are seen as contributing factors to this disparity. Existing interventions have tried to reduce human, system, and culture barriers. However, they lacked a systemic guidance in the process of identifying cultural factors and the pathways in which they affect the specific behavior of interest through psychological processes in a minority population. Guided by Betancourt’s integrative model of culture, …

Horticulture Group Therapy With Mentally Ill Older Adults, Kristen J. Hill

Loma Linda University Electronic Theses, Dissertations & Projects

With a greatly increasing number of older adults due to advances in medical care, aU baby boomers in the United States will be 65 or older by 2029. As the number of older adults grows, so does the number of those with severe mental illness. Treatments are needed to address older adults with severe mental illness that include the negative side effects of medications. Due to the nature of severe mental illness, lower levels of required cognitive processing allows for those admitted to inpatient psychiatric settings to participate, including those with dementia. Horticulture therapy has proven useful to address severe …

Expanded Behavioral Model For Online Support Services, Laura Boxley

Loma Linda University Electronic Theses, Dissertations & Projects

The rapid expansion of online technologies and health resources has created opportunities to develop broadly available interventions to address the needs of the modern patient. This study proposes a theoretical structure based on Andersen's Individual Determinants of Health Service Utilization Model to describe who is using online support and how it is being used. Also unique to this analysis was the use of objective behavioral data to describe and predict website utilization, and linguistic analysis to evaluate the content of what is shared in online groups. Eighty-four men and women completed baseline evaluations and were randomized into either online support …

Acculturative Stress, Coping, And Approaches To Working With Refugee Immigrants In The United States, Adiel Uzabakiriho

Loma Linda University Electronic Theses, Dissertations & Projects

Every year, due to environmental, political or social reasons, a large number of people worldwide are forced to leave their homes and many become refugees. Based on the U.S. Refugee Act of 1980, the 1951 Refugee Convention and its 1967 protocol, some of those who fall into the legal definition of refugees get the chance to be resettled in the United States. During the course of migration, refugees encounter various experiences which contribute to adjustment outcomes in the United States. One of the significant factors involves acculturation and related stress identified as acculturative stress. This exploratory study identified and examined …

Lateralization Of Emotion, Reaction Time, And Skin Conductance Responsiveness, Kimberley Erin Rose

Loma Linda University Electronic Theses, Dissertations & Projects

Bilateral presentations of brief (250 ms), unmasked emotional and neutral stimuli were examined in two experiments with primarily female samples. Reaction time and accuracy data were used to measure perception of emotion and skin conductance response (SCR) was used to measure experience of emotion. Both words and pictures were used to account for hemispheric differences in language and visuospatial dominance. Response time was faster to emotional pictures than words. Reaction time and speeded accuracy data did not support right hemisphere hypothesis (RHH) or valence hypothesis (VH) in the expected manner. Data suggested emotion caused greater interference under speeded conditions in …

The Grief Experience Of Caregivers When The Child Has A Life Threatening Illness, Avigail Ward

Loma Linda University Electronic Theses, Dissertations & Projects

Using a mixed method approach, this study explored the impact of attachment styles on the grief experience of parents and guardians of a child who has a hematological or oncological illness. The grief experience was evaluated through the lenses of Chronic Sorrow, Ambiguous Loss and Anticipatory Grief. This study was conducted at the Loma Linda University Medical Center Hematology Oncology Pediatric Clinic and was completed by 106 participants who responded to a quantitative survey with open-ended questions. An open-ended questionnaire regarding the impact of the child’s illness on the couple relationship was completed by six couples. The results indicated that …

Family Involvement, Clinician Beliefs And Child Psychiatric Rehospitalization, Sherma J. Charlemagne

Loma Linda University Electronic Theses, Dissertations & Projects

Psychiatric rehospitalization is estimated to fall between 30% and 50% among children and adolescents and is said to be the result of complex relationships between clinical and non-clinical child, family and service system factors. Psychiatric rehospitalization has been noted as an unfavorable outcome of inpatient treatment because of the associated economic to society and the family and emotional costs to the family and patient. Therefore, several attempts have been made in the relevant literature to identify and understand factors that will reduce the risk of rehospitalization in this population. In the context of parent professional collaboration, clinician beliefs and family …

Exploring Gender Differences In Online Cancer Support Groups, Natalie Christine Kaiser

Loma Linda University Electronic Theses, Dissertations & Projects

Gender differences in depression and other psychiatric conditions have been widely

documented in the general population (Nolen‐Hoeksema, 2006). Therefore, several studies have

analyzed the differential gender‐based adaptation of a cancer diagnosis. However, there seem to be contradictory results. While some studies have found there to be no gender differences in terms of cancer‐related distress (Beresford et al., 2006; Deimling et al., 2006; Zabora et al., 2001; & Carlson et al., 2004; Matthews, 2003), other studies have found that females tend to display more anxiety and depressive symptoms (Mystakidou et al., 2005; Deimling et al., 2006). Interestingly, limited studies have reported …

The Impact Of Pomegranate On Memory Dysfunction After Cardiac Surgery, Sapna Patel

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Studies have shown a decline in certain cognitive abilities in individuals diagnosed with heart disease of any type or etiology. This decline is observed as the disease progresses (Muller, Grobbee, Aleman, Bots & van der Schouw, 2006; Ernest et al., 2006), as well as after certain interventions, such as coronary artery bypass grafting (CABG) and heart valve surgery. In recent years, there has been a great deal of emphasis on the beneficial effects of pomegranate on health, including diseases of the brain and the heart. Few, however, have explored the impact of pomegranate on cognitive functions. Thus, the current …

Civic Attitude And Activity Of Loma Linda University Dental Graduates, Gregory W. Olson

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Dentistry is regarded as a profession and granted certain privileges, such as self-regulation. Associated with this status are stated and implied responsibilities which are widely debated. In recent years, dental professionalism seems to be on the decline. Evidence cited includes access-to-care issues and decreased public trust in dentists. In response, academia and professional organizations have developed curricula and statements intended to bolster professionalism. Meanwhile little is known about practicing dentists’ attitudes or participation in health-related civic matters. Objectives: This study seeks to examine the importance Loma Linda University (LLU) dental graduates place on public roles, their reported participation in …

Mrs And Neuropsychological Outcome In Children With Non-Accidental Tbi, Aileen Arratoonian

Loma Linda University Electronic Theses, Dissertations & Projects

Despite the severe and long-term neurological consequences and the prevalence of non-accidental head trauma (NAT) among infants, few empirical studies have specifically examined the neuropsychological consequences in this population of children. The current study examined the relationship between clinical variables, Magnetic Resonance Spectroscopy (1H-MRS), and neuropsychological outcome in this high-risk population of children. Infants and children with a confirmed diagnosis of NAT were recruited by the Division of Pediatric Neurology at Loma Linda University Children’s Hospital and administered a comprehensive follow-up neuropsychological evaluation and neurological exam several months post injury. At the conclusion of the study, there were 13 participants …

Memory For Emotional Images: Mechanisms Of Episodic Processing And Its Psychophysiological Correlates, Gregory 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 pure lists of taboo and neutral words. A similar result was found with equivalent recognition memory performance between pure lists of negative, positive, and neutral images. The current research is designed to test the predictions of binding theory using negative and neutral visual stimuli in mixed lists. A rapid serial visual presentation paradigm and recognition memory item-discrimination tasks are used. Binding theory predicts differences in recognition memory performance between arousing and neutral images in mixed lists, but not …

Experience Of Undocumented Immigrant Children In The Child Welfare System, Brenda M. Flores

Loma Linda University Electronic Theses, Dissertations & Projects

As the number of undocumented immigrants entering the U.S. continues to increase, the number of undocumented children and families who come into contact with the child welfare system is also increasing. Currently, there are no federal or state guidelines addressing the immigration status of undocumented children placed in out-of-home care. They are assessed using traditional models without consideration of their unique needs and are referred for the same general types of treatment and services. It is important to identify and address the needs and challenges faced by this population. The goal of the study was to obtain a detailed understanding …

Inpatient Stroke Rehabilitation: Ethnic And Psychosocial Predictors Of Recovery Outcome, Anna Olga Wong

Loma Linda University Electronic Theses, Dissertations & Projects

As the new focus on preventative medicine has emerged, research continues to expand on diseases that impact physical and cognitive functioning, lead to long-term disability, and increase the risk of mortality. Stroke or cerebral vascular accident (CVA) has been identified as one of such diseases by the Centers for Disease Control (2007). Past literature has identified disparities between ethnicity, socioeconomic status, and other diseases in the recovery of stroke. The aim of the current study was to investigate the effects of ethnicity and psychosocial factors on stroke recovery during inpatient rehabilitation. The study included 446 patients who had suffered an …

Religious Coping And Depression Among Blacks And Whites After Sexual Abuse, Richelin Dye

Loma Linda University Electronic Theses, Dissertations & Projects

According to the theory of Fundamental Assumptions, childhood sexual abuse survivors have more depressive symptoms as a consequence of disrupted assumptions relating to optimism and mastery (Janoff-Bulman, 1992). This study tested whether positive religious coping preserves the fundamental assumptions to decrease depressive symptoms. In contrast, negative religious coping was posited to challenge assumptions. These hypotheses were tested in 2949 women from the Biopsychosocial Religion and Health study of which 246 reported childhood sexual abuse (CSA) with no childhood physical abuse and no adult sexual assault. Across all participants, positive religious coping (benevolent God reappraisal, collaborative religious coping, and spiritual connection) …

Parental Grief And Loss And The Medical Staff Relationship: A Function Of Attachment, Peter Christopher Gleason

Loma Linda University Electronic Theses, Dissertations & Projects

Each year, too many parents must face the horrific ordeal of having to prepare for the death of their child; thought to be the most traumatic event in the life of an adult (Widger & Picot, 2008). It is in the desperate hours just prior to death that these parents, for many reasons, reach out for support to the medical staff around them. This process, particularly if negative, can leave scars that parents will carry for a lifetime (N. Contro, Larson, Scofield, Sourkes, & Cohen, 2002; Tinsley, et al., 2008). However, there appear to be factors that serve to lessen …

Myelomeningocele And The Neuropsychological Functioning Of Bilingual Children, Claudia Resendiz

Loma Linda University Electronic Theses, Dissertations & Projects

Myelomeningocele is the most common and most severe form of spina bifida, affecting the brain and spinal cord of millions of children. Children of Hispanic background have the highest prevalence rate of this condition. Despite this fact, research that examines the cognitive profiles of Hispanic children with myelomeningocele is limited. A review on bilingualism and neurocognitive performance suggests that a cognitive advantage is present among those who are able to learn and utilize two languages. Although some have investigated the neuropsychological performance of children with myelomeningocele, research has yet to examine whether a bilingual cognitive advantage is present among bilingual …

Perceived Parent-Child Relationship And High-Risk Behaviors Among Christian College Students, Karla G. Lavin Williams

Loma Linda University Electronic Theses, Dissertations & Projects

Background. Adolescents and young adults today are participating in high-risk behaviors such as dangerous sexual behaviors and drug and alcohol abuse at high rates. An increased incidence of negative effects associated with the aforementioned behaviors has led researchers to examine factors that influence and protect adolescents from certain devastating effects (Davis, Hendershot, George, Norris, & Heiman, 2007; Goldstein, Bamett, Pedlow, & Murphy, 2007; Hamilton, et al., 2007; Hingson, Heeren, & Winter, 2006; Hingson, Heeren, Winter, & Wechsler, 2003; Hingson, Heeren, Zakocs, Winter, & Wechsler, 2003; McCarty, et al., 2004; Mokdad, Marks, Stroup, & Gerberding, 2004; Mosher, Chandra, & Jones, 2005; …

Impact Of An Online Support System On Health Related Quality Of Life Among Men Diagnosed With Prostate Cancer, Daniel K. Osei

Loma Linda University Electronic Theses, Dissertations & Projects

Prostate cancer is a major public health issue worldwide and a significant cause of male cancer death in the USA. Though early screening and treatment has greatly enhanced the outcome, men diagnosed with prostate cancer face problems that compromise quality of life after treatment. Online support for prostate cancer clients is a convenient way to help because it is anonymous, inexpensive, and can be used at clients’ convenience. Yet few studies have explored how these supports impact these clients. This study used a longitudinal randomized experimental design to examine the impact of online services on quality of life of prostate …

Childhood Depressive Symptoms: Comparison Of Diverse Medical Diagnoses, Ida Babakhanyan

Loma Linda University Electronic Theses, Dissertations & Projects

Childhood depression is a serious problem and has long term implications including increased risk for suicide and comorbid conditions. In addition, depressed children are at greater risk for social difficulties, non-compliance to medical regime, and academic difficulties. Children undergoing a medical illness are at increased risk for developing depression, however, there have been few recent studies looking at emotional distress for this population. With thousands of children hospitalized every day, assessing for depressive symptoms is important in order to provide proper referrals and treatment recommendations following discharge. The purpose of the current study was to increase understanding of pediatric depression …

The Association Of Religious Coping On Reports Of Low Back Pain And Inflammatory Markers, Jacqueline D. Bougie

Loma Linda University Electronic Theses, Dissertations & Projects

Chronic pain is the most common cause of disability in the United States with depression, anxiety, and stress often occurring co-morbidly. The purpose of the study was to explore how religion may modulate the frequency of back pain, influence inflammatory markers, influence the use of medications, and impact functional ability.

Participants were from the Biological Manifestations of Religion Study (BioMRS; N= 508) and the Psychological Manifestations of Religion Study (PsyMRS; N = 10,988). All participants completed a 20-page questionnaire and BioMRS participants provided blood, salivary, and urine samples, performance tests, and learning tests all collected within 1 week of …

Minority Female Physicians' Family And Career Experiences: A Qualitive Inquiry, Nishana Clarke

Loma Linda University Electronic Theses, Dissertations & Projects

This qualitative study investigated the experiences of married minority female physicians as they navigate their professional and family life. The study examined the impact of multiple roles, gender, and ethnicity on the familial and professional life of married minority female physicians. The study consisted of 21 married minority female physicians and covered issues related to marital life, family life, stressors, ethnicity, and gender. Analysis reveals the core categories of: work demands, multiple role demands, role expectations, motherhood guilt, couple nurture, and accommodation. The study found that the category work demands impact the family life of the participants'; however, when the …

Early Engagement Of Parents Involved In Child Welfare, Agnes (Aggie) Jenkins

Loma Linda University Electronic Theses, Dissertations & Projects

Each year, child welfare agencies receive over three million referrals on children alleged to be victims of child abuse or neglect. When the state exercises its societal right to remove a child from his or her family, the primary goal is to reunify that child as soon as the involved institutions reach agreement on the child's safety. In such cases, a child's parent must demonstrate that he or she can provide for the child in a safe environment (Malm, Bess, Leos-Urbel, Geen & Markowitz, 2001). Parents many times fail to understand the importance of the federally mandated timelines within which …

Family Environment Externalizing And Internalizing Behaviors Among Adolescents In St. Lucia, St. Clair P. Alexander

Loma Linda University Electronic Theses, Dissertations & Projects

The family is uniquely positioned either to positively or negatively influence the well-being, development, and adjustment of adolescents. There is a considerable body of research in the general literature associating the family environment with adolescent externalizing and internalizing behaviors of adolescents. St. Lucia, and the rest of the Caribbean, have distinctive cultural and familial habits and patterns that may influence adolescents' behavior. However, little or no attention has been given to assessing empirically the role that family dynamics may play in adolescents' behavior on the island of St. Lucia. The purpose of this study was to explore the relationship between …

Marital Experience And Spirituality Among Physician Couples, Elisabeth Vonegen Esmiol

Loma Linda University Electronic Theses, Dissertations & Projects

This study will examine how marital experience and spirituality interact in the lives of physician couples. Physicians’ increasing openness to spiritual issues inherent in treating the ill and suffering (King, 2000; Thorsen, Harris & Oman, 2001), the growing number of women entering the medical profession and becoming physician and dual physician couples (Levinson & Lurie, 2004; Brotherton & Etzel, 2008), and physicians’ work-related stress (Transue, 2004; Wicks, 2006) and the resulting pressures and time constraints on medical marriages (Sotile & Sotile, 2000) make studying this population particularly relevant. Interviews with twenty two married, professional couples, in which at least one …