Social and Behavioral Sciences Commons^™

A Review Of A Ketogenic Diet In The Treatment Of Autism Spectrum Disorder, Eugene Reznik

Loma Linda University Electronic Theses, Dissertations & Projects

Autism Spectrum Disorder effects millions of people every year, however pharmacological and behavioral treatments remain limited. The need for adjunctive therapies such as diet invervention [sic] that target autism spectrum disorder symptoms Is [sic] needed now more than ever. A connection between a ketogenic diet, which is high in fat and low in carbohydrates, and autism spectrum disorder can be made as the diet has shown potential in ameleriotating [sic] common comorbidities within the autism spectrum disorder population such as metabolic dysfunction, gut-microbiome dysfunction, medication resistant epilepsy, and various psychiatric disorders. Hence, this review focuses on the results and methods …

Integration Of Adverse Childhood Experiences In Adulthood Through Dance Movement Therapeutic Techniques, Kimberly Hoj

Expressive Therapies Capstone Theses

Expanding knowledge about how to self-regulate when faced with challenging circumstances has the potential to benefit individuals and communities, especially in our post-pandemic environment with increasing needs for mental health support. This thesis provides a psychoeducational basis for use of dance movement therapeutic techniques to integrate adverse childhood experiences. The literature review refines an understanding of big T and little t trauma as it relates to mental illness, polyvagal theory, nervous system regulation, the window of tolerance, body armoring, somatic psychotherapy, trauma- informed care, adverse childhood experiences and post-traumatic growth.

This thesis culminates in a personal arts-based autoethnography informed by …

The Association Between Uncertainty, Reproductive Distress, And Avoidance In Assigned Female At Birth Adolescent And Young Adult (Aya-F) Cancer Survivors, Devon Ann Pons

Doctoral Dissertations

Family building and fertility is a complex component of survivorship for assigned female at birth Adolescent and Young Adult’s (AYA-F’s), often accompanied by a mix of cognitive uncertainty, emotional uncertainty, reproductive distress, and avoidance. These psychological components present in survivorship for AYA-F’s can impact coping, identity development, and individualized care plans throughout survivorship. This novel examination of data from a cross sectional study shed light on the associations between reproductive distress, uncertainty, and avoidance and how they are experienced differently by various subgroups within the sample.

Results demonstrate that reproductive distress fully mediated the association between emotional uncertainty and avoidance, …

My Body As A Journey Accessing Pre-Colonial Identity For Healing Intergenerational Transgender Shame, Jennifer Lagman

Art Therapy | Master's Theses

A graduate student in art therapy wrote this heuristic paper to explore shame's role as both a negative internal feeling and a cultural and social tool for evaluating and regulating behavior. As a transgender woman, she examines what it is like to be labeled as Filipino and deal with being transgender. Tiny advances have been made in the understanding of shame within the context of minority transgender self-research. Using art to expose those feelings associated with shame, balance them with affirmations, and ground them in native identity are key aspects of this process. Consequently, meeting one's shadow becomes a necessity …

An Examination Of The Relation Between Memory Self-Efficacy And Working Memory Within The Cognitive Reserve Framework, Genna Marie Mashinchi Ma

Graduate Student Theses, Dissertations, & Professional Papers

Dementia has been found to negatively affect multiple aspects of cognitive functioning. Despite an increasing prevalence of cognitive decline, many aging adults do not experience reduced cognitive functioning. The reason as to why some experience cognitive decline and others do not is still unclear. One leading theory thought to explain this phenomenon is the cognitive reserve theory (CR), which proposes that certain lifestyle factors (e.g., educational attainment, occupational attainment, and leisure activity participation) prolong one’s cognitive functioning and reduce the risk of cognitive decline. Memory self-efficacy (MSE), defined as one’s beliefs in their memory ability, was found to be positively …

Empowering Providers To Empower Their Patients: One Model To Expand Knowledge, Competency, And Awareness For The Perinatal Substance Use Workforce, Jacqueline Jacobs

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Perinatal substance use (PSU) is a serious and growing public health concern. It is associated with a variety of adverse health outcomes for both mother and child and has been shown to negatively impact the parent-child relationship. Despite the growing prevalence of PSU, there are notable deficits in provider knowledge regarding, and comfortability with, PSU. Moreover, providers report feelings of judgment, resentment, fear, and hesitancy related to their work with women with PSU. Subsequently, women with PSU struggle to find appropriate, compassionate, and effective treatment for their substance misuse. Widespread and accessible training is needed to bolster provider knowledge base, …

A Mental Health Needs Assessment Of Students Attending An Alternative High School, Kelly Sachdev

Loma Linda University Electronic Theses, Dissertations & Projects

Research suggests that students who attend urban or alternative schools experience higher rates of poverty, family instability, and violence victimization. These risk factors can result in higher rates of depression, school absences, and lower academic performance. This needs assessment explores the mental health needs of students at a low-income, urban, alternative high school in Southern California from the perspective of students, teachers, and staff in order to better understand the stressors and mental health needs of this vulnerable population. Four focus groups were conducted with students (n = 9), teachers (n = 7), and staff (n = 13). Audio files …

The Effects Of Acculturation, Marianismo, And Religiosity On Pregnancy Related Anxiety In Latina Women, Jennifer M. Zanoli

Doctoral Dissertations

There is a dearth of information about pregnancy related anxiety (PRA) in Latina women, yet a growing body of literature demonstrates adverse birth outcomes for mother and infant due to PRA. This study examined the association between acculturation, religiosity, marianismo, parity, and a Latina pregnant woman’s relationship with her healthcare provider with PRA in Latina women aged 18 and above. Acculturation was expected to be the more robust factor amongst the independent variables.

Participants in this study (n = 53) were Hispanic, Chicano, Latino or had a Latin or Spanish heritage, over the age of 18, pregnant at the …

Does Convenience Come With A Price? The Impact Of Remote Testimony On Expert Credibility And Decision-Making, Ashley Jones

Dissertations

Legal cases involving expert testimony, especially by forensic mental health professionals, is increasingly relying on remote testimony to reduce associated costs and increase availability of such services. There is some evidence to show that expert testimony delivered via videoconference (VC) is comparable to expert testimony delivered in person; however, the most compelling evidence for this claim is unpublished. Other evidence across disciplines showed relative comparability between VC and in-person modalities across various types of outcomes. Based on both unpublished and published findings, this study tested the hypothesis that minimal differences in measures of expert credibility, efficacy, and weight assigned to …

Predictors Of Relational Aggression In Women Across Adulthood, Alison Poor

Dissertations

Relational aggression involves behavior intended to harm victims’ social status or reputation through acts like manipulation, gossip, exclusion, and blackmail. Most of the research on relational aggression has focused on children and early adolescents, with college students receiving some attention in recent years. A smaller body of work supports the relevance of relational aggression among adults in workplace settings, marital relationships, and assisted-living facilities. While few studies with adults have been integrated into the literature on relational aggression, they provide evidence that these behaviors continue into adulthood. The current study explored relational aggression among women between the ages of 18 …

“Early Covid” Changes In Parenting, Education, And Work On Parental Stress: A Gendered Comparison Of Canadian Parents, Holly Harris

Undergraduate Honors Theses

In May 2020, data were collected through survey as the COVID-19 pandemic was unfolding and still in its “early” months. The sample N=1,208 is of Canadian parents in a residential romantic relationship, who live with a residential child under the age of eighteen years old, who have access to the internet, and speak English or French. I examine how disruptions to child’s education/daycare, work, and parental childcare activities predicted parental stress through regression models. Findings indicate that fathers and mothers stress since the onset of COVID-19 were the same and that gender was not a moderator to parental stress. A …

Dyadic And Ecological Associations With Intimate Partner Violence (Ipv): Using Hierarchical Linear Modeling To Differentiate Ipv From Community Crime, Rachel Carpenter

Electronic Theses and Dissertations

Research on intimate partner violence (IPV) and intimate partner sexual violence (IPSV) has largely focused on individual and dyadic-level risk factors, but recently studies have explored how the surrounding environment is associated with IPV/IPSV. Studies that have explored community-level variables typically only use IPV/IPSV samples and do not first compare indicators of IPV/IPSV to those of general crime in those same communities. To address these gaps, this study was conducted in two parts. Data were retrieved from the Tennessee Bureau of Investigation Reporting System, County Health Rankings and Roadmaps System, the US Census Bureau, and other sources. Study 1 first …

Meet Me In The Middle: A Scoping Review On Understanding Adolescent Needs In Climate Communication, Gwendolyn Monica Hoff Anderson

Master's Projects and Capstones

The greatest effects of climate change are likely to be felt by youth. Young people are disproportionately affected by climate change due to their critical developmental stage and lack of power, and they experience both higher severity and prevalence of mental health issues related to climate change. Strong emotions have long been recognized as potential catalysts for action, or they may lead to paralyzing feelings of being overwhelmed. Climate communication is a critical tool to spark climate concern and encourage action. Activism, in turn, may help youth manage their anxiety about climate change. This scoping review examines emerging evidence on …

Project Soaring: Feasibility Of A Tier 2 Dbt-Based Program, Chalita Antommarchi

Loma Linda University Electronic Theses, Dissertations & Projects

Adolescents living in poverty are more likely to experience intense and/or multiple stressors during childhood (Evans & Kim, 2012). These increases in stress levels can lead to patterns of pervasive emotion dysregulation which, in turn, can affect academic achievement (Ivcevic & Brackett, 2014). Dialectical Behavior Therapy (DBT) is a promising intervention that can target emotion dysregulation and other symptomatology in adolescents (Miller et al., 2006). Although DBT has gained traction in the treatment of adolescent suicide and self-harm (Glenn et al., 2019), it has yet to be tested as an early intervention in a school-based setting (Fasulo et al., 2015; …

Using Expressive Arts Therapy To Develop Coping Mechanisms To Manage Substance Use, Zayna Mcdonald

Expressive Therapies Capstone Theses

This paper examines past and current usages of expressive arts therapy in developing coping mechanisms for substance use recovery and explores possibilities for further integration in the adolescent and young adult population around the world. Abundant information is available on the effects of drugs and other substances on mental health, but more research is needed on how the integration of expressive arts therapy can enhance substance abuse programs for these populations. According to the CDC, elevated adverse effects on mental health occurred during the COVID-19 pandemic in the US with young adults reporting increased substance use (Czeisler et al., 2020). …

The Development Of The Holistic Pastoral Wellbeing Assessment: A Mixed Methods Study, Timothy Captain

Dissertations

Some pastors are clearly in crisis. Research has indicated that clergy struggle to cope with the stressors of their profession. While pastoral work is overtly spiritual in nature, day-to-day tasks include interactions with God, themselves, congregants, and the world at large. Without multi-dimensional tools to consider their wellbeing, specifically assessments that reflect their worldview and role, pastors may remain unaware of dangerously low levels of wellbeing until they reach a place of crisis. Therefore, in this mixed methods study, the Holistic Pastoral Wellbeing Assessment (HPWA) was developed and tested to offer a validated, useful tool for pastors and those who …

Examining The Use Of Expressive Arts Therapies In Neurorehabilitation Treatment Planning, Rebecca J. Horner

Expressive Therapies Capstone Theses

Those undergoing neurorehabilitation after stroke and traumatic brain injury report a diminished sense of overall wellness. This paper examines the conceivable benefits of introducing expressive arts therapies, which is the therapeutic use and combination of the visual arts, movement, drama, music, writing and other intermodal creative processes, into physical therapy and neurorehabilitation treatment planning. Expressive arts therapies have the capacity to engage with an individual’s physical, emotional, social and spiritual states concurrently. They simultaneously offer the ability to promote an increased sense of well-being, address mind-body disconnects, and process trauma non-verbally.

The sections of this narrative literature review focus on …

The Benefits Of Art Therapy On Stress And Anxiety Of Oncology Patients During Treatment, Helen Shiepe

Expressive Therapies Capstone Theses

Within the last ten years research on art therapy and its positive impact on oncology patients’ stress and anxiety during treatment has been minimal. Oncology patients whether they are children or adults when diagnosed experience similar reactions due to their diagnosis, treatment, and in some cases end of life care. The current question is whether or not art therapy does have a positive impact on decreasing the stress and anxiety with oncology patients while undergoing treatment. Deane, Fitch & Carmen (2000), discussed art therapy as a healing art that is “intended to integrate physical, emotional, and spiritual care by facilitating …

Re-Storying Teaching: Using Narradrama To Address Burnout In Public School Teachers, Heather Carroll

Expressive Therapies Capstone Theses

The public school system in the United States is experiencing an increasing crisis in teacher retention and effectiveness due, in part, to the effects of burnout on teaching staff. Teachers often face significant stressors such as tense parent-teacher relationships, state and federal mandates on testing, low financial compensation and limited benefits, and negative sociocultural stereotypes about their roles and responsibilities as educators (Westervelt, 2016; von der Embse et al., 2019). These stressors, if not managed effectively on an individual and systemic level, can lead to burnout (Maslach, 2001). This condition involves symptoms such as emotional and physical exhaustion, disinvestment from …

Facilitating Attachment Through Therapeutic Rapport And Expressive Arts Therapy With Children Experiencing Complex Trauma: A Literature Review, Johanna Voeller

Expressive Therapies Capstone Theses

The aim of this capstone is to review the connection between therapeutic alliance and attachment with traumatized children supported by expressive arts in therapy and to the impact on therapeutic outcome. Within the therapeutic encounter is a potent opportunity to develop healthy attachment patterns that bridge into the client’s other relationships in their life. Complex trauma affects children physically and psychologically leaving lifelong consequences of interpersonal challenges. The impetus for study of this topic was curiosity centered on the impact of the therapeutic alliance as it relates to attachment, and therapeutic outcomes. Throughout the course of this literature review, the …

Examining State Of Flow And Its Future In Dance/Movement Therapy: A Literature Review, Rachael A. Cohen

Expressive Therapies Capstone Theses

This paper analyzes State of Flow, the definition codified by Mihaly Csikszentmihalyi and analyzes how Flow as a concept has developed in current psychological and artistic research, alternative therapies, and mainstream medias. This paper also views existing Dance/Movement Therapy frameworks such as Body-Mind Centering and Kestenberg Movement Profile to see how Csikszentmihalyi’s definition could integrate into current Dance/Movement Therapy practice, as well as looks at Laban Movement Analysis and its future in Dance/Movement Therapy. This thesis also examines how gender and neurodivergence may impact how one can experience State of Flow.

Bibliotherapy With Children With Neurodiverse Profiles: A Literature Review, Jessica Piltch-Loeb

Expressive Therapies Capstone Theses

Expressive arts therapy interventions are continuing to gain recognition as a means of healing for individuals with a wide range of diagnoses. Bibliotherapy is a particularly under researched modality of the expressive arts, leaving ample opportunity for future research on both reading and writing interventions. While bibliotherapy may not be a widespread subject of study, preliminary research shows that reading and writing therapies can promote emotional well-being for individuals dealing with mental illness. Children with neurodiverse profiles (NP) are more likely to be diagnosed with psychiatric disorders such as depression, anxiety, bipolar disorder, and schizophrenia, than neurotypical children. Although previous …

Reimagining Disability: Expressive Arts Therapy As An Empowerment Tool, Isla Goldstein

Expressive Therapies Capstone Theses

A quarter of the U.S. adult population is disabled. Current expressive therapies’ approaches are rooted in a medical-interventionist model of disability over a social model of disability. In utilizing the connection between disability arts and creative arts therapies, this capstone thesis explores the tools found within the field – such as photovoice – to examine the impact of hierarchy in therapeutic spaces. Mental health practices are also often rooted in individualistic models of self-care, over community care. Through examining the practices of disabled art, music, and drama therapists, this literature review seeks to imagine new therapeutic spaces and realities for …

Behind The Numbers: A Traditional Church Faces A New America, Larry Vogel

Doctor of Philosophy Dissertation

The dissertation examines membership data for The Lutheran Church—Missouri Synod (LCMS) from the mid-1970s to the present. It considers the analysis of LCMS decline by two scholars, George Hawley and Ryan MacPherson, who independently proposed that LCMS membership decline was internal in causation due to diminished birthrates and fewer young families. While acknowledging the reality of such internal decline, this dissertation argues that the lack of external growth is a greater cause for LCMS decline. Its lack of external growth is due primarily to the racial and ethnic homogeneity of the LCMS and its failure effectively to evangelize the increasingly …

Building Sustainable Environmental Activism Programs For Youth, Aminah Habib

Master's Projects and Capstones

As the negative impacts of climate change become more and more common across the United States, many youth are experiencing eco-anxiety or other negative mental health impacts due to the state of the environment. Engaging with activism has been named as a potential mitigator of the negative impacts of climate change among youth, but the relationship between activism and youth well-being is an emerging area of research. To explore this relationship, this scoping review explored and synthesized available literature to inform the next steps. In addition to the community-level and society-level contributions that come from youth activism, there are also …

The Association Between Psychotic Symptoms And Romantic Relationship Quality Among Young Adult Ethnic Minorites, Tashagaye T. Mckenzie

Doctoral Dissertations

This study aimed to examine the association between psychotic symptoms and the quality of romantic relationships amongst ethnic minority young adults. Approximately 10.4 million people, which represents 4.2% of the adult population in the U.S, are currently diagnosed with severe mental illnesses, including psychotic disorders. Prior research found that ethnic minorities, in general, have an increased risk of developing psychotic disorders such as schizophrenia. People with SMI generally have issues being and maintaining romantic relationships. However, being in positive romantic relationships is associated with better physical and mental well-being. The final sample size for the study consisted of 411 young …

Understanding The Lived Experience Of The Embodiments Of Catholic Social Teaching By Doctoral Alumni From A School Of Education Of An Independent Catholic University: A Phenomenological Study, George Munjanattu

Graduate Theses, Dissertations, and Capstones

This study set out to understand how the doctoral alumni from the School of Education of an independent Catholic university experience embodiments of Catholic Social Teaching in their everyday lived experiences. The conceptual framework of seven Catholic teaching embodiments allowed the researcher to explore the perspectives of the doctoral alumni about their experiences with their values and beliefs about family, community, solidarity, human dignity, different responsibilities in their lives, care for creation, and their current engagement with various social justice activities. This research was a phenomenological qualitative study using interviews and artifacts review. Twelve participants were interviewed to explore their …

The Influences Of The Public Health Care System And Education System On The Economic Growth Of Swaziland, Grace Greer

International and Global Studies Undergraduate Honors Theses

The Kingdom of Eswatini, also known as Swaziland, has one of the youngest populations in the world with over 70% of citizens being under the age of 18 years old. This creates a substantial opportunity for economic, social, and educational growth in a country previously plagued with diseases such as HIV/AIDS, poor health care infrastructure cutting off thousands from basic care, and an educational system with a very low attendance rate and an even lower graduation rate. By evaluating the root causes of such issues dating back to the colonial era there is an opportunity to reprioritize health care and …

Approaching Trans Healthcare Competency: The Implementation Of Trans Health Education For Medical Providers In Appalachia, Rebecca Altschuler

Electronic Theses and Dissertations

Barriers to competent and safe healthcare disproportionately impact people who are marginalized because of their race, ethnicity, gender, or socioeconomic status. It is well documented that transgender patients in particular experience barriers to both accessing care and receiving high quality, non-discriminatory care (Hatzenbuehler & Pachankis, 2016; James et al., 2016; Rahman et al., 2019; Safer et al., 2016). This lack of access to culturally competent healthcare services contributes to health disparities that disproportionately impact the trans community. Literature on barriers to competent care for trans patients indicates that providers experience discomfort related to their ability to provide competent care (Safer …

Do We Belong? Promoting A Sense Of Belonging In Lgbtq Youth Through Artistic Community Engagement: A Literature Review, Patricia Moran

Expressive Therapies Capstone Theses

This literature review examines the potential of collaborative art making as a tool to foster a sense of belonging in today’s gender and sexual minority youth who identify as lesbian, gay, bisexexual, transgender and queer (LGBTQ). Living with a unique layer of minority stress, LGBTQ youth are at high risk for developing mental health issues such as depression, anxiety, and suicidal ideation due to ostracization and rejection from their families and communities. By reviewing the implementation of collaborative art making to bring together other marginalized groups across cultural backgrounds as well as the use of art making with LGBTQ youth …