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 …

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 …

Social Jetlag, Depressive Symptoms, And Longitudinal Outcomes In College Students, Morgan P. Reid

Theses and Dissertations

Social jetlag refers to the chronic shift in sleep timing between work and free days and has been associated with a variety of negative physical and psychological outcomes. Existing research on social jetlag has relied heavily on cross-sectional studies, preventing researchers and practitioners from assessing the effects of social jetlag over time. The current study used longitudinal data to explore the directionality of the association between social jetlag and depressive symptoms as well as the longitudinal associations between social jetlag, academic performance, and wellbeing in college students. Gender and race were also assessed as potential moderators of these associations. Cross-lagged …

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 …

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 …

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 Role Of Strength: Navigating Perinatal Loss Among Black Women, Ashley N. Hill

Theses and Dissertations

In the U.S., Black mothers experience fetal and infant mortality at alarming rates when compared to White and Latina mothers (Gregory, Drake, & Martin, 2018). The intent of this study was to examine perinatal loss among Black American women and to expand understanding of how the Strong Black Woman (SBW) ideology influences bereavement. Data were gathered from (N=109) Black American bereaved mothers. It was predicted that endorsement of differing aspects of the SBW would moderate the relationship between perinatal grief and psychosocial outcomes (i.e., depression and post-traumatic growth). Regression analyses, alongside a bootstrapping procedure via PROCESS (Hayes, 2017), …

Conceptualization Of Body Image And Eating Disorders Among South Asian American Women: A Qualitative Investigation, Neha J. Goel

Theses and Dissertations

Though it is known that eating disorders (EDs) affect individuals of all racial/ethnic backgrounds (Cheng, Perko, Fuller-Marashi, Gau, & Stice, 2019), people of color tend to be overlooked in the ED literature. South Asian Americans, a specific subset of individuals traditionally categorized within the larger umbrella group of “Asians,” have been notoriously neglected in both the broader mental health literature, and in the ED literature (Inman, Devdas, Spektor, & Pendse, 2014; Iyer & Haslam, 2003, 2006). Currently, very little information exists on the etiology and presentation of EDs amongst South Asian communities. Even less is known about culturally-specific barriers to …

Developing An Evidence-Based Hiv Testing Message For Young African American Women, Melanie P. Moore

Theses and Dissertations

African American women have the highest rates of HIV infection among women of all racial/ethnic groups in the United States, and over 50% of HIV infected young adults are unaware of their infection. HIV testing is a cost-effective mechanism for reducing HIV transmission. Despite this, limited research has been devoted to developing interventions specifically promoting HIV testing. This two-part study proposed to address this gap through developing a culturally tailored HIV testing message aimed at increasing HIV test intentions among young African American women. Study 1 was a quantitative study that examined predictors of HIV testing history and future HIV …

Social Influences On Racial Identity, Perceived Social Support, And Mental Health Among Black College Students, Sultan A. Hubbard

Theses and Dissertations

The first goal for the study was to estimate trait effects and social influences for racial centrality, racial private regard, and racial public regard. The second was to estimate correlational relationships between racial identity, depression, and anxiety symptoms. The study used 110 Black university students (M_age=19.5,SD=4.13) from a southeastern American university. Restricted maximum likelihood estimation was conducted to estimate variance components for all constructs. Racial centrality, racial private regard, and racial public regard consisted of mostly trait effects, although reflecting substantial social influences. Correlational findings indicated that providers who evoked high racial centrality also evoked …

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 …

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 …

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 …

Do Sluggish Cognitive Tempo Symptoms Improve With School-Based Adhd Interventions? Outcomes And Predictors Of Change., Zoe Smith

Theses and Dissertations

Sluggish cognitive tempo (SCT) is a construct that includes symptoms of slowness, mental confusion, excessive daydreaming, low motivation, and drowsiness/sleepiness. SCT is often co-morbid with attention-deficit/hyperactivity disorder (ADHD), and SCT symptoms are associated with significant academic and interpersonal impairment above and beyond the influence of ADHD symptoms. Despite the overlap between ADHD and SCT and associated impairments, no studies have evaluated how evidence-based psychosocial interventions for adolescents with ADHD impact symptoms of SCT. This study examined whether SCT symptoms improved in a sample of 274 young adolescents with ADHD who received either an organizational skills or a homework completion intervention. …

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 …

Using Latent Semantic Analysis To Evaluate The Coherence Of Traumatic Event Narratives, Gabriella C. Scalzo

Theses and Dissertations

While a growing evidence base suggests that expressive writing about a traumatic event may be an effective intervention which results in a variety of health benefits, there are still multiple competing theories that seek to explain expressive writing’s mechanism(s) of action. Two of the theories with stronger evidence bases are exposure theory and cognitive processing theory. The state of this field is complicated by methodological limitations; operationalizing and measuring the relative constructs of trauma narratives, such as coherence, traditionally requires time- and labor-intensive methods such as using a narrative coding scheme. This study used a computer-based methodology, latent semantic analysis …

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 …

Dating Violence And Latina/O Emerging Adult’S Attitudes Towards Condoms And Condom Use Behaviors: Examining The Role Of Culture, Melissa Avila

Theses and Dissertations

Latina/o emerging adults living in southern states may be especially at risk of being disproportionately affected by HIV. In 2015, Latina/os aged 20 to 24 accounted for 14.7% of all 20-24-year old’s living with HIV in southern states, despite the fact that 20 to 24-year-olds make up 3.7% of the region’s overall population of individuals living with HIV (CDC, 2016; U.S. Census Bureau, 2017). Specifically, there continues to be groups of Latina/o emerging adults who do not use condoms when they are sexually active and who are not using condoms consistently. Condom use literature suggests that relationship factors, such as …

A Longitudinal Study Of The Stress-Buffering Effects Of Romantic Relationships On Alcohol Outcomes In College Students Exposed To Trauma, Rebecca L. Smith

Theses and Dissertations

This study examined interplay between interpersonal trauma (IPT), relationship status, relationship satisfaction (SAT), and partner substance use (PSU), and whether these relationship dimensions moderated associations between IPT and alcohol outcomes. Data came from a longitudinal study of college students (N=9,911; 61%female; 49%White). Precollege IPT increased the likelihood of being in a relationship, while college-onset IPT decreased the likelihood. IPT predicted lower SAT and higher PSU. Individuals with precollege IPT consumed more alcohol than those without IPT, but this was mitigated for those in relationships. Individuals with college-onset IPT consumed more alcohol than those without IPT, and this was …

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 …

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 …

Developmental Dynamics Of Students' Perceptions Of Classroom Practices, Their Identity, And Academic Engagement, Krystal R. Thomas

Theses and Dissertations

As the student body in the United States continues to become more diverse, it is critically important to understand the factors that influence African American and Latinx students’ engagement, including what they bring to the classroom, and their perceptions of what is occurring in the classroom. During early adolescence, youth are making meaning and internalizing the proximal influences their classrooms have on their sense of self and subsequent academic outcomes. Among school variables, teaching quality accounts for some amount of variation in student achievement.

This dissertation project explored whether there were gender differences among 205 middle school students’ perceptions of …

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 …

Race, Health, And Social Support On Campus: An Exploration Of Discrimination On Health And Fraternity/Sorority Membership For African American College Students, Alexandra M. Munson

Theses and Dissertations

African American college students face a myriad of unique race related stressors on campus, yet there is a gap of knowledge on how these experiences may impact overall health as well as what may mediate these effects. The goal of the current study was threefold. First, it was to better understand the relationship between health outcomes and the experience of discrimination on college campuses for African American students. Second, it further investigated the research of Pieterse & Carter (2007), to explore if perceived discrimination influences health outcomes above and beyond general life stress in the emerging adult population. Lastly, it …

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 …