Psychology Commons^™

The Effectiveness Of Various Reminder Systems On Appointment-Keeping Adherence In A University-Based Primary-Care Setting, Frank M. Mirarchi

PCOM Psychology Dissertations

Treatment nonadherence is a significant problem that can affect not only the healthcare industry, but also more importantly, a patient’s health. Appointment-keeping adherence is expected to supersede all other types of adherence in terms of its importance and sequence. Various interventions have been used to treat nonadherence including appointment-keeping nonadherence within medical practices. Some of these interventions include different types of reminders (phone, letter, cards, etc.) and different types of therapy (motivational interviewing (MI) and cognitive behavioral therapy). Both reminders and MI have been effective in the past in treating appointment-keeping nonadherence. Therefore, will an MI-formatted letter reminder improve appointment-keeping …

Educators' Knowledge Of And Attitudes Toward Concussions And The New Jersey Concussion Law, Einat Katz-Delong

PCOM Psychology Dissertations

Recent media attention, lawsuits from retiring athletes, and the early retirement of famous athletes have increased public awareness of sports-related head injuries. High school student athletes are more susceptible to concussions than older athletes. Athletes suffering from concussions may experience long-lasting effects on their lives, particularly in cognitive, emotional, and school functioning. Given the increased rates of concussions and their ramifications, state governments and the federal government have taken action. Beginning with the start of the 2011–2012 school year, the state of New Jersey has implemented legislation that requires all school districts with interscholastic sports programs to develop a written …

Assessing Transgender Attitudes Toward Health Care: Can These Attitudes Help Predict Health Outcomes?, Sara M. Shane

PCOM Psychology Dissertations

Research has identified the fact that race/ethnicity, sexual orientation, gender identity, socioeconomic status, education level, geographic location, help seeking behaviors, and experiences of discrimination are associated with health outcomes. In addition, attitudes towards providers can also help determine health outcomes. The transgender community experiences barriers to health care services and therefore their overall health is affected. There is not a sufficient amount of literature that assesses, using standardized measure, the attitudes of the transgender community and their health. The present study will assess the attitudes of the transgender community toward health care (mental and medical health) and, using standardized measures, …

Student Attitudes Towards Drinking Behaviors, Laura Gaines

Honors Theses and Capstones

The literature is relatively inconclusive regarding predictors of alcohol use; while some studies have demonstrated an association between high levels of social interaction and increased alcohol use, others have shown that a lack of social support is linked to drinking heavily. The current study was conducted with students at the University of New Hampshire; participants’ attitudes towards alcohol were assessed along with many psychosocial factors. Low levels of conscientiousness, parent and high school influence, frequently attending parties, and friend influence were most highly predictive of positive attitudes towards alcohol; multiple regression of these factors accounted for 30.1% of the variance. …

Health Behaviors Among College Students: The Influence Of Future Time Perspective And Basic Psychological Need Satisfaction, Preston L. Visser, Jameson K. Hirsch

ETSU Faculty Works

Health behavior change may prevent many fatal diseases, and may be influenced by social and motivational constructs. We assessed the interaction effect of future time perspective and basic psychological need fulfillment on positive and negative health behaviors. Future time perspective was associated with more positive, and less negative, health behaviors. Need fulfillment was associated with only positive health behaviors. In moderation analyses, individuals reporting both high need fulfillment and future perspective reported greater positive health behaviors, and were especially unlikely to smoke. Enhancing future-mindedness and supporting need satisfaction in interventions targeting modifiable health behaviors is encouraged.

Applying The Biopsychosocial Model: Factors Associated With Depression In Mexican-American Adults, Alison B. Ross

Scripps Senior Theses

Although professionals in psychiatry, psychology and medicine claim to endorse the biopsychosocial model as proposed by George L. Engel (1977), clinicians in all three fields still tend to underutilize it. Some academics have also criticized the model for its inadequate emphasis on cultural contextualization. To improve upon the model, I sought to empirically establish the relationship between culturally-specific social factors and psychological disorder, in this case depressive symptoms in Mexican-American adults. Eighty-six Mexican-American participants living on the US-Mexico border completed scales measuring depressive symptoms, bidirectional acculturation, living situation, diabetes, and health beliefs regarding the origins of diabetes. The results revealed …

Health Promotion In Multiple Domains: Capitalizing On The Spillover Effect, Gabrielle Maria D'Lima

Psychology Theses & Dissertations

Lifestyle behaviors, such as physical activity and food consumption choices, play a critical role in the development of chronic diseases and ultimately mortality. Optimally, multiple health-related behaviors are changed to reduce risk rather than targeting only one risk behavior. The purpose of the current research was to examine the potential utility of the spillover effect in the application of a multiple health behavior intervention. The online intervention developed in this study aimed primarily to foster self-regulation, bolstered by impulsivity control and self-efficacy, in one health-related behavior (i.e., physical activity) in order to potentially affect change in other health-related behaviors (e.g., …

The Influence Of Exercise Environment And Gender On Mood And Exertion, Thomas G. Plante, Marily A. Opezzo, L. Aislinn Diaz, Selena Pistoresi, Michael Santos, Jacqueline E. Fahey, Elizabeth Kay, Briana Britton, Suheel Khan

Psychology

This study examined the influence of exercise environment and gender on post-exercise mood and exertion. College student participants (55 females, 49 males) were instructed to pedal a stationary bike at a moderate pace for 20 minutes. Participants were randomly assigned to one of three laboratory conditions: (1) exercising in front of a mirror and posters showing ideal fit body types (i.e., celebrity male and female personal trainers), (2) exercising in front of a mirror only, or (3) a control condition in which participants exercised without a mirror or posters. The Activation- Deactivation Adjective Check List (AD-ACL), measuring exercise-induced mood states, …

Follow-Up Evaluation Of Treatment For Anxiety And Depression Provided In A University-Based Primary Care Clinic, Renée M. Grinnell

Theses and Dissertations

Although integrated primary care psychology services are becoming increasingly common, the literature lacks adequate research support for the longitudinal durability of treatment effects following the conclusion of brief primary care interventions. This study served as a follow-up program evaluation of psychological services for depression and anxiety provided at the Medical College of Virginia’s Ambulatory Care Center in Richmond, Virginia. Data were collected on 47 adult primary care patients who received treatment for depression and/or anxiety between six and 18 months prior to the follow-up telephone call. Data were collected on the trajectory of depression scores throughout and following treatment, treatment …

Parent-Adolescent Communication About Sexual Topics, Cultural Factors, And Latino Adolescents’ Sexual Behavior And Condom Attitudes, Efren A. Velazquez

Theses and Dissertations

This study examined whether cultural values and gender moderate the association between mother-adolescent communication about sex and adolescents’ sexual behavior/intention to engage in sex and condom use attitudes. One hundred and fifty Latino adolescents completed an anonymous survey that measured sexual health outcomes, mother-child communication, and cultural factors. In bivariate analyses, adolescents with a higher sense of familismo had a more positive attitude towards using condoms and more acculturated Latino adolescents were less likely to speak to their mothers about pre-coital or coital sexual topics. Females spoke more about sex with their mother, compared to males. Traditional gender roles moderated …

Effects Of A Classroom Curriculum On Physical Activity And Its Psychological Predictors In High School Students, John Trinity Edd, James J. Annesi Ph.D.

Journal of Social, Behavioral, and Health Sciences

Recent research indicates that recommended amounts of physical activity suggested for health benefits are rarely met in high-school–age adolescents. A pilot study was conducted to investigate the effects of a classroom health-education–based curriculum intervention on the physical activity of high school students. A within-group research design was used on data from a sample of ninth grade boys and girls (N = 104) who received six classroom health education lessons over 5 weeks based on social cognitive theory. The lessons focused on improvements in the theory-based psychological variables of mood, body satisfaction, physical self-concept, and exercise self-efficacy. Mixed-model repeated-measures ANOVAs …

Faktor Yang Mempengaruhi Kesejahteraan Psikologi Anggota Tentera Darat Malaysia, Wan Norhayati Wan Othman

Student Works (2010-2019)

Dengan melihatkan keadaan semasa anggota Tentera Darat Malaysia di mana banyak masalah yang berlaku, ramai yang berhenti awal dan niat untuk berhenti awal, jadi tujuan kajian ini secara umumnya ialah untuk melihat keadaan kesejahteraan psikologi anggota Tentera Darat Malaysia yang masih berkhidmat. Manakala secara khususnya tujuan kajian ini dilakukan adalah untuk mengukur tahap kesejahteraan psikologi anggota Tentera Darat Malaysia, mengenalpasti profil kesejahteraan psikologi anggota Tentera Darat Malaysia berdasarkan enam dimensi mengikut teori Ryff, melihat perbezaan min indeks kesejahteraan psikologi anggota Tentera Darat Malaysia berdasarkan faktor demografi, melihat hubungan pembolehubah bebas iaitu penghayatan agama, kecerdasan emosi, penghargaan kendiri, kepuasan kerja dan …

Rural Latino Adolescent Health: Preliminary Examination Of Health Risks And Cultural Correlates, Timothy D. Nelson, Katherine M. Kidwell, Brian E. Armenta, Lisa J. Crockett, Gustavo Carlo, Les B. Whitbeck

Department of Psychology: Faculty Publications

Latino adolescents living in rural settings may be at increased risk of health problems; however, data describing the health status of this population are limited. This study examined 60 rural Latino adolescents and found high rates of health risk, including at-risk/clinical results for hemoglobin A1C (23.3%), high-density lipoprotein cholesterol (55%), systolic blood pressure (21.7%), and overweight/obesity (55%). Time in sedentary behaviors was high and physical activity was limited. Adolescent language use was associated with health risk status, with greater use of English associated with lower risk. Health psychologists could promote improved health by providing health behavior interventions to this underserved …

The Influence Of Dementia Caregiver Mental Health On Quality Of Care In Argentina, Alejandra Morlett Paredes

Theses and Dissertations

This study examined the connections between cognitive functioning in individuals with dementia and caregiver burden, burden and mental health, mental health and quality of care. One hundred two dementia caregivers from San Lucas, Argentina completed questionnaires assessing these constructs. Caregiver burden, depression, anxiety, and satisfaction with life explained 18.8% of the variance in quality of care – respect and 14.7% of the variance in quality of care – provide. An SEM with generally adequate fit indices uncovered that cognitive functioning in individuals with dementia was inversely associated with caregiver burden, caregiver burden was inversely associated with mental health, and mental …

Developing And Selecting Auditory Warnings For A Real-Time Behavioral Intervention, John Belletierre, Suzanne C. Hughes, Sandy Liles, Marie Boman-Davis, Neil E. Klepeis, Elaine Blumberg, Jeff Mills, Vincent Berardi, Saori Obayashi, T. Tracy Allen, Melbourne F. Hovell

Psychology Faculty Articles and Research

Real-time sensing and computing technologies are increasingly used in the delivery of real-time health behavior interventions. Auditory signals play a critical role in many of these interventions, impacting not only behavioral response but also treatment adherence and participant retention. Yet, few behavioral interventions that employ auditory feedback report the characteristics of sounds used and even fewer design signals specifically for their intervention. This paper describes a four-step process used in developing and selecting auditory warnings for a behavioral trial designed to reduce indoor secondhand smoke exposure. In step one, relevant information was gathered from ergonomic and behavioral science literature to …

Diaphragmatic Breathing And Its Effect On Inhibitory Control, Matthew Russell

Theses and Dissertations--Psychology

Evidence suggests that slow paced diaphragmatic breathing (DB) can significantly affect prefrontal cortex functions through increasing an individual’s physiological self-regulatory capacity. The current research demonstrates the effects of paced DB on inhibitory control, which is considered to be a reliable measure of behavioral self-regulation. Eighty healthy participants were randomly assigned to one of two conditions (20 males and females each). Participants were instructed on either DB at a pace of six-breaths per minute (BPM) or instructions on environmental awareness and asked to breathe at 12 BPM. Following training, all participants completed a computer-based task designed to examine inhibitory processes. Physiological …

Examining The Effect Of Race On The Relationship Between Posttraumatic Stress Disorder And Metabolic Syndrome In Women, Leia Harper

Theses and Dissertations

Posttraumatic stress disorder (PTSD) is a psychiatric condition affecting approximately 8% of the adult U.S. population with rates twice as high in women than men. Increasingly, evidence has suggested a close relationship between PTSD and increased risk of metabolic diseases. However, the literature on PTSD and metabolic disease risk factors has been limited by the lack of investigation of the potential influence of race on this relation. The current study examined the possible effect of race on the relation between PTSD and metabolic risk. Data for this study were provided from sample of that included 50 African American women and …

Lqts: Gender Differences And Mother-Son Vs. Mother-Daughter, Thea Gallagher

PCOM Psychology Dissertations

Long QT syndrome is a chronic disorder, and one of the most common genetic arrhythmia syndromes that can cause unexpected cardiac arrest and death in individuals. Treatment options include medications, use of implantable cardioverter defibrillators (ICD) and restricting activities of daily life. Minimal research exists exploring the specific psychosocial aspects of the illness and/or the impact on the quality of life of individuals and families coping with the management and diagnosis of this illness. Furthermore, little research has attempted to understand the role of gender differences and mother-child perceptions among individuals with Long QT syndrome. The current study used data …

Through An Intersectionality Lens: Service Provider Views On The Sexual Health Needs Of Racialized Lgbtq Youth In Toronto, Shanshan Yan

Theses and Dissertations (Comprehensive)

This thesis explores the needs and gaps in knowledge and service delivery in sexual health for racialized LGBTQ youth living in Toronto, Canada from the perspective of service providers. Through a grounded theory approach, data were analysed using an intersectionality lens with the intention that the complex identities of the youth be considered. The findings of this study shed light on the barriers that operate at the micro (ie. personal), meso (ie. community) and macro (ie. societal) levels that affect the sexual health outcomes of racialized LGBTQ youth. Key findings from this study point to: 1) the need to closely …

Due To A Bone Marrow Transplant, Is Loneliness From Hospital Isolation A Predictor Of Health Outcomes, Megan E. Curtis

UNF Graduate Theses and Dissertations

Previous research indicates loneliness affects physiological and quality of life outcomes in oncology populations. However, minimal research has been conducted specifically on bone and blood marrow transplant (BMT) patients (Knight et al., 2013). To further explore this issue, we conducted a preliminary study to examine the relationship of loneliness with quality of life, immunological functioning, and other health indicators at six months post-transplant in BMT patients. The Functional Assessment of Cancer Therapies–BMT (FACT-BMT) was used to measure QOL and the UCLA Loneliness Scale Version 3 was used to assess general loneliness and loneliness experienced during hospitalization. We found that experiencing …

Beyond Proximity: The Importance Of Green Space Useability To Self-Reported Health, May Carter, Pierre Horwitz

Research outputs 2014 to 2021

Access to parks and green spaces within residential neighbourhoods has been shown to be an important pathway to generating better physical and mental health for individuals and communities. Early research in this area often failed to identify specific attributes that contributed to reported health outcomes, with more recent research focused on exploring relationships between health outcomes and aspects of access and design. A mixed methods research project conducted in Perth, Western Australia examined the role that neighbourhood green space played in influencing residents' self-reported health status, and this paper identifies significant relationships found between perceptions of green space quality and …

Reducing Depression During The Menopausal Transition: Study Protocol For A Randomised Controlled Trial, Osvaldo P. Almeida, Kylie Marsh, Leon Flicker, Martha Hickey, Andrew Ford, Moira Sim

Research outputs 2014 to 2021

Background: The menopausal transition (MT) is a biological inevitability for all ageing women that can be associated with changes in mood, including depressive symptoms. There is tentative evidence that women who develop depression during the MT have greater risk of subsequent depressive episodes, as well as increased health morbidity and mortality. Thus, preventing depression during the MT could enhance both current and the future health and well-being of women. This study aims to test the efficacy of a client-centred health promotion intervention to decrease the 12-month incidence of clinically significant symptoms of depression among women undergoing the MT.Methods/Design: This randomised …

Factors Influencing Youth Self-Perceptions Of Overweight And Obesity, Caitlin Helen Sommers

Dissertations and Theses

This study sought to examine whether participation in physical activity affects the ability to correctly classify body size, based on body mass index classifications. Secondarily, this study determined whether adolescents who incorrectly classified their body size overestimated or underestimated their size. Self-report data from the Youth Risk Behavior Surveillance Survey collected by the Centers for Disease Control and Prevention were analyzed. Logistic regression was performed to examine relationships between self-perception of body size and physical activity, television viewing time, computer/video game use, physical education class time, and extracurricular sports activities. Significance was set to p<0.05. Physical activity was the only statistically significant independent variable (p=0.058, OR = 1.060). Although physical activity was shown to be statistically significant, it did not appear to meaningfully increase the ability of youth to correctly classify body size. Secondary analysis showed that adolescents who incorrectly classified their body size were more likely to underestimate their body size. Females more frequently underestimated their body size (females=673; males=384).

Work Stress Reactivity And Health Outcomes: A Study Of Nurses, Laurie Marie Jacobs

Dissertations and Theses

Negative events encountered in daily life influence individual well-being. Individuals vary in their reactivity to these events, the extent to which they are behaviorally, physiologically, and psychologically influenced by them (Almeida, 2005; Neupert, Almeida, & Charles, 2007). Reactivity to events in the form of changes in health behavior could represent either an attempt at coping (Cooper, Frone, Russell, & Mudar, 1995) or a stressor-related failure of self-control (Muraven & Baumeister, 2000). Such changes in behavior could have later effects on health.

Although a great deal of attention has been paid to both the immediate and long-term effects of stressors on …

Reimagining My Body, Center For Public Service

SURGE

I stood there, shoulders slouched, elbows locked, hands glued to the side of the toilet. My body convulsing, I told myself, “this is the last time, just one more time and you’ll get back on track tomorrow.” It wasn’t the last time. I had been forcing myself to purge for months at this point, and each time I hated myself for it.

It was something I couldn’t control. It wasn’t out of a need for attention as so commonly thought, but a pure need to be the unreachable level of thin that I thought would make me beautiful. I was …

Suicide-Related Imagining And Acquired Capability: Investigating The Role Of Imagery In Self-Harm Behaviors, Tara C. Holaday

Masters Theses & Specialist Projects

The purpose of this investigation was to examine the role of suicide-related mental imagery in suicidal behavior. It was hypothesized that engagement (frequency, emotional impact, vividness, realism) with suicidal imagery would be related to suicidality, with greater engagement with imagery associated with more suicidal behaviors. Acquired capability for suicide was expected to be a mediator of this relationship. These hypotheses were tested by surveying 237 undergraduate university students (59% female; mean age = 20). Students completed a packet of self-report measures: The Modified Suicidal Cognitions Interview, The Acquired Capability for Suicide Scale, and the Self-Harm Behavior Questionnaire. Results suggested that …

Feeling Sad? Maybe You Are Just Uncertain! A Predictive Test For Depression, Dana Elizabeth Larson

Masters Theses & Specialist Projects

The current study examined the relationship between depression and uncertainty within the stress-diathesis model. Depression is a mental health disorder that is wide spread within our society. However, few causes of this disease have been able to be identified. Studies in uncertainty have shown that it is a major stressor in day-to-day life. Previous research has shown that individuals with high levels of uncertainty show higher levels of depression. The stress-diathesis model, a model originally developed to explain differences in development of schizophrenia, provides a theoretically meaningful way to combine these two concepts. The model states that a person who …

Pilates, Mindfulness And Somatic Education, Karen Caldwell, Marianne Adams, Rebecca Quinn, Mandy Harrison, Jeffrey M. Greeson

College of Science & Mathematics Departmental Research

The Pilates Method is a form of somatic education with the potential to cultivate mindfulness – a mental quality associated with overall well-being. However, controlled studies are needed to determine whether changes in mindfulness are specific to the Pilates Method or also result from other forms of exercise. This quasi-experimental study compared Pilates Method mat classes and recreational exercise classes on measures of mindfulness and well-being at the beginning, middle and end of a 15 week semester. Total mindfulness scores increased overall for the Pilates Method group but not for the exercise control group, and these increases were directly related …

Who Done It? Rurality Vs. Ses As Critical Factors In Evaluating The Prevalence Of Child Psychosocial Concerns In Primary Care, Robert M. Tolliver

Electronic Theses and Dissertations

The purpose of this study was to evaluate the prevalence of child psychosocial concerns in rural primary care, hypothesized to be greater than national averages due to lacking mental health services in rural areas. This study was an examination of the role of SES, various definitions of “rural,” and the interaction of SES and rurality, in predicting parent-reported child psychosocial concerns in Appalachian primary care clinics. Caregivers presenting with their child at one of 8 pediatric primary care sites (n=2,672) were recruited to complete a measure assessing demographics and the Pediatric Symptom Checklist (PSC). Results showed that while rural status …

Perceived Barriers And Facilitators To Mental And Behavioral Health Screening And Treatment In Primary Care For Women In Northeast Tennessee, Sarah K. Hill

Electronic Theses and Dissertations

Between one quarter and one third of all primary care patients meet criteria for at least one mental disorder. However, many women are not screened for mental disorders as recommended by the literature. Some studies suggest even lower rates of screening and treatment in rural areas. This researcher sought to identify barriers and facilitators to mental and behavioral health screening and treatment for women in primary care and solicit feedback on how to ameliorate perceived barriers. Given the limited extant data describing rural Appalachian women’s perceptions of barriers and facilitators to receiving mental health services an exploratory qualitative analysis was …