Psychology Commons^™

Stress, Anxiety, And Somatic Symptoms: A Comparison Of Biomarkers In A Clinical Sample, David J. Finitsis

Master's Theses

Anxiety disorders are the most prevalent class of mental disorders, often characterized by a chronic course and comorbid psychopathology. The anxiety-stress literature utilizing cortisol as a biomarker of the hypothalamus pituitary adrenal (HPA) axis has been inconsistent. The establishment of salivary alpha-amylase (sAA) as a biomarker of sympathetic nervous system (SNS) activation allows researchers an opportunity to examine the stress response more fully. This study sought to explore relationships between trait anxiety and salivary stress biomarkers in an outpatient sample attending a specialized anxiety treatment center. Multiple regression and moderator analyses were conducted to examine associations between psychosocial and physiological …

Lateralized Difference In Tympanic Membrane Temperature: Emotion And Hemispheric Activity, Ruth E. Propper, Tad T. Brunyé

Department of Psychology Faculty Scholarship and Creative Works

We review literature examining relationships between tympanic membrane temperature (TMT), affective/motivational orientation, and hemispheric activity. Lateralized differences in TMT might enable real-time monitoring of hemispheric activity in real-world conditions, and could serve as a corroborating marker of mental illnesses associated with specific affective dysregulation. We support the proposal that TMT holds potential for broadly indexing lateralized brain physiology during tasks demanding the processing and representation of emotional and/or motivational states, and for predicting trait-related affective/motivational orientations. The precise nature of the relationship between TMT and brain physiology, however, remains elusive. Indeed the limited extant research has sampled different participant populations …

Se Habla Inglés Aquí: Las Dificultades En El Tratamiento De La Depresión En Latinos En Los Estados Unidos, Melissa Kim Dundas

World Languages and Cultures

This project attempts to identify and bring to light the issues relating to treatment of Latinos and native Spanish speakers in the United States. The stigma surrounding depression is already strong in the U.S., and when minorities, who tend to have their own views of mental health disorders and who are less likely to seek treatment for any mental health disorder they might have, are added to the picture, the rates of treatment go drastically down. There are many factors that play into whether or not Latinos will seek treatment for depression, many of which revolve around language and culture, …

Marital Status And Religious Commitment Predict Prenatal Tobacco, Alcohol, And Illicit Substance Use In Southern Appalachia, Andrea D. Clements, Tifani R. Fletcher, Lana Mcgrady, Beth A. Bailey

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

Religious Commitment And Depression During Pregnancy, Tifani R. Fletcher, Andrea D. Clements, Lana Mcgrady, Beth A. Bailey

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

Social Relations, Health Behaviors, And Health Outcomes: A Survey And Synthesis, Louis Tay, Kenneth Tan, Ed Diener, Elizabeth Gonzalez

Research Collection School of Social Sciences

The primary goal of this paper is to summarise current evidence on social relations and health, specifically how social integration and social support are related to health behaviors and health outcomes, using results from published reviews. Our analysis revealed that social relations are beneficial for health behaviors such as chronic illness self-management and decreased suicidal tendency. The salutary effects of general measures of social relations (e.g. being validated, being cared for, etc.) on health behaviors (e.g. healthy diet, physical activity, smoking, alcohol abuse) are weaker, but specific measures of social relations targeting corresponding health behaviors are more predictive. There is …

Functional Impairment, Illness Burden, And Depressive Symptoms In Older Adults: Does Type Of Social Relationship Matter?, Joshua P. Hatfield, Jameson K. Hirsch, Jeffrey M. Lyness

ETSU Faculty Works

Objective: The nature of interpersonal relationships, whether supportive or critical, may affect the association between health status and mental health outcomes. We examined the potential moderating effects of social support, as a buffer, and family criticism, as an exacerbating factor, on the association between illness burden, functional impairment and depressive symptoms.

Methods: Our sample of 735 older adults, 65 years and older, was recruited from internal and family medicine primary care offices. Trained interviewers administered the Hamilton Rating Scale for Depression, Duke Social Support Inventory, and Family Emotional Involvement and Criticism Scale. Physician-rated assessments of health, including the Karnofsky Performance …

Activating Health Goals Reduces (Increases) Hedonic Evaluation Of Food Brands For People Who Harbor Highly Positive (Negative) Affect Toward Them, Lauren F. Mayor, Paul M. Connell

Faculty of Marketing & International Business Publications

Associations of pleasure and fun with junk foods have the potential to create considerable challenges for efforts to improve diets. The aim of this research was to determine whether activating health goals had the potential to exploit mixed motivations (i.e., health and pleasure) that people have related to food, and subsequently strip junk foods of the expected pleasure derived from them. In study 1, 98 participants evaluated a soft drink brand after being primed (not primed) for health. In study 2, 93 participants evaluated a presweetened breakfast cereal brand after being primed (not primed) for health. In both studies, participants …

Traumatic Brain Injury: The Relationship Of Psychosocial Variables And Location Of Injury To Post-Injury Depression, Alicia L. Smith

Theses, Dissertations and Capstones

Traumatic Brain Injury (TBI) affects nearly 1.4 million people in the United States annually, and of these, 10% to 77% will experience post-injury depression. Psychosocial variables such as previous substance and alcohol abuse, prior mental illness, low educational attainment, and poverty have been identified as possible risk factors. Additionally, the location of injury appears to play a key role particularly if the injury occurs in the left hemisphere. This study examined archival data from brain-injured patients in an effort to better understand the factors related to post-TBI depression. Past medical records of brain-injured adults (N = 52) were reviewed …

A Mind-Body Approach To Promote Health And Enhance Healing, Lisa Dionne Meyering

Theses Digitization Project

The purpose of this project was to create for the public a research-based user-friendly booklet that provides guidance with regard to psychological considerations that may be employed to enhance, or accelerate, the process of healing from illness.

Psychological And Neural Mechanisms Of Trait Mindfulness In Reducing Depression Vulnerability, Natalie A. Paul, Steven J. Stanton, Jeffrey M. Greeson, Moria J. Smoski, Lihong Wang

College of Science & Mathematics Departmental Research

Mindfulness-based interventions are effective for reducing depressive symptoms. However, the psychological and neural mechanisms are unclear. This study examined which facets of trait mindfulness offer protection against negative bias and rumination, which are key risk factors for depression. Nineteen male volunteers completed a 2-day functional magnetic resonance imaging study. One day utilized a stress-induction task and the other day utilized a mindful breathing task. An emotional inhibition task was used to measure neural and behavioral changes related to state negative bias, defined by poorer performance in inhibiting negative relative to neutral stimuli. Associations among trait mindfulness [measured by the Five …

Independent Living Oldest-Old And Their Primary Health Provider: A Mixed Method Examination Of The Influence Of Patient Personality Characteristics, Lee Stadtlander, Martha Giles, Amy Sickel, Emma Brooks, Cherri L. Brown, Melissa Cormell, Lara Ewing, Delores Hart, Dawn Koons, Christie Olson, Pamela Parker, Veronica Semenova, Shawna Stoneking

Walden Faculty and Staff Publications

This convergent mixed methods study examined 35 healthy, independent living individuals' (over 85 years) perceptions of their relationship with their primary health provider (PHP) and health practices. The relationship between PHP relationship perceptions and locus of control (LOC), resilience, and self-efficacy was explored through surveys and interviews. The majority indicated they visited their PHP just for preventative care; the number of PHP visits per year was significantly lower than reported for individuals over 85 by the CDC, possible reasons for this finding are provided. A positive relationship between LOC, resiliency, and self-efficacy for the oldest-old was found. Few participants indicated …

Finding Still Waters And Green Pastures: Understanding And Reducing Stress In Urban Church Planting, David R. Dunaetz

Selected Faculty Publications

The work of urban church planters is often hindered by high levels of stress. Stress may be viewed as a process that involves stressors and an individual’s perceptions of both the level of threat and his or her ability to deal with the threat. The long term and the short term consequences of stress can be attenuated through appropriate coping strategies such as problem solving, prayer, and seeking social support. Recent empirical evidence indicates that exposure to nature is also very effective, a strategy that might be especially beneficial to urban church planters and their ministries. Several practical applications are …

Age-Related Concomitants Of Obtaining Mental Health Care In Adulthood, Erin L. Woodhead, R. C. Cronkite, R. H. Moos, H. Valenstein, C. Timko

Faculty Publications

No abstract provided.

The Concept Of Time In Rehabilitation And Psychosocial Adaptation To Chronic Illness And Disability: Parts I And Ii, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

Human fascination with the concept of time can be traced to antiquity. Time has been viewed as fundamental to all human experience, and efforts to understand its nature, structure, and relationship to the human experience have generated a burgeoning body of literature, over the past two millennia, among philosophers, astronomers, physicists, and more recently psychologists. Yet, the field of rehabilitation counseling has been rather silent on the role of time and especially its place in understanding psychosocial adaptation to chronic illnesses and disabilities. In the first part of this article, the author seeks to (a) provide a brief review of …

Exploring Biopsychosocial (Bps) Facets Of Chronic Obstructive Pulmonary Disease (Copd) In Patients In An Acute Inpatient Physical Rehabilitation Facility (Irf), Ronnetta Williams

Theses and Dissertations--Educational, School, and Counseling Psychology

From a BPS perspective, COPD and other chronic diseases may have a significant negative impact on those living with them and may be associated with higher rates of depression and anxiety and lower levels of health-related quality of life (HRQOL). Certain factors, such as spirituality, may influence the negative impact of chronic disease on the relationship between mood and functional independence and HRQOL. Also, gender may influence the relationship between mood, spirituality, and HRQOL for men and women living with chronic diseases. The current study included 136 patients undergoing physical rehabilitation at an IRF. Anxiety, depression, spirituality, HRQOL, and functional …

Get Rich U Or Get Transformed U: Reflections On Catholic Liberal Arts Education In The 21st Century, Thomas G. Plante

Psychology

Catholic liberal arts educators can proclaim boldly that we are in the business of formation and transformation of students at multiple levels and in multiple ways. We want our students to be competent, ethical, and compassionate global citizens who are thoughtful, savvy, deep thinkers who love learning and who love helping others. Research and best practices support the claim that the virtues cultivated by the liberal arts contribute to the flourishing of individuals and society as a whole. Catholic colleges and universities have a long history of promoting the liberal arts, and data from various sources suggest that we are …

Relationships Among Pain Threshold, Self-Regulation, Executive Functioning, And Autonomic Activity: A General Inhibitory System Perspective, Ian Andres Boggero

Theses and Dissertations--Psychology

Chronic pain patients have poorer pain inhibition, self-regulatory ability, executive functioning and autonomic inhibition than those without pain, supporting the view that suppressing pain is mentally taxing. In the current study, an alternate explanation was proposed; namely, that pain inhibition, self-regulation, executive functions, and heart rate variability (HRV) are all controlled by the same general inhibitory system. To test this hypothesis, participants came into the laboratory for three sessions. At the first session, individual differences in pain thresholds, self-regulatory strength, executive functioning, and HRV were measured. At the second and third sessions, self-regulatory persistence and within-session changes in pain thresholds …

The Role Of Pubertal Timing And Temperamental Vulnerability In Adolescents’ Internalizing Symptoms, Lisa J. Crockett, Gustavo Carlo, Jennifer M. Wolff, Meredith O. Hope

Department of Psychology: Faculty Publications

This longitudinal study examined the joint role of pubertal timing and temperament variables (emotional reactivity and self-regulation) in predicting adolescents’ internalizing symptoms. The multiethnic sample included 1,025 adolescent girls and boys followed fromage 11 to age 15 (Mage¼11.03 years at Time 1). In structural equation models, age 11 measures of pubertal timing, emotional reactivity, and self-regulation and their interactions were used to predict adolescents’ internalizing behavior concurrently and at age 15. Results indicated that, among girls, early pubertal timing, higher emotional reactivity, and lower self-regulation predicted increased internalizing behavior. In addition, self-regulation moderated the effect of pubertal timing such that …

Parents' Coping With Children's Newly Diagnosed Long-Qt Syndrome: A Qualitative Study Of The Function And Utilization Of An Online User Group, Allison Burns-Pentecost

PCOM Psychology Dissertations

Long QT syndrome is a sudden death syndrome that occurs in about 1 in 2,000 births. LQTS is caused by genetic mutations that affect the electrophysiology of the heart, resulting in a prolonged QT interval and possible cardiac arrhythmia, syncope or sudden death. Treatments include medications, implantable cardioverter defibrillators and activity restrictions. Little research exists regarding the psychosocial factors of the illness or the ways in which families cope with diagnosis and management of the chronic illness. The current study used archival data from an online user group. Participants were members of the group who discussed concerns related to LQTS. …

Narrative Versus Nonnarrative: The Role Of Identification, Transportation And Emotion In Reducing Health Disparities, Sheila T. Murphy, Lauren B. Frank, Joyee S. Chatterjee, Lourdes Baezconde-Garbanati

Communication Faculty Publications and Presentations

This research empirically tests whether using a fictional narrative produces a greater impact on health-related knowledge, attitudes, and behavioral intention than presenting the identical information in a more traditional, nonfiction, non-narrative format. European American, Mexican American, and African American women (N = 758) were surveyed before and after viewing either a narrative or non-narrative cervical cancer-related film. The narrative was more effective in increasing cervical cancer-related knowledge and attitudes. Moreover, in response to the narrative featuring Latinas, Mexican Americans were most transported, identified most with the characters, and experienced the strongest emotions. Regressions revealed that transportation, identification with specific characters, …

Examination Of Physician Decision Making With Children And Adolescents Diagnosed With Long Qt Syndrome: A Qualitative Study, Julie Radico

PCOM Psychology Dissertations

Physicians are faced with ongoing challenges in diagnosing long QT syndrome (LQTS) and the uncertainty regarding treatment for specific genotypes and prescription of restrictions regarding physical activity. This study explored what impacts physicians’ decision making with regard to treatment and recommendations for children and adolescents with LQTS. Semi-structured interviews were conducted with pediatric cardiologists who were currently treating this population. Several themes regarding physician decision making were identified: constant reevaluation of decisions, impact of years of experience/number of LQTS patients treated, differentiating from versus joining with other physicians, variations in recommending patient sports involvement and activity level, and physicians as …

Predictors Of Successful Weight Loss Following Bariatric Surgery, Francine R. Broder

PCOM Psychology Dissertations

Obesity is a major public health problem involving both medical and quality-of-life
issues. During the past 20 years, obesity has dramatically increased and is currently at an all-time high (Centers for Disease Control and Prevention, 2011). More than two thirds of the adult population in the United States is estimated to be overweight, with over one third of the population classified as obese (National Institute of Health, 2009). While attempting to lose weight is common, calorie reduction combined with physical activity typically results in 5 to 10 % reduction of body weight over a 6-month period, yet these moderate losses …

Predicting Initial Mental Health/Substance Abuse Treatment Attendance In Hiv/Aids Patients: An Exploration Of Risk Factors, Rachel D. Amodio

PCOM Psychology Dissertations

This study attempted to predict mental health/substance abuse treatment initial appointment attendance, utilizing specific social, provider, institutional, medical, and psychological risk factors through the use of a logistic regression model. The initial frequency analysis revealed that only 155 individuals were ever scheduled to attend an appointment of the original data set (N=298). The majority of individuals could not be scheduled due to unavailability, disinterest, latency and other reasons. A new data set was created from individuals who were scheduled and variables were collapsed across categories to include: length of wait time to appointment, CD4 count, prescribed medications, reason for referral, …

The Association Of Psychosocial Factors On Hiv/Aids Disease Progression, Melissa Margolis

Scripps Senior Theses

Despite a rise in the number of studies looking at the relationship of psychosocial factors (coping style, personality type, and social support) on HIV/AIDS severity, there remains a lack of conclusive answers about the specific association between these factors. This study used a meta-analytic method of analysis to address these issues in the post anti-retroviral treatment modality world. A systematic search of major psychology and medical computerized databases led to 110 studies used in the meta-analysis. Social support was found to have the strongest relationship with HIV progression. Structural social support had greater protective effect on HIV progression than functional …

From College Student To Change Agent: A Triadic Model Of Self-Efficacy, Attribution, And Appraisal, Joshua M. Garrin

Journal of Sustainable Social Impact

Beyond their newfound emancipation and opportunities for self-discovery, college students in the young adult stage of development are expected to achieve balance between their autonomous new world and the impending pressures of postgraduation life. The college student must not only reconcile issues related to identity formation, goal pursuits, and career exploration, but is expected to begin the process of identifying and developing the skills required to address salient social themes. How students establish competency beliefs, negotiate controllability over future outcomes, and appraise challenges have deep implications in their capacity to discover their social change “voice.” The following discussion proposes a …

Self-Regulatory Skills For Controlled Eating Emanating From Newly Initiated Physical Activity, James J. Annesi Ph.D., Kandice Johnson Porter

Journal of Social, Behavioral, and Health Sciences

The relationship of physical activity with weight loss may largely be due to its association with psychosocial factors. The goal of this research was to clarify such relationships using a field design lasting 24 weeks. In Study 1, change in self-regulation for controlled eating, but not energy expenditure, mediated the relationship between changes in physical activity and weight in formerly sedentary, severely obese adults (n = 174). In Study 2 (n = 148), the addition of a cognitive-behavioral nutrition treatment was associated with significantly greater improvement in self-regulation for eating. Physical activity-related self-regulation changes were related to those …

Osteopathic Medical Student Knowledge Of And Attitudes Toward Chronic Pain, Amelia Grace Gradwell

PCOM Psychology Dissertations

Chronic pain is a prevalent presenting problem for patients in medical settings, yet how physician knowledge and attitudes about those with chronic pain may influence the treatment of this condition is not fully understood. The purpose of this study was to evaluate the knowledge and attitudes of osteopathic medical students about pain management, with particular emphasis on chronic pain, in an effort to address the lack of chronic pain research currently available. A review of current literature, including an overview of chronic pain, is included. This study used original data, collected from first and fourth year D.O. students at a …

Strengths And Limitations Of Qualitative Approaches To Research In Occupational Health Psychology, Irvin Sam Schonfeld, Joseph J. Mazzola

Publications and Research

Like all research methods, qualitative methods have strengths and limitations. This chapter describes seven strengths and five limitations. With an understanding of their strengths and limitations and how to minimize and/or balance them, occupational health psychology (OHP) researchers can benefit from qualitative methods. It is important to understand that qualitative findings do not establish generalizable cause-effect relations. However, qualitative methods can help an OHP researcher develop a theory of causality and derive hypotheses related to the theory and, thus, motivate quantitatively organized research designed to test the hypotheses. The challenge for the OHP researcher is to be mindful of what …

Relation Between Optimism And Lipids In Midlife, Julia K. Boehm, David R. Williams, Eric B. Rimm, Carol Ryff, Laura D. Kubzansky

Psychology Faculty Articles and Research

This research examined optimism’s relationship with total cholesterol, high density lipoprotein (HDL) cholesterol, low density lipoprotein (LDL) cholesterol, and triglycerides. The hypothesis that optimism is associated with a healthier lipid profile was tested. Participants were 990 mostly white men and women from the Midlife in the United States study who were on average 55.1 years old. Optimism was assessed by self-report with the Life Orientation Test. A fasting blood sample was used to assess serum lipid levels. Linear and logistic regression models examined the cross-sectional association between optimism and lipids accounting for covariates such as demographic characteristics (e.g., education) and …