Psychology Commons^™

Development Of A Bedside Examination Of Cognition In Multiple Sclerosis (Becims), Gregory Scott Aaen

Loma Linda University Electronic Theses, Dissertations & Projects

Approximately 40% of all patients with multiple sclerosis (MS) exhibit some form of cognitive impairment. Identifying impairment in these patients would be beneficial to the patients and to society. However, it is too costly to refer every MS patient for full neuropsychological testing. Consequently, many attempts have been made to develop screening batteries for use by neurologists. Unfortunately, these batteries are rarely used clinically as all require approximately 20-40 minutes to administer and most require special equipment. Given the time constraints of an office visit it is unrealistic to expect neurologists to administer such tests. The present pilot study is …

Locus Of Control, Coping, And Anticipatory Nausea In Women With Breast Cancer, Melinda L. Nielsen

Loma Linda University Electronic Theses, Dissertations & Projects

Many cancer patients experience adverse chemotherapy-related side effects. The present study examined whether the perception that one can control and effectively cope with her treatment for breast cancer mitigate against any nausea and vomiting that she may experience in anticipation of chemotherapy treatments. Seventy-five women with breast cancer completed the Multidimensional Health Locus of Control Scale - Form C, the Krantz Health Opinion Survey, the Ways of Coping Scale - Revised, and the Morrow Assessment of Nausea and Emesis. As hypothesized, internal health locus of control was significantly positively related to positive reappraisal coping strategies. This relationship was moderated by …

Therapist Factors As Predictors Of The Experience Of Memory Recovery In Psychotherapy, Tami Lorraine Young

Loma Linda University Electronic Theses, Dissertations & Projects

Psychotherapist factors as predictors of client memory recovery of childhood sexual abuse following a period of amnesia were investigated. Marriage and family therapists and clinical psychologists in California were surveyed regarding the degree of research emphasis in academic training, knowledge of memory processes and professional standards of care regarding memory recovery in psychotherapy, degree of ambiguity tolerance, use of memory recovery techniques and client memory recovery. Therapists with greater research emphasis in academic training reported having fewer clients with memory recovery. Also, therapists who were intolerant of ambiguity used memory recovery techniques more than did therapists who were tolerant. Finally, …

Predicting Milk And Soft Drink Consumption Among Female Adolescents Using The Theory Of Planned Behavior, Nada Osman Kassem

Loma Linda University Electronic Theses, Dissertations & Projects

A total of 756 female adolescents, aged 13 to 18 years, from five public high schools in Antelope Valley Union High School District located in North Los Angeles County participated in this study between February 1999 and March 1999. The ethnic composition was 53.3% White/Anglo Americans, 19.3% Hispanics or Latinos and 10.2% Black/African Americans. The constructs of the Theory of Planned Behavior (attitude, subjective norm, and perceived behavioral control and their underlying beliefs) were assessed to determine the predictors of low-fat milk and regular soda consumption. A cross-sectional design with group-administered questionnaires was utilized.

Most participants (89.6%, n = 636) …

Family And Child Psychosocial Functioning Of Infant Heart Transplant Recipients, Kimberly R. Freeman

Loma Linda University Electronic Theses, Dissertations & Projects

With the advancement of medical procedures, heart transplantation has become a viable alternative for infants born with congenital or acquired heart disease. Although these children are thought to experience much improvement in their overall physical functioning post-transplantation, the long-term psychological functioning of these children and their families is currently unknown. This study examines the long-term family functioning and psychosocial development of infant heart transplant recipients in comparison to children with congenital heart disease (CHD) and non-clinical control children. Results indicate that infant heart transplant recipients and their families experience fewer overall problems as compared to the CHD group, and more …

Diagnosis And Treatment Of Swallowing Dysfunctions : Semg Cognitive Training As An Adjunct To Conventional Therapy, Vicky T. Nguyen

Loma Linda University Electronic Theses, Dissertations & Projects

This study compared surface electromyography (sEMG) cognitive training to conventional myofunctional therapy in controlling a swallowing dysfunction, commonly referred to as "tongue thrust". Nasal airway resistance (NAR) was assessed on every subject, to rule out mechanical obstruction that would prevent proper function. The scope of this investigation composed of evaluating baseline activity and dry swallowing patterns. Subjects were distributed to one of three treatment groups: sEMG cognitive training, conventional myofunctional therapy, and control, based on the degree of NAR (normal, mild, or moderate). Initial sEMG recordings were then taken on subjects that clinically demonstrated a tongue thrust habit to confirm …

Culture Mediator Model As A Predictor For Somatic Complaints Among Japanese And Japanese Americans, Yoko Tanaka

Loma Linda University Electronic Theses, Dissertations & Projects

[Abstract Not Included]

Cognitive And Psychophysiological Investigation Of Chronic Pain, Amy D. Clegg

Loma Linda University Electronic Theses, Dissertations & Projects

Using Bower’s (1981) associative network model of mood and memory, and Klinger’s theory of current concerns, it was hypothesized that the experience of chronic pain may be functionally similar to a mood state and that the chronicity of the condition may maintain it as a current concern. Specifically, it was hypothesized that chronic pain patients would not show any differences in reaction time and accuracy when making lexical decisions about pain-related, neutral, and nonwords. However, it was anticipated that chronic pain patients would show differences in physiological responding (particularly, increased skin conductance responses) when compared to controls. Results confirmed that …

Pediatric Intensive Care Nurses : Post-Traumatic Stress Disorder-Like Symptoms, Juanita J. Allen

Loma Linda University Electronic Theses, Dissertations & Projects

Medical personnel are not only exposed to routine pressures of demanding roles, but research reveals that they can suffer from severe stress related to exposure to critical incidents. These events can overwhelm an individual's ability for emotional adjustment leading to negative symptoms such as emotional numbing, mood changes, estrangement from friends or family, decreased ability to perform or function on the job, development of posttraumatic stress disorder (PTSD) symptoms, loss of work through attrition, and depression. Contact with seriously injured children or children who have died has been shown to constitute just such a critical incident for pre-hospital care personnel …

Cognitions, Emotions And Immune Response : An Attributional Model For The Mind-Body Connection, Byron Earle Greenberg

Loma Linda University Electronic Theses, Dissertations & Projects

[Abstract Not Included]

Identification Of Variables Influencing Women's Breast Cancer Detection, Sherri Duckworth Kemp

Loma Linda University Electronic Theses, Dissertations & Projects

This study investigated the variables influencing women's breast cancer detection behavior. Using social learning theory as an organizing framework. factors influencing women's decisions to seek breast cancer detection and the respondent's personal demographics were examined for their contribution to explaining women's decisions to seek breast cancer detection.

A [convience] sample from a university medical center provided data for the study. Data were gathered with a voluntary questionnaire. A total of 25 employees from the medical center participated in the study during the winter quarter of 1994.

The findings of the study provide insight into some of the variables affecting women's …

Posttraumatic Stress Disorder In Parents Of Traumatic Brain Injury Patients, Carol Farr

Loma Linda University Electronic Theses, Dissertations & Projects

Traumatic Brain Injury (TBI) produces cognitive, behavioral, and affective deficits with resulting problems such as improper social behavior, increased aggression, emotional, personality and characterological changes. The impact upon the survivor, the sibling, as well as the parental subsystem has been well documented in the literature. Post-Traumatic Stress Disorder (PTSD) has been diagnosed in several different types of trauma survivors, although rarely have individual psychological symptoms been studied in parents.

This research examined the possible vulnerability factors that are associated with TBI and their potential influence upon PTSD symptomology. Questionnaires were mailed to 266 parents of TBI patients with a response …

Attachment And Posttraumatic Stress Disorder Symptom Severity In Physically And Sexually Abused Adolescents, Lauren Woods

Loma Linda University Electronic Theses, Dissertations & Projects

The relationship between symptoms associated with Posttraumatic Stress Disorder (PTSD) and attachment was assessed. All students (n=109) at a residential school were screened for a history of physical or sexual abuse. Thirty-seven subjects who reported such a history, ranging in age from 11 to 19, were assessed using the Children’s Post-Traumatic Stress Reaction Index (CPTSD-RI), Bell Object Relations and Reality Testing Inventory (BORRTI), Inventory of Parent and Peer Attachment (IPPA), Revised Children’s Manifest Anxiety Scale (RCMAS), and Children’s Depression Inventory (CDI). Results indicate that attachment difficulties were common in this sample and that current diagnostic criteria for PTSD did not …

Examination Of Knowledge And Attitudes About Human Sexuality As Predictors Of Adolescent Sexual Behavior, Diane Waymire

Loma Linda University Electronic Theses, Dissertations & Projects

This study investigated the variables influencing adolescent sexual behavior. Using cognitive learning theory, social learning theory, and social development as an organizing framework, factors influencing adolescent sexual behavior and the respondent's personal demographics were examined for their contribution to explaining adolescent decision-making about sexual activity.

A convenience sample of high school students from a Riverside county school district provided data for the study. Data was gathered by using a self-administered questionnaire. A total of 55 students from two of the three school sites within the district participated in the study during the winter quarter of 1995.

The findings of the …

The Effect Of The Cooper Wellness Program In Promoting Long- Term Lifestyle Behavior Changes, Ernesto P. S. Medina Jr.

Loma Linda University Electronic Theses, Dissertations & Projects

Most research on health behavior change programs examines their effectiveness in producing initial behavior changes, but fails to evaluate long-term maintenance of those changes. This study examined the effectiveness of the Cooper Wellness Program (CWP) in Dallas, Texas, in promoting maintenance of lifestyle behavior changes for one year or longer in the areas of diet, exercise, and stress management.

The CWP offers an intensive live-in lifestyle behavior modification program in four-, seven-, or 13-day formats. Data were collected from 223 individuals who attended the CWP between January, 1989, to February, 1992. The study addressed the following areas: 1) long-term maintenance …

Shared Responsibility For Medication Use : An Experiment, Marjorie Tessner

Loma Linda University Electronic Theses, Dissertations & Projects

Medication adherence is an important part of effective therapy for gastrointestinal disease. Theory has suggested that the more involved the individual is in their care the more adherent they will be to their medication regime. However, such management is often complicated by patient psychological factors, health beliefs, self-efficacy, and lack of knowledge about medication.

In this experimental study of the impact of shared responsibility for medication use: an experiment, 60 patients from four ethnic groups were randomly assigned to three groups of 20 each: 1) routine discharge medication group, 2) formal education group, and 3) self medication and shared responsibility …

Characteristics Of Habitual Dysfunctional Behaviors, Carole Ryan Serena

Loma Linda University Electronic Theses, Dissertations & Projects

The suggestion that habitual dysfunctional behavior disorders (HDBs) have a common underlying cluster of addictive characteristics and dynamics is new. A broad research base which would support this theory has not kept current with clinical In order successes. In order to address the need for relevant research, an anonymous cross sectional study was designed to identify, describe and compare variables associated with 15 habitual dysfunctional behaviors (HDBs) in a sample (N =176) from a broad spectrum of socioeconomic groups.

People reporting two different HDBs (alcohol and food-related behaviors) were compared to those not reporting any HDBs on levels of four …

Dysfunctional Attitudes, Life Stress And Coping Processes, Deborah Desalliers

Loma Linda University Electronic Theses, Dissertations & Projects

The findings of recent investigations earmarked chronic daily stressors as being highly related to stress levels. In addition, researchers are promoting a more integrative model of stress. The stress response is no longer thought of in strictly linear terms, i.e. an event causes stress. Rather, cognitive factors, existing within the human mind itself, strongly influence our coping processes and the chronic stress we experience.

Canonical correlation analysis was used to study how dysfunctional attitudes, a negative cognitive factor, were related to individuals' daily hassles and coping processes. An increase in dysfunctional attitudes was found to correspond to an increase in …

Religious Commitment As A Predictor Of Health Behavior And Health Status In A Selected Population, Donald George King

Loma Linda University Electronic Theses, Dissertations & Projects

Religious beliefs and behaviors are multidimensional and they profoundly determine the ways we respond to health and illness, suffering and death. Researchers have designed numerous scales to measure different dimensions of religious commitment, beliefs and behaviors. A thorough review of the literature has shown general relationships between religion and health, but no researcher has developed an instrument measuring dimensions of religious commitment specifically relevant to health behaviors.

In this study, scale items were developed to measure three dimensions of religious beliefs thought by Kenneth Vaux (1976) to be related to health behavior--purity of life, peace in existence, and belief in …

Misfit Between Motivational Style And Type Of Job Demand As A Factor In Developing Occupational Stress, Arlene Gray Blix

Loma Linda University Electronic Theses, Dissertations & Projects

Occupational stress is costly in terms of human suffering and impaired organizational effectiveness. Occupational stress involves the interface between the individual worker and the work environment. The purpose of the study was to analyze the fit between motivational style and the type of job demands as a contributing factor in developing occupational stress symptoms. A literature review of occupational stress models was conducted. The six models compared and contrasted included the Person-Environment fit model (French, Rodgers, & Cobb, 1974), Integrative Transactional Model (Schuler, 1982), Organizational Stress Models (Ivancevich & Matteson, 1987; Parker & DeCotiis, 1983), Facet Analysis Model (Beehr & …

Evaluation Of Stress Management Program Participant Outcomes, Kanya Boondharm Sitanggang

Loma Linda University Electronic Theses, Dissertations & Projects

This study, conducted by a Health Maintenance Organization in Southern California, evaluated the impact of a stress management program in reducing stress/anxiety, stressors/hassles, and perception of stressors. Impact of the program in reducing negative coping mechanisms and increasing positive coping mechanisms as well as the retention of stress management training over a three month follow-up period was examined.

A quasi-experimental -- non-equivalent control group design was used. The experimental group consisted of 54 clients who registered for stress management classes. The control group consisted of 105 matched subjects selected from a larger group of 212. All subjects were tested prior …

The Effect Of A Death, Dying And Grieving Seminar On Nicu Nurses' Levels Of Anxiety, Depression And Hostility, Bonnie Kugel

Loma Linda University Electronic Theses, Dissertations & Projects

[Abstract Not Included]

Smoking Behavior Among Alabama Student Nurses : The Role Of Behavioral Beliefs And Normative Referencing, Judith Rausch

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine predictors of smoking behavior for the senior student nurses in the state of Alabama using Ajzen and Fishbein's Theory of Reasoned Action. Smoking prevalence by level of educational preparation and selected health behaviors were examined for relationship to cigarette use.

A sample of 11 schools of nursing were selected from Alabama's 34, using a random numbers table. There were 13 total programs as two of the schools had both A.D. and B.S. nursing programs. Thirty-two percent (N=555) of senior A.D., B.S. & diploma students nurses in Alabama responded to an 87 item …

The Effects Of Nonnutritive Sucking On The Behavior Of Premature Infants, Jean Newbold

Loma Linda University Electronic Theses, Dissertations & Projects

This quasi experimental study explored the effects of nonnutritive sucking opportunities on the premature's behavioral habituation, orientation and state control using the Mann-Whitney U-Test. The problem was to determine if experimental infants receiving regular nonnutritive sucking opportunities would show a difference in behavior when compared to a control group.

The sample was a purposive convenience sample of 15 infants. All infants were between the conceptual age of 28-34 weeks and were considered "stable" infants. Neurological examinations, consisting of selected segments of the Brazelton Newborn Behavioral Assessment Scale (BNBAS), were performed on all infants on the day of entry into the …

Dynamic In-Patient Therapy: A Team Approach, Le Van Cao

Loma Linda University Electronic Theses, Dissertations & Projects

The paper reports on the philosophy and clinical results of an individualized but concentrated team approach to hospitalized patients undergoing a psychological crisis. The team focuses on the patient’s key vital coping technique as the source of his vulnerability and assists the patient toward constructive self-understanding. The approach favors maximum therapeutic benefit from a short hospital stay. Follow-up of the first fifteen cases managed by this method discloses a significantly low percentage of relapse and rehospitalization, and demonstrates that even such relapses can be turned to therapeutic benefit.

The Effect Of Self-Help Support Groups On Self Esteem And Blood Glucose In Young Insulin-Dependent Diabetics, Linda L. Woertz

Loma Linda University Electronic Theses, Dissertations & Projects

Successful adaptation to diabetes is probably a function of many factors: the stress involved, the rewards, the motivation of the individual, and the self concept. The more optimal the self concept the more optimal the behavior may be. By helping the patient shape a positive self concept, a base can be built for blood glucose control (Bruhn, 1977, pp. 93-97). One method of improving self concept or self esteem may be through the development of self-help support groups for diabetics.

The purpose of this study was to evaluate the effect of self-help support group intervention on the levels of self …

A Comparison Of Self-Esteem And Health Locus Of Control In Adolescents With Insulin Dependent Diabetes Mellitus, Janice Mace

Loma Linda University Electronic Theses, Dissertations & Projects

This study was a descriptive survey establishing a baseline level of self-esteem and health locus of control in insulin dependent diabetes mellitus (IDDM) adolescents. The purpose of the research was to study and describe health behaviors of IDDM adolescents in regards to self-concept and health locus of control. These behaviors are believed to have life-long ramifications on the IDDM adolescent's health status.

The sample consisted of 91 IDDM adolescents, 34 male and 57 female, in a nonrandom convenience cluster attending a 10-day summer camp.

Null hypothesis one was: Insulin dependent diabetes mellitus would make no difference at the .05 level …

The Effect Of Individual Instruction Versus Group Instruction On Compliance In C.O.P.D. Patients, Renee L. Hills

Loma Linda University Electronic Theses, Dissertations & Projects

Because of the evolution of hospitals from general care to acute care centers, the need for more outpatient therapy programs had increased in an effort to aid patients in managing their health care at home. As a result, health care professionals were concerned with the extent to which patients would follow their medication and treatment programs. Marston estimated that approximately 30 to 35 percent of patients fail to follow their physicians' medical recommendations (Marston, 1970).

Discovering a means of insuring patient compliance was a prevalent concern in the nursing and medical professions. Previously we had attempted to blame noncompliance on …

Culture Shock And Adaptation Among Student Missionaries To Japan, Sheryl J. Craig

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to delineate certain parameters of the experience of student missionaries to Japan. This study was a longitudinal, descriptive study which identified background characteristics, aspects of the adaptation process, and stages and intensity of culture shock.

A group of twenty-seven student missionaries were followed from their arrival in Japan, which occurred over a three-month summer period, through the following May, just prior to their expected departure. Data were gathered using interviews, questionnaires, a semantic differential (to measure attitudes), and the State-Trait Anxiety Inventory.

The time when subjects were most at risk for high anxiety, poorer …

Parental Perception Of The Neonate, Liza Ann Webb

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine maternal and paternal perceptions of the neonate. The Broussard Neonatal Perception Inventory was used to measure perception.

Thirty couples who delivered normal, healthy, first-born infants at a Naval Hospital in San Diego volunteered for the study. Consent forms were signed during the hospital stay and the Broussard Neonatal Perception Inventory was administered to both parents in the homes when the infants were one month old.

Statistical analysis of data showed that mothers and fathers did rate their one-month-old infants as above the average infant using the Broussard Neonatal Perception Inventory. The range …