Clinical Psychology Commons^™

Comparison Of Schedules, Stress, Sleep Problems, Fatigue, Mental Health And Well-Being Of Low Cost And Network Carrier Pilots, Marion Venus

International Journal of Aviation, Aeronautics, and Aerospace

Objective

This research investigates and compares working-conditions, duty rosters, stress, sleep problems, fatigue levels, mental health, and well-being of pilots working for network (NWCs), and low-cost carriers (LCCs). This study extends previous research by investigating working conditions, pilots’ actual rosters, fatigue and mental health of two groups of pilots flying for LCC or NWC.

Method

A comprehensive cross-sectional online survey was completed by N=338 pilots (185 NWC, 153 LCC pilots). All pilots reported their roster data of the last 2 months during peak flight season, psychosocial and work-related stress (e.g., high job insecurity, less total flight-experience, lower income, more time …

Predicting Medication Adherence Patterns During The Maintenance Phase Of Treatment For Pediatric Leukemia And Lymphoma: A Model Of Individual- And Family-Level Factors, Stephanie M. Romo

Theses and Dissertations

Adherence during the maintenance phase of pediatric cancer treatment is critical to prevent relapse and ensure long-term, event-free survival. Yet, little research has been done to examine individual- and family-level factors that may relate to adherence during the maintenance phase of treatment, particularly among Latinx patients. This is surprising given findings demonstrating that children who miss more than 5% of their prescribed oral chemotherapy medicine, most commonly 6-mercaptopurine (6MP), are 2.5-2.7 times more likely to relapse than children who take 95% or more of their prescribed 6MP. Pediatric cancer patients face unique adherence challenges given the importance of family involvement …

Psychologists On Interdisciplinary Teams: Barriers To Interdisciplinary Work For Psychologists At The Pre-Doctoral Level And Beyond, Alison C. Swisher

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

With the shift of psychologists into practice in interdisciplinary medical settings, where might these providers receive adequate training for effective entry into these roles? The field of health psychology struggles to adequately keep up with the need for specialized psychologists within medical settings. Training programs have historically failed to provide training opportunities within interdisciplinary medical settings. This project examined the interviews of three psychologists with experience working and training pre-doctoral level students in interdisciplinary, health-focused, medical settings. Based on the information gathered herein, it appears that the barriers to training pre-doctoral psychology students within medical establishments stem from the following …

Development Of A New Measure To Assess For Poverty-Based Stress: The Poverty-Based Stressor Scale (Pbss), Brianna N. Allen

College of Graduate Studies: Theses & Dissertations

Poverty, typically measured by economic well-being or depravation, is the result of systemic flaws built into the structure of society that adversely impact multiple dimensions of health and well-being. The specific stressors that disproportionately impact low-income individuals are called poverty-based stressors, and they encompass multiple categories of risk including physical, psychosocial, and financial risks. Currently, there is not an adequate measure of poverty-based stressors for low-income adults in the United States (U.S.), which restricts our ability to accurately determine the effects of poverty on important health-related outcomes. The purpose of this dissertation was to develop a psychometrically sound measure of …

A Personalized Values Intervention To Increase Health Behaviors In College Students, Jessica M Criddle

Murray State Theses and Dissertations

College students in the United States face unique health risks such as problematic alcohol use, poor nutrition, low sleep quality, and low rates of exercise. Research increasingly shows interventions utilizing individualized approaches lead to longer term pro-health behavior change. Values-centered Acceptance and Commitment Therapy (ACT) is a useful framework to for development of personalized, effective interventions. One reason for this may be that impersonalized interventions and researcher-generated target behaviors common in other literatures may not hold the same evocative effect and connection to health behaviors for each or every participant. In ACT, valuing increases the probability of values-consistent behavior, such …

Cancer Related Cognitive Impairment In Breast Cancer Patients: Guidelines For Neuropsychological Evaluation And Management, Ali Al-Humadi

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Current literature indicates there is still some debate regarding the scope and severity of cancer treatment related cognitive impairment (CRCI), with a wide variety of complex factors contributing to cognitive decline and discrepancies between objective findings and patient self-report. This paper aims to provide guidelines for neuropsychological evaluation, management, and rehabilitation of CRCI in breast cancer patients based on current research. This paper also aims to discuss current research on proposed mechanisms of action for CRCI, the cognitive domains affected in CRCI, and significant bio-psycho-social risk factors impacting CRCI.

Self-Reported And Behavioral Perseverance Associated With The Maintenance Of Health Behaviors, Alivia Kay Frazier

Graduate Theses, Dissertations, and Problem Reports (ETD)

Research has shown that positive psychological traits, such as perseverance, may be associated with the maintenance of health behaviors aimed to prevent commonly fatal diseases (e.g., cardiovascular disease, stroke). Although there is limited research in this area, the current study examined whether there was an association between self-reported perseverance, behavioral perseverance, and distress tolerance with various health behaviors (e.g., sleep, physical activity, nutrition, vaping, alcohol use, general health status, and COVID-19 behaviors). A novel methodology was implemented for this study that employed using the online mirror tracing task as a measure of behavioral perseverance.

A sample of young adult participants …

Zonulin As A Mediator Of Psychological Stress And Periodontal Disease, Casey D. Wright

Graduate Theses, Dissertations, and Problem Reports (ETD)

The prevalence of chronic inflammatory diseases is on the rise. Some have posited the permeability of tight junctions in gastrointestinal epithelium tissues as a potential mechanism for precipitating inflammatory processes throughout the body. Zonulin is the only known modulator of tight junction permeability and has been implicated in numerous chronic inflammatory processes (e.g., proinflammatory cytokine production) and diseases, more generally. The role of zonulin in oral inflammation, however, has yet to be explored. Periodontal disease is the most common oral inflammatory condition and primary perpetrator of tooth loss. Periodontal disease also is associated with a number of other health problems …

Relation Of Child Feeding Behaviors & Caregiver Qualities To Adherence To Nutritional Therapy In Type 1 Diabetes Management, Corrine N. Ahrabi-Nejad

Graduate Theses, Dissertations, and Problem Reports (ETD)

Type 1 diabetes (T1D) is a chronic illness, typically diagnosed within childhood, that affects the ability of the pancreas to produce insulin. Significant daily self-management behaviors are required to maintain metabolic control for patients with T1D. Nutritional therapy, including adequate intake of macronutrients, is one self-management behavior necessary to optimize health. Adherence to such nutritional guidelines is associated with improved glycemic control, decreased instances of acute health complications (e.g., hyperglycemia, hypoglycemia), and can also prevent insulin resistance. Despite the critical importance of nutritional therapy, adherence to these guidelines remains low within pediatric populations. Therefore, it is important and necessary to …

Covid-19: Examining Adherence Through The Health Belief Model, Leah Ashton Brown

Graduate Theses, Dissertations, and Problem Reports (ETD)

Over 6.4 million individuals have died due to COVID-19. Although the vaccine has been distributed and made more accessible, it is important for individuals to continue adhering to guidelines that prevent the spread of this deadly virus. The current study explored adherence to COVID-19-related health behaviors (wearing a mask, social distancing, properly washing hands, and receiving the COVID-19 vaccine) in a U.S. sample (recruited through Amazon MTurk) and examined the role of interactions among various identities. The study was informed by the Health Belief Model (HBM) and participants completed questionnaires that assessed COVID-19 health behaviors, constructs comprising the HBM (perceived …

From Burnout To Occupational Depression: Recent Developments In Research On Job-Related Distress And Occupational Health, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

Job-related distress has been a focal concern in occupational health science. Job-related distress has a well-documented health-damaging and life-threatening character, not to mention its economic cost. In this article, we review recent developments in research on job-related distress and examine ongoing changes in how job-related distress is conceptualized and assessed. By adopting an approach that is theoretically, empirically, and clinically informed, we demonstrate how the construct of burnout and its measures, long favored in research on job-related distress, have proved to be problematic. We underline a new recommendation for addressing job-related distress within the long-established framework of depression research. In …

Body Image Among High School And College Female Athletes, Mercedes A. Robinson

Graduate Theses/Dissertations

This study examined body image among female high school athletes and college athletes across different sports. Athletes participating in track and field, tennis, cross country, dance, cheer, softball, golf, basketball, soccer, and volleyball completed self-report questionnaires assessing various components of body image including the Body Shape Questionnaire (BSQ), Sociocultural Attitudes Towards Appearances Questionnaire (SATAQ-4), and an edited version of the CHEER Survey. Responses on the questionnaires were analyzed to evaluate differences between high school and college athletes. No differences were found between high school and college athletes on measures of shape/weight concerns, sociocultural pressures for thinness, or internalization of the …

Optimism And Physical Health-Related Quality Of Life In Chronic Illness: Mediating Effects Of Control Beliefs And Health Behaviors, Morgan Treaster

Electronic Theses and Dissertations

Among persons living with, or recovering from, chronic illness, poor physical health-related quality of life is a concern, as current and residual illness symptoms and treatment side effects may deleteriously impact physical functioning and fulfillment of daily roles. Numerous cognitive, emotional, and behavioral factors may impact perceptions of health status. Optimism, for example, is conceptualized as belief in the occurrence of positive future outcomes, and is beneficially associated with physical health-related quality of life. Further, optimism may contribute to enhanced perceptions of control and efficacy over disease symptoms and general health, manifesting as proactive health behaviors (e.g., wellness behaviors; treatment …

The Predictive Influence Of Challenging Behavior On Parent Stress In Young Children With Autism Spectrum Disorder, Paige Weir

LSU Master's Theses

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by deficits in social communication, restricted interest, and repetitive patterns of behavior. Individuals with ASD also exhibit challenging behaviors that affect parent and caregiver stress directly. However, researchers have not yet examined the predictive influence of specific challenging behaviors on parent stress, particularly in young children (i.e., infants and toddlers) with ASD. Therefore, the current study expands existing literature by a) investigating the influence that challenging behaviors of young children with ASD have on parent stress and b) examining the unique contribution that each behavior (i.e., aggressive/disruptive behavior, stereotypy, and self-injurious …

Oral Budesonide Is An Effective Alternative To Prednisone For Treatment Of Autoimmune Hepatitis, Natanie J. Anilovich

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using:

Manns MP, Woynarowski M, Kreisel W, et al. Budesonide induces remission more effectively than prednisone in a controlled trial of patients with autoimmune hepatitis. Gastroenterology. 2010;139(4):1198-1206. https://doi.org/10.1053/j.gastro.2010.06.046

for a patient with autoimmune hepatitis developing septic arthritis secondary to prednisone therapy.

Delusional Mitigation In Religious And Psychological Forms Of Self-Cultivation: Buddhist And Clinical Insight On Delusional Symptomatology, Austin J. Avison

The Hilltop Review

This essay examines Buddhist forms of self-cultivation and development that enable a psychosocial capacity for emotional, cognitive, and behavioral adjustment by improving an individual's characteristic mode of interaction within the world. First, we will consider the religious form of self-cultivation seen in the context of Buddhism and its desire to remove delusional perspectives through developmental practices. In this, we will consider the cultivating function of clinical psychology through the therapeutic application of cognitive restructuring techniques as a form of cultivation. Next, considering psychological self-cultivation, training, development, and education concerning the treatment of schizophrenia and its characteristic criterion of delusions. Further, …

Who Needs To Be “Burned-Out”? Time For A New Approach To Job-Related Distress, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Burnout is a popular indicator of job-related distress, notably in research on the ill-being of medical professionals. The burnout construct is, however, plagued by definitional and measurement problems. Often unnoticed, these problems undermine findings and conclusions emanating from burnout research. The definitional and measurement problems affecting the burnout construct hamper knowledge growth, waste resources, and impede our ability to make informed decisions and take effective action to support personnel. It is time for occupational health specialists to abandon the idea of burnout and focus on occupational depression.

Racial And Gender Discrimination Predict Mental Health Outcomes Among Healthcare Workers Beyond Pandemic-Related Stressors: Findings From A Cross-Sectional Survey, Rachel Hennein, Jessica Bonumwezi, Max Jordan Nguemeni Tiako, Petty Tineo, Sarah R. Lowe

Department of Psychology Faculty Scholarship and Creative Works

Racial and gender discrimination are risk factors for adverse mental health outcomes in the general population; however, the effects of discrimination on the mental health of healthcare workers needs to be further explored, especially in relation to competing stressors. Thus, we administered a survey to healthcare workers to investigate the associations between perceived racial and gender discrimination and symptoms of depression, anxiety, posttraumatic stress, and burnout during a period of substantial stressors related to the COVID-19 pandemic and a national racial reckoning. We used multivariable linear regression models, which controlled for demographics and pandemic-related stressors. Of the 997 participants (Mean …

Patient Reported Outcomes In Sickle Cell Disease Examined Within A Conceptual Model, Swapandeep Mushiana, Marsha Treadwell Phd, Sherif M. Badawy Md, Ms, Liliana Preiss Phd, Allison King Md Mph Phd, Barbara Kroner Phd, Yumie Chen Bs, Jeffrey Glassberg, Victor Gordeuk Md, Nirmish Shah Md, Angie Snyder Phd Mph, Theodore Wun Md

Doctoral Dissertations

Objective: To examine the relations between patient reported outcomes (PROs) within a conceptual model for adults with sickle cell disease (SCD) ages 18 – 45 years enrolled in the Sickle Cell Disease Implementation Consortium (SCDIC) registry. We hypothesized that patient and SCD related factors and barriers to care would independently contribute to functioning as measured using the PRO domains. Additionally, pain and other SCD related complications are expected to impact the relation between the variables. Methods: Participants completed a 48-item survey that included socio-demographics and PRO measures, such as social functioning, pain impact emotional distress, and cognitive functioning. …

Exploration Of Patient Variables And Characteristics Best Suited For Medical Marijuana Treatment For Anxiety And Depressive Disorders, Corey Gazoo

Dissertations

Individuals with posttraumatic stress, anxiety and depressive disorders are currently being prescribed medical marijuana as a treatment in many states across the United States. However, marijuana is still considered a schedule one narcotic by the Drug Enforcement Administration and federal government, which provides several barriers and challenges to conduct research such as approval from the U.S. Food and Drug Administration and following guidelines from the National Institute on Drug Abuse issued by the DEA. Additionally, individuals prescribed medical marijuana for mental health disorders are not always thoroughly instructed on the type of medical marijuana, the dosage, and how frequently to …

Depressive Symptoms And Marijuana Outcomes In College Students: The Mediating Role Of Protective Behavioral Strategies For Marijuana, Nicholas Militello

Master's Theses

The present study evaluated the sequentially mediating role of protective behavioral strategies for marijuana (PBSM) and marijuana use frequency on the relationships depressive symptoms had with hazardous marijuana use and marijuana-related negative consequences in college students Participants were 338 (50.3% male) undergraduate college students age 18 to 25 (M = 22.10; SD = 1.97) who reported marijuana use in the past 30 days. Participants reported their gender and completed measures of depressive symptoms, PBSM use, marijuana use frequency, marijuana-related negative consequences, and hazardous marijuana use through an online survey from a 2018 project. Depressive symptoms were positively associated with …

Medication Versus Brain-Based Treatment: Evaluation Treatment Preferences Of Parents Of Children With Adhd, Rebecca Recio-Swift

Electronic Theses and Dissertations

Attention-Deficit/Hyperactivity Disorder (ADHD) is one of the most prevalent neurodevelopmental disorders across the world. Currently, treatment for ADHD mostly consists of either medication or behavioral therapy or a combination of both. However, research has shown that medication used as therapy for the treatment of ADHD has side effects which parents deem undesirable for their children. Therefore, recent research has focused on patient and parent preferences. Studies have found that behavioral or other treatment options may often be chosen over medications. These same studies have documented the characteristics of parents that prefer certain treatments for their children. The purpose of this …

Campus Gatekeeper Trainings: An Analysis Of Question, Persuade, Refer (Qpr) And Safetalk, Gabrielle M. Ramsey-Wilson

Psychology Theses & Dissertations

Suicide prevention gatekeeper trainings seek to equip learners with knowledge about suicide, skills to recognize suicide risk and intervene, and awareness of referral resources. Although these trainings are widely used, research is limited on their utility and impact on increasing intent to intervene in a suicide crisis. The current study aimed to evaluate two gatekeeper trainings, SafeTALK and Question, Persuade, Refer (QPR), on a college campus using a pre-test/post-test design to examine this gap in the literature and provide evidence to help shape gatekeeper trainings in the future. Because the theory of planned behavior has been demonstrated to be an …

Consensual Qualitative Analysis Of Self-Criticizing Using The Two-Chair Technique, Júlia Halamová, Alžbeta Dvoranová, Slávka Zlúkyová, Viktória Vráblová

The Qualitative Report

Level of self-criticism has a significant impact on people’s psychopathology because severe self-criticism activates the sympathetic nervous system, and that further stimulates the physiological and psychological stress response which lead to impairment of mental health and wellbeing (Singer & Klimecki, 2014). Therefore, self-criticism is widely studied, but authors use mainly quantitative approaches which allow generalisation of knowledge but do not allow in-depth insights into the phenomenon. Hence our research aim was to identify the kinds of statements individuals utter when self-criticizing using the two-chair dialogue technique which enable to expose inward dialogues people lead with their self-critical parts. Out of …

Perceived Discrimination Within The Patient-Provider Relationship And Its Impact On Help-Seeking Behaviors, Lechey S. Hibbler

Dissertations

Racial and ethnic minorities have faced discrimination for hundreds of years. When patients experience discrimination in healthcare settings, help-seeking behaviors decrease. Many patients choose to refrain from seeking treatment until their psychological or physical health issues are unmanageable, often resulting in acute visits to the emergency department. Patients that have experienced previous discriminatory encounters with health care providers are more likely to choose not to seek help for physical or mental health concerns, resulting in overall poorer physical health and mental health outcomes. With the use of critical evaluation of previous studies, this paper has demonstrated that perceived discrimination negatively …

Impact Of Moral Injury For Ethnic/Racial Minority Male Veterans, Kristopher Kern

Doctoral Dissertations

Trends in demographics of post-9/11 veterans (deployments to the Middle East after 2001) describe this group as having higher survival rates, increased service-connected disabilities, and more racially diverse (NCVAS, 2018; Schnurr et al., 2009; Tanelian & Jaycox, 2008). Additionally, their deployment experiences include combat-related experiences that contradict personal moral beliefs, later named “moral injury” (MI) (Litz et al., 2009). Currier, Holland, and Mallot (2015) describe MI as intense emotions of shame, guilt, and anger alongside maladaptive behaviors emerging after “witnessing and/or participating in warzone events that challenge one’s basic sense of humanity” (p. 231).

The research on MI continues to …

Divining Structural Factors Related To Intervention Success Or Failure: Cultural Sexism Versus Other Macro-Level Factors, Blair T. Johnson, Christine M. Curley

CHIP Documents

This article provides commentary on a spatial meta-analysis published by Price and colleagues (2021); it provides valuable preliminary evidence that a dimension of cultural sexism can countervail efforts for psychotherapy to succeed in samples that focus on girls aged four to 18. Our own study reveals cultural sexism to be markedly associated with at least three macro-level factors: cultural tightness, historical slaveholding (and by implication racism), and sex education inclusiveness. The fact that cultural sexism can be so well predicted by these factors is additional evidence that cultural sexism is real, yet it also suggests caution in interpreting these effects …

Understanding The Healthcare Experiences Of Lgbtq+ People: An Adaptation Of The Daily Heterosexist Experiences Questionnaire, Conor Smith

Doctoral Dissertations

LGBTQ+ people's experiences of heterosexism, which are common in the healthcare system, are linked to poor health outcomes. There are no measures of LGBTQ+ people’s experiences in healthcare settings which could be used by healthcare systems and providers to improve the quality of their care for this vulnerable population. The Daily Heterosexist Experiences Questionnaire (DHEQ), developed using the minority stress model, measures the general stressful life experiences of LGBTQ+ people. This project aimed to adapt the DHEQ for use in healthcare settings.

A mixed-methods study was conducted to create the Daily Heterosexist Experiences Questionnaire-Healthcare (DHEQ-H). Semi-structured interviews focused on the …

Reiki For Recovery: Incorporating Japanese Health Practices To Increase Contemporary Resiliency In American Health, Leif Peterson

Master's Projects and Capstones

The Japanese health practice of Reiki attempts to maximize the latent ability of the human system to heal itself. The Reiki system, established over a century ago, combines multiple Asian health traditions, experimenting with practices that maximize the natural processes of the body to perform its own repairs. Reiki encourages healthy behaviors that balance the mind and body, return the human system to a lowered stress level, and allow for an optimal recovery state for the patient. This paper illustrates how this Japanese health-affirming method can be integrated and utilized within existing health and medical practices. An area that is …

Bmi And Associated Variables In A Pediatric Gender Clinic Sample, Mirae J. Fornander

Research Days

Background: Studies of transgender/gender diverse (TGD) youth indicate a high prevalence of overweight/obesity and concern for unhealthy weight control behavior.

Objectives/Goal: Describe BMI and the association of medication use, well-being, and recreational activities in treatmentnaïve pediatric TGD patients.

Methods/Design: Chart review of 302 patients (age 3-19, 73.5% sex assigned at birth (SAB) female; 85.8% white) from 2017-20. BMI was calculated by age and SAB using CDC growth charts. Parents reported medication use. Parent and self-reported Pediatric Quality of Life (PEDS-QL) Well-Being and activities were surveyed electronically.

Results: By BMI category, 3.3% were underweight (BMI85% and 29.5% fell >95%. Overweight and …