Clinical Psychology Commons^™

Attributions For Interpersonal Healthcare Mistreatment And Continuity Of Care, Daniel Joel Northington

Loma Linda University Electronic Theses, Dissertations & Projects

Although continuity of cancer-related care increases the use of early detection cancer screening exams (Doescher, Saver, Fiscella, & Franks, 2004), and thereby improves treatment outcomes (Mandelblatt et al., 2009), Latino (Latina) women in the U.S. currently report lower continuity of care than non-Latino White (Anglo) women (American Cancer Society, 2010; Doescher, Saver, Fiscella, & Franks, 2001). Such disparities may be due, in part, to interpersonal healthcare mistreatment (Smedley, Stith, & Nelson, 2003), as well as mistreatment-related attributions and emotions (Betancourt, Flynn, & Ormseth, 2011; Tucker, 2008). Therefore, according to Weiner's model of attribution and emotion (1986) as well as Betancourt's …

Cultural Study Of Attributions Of Sports Fans, John C. Park

Loma Linda University Electronic Theses, Dissertations & Projects

Cultural differences in the attributions of sports fans in the US have not been sufficiently explored. Studies have shown that individualists have the tendency to make more internal attributions compared to collectivists (Kashima & Triandis, 1986; Al-Zahrani & Kaplowitz, 1993; Cha & Nam, 1985; Hallahan et al., 1997). Furthermore, in sports setting, individualists have the tendency to engage in the self-serving bias, whereas collectivists may not engage in this process (Schuster et, al, 1989; Lee et. al, 1996; Hallahan et. al, 1997; Crittendon, 1991). Undergraduate students at La Sierra University, California, participated in an experiment where cultural differences in fans' …

Development And Validation Of A Process Focused Measure Of Childhood Depression, Ida Babakhanyan

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this research was to develop a measure of childhood depression and test its psychometric properties with depressed and non-depressed children. First, an overview of our current understanding of childhood depression and the measures used in assessment is reviewed. Following, the problems with our diagnostic classification are presented, providing justification for the development of a new measure for childhood depression. A bottom-up approach is used in this study to develop a theory driven measure for identifying depression in children which focuses on the process. Thus, varying from the primarily symptom based assessment tools that are currently used in …

Performance Of Number Of Factors Procedures In Higher Order Analysis: A Comparative Study, Marc Thomas Porritt

Loma Linda University Electronic Theses, Dissertations & Projects

Exploratory Factor Analysis (EFA) is one of the primary statistical tools available for the verification of the structure of a psychological measure. In the case of a nested test the structure of the higher levels is verified by performing EFA on the factor scores of the lower levels, a process known as higher order factor analysis (HOFA). One of the most significant decisions made during the EFA process is how many factors to extract. A number of methods have been developed to empirically answer this question. These methods have been proven highly accurate under normal circumstances. Since HOFA is an …

Differences In Iq And Memory Of Monolingual/Bilingual Children Who Suffered A Tbi, Julie Alberty

Loma Linda University Electronic Theses, Dissertations & Projects

Pediatric traumatic brain injury (TBI) occurs at an average rate of 180 per 100,000 children who are hospitalized for head injury within the United States (Schwartz et al., 2003). Bilinguals are a large proportion of the population living in the United States and in Southern California, particularly. If children who are bilingual incur a TBI, will they have even more difficulty than monolinguals with language tasks because they have a smaller vocabulary base? This study aims to further elucidate whether verbal memory will be more severely impacted than nonverbal memory in this same bilingual pediatric TBI population. 18 children (M …

Qualitative Study Of Psychosocial Needs For Individuals With Lung Cancer, Kevin R. Criswell

Loma Linda University Electronic Theses, Dissertations & Projects

Lung cancer affects many people in the United States, accounting for 14.5% of cancer cases in 2010. Additionally, it is responsible for more cancer-related deaths than any other cancer type. Those living with lung cancer also experience a higher prevalence of psychological distress and mood problems relative to most other cancer types. Despite the high physical and mental health burden borne by those living with lung cancer, psychosocial research on lung cancer generally lags far behind comparable studies in other cancer populations. Evidence from the few interventions developed specifically for lung cancer patients demonstrate an underutilization of those services, which …

Social Marketing Approach To Recruit Cancer Survivors For Research And Treatment, Narineh Hartoonian

Loma Linda University Electronic Theses, Dissertations & Projects

Recruitment is fundamental to project success and the production of clinically and statistically meaningful results. However, researchers have been challenged to recruit adequate numbers of participants for supportive interventions for cancer survivors (Buss et al., 2008). The purpose of this dissertation was to use social marketing theory as a framework to better understand recruitment for a web-based psychosocial intervention for cancer survivors. The study sample included cancer survivors from the Loma Linda University cancer registry or reached via population-level recruitment efforts (e.g., web and print advertisements). Of the 384 eligible potential participants, 197 fully enrolled in the intervention. Among potential …

Reliability And Validity Of The Outcome Questionnaire In A Heterogeneous Cancer Population, Laura Testerman

Loma Linda University Electronic Theses, Dissertations & Projects

The Institute of Medicine (IOM) and National Cancer Comprehensive Network (NCCN) now require integration of psychosocial care into the treatment of cancer patients to identify, monitor, and treat psychosocial distress. Despite the widespread use of Patient Reported Outcomes (PRO) for these purposes, no gold standard PRO for assessing distress exists for psycho-oncology research and clinical practice. This study examined the reliability, validity, and preliminary treatment effects of the Outcome Questionnaire, a PRO never before been used or validated with heterogeneous cancer patients. Adult cancer survivors were recruited nationwide to participate in an online support group (N=187) and randomly assigned to …

Gestalt Group Psychotherapy With Incarcerated Schizophrenia: A Qualitative Study, Leslie Ann V. Dobson

Loma Linda University Electronic Theses, Dissertations & Projects

In the U.S., the number of inmates diagnosed with schizophrenia is approximately four times greater than that found in the general population. Alarmingly, these inmates rarely receive the mental health treatment they need. Previous studies have suggested that Gestalt therapy can have beneficial affects for inmates. However, further research examining treatment models for inmates diagnosed with schizophrenia is needed. This current study examined qualitative data from a proposed Gestalt group therapy treatment model for incarcerated schizophrenia. Results from modified analytic induction demonstrated increased levels of participation, autonomy, interpersonal skills, information seeking and a reduction in psychotic symptoms. This study also …

Reserve Capacity Model And Metabolic Syndrome In Black And White Seventh-Day Adventists, Taylor L. Draper

Loma Linda University Electronic Theses, Dissertations & Projects

Past research has identified a robust, monotonic relationship between socioeconomic status (SES) and cardiac health. Psychosocial factors may contribute to SES-related gradients in cardiac health. The Reserve Capacity Model (RCM; Gallo & Matthews, 2003) is a framework for examining psychosocial pathways in cardiac health disparities on the SES gradient. The model posits that a lower SES experience leads to more environmental stressors and fewer psychosocial resources (e.g., reserve capacity) to cope with these stressors subsequently eroding health. A number of studies have used the RCM to explain SES-related disparities in cardiac health in Whites and Latinos; few examine the model …

Neuropsychological, Psychosocial, And Mood Outcomes Following Mild Traumatic Brain Injury, Julia L. Evans

Loma Linda University Electronic Theses, Dissertations & Projects

Traumatic brain injury (TBI) in adolescents and adults can result in cognitive, emotional, behavioral and neurological deficits that can persist more than a year after an injury. The aim of the current preliminary study was to use a comprehensive neuropsychological assessment to determine the nature of cognitive impairments and their relationship with specific psychosocial factors, including coping skills and perceived quality of life, following mild TBI (mTBI). Neuropsychological tests administered measured intelligence, pre-morbid intelligence, executive functioning, verbal memory, complex visual construction and non-verbal memory, sustained attention distractibility, and vigilance, verbal learning and memory, fine motor speed, and novel problem solving …

Expanded Behavioral Model For Online Support Services, Laura Boxley

Loma Linda University Electronic Theses, Dissertations & Projects

The rapid expansion of online technologies and health resources has created opportunities to develop broadly available interventions to address the needs of the modern patient. This study proposes a theoretical structure based on Andersen's Individual Determinants of Health Service Utilization Model to describe who is using online support and how it is being used. Also unique to this analysis was the use of objective behavioral data to describe and predict website utilization, and linguistic analysis to evaluate the content of what is shared in online groups. Eighty-four men and women completed baseline evaluations and were randomized into either online support …

Religious Coping And Depression Among Blacks And Whites After Sexual Abuse, Richelin Dye

Loma Linda University Electronic Theses, Dissertations & Projects

According to the theory of Fundamental Assumptions, childhood sexual abuse survivors have more depressive symptoms as a consequence of disrupted assumptions relating to optimism and mastery (Janoff-Bulman, 1992). This study tested whether positive religious coping preserves the fundamental assumptions to decrease depressive symptoms. In contrast, negative religious coping was posited to challenge assumptions. These hypotheses were tested in 2949 women from the Biopsychosocial Religion and Health study of which 246 reported childhood sexual abuse (CSA) with no childhood physical abuse and no adult sexual assault. Across all participants, positive religious coping (benevolent God reappraisal, collaborative religious coping, and spiritual connection) …

Memory For Emotional Images: Mechanisms Of Episodic Processing And Its Psychophysiological Correlates, Gregory E. Devore

Loma Linda University Electronic Theses, Dissertations & Projects

Negative emotional stimuli are usually better remembered than neutral emotional stimuli. Previous examination of binding theory found no differences in recall for pure lists of taboo and neutral words. A similar result was found with equivalent recognition memory performance between pure lists of negative, positive, and neutral images. The current research is designed to test the predictions of binding theory using negative and neutral visual stimuli in mixed lists. A rapid serial visual presentation paradigm and recognition memory item-discrimination tasks are used. Binding theory predicts differences in recognition memory performance between arousing and neutral images in mixed lists, but not …

Exploring Gender Differences In Online Cancer Support Groups, Natalie Christine Kaiser

Loma Linda University Electronic Theses, Dissertations & Projects

Gender differences in depression and other psychiatric conditions have been widely

documented in the general population (Nolen‐Hoeksema, 2006). Therefore, several studies have

analyzed the differential gender‐based adaptation of a cancer diagnosis. However, there seem to be contradictory results. While some studies have found there to be no gender differences in terms of cancer‐related distress (Beresford et al., 2006; Deimling et al., 2006; Zabora et al., 2001; & Carlson et al., 2004; Matthews, 2003), other studies have found that females tend to display more anxiety and depressive symptoms (Mystakidou et al., 2005; Deimling et al., 2006). Interestingly, limited studies have reported …

The Impact Of Pomegranate On Memory Dysfunction After Cardiac Surgery, Sapna Patel

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Studies have shown a decline in certain cognitive abilities in individuals diagnosed with heart disease of any type or etiology. This decline is observed as the disease progresses (Muller, Grobbee, Aleman, Bots & van der Schouw, 2006; Ernest et al., 2006), as well as after certain interventions, such as coronary artery bypass grafting (CABG) and heart valve surgery. In recent years, there has been a great deal of emphasis on the beneficial effects of pomegranate on health, including diseases of the brain and the heart. Few, however, have explored the impact of pomegranate on cognitive functions. Thus, the current …

Myelomeningocele And The Neuropsychological Functioning Of Bilingual Children, Claudia Resendiz

Loma Linda University Electronic Theses, Dissertations & Projects

Myelomeningocele is the most common and most severe form of spina bifida, affecting the brain and spinal cord of millions of children. Children of Hispanic background have the highest prevalence rate of this condition. Despite this fact, research that examines the cognitive profiles of Hispanic children with myelomeningocele is limited. A review on bilingualism and neurocognitive performance suggests that a cognitive advantage is present among those who are able to learn and utilize two languages. Although some have investigated the neuropsychological performance of children with myelomeningocele, research has yet to examine whether a bilingual cognitive advantage is present among bilingual …

Inpatient Stroke Rehabilitation: Ethnic And Psychosocial Predictors Of Recovery Outcome, Anna Olga Wong

Loma Linda University Electronic Theses, Dissertations & Projects

As the new focus on preventative medicine has emerged, research continues to expand on diseases that impact physical and cognitive functioning, lead to long-term disability, and increase the risk of mortality. Stroke or cerebral vascular accident (CVA) has been identified as one of such diseases by the Centers for Disease Control (2007). Past literature has identified disparities between ethnicity, socioeconomic status, and other diseases in the recovery of stroke. The aim of the current study was to investigate the effects of ethnicity and psychosocial factors on stroke recovery during inpatient rehabilitation. The study included 446 patients who had suffered an …

Mrs And Neuropsychological Outcome In Children With Non-Accidental Tbi, Aileen Arratoonian

Loma Linda University Electronic Theses, Dissertations & Projects

Despite the severe and long-term neurological consequences and the prevalence of non-accidental head trauma (NAT) among infants, few empirical studies have specifically examined the neuropsychological consequences in this population of children. The current study examined the relationship between clinical variables, Magnetic Resonance Spectroscopy (1H-MRS), and neuropsychological outcome in this high-risk population of children. Infants and children with a confirmed diagnosis of NAT were recruited by the Division of Pediatric Neurology at Loma Linda University Children’s Hospital and administered a comprehensive follow-up neuropsychological evaluation and neurological exam several months post injury. At the conclusion of the study, there were 13 participants …

Lateralization Of Emotion, Reaction Time, And Skin Conductance Responsiveness, Kimberley Erin Rose

Loma Linda University Electronic Theses, Dissertations & Projects

Bilateral presentations of brief (250 ms), unmasked emotional and neutral stimuli were examined in two experiments with primarily female samples. Reaction time and accuracy data were used to measure perception of emotion and skin conductance response (SCR) was used to measure experience of emotion. Both words and pictures were used to account for hemispheric differences in language and visuospatial dominance. Response time was faster to emotional pictures than words. Reaction time and speeded accuracy data did not support right hemisphere hypothesis (RHH) or valence hypothesis (VH) in the expected manner. Data suggested emotion caused greater interference under speeded conditions in …

Parental Grief And Loss And The Medical Staff Relationship: A Function Of Attachment, Peter Christopher Gleason

Loma Linda University Electronic Theses, Dissertations & Projects

Each year, too many parents must face the horrific ordeal of having to prepare for the death of their child; thought to be the most traumatic event in the life of an adult (Widger & Picot, 2008). It is in the desperate hours just prior to death that these parents, for many reasons, reach out for support to the medical staff around them. This process, particularly if negative, can leave scars that parents will carry for a lifetime (N. Contro, Larson, Scofield, Sourkes, & Cohen, 2002; Tinsley, et al., 2008). However, there appear to be factors that serve to lessen …

Longitudinal Behavioral Assessment Of Neonatal Traumatic Brain Injury, Joel Kamper

Loma Linda University Electronic Theses, Dissertations & Projects

Traumatic brain injury (TBI) in children and infants is a primary cause of cognitive and behavioral problems that can persist through adulthood. In this study, the long-term behavioral effects of neonatal and juvenile TBI (jTBI) were characterized using mice. At an age of post-natal 7 or 10 days, mice underwent moderate or severe closed skull impact or sham surgery. Behavioral testing was conducted at 6 and 8 months post-injury. Tests administered included the open field activity (general activity levels), zero maze (anxiety), forced swim (depression), rotarod (coordination and balance), and water maze (general/spatial learning). jTBI mice showed elevated activity levels, …

Cultural And Personal Influences On Body Satisfaction In Mexican American Women, Melissa Y. Snyder

Loma Linda University Electronic Theses, Dissertations & Projects

The current study extended prior research examining the impact of acculturation on body satisfaction while integrating possible mediating variables for a sample of Mexican American women. Specifically, the study examined the relationships among acculturation (ARSMA-II), acculturative stress related to racism and immigration (HWSSS), objectified body consciousness (OBCS), SES, age, BMI, and body dissatisfaction. Outcome measures of body dissatisfaction included the EDI subscales of Body Dissatisfaction, Bulimia, Drive for Thinness, and Ineffectiveness, as well as the Body Esteem Scale (BES). Participants were 352 women of Mexican descent between the ages of 18 and 50 years recruited through California State University, San …

Modeling Treatment Outcomes In Eating Disorders, Kathryn Grace Truitt

Loma Linda University Electronic Theses, Dissertations & Projects

Eating disorders are notoriously difficult and costly to treat, with only 40% of individuals with an eating disorder making a full recovery. Individually Tailored Service Allocation provides a dynamic treatment model defined by empirically accepted theory and consistently informed by data provided by the patient. The use of patient feedback allows for the tailoring of individual treatment plans to meet the unique and varied needs of each patient. Hierarchical Linear Modeling was used to examine the effect of Individually Tailored Service Allocation on eating disorder treatment outcomes. A total of 51 adult women meeting diagnostic criteria for an eating disorder …

Analysis Of An Online Support Group For Women With Breast Cancer, Laura Boxley

Loma Linda University Electronic Theses, Dissertations & Projects

With over 200,000 new diagnoses in 2004, breast cancer is one of the most commonly diagnosed cancers among women in the United States. Both the stress of treatment and the threat of a potentially lethal illness present significant challenges to an individual's emotional well-being and coping skills, yet paradoxically many women report benefits from dealing with this adversity. The aims of this investigation were to describe the characteristics of benefit finding as expressed by breast cancer survivors participating in an online breast cancer support group, and to assess the relationship between symptom distress, emotional well-being and benefit finding using baseline …

Neuropsychological Symptoms Associated With Multiple Shunts, Jared Jackson

Loma Linda University Electronic Theses, Dissertations & Projects

Hydrocephalus is the excessive accumulation of cerebrospinal fluid within the cranium which may result in increased intracranial pressure, dilation of cerebral ventricles and displacement of adjacent brain structures. Ventriculoperitoneal shunting is often needed to treat hydrocephalus. Patients with Ventriculoperitoneal shunts have been found to have IQ scores below the mean of the general population. In addition, many of these patients experience shunt infections or other complications that require shunt replacement. Shunt replacements and shunt infections have been associated with additional deficits in intellectual functioning. However, previous research has failed to address the neuropsychological ramifications of shunt infections and shunt replacements. …

Ethical Decision-Making Regarding Nonsexual Multiple Relationships, Diana Jochai

Loma Linda University Electronic Theses, Dissertations & Projects

The current American Psychological Association Ethical Principles of Psychologists and Code of Conduct (APA Ethics Code) states that a multiple relationship is established between a psychotherapist and a client when they engage in a relationship (personal or professional) in addition to the therapeutic relationship (AP A, 2002). Evidence that psychologists do become involved in such relationships, sometimes resulting in harm to the client, comes from examination of complaints to professional organizations and licensing boards, and of scant existing research. Remarkably, however, there has been no research to date regarding the ethical decision-making process in which a psychologist engages regarding whether …

Validity Study Of The Psychopathic Personality Inventory In A Noncriminal Population, Julie Madeleine Woltil

Loma Linda University Electronic Theses, Dissertations & Projects

The Psychopathic Personality Inventory (PPI) is a self-report measure which was created by Lilienfeld and Andrews (1996) to identify the personality traits of psychopathy in noncriminal populations. These personality traits were grouped into eight subscales in the PPI including Machiavellian Egocentricity, Social Potency, Coldheartedness, Carefree Nonplanfulness, Fearlessness, Blame Extemalization, Impulsive Nonconformity and Stress Immunity. In this study, the relationship between the PPI and four theoretically related concepts (psychopathy, empathy, sensation seeking and driving anger) were examined to evaluate its concurrent and construct validity. A positive correlation was found between the PPI and the Self-Rep0l1 Psychopathy Scale, the Driving Anger Scale, …

Body Image Satisfaction In Infant And Pediatric Cardiac Transplant Recipients As Adolescents, Danusia Nedilskyj

Loma Linda University Electronic Theses, Dissertations & Projects

With the long-term survival rate of infant and pediatric heart transplant recipients reaching as high as 85%, there is now a significant number of these youths entering adolescence. Although psychological factors thought to be associated with pediatric heart transplant have reached clearer delineation in the literature, few studies have been conducted. Given the emphasis on development typically seen in adolescence combined with the unique experience of receiving a heart transplant, factors such as body image, self-perception, stress and mood have emerged from the literature. As such, this study assessed psychosocial variables of body image satisfaction, self-concept, depression, and social stress …

The Use Of The Minnesota Multiphasic Personality Inventory-Ii (Mmpi-2) In Pre-Employment Evaluations, Ana M. Gamez

Loma Linda University Electronic Theses, Dissertations & Projects

Psychological testing is an important facet in the selection and hiring processes of law enforcement and public safety personnel. Research in this area suggests that the MMPI-2 scales have been correlated with problematic behavior among police officers, poor job performance, and officer misconduct. This study examined the extent to which suitability for hire could be predicted by the MMPI-2 scale L (Lie), scale K (correction), Infrequency scale (F), scale 4 Psychopathic Deviate (Pd), scale 6 Paranoia (Pa), scale 7 Psychasthenia (Pt), and scale 9 Hypomania (Ma). It examined whether profile differences emerged as a function of suitability across gender, between …