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Articles 31 - 60 of 207
Full-Text Articles in Clinical Psychology
Education And Social Support As Mediators Of Function And Cognition In Patients With Schizophrenia, Spring Flores Johnson
Education And Social Support As Mediators Of Function And Cognition In Patients With Schizophrenia, Spring Flores Johnson
Loma Linda University Electronic Theses, Dissertations & Projects
Schizophrenia affects an estimated 1% of the population worldwide and the devastating symptoms impact a patient’s daily functioning, social and interpersonal relationships, cognitive abilities, and overall quality of life (American Psychiatric Association, 2000). Additionally, patients with schizophrenia can struggle to maintain employment and live independently due to low cognitive ability and functional capacity. Given the pervasive and deleterious impact of schizophrenia, it is imperative to address the functional toll this diagnosis can have on those suffering with the disorder to develop helpful strategies that increase functional capability. The goal of this study is to determine the impact symptom severity has …
Fatalism And Pain Experience In Hispanic And Non-Hispanic White Patients With Chronic Pain, Esmeralda Ibette Nuñez
Fatalism And Pain Experience In Hispanic And Non-Hispanic White Patients With Chronic Pain, Esmeralda Ibette Nuñez
Loma Linda University Electronic Theses, Dissertations & Projects
The purpose of this dissertation was to explore fatalistic beliefs about pain among Hispanic and Non-Hispanic White (NHW) patients with chronic pain in order to assess the assertion that fatalism is a uniquely important cultural determinant of pain experience among Hispanics. Hypotheses were that across both Hispanic and NHW patients, lower socioeconomic status and lack of access to a usual source of healthcare for chronic pain, rather than ethnicity, would relate to greater pain fatalism. Secondly, it was hypothesized that greater pain fatalism would relate to higher pain severity and pain interference for both groups. Pearson product-moment correlations were used …
The Relationship Between Cognitive Function And Activities Of Daily Living, Pamela V. Lorenzo
The Relationship Between Cognitive Function And Activities Of Daily Living, Pamela V. Lorenzo
Loma Linda University Electronic Theses, Dissertations & Projects
Dementia is a cognitive disorder that can be caused by several underlying diseases, including Alzheimer’s disease and vascular disease. Dementia is not only characterized by declines in cognition, but is also associated with declines in instrumental and basic activities of daily living (ADLs). Cognitive decline generally begins prior to any declines in ADLs, and as cognitive impairments progress, the ability to independently perform ADLs begins to decline as well. Accurate assessment of ADL functioning, though critical to the diagnosis of dementia, can be difficult with the use of self-report measures. One objective measure of ADLs is the Functional Independence Measure …
Body Dissatisfaction, Perceived Smoking Consequences, And Weight Control Smoking, Samantha N. Martinez
Body Dissatisfaction, Perceived Smoking Consequences, And Weight Control Smoking, Samantha N. Martinez
Loma Linda University Electronic Theses, Dissertations & Projects
Eating disorders are a significant public health concern affecting approximately 8 million individuals in the United States, with women suffering at disproportionate rates. Eating disorders have been associated with a variety of negative health behaviors, including smoking. Despite an overall decrease in smoking prevalence, smoking rates remain high among females with eating disorders. The current study explored the role that perceived consequences of smoking related to appetite/weight control plays in moderating the relationship between body dissatisfaction, which is a risk factor for the development of an eating disorder, and weight control smoking, controlling for the effects of race/ethnicity smoking status, …
Religious Orientation, Social Identity, And Reactions To Religious Disaffiliation, Alexander Daniel Larson
Religious Orientation, Social Identity, And Reactions To Religious Disaffiliation, Alexander Daniel Larson
Loma Linda University Electronic Theses, Dissertations & Projects
Researchers are noting that within the past two decades Americans are increasingly identifying as nonreligious and are reporting an awareness of the secularization of American life. Many individuals who no longer identify as religious and leave their religious communities, called religious disaffiliates, report being shunned and negatively judged by fellow church members, and research suggests that church members often make negative attributions towards religious disaffiliates. Within the context of the Seventh-day Adventist church, Ryan Bell’s recent public process of religious disaffiliation, the Year Without God, sparked a wide range of reactions from Christians nationwide. The current research aimed to add …
The Role Of Therapeutic Processes Within Mbsr For Parents Of Children With Developmental Delays, Grant Griffin Boostrom
The Role Of Therapeutic Processes Within Mbsr For Parents Of Children With Developmental Delays, Grant Griffin Boostrom
Loma Linda University Electronic Theses, Dissertations & Projects
Parents of children with developmental delays (DD) report higher levels of stress than parents of typically developing children, and Mindfulness-Based Stress Reduction (MBSR) has proven effective at reducing stress in parents of children with DD. However, therapeutic processes that have been shown to be responsible for therapeutic change across treatment modalities have not been investigated within this context. This pilot study utilizes archival data from two phases of the Mindful Awareness for Parenting Stress Project to investigate the role of therapeutic processes within a MBSR intervention for parents of children with DD. Results indicated that therapeutic process variables were not …
The Relationship Between Psychotherapist Personality And Therapeutic Alliance, Michael Finlay
The Relationship Between Psychotherapist Personality And Therapeutic Alliance, Michael Finlay
Loma Linda University Electronic Theses, Dissertations & Projects
Time-limited effective psychotherapy is a topic that is frequently addressed in clinical therapy research. Though a wide range of therapeutic factors, expectancy effects, techniques, and extratherapeutic have all been demonstrated to be related to outcome, researchers have consistently identified the therapeutic alliance as one of the strongest factors in predicting psychotherapy outcomes. Researchers are beginning to measure the effectiveness of therapy by evaluating improvements in outcome measures, and client reported therapeutic alliance. Researchers have recently began investigating the common personality profiles among psychotherapists, and have hypothesized that there is a relationship between psychotherapist personality and therapeutic alliance. The goal of …
An Empirical Examination Of Doctoral Training Models In Clinical Psychology In The United States, Katherine E. Dautenhahn
An Empirical Examination Of Doctoral Training Models In Clinical Psychology In The United States, Katherine E. Dautenhahn
Loma Linda University Electronic Theses, Dissertations & Projects
Since as early as 1908, psychology as a discipline has grappled with how to integrate research and practice into the field’s professional identity. To further define the area of expertise of a psychologist, three main models of clinical training have been proposed: the scientist-practitioner model, the practitioner-scholar model, and the clinical scientist model. Despite clinical psychology’s universal claim for empirical moorings, the debate about the foundation of training in clinical psychology has remained primarily theoretical. The purpose of this study is to expand upon the limited research exploring the differences between training models to empirically determine which factors significantly predicted …
Abnormal Beta And Gamma Frequency Neural Oscillations Mediate Auditory Gating In Schizophrenia, Ann Tram Nguyen
Abnormal Beta And Gamma Frequency Neural Oscillations Mediate Auditory Gating In Schizophrenia, Ann Tram Nguyen
Loma Linda University Electronic Theses, Dissertations & Projects
Sensory gating is a process in which the brain’s response to irrelevant and repetitive stimuli is inhibited. Poor P50 gating in those with schizophrenia is typically measured by the ratio or difference score of the event-related potential (ERP) amplitudes in response to a paired click paradigm. Failure to suppress the ERP in response to the second click is thought to reflect a faulty inhibitory system. Oscillatory activity during the inter-click interval in the beta (20-30 Hz) and gamma (30-50 Hz) frequency bands may reflect inhibitory processes initiated by the first click. Paired-auditory stimuli were presented to 131 participants with schizophrenia …
Neurocognitive And Psychosocial Effects Of Repeated Concussions In Children And Adolescents, Shina Halavi
Neurocognitive And Psychosocial Effects Of Repeated Concussions In Children And Adolescents, Shina Halavi
Loma Linda University Electronic Theses, Dissertations & Projects
In the United States, an estimated 1.7 million people sustain a traumatic brain injury (TBI) annually. About 75% of these TBIs are mild, which are referred to as “concussions.” This study assessed the neurocognitive and psychosocial effects of repeated concussions in children and adolescents and their interactions with age and gender. It also assessed the correlation between psychosocial functioning and neurocognitive functioning. Given the paucity of research on the effects of concussion in the developing brain, the current study characterized the neurocognitive and psychosocial effects of concussion in young populations. The overarching hypothesis stated that repeated concussions would induce more …
Sociocultural Attitudes Towards Appearance Questionnaire-4-Revised In Asian Americans, Dean Lim
Sociocultural Attitudes Towards Appearance Questionnaire-4-Revised In Asian Americans, Dean Lim
Loma Linda University Electronic Theses, Dissertations & Projects
Prior research has indicated that the prevalence of eating disorders, which are recognized as one of most lethal psychological disorders with an approximately 20% mortality rate, are increasing among Asian Americans with rates comparable to those of the general population in the United States. However, research has also suggested that Asian Americans may not be fully reporting symptoms related to eating disorders because of sociocultural stigma and the desire to uphold cultural values, such as interdependence, harmony within the community, humility, and emotional restraint. The SATAQ-4R is a widely-used measure of sociocultural influences on body image and eating disturbance, which …
Effects Of Emotional Content On Working Memory Updating: Proactive Interference And Resolution, Maria Guadalupe Corona
Effects Of Emotional Content On Working Memory Updating: Proactive Interference And Resolution, Maria Guadalupe Corona
Loma Linda University Electronic Theses, Dissertations & Projects
The working memory (WM) system refers to the structures and processes supporting the encoding, maintenance, manipulation, and retrieval of information to be used for goal-directed behavior. Proactive interference (PI) is often experienced when information to be processed shares physical properties with information that is no longer relevant. The working memory system may then process such information less efficiently (i.e., slower processing time) and less accurately, and control processes involved in interference resolution become triggered in order to maintain performance. The current study investigated the effects of emotional content on interference resolution by using a working memory updating paradigm. Specifically, an …
Consequences Of Attributions For Unfair Healthcare Treatment Among Culturally Diverse Patients, Nathalie Serna
Consequences Of Attributions For Unfair Healthcare Treatment Among Culturally Diverse Patients, Nathalie Serna
Loma Linda University Electronic Theses, Dissertations & Projects
Ethnic minority and lower SES populations report less positive healthcare encounters and worse health outcomes as compared to higher SES and mainstream populations. In Chile, the prevalence of type 2 diabetes (T2D) is one of the highest in South America and among the indigenous Mapuche population it has quadrupled over the last decade (Perez-Bravo et al., 2001). Research suggests that Mapuches have been historically discriminated in everyday life as well as in healthcare (Alarcon, et al., 2004). Based on Weiner’s attribution theory of motivation and emotion (1986, 1995, 2006) and guided by Betancourt’s integrative model of culture, psychological factors, and …
Evaluating Cognitive Changes In Patients Receiving Outpatient Alcohol Treatment, Michelle Mcdonnell
Evaluating Cognitive Changes In Patients Receiving Outpatient Alcohol Treatment, Michelle Mcdonnell
Loma Linda University Electronic Theses, Dissertations & Projects
Chronic alcohol use has been linked to various physical health concerns, neurological changes, and cognitive deficits. Research has shown that some of these neurologic and cognitive deficits can improve over time following detoxification and abstinence; however, the exact nature or timeline of this recovery process has not been established. The aim of the current study is to identify cognitive deficits and changes present in the alcohol addiction treatment population, the influence of cognitive deficits on treatment completion, and the effect of previous engagement in treatment (which is indicative of previous relapse) on cognitive functioning at both treatment onset and treatment …
Parental Quality Of Life Among Parents In The Nicu: Examining Moderators Of Change Over Time, Evan Lima
Parental Quality Of Life Among Parents In The Nicu: Examining Moderators Of Change Over Time, Evan Lima
Loma Linda University Electronic Theses, Dissertations & Projects
Having a child is both an exciting and overwhelming time for parents (Wigert et al., 2006; Cooper & Pells, 2015). While having a child is an exciting time, approximately 10% of infants are born prematurely and admitted into the Neonatal Intensive Care Unit (NICU), with additional infants being admitted for other reasons (e.g., sickness, low birth weight, etc.) (March of Dimes, 2015). Overall, parents of children admitted to the NICU have consistently reported experiencing lower quality of life than prior the their child being admitted to the NICU (Rosenbaum et al., 2011). Previous research has found anxiety, depression, and posttraumatic …
Age Of Drinking Initiation’S Association With Cognitive Functioning, Joshua Seth Goldberg
Age Of Drinking Initiation’S Association With Cognitive Functioning, Joshua Seth Goldberg
Loma Linda University Electronic Theses, Dissertations & Projects
Research has indicated that alcohol abuse is associated with deleterious effects on cognitive functioning later in life, specifically in the neuropsychological domains of immediate memory, delayed memory, and attention. However, research has been mixed regarding how age of initiation into problem drinking affects cognitive health after abstinence. This study aimed to identify if earlier age of alcohol abuse was associated with significant deficits in neuropsychological functioning in comparison to individuals who commenced alcohol abuse later in life. Participants were recruited from an alcohol rehabilitation program within Loma Linda University’s Behavioral Medicine Center and were administered the Repeatable Battery for the …
Parenting Stress And Emotion Dysregulation In Children With Dd: The Role Of Parenting Behaviors, Neilson Chan
Parenting Stress And Emotion Dysregulation In Children With Dd: The Role Of Parenting Behaviors, Neilson Chan
Loma Linda University Electronic Theses, Dissertations & Projects
Parents of children with developmental delays (DD) report higher levels of parenting stress compared to parents of typically developing children. High levels of parenting stress have been associated with negative outcomes for their children, including higher levels of emotion dysregulation. However, this relationship between parenting stress and child emotion dysregulation has rarely been examined in families of children with DD. Additionally, the mechanisms through which parenting stress influences child emotion dysregulation remain unclear; it may be that parenting stress impacts parenting behaviors (i.e., sensitive and intrusive parenting), which in turn influence the development of the child’s emotion regulatory abilities. In …
Parental Distress And Child Behavior Problems: Parenting Behaviors As Mediators, Catherine M. Sanner
Parental Distress And Child Behavior Problems: Parenting Behaviors As Mediators, Catherine M. Sanner
Loma Linda University Electronic Theses, Dissertations & Projects
Parents of children with developmental disabilities (DD) typically report higher levels of parental stress than parents of typically developing children. While the majority of the literature addresses child behavior problems as predictors of parental stress, research has shown that the relation is bi-directional. However, very little research has examined the effects of parental stress on child behavior problems and the possible parenting factors that may explain this relation. The current study utilized data from the Mindful Awareness for Parenting Stress (MAPS) study (N = 31; % male = 67.7, mean age = 3.5, SD = .96; 81% ethic minority), and …
Relational Savoring Among Intimate Partners Of Cancer Patients, Adrianna Elyse Holness
Relational Savoring Among Intimate Partners Of Cancer Patients, Adrianna Elyse Holness
Loma Linda University Electronic Theses, Dissertations & Projects
Research suggests that intimate partners of cancer patients experience similar, if not higher, levels of distress and depression than the patient with regards to the cancer diagnosis. This stress can impact the quality of the relationship and the subsequent care and attention given to cancer patients. As such, identifying factors that can enhance marital relationships during times of illness is key. This project was created in order to assess the efficacy of a brief, portable intervention for improving relational quality among the intimate partners of cancer patients. In this project, we examine the effects of relational savoring, relative to two …
The Effects Of Seizure Modeling And Polyphenols On Behavior In Bang-Sensitive Drosophila, Alphonso A. Smith
The Effects Of Seizure Modeling And Polyphenols On Behavior In Bang-Sensitive Drosophila, Alphonso A. Smith
Loma Linda University Electronic Theses, Dissertations & Projects
Epilepsy is a worldwide public health concern associated with debilitating neurological, cognitive, and psychosocial consequences. Current antiepileptic drugs can have debilitating side effects and new treatments are needed for individuals with pharmaco-resistant seizures like those observed in temporal lobe epilepsy (TLE). Ellagic acid (EA), a polyphenol present in several fruits and nuts, has shown beneficial effects in rodent models of epilepsy and anxiety, possibly mediated through GABAergic pathways. Bang-Sensitive Drosophila mutants model epileptic seizures following mechanical shock and provide a high-throughput alternative to costly rodent studies. The objectives of this study were to: 1) examine the effectiveness of seizure modeling …
Stress, Depression, Social Support, And Help-Seeking In College Student-Athletes, Clint H. Norseth
Stress, Depression, Social Support, And Help-Seeking In College Student-Athletes, Clint H. Norseth
Loma Linda University Electronic Theses, Dissertations & Projects
Student-athletes have been identified as a distinctive sub-population in universities and colleges that face unique stressors and pressures that may put them at risk for developing mental health problems, including depression, when compared to student non-athletes. However, student-athletes have been found to seek help from mental health professionals less often than student non-athletes. Studies of college students in the general population have shown that social support networks can play an important part in “buffering” or moderating the effect of stress on both depression and help-seeking, which may also be the case for student-athletes. The purpose of the current study is …
Smoking, Adhd, And Problematic Video Game Use: A Structural Modeling Approach, Hyo Jin Lee
Smoking, Adhd, And Problematic Video Game Use: A Structural Modeling Approach, Hyo Jin Lee
Loma Linda University Electronic Theses, Dissertations & Projects
Problematic video game use (PVGU), or addiction-like use of video games, is associated with negative physical and mental health problems as well as problems in social and occupational functioning. Possible contributors to PVGU include frequency of play, cigarette smoking, and ADHD. The aim of the current study was to explore the relationships among PVGU, cigarette smoking, ADHD, and frequency of play simultaneously using a structural modeling approach. Secondary data analysis was conducted on 2,801 video game users (Mage = 22.43 years, SDage = 4.7; 93% male) who completed an online survey comprising measures of PVGU, ADHD symptomatology, smoking behavior, and …
The Effect Of Language On Cognition In An Acculturated American Sample Of Healthy Older Adults, K'Dee D. Elsen
The Effect Of Language On Cognition In An Acculturated American Sample Of Healthy Older Adults, K'Dee D. Elsen
Loma Linda University Electronic Theses, Dissertations & Projects
Background: Older adults are not only the fastest growing segment of the population (~841 million worldwide) and continually increasing, but are of special concern due to the numerous age-associated deficits, especially those on cognition. Research indicates that knowing multiple languages may act as a protective factor against the deleterious effects of cognitive aging. Objective: The purpose of the current study is to examine whether multilingualism protects against the effects of cognitive aging on the domains of executive functioning, linguistic processing, attention, memory, and visuospatial functioning. Methods: Participants were 312 healthy older adults (68% female) from the Walnuts and Healthy Aging …
The Effects Of Poverty And Allostatic Load On The Development Of Chronic Disease, Natali Do
The Effects Of Poverty And Allostatic Load On The Development Of Chronic Disease, Natali Do
Loma Linda University Electronic Theses, Dissertations & Projects
Research suggests that there is a significant impact of poverty on poor health outcomes. Poverty is associated with limited access to education and healthcare, increased exposure to violence, and chronic stress that contribute to the development of chronic diseases. The poverty and chronic disease relationship is potentially associated with chronically elevated stress biomarkers. The present study investigated the relationship between demographics, poverty (during childhood, young adulthood, and mid/late adulthood), allostatic load—a cumulative measure of system dysregulation—and the Charlson Comorbidity Index, a measure of chronic disease and mortality, using data from the Biopsychosocial and Religion and Health Study (BRHS; Lee et …
Erp And Theta Activity Associated With Facial Emotion Memory, Shaina Roxanne Herman
Erp And Theta Activity Associated With Facial Emotion Memory, Shaina Roxanne Herman
Loma Linda University Electronic Theses, Dissertations & Projects
Facial emotion recognition is an important component of daily functioning and is highly connected to the social element of human interaction. At present, it is not clear whether initial stimulus encoding or memory maintenance of the face promotes accurate facial emotion memory. The purpose of this study was to explore the mechanisms of facial affect memory. Specifically, we aimed to compare whether type of emotion, length of delay interval, or robustness of encoding the initial stimulus were associated with accurate facial emotion recognition and memory. A task of explicit emotion memory was given to 30 participants. A visual stimulus of …
Parental Stress, Emotion Regulation, Meta-Emotion, And Changes Following An Mbsr Intervention, Yangmu Xu
Parental Stress, Emotion Regulation, Meta-Emotion, And Changes Following An Mbsr Intervention, Yangmu Xu
Loma Linda University Electronic Theses, Dissertations & Projects
Parents of children with developmental delays (DD) have consistently reported higher rates of parental stress (Dabrowska & Pisula, 2010; Oelofsen & Richardson, 2006). Difficulties with child emotion regulation are often exhibited among children with DD, and the relationship between parental stress and child emotion regulation may be bidirectional. Previous studies have found that underlying thoughts about parent’s own emotions is an important construct that has a direct impact on parental emotional wellbeing and child emotion regulation (Gottman et al., 1996). Furthermore, previous studies suggest that Mindfulness-Based Stress Reduction (MBSR), an empirically supported stress-reduction intervention, is efficacious in reducing parenting stress …
The Role Of Temporal Distraction On Short-Term Memory And Delayed Recognition, Susanna Luu
The Role Of Temporal Distraction On Short-Term Memory And Delayed Recognition, Susanna Luu
Loma Linda University Electronic Theses, Dissertations & Projects
Memory is a complex process that requires the translation of information from an external sensory experience into an internal representation. Once information has been translated into memory, there is little agreement regarding the cognitive structure of memory storage and maintenance. Baddeley (1966) developed a model based on a multi-storage structure which suggested that as information entered through the sensory system, it was relayed by a cognitive control center and placed into storage units based on information type (i.e. auditory, visual, etc.). Baddeley’s (1966) multi-store memory model hypothesized that content translated into memory by two phases: short-term and long-term memory. More …
Role Of Cultural And Psychological Factors Influencing Diabetes Treatment Adherence, Sonika Kravann Ung
Role Of Cultural And Psychological Factors Influencing Diabetes Treatment Adherence, Sonika Kravann Ung
Loma Linda University Electronic Theses, Dissertations & Projects
Chronic diseases are the leading causes of disability worldwide although health complications can be prevented with lifestyle change (CDC, 2013). Type 2 diabetes is a growing global epidemic, and its prevalence is predicted to increase from 6.4% (285 million adults) in 2010 to 7.7% (439 million adults) by 2030 (Shaw, Sicree, & Zimmet, 2010). Given the reality of cultural diversity in contemporary society, the aim of this study was to address the need for research that integrates both cultural and psychological factors with behaviors central to diabetes control among culturally diverse populations (Betancourt & López, 1993; Betancourt, Flynn, Riggs, & …
Camp-Based Intervention For Overweight Children With Developmental Disabilities, Allyson Davis
Camp-Based Intervention For Overweight Children With Developmental Disabilities, Allyson Davis
Loma Linda University Electronic Theses, Dissertations & Projects
Childhood obesity is a growing epidemic and results in negative health and psychosocial outcomes. Children with intellectual and developmental disabilities (IDD) experience increased rates of obesity compared to typically developing children, but interventions targeting health behaviors in this population have been limited. We examined the feasibility and efficacy of a health behaviors camp for children and adolescents with IDD. We also tested the correlation of child behavior problems and social skills with baseline weight status and health behaviors. Furthermore, we examined these psychosocial risk factors as moderators of camp outcomes. The camp included participants aged 9 – 15 years who …
Church Member Reactions To Religious Disaffiliation, Alexander Daniel Larson
Church Member Reactions To Religious Disaffiliation, Alexander Daniel Larson
Loma Linda University Electronic Theses, Dissertations & Projects
Religious disaffiliation is a growing trend in the United States, with estimates of between 15% through 20% of Americans identifying that they have no religion and this rate is growing by roughly 1% each year. Nearly all research concerning religious disaffiliation has focused on the individuals who leave their faith, but little research has empirically explored how church members themselves react to the religious disaffiliation of individuals from their own religious community, as well as what factors potentially contribute to the formation of their attitudes and attributions towards religious disaffiliates. This study utilizes a Seventh-day Adventist sample’s reactions to a …