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Articles 91 - 120 of 207
Full-Text Articles in Clinical Psychology
Nicu Parental Mental Health And Infant Outcomes: Effects Of Psychological Well-Being And Psychopathology, Kathleen H. Parker
Nicu Parental Mental Health And Infant Outcomes: Effects Of Psychological Well-Being And Psychopathology, Kathleen H. Parker
Loma Linda University Electronic Theses, Dissertations & Projects
Previous research has shown that having a child in the Neonatal Intensive Care Unit (NICU) is stressful for parents and that parents of NICU infants exhibit higher levels of stress compared to parents of healthy infants (Carter, Mulder, & Darlow, 2007; MacDonald, 2007; Treyvaud et al., 2010). As a result of these high levels of stress, NICU parents are at risk for developing psychopathology. Studies have found correlations between parental psychopathology and lower scores on measures of psychological well-being such as self-acceptance and autonomy (Bhullar, Hine, & Phillips, 2014; Valiente et al., 2013). Additionally, research has indicated that some well-being …
The Influence Of Parental Mental Health On Child Outcomes: The Role Of The Parenting Process, Meredith L. Dennis
The Influence Of Parental Mental Health On Child Outcomes: The Role Of The Parenting Process, Meredith L. Dennis
Loma Linda University Electronic Theses, Dissertations & Projects
Parents of children affected by developmental delays (DD) have been shown to experience elevated levels of parenting stress compared to parents of typically developing children. Recent studies suggest that higher levels of parenting stress can adversely impact child behavior and development, such that higher levels of parenting stress are often associated with higher levels of behavior problems and negative developmental outcomes. However the specific mechanisms through which parenting stress influences child outcomes remain unclear. The overall parenting process may be one potential medium through which parenting stress influences both child behavioral and developmental outcomes. The current study involved both qualitative …
Executive Functioning Outcomes Among Self-Harming Adolescents Receiving Dbt-A, Alphonso A. Smith
Executive Functioning Outcomes Among Self-Harming Adolescents Receiving Dbt-A, Alphonso A. Smith
Loma Linda University Electronic Theses, Dissertations & Projects
Changes in WM, GM, and neural activation in networks involving the PFC underlie the development of EFs during adolescence; however, adolescents with DSH have impaired EFs in the areas of inhibition, emotion regulation, shifting, and interpersonal functioning. DBT-A has been shown to be effective in treating these youth and the skills of mindfulness, emotion regulation, distress tolerance, interpersonal effectiveness, and “walking the middle path” are suited to treat their impaired EFs. As such, this study examined EF changes in adolescents receiving DBT-A and discussed implications for treatment and brain-behavior relationships. Ninety-three adolescents from a 16-week DBT-A program for DSH were …
Executive Dysfunction Is Predictive Of Clinical Symptomatology In 22q11.2 Deletion Syndrome, Chinonyere Kemdirim Bello
Executive Dysfunction Is Predictive Of Clinical Symptomatology In 22q11.2 Deletion Syndrome, Chinonyere Kemdirim Bello
Loma Linda University Electronic Theses, Dissertations & Projects
By adulthood, 25%- 30% of individuals with 22q11.2 deletion syndrome (22qDS) develop a psychotic disorder, often schizophrenia, and it is not understood why. Given the known genetic etiology of this disorder and the greatly elevated risk for development of schizophrenia, this group offers the possibility of defining a seemingly homogenous maturational pathway to psychosis. Neurocognitive deficits have been increasingly recognized as an important dimension of schizophrenia, particularly in the executive domain. Thus, we assessed multiple aspects of executive cognition in 22qDS, in order to: 1) characterize performance across this domain as compared to age-matched healthy controls; and 2) determine whether …
Comparison Of Text Analysis Programs For Identification Of Emotional Expression, Michelle Mcdonnell
Comparison Of Text Analysis Programs For Identification Of Emotional Expression, Michelle Mcdonnell
Loma Linda University Electronic Theses, Dissertations & Projects
Studies have show that written emotional expression assists in the recovery and alleviates the pain associated with traumatic experiences, cancer diagnoses, and chronic illnesses. Written interventions have been developed to utilize this emotional coping approach. Unfortunately, evaluation of participants and patients written text is time consuming and subjective to the coder. Researchers have developed computational text analysis programs in an attempt to find an alternative to human coders for text analysis. The current study will utilize data from previous research performed by Owen et al., (2005) entitled Randomized Pilot of a Self-Guided Internet Coping Group for Women With Early Stage …
Dialectical Behavior Therapy And Adolescent Patient Treatment Dropout, Danessa Mayo
Dialectical Behavior Therapy And Adolescent Patient Treatment Dropout, Danessa Mayo
Loma Linda University Electronic Theses, Dissertations & Projects
Attrition in mental health treatment is an area of concern among the adolescent population, especially with patients engaged in deliberate self-harm. The purpose of this study was to examine the treatment attrition rate for adolescents with deliberate self-harm in an adapted dialectical behavior therapy intensive outpatient program. A total of 141 adolescents previously enrolled in the program were available for the study. Results demonstrated a 31.9% dropout rate. Graduates indicated greater improvement of overall distress from baseline to post-treatment than dropouts. Dropouts attended an average of 12 treatment sessions. Several factors were examined to identify potential predictors of patient treatment …
Cultural Beliefs And Professional Empathy Influence Continuity Of Healthcare, Jael A. Amador
Cultural Beliefs And Professional Empathy Influence Continuity Of Healthcare, Jael A. Amador
Loma Linda University Electronic Theses, Dissertations & Projects
Negative healthcare encounters have implications for preventive medical services and continuity of healthcare. This study examined the influence of positive cultural beliefs about health professionals and perceived professional empathy on continuity of cancer screening care in the context of a negative healthcare encounter. A mixed-methods research approach was implemented to examine the relations among cultural beliefs, perceived professional empathy, interpersonal emotions, and continuity of care among 237 Latin American (Latino) and non-Latino White (Anglo) American women that reported a negative healthcare encounter. Multi-group structural equation modeling revealed that for Latino and Anglo women, positive cultural beliefs about health professionals in …
Elections Have Consequences: Moral Value Foundations Ensure Gridlock Through The Ballot Box, Gregory John Regts
Elections Have Consequences: Moral Value Foundations Ensure Gridlock Through The Ballot Box, Gregory John Regts
Loma Linda University Electronic Theses, Dissertations & Projects
In the midst of unprecedented partisan polarization in the voting public and congressional gridlock in Washington, research in moral psychology has implicated reliance on differing moral value foundations between liberals and conservatives as a determinant of partisan divides. While Moral Foundations Theory (MFT) research has highlighted the effect of moral values on a variety of issues, little research has explained their effect on psychological factors and voting behavior related to fiscal concerns. Guided by Betancourt’s integrative model for studying culture, psychological factors, and behavior, the present study investigated the extent to which socially shared moral value foundations influence psychological reactions …
Do Clergy In Hidalgo County, Texas Serve As A Bridge Or Barrier To Mental Health Services?, John C. Park
Do Clergy In Hidalgo County, Texas Serve As A Bridge Or Barrier To Mental Health Services?, John C. Park
Loma Linda University Electronic Theses, Dissertations & Projects
Clergy play the role of frontline mental health (MH) workers for many Americans (Ellison et al., 2006; Wang et al., 2005; Winet, Majors, & Stewart, 1979). There is insufficient information in regards to what the clergy believe about MH and how they respond to MH related concerns. What we know indicates that clergy are not sufficiently equipped or trained to respond adequately to people suffering from issues of MH. Using face to face interview process, 301 clergy members of the faith based organizations (FBO) in Hidalgo County, Texas (HCT) were interviewed. Key findings suggest that the clergy engage in significant …
An Attribution-Emotion Approach To Political Conflict, Daniel Joel Northington
An Attribution-Emotion Approach To Political Conflict, Daniel Joel Northington
Loma Linda University Electronic Theses, Dissertations & Projects
The current political system in the United States is marked by extreme levels of partisan hostility and polarization, which has not only resulted in a dysfunctional congress, but also increasing conflict between partisan groups in the general electorate. While political scientists have offered various explanations for this phenomenon, social-psychological theories provide opportunities for empirical investigation of psychological explanatory factors. This study applied Betancourt’s attribution-emotion model of conflict and violence to the ultimate attribution error in order to develop a contemporary and comprehensive understanding of the psychological factors relevant to partisan-based intergroup relations. Five hundred sixty-four participants from various demographic backgrounds …
Use Of An Enhanced Engagement Approach To Increase Engagement In An Online Support Group, Ketlyne Sol
Use Of An Enhanced Engagement Approach To Increase Engagement In An Online Support Group, Ketlyne Sol
Loma Linda University Electronic Theses, Dissertations & Projects
Online support groups (OSGs) are potentially useful resources for individuals with chronic health problems who often face challenges in receiving desired support from similar others. Barriers such as limited mobility, time, distance, and desire for anonymity limit access to this support in traditional face-to-face groups. However, engagement in OSGs are well documented to have low user activity, despite the barriers they help to overcome. Several reasons for this low engagement are discussed. Study into engagement is limited by the fact that there are many different ways of measuring engagement, which are not consistent across studies. Furthermore, interventions to specifically improve …
Nondysphoric Depressive Symptoms And Cognitive Abilities In Healthy Older Adults, Clint H. Norseth
Nondysphoric Depressive Symptoms And Cognitive Abilities In Healthy Older Adults, Clint H. Norseth
Loma Linda University Electronic Theses, Dissertations & Projects
Research has shown that depression is associated with poorer cognitive performance and cognitive decline. Cognitive functions such as processing speed, language ability, memory, and executive functions have been found to be affected in older adults with depression. However, there is limited research focused on the effects of minimal or mild depressive symptoms in older adults who do not meet criteria for a depressive disorder. Older adults are more likely than any other population to endorse depressive symptoms in the absence of typical dysphoric symptoms that would qualify an individual for a depressive disorder. Understanding the effects of nondysphoric depressive symptoms …
Acceptability And Preferences For Empirically-Supported Psychological Treatments, Amanda Gorlick
Acceptability And Preferences For Empirically-Supported Psychological Treatments, Amanda Gorlick
Loma Linda University Electronic Theses, Dissertations & Projects
Over the past decade, mental health has been moving in the direction of empirically-supported treatments. Currently, there are many empirically-supported treatment modalities that have been shown to be efficacious for various psychological disorders, specifically mood and anxiety disorders. However, the face-to-face treatment literature reflects low levels of treatment access and participation. Approximately half of participants with clinically-significant levels of depression received some treatment, evidence-based or not (Kessler et al., 2007). Even for participants who are able to successfully access services, engagement with treatment is often low, and dropout rates are high. There is some evidence that participants’ preferences for treatment …
Assessment Of Geriatric Depression: Construction Of A New Screening Inventory, Earl C. Thorndyke Iii
Assessment Of Geriatric Depression: Construction Of A New Screening Inventory, Earl C. Thorndyke Iii
Loma Linda University Electronic Theses, Dissertations & Projects
Geriatric depression is strongly associated with increased healthcare costs, poor treatment outcomes, and mortality. Existing measures of depression in this population do not adequately account for more recent literature describing the presentation of depressed older adults, and thus may result in the underdiagnosis of depression in this population. The current study consistent of the development of a new, updated measure and examined its psychometric properties and potential clinical utility for diagnosing depression in adults over the age of 65. Participants were be recruited from multiple sources, including a community population from residential retirement communities, as well as inpatients and outpatients …
Parent Stress And Social Skills Development In Children With Developmental Delays, Andrea Lewallen
Parent Stress And Social Skills Development In Children With Developmental Delays, Andrea Lewallen
Loma Linda University Electronic Theses, Dissertations & Projects
The following dissertation is a compilation of two studies examining the impact of Mindfulness Based Stress Reduction (MBSR) on parents of children with developmental delays (DD) and the subsequent effects on child social development. Study one sought to examine whether changes in child social skills occurred after parent stress was reduced through an 8-week MBSR training group, and whether these changes were associated with improvements in parent-child relational factors. Data from 24 families of children with DD (ages 2.5-5) were examined in this study. Paired samples t-tests examining pre-post differences revealed that mothers, secondary informants, and teachers acknowledged improvements in …
Performance Of Number Of Factors Procedures In Small Sample Sizes, Marc Thomas Porritt
Performance Of Number Of Factors Procedures In Small Sample Sizes, Marc Thomas Porritt
Loma Linda University Electronic Theses, Dissertations & Projects
Recent studies have indicated that under the proper circumstances factor anaylisis may be accurately performed in samples as small as N = 9. However, all of these studies have extracted a pre-known number of factors, leaving an examination of determining the proper number of factors to future studies. The current study uses examines the following methods for determining the proper number of factors: Monte Carlo data to examine the performance of common versions of the Kaiser Rule, minimum average partial, parallel analysis and salient loading criteria under the conditions created by all possible combinations of method, model strength, overdetermination and …
Weight Stigma As A Mediator Among Bmi, Childhood Overweight, Body Image And Depression, Serena D. Stevens
Weight Stigma As A Mediator Among Bmi, Childhood Overweight, Body Image And Depression, Serena D. Stevens
Loma Linda University Electronic Theses, Dissertations & Projects
Higher body mass index (BMI), childhood overweight, and weight stigmatization are correlated with depression and body dissatisfaction. Given that overweight/obese individuals are likely to experience significant weight stigma, the goal of the current study was to examine the effects of current weight and childhood overweight on depression and body dissatisfaction, and to examine weight stigmatization as a mediator in these relationships. Participants were 380 undergraduate students from the University of South Florida (84.5% female) with a mean age of 21.18 (SD = 4.32) and a mean BMI of 23.86 (SD = 5.03). Of these students, 53.4% were White, 24.7% were …
Relationship Among Psychotherapy Measurements: Predictors Of Ors And Oq-45 Scores, Evan Lima
Relationship Among Psychotherapy Measurements: Predictors Of Ors And Oq-45 Scores, Evan Lima
Loma Linda University Electronic Theses, Dissertations & Projects
Psychological services have become increasingly important and accepted. The increase in the utilization of services has led to third party payers (e.g., insurance companies) paying more in reimbursement to providers of psychological services and therefore tightening parameters regarding how many sessions will be reimbursed. With the pressure from third party payers, a standardized means of monitoring client’s progress in treatment has become necessary. The goal of the current study was to determine whether (1) the trajectories of Outcome Questionnaire 45 (OQ-45) and Outcome Rating Scale (ORS) scores are the same over time, and if the Session Rating Scale (SRS) predicts …
Cultural Beliefs And Self-Efficacy In Diet Adherence Among Type 2 Diabetics, Sonika Kravann Ung
Cultural Beliefs And Self-Efficacy In Diet Adherence Among Type 2 Diabetics, Sonika Kravann Ung
Loma Linda University Electronic Theses, Dissertations & Projects
Type 2 Diabetes (T2D) is a global epidemic that disproportionately affects socioeconomic and ethnic minority populations (International Diabetes Federation, 2013). Mapuches, the largest Native American population in Chile, shifted from the lowest incidence of T2D to equal rates in comparison to mainstream Chileans within a decade (King & Rewers, 1991; Perez-Bravo et al., 2001). This may be due to economic growth and rapid nutritional shifts (Yu & Zinman, 2007). Previous research has identified the importance of cultural beliefs in explaining health behavior (Betancourt, Flynn, & Ormseth, 2011). This study, guided by Betancourt’s Integrative Model for Culture, Psychological Factors and Behavior …
Parental Stress And Child Behavior Problems In Families Of Children With Autism, Allyson Davis
Parental Stress And Child Behavior Problems In Families Of Children With Autism, Allyson Davis
Loma Linda University Electronic Theses, Dissertations & Projects
Background: Studies have shown that parents of children with autism spectrum disorders (ASD) exhibit higher levels of stress than parents of typically developing children or children with other types of developmental disabilities. This relationship appears to be mediated by elevated levels of behavior problems observed in children with ASD. However, little is known about what specific child behavior problems are most common in this population, how these behavior problems relate to parental stress, and/or how these behavior problems may impact the efficacy of a stress-reduction intervention. We examined the relationship between parenting stress and child behavior problems in parents of …
Stereotypes About Healthcare Professionals, Emotions, And Mammography Compliance, Kayla M. Kinworthy
Stereotypes About Healthcare Professionals, Emotions, And Mammography Compliance, Kayla M. Kinworthy
Loma Linda University Electronic Theses, Dissertations & Projects
Rates of mammography screening are particularly low for minority women, with only 42% of Latin American (Latino) women in the U.S. reporting having a mammogram in the last year as compared to 53% of non-Latino White (Anglo) women [1]. Minority patients are more likely to report negative healthcare encounters with their health professionals [2; 3], which may result in less favorable cultural stereotypes about healthcare professionals and more negative emotional reactions. Guided by Betancourt’s Integrative Model of Culture, Psychological Processes, and Health Behavior [4] and the Stereotype Content Model [5], the aim of the present research was to examine the …
The Effects Of Childhood And Combat-Related Trauma On Psychological Outcomes In Veterans, Alyson C. Hermé
The Effects Of Childhood And Combat-Related Trauma On Psychological Outcomes In Veterans, Alyson C. Hermé
Loma Linda University Electronic Theses, Dissertations & Projects
The current study examined if childhood trauma, combat-related trauma, and their interaction predict negative psychiatric outcomes, distress, PTSD, depression, and anxiety. Participants include included 1,281 US military veterans from Loma Linda Veterans Affairs Hospital. Childhood trauma and combat trauma were significantly correlated with the amount of psychological symptoms and distress veterans face when returning from deployment. Multiple regression analysis showed that childhood trauma and combat trauma significantly predicted poor mental health outcomes, distress levels, PTSD, anxiety, and depression. Their interaction predicted increased psychiatric symptoms in veterans such that high levels of one trauma resulted in increased symptoms no matter the …
Examination Of Psychopathic Traits And Attention Using The Image Based Parity Task, Veronica Claudia Llamas
Examination Of Psychopathic Traits And Attention Using The Image Based Parity Task, Veronica Claudia Llamas
Loma Linda University Electronic Theses, Dissertations & Projects
Psychopathy has been defined as including deficits in affective, cognitive, and behavioral functioning. Due to the severity of these deficits, several etiological theories have emerged in an attempt to better understand the personality construct. The response modulation hypothesis (RMH; Patterson & Newman, 1993) is a theory growing in popularity among researchers and posits that an inability to reallocate attentional resources to peripheral information moderates the affective and behavioral deficits commonly documented within individuals with psychopathy. Thus, the present study attempted to examine to test the validity of the RMH in a non-incarcerated population. The results somewhat support the theory that …
Predicting Cognitive Decline In Older Adults, Kimberly M. Baerresen
Predicting Cognitive Decline In Older Adults, Kimberly M. Baerresen
Loma Linda University Electronic Theses, Dissertations & Projects
The investigator sought to determine which neuropsychological tests are more likely to predict an individual’s cognitive decline (i.e., normal to mild cognitive impairment, mild cognitive impairment to Alzheimer’s disease) two years prior to conversion. A sample of non-decliners (N=109) compared to those who declined (N=24) in cognitive status (i.e., mild cognitive impairment or Alzheimer’s disease) with a mean age of 61.44 (SD=11.29) was examined. Results indicate the Rey-Osterrieth Complex Figure Test, Retention Trial (RCFT Retention; OR=0.93, p=0.005) is a significant predictor of conversion to MCI and the Buschke Delay (OR=0.54, p=0.017) is a significant predictor of conversion to AD. Due …
Cognitive Function In The Alcohol Addiction Treatment Population, Suranee Abeyesinhe
Cognitive Function In The Alcohol Addiction Treatment Population, Suranee Abeyesinhe
Loma Linda University Electronic Theses, Dissertations & Projects
Chronic alcohol abuse has been linked to several cognitive deficits, such as problems with spatial processing, decreased executive functioning, impaired verbal fluency, poor working memory, response inhibition, and social problems such as aggression and social deviance. In order for patients to benefit from treatment, they must be able to utilize multiple cognitive functions. Research has shown that patients suffering from cognitive impairments are much more likely to drop out of treatment early, thereby lending them to higher relapse rates. This study aimed to identify cognitive deficits present in the alcohol addiction treatment population, demographic factors associated with higher levels of …
Effects Of Cigarette Smoking On Neurocognitive Performance In Dementia Patients, Christina Mannino
Effects Of Cigarette Smoking On Neurocognitive Performance In Dementia Patients, Christina Mannino
Loma Linda University Electronic Theses, Dissertations & Projects
Dementia has become a serious problem worldwide due to the rapidly increasing incidence rate and the lack of effective treatments that cure or slow disease progression, and thus. prevention is crucial. Some studies suggests that cigarette smoking may increase the risk of developing dementia, but others suggest that smoking may have a neuroprotective effect. To clarify our understanding of the relationship between cigarette smoking and dementia, this study examined the effects of smoking on multiple cognitive domains via secondary data analysis of a sample consisting of 54% female subjects with an average age of 58±13 years. Measures of executive function, …
Simpatia And Negative Interpersonal Emotions In Continuity Of Health Care, Andres Gilberto Mendez
Simpatia And Negative Interpersonal Emotions In Continuity Of Health Care, Andres Gilberto Mendez
Loma Linda University Electronic Theses, Dissertations & Projects
Past research has demonstrated that continuity of care has positive outcomes for patients. Continuous care has been shown to have positive outcomes for the patient, including increased patient satisfaction, decreased hospitalizations, decreased emergency department visits, and improved receipt of preventive services. Guided by Betancourt’s Integrative Model for the Study of Culture, Psychological Processes, and Health Behaviors, the aim of this research was to examine the role of cultural scripts and mistreatment related negative interpersonal emotions on continuity of care among Latin American (Latino) and Non-Latino White (Anglo) women. Specifically, this study examined the effect of simpatía, a cultural script that …
The Impact Of Trauma And Attachment On Eating Disorder Symptomology, Julie A. Hewett
The Impact Of Trauma And Attachment On Eating Disorder Symptomology, Julie A. Hewett
Loma Linda University Electronic Theses, Dissertations & Projects
Previous research has shown both indirect and direct links between trauma and eating disorders. Those with eating disorder psychopathology have also demonstrated more insecure attachments. To explore relationship between trauma and eating disorder severity, female adults with Anorexia Nervosa (n = 36) and Bulimia Nervosa = 47) were compared on measures of attachment, trauma, body image disturbance, and eating disorder psychopathology. Eighty-six percent of participants reported at least one traumatic experience. Trauma, attachment, and body image disturbance independently predicted eating disorder severity. However, there were no mediating or moderating effects of attachment or body image disturbance on eating disorder psychopathology.
Cultural And Psychological Predictors Of Adolescent Smoking Behaviors, Susan Lee
Cultural And Psychological Predictors Of Adolescent Smoking Behaviors, Susan Lee
Loma Linda University Electronic Theses, Dissertations & Projects
Studies show that smoking rates differ across ethnic groups, but it remains unclear why this is the case or what unique factors predict smoking behaviors in each group. No studies have examined the role culture plays in smoking behaviors in the context of other commonly cited predictors of behaviors. Participants included 42 students recruited from De Anza 9th grade Academy in Southern California. The mean age of the students was 15 years old (SD = 0.55). This age group was selected because it is the time when adolescents are most likely to first try smoking. There were 51.2% males and …
Fibromyalgia And Rheumatoid Arthritis: The Relationship Between Pain, Depression, And Family Health, Macey Wolfe
Fibromyalgia And Rheumatoid Arthritis: The Relationship Between Pain, Depression, And Family Health, Macey Wolfe
Loma Linda University Electronic Theses, Dissertations & Projects
Past research suggests that there is a positive relationship between pain and depression in those with fibromyalgia and rheumatoid arthritis, and negative relationship between depression and family health. However, these relationships have not been examined together using hierarchical linear modeling. Participants were 90 patients with either a fibromyalgia or rheumatoid arthritis diagnosis. A series of questionnaires were used to measure depression, pain, and family health. Using a path analysis it was determined that pain was significantly associated with depression, such that as pain increased by one standard deviation depression increased by .48 standard deviations (β = .48, p < .05). Depression was also significantly associated with family health as depression increased by one standard deviation, family health decreased by .23 standard deviations (β = -.23, p < .05). The relationship between all three of these variables, pain, depression and family health, suggests social support should be considered a target of therapy and services as soon as clients experiencing pain are seen by mental health or health professionals as a proactive attempt to stave off more negative consequences of the pain experienced in this patient group.