Health Psychology Commons^™

Methodological Issues In Occupational-Stress Research: Research In One Occupational Group And Its Wider Applications, Irvin Sam Schonfeld, Jaesoon Rhee, Fang Xia

Publications and Research

The chapter addresses a number of important methodologic issues that are relevant to occupational-stress researchers. The issues addressed have arisen in the context of an ongoing research program involving cross-sectional and longitudinal studies of stress in teachers; the issues, however, apply to occupational research in general. The first issue involves measurement strategies required in operationalizing the stress process. The focal concern is the reduction of confounding in measures of the work environment. The second issue encompasses the question of whether to sample new or veteran workers. The third issue applies to types of job stressors. The chapter describes a …

The Relationships Among Competitiveness, Age And Ability In Distance Runners, Robert C. Eklund, Jeffrey J. Martin, Alan L. Smith

Kinesiology, Health and Sport Studies

The purpose of this study was to examine relationships suggested by general achievement motivation literature and the popular literature in sport using the Sport Orientation Questionnaire (SOQ). The current study examined if faster runners are more competitive than slower runners, if older athletes were less competitive than younger athletes, and if faster runners were more goal oriented than slower runners. Distance runners (n=80), ranging from 10 to 61 years old completed race packets containing a cover letter, consent forms, the SOQ and a demographic questionnaire. Runners averaged 32.9 years of age and reported levels of competitiveness and goal …

Personality Variables In Weeping Propensity, Michelle C. Lamb

All-Inclusive List of Electronic Theses and Dissertations

Until recently, few empirical studies have explored crying reactivity in normal adults. The present study investigated adult weeping by first developing the Weeping Propensity Scale (WPS) and then by comparing scores on that scale to traits which had been hypothesized to be related to weeping propensity. The WPS is a self-report, 22 item, Likert-type scale designed to measure an individual's tendency to react to emotional stimuli with tears. Factor analysis results and internal consistency are reported for the WPS. In order to investigate traits hypothesized to be related to the WPS, 173 university students completed the WPS, the Questionnaire Measure …

Sex Differences In Coping, Judy L. Johnson

All-Inclusive List of Electronic Theses and Dissertations

Nolen-Hoeksema (1987, 1991) has suggested that males engage in more problem-focused, distractive, coping strategies, whereas females engage in more emotion-focused, ruminative, coping strategies. This study tested NolenHoeksema's response styles theory, which suggests that using a ruminative response style may predispose women to depression more than men. It also examined perceptions of effective coping and utilization of social support. One hundred and twenty subjects completed the Ways of Coping Checklist, a coping questionnaire, the Perceptions of Coping Questionnaire, the Hopkins Symptom Checklist-25, the Inventory of Socially Supportive Behavior, and the Personality Attributes Questionnaire. Results provide evidence for sex differences in the …

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

Loma Linda University Electronic Theses, Dissertations & Projects

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

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

The Identification And Magnitude Estimation Of Stressors In A Selected Military Population At One Training Command, Susan W. Miller

Community & Environmental Health Theses & Dissertations

The purpose of this study was to identify the most stressful aspects of being a student at a military training command. ·Forty students listed the significant stressors that they encounter at the training command. This list was reviewed and consolidated into a stressor rating questionnaire with 16 stressors. A convenience sample of 86 students rated the stressors. In the second part of the study, the students rated the stressors on a scale of "0 to 1000". The study revealed that the most significant stressors for students were absence of family and friends, uncertainty about their future, dealing with instructor's attitudes, …

Identification Of Which High Risk Youth Smoke Cigarettes Regularly, Alan W. Stacy, Steve Sussman, Clyde W. Dent, Thomas R. Simon, Dee Burton, Brian R. Flay

CGU Faculty Publications and Research

This study investigated which variables distinguish high school-aged adolescents who identify themselves as members of a high-risk group and, among them, those who report regular (weekly) vs. light levels of cigarette smoking. Youth who identified with a high-risk group were most likely to report problem-prone characteristics, such as a preference to take risks and smoke cigarettes. Yet, only half of them reported regular levels of smoking. Two variables delineated light smoking among these youth: not having a close friend who smoked and placing an importance on health as a value. Development of new tobacco-use prevention strategies to impart health values …

Cognitive Motivations And Sensation Seeking As Long-Term Predictors Of Drinking Problems, Alan W. Stacy, Michael D. Newcomb, Peter M. Bentler

CGU Faculty Publications and Research

The development of comprehensive theories regarding the determinants of
vulnerability toward drinking problems depends in part on longitudinal evidence
linking psychosocial precursors to clinically-relevant problem consequences. In
an investigation of some of the more promising psychosocial precursors of
problem vulnerability, we evaluated the long-term predictive effects of adolescent
cognitive motivations for alcohol use and sensation seeking on a wide variety of
adult drinking-problem consequences including driving while intoxicated (DWI).
Results indicated that the Cognitive Motivation factor was a significant, independent, nine-year predictor of a factor of Drinking-Problem Consequences. Over this same period, certain cognitive motivation and sensation seeking indicators independently …

Gender And Age Differences In Self-Generated Coping Strategies For Depression, Joan R. Hudson

All-Inclusive List of Electronic Theses and Dissertations

This study examined coping strategies generated by a community sample of 527 adult men and women in response to three vignettes that described various presentations of depression. Analyses revealed quantitative differences by vignette and by subject variables. Results indicated that women gave more coping strategies than men. Social support was the most frequently suggested method of coping, and younger subjects mentioned it significantly more than older adults. Younger subjects also suggested ~ore inactive coping strategies in general. situational context was a strong determinant of type of strategy suggested, although beliefs about depression also influenced coping strategies. Results of multiple regression …

Shared Responsibility For Medication Use : An Experiment, Marjorie Tessner

Loma Linda University Electronic Theses, Dissertations & Projects

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

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

Assessing Stress In Teachers: Depressive Symptoms Scales And Neutral Self-Reports Of The Work Environment, Irvin Sam Schonfeld

Publications and Research

The focal interest of this chapter on teacher stress is methodologic. The chapter enumerates a number of defects in existing measures of job stress in teachers and, concomitantly, other helping professionals. Alternative ways of measuring stress in teachers are suggested and evaluated. The use of depressive symptom scales in concert with more 'objective' measures of the work environment is discussed. An application of the proposed alternative measurement strategy is described. The wider utility of the measurement strategy is briefly described.

Nurse Manager Role Stress, Rosemarie Mohn

Ellmer School of Nursing Theses & Dissertations

The purpose of this study was to examine the influence of decision-making style, and right and left brain function on nurse manager role stress. Data were collected from 48 nurse managers employed at four acute care facilities along the Atlantic seaboard. A nonexperimental correlation descriptive design was utilized to determine if any positive or negative correlation existed between study variables and levels of stress. Findings suggested that nurse managers experienced moderate amounts of role stress, including role conflict and role ambiguity. One significant statistical correlation existed between role ambiguity and the decision making dimension of intuition. Recommendations for future research …

Dimensions Of Functional Social Support And Psychological Symptoms, Irvin Sam Schonfeld

Publications and Research

In the summer following graduation a sample of 125 female college graduates (mean age = 28) completed Cohen & Wills' ISEL (1985) which includes scales measuring four social support functions: belonging (social companionship), appraisal (availability of confidants), tangible (instrumental), and self-esteem support. In the summer and fall subject status on two outcome scales was ascertained: the Psychophysiologic Symptom Scale and the Center for Epidemiologic Studies Depression Scale (CES-D). Reliability of the difference scores suggested that the ISEL scales do not measure entirely different constructs and the ISEL Self-esteem Scale is operationally redundant with the Rosenberg Self-esteem scale and the CES-D. …

An Explanatory Study Of Maternal Stress And Coping With A Cystic Fibrosis Child, Leslie G. Potter

Ellmer School of Nursing Theses & Dissertations

The purpose of this study was to explore the concept of coping with a cystic fibrosis (CF) child and to define coping strategies from the perspective of the mother. The research design was based upon a phenomenological approach with analysis of transcribed, semi-structured interviews with mothers of CF children. A purposive sample of eight mothers with CF children were interviewed to explore the maternal CF experience. Each interview was tape recorded and followed up with a phone call to allow the mothers to add additional information, if so desired. Data analysis consisted of reviewing each typed, verbatim transcript to categorize …

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

Loma Linda University Electronic Theses, Dissertations & Projects

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

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

Self-Esteem And Perceived Barriers To And Benefits Of Exercise Among Physically Active And Non-Physically Active College Students, Barbara Brown Bonheur

Ellmer School of Nursing Theses & Dissertations

The purpose of this exploratory study was to examine differences in self-esteem, perceived benefits of and perceived barriers to exercise between exercisers and non-exercisers and to determine if relationships existed between self-esteem, perceived benefits of exercise and perceived barriers to exercise, that could explain participation in regular aerobic exercise. A sample of 105 university students completed four questionnaires. The level of social desirability present in participant responses was also measured. Five hypotheses were tested. Utilizing t-tests, a significant difference was found between exercisers and non-exercisers on self-esteem, perceived benefits of exercise, and perceived barriers to exercise. The three variables (self-esteem, …

Effects Of Age On Motor Preparation And Restructuring, Paul Amrhein, Noreen Goggin, George Stelmach

Department of Psychology Faculty Scholarship and Creative Works

Age-related decrements in motor plan restructuring were investigated. In this experiment, older and younger adults performed a discrete aiming task that involved responses that were precued and responses that were modified at the time of an imperative signal. On 75% of the trials, the precue specified the response-stimulus (valid trials) with respect to the movement parameters of the arm (left or right) and direction (toward or away). On the remaining 25% of the trials, the response-stimulus was different from the precue (invalid trials) in that the subject was required to modify a planned movement by changing the arm to be …

Introducing The Living With Illness Group: A Specialized Treatment For Patients With Chronic Schizophrenic Conditions, Thomas G. Plante, Stephanie L. Pinder, David Howe

Psychology

This paper introduces a specialized psychotherapy/psychoeducational group treatment for patients with chronic psychotic symptoms who receive only partial benefit from psychotropic medications, psychotherapy, and milieu/activities therapy. The goal of the group is to assist patients to accurately identify the feelings, thoughts, and behaviors that are dysfunctional symptoms of their disability and then use the functional aspects of their brain as well as learned coping strategies to compensate for their disability. The group format, philosophy, procedures, and typical topics of discussion are detailed.

Development And Testing Of The Stress Adaptation Scale For Parents With Chronically Ill Children (Sasp), Carolyn M. Rutledge

Ellmer School of Nursing Theses & Dissertations

This research study consisted of four phases used to develop and test the Stress Adaptation Scale for Parents with Chronically Ill Children (ASP). The first phase dealt with developing the items on the SASP from a review of the literature and the researcher's professional experience. The SASP was then divided into the six categories of health care, social, personal, familial, financial, and spiritual. In phase II, content validity was evaluated by a panel of experts. In phase III, stability over time and face validity was demonstrated using 26 parents of chronically ill children. The SASP achieved a Pearson's r=.85 with …

The Influence Of Nursing Experience And Education On Nurses Inferences Of Patients' Suffering, Patricia A. Coots

Ellmer School of Nursing Theses & Dissertations

A primary dimension of nursing is caring tor patients who suffer. This study examined the inferences made about patients' suffering oy 65 registered nurses employed in acute care health facilities. Utilizing The standard Measure of Inferences of Suffering Questionnaire. the purpose of the study was to explore the influence of nursing education and experience on the degree of pain and psychological distress inferred by the nurses. Analysis of Covariance was used to test for group differences on the basis of nursing education when number of months of nursing experience was controlled. Although nursing education did not influence nurses' inferences of …

Understanding The Psychological Impact Of Aids: The Other Epidemic, Marshall Forstein

New England Journal of Public Policy

HIV has created two epidemics, one of disease, the other the consequence of the psychological response to that disease. Thus far, behavioral change is the only effective means of interrupting the transmission of HIV. The underlying psychological dimensions of the societal and individual responses to AIDS are discussed, with suggestions for how both rational thinking and irrational fears and anxiety contribute to the development of public policy. Examples are given of how short-term solutions to reduce anxiety may actually create long-term problems, potentially increasing the risk of transmission of HIV. Specific psychological mechanisms that contribute to the epidemic of fear …

Depression In College Students: Construct Validity Of The Student Experience Inventory, Angela Kramp

Masters Theses & Specialist Projects

Research suggests that the population of undergraduate college students may be especially prone to depression. While the prevalence of depression within the general population ranges from 3 to 9 percent (Boyd & Weissman, 1981), it has been shown that between 15 and 46 percent of undergraduate college students suffer the symptoms of mild to severe depression (Beck & Young, 1978; Oliver & Burkham, 1979). Although depression is prevalent among college students, there are no known instruments yielding indices of depression specific to the college population. In fact, depression measures frequently employed in college settings seldom recognize the unique features of …

Ethnicity And Lifetimes: Self Concepts And Situational Contexts Of Ethnic Identity In Late Life, Mark Luborsky, Robert L. Rubinstein

Anthropology Faculty Research Publications

This chapter reports on finding from a study of ethnic older men, aged 65 an older (Jewish, Irish, and Italian) who were widowed from 2 to 8 years after a long-term study. It focuses on life reorganization after the initial bereavement period. It identifies key issues in the process concerning continuity and change in identity reformulation, changes in health and activity patterns, ethnic identity and lingering attachment to the deceased spouse. Ethnicity as a dynamic life course process, shaped by contextual and historical dimensions, and personal meaning processes are highlighted. Supported by NIH# R01-AG005204

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

Loma Linda University Electronic Theses, Dissertations & Projects

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

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

A Study Of Loneliness And Health Related Complaints In Residents Of High Rise Apartment Buildings For The Elderly, Susan H. Jones

Ellmer School of Nursing Theses & Dissertations

The purpose of this study was to explore feelings of loneliness among relocated elderly residents of age-segregated, high-rise apartment buildings and any relationship between these subjective feelings of loneliness and certain variables which were hypothesized as predictors of feelings of loneliness. The variables studied in relation to loneliness were cathectic investment, activity, and perceptions of health. A non-experimental survey design where data were collected by interviewing subjects was used. The sample consisted of 18 female residents of a high-rise apartment building for the elderly. Each was interviewed using the Loneliness Rating Scale developed by Dr. Gloria M. Francis and a …

The Effect Of Therapeutic Touch On Anxiety And Physiological Measures, Marie Nicholas Bremner

Ellmer School of Nursing Theses & Dissertations

The purpose of this study was to investigate the relationship of therapeutic touch to anxiety, blood pressure, heart rate, and respiratory rate of 30 hospitalized women between the ages of 30 and 65 with the medical diagnosis of cancer. Subjects were matched into three intervention groups; three consecutive days subjects received a five minute intervention by therapeutic touch, casual touch, or no touch. A-trait and A-state anxiety were measured by the Self-Evaluation Questionnaires developed by Spielberger, Gorsuch, and Lushene. A factorial two-way analysis of variance revealed that subjects who received intervention by therapeutio touch experienced a significant reduction in A-state …

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

Loma Linda University Electronic Theses, Dissertations & Projects

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

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

The Effects Of Exercise On Women's Self-Esteem, Wendy Laurie Biddle

Ellmer School of Nursing Theses & Dissertations

The effects of a 12-week session of aerobic dancing were examined on two groups of women, assigned into fit and unfit groups. The subjects had voluntarily enrolled in aerobic dancing prior to the study. Self-Esteem scores were obtained using the Rosenberg Self-Esteem Scale during the first and tenth or eleventh weeks of the session. Pretest and posttest scores were analyzed along with the variables of age, marital status, weight loss, and smoking habits. A significantly higher gain score (posttest score subtracted from pretest score) was found on those women who attended three weekly classes compared to those who attended two …

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

Loma Linda University Electronic Theses, Dissertations & Projects

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

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

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

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

Loma Linda University Electronic Theses, Dissertations & Projects

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

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