Health Psychology Commons^™

Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune

Antioch University Dissertations & Theses

Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …

Green Exercise And Rural America: Cultural, Ecological, And Ideological Implications For Positive Social Change, Joshua M. Garrin

Journal of Sustainable Social Impact

As the global obesity pandemic continues to extend its epidemiological reach, its magnitude continues to transcend demographic boundaries. Increasingly, the extant literature highlights the myriad challenges experienced by socioeconomically disenfranchised populations to combat the insidious biopsychosocial impact of chronic health conditions. However, a counter argument suggests that rural Americans have wide ranging access to the natural environment—an intrinsic resource that offers a broad spectrum of health and wellness opportunities. Beyond its application as a tool for good health practices, green exercise—defined as physical activity in natural settings—can provide an existential platform for the ideals of self-sufficiency, solidarity, and sustainability. A …

Unequally Distributed Psychological Assets: Are There Social Disparities In Optimism, Life Satisfaction, And Positive Affect?, Julia K. Boehm, Ying Chen, David R. Williams, Carol Ryff, Laura D. Kubzansky

Psychology Faculty Articles and Research

Socioeconomic status is associated with health disparities, but underlying psychosocial mechanisms have not been fully identified. Dispositional optimism may be a psychosocial process linking socioeconomic status with health. We hypothesized that lower optimism would be associated with greater social disadvantage and poorer social mobility. We also investigated whether life satisfaction and positive affect showed similar patterns. Participants from the Midlife in the United States study self-reported their optimism, satisfaction, positive affect, and socioeconomic status (gender, race/ethnicity, education, occupational class and prestige, income). Social disparities in optimism were evident. Optimistic individuals tended to be white and highly educated, had an educated …

Shock Incarceration Programs Creative Problem Solving, Djuana L. Munn

Creativity and Change Leadership Graduate Student Master's Projects

Abstract of Project

Shock Incarceration Programs Creative Problem Solving

Many women who are incarcerated inside correctional boot camp prisons might have substantial low self-esteem that could worsen due to the stress of the prison environment, confinement, and being far away from their children and family members. Shock Incarceration or “boot camp” male correctional programs are degrading for female inmates: They do not meet the special needs and problems of women. Programs are based on control theory, which implies that an individual’s behavior assimilates to that which is expected by society. Female inmates are taught discipline and responsibility by “breaking down …

The Paradox Of Commercial Photography: Power And Sexuality In Models, Christina Bell

e-Research: A Journal of Undergraduate Work

Commercial photography has a tendency to force upon us a standard template of what the ideal person is or looks like. Unfortunately, the artificial standard is horribly unachievable and detrimental to physical and mental health, which produces sentiments of insufficiency and abjection with the self, especially among young impressionable girls. In a sick - and very modern - twist of evolutionary progress we find ourselves idealizing the depictions of models appearing to be on the verge of starvation. This article examines the power and sexuality in models produced through commercial photography and its effects on society at-large.

Collaborative Treatment Of Late-Life Depression In Primary Care (Germanimpact): Study Protocol Of A Cluster-Randomized Controlled Trial, Iris Wernher, Frederike Bjerregaard, Iris Tinsel, Christiane Bleich, Sigrid Boczor, Thomas Kloppe, Martin Scherer, Martin Härter, Wilhelm Niebling, Hans-Helmut König, Michael Hüll

Institute on Aging Publications

Background: Depression is not a normal side effect of aging, however it is one of the most prevalent mental health issues in later life, imposing a tremendous burden on patients, their families, and the healthcare system. We describe the experimental implementation of a collaborative, stepped-care model for the treatment of late-life depression (GermanIMPACT trial) in the German primary care context. GermanIMPACT was developed as an adaptation of a successful and widely used American model. The aim of the study is to evaluate the model’s applicability to the German primary care setting and its cost-effectiveness.

Methods/Design: The study will be conducted …

Emerging From The Shadows: Civil War, Human Rights, And Peacebuilding Among Peasants And Indigenous Peoples In Colombia And Peru In The Late 20th And Early 21st Centuries, Charles A. Flowerday

Department of Anthropology: Theses and Student Research

Peacebuilding in Colombia and Peru following their late-20^th and early 21^st century civil wars is a challenging proposition. In this study, it becomes necessary as indigenous peoples and peasants resist domination by extractive industries and governments in their thrall. Whether they protest nonviolently or rebel in arms, they are targeted for human-rights violations, especially murder, disappearance and displacement. The armed actors, state, insurgency, paramilitaries or drug traffickers, destroy civic institutions (local or regional government) and the civil (nonprofit) sector and replace them with their own authoritarian versions. Therefore, peacebuilding has emphasized rebuilding civic institutions, civil society and local …

Practicing Patienthood Online: Social Media, Chronic Illness, And Lay Expertise, Collette Sosnowy

Publications and Research

The use of digital technologies and social media by people with serious illness to find, share, and create health information is much celebrated but rarely critiqued. Proponents laud “Health 2.0” as transforming health care practice and empowering patients. Critics, however, argue that a discourse of developing lay expertise online masks the disciplinary practices of the neoliberal state’s emphasis on individual responsibility. Notably, the perspectives of people who are engaging with social media related to their health and illness are under-represented in this debate. This research examines the experiences and perspectives of women who blog about their lives with Multiple Sclerosis …

Reducing Stigma Toward The Transgender Community: An Evaluation Of A Humanizing And Perspective-Taking Intervention, Tanya L. Tompkins, Kay Livesay, Chloe N. Shields, Caitlyn C. Talbot, Kimberly M. Hillman

Faculty Presentations

Transgender (TG) individuals are an understudied group at high risk of experiencing discrimination and associated adverse mental health outcomes (IOM, 2011). Although many studies demonstrate that contact reduces negative attitudes toward out-groups, few studies have examined the link between contact and attitudes toward the TG community (Hill & Willoughby, 2005; Walchet al., 2012). This study represents one of the first attempts to understand how to effectively reduce stigma toward the TG community. Results indicate that education alone is not enough to change attitudes; in fact, there is some evidence that associating transgenderism with psychopathology may heighten stigma. Consistent with prior …

Improv To Improve Interprofessional Communication, Team Building, Patient Safety, And Patient Satisfaction, Candace A. Campbell

Doctor of Nursing Practice (DNP) Projects

The purpose of this process improvement project was to implement a test of change within a healthcare team utilizing applied improvisational exercises (AIEs), and to lay the groundwork for more effective inter- and intra-professional communication.

Literature review: AIEs have been shown to facilitate individual participant communication strengths through a process of un-learning certain common behavioral habits, and learning new habits that assist in creating and expanding closed-loop communication. Such un-learning and learning enriches the participant’s awareness of the environment and encourages participant adaptability through positive group interactions.

Method: An all-day AIE seminar/workshop was conducted with members of two healthcare teams …

Possible Psychosocial Benefits Of Having A Sibling With A Disability, Jenna M. Talbott

Senior Honors Theses

Possible psychosocial benefits resulting from exposure to siblings with disabilities are investigated in the current study. Previous literature has generally overlooked the possibility of psychosocial benefits by exclusively focusing on the negative effects of having a sibling with disabilities. Contact theory suggests that the increased exposure to individuals with disabilities should increase positive attitude toward those who are struggling with disadvantages. This investigation hypothesized that this tendency would be manifested as elevated empathy and compassion in individuals who have siblings with disabilities, and that these traits would be influenced by certain demographic variables. A survey was distributed, and the responses …

Depression Is More Prevalent Throughout Pregnancy And The First Six Months Postpartum In Women Low In Religious Commitment And Social Support, Andrea D. Clements, Tifani A. Fletcher, Beth A. Bailey

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

Gender And Personality Influence Video Gamers, Hannah Marie Redwine

Honors Program Theses and Research Projects

Video game preference, avatar similarity, and problem video game playing were examined to investigate potential relationships with gender and personality. Previous research (Elliott, Ream, McGinsky & Dunlap, 2012) focused on adolescents, however, the current study focuses on adults 18 years of age and older. Undergraduate students of St. Mary's University (N=15) and 2013 WorldCon attendees (N=32) were surveyed using an online survey that utilized the Ten-Item Personality Inventory (TIPI; Gosling, Rentfrow & Swann Jr., 2003), the Problem Video Game Playing measure (PVP; Salguero & Moran, 2002), demographic questions, and other measures. Avatar similarity and best avatar use were found to …

Problematic Alcohol Use And Sexual Assault Among Male College Students: The Moderating And Mediating Roles Of Alcohol Outcome Expectancies, Antover P. Tuliao, Dennis E. Mcchargue

Department of Psychology: Faculty Publications

Background and Objectives: Extant research shows a strong relationship between alcohol use problems and sexual aggression. However, less is known about the effect of intermediary factors (eg, alcohol expectations) that may increase the likelihood of and/or explain sexual aggression during alcohol-related incidents. The present study examined alcohol outcome expectancies’ (OE) mediating and/or moderating influence on the relationship between problematic alcohol use severity and sexual aggression among male college students.

Methods and Result: One hundred and forty eight (n = 148) male college students volunteered for the study. Seventyseven males self-reported committing at least one act of sexual aggression in …

A Mother's Paradox: Choosing A Birthing Method In The 21st Century, Jenae Franklin

Pitzer Senior Theses

Investigating childbirth, one of the biggest moments of a woman’s life, this thesis examines the reasons behind women’s preferred birthing methods. This research explores the fundamental decisions women make during the birthing process: the amount of prenatal care mothers will receive, the type of health care provider they will use, picking the place of delivery, views on technological and medical interventions, and outlooks on natural childbirth. In addition to an extensive literature review, in-depth interviews with mothers, midwives, and obstetricians are used to examine the various controversies of childbirth. This thesis begins with a review of the transition from midwives …

Assessing Transgender Attitudes Toward Health Care: Can These Attitudes Help Predict Health Outcomes?, Sara M. Shane

PCOM Psychology Dissertations

Research has identified the fact that race/ethnicity, sexual orientation, gender identity, socioeconomic status, education level, geographic location, help seeking behaviors, and experiences of discrimination are associated with health outcomes. In addition, attitudes towards providers can also help determine health outcomes. The transgender community experiences barriers to health care services and therefore their overall health is affected. There is not a sufficient amount of literature that assesses, using standardized measure, the attitudes of the transgender community and their health. The present study will assess the attitudes of the transgender community toward health care (mental and medical health) and, using standardized measures, …

Rural Latino Adolescent Health: Preliminary Examination Of Health Risks And Cultural Correlates, Timothy D. Nelson, Katherine M. Kidwell, Brian E. Armenta, Lisa J. Crockett, Gustavo Carlo, Les B. Whitbeck

Department of Psychology: Faculty Publications

Latino adolescents living in rural settings may be at increased risk of health problems; however, data describing the health status of this population are limited. This study examined 60 rural Latino adolescents and found high rates of health risk, including at-risk/clinical results for hemoglobin A1C (23.3%), high-density lipoprotein cholesterol (55%), systolic blood pressure (21.7%), and overweight/obesity (55%). Time in sedentary behaviors was high and physical activity was limited. Adolescent language use was associated with health risk status, with greater use of English associated with lower risk. Health psychologists could promote improved health by providing health behavior interventions to this underserved …

The Will To Lead: The Dynamic Integration Of Intrinsic Motivation And Social Change Leadership, Joshua M. Garrin

Journal of Sustainable Social Impact

Discourse on the psychosocial substrates of human motivation reflects a hot-button theme in contemporary leadership research circles. For many aspiring leaders, role models and social support provide an undercurrent for instilling leadership attributes. Yet for others, the drive to optimize leadership potentials is a naturally occurring, internally guided event that is continually reinforced through self-regulatory processes. As such, questions remain as to which intrinsic motives underpin the leadership potentials that have implications for social change agency. To date, the extant literature fails to offer a comprehensive model that highlights (a) the self-motives that have preeminent applicability to intrinsic motivation, (b) …

The Power Of Workplace Wellness: A Theoretical Model For Social Change Agency, Joshua M. Garrin

Journal of Sustainable Social Impact

As millions of individuals face the complex challenge of adopting prohealth behavior as a core lifestyle attribute, there is an ever-increasing need to take an opportunistic approach to practicing and internalizing such behavior. Time constraints, prioritization, and time mismanagement widely contribute to the perceived inability of individuals to adhere to prohealth behavior. Given vocation as a demand that constitutes approximately one third of daily life activity, the organizational setting has emerged as a context that can potentially offer a vast array of viable workplace wellness (WW) opportunities. Such initiatives go beyond framing organizations as vehicles for health behavior promotion—instead, the …

Dating Violence On Small Rural College Campuses: Are Administrator And Student Perceptions Similar?, Jean Allen Oldham

Theses and Dissertations--Kinesiology and Health Promotion

In recent years dating violence has become more and more prevalent on college campuses. Reports of the range of dating violence vary widely, with studies reporting from 20% to 85% of college women experiencing dating violence. However, almost all research has been conducted among urban and/or large colleges and universities, with virtually no attention to what is happening on small and/or rural college and university campuses.

When a possible 20% of college women have experienced dating violence on college campuses, there becomes a crucial need for administration at a college to have an accurate assessment of the college’s liability, and …

Reimagining My Body, Center For Public Service

SURGE

I stood there, shoulders slouched, elbows locked, hands glued to the side of the toilet. My body convulsing, I told myself, “this is the last time, just one more time and you’ll get back on track tomorrow.” It wasn’t the last time. I had been forcing myself to purge for months at this point, and each time I hated myself for it.

It was something I couldn’t control. It wasn’t out of a need for attention as so commonly thought, but a pure need to be the unreachable level of thin that I thought would make me beautiful. I was …

The Relationship Between Sex-Typing And Help-Seeking Behaviors In Adults, Joshua Juvrud

UNLV Theses, Dissertations, Professional Papers, and Capstones

The process of expressing what is masculine promotes attitudes and behaviors that can discourage men from seeking help, contributing to numerous health issues in males. The purpose of this study was to explore how personally endorsed gender stereotypes vs. gender stereotyped attitudes impacted help-seeking behavior. In the current study, female and male adults completed challenging puzzle tasks, recalled previous health help-seeking behavior, and completed sex-typed measures. Females utilized personally endorsed gender stereotypes more during the puzzle tasks, while males utilized both personally endorsed gender stereotypes as well as gender stereotyped attitudes. When males recalled health-related events, however, personally endorsed feminine …

The Problem With Adhd: Researchers' Constructions And Parents' Accounts, Bora Pajo, David Cohen Dr.

All Faculty and Staff Scholarship

An enduring controversy over the nature of ADHD complicates parents’ decisions regarding children likely to be diagnosed with the condition. Using a fallibilist perspective, this review examines how researchers construe ADHD and acknowledge the controversy. From a systematic literature search of empirical reports using parents of ADHD-diagnosed children as primary informants, 36 reports published between 1996 and 2008 (corresponding to 30 studies) were selected. Data on the studies’ characteristics and methodologies, definitions of ADHD, and extent of the acknowledgment of the ADHD controversy were extracted, as were data on a wide range of parental concerns and experiences. Researchers in 27 …

Child Emotional Abuse And Its Relationship To Obesity, Kelly Anderson Driscoll

Sociology & Criminal Justice Theses & Dissertations

Over the past 30 years in the United States childhood obesity has more than tripled (Center for Disease Control and Prevention, 2010). In 2008, 18.5% of adolescents of the age 12-18 years old were obese in the United States (Center for Disease Control and Prevention, 2010). With the increase of obesity Americans have spent approximately 9% of their total medical costs on obesity-related illnesses (Finkelstein, Fiebelkorn, &Wang, 2003). Previous research documented the relationship between virtually every form of child abuse and subsequent obesity. Restricting focus to child emotional abuse, while studies have linked emotional abuse to the long-term consequence of …

The Role Of Appearance In Perceptions Of Personal Trainers 2013., Patrick R. Boerner

Master's Theses

The field of personal training in the United States is believed to have begun in the late 1970‟s and the early 1980‟s (Brooks, 2004). Today, personal training is a healthy profession that, according to the United States Department of Labor and the Bureau of Labor Statistics (2012), is expected to grow 24% (60,400 jobs) between 2010 and 2020. In comparison, the Bureau of Labor Statistics (2012) predicts the average growth rate for all occupations within the U.S. to be only 14% during the same ten-year span. Rapid growth within the field of personal training has brought an increased scrutiny on …

Still In The Shadows: A Content Analysis Of Sexual Addiction In Couple Therapy, Austin Ellis, Quintin Hunt, Tod Young, Rebecca Nemecek, Jordan Staples, Stephen Fife, Colleen Peterson

Graduate Research Symposium (2010 - 2017)

There is no universally accepted definition of “sex addiction” in the literature, though it is generally understood as persistent patterns of sexual behaviors acted out despite negative consequences to self or others (Kafka, 2010; Levine, 2010). Though sexual addictions are often addressed individually, most take place within a social context that includes family members and/or intimate relationships. The purpose of this presentation is to present the results of a content analysis of M/CFT peer-reviewed journals and summarize the extent to which this literature addresses sexual addictions and couples therapy. The content analysis adds to the existing literature by examining the …

Marital Status And Religious Commitment Predict Prenatal Tobacco, Alcohol, And Illicit Substance Use In Southern Appalachia, Andrea D. Clements, Tifani R. Fletcher, Lana Mcgrady, Beth A. Bailey

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

Religious Commitment And Depression During Pregnancy, Tifani R. Fletcher, Andrea D. Clements, Lana Mcgrady, Beth A. Bailey

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

The Ticking Of The “Biological Clock”: Worry About Future Fertility In Nulliparous Women, Karen E. Kersting

Theses and Dissertations

Abstract

Title: The Ticking of the “Biological Clock”: Worry about Future Fertility in Nulliparous Women

By: Karen Kersting, M.A., M.S.

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University.

Virginia Commonwealth University, 2013.

Major Director: Kathleen M. Ingram, J.D., Ph.D.

Associate Professor of Psychology

Department of Psychology

Modern women are waiting until later in their lives to have children than women of previous generations, a trend influenced by a number of factors including financial stability, dating norms, and career goals and responsibilities. As women age, their fertility may decline …

Strengths And Limitations Of Qualitative Approaches To Research In Occupational Health Psychology, Irvin Sam Schonfeld, Joseph J. Mazzola

Publications and Research

Like all research methods, qualitative methods have strengths and limitations. This chapter describes seven strengths and five limitations. With an understanding of their strengths and limitations and how to minimize and/or balance them, occupational health psychology (OHP) researchers can benefit from qualitative methods. It is important to understand that qualitative findings do not establish generalizable cause-effect relations. However, qualitative methods can help an OHP researcher develop a theory of causality and derive hypotheses related to the theory and, thus, motivate quantitatively organized research designed to test the hypotheses. The challenge for the OHP researcher is to be mindful of what …