Health Psychology Commons^™

Clinician Perspectives On Fistula Mental Health, Victoria K. Leonard

Doctoral Dissertations

Background – Obstetric fistula is a childbirth injury caused by prolonged labor that leads to stillbirth and incontinence, spurring social exclusion and isolation. These layers of trauma put women with fistula at great risk for psychological suffering, which has profound negative socioeconomic impacts on them, their families, and communities. This study captured treatment as usual at Comprehensive Community Based Rehabilitation in Tanzania (CCBRT), the country’s largest provider of fistula care.

Method – Improving holistic fistula treatment requires engaging the clinicians who care for women with fistula. This study aimed to investigate the training, beliefs, and treatment approaches of nurses and …

Reclaiming Healing Spaces: A Phenomenological Study On The Transformative Power Of Outdoor Therapy From The Lived Experiences Of Black Clinicians Working With Black Clients, Lynn Murphy

Dissertations

This phenomenological study involved assessing the experiences of Black therapists who engaged Black clients in outdoor therapeutic contexts. The study was founded on the existing literature that shows the quality of the therapeutic relationship is pivotal for client retention and the Western standards that have historically favored treatment within indoor environments. To contextualize this research, a comprehensive literature review was commenced, covering topics such as the decolonization of therapy, the historical and present-day relationship between Blacks and the outdoors in the United States, sedentary lifestyles, the psychological benefits of time spent in nature, various types of outdoor therapy, and the …

The Psychological Significance Of Cultural And Religious Values Among The Arab Population, Michel Sherif Mikhail

Theses and Dissertations

Introduction: Values, which are the guiding principles and beliefs of our lives, have an influence over one’s psychological health. This study aims to investigate how Schwartz’s four higher-order values (conservation, openness to change, self-transcendence, and self-enhancement) and religious values influence psychological health among the Arab population. Methods: A total of 1,023 respondent from nine Arab countries aged 18 to 71 filled an online survey with measures of the following constructs: Schwartz’s four higher-order values (Portrait Value Questionnaire-21), religious values (Sahin’s Index of Islamic Moral Values), and general psychological health (General Health Questionnaire-28). Results: Two models of multiple regression were …

Medical Trauma In Pediatric And Adult Patients With Crohn's And Ulcerative Colitis, Catherine Raupe

Senior Theses and Projects

Inflammatory Bowel Disease is a term that is used to classify Crohn’s Disease and Ulcerative Colitis. It is abundantly clear from past literature that hospitalizations and surgery can lead to PTSD (Taft et al., 2019). However, past research has not examined the impact that smaller procedures, such as infusions, can have on an individual’s mental health. Patients at Connecticut Children’s Infusion Center were recruited during their infusion appointments. After obtaining consent, patients completed questionnaires measuring their felt stigma and concealment, PTSD, and depression and anxiety symptoms. The research team completed medical chart reviews to identify the types of medications participants …

Towards A New Role Of Mitochondrial Hydrogen Peroxide In Synaptic Function, Cliyahnelle Z. Alexander

Student Theses and Dissertations

Aerobic metabolism is known to generate damaging ROS, particularly hydrogen peroxide. Reactive oxygen species (ROS) are highly reactive molecules containing oxygen that have the potential to cause damage to cells and tissues in the body. ROS are highly reactive atoms or molecules that rapidly interact with other molecules within a cell. Intracellular accumulation can result in oxidative damage, dysfunction, and cell death. Due to the limitations of H₂O₂ (hydrogen peroxide) detectors, other impacts of ROS exposure may have been missed. HyPer7, a genetically encoded sensor, measures hydrogen peroxide emissions precisely and sensitively, even at sublethal levels, during …

Test Anxiety Inflation, Brian Podkulski, David P. Valentiner

Honors Capstones

Mental health conditions are higher than ever worldwide, despite best efforts to increase public awareness and deliver informed solutions. To account for this rise, some suggested models argue that measures taken to ameliorate mental health problems are actually contributing to their inflation through iatrogenic effects. The current proposed study seeks to identify the possibility of iatrogenic effects on test anxiety as a product of psychoeducational material. The scope of this study includes the immediate effects of viewing a typical short-form informational video on core and adjacent symptoms of test anxiety. Participants will engage with our study entirely through an online …

The Role Of Social Support And Emotional Regulation In Relationship With Adverse Childhood Experiences And Food Addiction, Negin Ghaffari

Electronic Theses, Projects, and Dissertations

Adverse childhood experiences (ACEs) are potentially traumatic experiences that occur before the age of 18 and can have long-standing impacts on mental and physical health. Individuals with high exposure to ACEs may be at increased risk for depression, substance use disorders, and cardiovascular disease (Hughes et al., 2017). Social support has been shown to play an essential role in reducing the likelihood of adverse outcomes, such as substance dependence following exposure to adverse experiences. Furthermore, emotional regulation difficulties have been shown to mediate the relationship between childhood trauma and food addiction. There has been little research on adverse events in …

Adverse Childhood Experiences And Sexual Functioning: A Mediation Analysis Of Difficulties In Emotional Regulation, Haven Travis

Undergraduate Honors Theses

Sexual dysfunction can lead to a negative impact upon a person’s mental and relational health, including relational and overall distress, poor relationship and sexual satisfaction, and clinical mood disorders such as depression. Moving upstream to identify factors that may predict sexual dysfunction would therefore be beneficial for early intervention in at-risk populations. History of childhood trauma is one such factor that may influence sexual functioning later in life. While adverse childhood experiences (ACEs) have been less studied in association with sexual dysfunction, there is some evidence to indicate that they may be related. ACEs have been shown to increase the …

Believe In Yourself And Keep The Doctor Away: Health Self-Efficacy Mediates The Relationship Between Retrospectively Reported Adverse Childhood Experiences (Aces) And College Students’ Current Self-Reported Physical Health, Amber Sale

Psychological Science Undergraduate Honors Theses

Adverse childhood experiences (ACEs) are potentially traumatic events occurring during the first 18 years of life (CDC, 2022) and are strong predictors of later negative outcomes such as poor physical health, risky health behaviors, and poor lifestyle habits (Felitti et al., 1998; Lovis-Schmidt et al., 2022; Windle et al., 2018). Previous literature has suggested that self-efficacy may explain the negative impact ACEs have on later physical health (Sachs-Ericsson et al., 2011). Therefore, the present study examined the relationship between college students’ retrospectively reported ACEs and current self-reported physical health, in the context of health self-efficacy levels (i.e., self-perceptions of one’s …

Victim Or Villain: Female Resilience And Agency In The Face Of Trauma In Chimamanda Adichie’S, Purple Hibiscus (2003) And Tsitsi Dangarembga’S, Nervous Conditions (1988), Adaobi Juliet Chukwuma

Electronic Theses and Dissertations

As long as disparities persist in the way women are treated as compared to their male counterparts, the issue of gender will continue to call forth literary productions. For this reason, female writers are on a mission to dismantle the stereotypes that keep women confined to societal roles. Grounded in a feminist framework, this study focuses on the gender disparity theme in Chimamanda Adichie’s Purple Hibiscus and Tsitsi Dangarembga’s Nervous Conditions. The aim is to examine how these writers represent the trauma of women living in an African patriarchal system. The traumatic experiences of the female characters in both texts …

The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell

Electronic Theses and Dissertations

There is an established bidirectional relation between substance use and traumatic brain injuries (TBIs). Despite the high rate of prescribing opioids for pain management following a TBI and the epidemic of opioid use disorder (OUD) in the United States, scarce research has specifically analyzed the association between TBI and OUD. In a series of three interrelated manuscripts, the present study will first examine the prevalence and features of TBIs among persons seeking treatment for OUD. Next, the present study will evaluate the association between TBI and indicators of risky health behaviors and OUD severity, including the risk of overdose and …

Examining The Effects Of Menstrual Cycle Phase And Hormonal Contraceptive Use On Women's Sleep, Charles Ethan Coombs

Psychological Science Undergraduate Honors Theses

Women overrepresent men for sub-optimal sleep, a consequence of hormone fluctuation in the menstrual cycle affecting sleep regulatory pathways. While research has examined the prevalence of sub-optimal sleep through cycle phases, little research has examined how hormonal contraceptives (HC’s) could similarly affect women’s sleep, while also neglecting to utilize subjective sleep measures. In this study, we examine subjective sleep quality among naturally cycling (NC) women, women using different HC types, and between active and inactive phase pill users by subjecting 463 women to a subjective sleep battery. We hypothesized that HC users would report more sub-optimal sleep than NC women. …

The Association Between Uncertainty, Reproductive Distress, And Avoidance In Assigned Female At Birth Adolescent And Young Adult (Aya-F) Cancer Survivors, Devon Ann Pons

Doctoral Dissertations

Family building and fertility is a complex component of survivorship for assigned female at birth Adolescent and Young Adult’s (AYA-F’s), often accompanied by a mix of cognitive uncertainty, emotional uncertainty, reproductive distress, and avoidance. These psychological components present in survivorship for AYA-F’s can impact coping, identity development, and individualized care plans throughout survivorship. This novel examination of data from a cross sectional study shed light on the associations between reproductive distress, uncertainty, and avoidance and how they are experienced differently by various subgroups within the sample.

Results demonstrate that reproductive distress fully mediated the association between emotional uncertainty and avoidance, …

Accommodation And Treatment Seeking For Those With A Concealable Stigmatized Identity Disability In The Undergraduate And Workforce Environments, Sophie K. Louis

Psychology Honors Papers

The goal of the present study was to examine the influence of stigma, disclosure, and affect on treatment and accommodation seeking (uptake and confidence) in both an undergraduate and workforce population for those with an invisible disability. Invisible disability, a form of concealable stigmatized identity, lacks research in terms of the barriers and motivators for seeking help, especially within a stigma framework. To fill in this gap in the literature, two studies were conducted via questionnaires for each setting respectively, in order to understand how to navigate disability concerns across multiple contexts. Binomial logistic regressions and linear regressions revealed that …

The Anatomical Embodiment Of Morning Routines In The Reduction Of Anxiety: An Intervention, Natalie Wright

Expressive Therapies Capstone Theses

The topic under investigation is whether physically embodying a morning routine that was designed through the lens of Laban Bartenieff Movement Analysis (LBMA) will reduce daily symptoms of individuals diagnosed with Generalized Anxiety Disorder.

Since morning routines play a significant part in one’s preparation for the day, I created an individualized LBMA morning routine for a specific client to embody. In addition to the routine, the client documented the process of their anxiety levels on a weekly basis. This client was a white, female, 19-year-old, lesbian college student who was previously diagnosed with Generalized Anxiety Disorder (GAD). The movement analysis …

Music As A Coping Mechanism: Clinical Implications Of How College Students Utilize Music To Cope With Anxiety, Depression, And Daily Stressors, Karly Pikel

Senior Theses

Many college students face stress, anxiety, and/or depression in their daily lives which they cope with in their own ways. Listening to music or playing an instrument are particularly powerful forms of coping that can have a plethora of positive effects on an individual. The purpose of this study was to conduct a survey amongst the University of South Carolina student body to determine how they utilize music to cope in their daily lives. Of 847 respondents, almost all of them reported experiencing some extent of anxiety and/or stress and listening to music to help them cope. Respondents agreed that …

Structural Racism, Black Out-Group Preference, And Mental Health, Alexander J. Kellogg

Masters Theses

Structural racism has increasingly been implicated as a root cause of racial disparities in health and well-being. Specifically, areas where White Americans hold more negative attitudes toward Black Americans have been associated with both anti-Black discrimination and poorer Black physical and mental health. However, previous research has relied on cross-sectional designs and has neglected the potential effects of Black community-level attitudes on mental health. We hypothesized that higher aggregate pro-White bias among White Americans would be associated with higher implicit out-group preference among Black residents living in the same communities, above and beyond the effects of traditional measures of structural …

University Students' Wellbeing: A Case Study Of An International Private University In Egypt, Alia Attia

Theses and Dissertations

Wellbeing is a crucial topic that is gaining increasing attention in higher education and should be taken into careful consideration. This is a qualitative case study, using a phenomenological approach, which explores the phenomenon of student wellbeing in an international private university in Egypt. Data was collected through semi-structured individual interviews with a total of fourteen participants: eight purposefully selected students who have taken part in wellbeing programs, initiatives, or events at the American University in Cairo (AUC), as well as six faculty/staff members, leaders, mentors, or coaches in the field were interviewed. In addition to the interviews, conversations were …

An Examination Of Factors Associated With Ipv Victimization, Ipv Disclosure, And Help-Seeking Among Partnered Sexual Minority Men: An Integrated Theoretical Approach, Stephen Bosco

Dissertations, Theses, and Capstone Projects

The emerging body of research illustrates that sexual minority cis men (SMM) in a relationship experience intimate partner violence (IPV) at rates comparable to those reported by cis women in a heterosexual relationship. Although research on IPV in male relationships has increased, it is a phenomenon that remains considerably understudied compared to research examining IPV in a heterosexual relationship. Despite comparable rates of IPV victimization, SMM are less likely to disclose and use informal and formal support services compared to heterosexual women. To conceptualize and understand challenges to disclosure and help-seeking as well as identify facets to develop relevant and …

The Relationship Between Cognitive Impairment In Psychiatric Patients And Readmission Rate To An Inpatient Facility, Cherilyn Isis Schuff

Theses and Dissertations

The primary intention of this study was to further understand the impact of assessing cognitive impairment in psychiatric patients, as a mediating factor on readmission rates. Mild cognitive dysfunction impacts a patient’s functional outcomes (Bowie & Harvey, 2006; Davis et al., 2012; Marcantonio, et al., 2001). Little information exists to guide best practices in the treatment of adults with cognitive impairment who are hospitalized for acute conditions (Davis et al., 2012). A cognitive impairment may impact patient prognosis and ability to function outside of a setting focused on stabilization. Neuropsychological testing is a valuable tool in predicting a patient’s cognitive …

Development And Validation Of The Pain Resilience And Optimism Scale (Pros), Wonjin Seo

Electronic Thesis and Dissertation Repository

Numerous self-report questionnaires have been used in pain research to explore patients' experiences. However, these questionnaires often employ negatively worded items that can potentially worsen patients' distress. In response to the emergence of positive psychology, this thesis aimed to develop a new questionnaire that adopts a positive and strengths-focused approach, incorporating resilience, to replace the negative items found in existing tools such as the Pain Catastrophizing Scale (PCS). First, the effectiveness of the Connor-Davidson Resilience Scale (CD-RISC) in measuring resilience following trauma was assessed through a systematic review using the COnsensus-based Standards for the selection of health status Measurement INstruments …

Associations Between Diabetes-Specific Psychological Flexibility, Family Conflict, Parental Distress And Adherence In Adolescents With Type 1 Diabetes, Rebecca I. Laquaglia

Graduate Theses, Dissertations, and Problem Reports

Background: Type 1 diabetes (T1D) is a chronic disease that impacts the lives of millions of children and adolescents in the United States. Adherence to diabetes medical regimens is often challenging, particularly among adolescents. Based on previous research, diabetes-specific psychological flexibility, or the ability of an individual with T1D to psychologically adjust to, accept, and commit action to manage their diagnosis, may improve adherence in youth with T1D. Factors such as diabetes-specific family conflict (i.e., conflict within parent-child dyads that is specifically related to T1D management) and diabetes-specific parental distress (i.e., emotional distress experienced by a parent or caregiver as …

Cognitive Functioning In Well-Controlled Asthma, Erin Walsh

West Chester University Doctoral Projects

Asthma is a common lung disease that impacts lung functioning through inflammatory based mechanisms. Past research suggests that decreased blood oxygenation due to asthma attacks may impair cognitive capabilities (Irani et al., 2017). Moreover, the observed differences in cognition between those with and without asthma may be associated with disease severity or asthma control respectively in asthma populations. The current study explored differences in cognitive functioning between college students with and without self-reported asthma. Sociodemographic data, self-reported asthma severity, and measures of asthma control were collected. The current study did not find significant differences in measures of cognitive efficiency between …

Investigating The Novel Effects Of First-Time Wim Hof Breathing: An Experimental Study, Yuhan Kong

CMC Senior Theses

Breathwork, or voluntary controlled breathing exercise, is central around the world for spiritual and well-being purposes. Most extant research has focused on slow breathing techniques and has found a range of benefitsin physiological (e.g., increase in parasympathetic tone) and psychological (e.g., reduction in depression, anxiety, stress) outcomes. Less explored is fast-paced breathwork, which may also be beneficial for mental and physical health. Wim Hof Breathing (WHB), a novel breathing technique that gained popularity in recent years, has been claimed to have a range of health benefits, including improving mental health, autonomic regulation and cardiovascular functioning. However, very limited scientific studies …

Self-Efficacy And Parental Miscarried Helping In Adherence And Transition Readiness Among Adolescents And Young Adults With Epilepsy, Kirby-Estar G. Laguerre

Graduate Theses, Dissertations, and Problem Reports

Background: Given the complex regimen associated with epilepsy, ensuring that adolescents and young adults (AYAs) adhere to their medications, and are ready to transition from pediatric to adult care, is crucial to optimizing their health outcomes. Several social and ecological factors such as self-efficacy and parental miscarried helping can strengthen or weaken an adolescent’s medication adherence and readiness to shift from pediatric to adult care. Intending to contribute to informing and improving clinical care, this study sought to understand the relationships between self-efficacy, parental miscarried helping, medication adherence, and transition readiness. Methods: Using a cross-sectional observational design, 46 AYAs with …

Aromatherapies And Stress: An Examination Of Saliva Sclarea In Acute Stress Conditions, Emily J. Van Gundy

MSU Graduate Theses

The use of essential oils as an alternative medicine in the United States is becoming increasingly popular as more accreditation is given to its therapeutic values. With this increase in use, we must continue to examine the uses of essential oils, including associated risks. One unavoidable aspect of life is stress, both acute and chronic. This study aims to better our understanding of the stress-reducing properties of the essential oil clary sage (salvia sclarea) after an experimentally induced acute stress experience. The Trier Social Stress Test was used to elicit an acute stress response. Participants were given the scent of …

Variability In Perceptions Of Complementary Health Approaches Among Graduate Student Trainees, Delaney C. Bilodeau

Theses and Dissertations

Complementary Health Approaches (CHAs) encompass a diverse range of practices which are often used both independently and alongside conventional medical treatments. Understanding how graduate students training in different fields perceive CHAs is important because these professional trainees will go on to occupy roles as healthcare practitioners, researchers, policy makers, and consumers. This study used sequential rank agreement methods (Ekstrøm, Gerds, & Jensen, 2019) to investigate variations in perceptions of CHAs in a sample of graduate students (N = 416) from 140 possible training programs. Ratings of CHA familiarity, perceptions of CHA legitimacy, and willingness to recommend CHAs were compared …

Frozen By Worry And Fatigue? A Mixed Methods Approach To Understanding The Lived Experiences Of Freezing Of Gait, Sarah M. Ghose

Theses and Dissertations

This study utilized a mixed methods emergent, phenomenological approach to (1) understanding the lived experience of freezing of gait for individuals diagnosed with Parkinson’s Disease and (2) determining the role of anxiety and sleep in freezing of gait outcomes. Participants included 13 adults diagnosed with Parkinson’s Disease (N=14 for qualitative data, N=13 for quantitative data; 23.1% female-identifying, 76.9% male-identifying) who were predominantly white (92.3%) with an average age of 69 years (SD = 6.73 years). Data collection consisted of semi-structured interviews, self-report measures, actigraphic sleep data, and salivary alpha amylase biomarker collection. Results are organized into …

Disparities Between Native Americans And White Individuals In Trajectories Of Community Participation Over The 5 Years After Traumatic Brain Injury, Jack Watson

Theses and Dissertations

Traumatic brain injury (TBI) disproportionately affects minoritized populations within the U.S., especially Native Americans who are more likely to experience a more severe or fatal TBI than White individuals. The current study used a subsample of 63 Native Americans with TBI from the TBI Model Systems (TBIMS) database matched by age, sex, and injury severity to 63 White individuals to examine disparities in community participation, as measured by the Participation Assessment with Recombined Tools—Objective (PART-O), over the five years following TBI. Analysis of variance (ANOVA) and chi-square tests revealed Native Americans were less likely to be employed prior to injury, …

Evaluating The Role Of Interoceptive Awareness In Insomnia And Across The Sleep Health Spectrum, Lara Lobrutto

Theses and Dissertations

Interoceptive awareness, characterized by a non-judgmental and trusting attitude towards body sensations, is an understudied construct that is implicated in sleep and health outcomes. Interoceptive awareness is cultivated via contemplative and mindfulness-based practices. Given that it may be utilized to reduce pre-sleep arousal, which is a key mechanism in insomnia, interoceptive awareness is posited to be a protective factor for sleep health. A cross-sectional study was conducted among undergraduate university students (N = 420) in the Mid-Atlantic region of the United States to assess the association between interoceptive awareness and sleep outcomes. Participants received a survey link and completed …