Health Psychology Commons^™

Crm As A Psychosocial Intervention For Cancer Patients, Lauren Wakabayashi

Loma Linda University Electronic Theses, Dissertations & Projects

The present treatment manual is intended to outline the implementation of an intervention to manage psychological distress in cancer patients. Cancer patients suffer from psychological distress, in part due to physical symptoms that impact well-being. This can create a cycle of poor mental and physical health that is bidirectionally affected by poor responses to physical treatments. Thus, it is necessary to implement interventions for cancer patients that can combat these and other psychological symptoms. The Community Resiliency Model (CRM) has recently emerged as a set of wellness skills that can promote physiological and psychological well-being, as well as minimize negative …

Dietary Approaches To The Treatment Of Autism Spectrum Disorders, Dhira Patel

Loma Linda University Electronic Theses, Dissertations & Projects

This chapter reviews the literature surrounding autism spectrum disorders (ASD) and their relation to gastrointestinal (GI), behavioral, neurological, and immunological functioning. Individuals with ASDs often have poor GI health, including bowel motility issues, autoimmune and/or other adverse responses to certain foods, and lack of necessary nutrient absorption. These issues may be caused or exacerbated by restrictive behavioral patterns (e.g., preference for sweet and salty foods and/or refusal of healthy foods). Those individuals with GI issues tend to demonstrate more behavioral deficits (e.g., irritability, agitation, hyperactivity) and also tend to have an imbalance in overall gut microbiome composition, thus corroborating several …

The Community Resiliency Model In Health Decision-Making, Michelle Ngo

Loma Linda University Electronic Theses, Dissertations & Projects

This doctoral project reviews the literature to support the utilization of the Community Resilience Model (CRM) for health-related decision making, such as health behavior change and medication adherence. Research has shown that decision-making under significant stress can lead to making less advantageous choices, as the nervous system becomes dysregulated. The evidence in this literature review suggests that self-regulation using skills in the CRM Model can increase one’s ability to effectively making decisions.

Pathways For Healing: An Online Therapeutic Support Group Program, Lisa Yvette Salazar

Loma Linda University Electronic Theses, Dissertations & Projects

Pathways for Healing: An Online Therapeutic Support Group Program (OTSG) is for women, ages 18 to 65 years old, diagnosed with chronic pelvic floor dysfunction (PFD). The program focuses on women living in Texas rural communities with limited access to mental health providers. The aim for this study is to determine if an OTSG program, utilizing narrative therapy (NT) within a biopsychosocial-spiritual lens (BPS-S) will improve overall health-related quality of life (HRQOL). Support groups are provided in English and Spanish, over the course of 12 weeks, facilitated by a licensed marriage and family therapist (LMFT) and licensed pelvic floor physical …

Adverse Childhood Experiences And Cigarette Smoking: Demographic Moderators, Taylor Cosanella

Loma Linda University Electronic Theses, Dissertations & Projects

Research suggests that there is a dose-response relationship between ACE score and cigarette smoking, such that as ACE score increases, so does smoking behavior, but little is known about what factors moderate this relationship. Therefore, the goal of this study was to examine demographic characteristics as potential moderators of relationship between Adverse Childhood Experiences (ACEs) and cigarette smoking. A secondary data analysis was conducted using the 2013 California Behavioral Risk Factor Surveillance System data. The sample included 2,604 U.S. adults (54.8% female; Age: M = 53.3, SD = 8.10; 83.6%; Caucasian, 6.4% Asian, 5.9% Black or African American, 3.1% American …

Meal And Food Selection Patterns Of Binge Episodes In Ethnically Diverse Adults, Abigail Grace Alido

Loma Linda University Electronic Theses, Dissertations & Projects

Food selection and associated patterns among ethnically diverse adults with binge eating deserves greater attention given binge eating prevalence among ethnic minorities. The aims of this study were to examine meal patterns, location, and food selection during binge episodes in an ethnically diverse sample of adults seeking binge eating treatment. Participants were 29 adults (86% female) with a mean age of 36.5 (SD = 11.2). Participants had an average body mass index of 32.4 (SD = 8.74). Approximately 41% of participants self-identified as Hispanic/Latino. The Eating Disorder Diagnostic Interview (EDDI) was administered to determine binge eating behavior and to obtain …

Non-Accidental Trauma: Nature Of Subsequent Encounters And Related Outcomes, Marina Bassili

Loma Linda University Electronic Theses, Dissertations & Projects

Physical abuse results in a wide array of adverse outcomes, and victims of child abuse often require long-term, intensive care depending on the scope and severity of their trauma. The present study is an extension of a study which examined the services provided in the hospital to children with physical abuse that resulted in hospitalization (Kazandjian, et. al., 2016). It will examine the nature of subsequent hospital encounters in pediatric victims of Non-Accidental Trauma (NAT) at the Loma Linda University Children’s Hospital (LLUCH). Researchers will investigate the short-term and long-term physical, neurological, cognitive/developmental, behavioral, and social emotional effects experienced by …

Distress Among Parents Of Overweight Children With Developmental Disabilities, Lilit Hovsepyan

Loma Linda University Electronic Theses, Dissertations & Projects

The epidemic of childhood obesity, which occurs at higher rates for children with intellectual and developmental disabilities (IDD), has been shown to have many deleterious health effects for both children and their parents. Previous research has consistently shown that child externalizing and internalizing behaviors are predictive of parenting stress in parents of children with IDD. Less is known about the nature of this relationship when an additional barrier, child weight status, is examined in the context of this relationship. The current study investigated child and parent factors related to parental distress in a sample of children with IDD who present …

Medical And Parental Predictors Of Self-Efficacy In Pediatric Chronic Illness, Naina Mahtani

Loma Linda University Electronic Theses, Dissertations & Projects

Self-efficacy, defined as the belief in one’s ability to succeed, is particularly important in youth struggling with chronic illness (CI) given its association with poorer adherence and worse prognosis. Parental factors such as income and marital status, and youth factors such as number of hospitalizations have been examined as contributing to self-efficacy in children. The aim of the current study was to assess the extent to which these variables predict self-efficacy in a sample of youth 8-17 suffering from CI. Data were collected from 217 families with a child with a CI aged 8-17, being seen by a medical provider …

Cancer, Sexual Quality Of Life, And The Dyad: A Qualitative Study, Gabriela E. Gutierrez

Loma Linda University Electronic Theses, Dissertations & Projects

As the rate of survivorship continues to increase within oncological care (White, 2007), more attention is being focused on the quality of life and long-term outcomes of cancer survivors (American Cancer Society, 2014). Sexual quality of life (SQOL), which includes both sex and intimacy, have been identified as primary sources of stress among patients and their partners across cancer types (Manne & Badr, 2008; 2010; Manne, Badr, & Kashy, 2012); however, reproductively related cancers, such as breast and gynecologic cancers have especially posed unique challenges to both patients and their partners (Jonsdottir, et al., 2016). It is widely known that …

Cancer Center Regional Benchmarks For Psychosocial Care, Desiree R. Azizoddin

Loma Linda University Electronic Theses, Dissertations & Projects

The American College of Surgeons (ACoS) Commissions on Cancer (CoC) formulated and implemented standard 3.2 for Psychosocial Distress Screening. This standard requires that all accredited cancer centers evaluate psychosocial distress and provide appropriate triage and intervention for all cancer patients. Over the past decade, Loma Linda University Medical Oncology Center (LLUMOC) administration, physicians, nurses, psychosocial care staff, and chaplaincy collaborated to implement a psychosocial screening and referral program throughout cancer patient services. This current research includes qualitative analysis assessing strengths and barriers of the psychosocial program at LLUMOC from the perspective of LLUMOC providers and two directors of Supportive Care …

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 …

Clinical Essentials For Obesity, Ryan Garry Montanari

Loma Linda University Electronic Theses, Dissertations & Projects

In order for health psychologists to be prepared to address obesity, foundational information on obesity is required. Psychologists have the potential to assist with lifestyle and behavioral modifications, especially when weight problems are tied to mental health conditions. Furthermore, clinicians can focus on triggers for unhealthy choices, in addition to unhealthy beliefs about eating and weight. The purpose of this research project is to provide health psychologists with essential information on the scope, associated risks, and evidence-based interventions for obesity so that they will be better prepared to deliver effective treatments.

Guidelines For Culturally Based Interventions With Healthcare Professionals, Ifeanyi Anthony Onyemenem

Loma Linda University Electronic Theses, Dissertations & Projects

Early detection is critical to surviving breast and cervical cancer. Unfortunately, Latin American (Latino) women in the United States are more likely to be diagnosed at later stages of cancer and have poorer rates of repeat screenings when compared to non-Latino White (Anglo) women. One factor identified through research that negatively affect continuity of cancer screening is perceived mistreatment. Guided by Betancourt’s integrative model of culture, psychology and behavior, the current project proposes guidelines for developing culturally informed interventions with healthcare professionals that take into account the socially shared values, beliefs and norms that negatively impact breast and cervical cancer …

The Ratio Of Positive To Negative Affect, Flourishing, And Health Behavior, Michael Stuart Leibow

Loma Linda University Electronic Theses, Dissertations & Projects

The ratio between positive and negative affect, known as the positivity ratio (PR) is thought to be associated with flourishing (psychological and social well-being). However, little research has been done on how PR and flourishing relate to specific health behaviors. The relationships between PR and flourishing with health behavior i.e., physical activity, and diet (fruit, leafy green vegetables [LGV] and meat intake) were investigated in this study. We examined whether PR mediated the relationship between flourishing and health behaviors, and whether flourishing mediated the relationship between PR and these behaviors. Gender and ethnic differences for the above associations were examined …

The Association Of Diet With Affect, Patricia Ann Ford

Loma Linda University Electronic Theses, Dissertations & Projects

Nutrients such as omega-3 fatty acids have been associated with mental health yet few studies have examined whether foods protective or deleterious for cardiovascular disease affect mood. The purpose of this study was to examine associations between consumption of foods typical of Mediterranean and Western diets and fatty acids with positive and negative affect.

Adventist church attendees residing in North America completed a validated food frequency questionnaire in 2002-6 as part of the Adventist Health Study-2. A subset of these participants ^=9,121) completed the Positive and Negative Affect Schedule (PANAS) in the Biopsychosocial Religion and Health Study conducted in 2006-7. …

Guidelines For Culturally Informed Interventions: Culture, Attributions And Continuity Of Care, Chung Mu Seo

Loma Linda University Electronic Theses, Dissertations & Projects

Although early detection can improve survival of breast and cervical cancer, U.S. Latinas are more likely to be diagnosed at later stages of cancer and have poorer survival rates compared to Anglo women. Poorer continuity of care and adherence to recommended screening are seen as contributing factors to this disparity. Existing interventions have tried to reduce human, system, and culture barriers. However, they lacked a systemic guidance in the process of identifying cultural factors and the pathways in which they affect the specific behavior of interest through psychological processes in a minority population. Guided by Betancourt’s integrative model of culture, …

Impact Of An Online Support System On Health Related Quality Of Life Among Men Diagnosed With Prostate Cancer, Daniel K. Osei

Loma Linda University Electronic Theses, Dissertations & Projects

Prostate cancer is a major public health issue worldwide and a significant cause of male cancer death in the USA. Though early screening and treatment has greatly enhanced the outcome, men diagnosed with prostate cancer face problems that compromise quality of life after treatment. Online support for prostate cancer clients is a convenient way to help because it is anonymous, inexpensive, and can be used at clients’ convenience. Yet few studies have explored how these supports impact these clients. This study used a longitudinal randomized experimental design to examine the impact of online services on quality of life of prostate …

Spirituality, Religiosity, And Weight Management In Black Women, Shené L. Bowie

Loma Linda University Electronic Theses, Dissertations & Projects

Background

Obesity is a major concern in the United States and Black Americans are among those with the highest rates of overweight, obesity, and related co- morbidities. While weight loss among Black women has been studied within the context of a faith-based setting, there is little information about the relationship between spirituality, or relationship with the transcendent, and self-efficacy in the achievement and maintenance of a healthy weight.

Purpose

The purpose of this study was to analyze the relationships among spirituality, self-efficacy for physical activity and healthy eating, and body composition measures among Black women over the period of participation …

Mental Health And Victimization Experiences In Fibromyalgia: A Literature Review, Eric J. Kloeppel

Loma Linda University Electronic Theses, Dissertations & Projects

Fibromyalgia (FM) is a chronic disorder characterized by widespread musculoskeletal pain, fatigue, and/or multiple tender points located on the neck, shoulders, back, hips, arms or legs that hurt when touched. FM can be a debilitating condition with financial, emotional, interpersonal, and health costs that can affect not only the person diagnosed, but his or her family and friends. Presently, the etiology of FM is largely unknown and there is no definitive cure. Researchers have identified several possible contributing factors in the development and maintenance of FM, including genetics, abnormalities in the neuroendocrine system, and sleep disturbances as well as psychiatric …

An Integrative Social Support Model For Fibromyalgia Patients: A Treatment Manual, Eugene A. Moynier

Loma Linda University Electronic Theses, Dissertations & Projects

This study sought to investigate the current literature on Fibromyalgia and determine which interventions have been shown effective in its treatment. Furthermore, this study sought to develop a manual for the treatment of fibromyalgia using the data obtained from the literature review. The interventions that were found to be effective include the following domains: exercise, family therapy, dual-diagnosis, occupational therapy, sleep hygiene, stress management, coping skills, cognitive behavioral therapy, traumatic stress, and treatment adherence. The literature supported a psychoeducational approach within a socially supportive environment as an effective strategy to convey these treatment interventions as well as encourage treatment adherence. …

Social Cognitive Predictors Of Diabetes Outcomes In Latinos And Whites, Diana Brown

Loma Linda University Electronic Theses, Dissertations & Projects

Investigating health care disparities in ethnic minority populations is an increasingly urgent issue as these disparities lead to higher morbidity and mortality in minorities (National Center of Health Statistics, 2000). There is clear evidence that Latino Americans, the fastest growing minority group in the United States, are more likely to be diagnosed with and experience more severe complications from type 2 diabetes than Anglo Americans. This study surveyed 38 White and 33 Latino diabetes patients from outpatient clinics in an academic medical center. Cultural values (individualism and collectivism), mental health (social support, mental health), and self-efficacy (diabetes and exercise) were …

Parental Influences In Child Obesity, Janel Lynn Calinisan

Loma Linda University Electronic Theses, Dissertations & Projects

One of the greatest concerns in American society is peoples’ health. In the past several years there has been an overwhelming increase in obesity in Americans. This concern relates not only to adults, but also to children, as more are found to be overweight. Many factors have been suggested as to why more children are becoming obese, including parenting, demographics, physical activity, nutrition, and biological factors. Studies have shown that parental influence or involvement can be related to child obesity such that neglected children were more likely to be obese in adolescence and sustain it through adulthood. In order to …

Psychological Distress And Change In A Pediatric Obesity Population, Amy Rebecca Beck

Loma Linda University Electronic Theses, Dissertations & Projects

Pediatric overweight and obesity is a growing national epidemic with 15 percent of children ages 6-19 considered obese and at least 22 percent considered overweight. While there is considerable research pointing to contributing factors of obesity, there is a paucity of research which elucidates what contributes to successful intervention. Considering that by the year 2050, nearly 50 million Americans may be obese, understanding the factors delineating success of weight loss and prevention is a necessity. The purpose of this study was to utilize archival data from the LLU Growing Fit Program to evaluate the levels of psychological distress experienced by …

Factors That Affect Performance On Executive Functioning After Coronary Artery Bypass Grafting, Sapna Mahesh Patel

Loma Linda University Electronic Theses, Dissertations & Projects

Research suggests that individuals who undergo coronary artery bypass grafting (CABG) experience declines in neuropsychological functioning post-operatively. This decline has been observed in up to 80% of patients early after surgery, and in up to 30% of patients after six months. Many studies have examined the potential effects of CABG on neuropsychological functioning in general, and numerous studies have found that executive functions are impaired in particular. However, none have examined what factors contribute to observed executive dysfunction after CABG. This study investigated the role of memory functions on executive functions in a selected sample of patients undergoing CABG. This …

A Model For Preventing Anorexia In College Students, Laura Ann Negin

Loma Linda University Electronic Theses, Dissertations & Projects

The prevalence of anorexia nervosa in the general population is relatively low, but anorexia is at the forefront of health concerns because of its seriousness. Unhealthy weight loss has numerous physical, psychological, and social consequences. Most seriously, the mortality rate for people with eating disorders is the highest of all the major psychiatric disorders.

This dissertation presents a model for preventing anorexia nervosa in a population of college students that includes a comprehensive institutional approach, psychoeducational software, a high-risk population, a holistic approach that identifies an individual’s personal risk factors and protective factors, and individual therapy.

The model is built …

Female Patients’ Perspectives On The Stages Of Eating Disorder Recovery, Cherish C. Knoll

Loma Linda University Electronic Theses, Dissertations & Projects

Eating disorders are severe psychiatric disorders that most commonly begin in the female population during adolescence and across ethnicity (Lucas, 2004). However, the face of eating disorders is changing as they become more apparent across cultures and lifespan, impacting both young and aging women as well as males. In the past few decades progress has been made in the diagnostic, treatment, and recovery phases of eating disorders. These gains have contributed to a better understanding of eating disorders, assisting in the decrease of mortality and morbidity rates seen in eating disorder patients. Nevertheless, there are significant challenges that still remain …

Emotional Stroop Effects: Eating Disorders And Obesity, Kristy Anne Kuehfuss

Loma Linda University Electronic Theses, Dissertations & Projects

This study addresses the effects of emotional valence on selective processing of body-shape related words in young women who suffer from anorexia, bulimia, or obesity, and non-clinical controls. Research in the area of emotional Stroop interference has indicated that persons with eating disorders, particularly anorectics, show elevated latencies in naming colors of words related to food or body-shape, in contrast to either neutral words, or to non-clinical control groups. One intriguing issue regarding the emotional Stroop interference among various clinical populations relates to the question of whether the interference is due to the emotionality of the relevant words or to …

A Biopsychosocial Perspective Of Gulf War Illness: A Structural Model, Katherine N. Nguyen

Loma Linda University Electronic Theses, Dissertations & Projects

Veterans deployed during the Persian Gulf War in 1990-1991 report significantly more nonspecific symptoms and poorer health than their nondeployed peers. This amalgamation of chronic, multisymptom health complaints is commonly referred to as Gulf War Illness. There are two major theoretical models within the medical/health field that may help explain these symptoms: 1) the traditional biomedical model, and 2) the more recently evolved (late 1970’s) biopsychosocial model. Theorists have proposed two major causal pathways in studying the etiology of health complaints of Gulf War veterans, the physical pathway and the psychosocial pathway. In the present study, the biopsychosocial model was …

Social Welfare Systems And Their Effects On Adolescent Violence, Injecting Drug Use, And Negative Health Behaviors, Elvin A. Hernandez

Loma Linda University Electronic Theses, Dissertations & Projects

Youth and young adults who are injection drug users (IDU’s) often live and survive in physical and emotional environments that are associated with negative behaviors and outcomes. Past environmental and social factors, such as participation in social welfare systems or institutionalization in foster care or juvenile hall, have been found to be associated with IDU-involved young adults’ health behaviors when they become older. Social networks, which include drug, sex, or hangout networks, may influence their health outcomes and behaviors. The goals of this dissertation include an investigation of how reported past social welfare participation and institutionalization is associated with IDU-involved …