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Articles 1 - 30 of 49
Full-Text Articles in Health Psychology
Using The Personal Health Inventory To Support Engagement In Mindfulness For Veterans With Ptsd: Mixed Methods Secondary Data Analysis, Emily M. Johnson, Mia R. Zappala, Jacob Scharer, Kyle Possemato
Using The Personal Health Inventory To Support Engagement In Mindfulness For Veterans With Ptsd: Mixed Methods Secondary Data Analysis, Emily M. Johnson, Mia R. Zappala, Jacob Scharer, Kyle Possemato
The Journal of Integrated Primary Care
Mindfulness has many potential benefits to physical and mental health but requires many hours of practice to attain the strongest benefits. Mindfulness interventions delivered within the context of primary care settings are often brief, so independent practice beyond the training context is important. Motivational factors are important predictors of sustained practice and different types of motivational factors are associated with different likelihood of sustained practice. The Personal Health Inventory (PHI) is a publicly available personal health planning tool that assesses motivational factors related to self-care behaviors like mindfulness. Our objective was to understand how the PHI can support patient engagement …
Prospective Receptivity And Acceptability Of Brief Alcohol Interventions Among Women And Racial/Ethnic Minority Veterans In Primary Care, Jacob L. Scharer, Robyn Shepardson, Brandi Roelk, Julie C. Gass, Laura Wray, Stephen A. Maisto, Jennifer Funderburk
Prospective Receptivity And Acceptability Of Brief Alcohol Interventions Among Women And Racial/Ethnic Minority Veterans In Primary Care, Jacob L. Scharer, Robyn Shepardson, Brandi Roelk, Julie C. Gass, Laura Wray, Stephen A. Maisto, Jennifer Funderburk
The Journal of Integrated Primary Care
Brief alcohol interventions (BAIs) are an evidence-based practice for addressing hazardous drinking among primary care patients, yet implementation of BAIs in practice has been difficult and disparities have been identified regarding implementing BAIs with women and racial/ethnic minority patients. Further, patient engagement is a commonly identified barrier to BAI implementation. This mixed methods study aimed to assess acceptability of BAIs among women and racial/ethnic minority primary care patients and to identify factors that may impact their receptivity to engaging in a BAI. Qualitative interviews were conducted with 17 patients who had screened positive for hazardous alcohol use. Patients reported neutral …
Biopsychosocial Management Of Long Covid Fibromyalgia: Lessons From The Penn Medicine Lancaster General Health Fibromyalgia Program, Joseph Harrison, Dennis Given Psy.D.
Biopsychosocial Management Of Long Covid Fibromyalgia: Lessons From The Penn Medicine Lancaster General Health Fibromyalgia Program, Joseph Harrison, Dennis Given Psy.D.
The Journal of Integrated Primary Care
The COVID-19 pandemic has increased the prevalence of chronic health concerns worldwide, leading to a new population of patients suffering from Long Covid. Patients with Long Covid often experience persistent symptoms impacting multiple organ systems, including neuroimmune and neurological manifestations. Recently, attention has grown toward Long Covid patients developing chronic widespread pain similar to fibromyalgia. Fibromyalgia is a nociplastic pain disorder characterized by widespread pain and central sensitization with fatigue, sleep disturbances, and impairments in cognitive functioning. Given the nascent and limited research exploring new treatment options, patients need support now from biopsychosocial multi-modal pain management strategies. The Fibromyalgia Program …
Perceptions And Attitudes Of A Sample Of Primary Care Patients Receiving Psychological Care From Their Pcp, Nadine Henzes Gowarty
Perceptions And Attitudes Of A Sample Of Primary Care Patients Receiving Psychological Care From Their Pcp, Nadine Henzes Gowarty
PCOM Psychology Dissertations
With millions of Americans suffering from a mental health disorder and slightly more than half receiving treatment, the demand for psychological services far outweighs the number of practitioners available to provide direct care. Therefore, the majority of all primary-care visits are based on psychosocial factors; one third of a PCP’s caseloads consist of patients with mental-health problems. Given the fact that PCPs provide comprehensive psychosocial care, it is important to determine the beliefs and perceptions of their patients. Results from this study identified numerous factors that influence the relationship between patients receiving mental health care from their PCP. Specifically, if …
The Relationship Between Self-Compassion, Sleep Quality, And Perceived Stress Among Undergraduate And Graduate Students, Michael Unger
The Relationship Between Self-Compassion, Sleep Quality, And Perceived Stress Among Undergraduate And Graduate Students, Michael Unger
PCOM Psychology Dissertations
Research has indicated that sleep problems are prevalent in college students. Current studies show that over half of college students report that they are poor-quality sleepers. The consequences of poor sleep quality include increased stress, substance use, and mental health issues. Poor sleep hygiene is one of the many factors that contribute to poor sleep quality in college students. Although research has identified contributing factors and consequences of sleep problems in college students, less attention has been given to factors that may serve as a buffer against the effects of poor sleep quality. This study introduces and discusses self-compassion as …
A Feasibility Study Of Lqts-Specific Problem-Solving Workshop: Parents' Problem-Solving Skills, Coping, Hope, And Worry, Elizabeth A. Phelps
A Feasibility Study Of Lqts-Specific Problem-Solving Workshop: Parents' Problem-Solving Skills, Coping, Hope, And Worry, Elizabeth A. Phelps
PCOM Psychology Dissertations
Long-QT Syndrome (LQTS) is an inherited cardiac condition that predisposes individuals to cardiac arrhythmias and is a potentially fatal disorder that affects approximately 1 in 2,000 people. The triggers are difficult to avoid and may cause children and their families to make major life changes to avoid scenarios that can precipitate cardiac events. Parent may become more aware of the risks and may be hypervigilant of their child’s surroundings and exposure to potential triggers. Social problem-solving skills have been shown to enhance the ability to cope with both minor and major daily stressors and minimize psychological problems associated with physical …
A Culture That Fosters Concussions: Does Increased Education Lead To More Accurate Reporting Of Concussions?, Michael Heptig
A Culture That Fosters Concussions: Does Increased Education Lead To More Accurate Reporting Of Concussions?, Michael Heptig
PCOM Psychology Dissertations
With over 1.7 million incidents reported annually, concussion has become the most common class of traumatic brain injury (TBI) in the United States (Bazarian, Zhu, Blyth, Borrino, & Zhong, 2012). As staggering a statistic as this may be, many believe it fails to represent the true number of concussions because the non-reporting of symptoms has been commonplace among athletes (Khurana & Kaye, 2012; Williamson & Goodman, 2006). The aim of this study was to determine those factors that influence the reporting of concussion symptoms. Specific variables that were examined include the amount of concussion education provided (determined by requisite amount …
The Relationship Between Problem-Solving Ability/Eating Motivation And Perceived Quality Of Life In Individuals Diagnosed With Celiac Disease, Vincenzo Zaccheo
The Relationship Between Problem-Solving Ability/Eating Motivation And Perceived Quality Of Life In Individuals Diagnosed With Celiac Disease, Vincenzo Zaccheo
PCOM Psychology Dissertations
Celiac disease (CD) is a digestive disorder resulting from gluten intolerance that leads to damage of the small intestine. The only current available treatment for CD involves adherence to a strict gluten-free diet. Due to the restrictive nature of this treatment diet, and the increasing prevalence of CD in recent years, much research has been conducted examining factors that impact the quality of life (QOL) of individuals with CD. However, there has been a dearth of literature identifying those factors which can be modified within a treatment setting. Thus, a need for further research in this area was identified. Through …
A Qualitative Study Of How Children Experience And Live With Long Qt Syndrome, Patrick Mcelwaine
A Qualitative Study Of How Children Experience And Live With Long Qt Syndrome, Patrick Mcelwaine
PCOM Psychology Dissertations
Long QT syndrome (LQTS) is an inherited and potentially fatal disorder affecting approximately 1 in 2,000 people. Children often experience anxiety and a sense of loss of control as they try to manage the medical, social, and psychological stress that accompanies being diagnosed with LQTS. The present study utilized a qualitative research design to examine how children experience and live with long QT syndrome. Semistructured interviews were conducted with eight children between the ages of 7 to 12 who were diagnosed with LQTS. This period in a child’s life is very important for developing social skills and self-esteem as peers …
Neurocognitive Patterns, Symptom Clusters, And Premorbid Factors That Predict Protracted Recovery From Concussion In Females, Sarah Pulaski
Neurocognitive Patterns, Symptom Clusters, And Premorbid Factors That Predict Protracted Recovery From Concussion In Females, Sarah Pulaski
PCOM Psychology Dissertations
Concussion is an increasingly diagnosed injury that affects individuals of all ages. Although the underlying cause is unknown, research has demonstrated that females who sustain a concussion experience longer recoveries. Existing research has documented a relationship between age, gender, post-concussive headache and mental health conditions, and recovery; however, limited research has investigated the relationship between premorbid clinical variables and recovery. Research on post-injury neurocognitive declines and recovery has also demonstrated varied findings. Moreover, dizziness has been identified as significantly predictive of prolonged recovery, but no studies have investigated the effect of premorbid headache conditions on the development of dizziness. The …
Motivational Interviewing Is A Promising Framework For Collaboration In The Patient-Centered Medical Home, Scott Glassman
Motivational Interviewing Is A Promising Framework For Collaboration In The Patient-Centered Medical Home, Scott Glassman
PCOM Scholarly Works
[no abstract is available for this article]
The Anxiolytic Effects Of Self-Selected Music Among Primary Care Patients, Jennifer West-Gavin
The Anxiolytic Effects Of Self-Selected Music Among Primary Care Patients, Jennifer West-Gavin
PCOM Psychology Dissertations
The primary care setting is commonly referred to as the first line of medical treatment sought for health related services. Anxiety is one of the most frequently encountered mental health issues in primary care. The purpose of this study was to examine the level of state anxiety experienced among primary care patients, attending for routine and nonroutine appointments; its further purpose was to examine if self-selected relaxing music accounts for the greatest reductions in state anxiety among primary care patients, as compared with investigator-selected (classical) music, audio commercials, or no music. Patients included a primarily underserved primary care population between …
The Role Of Cognitve Distortions In Adaptation To Disability And Perceived Quality Of Life In Spinal Cord Injury Survivors, Kerri M. Garruba
The Role Of Cognitve Distortions In Adaptation To Disability And Perceived Quality Of Life In Spinal Cord Injury Survivors, Kerri M. Garruba
PCOM Psychology Dissertations
Traumatic spinal cord injury (SCI) is a sudden, dramatic insult to the central nervous system that results in instant loss of sensory and/or motor function. In addition to physiological changes, survivors also endure both cognitive and emotional changes that increase susceptibility to depression, anxiety, and suicidality, all of which have been associated with cognitive distortions. This study sought to investigate the influence of cognitive distortions in relation to the ability to adapt to disability and establish a high quality of life among spinal cord injury survivors. Participants were 116 men and women living with spinal cord injury recruited via the …
Siblings Of Children With Long Qt Syndrome: Relationships And Coping, Courtney Mccuen-Wurst Ms, Lcsw
Siblings Of Children With Long Qt Syndrome: Relationships And Coping, Courtney Mccuen-Wurst Ms, Lcsw
PCOM Psychology Dissertations
Long QT syndrome (LQTS) is a congenital heart disorder, usually diagnosed in childhood, that may lead to cardiac arrest, seizures, syncope, and sudden death. The birth of a child with LQTS, as well as the social, physical, and psychological functioning of the affected child, can have a significant impact on the family. The family stress associated with having a child with any disability or chronic illness is likely to affect the lives of siblings. The lack of research on the effects of having a sibling with long QT syndrome on individuals who do not have LQTS provided the rationale for …
An Exploration Of Social Connectedness As A Predictor Of Quality Of Life In Acquired Brain Injury Survivors, Jennifer Oyekanmi
An Exploration Of Social Connectedness As A Predictor Of Quality Of Life In Acquired Brain Injury Survivors, Jennifer Oyekanmi
PCOM Psychology Dissertations
Research on quality of life in ABI survivors has focused on four domains: psychological, physical, social, and cognitive (Upadhyay, 2007). Social relationships, in particular, can help ABI survivors more effectively cope with changes in their lives, help maintain a healthy outlook, and can help with seeking further understanding of the consequences of sustaining a ABI (Hibbard et al, 2002). The current study sought to examine if social connectedness is predictive of quality of life in ABI survivors. Participants were 71 individuals who have sustained a ABI and who currently or in the past participated in a long term rehabilitation program. …
The Effects Of Speech Impairment On Quality Of Life Over Time In Patients With Amyotrophic Lateral Sclerosis, Jacqueline Kelley Blessinger
The Effects Of Speech Impairment On Quality Of Life Over Time In Patients With Amyotrophic Lateral Sclerosis, Jacqueline Kelley Blessinger
PCOM Psychology Dissertations
Limited research exists on how speech impairments affect quality of life (QOL) factors over time in patients with amyotrophic lateral sclerosis (ALS). A review of the literature, including the history, disease course, and prevalence of ALS, is presented. Physical and psychosocial functioning, especially the decline of bulbar functioning’s potential impact on QOL factors and communication style, are outlined. This study is a follow-up study on a study by Duff, who found a significant difference in QOL relative to level of bulbar functioning in a cross-sectional design. The current study used a longitudinal design to look at bulbar functioning, specifically levels …
Lqts Patients’ Satisfaction With Emergency Room Care, Stephanie H. Felgoise, Katherine Lawrence, Victoria L. Vetter
Lqts Patients’ Satisfaction With Emergency Room Care, Stephanie H. Felgoise, Katherine Lawrence, Victoria L. Vetter
Research Day
Abstract: Long QT Syndrome (LQTS) is a genetic condition affecting 1:2,500 that predisposes individuals to cardiac arrhythmias (Ellis et al., 2009). Life threatening symptoms are often unpredictable although there are known triggers to LQTS specific cardiac events. Triggers include physical exertion, emotional upset, and sleep. Events could be triggered by medications, dehydration, and other circumstances that affect cardiac rhythm. Treatments include betablockers, pacemakers, internal cardioverter defibrillators, and automated external defibrillator as precautionary measures. As such, LQTS patients often present to their emergency room (ER) when they become symptomatic. Research suggests that LQTS patients’ experience dissatisfaction in the ER and treatment …
Lqts: Gender Differences And Mother-Son Vs. Mother-Daughter, Thea Gallagher
Lqts: Gender Differences And Mother-Son Vs. Mother-Daughter, Thea Gallagher
PCOM Psychology Dissertations
Long QT syndrome is a chronic disorder, and one of the most common genetic arrhythmia syndromes that can cause unexpected cardiac arrest and death in individuals. Treatment options include medications, use of implantable cardioverter defibrillators (ICD) and restricting activities of daily life. Minimal research exists exploring the specific psychosocial aspects of the illness and/or the impact on the quality of life of individuals and families coping with the management and diagnosis of this illness. Furthermore, little research has attempted to understand the role of gender differences and mother-child perceptions among individuals with Long QT syndrome. The current study used data …
Effect Of Medical Education On Empathy In Osteopathic Medical Students, Adam J. Mctighe
Effect Of Medical Education On Empathy In Osteopathic Medical Students, Adam J. Mctighe
PCOM Psychology Dissertations
Empathy is an integral component of the physician-patient relationship and involves a cognitive and emotional ability to connect with others in a meaningful fashion. To date, only two studies exist using osteopathic medical student samples while multiple studies have shown that allopathic student empathy declines significantly during year 3. Similar results were not found in the osteopathic samples; however, the designs used were cross-sectional, while allopathic studies were longitudinal. The current study utilized a mixed methods approach that included cross-sectional and longitudinal analyses, the first to do so within an osteopathic medical student population. The present study investigated empathy levels …
The Effectiveness Of Various Reminder Systems On Appointment-Keeping Adherence In A University-Based Primary-Care Setting, Frank M. Mirarchi
The Effectiveness Of Various Reminder Systems On Appointment-Keeping Adherence In A University-Based Primary-Care Setting, Frank M. Mirarchi
PCOM Psychology Dissertations
Treatment nonadherence is a significant problem that can affect not only the healthcare industry, but also more importantly, a patient’s health. Appointment-keeping adherence is expected to supersede all other types of adherence in terms of its importance and sequence. Various interventions have been used to treat nonadherence including appointment-keeping nonadherence within medical practices. Some of these interventions include different types of reminders (phone, letter, cards, etc.) and different types of therapy (motivational interviewing (MI) and cognitive behavioral therapy). Both reminders and MI have been effective in the past in treating appointment-keeping nonadherence. Therefore, will an MI-formatted letter reminder improve appointment-keeping …
Educators' Knowledge Of And Attitudes Toward Concussions And The New Jersey Concussion Law, Einat Katz-Delong
Educators' Knowledge Of And Attitudes Toward Concussions And The New Jersey Concussion Law, Einat Katz-Delong
PCOM Psychology Dissertations
Recent media attention, lawsuits from retiring athletes, and the early retirement of famous athletes have increased public awareness of sports-related head injuries. High school student athletes are more susceptible to concussions than older athletes. Athletes suffering from concussions may experience long-lasting effects on their lives, particularly in cognitive, emotional, and school functioning. Given the increased rates of concussions and their ramifications, state governments and the federal government have taken action. Beginning with the start of the 2011–2012 school year, the state of New Jersey has implemented legislation that requires all school districts with interscholastic sports programs to develop a written …
Assessing Transgender Attitudes Toward Health Care: Can These Attitudes Help Predict Health Outcomes?, Sara M. Shane
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, …
Examination Of Physician Decision Making With Children And Adolescents Diagnosed With Long Qt Syndrome: A Qualitative Study, Julie Radico
Examination Of Physician Decision Making With Children And Adolescents Diagnosed With Long Qt Syndrome: A Qualitative Study, Julie Radico
PCOM Psychology Dissertations
Physicians are faced with ongoing challenges in diagnosing long QT syndrome (LQTS) and the uncertainty regarding treatment for specific genotypes and prescription of restrictions regarding physical activity. This study explored what impacts physicians’ decision making with regard to treatment and recommendations for children and adolescents with LQTS. Semi-structured interviews were conducted with pediatric cardiologists who were currently treating this population. Several themes regarding physician decision making were identified: constant reevaluation of decisions, impact of years of experience/number of LQTS patients treated, differentiating from versus joining with other physicians, variations in recommending patient sports involvement and activity level, and physicians as …
Predictors Of Successful Weight Loss Following Bariatric Surgery, Francine R. Broder
Predictors Of Successful Weight Loss Following Bariatric Surgery, Francine R. Broder
PCOM Psychology Dissertations
Obesity is a major public health problem involving both medical and quality-of-life
issues. During the past 20 years, obesity has dramatically increased and is currently at an all-time high (Centers for Disease Control and Prevention, 2011). More than two thirds of the adult population in the United States is estimated to be overweight, with over one third of the population classified as obese (National Institute of Health, 2009). While attempting to lose weight is common, calorie reduction combined with physical activity typically results in 5 to 10 % reduction of body weight over a 6-month period, yet these moderate losses …
Predicting Initial Mental Health/Substance Abuse Treatment Attendance In Hiv/Aids Patients: An Exploration Of Risk Factors, Rachel D. Amodio
Predicting Initial Mental Health/Substance Abuse Treatment Attendance In Hiv/Aids Patients: An Exploration Of Risk Factors, Rachel D. Amodio
PCOM Psychology Dissertations
This study attempted to predict mental health/substance abuse treatment initial appointment attendance, utilizing specific social, provider, institutional, medical, and psychological risk factors through the use of a logistic regression model. The initial frequency analysis revealed that only 155 individuals were ever scheduled to attend an appointment of the original data set (N=298). The majority of individuals could not be scheduled due to unavailability, disinterest, latency and other reasons. A new data set was created from individuals who were scheduled and variables were collapsed across categories to include: length of wait time to appointment, CD4 count, prescribed medications, reason for referral, …
Parents' Coping With Children's Newly Diagnosed Long-Qt Syndrome: A Qualitative Study Of The Function And Utilization Of An Online User Group, Allison Burns-Pentecost
Parents' Coping With Children's Newly Diagnosed Long-Qt Syndrome: A Qualitative Study Of The Function And Utilization Of An Online User Group, Allison Burns-Pentecost
PCOM Psychology Dissertations
Long QT syndrome is a sudden death syndrome that occurs in about 1 in 2,000 births. LQTS is caused by genetic mutations that affect the electrophysiology of the heart, resulting in a prolonged QT interval and possible cardiac arrhythmia, syncope or sudden death. Treatments include medications, implantable cardioverter defibrillators and activity restrictions. Little research exists regarding the psychosocial factors of the illness or the ways in which families cope with diagnosis and management of the chronic illness. The current study used archival data from an online user group. Participants were members of the group who discussed concerns related to LQTS. …
Motivational Interviewing With Individuals In Recovery: Effects On Hope, Meaning, Empowerment And Service Participation, Scott D. Glassman
Motivational Interviewing With Individuals In Recovery: Effects On Hope, Meaning, Empowerment And Service Participation, Scott D. Glassman
PCOM Psychology Dissertations
Service engagement continues to challenge providers working with individuals with serious mental illness and substance abuse disorders. Motivational Interviewing (MI), an intervention aligned with recovery-oriented principles in its emphasis on empathy, empowerment, and self-directed change, directly addresses this problem. Its effects on service engagement, however, have been inconsistent with dually diagnosed populations. To explore underlying processes that may influence engagement, the present mixed methods, single case experiment studied the effects of MI on key recovery constructs: hope, meaning, and empowerment. Participants were 6 consumers enrolled in an intensive outpatient program for co-occurring disorders. Results showed statistically significant increases for half …
Osteopathic Medical Student Knowledge Of And Attitudes Toward Chronic Pain, Amelia Grace Gradwell
Osteopathic Medical Student Knowledge Of And Attitudes Toward Chronic Pain, Amelia Grace Gradwell
PCOM Psychology Dissertations
Chronic pain is a prevalent presenting problem for patients in medical settings, yet how physician knowledge and attitudes about those with chronic pain may influence the treatment of this condition is not fully understood. The purpose of this study was to evaluate the knowledge and attitudes of osteopathic medical students about pain management, with particular emphasis on chronic pain, in an effort to address the lack of chronic pain research currently available. A review of current literature, including an overview of chronic pain, is included. This study used original data, collected from first and fourth year D.O. students at a …
An Examination Of The Interactive Effects Of Mindfulness And Stress On Negative Health Habits In A Primary Care Population, Christina J. Dichiara
An Examination Of The Interactive Effects Of Mindfulness And Stress On Negative Health Habits In A Primary Care Population, Christina J. Dichiara
PCOM Psychology Dissertations
The overarching goal of this study was to better understand relationships between health habits, stress, and mindfulness. In doing so, this research examined the interaction of mindfulness with responses to stress as it affects negative health habits. There was also a psychometric development study conducted, using confirmatory factor analyses (CFA) to test the applicability of the two-factor model of the PHLMS to a primary care population. Data were collected from 198 adult patients in a primary care medical practice. Participants ranged in age from 18 to 89 years old, were 51% female, and 92% Caucasian. For CFA analyses, three fit …
Death Anxiety Amongst Medical Facility Staff Working With Medically Fragile Individuals, Jacqueline Anne Chambers-Klein
Death Anxiety Amongst Medical Facility Staff Working With Medically Fragile Individuals, Jacqueline Anne Chambers-Klein
PCOM Psychology Dissertations
Death, an inevitable concept that connects us as humans, can cause significant anxiety in individuals. Literature suggests that some medical professionals choose the field because of their own inner struggles with death (Neimeyer et al., 2004). Archival interview data were utilized in this action- oriented research to explore the notion of death anxiety in professionals who are working with medically fragile children. Twenty-six employees were individually interviewed at a residential medical facility. Additionally, a retrospective journal was utilized to understand the author’s thoughts, feelings, and experiences during internship. In order to examine the potential categories and themes that the author …