Health Psychology Commons^™

Comparison Of General Population Vs. U.S. Military Veterans Eating Disorder Prevalence, Micah Callahan

University Honors Theses

Eating disorders disrupt the psychological wellbeing, work ability and daily functioning of many individuals. There is currently no data to compare the prevalence of eating disorders in the general public compared to the military population. The hypothesis was that the military population would be significantly higher in prevalence compared to the general population within the general eating disorder, subcategories of eating disorders and between sex. To analyze the data collected from two studies, sixteen two-proportion Z tests were conducted to determine if the proportions of DSM-V eating disorders differed within and between sex for total incidence and sub-category incidence for …

An Integrative Review Of Fathers' Needs During The Transition To Fatherhood: Implications For Perinatal Education, Carli Cox

University Honors Theses

Aim: To examine the needs and experiences of fathers during the transition to fatherhood with the intent of improving perinatal education for fathers.

Background: The perinatal period is a highly transformational time for parents with implications in mental health, role development, identity formation, and relationship changes, to name a few. Unfortunately, research on fathers' needs and experiences during this time is limited, which consequentially restricts the development of father-inclusive perinatal education.

Method: An electronic search for qualitative studies was conducted using the PsycInfo database. Results were narrowed by a set of criteria and chosen studies' results were analyzed and organized …

Treatment Satisfaction And Self-Efficacy In Hispanic Diabetes Patients At A Free Clinic Setting, Lhanze Tum

University Honors Theses

Diabetes continues to be one of the leading causes of death within the United States, with the Hispanic population having an especially high risk of developing diabetes. Understanding the different factors that may affect adherence to diabetes self-care, such as self-efficacy, duration of diabetes, and patient treatment satisfaction is important to reduce diabetes-related health complications. The aim of this study is to examine the relationship between patient self-efficacy for diabetes management and satisfaction with treatment, as well as whether the duration of diabetes is associated with self-efficacy for disease management. Baseline data was collected on 16 Hispanic patients with diabetes …

Multimorbidity Accumulation Among Middle-Aged Americans: Differences By Race/Ethnicity And Body-Mass Index., Anda Botoseneanu, Sheila Markwardt, Corey L. Nagel, Heather G. Allore, Jason T. Newsom, David A. Dorr, Ana R. Quiñones

Psychology Faculty Publications and Presentations

Obesity and multimorbidity are more prevalent among U.S. racial/ethnic minority groups. Evaluating racial/ethnic disparities in disease accumulation according to body-mass index (BMI) may guide interventions to reduce multimorbidity burden in vulnerable racial/ethnic groups.

The Impact Of Covid-19 On Transit Workers: Perceptions Of Employer Responses And Associations With Health Factors, Sean P.M. Rice, Leah S. Greenspan, Talya N. Bauer, Jarred Rimby, Todd Bodner, Ryan Olson

Business Faculty Publications and Presentations

COVID-19 has had a substantial impact on transit workers’ lives, especially among public-facing vehicle operators. The current project examined relationships between workers’ knowledge and perceptions of their employer’s COVID-19 safety responses, job attitudes, and health. We surveyed transit workers (N = 174) between July and August 2020 and followed up 3 months later. Fifty-seven workers responded to the follow-up survey. Surveys addressed workers’ knowledge and perceptions of their employer implementing Centers for Disease Control and Prevention (CDC)-recommended COVID-19 safety responses, COVID-19 risk perceptions, job attitudes, and health factors. Employees reported knowledge of their employer implementing ~8 of 12 CDC-recommended responses. …

Association Of Use Of Rehabilitation Services With Development Of Dementia Among Patients With Rheumatoid Arthritis: Analysis Of Domestic Data In Taiwan, Ming-Chi Lu, Hanoch Livneh, Chieh-Tsung Yen, Hua-Lung Huang, Miao-Chiu Lin, Shu-Wen Yen, Ning-Sheng Lai, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Objectives: Rheumatoid arthritis (RA) was found to trigger the higher risk of dementia. Limited information, however, is available on whether the use of rehabilitation services (RS), an integral part of healthcare programs, can lessen dementia risk for RA subjects. The aim of this study was to determine the relationship of RS use to the development of dementia in RA patients.

Methods: We identified 2,927 newly diagnosed patients with RA, 20–70 years of age between 1998 and 2007, from a national health insurance database. 965 patients from this sample received RS, and 1,962 patients were designated as a control group (non-RS …

Health Behavior Among Men Occupying Multiple Family Roles And The Moderating Effects Of Perceived Partner Relationship Quality, Nicole Depasquale, Courtney A. Polenick, Jesse Hinde, Jeremy Bray, Steven H. Zarit, Phyllis Moen, Leslie B. Hammer, David M. Almeida

Psychology Faculty Publications and Presentations

Men in the U.S. are increasingly involved in their children’s lives and currently represent 40% of informal caregivers to dependent relatives or friends aged 18 years or older. Yet, much more is known about the health effects of varying family role occupancies for women relative to men. The present research sought to fill this empirical gap by first comparing the health behavior (sleep duration, cigarette smoking, alcohol consumption, exercise, fast food consumption) of men who only occupy partner roles and partnered men who also fill father, informal caregiver, or both father and informal caregiver (i.e., sandwiched) roles. The moderating effects …

The Role Of Simulation In Mixed-Methods Research: A Framework & Application To Patient Safety, Jeanne-Marie Guise, Matthew Hansen, William E. Lambert, Kerth O'Brien

Psychology Faculty Publications and Presentations

Background: Research in patient safety is an important area of health services research and is a national priority. It is challenging to investigate rare occurrences, explore potential causes, and account for the complex, dynamic context of healthcare - yet all are required in patient safety research. Simulation technologies have become widely accepted as education and clinical tools, but have yet to become a standard tool for research.

Methods: We developed a framework for research that integrates accepted patient safety models with mixed- methods research approaches and describe the performance of the framework in a working example of a large …

Psychosocial Challenges Facing Women Living With Hiv During The Perinatal Period In Rural Uganda, Scholastic Ashaba, Angela Kaida, Jessica N. Coleman, Bridget F. Burns, Emma Dunkley, Kasey O'Neil, Jasmine Kastner, Naomi Sanyu, Cecilia Akatukwasa, David R. Bangsberg, Lynn T. Matthews, Christina Psaros

OHSU-PSU School of Public Health Faculty Publications and Presentations

The complexities of navigating pregnancy while living with HIV predispose women to additional stress. Finding ways to minimize psychosocial challenges during the perinatal period may maximize the well-being of mothers living with HIV and their children. The goal of this study was to explore psychosocial challenges experienced by women living with HIV (WLWH) during pregnancy and the postpartum.

We conducted individual in-depth interviews with 20 WLWH recruited from an HIV treatment cohort study in Mbarara, Uganda as part of a larger study exploring perinatal depression. We conducted content analyses to identify themes related to challenges of WLWH during pregnancy and …

Racial And Ethnic Differences In Smoking Changes After Chronic Disease Diagnosis Among Middle-Aged And Older Adults In The United States, Ana R. Quinones, Corey L. Nagel, Jason T. Newsom, Nathalie Huguet, Paige Sheridan, Stephen M. Thielke

Psychology Faculty Publications and Presentations

Background

Middle-aged and older Americans from underrepresented racial and ethnic backgrounds are at risk for greater chronic disease morbidity than their white counterparts. Cigarette smoking increases the severity of chronic illness, worsens physical functioning, and impairs the successful management of symptoms. As a result, it is important to understand whether smoking behaviors change after the onset of a chronic condition. We assessed the racial/ethnic differences in smoking behavior change after onset of chronic diseases among middle-aged and older adults in the US.

Methods

We use longitudinal data from the Health and Retirement Study (HRS 1992–2010) to examine changes in smoking …

What Is The Key To Culturally Competent Care: Reducing Bias Or Cultural Tailoring?, Adolfo Gabriel Cuevas, Kerth O'Brien, Somnath Saha

Psychology Faculty Publications and Presentations

Objective: To gain a better understanding as to whether disparities in patient– provider relationships arise from ethnic minority patients being treated differently than European American patients while they would prefer to be treated the same, or whether disparities arise when ethnic minority patients are treated the same as European American patients while they would prefer to be treated differently.

Method: African-American, Latina/Latino and European American community members were recruited to participate in one of 27 focus group discussions. Topics included what made a good or bad relationship with a doctor and what led one to trust a doctor. A thematic …

Characteristics Of Cannabis-Only And Other Drug Users Who Visit The Emergency Department, Susan I. Woodruff, Cameron T. Mccabe, Melinda Hohman, John D. Clapp, Audrey M. Shillington, Kimberly Eisenberg, C. Beth Sise, Edward M. Castillo, Theodore C. Chan, Michael J. Sise

Psychology Faculty Publications and Presentations

Emergency department (ED) settings have gained interest as venues for illegal drug misuse prevention and intervention, with researchers and practitioners attempting to capitalize on the intersection of need and opportunity within these settings. This study of 686 adult patients visiting two EDs for various reasons who admitted drug use compared daily cannabis-only users, nondaily cannabis-only users, and other drug users on sociodemographic and drug-related severity outcomes. The three drug use groups did not differ on most sociodemographic factors or medical problem severity scores. Forty-five percent of the sample was identified as having a drug use problem. ED patients who used …

Intrapersonal And Interpersonal Consequences Of Loneliness: Health Behavior, Social Interactions, Self-Disclosure, And Perceived Responsiveness, Sarah Noel Arpin

Dissertations and Theses

As a social species, human beings are driven by an innate desire to belong and are thus motivated to develop and maintain meaningful social relationships. As such, perceiving a lack of belongingness strongly impacts psychological and physiological health and well-being. A common form of perceived relationship deficits is loneliness, a negative-affective experience detrimental to health and well-being over time. Through a series of three manuscripts, this dissertation applies the full-cycle model of social psychological research to explore various affective, behavioral, and cognitive consequences of loneliness. Whereas existing models of loneliness focus on long-lasting or chronic forms of loneliness, these studies …

The Relationship Between Mindfulness And Burnout Among Master Of Social Work Students, Jolanta Maria Piatkowska

Dissertations and Theses

Social work students frequently endure elevated levels of prolonged stress and psychological affliction that might result in serious consequences, such as development of burnout. Some experts suggest that burnout originates in the exposure to chronic interpersonal stressors in the work environment. Yet, there is emerging evidence suggesting that mindfulness practice might be beneficial in alleviating stress. Thus, the purpose of this exploratory study was to examine the relationship between mindfulness and burnout among Master of Social Work students. Burnout, mindfulness, religiosity, spirituality and their potential relationship were discussed and related to previous scholarly literature. Specifically, this study focused on testing …

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 …

Concussion Guidelines Step 1: Systematic Review Of Prevalent Indicators, Nancy Carney, Jamshid Ghajar, Andy Jagoda, Steven Bedrick, Cynthia Davis-O'Reilly, Hugo Du Coudray, Dallas Hack, Nora Helfand, Amy Huddleston, Tracie Nettleton, Riggio Silvana

Psychology Faculty Publications and Presentations

BACKGROUND: Currently, there is no evidence-based definition for concussion that is being uniformly applied in clinical and research settings.

OBJECTIVE: To conduct a systematic review of the highest-quality literature about concussion and to assemble evidence about the prevalence and associations of key indicators of concussion. The goal was to establish an evidence-based foundation from which to derive, in future work, a definition, diagnostic criteria, and prognostic indicators for concussion.

METHODS: Key questions were developed, and an electronic literature search from 1980 to 2012 was conducted to acquire evidence about the prevalence of and associations among signs, symptoms, and neurologic and …

The Community Of Practice And Safety Support (Compass) Total Worker Health™ Study Among Home Care Workers: Study Protocol For A Randomized Controlled Trial, Ryan Olson, Diane Elliot, Jennifer Hess, Sharon Thompson, Kristy Luther, Brad Wipfli, Robert R. Wright, Annie Mancini Buckmaster

Psychology Faculty Publications and Presentations

Background: Home care workers are a high-risk group for injury and illness. Their unique work structure presents challenges to delivering a program to enhance their health and safety. No randomized controlled trials have assessed the impact of a Total Worker Health™ program designed for their needs.

Methods/design: The COMPASS (COMmunity of Practice And Safety Support) study is a cluster randomized trial being implemented among Oregon’s unionized home care workers. Partnering with the Oregon Home Care Commission allowed recruiting 10 pairs of home care worker groups with 8 participants per group (n = 160) for balanced randomization of groups to intervention …

Factors Influencing Youth Self-Perceptions Of Overweight And Obesity, Caitlin Helen Sommers

Dissertations and Theses

This study sought to examine whether participation in physical activity affects the ability to correctly classify body size, based on body mass index classifications. Secondarily, this study determined whether adolescents who incorrectly classified their body size overestimated or underestimated their size. Self-report data from the Youth Risk Behavior Surveillance Survey collected by the Centers for Disease Control and Prevention were analyzed. Logistic regression was performed to examine relationships between self-perception of body size and physical activity, television viewing time, computer/video game use, physical education class time, and extracurricular sports activities. Significance was set to p<0.05. Physical activity was the only statistically significant independent variable (p=0.058, OR = 1.060). Although physical activity was shown to be statistically significant, it did not appear to meaningfully increase the ability of youth to correctly classify body size. Secondary analysis showed that adolescents who incorrectly classified their body size were more likely to underestimate their body size. Females more frequently underestimated their body size (females=673; males=384).

Work Stress Reactivity And Health Outcomes: A Study Of Nurses, Laurie Marie Jacobs

Dissertations and Theses

Negative events encountered in daily life influence individual well-being. Individuals vary in their reactivity to these events, the extent to which they are behaviorally, physiologically, and psychologically influenced by them (Almeida, 2005; Neupert, Almeida, & Charles, 2007). Reactivity to events in the form of changes in health behavior could represent either an attempt at coping (Cooper, Frone, Russell, & Mudar, 1995) or a stressor-related failure of self-control (Muraven & Baumeister, 2000). Such changes in behavior could have later effects on health.

Although a great deal of attention has been paid to both the immediate and long-term effects of stressors on …

Increased Risk And Related Factors Of Depression Among Patients With Copd: A Population-Based Cohort Study, Tzung-Yi Tsai, Hanoch Livneh, Ming-Chi Lu, Pang-Yau Tsai, Pei-Chun Chen, Fung-Chang Sung

Counselor Education Faculty Publications and Presentations

Background

Depression is a common and mostly undertreated problem in patients with chronic diseases. However, population-based studies on the association between chronic obstructive pulmonary disease (COPD) and subsequent depression are limited in Asian populations. This study evaluated the incidence and risk factors of depression for patients with COPD in Taiwan.

Methods

Using the claims data from the National Health Insurance of Taiwan, we identified 38,010 COPD patients newly diagnosed in 2000–2004 and 38,010 subjects without COPD frequency, matched by sex, age and index date. The incidence rate and hazard ratio for depression were estimated by the end of 2008.

Results …

The Concept Of Time In Rehabilitation And Psychosocial Adaptation To Chronic Illness And Disability: Parts I And Ii, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

Human fascination with the concept of time can be traced to antiquity. Time has been viewed as fundamental to all human experience, and efforts to understand its nature, structure, and relationship to the human experience have generated a burgeoning body of literature, over the past two millennia, among philosophers, astronomers, physicists, and more recently psychologists. Yet, the field of rehabilitation counseling has been rather silent on the role of time and especially its place in understanding psychosocial adaptation to chronic illnesses and disabilities. In the first part of this article, the author seeks to (a) provide a brief review of …

Narrative Versus Nonnarrative: The Role Of Identification, Transportation And Emotion In Reducing Health Disparities, Sheila T. Murphy, Lauren B. Frank, Joyee S. Chatterjee, Lourdes Baezconde-Garbanati

Communication Faculty Publications and Presentations

This research empirically tests whether using a fictional narrative produces a greater impact on health-related knowledge, attitudes, and behavioral intention than presenting the identical information in a more traditional, nonfiction, non-narrative format. European American, Mexican American, and African American women (N = 758) were surveyed before and after viewing either a narrative or non-narrative cervical cancer-related film. The narrative was more effective in increasing cervical cancer-related knowledge and attitudes. Moreover, in response to the narrative featuring Latinas, Mexican Americans were most transported, identified most with the characters, and experienced the strongest emotions. Regressions revealed that transportation, identification with specific characters, …

The Fast Food And Obesity Link: An Investigation Of Consumption Patterns And Severity Of Obesity In Pre-Bariatric Surgery Patients, Ginny Garcia-Alexander, Thankam S. Sunil, Pedro Hinojosa

Sociology Faculty Publications and Presentations

We examined selected behavioral factors associated with severity of obesity among pre-operative bariatric surgery patients in the San Antonio area; focusing specifically on the effects of fast food consumption. We used ordered logistic regression to model the effects of behavioral and attitudinal variables on obesity outcomes. Our results indicated that among the behavioral factors, fast food consumption exerted the largest influence on higher levels of obesity. After controlling for several social and demographic characteristics, the effects of fast food consumption remained significant in the model. In fact, for each increase in fast food consumption there was a 26% increase in …

Psychosocial Adaptation To Spinal Cord Injury: The Role Of Coping Strategies, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

Reviews the literature on the role played by coping efforts in fostering psychosocial adaptation to spinal cord injury. Following an introductory discussion of coping in general, and coping with chronic illnesses and disabilities more specifically, the review focuses on the research literature (1980?1999) regarding coping with spinal cord injuries. The paper continues with a summary of findings based on over 30 empirical studies focusing on coping with this disability. Among the prominent findings are the following: (1) More successful psychosocial adaptation is generally associated with higher levels of ego strength and internal locus of control and (2) better adaptation is …

The Tripartite Model Of Rehabilitation Intervention: Basics, Goals And Rehabilitation Strategies, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

This paper discusses the tripartite model of rehabilitation as embedded within the broader model of therapeutic interventions. Rehabilitation, or tertiary intervention, can be viewed as addressing specific goals as they relate to diverse functional limitations. The three phases, or components, of rehabilitation intervention discussed include: (a) disability minimization in an effort to reduce its impact upon life activities; (b) skill development, as an attempt to compensate for limitations imposed by permanent losses; and (c) environmental manipulation to promote physical and social-attitudinal accessibility. The paper concludes with discussion of the model's applicability to the field of rehabilitation counseling.

Attitudes Of Control And Weight Management, Carolyn Lee Edwards Wright

Dissertations and Theses

Applications of locus of control theory to weight loss programs have yielded inconsistent results. This study attempts to clarify "control" by looking at two different factors. Maximum control is the degree of perceived control inherent in the event itself, and personal control is the degree to which the event is perceived controllable by the individual. These two factors were also examined in two types of situations to determine whether individuals have one global outlook on control, or if they make a distinction between control in some situations as opposed to control in other situations. Seventy-four female subjects completed a 16 …

The Self-Help Movement: Evolution Of A Dystonia Chapter, Hanoch Livneh, Betsy M. Cohen

Counselor Education Faculty Publications and Presentations

Reviews the history of the Dystonia Foundation and the self-help movement. Dystonia is a rare neurological disorder characterized by repeated and uninterrupted movements that can affect 1 muscle, a group of muscles, or the entire body musculature. The New England Dystonia Chapter is discussed to illustrate the goals of the self-help movement, which include providing peer counseling and support services; establishing educational programs concerning dystonia for the medical and lay communities; serving as an advocating and liaison body for members regarding the availability of medical, legal, and social services; and participating in a network of services with other dystonia chapters …

Disability And Monstrosity: Further Comments, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

The author discusses possible explanations for stereotypical and negative reactions toward physically disabled persons in literature and society. Cited are examples of physical deformity, animalism, and monstrosity. The reminder of mortality and fallibility produced by disability is considered.

Mastectomies And Their Effect On Sexual Behavior, Irene Marian Ellicott

Dissertations and Theses

Sixteen women who had had hysterectomies and eighteen women who had had mastectomies were mailed the Oregon Sex Inventory to see if any significant differences in sexual behavior occurred before or after surgery.

The mastectomy group showed a greater degree of change in their sexual behavior than the hysterectomy group. The mastectomy group reported a decrease in the importance of the breast during the sexual act after surgery and a decrease in their desire for intercourse after surgery. The hysterectomy group reported lowered sexual satisfaction after surgery.

The changes reported in this study although relatively small are statistically significant. The …

Effects Of Cognition Training On Locus Of Control (Lc), Weight Reduction, And Problem Solving Ability, Lisa Buckmaster

Dissertations and Theses

Weight control is an area of research which continues to generate attention in an endeavor to find the most effective and long lasting weight loss methods. In the realm of the behavioral modification of weight control, emphasis has been given to the impact of external stimuli on eating behavior. Less well researched are internal stimuli, that is, cognitive events, feelings, and thoughts which influence eating habits. The literature on obesity has yet to empirically differentiate the effects of the cognitive and external factors on weight control. A cognitive restructuring approach to weight reduction was hypothesized to be the more effective …