Health Psychology Commons^™

The Overturning Of Roe V. Wade And People Capable Of Pregnancy: An Interpretative Phenomenological Analysis, Carrie Bohmer

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

On June 24, 2022, the Supreme Court of the United States (SCOTUS) overturned Roe v. Wade in their decision within Dobbs v. Jackson Women’s Health Organization, removing the constitutional right to abortion within the United States (US). Leading up to this anticipated and highly politicized case, 13 states passed preemptive legislation (i.e. “trigger bans”) that immediately made abortion illegal following the Dobbs decision. Limited research has explicitly explored the intersection of sexual health and reproductive health from a psychological perspective. Grounded in a reproductive justice framework, this interpretative phenomenological analysis sought to understand how people capable of pregnancy living …

From Activity To Adaptability: Systematic Review On Elevating Adolescent Resilience Through Physical Activity, Kaylee Cowdrey

Honors Program: Senior Projects (Public)

The recent increase in mental health concerns among teens showcases the need for accessible solutions that help buffer against psychopathology and build resilience. This systematic literature review looks at various studies to see how physical activity can positively affect resilience in adolescents by enhancing their emotional regulation, self-efficacy, self-esteem, social connections, and brain function. Literature published since 2010 from databases, including APA PsycInfo, PubMed, and Google Scholar, was collected for this analysis. The results of the review found that as adolescents engage in physical activity, there is improvement in coping skills by enhancing emotional regulation, self-efficacy, self-esteem, and social connectedness …

The Relationship Between Ethnic Identity And Alcohol Use Severity, Nyanhial W. Pal

Honors Program: Senior Projects (Public)

Ethnic Identity (EI) refers to an individual’s beliefs and attitudes towards their ethnic-racial group, and researchers have been interested in its association with health behaviors such as alcohol use. The current literature presents mixed findings regarding whether a strong EI understanding (commitment) or seeking out EI information (exploration) is a protective or risk factor for severe alcohol use. These inconsistencies may be explained by limited sample sizes and composition (e.g., primarily adolescents). As such, we sought to replicate and clarify past findings on the relationship between the EI and alcohol use severity using a diverse national …

Unveiling The Stigma: Doctor Mental Health And Intervention Strategies, Joseph Heirigs

Honors Program: Senior Projects (Public)

Background

The mental health of physicians is a pressing issue that has received increasing attention in recent years. The alarmingly high suicide rates for physicians underscores the critical need to address the mental health challenges that doctors face. Physicians are exposed to stressors that are unique to their profession, including high-stakes decision making, long work hours, traumatic patient situations, and the emotional toll of patient care. These challenges contribute to high rates of anxiety, depression, burnout, and other mental health issues. However, despite these factors, physicians are often reluctant to seek mental health treatment due to fears of professional repercussions, …

Contraceptive Hormone Influences On The Role Of Primary Reinforcement And Reinforcer-Enhancement In Nicotine Self-Administration, Kathleen Robin Mcnealy

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Hormonal contraceptives contain a synthetic estrogen (e.g., ethinyl estradiol/EE) and/or a synthetic progestin (e.g., levonorgestrel/LEVO) and can exacerbate nicotine intake. However, whether altered intake reflects changes in nicotine reinforcement or enhancement by nicotine of co-occurring reinforcers is unknown. This reinforcer-enhancement effect is evidenced in rats when nicotine self-administration is increased by the presence of a visual stimulus (VS) reinforcer. This dissertation examined the effects of EE and LEVO on nicotine reinforcement and reinforcer-enhancement in ovary-intact female Sprague-Dawley rats. Rats were implanted with a jugular catheter and assigned to receive daily injections of EE (Vehicle, 0.125 [Low], or 0.18 [High] μg/day; …

Equality In Times Of Uncertainty: Economic Downturn And Body Image Messaging Toward Women, Ritsa Giannakas

Honors Program: Senior Projects (Public)

A vast body of literature indicates that the economy and the status of women are interlinked, with higher levels of economic well-being tending to correspond with advancements in women’s rights. However, little of this research has investigated the changes in the wellbeing of women as it pertains to their physical and mental health, especially as it pertains to exploring the impacts of economics on eating disorder rates and societal messaging toward women. This thesis investigates a novel theory linking economic uncertainty and downturn to the spread of pro-eating disorder content online, positing that economic uncertainty may coincide with a “conservative …

Music And Perceived Stress: An Investigation Into The Effects Of Music On Chemistry Students' Perceived Stress Levels, Alice Young, Eric Malina

Honors Program: Senior Projects (Public)

Music has long been a prevalent intervention when trying to lower stress in certain populations (Thoma et al., 2013). This study aimed to explore the possible usefulness of music as an intervention for students experiencing stress in the chemistry laboratory setting. Students in general chemistry laboratories were surveyed regarding their stress at the ends of periods in which music was or was not played in their laboratory classes. While the results were not statistically significant, mean stress scores did lower in those groups where music was played. Further research into this topic should focus on type of music, the effects …

The Impact Of The Covid-19 Pandemic On The Well-Being Of People Incarcerated In United States Prisons, Kimberly Rivera

Department of Sociology: Dissertations, Theses, and Student Research

The COVID-19 pandemic has negatively impacted the population as a whole. However, the incarcerated population (which also experiences a variety of health disparities) has been disproportionately affected by the pandemic. Due to overcrowding, poor ventilation, and lack of resources, the incarcerated population already is at a heightened risk for negative health outcomes, made worse by the recent pandemic. To adapt to the rapidly changing conditions during the pandemic in 2020 and into 2022, new safety measures were implemented, but the unintended consequences associated with the implementation of these procedures have yet to be examined empirically. I conducted a qualitative content …

Undergraduate And Graduate Student Wellness At The University Of Nebraska-Lincoln: Current Trends And Future Directions, Emma Farson

Honors Program: Senior Projects (Public)

This study examined the impact of time and personal demographics on student well-being at the University of Nebraska–Lincoln. This was exploratory research looking to identify any disparities in wellness among different demographics of individuals, if there were certain times within a semester that wellness was impacted, and if there were certain dimensions of well-being that are significantly impacted by being a student. A large sample of 3,837 surveys were used to evaluate these questions. None of the 10 dimensions of Wellness (Career, Creative, Cultural, Emotional, Environmental, Financial, Intellectual, Physical, Social, and Spiritual) were significantly impacted by different times in the …

Understanding Queer Women’S Satisfaction With Healthcare Providers: The Role Of Positive Lgb Identity And Communication, Maddie Luebe

Honors Program: Senior Projects (Public)

Much research has explored the negative effects of having a queer identity in healthcare, such as stigmatization and discrimination, but little research examined the potential benefits of a positive LGBTQ identity in healthcare. This study investigated the relationship between having a positive LGBTQ identity and provider satisfaction through comfort communicating with a provider. This study also considered the potential effect of participants’ fear of provider heterosexism in this relationship. Survey data were collected from 506 queer-identified women in the United States. Using moderated mediation, results found that more positive feelings associated with one’s queer identity was associated with increased comfort …

The Role Of Faculty In Fostering Psychosocial Wellbeing Among University Students, Kelley Wick

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The transition to college represents a major life event, and successfully navigating this shift has implications for students’ psychosocial wellbeing. While there is ample support for the idea that social relationships can facilitate student wellbeing during the transition to college, there is limited understanding of the unique role faculty may play in supporting students. The aim of this study was to determine the relation of faculty support to student wellbeing and self-efficacy, independent of peer support and student level of stress. Additionally, the primary questions were to examine whether self-efficacy mediated the relation of faculty support to student wellbeing, and …

Development Of A Minority Stress Preventive Intervention For Sexual And Gender Minority Youth And Young Adults, Natalie Holt

Department of Psychology: Dissertations, Theses, and Student Research

Mental health disparities amongst sexual and gender minority (SGM) individuals are spurred by exposure to minority stressors and sustained by mediators of problems with emotion regulation, social support, and cognitive processes. Emerging clinical research suggests empirically supported behavioral health treatments can be culturally adapted to address these mental health disparities, however less work has focused on the prevention of symptoms. The present study developed a brief preventive intervention targeting mediators of the minority stress model for SGM youth and young adults aged 17 to 26. Focus groups with 8 SGM participants informed development to ensure the content and delivery of …

Examining The Influence Of Childhood Trauma On College Alcohol Use And Mental Health: A Comparison Between United States And Philippines, Irenea Soetjoadi, Jessie Tibbs, Antover Tuliao, Dennis Mcchargue

UCARE: Research Products

College students who have experienced trauma might use alcohol as a way to escape from their problems as drinking is a common way to forget the problems and create feelings of relaxation. Though the existing research has found that childhood trauma negatively impacts future alcohol use in many individuals, the specific patterns of these relationships across different cultures are not well understood. In this study, we investigate how these relationships vary across United States and Philippines. We hypothesized that college students who experience childhood trauma will report more mental health symptoms and greater alcohol consumption. Furthermore, we tested the ability …

A Case Study Of Barriers To Dental Care In Nebraska, Kaitlin Buhler

Honors Program: Senior Projects (Public)

An important aspect of overall health is access to dental care, which is, unfortunately, oftentimes difficult to obtain. This study used data collected from a case study of three registered dentists in Nebraska to investigate the barriers to dental care, and identified the lack of dental insurance, limited access to free or reduced-price dental care, and dental anxiety as perceived barriers to dental care. Factors that did not seem to have an impact were language or ethnicity differences between patients and workers, distance to travel, comfortability with receiving free or reduced-price dental care, knowledge of how often to visit the …

Attributions Of Blame In A Hypothetical Child Sexual Abuse Case: Roles Of Behavior Problems And Frequency Of Abuse, Kate Theimer, David J. Hansen

Department of Psychology: Faculty Publications

Youth who are blamed for their sexual abuse may experience increased negative outcomes, such as amplified self-blame. Similarly, blaming nonoffending parents can impede their ability to support their child following disclosure. Understanding the factors that influence how people perceive victim, caregiver, and perpetrator responsibility is imperative for the protection and treatment of families who have experienced sexual abuse. Little research has explored victim and abuse characteristics that influence the perception of sexual abuse. As such, the purpose of this study was to examine the roles of behavior problems and frequency of abuse in the attribution of blame in a hypothetical …

Alcohol Expectancies Among Students In The City Of Pokhara, Nepal, Niran Tamrakar

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Alcohol plays a vital role in various aspects of Nepalese society. It also presents public health risks. Though adolescents in Nepal are at high risk for negative consequences from alcohol use, there is limited information available on their alcohol behaviors and beliefs. The present study aims to describe alcohol expectancies among a sample of secondary students in Nepal to identify and understand motivations underlying their alcohol-related behaviors. A self-report survey was administered to 591 students from different Englishmedium schools in the city of Pokhara. This study began with the Chinese Adolescent Alcohol Expectancy Questionnaire (CAAEQ), then used qualitative methods to …

Cross-Cutting Mechanisms That Contribute To Developing Anxiety-Related Alcohol Use Problems Among College Students, Vincenzo Roma

Department of Psychology: Dissertations, Theses, and Student Research

Drinking behaviors among college students have become problematic as evidenced by 20% of students who endorse five or more problems associated with alcohol use. Alcohol use problems are associated with numerous anxiety problems and can begin as early as young adolescence. The period for risk of developing emotional problems peaks during the transition to college. Despite the relationship between anxiety and alcohol use problems, little is known about the cross-cutting mechanisms that explain their relationship and comorbidity. Researchers have proposed affective (i.e. anxiety sensitivity and distress tolerance) and alcohol-specific motivations (i.e. expectancies, valuations, peer influence, and drinking motives) as vulnerabilities …

Racial And Cultural Minority Experiences And Perceptions Of Health Care Provision In A Mid-Western Region, Stephane M. Shepherd, Cynthia Willis-Esqueda, Yin Paradies, Diane Sivasubramaniam, Juanita Sherwood, Teresa Brockie

Department of Psychology: Faculty Publications

Background: Disparities across a number of health indicators between the general population and particular racial and cultural minority groups including African Americans, Native Americans and Latino/a Americans have been well documented. Some evidence suggests that particular groups may receive poorer standards of care due to biased beliefs or attitudes held by health professionals. Less research has been conducted in specifically non-urban areas with smaller minority populations.

Methods: This study explored the self-reported health care experiences for 117 racial and cultural minority Americans residing in a Mid-Western jurisdiction. Prior health care experiences (including perceived discrimination), attitudes towards cultural competence and satisfaction …

Enduring Chronic Kidney Disease: An Investigation Of Psychosocial Factors And Life Satisfaction In Older Adults Receiving Dialysis Treatment, Bailee Sobotka

Honors Program: Senior Projects (Public)

Chronic kidney disease is a condition during which the kidneys begin to shut down and no longer filter blood efficiently. Once the disease has progressed far enough, dialysis treatments are mandatory to sustain life. To further understand how older adults receiving dialysis treatments cope with their disease, psychosocial factors were evaluated to investigate possible correlations with life satisfaction using a Life Satisfaction Index Z (LSI-Z). Expected correlations with life satisfaction were sociability, financial satisfaction, importance of spirituality, and activities of daily living scores. Interviews were conducted with 30 dialysis patients and results were analyzed using various statistical measures. Significant correlations …

Just Here For Moral Support: A Path Analysis Of Depression And Social Support Networks, Jordan E. Marshall

Department of Psychology: Dissertations, Theses, and Student Research

Social support has been shown to be associated with lower depression scores in a variety of populations. Using a series of questionnaires, Leahy-Warren, McCarthy, and Corcoran (2011) found significant negative relationships between functional social support and postnatal depression as well as between informal social support and postnatal depression. Grav et. al, (2011) conducted a similar study on the general population, and found that perceived support was significantly correlated to depression. Research suggests that there are gender differences in the relationship between social support and depression. Utilizing data from the Longitudinal Aging Study Amsterdam, Sonnenberg et. al, (2013) found a lack …

Adolescent Perceptions Of Dating Violence: A Qualitative Study, Sarah Taylor, Carrie A. Calkins, Yan Ruth Xia, Rochelle L. Dalla

Department of Child, Youth, and Family Studies: Faculty Publications

Scholars have identified dating violence as a public health issue among adolescents. Yet, minimal research has detailed adolescents’ perceptions of dating violence, specifically gender differences in perceptions. Research suggests that in order for dating violence prevention and intervention to be effective, services need to be delivered in a manner that is understood by adolescents. Therefore, this study used a qualitative phenomenology study to investigate adolescents’ perceptions of dating violence, including gender differences in adolescents’ perceptions. Thirty adolescents between the ages of 14 and 19 from a Midwest public high school participated in focus groups. Focus group participants were asked semistructured …

Sleep, Executive Control, And Psychopathology In Children: A Longitudinal Study And An Examination Of Brief Sleep Treatment, Katherine M. Kidwell

Department of Psychology: Dissertations, Theses, and Student Research

Researchers have acknowledged that poor sleep is not merely a symptom of psychopathology but also a contributing factor to the development of psychopathology in children (Walker & Harvey, 2010). However, more research is needed to explicate the associations among sleep, executive control (EC), and psychopathology. Specifically, there are few studies using longitudinal designs and limited research on how treating sleep can improve mental health symptoms. This dissertation provides a conceptual framework for the associations among sleep, EC, and psychopathology. The conceptual framework is bolstered by two studies. Study 1 is an examination of early sleep problems and preschool EC as …

“Great Job Cleaning Your Plate Today!” Determinants Of Child-Care Providers’ Use Of Controlling Feeding Practices: An Exploratory Examination, Dipti A. Dev, Brent A. Mcbride, Katherine E. Speirs, Kimberly A. Blitch, Natalie A. Williams

Department of Child, Youth, and Family Studies: Faculty Publications

Background National early childhood obesity prevention policies recommend that child-care providers avoid controlling feeding practices (CFP) (e.g., pressure-to-eat, food as reward, and praising children for cleaning their plates) with children to prevent unhealthy child eating behaviors and childhood obesity. However, evidence suggests that providers frequently use CFP during mealtimes.

Objective Using the Academy of Nutrition and Dietetics (2011) benchmarks for nutrition in child care as a framework, researchers assessed child-care providers’ perspectives regarding their use of mealtime CFP with young children (aged 2 to 5 years).

Design Using a qualitative design, individual, face-to-face, semi-structured interviews were conducted with providers until …

Uninvolved Maternal Feeding Style Moderates The Association Of Emotional Overeating To Preschoolers’ Body Mass Index Z-Scores, Maren Hankey, Natalie A. Williams, Dipti A. Dev

Department of Child, Youth, and Family Studies: Faculty Publications

Objective: To examine the relation between preschoolers' eating behaviors and body mass index (BMI) z-scores (BMIz) and the moderating role of permissive parent feeding styles in these associations.

Design: Cross-sectional study involving mothers' report of food-related parenting styles and child eating behaviors.

Setting: Small city in southern Mississippi.

Participants: Mother–preschooler dyads (n = 104).

Main Outcome Measure: Child body BMIz.

Analysis: Moderated multiple regression.

Results: An uninvolved feeding style moderated the relationship between emotional eating and BMIz such that children with higher emotional overeating scores had higher a BMIz in the presence of an uninvolved feeding style (B …

Daily Bidirectional Relationships Between Sleep And Mental Health Symptoms In Youth With Emotional And Behavioral Problems, Tori R. Van Dyk, Ronald W. Thompson, Timothy D. Nelson

Department of Psychology: Faculty Publications

Objective The present study examined the daily, bidirectional relationships between sleep and mental health symptoms in youth presenting to mental health treatment. Methods Youth aged 6 to 11 (36% female, 44% European American) presenting to outpatient behavioral health treatment (N = 25) were recruited to participate in the study. Children and parents completed daily questionnaires regarding the child’s sleep, mood, and behavior for a 14-day period, while youth wore an actigraph watch to objectively measure sleep. Results Examining between- and within-person variance using multilevel models, results indicate that youth had poor sleep duration and quality and that sleep and mental …

Tired, Hungry, And Grumpy: Understanding The Direct And Indirect Relationships Among Child Temperament, Sleep Problems, Feeding Styles, And Weight Outcomes, Alyssa Lundahl

Department of Psychology: Dissertations, Theses, and Student Research

Research indicates that temperament is related to later obesity risk in both childhood and adulthood (e.g., Anzman-Frasca et al., 2012; Darlington & Wright, 2006), but less research has examined the mechanisms underlying this relationship. It is likely that temperament influences factors that increase one’s risk for obesity, such as parental feeding practices and child sleep problems. As such, the primary aim of the present study was to provide rigorous concurrent and longitudinal examinations of temperament, feeding practices, sleep problems, and child zBMI in a sample of healthy preschool children. In addition, the moderating role of SES was examined. A secondary …

Psychological Distress And Revictimization Risk In Youth Victims Of Sexual Abuse, Samantha L. Pittenger, Alayna Schreier, Katie Meidlinger, Jessica K. Pogue, Kate Theimer, Mary Fran Flood, David J. Hansen

Department of Psychology: Faculty Publications

Psychological distress, including depression and anxiety, has been associated with increased risk for sexual revictimization in youth who have experienced child sexual abuse. The present study utilized assessment information from treatment seeking youth with histories of sexual abuse to explore specific risk indicators for revictimization—risk taking, social problems, maladaptive cognitions, and posttraumatic stress—that may be indicated by self-reported distress. The relationship between initial levels of distress and change in symptoms over a 12-week course of treatment was also explored. Participants were 101 youth referred to a child-focused therapeutic group for victims of sexual abuse, 65 youth referred to an adolescent-focused …

The Emotional Experience Of American Indians Receiving Hemodialysis And How It Relates To Treatment Adherence, Anitra M. Warrior

College of Education and Human Sciences: Dissertations, Theses, and Student Research

This study used a phenomenological approach as an attempt to capture the essence of the experience of American Indians with diabetes who are receiving dialysis. The purpose of this study and this approach was to develop an understanding of factors that influence treatment adherence, specifically with mental health concerns. As an additional component of this study, this research also followed an advocacy/participatory approach (Creswell, 2007) in which steps to reform services are provided to the Indian Health Service in support of this marginalized group through a written Agenda for Change.

Participants for this study were recruited from multiple states serving …

Repeated Administration Of Aripiprazole Produces A Sensitization Effect In The Suppression Of Avoidance Responding And Phencyclidine-Induced Hyperlocomotion And Increases D2 Receptor-Mediated Behavioral Function, Jun Gao, Rongyin Qin, Ming Li

Department of Psychology: Faculty Publications

The present study investigated how repeated administration of aripiprazole (a novel antipsychotic drug) alters its behavioral effects in two behavioral tests of antipsychotic activity and whether this alteration is correlated with an increase in dopamine D₂ receptor function. Male adult Sprague-Dawley rats were first repeatedly tested with aripiprazole (3, 10 and 30 mg/kg, subcutaneously (sc)) or vehicle in a conditioned avoidance response (CAR) test or a phencyclidine (PCP) (3.20 mg/kg, sc)-induced hyperlocomotion test daily for five consecutive days. After 2–3 days of drug-free retraining or resting, all rats were then challenged with aripiprazole (1.5 or 3.0 mg/kg, sc). Repeated …

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

Department of Anthropology: Theses and Student Research

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