Health Psychology Commons^™

Exploring The Experiences Of Living With A Controversial Illness In Patients With Fibromyalgia, Samantha L. Wheeler

Dissertations

Fibromyalgia is an illness of great controversy estimated to affect approximately 4% of the US population. There are no widely accepted etiological causes or clear physiological explanations of fibromyalgia. Only a few research studies have addressed the concept of illness uncertainty in patients with fibromyalgia. There are no current studies that examine how fibromyalgia patients experience, perceive, and understand their illness in terms of having a syndrome with an unknown etiology.

This qualitative study, using phenomenological methods, explored the concept of unknown etiology as one factor in illness uncertainty. Ten participants, diagnosed with fibromyalgia from 2-15 years were interviewed. The …

The Influence Of A Personal Practice Of Meditation On One’S Therapeutic Practice, William W. Fitzgerald

Dissertations

The focus of this study was to examine counseling professionals’ personal experience with meditation and how it influences their clinical work, including the formation of a therapeutic relationship. Using phenomenological methods, data were gathered from 10 psychotherapists and then analyzed.

There has been a great deal of effort devoted to investigating what contributes to positive counseling outcome for clients. One constant in the therapeutic process is the person of the therapist. While the person of the therapist is frequently mentioned in the literature, much less attention has been given to the examination of personal development paths of the therapist. Little …

Effects Of Yellow Rectangular Rapid-Flashing Beacons And Novel Lane Markings On Motorists’ Yielding, Speed, And Headway At Multilane Uncontrolled Crosswalks, Jimmy Wayne Shurbutt

Dissertations

Several methods have been examined to increase motorists’ yielding to pedestrians and the distance at which they yield on multilane crosswalks at uncontrolled locations with relatively high average daily traffic (ADT). A series of 5 experiments were conducted to evaluate the efficacy of rectangular rapid-flashing beacons (RRFBs) as effective pedestrian crossing aides. The first experiment found that the RRFBs produced a significant increase in yielding behavior at all 26 sites located in 3 cities in the United States. Data collected over a 2-year follow-up period at 22 of these sites plus 14-month follow-up at an additional 4 sites documented the …

An Evaluation Of A Sexual Assault Education Program, Angela P. Hatcher

Dissertations

Sexually aggressive behavior, especially on college campuses, is an issue of major concern. Previous research has found that 54% of college women report being sexually victimized (Koss, Gidycz, & Wisniewski, 1987). Given the scope of this problem, effective prevention strategies are necessary. Sexual assault prevention programs have included those targeting a mixed gender audience as well as gender specific programs. Research examining the effectiveness of these programs, at both post-intervention and follow-up, have provided mixed results.

The goal of the current study was to examine the effectiveness of a video-based sexual assault education program in decreasing rape myths, increasing victim …

The Comparative Efficacy Of Dosed, Enhanced Dosed, Prolonged Exposure, And Mindfulness In The Reduction Of Anxiety, Sophie Rubin

Dissertations

Exposure-based treatments have proven effective in treating a range of fears and phobias and can be accounted for by mechanisms described in behavioral theory. Enhanced dosed and dosed-only exposure are promising new behavioral approaches for treating fears and phobias. Fifty participants with speech anxiety were randomly assigned to a prolonged exposure condition (PE), a dosed-only exposure condition (DE), a positively enhanced dosed exposure condition (PDE), a negatively-supplemented dosed exposure condition (NDE), or a mindfulness enhanced dosed exposure condition (MDE). End of session results for all of the enhanced groups resulted in significantly lower subjective ratings of discomfort than the non-enhanced …

Acceptability Of Interventions To Staff In Long-Term Care Settings For Older Adults: Comparing Ratings And Hierarchical Selection, Jonathan C. Baker

Dissertations

Older adults and their caregivers generally prefer behavioral interventions over medications in treatment acceptability studies (Osterkamp, Mathews, Burgio, & Hardin, 1997). However, previous acceptability studies have primarily examined ratings, which did not force the responder to select between treatment options. Additionally, recent advances in behavioral treatment technologies (Carr & LeBlanc, 2003) and pharmacotherapy (Schneider, 1999) warrant revisiting treatment acceptability for older adults. The present investigation examined treatment acceptability of behavioral, pharmacological, and sensory interventions using a treatment acceptability rating scale, treatment selections, and direct report of treatments used in a six-month window. Fifty-six staff from nursing homes in the Mid-West …

Unwanted Sexual Experiences: Preliminary Development And Validation Of A Behavioral Analog Measure For Risk Perception, Response Appraisal, And Response, Robin M. Carter-Visscher

Dissertations

Based on research findings indicating that sexual victimization is a prevalent problem on college campuses and has significant consequences for victims, researchers have examined the effectiveness of sexual assault education programs on reducing incidents of sexual victimization and have found programs to be unsuccessful. Other researchers have begun to investigate behavioral factors associated with risk for sexual victimization in order to better understand mechanisms of sexual victimization and revictimization before developing and implementing interventions. One hypothesis that has received increased attention in recent years is that women with a sexual victimization history may have deficient risk perception and effective responding …

Mindfulness In Childbirth: An Investigation Of The Effects Of Mindfulness Training On Maternal Satisfaction With Childbirth And Obstetric Outcomes, Brenda L. Bratton

Dissertations

This study investigated the effects of mindfulness training on obstetric outcomes and maternal satisfaction with childbirth. We were interested in whether mindfulness training was more effective than a control group receiving psychoeducation on stress reduction. The goal of the intervention group was to increase participants' moment-to-moment awareness of thoughts, feelings, and body sensations during childbirth so that they would respond to these experiences rather than react to them in an automatic manner. These strategies were hypothesized to help a laboring woman minimize fear or anxiety associated with pain and complications and be more adaptive to whatever circumstances arose. Repeated measures …

An Investigation Of Relationship Characteristics, Exercise And Physical Activity, Couple And Life Satisfaction, Mark W. St. Martin

Dissertations

Exercise has been shown to be positively related to many different variables including sexual satisfaction, mental health, and physical health. These variables, in turn, have been linked to increased life satisfaction and couple satisfaction. The primary purpose of this study was to examine the relationships between exercise and couple satisfaction as well as exercise and life satisfaction. A secondary purpose was to replicate previous findings on the relationships between communication, love, sexual satisfaction, self-esteem, and physical health and couple satisfaction.

A total of 229 undergraduate and graduate students from a large Midwestern university in the United States participated in this …

The Effects Of Acute Nicotine Abstinence On Vigilance And Verbal Memory In Non-Diagnosed Smokers, David W. Ayer

Dissertations

Research has shown a differential prevalence of smoking in the schizophrenic population compared to other psychiatric and non-diagnosed populations. The three most commonly investigated reasons for this differential prevalence in schizophrenics are: the self-medication hypothesis, side effects hypothesis, and sociological hypothesis. The self-medication hypothesis which proposes that schizophrenics smoke at a higher rate to ameliorate cognitive deficits is the most substantiated by the research. Of current interest is the possible role of nicotine in improving performance on vigilance and verbal memory, the two areas shown to be most related to impaired social functioning in schizophrenics. It is difficult to make …

Patient Handling Safety For Nursing Staff, Don Nielsen

Dissertations

The effectiveness of video scoring and feedback about the scoring of the components of safe patient transfers was observed among eight nursing staff members in a skilled nursing department within an acute care hospital.

An ABCA (and sometimes ABCDA), multiple baseline across individuals design was utilized in the study. The dependent variable under investigation was the percentage of safe lifting components. Following baseline measures, nursing staff participated in an information phase during which they reviewed and discussed components of safe patient transfers. A video scoring phase was introduced, during which, participants viewed and scored a model video of a patienttransfer. …

Examination Of The Impact Of Age, Family Conflict, And Perceived Parental Involvement On Treatment Adherence For Children And Adolescents With Cystic Fibrosis And Diabetes, Blake M. Lancaster

Dissertations

The success of medical interventions for patients with diseases that require consistent adherence to a medical regimen is largely contingent upon the patient’s ability to consistently follow medical recommendations. Medical regimen adherence significantly influences the patient’s health and impacts the health care providers’ ability to treat any disease or medical problem. Adherence levels are particularly low in the pediatric population among young patients with diabetes and cystic fibrosis. Researchers and clinicians hypothesize that levels of adherence are particularly low during adolescence (ages 11-15) because this may be the period in which primary responsibility for daily adherence is transferred from the …

Investigating The Effects Of Real-Time Visual Feedback On Computer Workstation Posture, Sigurdur Oli Sigurdsson

Dissertations

The purpose of this study was to examine the effects of a package intervention that included discrimination training, real-time visual feedback, and self-monitoring on postural behavior at a computer workstation in a simulated office environment. A total of 21 participants were screened for participation, and eight of those participated throughout the study. A non-concurrent multiple baseline design across participants was used to assess the effects of the interventions across three postural variables. Following an information-only phase, participants were exposed to the intervention for the lowest stable postural variable. For most targeted postural variables, the intervention implemented in this study led …

A Behavioral Model For The Assessment And Management Of Dehydration In Older Adults, Leilani Feliciano

Dissertations

Dehydration is a serious health concern in the elderly, constituting 1 of the 10 most common causes for hospitalization in this population (Sanservo, 1997). Previous research on dehydration has typically been conducted within nursing home settings (Chidester & Spangler, 1997; Holbren, Hassell, Williams, & Helle, 1999; Spangler, Risley, & Bilyew, 1984) without specific attention to the variables maintaining dehydration for any given individual. A functional behavioral approach to assessment and prevention or intervention for dehydration would involve identifying maintaining variables in the environment that can be altered to produce effective, non-intrusive interventions to increase healthy fluid consumption. The current project …

Effects Of Nicotine And Anatoxin-A Exposures On The Operant Performance Of Rats, Kimberly Ann Jarema

Dissertations

Tolerance has previously been shown to develop to nicotine's effects on operant behavior. This experiment explored whether tolerance would still develop when nicotine administrations were separated by three weeks. Anatoxin-a, a nicotinic-receptor agonist, was also tested and the results were compared to nicotine. Male Long Evans rats performed under a multiple VR30 VI30-sec food-reinforcement schedule. Phase I rats were divided into 6 groups of 8 that received four weekly subcutaneous injections of nicotine (0.0-1.8 mg/kg) and anatoxin-a (0-250 mcg/kg) prior to testing sessions. An ED50 was derived, for each compound, from the VR dose-response curve. Phase II rats were divided …

Documenting Lines Of Communication Between School Personnel And Physicians For Medication Evaluation Purposes For Students With Adhd, Pamela M. Radford

Dissertations

The purpose of this study was to document current and desired lines of communication between school personnel and physicians for the purpose of making medication decisions for students with ADHD. School-physician communication practices-were assessed utilizing a national survey of primary care physicians who are members o f the American Medical Association (AMA) and school psychologists who are members of the National Association of School Psychologists (NASP). Specific information exchange practices that were assessed included: (a) on what student characteristics is information collected (e.g., academic performance, disruptive behavior, social interactions), (b) how school-based information is collected (e.g., direct observations, rating scales), …

Promoting Healthy Behavior Change In Skin Cancer Risk Reduction Using The Transtheoretical Stages Of Change Model, Sherry L. Pagoto

Dissertations

Skin cancer is the most commonly diagnosed cancer in the United States with 20% of people developing some form of skin cancer in their lifetime (American Cancer Society, 1999). In spite of the high incidence of skin cancer, it is highly preventable. Approximately 90% of the cases are caused by exposure to ultraviolet radiation from the sun (Skin Cancer Foundation, 1992). The effect of an intervention aimed at reducing skin cancer risk was compared to a survey only control group in 99 Chicago beach-goers. The intervention was based on the Transtheoretical Stages of Change Model (TTM) and included sun sensitivity …

Coping Strategy And Social Support Differences Among Copd Patients: Effects On Psychological Well Being, Functional Status, And Health Care Utilization, Terri Belville-Robertson

Dissertations

This descriptive study examined coping strategies and social support among thirty-three patients with moderate to severe Chronic Obstructive Pulmonary Disease (COPD) to assess relationships to psychological and functional status, and health care utilization. More specifically, the qualitative and quantitative differences in coping strategies and social support were examined in relation to anxiety, depression, activity level, and use of emergency and inpatient medical services. Subjects participated in a one-session screening that included a brief clinical interview, battery of questionnaires and exercise tolerance test. Health care utilization data were obtained from subjects’ medical records. Subjects' primary support persons also provided collateral data …

Nonmigrainous Pediatric Headache Management: Thermal Biofeedback And Parent Guidelines, Richard E. Arndorfer

Dissertations

This study explored the utility of the combination of thermal biofeedback and parent-mediated pain behavior management guidelines as a treatment for children experiencing nonmigrainous headache. Five children, ages 8 to 14, were assigned to baselines of varying lengths prior to receiving treatment. Four of the five children demonstrated significant reductions in one or more headache parameters (frequency, duration, average peak intensity) following treatment. The utility of thermal biofeedback and parent-mediated guidelines are supported as a treatment for children suffering from nonmigrainous headache.

Differences In Perceptual And Subjective Body Image Between Weight Cycling And Noncycling Graduate Students, Karen Casebeer

Dissertations

This research began as an exploratory investigation into body image differences between individuals who were weight cyclers and those who were noncyclers. Participants were fem ale and m ale graduate students (n= 444) who completed the Multidimensional Body-Self Relations Questionnaire (Cash, 1990a), the Contour Drawing Rating Scale (M.A. Thompson & Gray, 1995), and the Weight History Questionnaire (W H Q ), a researcher developed self-report survey of weight, dieting, and demographic information. Data gathered from the WHQ were used to identify pairs of individuals who were matched on cycling status, gender, age, and body mass index. Fifteen such pairs were …

The Effects Of An Information/Counseling Session And Partner Participation In Treadmill Testing On Sexual Functioning Following Myocardial Infarction, Betty J. Fisher

Dissertations

The purpose of this research was to assess the effects of an intervention designed to reduce patient and partner anxiety regarding the resumption of sexual activities following myocardial infarction (MI). A multiple baseline across subjects design was employed.

Participants completed self-report measures o f sexual functioning, knowledge of psychological and physical sequelae to MI, depression and anxiety on a weekly basis for at least 3 weeks (to a maximum of 12 weeks) prior to participating in treadmill testing, and attending the information/counseling session. Couples also completed these assessments for a 4-week period following the intervention.

Six heterosexual couples in which …

Culture-Specific Hiv/Std Prevention Programming For Lesbian And Bisexual Women, Kathleen M. Morrow

Dissertations

HIV/AIDS prevention research continues to target populations in which AIDS is already responsible for a significant number of deaths. Since an AIDS diagnosis often indicates the transmission of HIV several years earlier, targeting groups currently manifesting AIDS neglects those groups which may be at risk for transmission of HIV today. Among the lowest incidence in known cases of AIDS are women who have sex with women. Despite a preponderance of biomedical research which implicates vaginal secretions and blood products as vehicles in HIV transmission, there remains only a minimal effort to educate these w om en regarding their risk of …

The Treatment Utility Of The Therapeutic Reactance Scale In Relation To Single Session Hypnosis For Smoking Cessation, Gregory N. Vaughan

Dissertations

This study examined the efficacy of three different hypnotic suggestion scripts each delivered in a single session of hypnosis for smoking cessation as mediated by reactance scores on the Therapeutic Reactance Scale (TRS) (Dowd, Milne, & Wise, 1991). Consecutive clinical trials were used to assign 48 subjects to treatment groups such that an equal number of subjects received: (1) direct suggestions, (2) suggestions that refrained the problem, (3) suggestions not specifically related to smoking cessation, and (4) a delayed treatment waiting list. Each subject rated the believability of treatment efficacy on a Likert type scale.

Four categories of the dependent …

Hiv Prevention And Heterosexual College Students: The Impact Of Video Instruction On The "Safer" Sexual Behaviors Of Sexually Active Men, Cheryl L. Knight

Dissertations

Despite increasing evidence of the heterosexual transmission of the human immunodeficiency virus (HIV) among young adults, research with college students has been primarily restricted to descriptions of the levels of risky behavior and the correlates of that behavior. To date, few experimentally validated HIV prevention programs have been reported. Furthermore, the existing experimental investigations have seldom based an intervention on a thorough analysis of the barriers to the practice of safer sex.

Experiment One surveyed 195 heterosexual college students to assess HIV risk factors, including sexual behavior, risk perception, knowledge and 10 barriers to the consistent practice of "safer" sex. …

Effects Of Caffeine Consumption On Cardiovascular Indices, Attention, Task Performance, And Memory Retention In Children, Suzanne L. Keller

Dissertations

Caffeine is one of the most commonly used drugs in the western world today. Average intake of caffeine in the United States has been estimated at greater than 200 mg daily per person. Although plagued by inconsistencies, and methodological problems, research suggests that this level of caffeine ingestion may have significant effects on cardiovascular functioning, and behavioral processes such as attention, cognitive processing, memory, and task performance.

Although children consume significant quantities of caffeine, very little research has been done on the effects of caffeine in children. The limited findings suggest that caffeine consumption may affect the cognitive and behavioral …

Nutrition, Fitness, Stress And Genital Herpes Recurrences, Carman E. Stark

Dissertations

The purpose of this research was to extend the existing literature by assessing the relationship between several factors separately and combined, nutrition, fitness and stress, and herpes recurrence rates. It was hypothesized that the results from this study would indicate an inverse correlation between nutrition, fitness, and genital herpes recurrence rates and a positive correlation between stress and genital herpes. Each participant was asked to complete and return (a) two Computerized Nutrition Assessment Forms that provide a health history profile and a record of food choices and portions over two, three-day periods; (b) The Hassle Scale that provides a weekly …

An Examination Of Depression In A Subclinical Eating Disorder Female Population, Christine Hill-Melton

Dissertations

This study examined depression and disordered eating symptoms in a population at high risk for the development of eating disorders. The level and prevalence of depression were compared between three groups of women with increasing severity of eating disordered symptoms.

Female undergraduate college students enrolled in psychology courses at four small colleges and one mid-sized university in Michigan completed a Biographical Questionnaire, the Beck Depression Inventory (BDI), and an Eating Assessment Rating Scale (EARS). Participants were placed into one of three groups according to severity of disordered eating symptoms based on their responses on the EARS. The three groups were: …

The Link Between Psychosocial Factors And Coronary Heart Disease: A Possible Neuroendocrine Mechanism, Sheila Wang

Dissertations

Coronary heart disease continues to be the leading cause of death in the affluent world. Despite identification of several risk factors for coronary heart disease (age, sex, lipoprotein profile, hypertension, diabetes, cigarette smoking, obesity), a significant amount of variability associated with the incidence of coronary heart disease cannot be explained solely on the basis of these risk factors. The contribution of psychosocial factors to the development of coronary heart disease (type A behavior, social isolation, traumatic events, unstable social conditions) continues to be a promising area of investigation. However, a biochemical pathway linking psychosocial factors to coronary heart disease remains …

Training And Maintenance Of Breast Self-Examination Skills, Bernardine M. Pinto

Dissertations

Maintenance of breast self-examination (BSE) skills is crucial to the effectiveness of self-exams in early detection of breast tumors. While researchers have developed an effective technology for training these skills, the maintenance of BSE proficiency is questionable (Pennypacker et al., 1982). The objective of this study was to evaluate the effects of reassessment (and retraining) on the maintenance of BSE skills. Twenty-nine women (ages 25-64) were trained to criterion using the MammaCare training package. Experimental subjects were required to demonstrate their skills at a 2 month reassessment and received retraining if their skills had declined below criterion. Control subjects were …

Applied Relaxation Training In The Treatment Of Genital Herpes, Kent A. Koehn

Dissertations

Four individuals with frequent recurrences of genital herpes simplex virus (HSV) were trained in Applied Relaxation (AR). Participants included in the research were all women, had been diagnosed with herpes at least one year prior to the study, experienced 6 or more outbreaks annually, and were not taking antiviral medications.

The experiment employed a multiple baseline across subjects design with individual baselines of 11, 13, 17, and 21 weeks. Participants maintained daily diary recordings of the frequency, duration, and severity of their herpes activity from baseline until a minimum of three months post-treatment.

Treatment consisted of 10 individual AR sessions. …