Health Psychology Commons^™

Does Psychopathy Predict Future Risky Sexual Behavior?, Jessica Jade Fulton

Dissertations

Risky sexual behavior (RSB), such as having sex with an unknown partner, is associated with a variety of negative consequences including sexually transmitted diseases and unplanned pregnancy. Previous research (e.g., Fulton, Marcus, & Payne, 2010) suggests that psychopathic personality traits as assessed by the Psychopathic Personality Inventory (Lilienfeld & Andrews, 1996) are associated with RSB. Self-Centered Impulsivity (SCI), which is characterized by impulsivity, irresponsibility, and reckless behavior, was positively associated with RSB among men and women. In contrast, Fearless Dominance (FD), which is characterized by fearlessness, manipulativeness, and social dominance, was positively associated with RSB among men but not women. …

Short-Term Nicotine Abstinence And Decision Making, Gabriel D. Searcy

Dissertations

Research has shown that acute drug administration may affect impulsivity (i.e., choice for small, immediate rewards over large, delayed rewards) on laboratory delay-discounting tasks. Few studies have investigated how drug abstinence affects impulsivity. Investigating how drug abstinence affects impulsivity may be relevant to preventing relapse. Two previous studies have investigated the effects of short-term nicotine abstinence on impulsivity using delay-discounting tasks. The results were mixed, one study suggested that choices became more impulsive (i.e., delayed money was devalued) under nicotine deprivation. One goal of the present research was to further investigate how nicotine deprivation affects delay-discounting for money rewards. In …

Examination Of Anxiety And Substance Use Symptoms In Trauma Exposed Versus Environmentally Stressed College Students, Theresa M. Souza

Dissertations

Anxiety is a common problem among the college population, which rarely occurs in isolation. Oftentimes, an individual abuses substances in an attempt to eliminate the short term affect of these conditions. Post Traumatic Stress Disorder (PTSD), is the most persistent and severe type of anxiety disorder. It has been a long-standing belief within the psychological community that in order for PTSD to develop, the individual must first experience a traumatic event which meets certain criteria and must evidence a definable emotional response during the event. A recent study found PTSD in individuals who had not experienced the type of trauma …

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 …

A Psychometric Investigation Of The Young Adult Social Behavior Scale (Yasb), Michelle Rene Augustin

Dissertations

Aggressive behavior is a serious public health concern that has resulted in several problems in contemporary society. Despite a considerable body of literature on human aggression, both popular and scientific, a focus on overt physical aggression has obscured other forms of aggression. As a result, considerably less is known about other, more subtle forms of aggression, such as relational aggression. Moreover, research on relational aggression, particularly among older adolescents and adults, has been hindered by the lack of psychometrically sound measures. Research in this area would be enhanced by the availability of such a measure, facilitating comparison of data across …

The Relationship And Effects Of Mindfulness On Comfort, Work Satisfaction, And Burnout Among Nurses Who Provide Direct Patient Care, Pamela Lichtenberg Heard

Dissertations

This study proposed to examine the problem of burnout in the nursing profession and ways to ameliorate burnout. Many burnout studies in the past focused on the problem and possible solutions that managers and/or hospital administrators could incorporate into their organization. The focus of this study is to evaluate ways that nurses can decrease their own propensity to burnout through the use of mindfulness. Therefore, this study examined burnout in a non-traditional manner. It is not assumed that others must assist nurses with decreasing their levels of burnout. Mindfulness is a means by which nurses can empower themselves to combat …

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 …

Posttraumatic Spiritual Growth: A Phenomenological Study Of Cancer Survivors, Ryan Myles Denney

Dissertations

A small but growing body of research has sought to investigate the specific role of religion and spirituality in posttraumatic growth. Recently investigations have begun to focus on spiritual growth following trauma, specifically that of cancer patients and survivors. The purpose of this qualitative study was to investigate how having cancer effects the spiritual growth of cancer survivors across a multidimensional conceptualization of spirituality (Hill 2005; Tsang & McCullough, 2003). The researcher investigated the lived experience of thirteen cancer survivors with posttraumatic spiritual growth using a phenomenological method of data analysis. Participants reported experiencing spiritual growth across the following domains …

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 …

The Role Of Expectations As Determinants Of Satisfaction In An Outpatient Care Setting, Jan Strohmeyer Brien

Dissertations

Understanding patient satisfaction is a central theme in today's healthcare landscape. The role of patient expectations and its impact on patient satisfaction has not been well understood in the context of a viable theoretical model. Thibault and Kelly's Theory of Interpersonal Relations and constructs of expectations in relationships are used to develop a framework for identifying the main factors driving both expectations and satisfaction. Measures are developed for comparison level of current outcomes compared to expectations (CL), comparison level of alternatives to care (CLalt), investment in selecting a physician, and prior satisfaction. Participants included a random sample of 500 primary …

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 …

Religious Orientation And Religious Coping In Adolescents With And Without A Chronic Illness, Jacqueline Beine Brown

Dissertations

Religion plays an important role in most people's lives and can greatly affect how individuals cope and interpret stressful situations. However, very little is known about how adolescents incorporate religion into their lives (e.g., is it central or peripheral to their lives, do they utilize religious coping). Furthermore, given the additional stressors experienced by adolescents who have a chronic illness, it is likely their religious orientations and religious coping strategies are different from their healthy peers. Thus, the present study was designed to examine the constructs in both typically developing and chronically ill adolescents. Additional constructs of hope, general coping, …

Health Anxiety And Cognition: Chronic Awareness Of Health Concerns Or Situational Activation Of Latent Dysfunctional Assumptions About Illness?, Desmon Craig Mitchell

Dissertations

Rationale: This study investigated if health anxious individuals have chronically aroused illness-related concerns or if these concerns remain latent, only to be activated when first primed by illness-related stimuli. To test these alternatives this study examined whether participants, with varying levels of health anxiety, differed as to their (a) performance on an emotional Stroop task that included health-related words, (b) memory tasks (free recall and recognition tasks), and (c) the participants' dream content, after either being exposed, or not exposed, to an illness-related trigger. Hypotheses: If illness concerns are chronically activated in health anxious individuals, then participants will perform worse …

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 …

Future Psychologists' Perceptions Of Managed Care, Michele Renae Boyer Blood

Dissertations

This study was designed to examine future psychologists' perceptions of managed care, as well as their managed care related training and work experience. Data for this project were gathered electronically via a specially designed website. Participants were 119 future psychologists completing predoctoral internships in university counseling centers (n = 61) and hospitals (n = 58). Variables examined included predoctoral interns' attitudes towards managed care and their perceptions of the importance of knowledge in three critical domains relevant to service provision in the contemporary marketplace (i.e., general reimbursement, risk management, misdiagnosis). One measure, the Demographic and Practice Information Form (DAPIF), was …

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 …