Health Psychology Commons^™

Examining The Complex Interplay Of Stress, Social Support, And Drinking Motives On Alcohol Use Behaviors: A Moderated Mediation Model Among College Students, Sabrina Perrin

Dissertations and Theses

College student alcohol use remains a public health concern, yet the psychological and social mechanisms that contribute to high-risk drinking patterns are not fully understood. Guided by the motivational model of alcohol use and stress-buffering theory, this study tested a moderated mediation model to examine how perceived stress, coping motives for drinking, and perceived social support interact to influence alcohol use behaviors. A sample of over 1,100 diverse urban college students completed measures of stress, social support, drinking motives, and four alcohol-related outcomes: binge drinking, frequency of alcoholic drinks consumed, negative drinking consequences, and use of protective behavioral strategies (PBS) …

The Menstrual Cycle In Psychotherapy: Interventions, Therapist Engagement, And Blind Spots, Rozita Alaluf

Dissertations and Theses

There is a dearth of literature on psychotherapy and menstruation, except for the treatment and diagnosis of issues associated with premenstrual distress. This study aimed to bridge this gap by investigating the frequency and context of discussions about the menstrual cycle, the factors influencing therapists’ engagement with this topic, and the therapeutic approaches utilized to address the menstrual cycle within psychotherapy.

In phase 1, 118 psychotherapists from various theoretical backgrounds completed a survey on menstruation in clinical practice. The data was analyzed using descriptive statistics. In phase 2, semi-structured interviews were conducted with 7 psychotherapists, primarily identifying their theoretical orientation …

Motherhood In Crisis: A Qualitative Study Of First-Time Mothers Diagnosed With Breast Cancer, Tamzin M. Baker

Dissertations and Theses

The aim of this study is to explore the psychological impact of pregnancy-associated breast cancer (PABC) on a first-time mother’s identity. What effects does life-threatening illness have on the development of maternal identity and connection? This question was explored with a sample of six mothers via semi-structured interview and self-report measure with the aim to shed light on a scarcely studied phenomenon that is predicted to affect a greater number of mothers in the future. These research questions were explored through Interpretive Phenomenological Analysis (IPA) (Smith et al., 2009) resulting in group experiential themes and three theoretical constructs: (1) a …

Does Social Media Promote Disordered Eating?, Carly Feldstein

Dissertations and Theses

Hispanic people are the largest and fastest-growing minority group in the U.S. with a total of 18.5% of the U.S population being of Hispanic descent (United States Census Bureau, 2020). Although eating disorders (ED), particularly those involving binge eating, comprise a significant health concern, EDs are often overlooked in the Hispanic culture (Higgins et al., 2016; Opara & Santos, 2019). Hispanic individuals have comparable rates of anorexia nervosa, bulimia nervosa, and an even higher rate of binge eating disorders compared to non- Hispanic (NH) White individuals (Higgins et al., 2016). Within Hispanic adults, the lifetime prevalence of EDs is higher …

Timing Of Sexual Minority Identity Developmental Milestones And Well-Being Among Three Generations Of Gay Men, Joseph R. Hillesheim

Dissertations and Theses

Social and political changes during recent decades have contributed to a more accepting environment for sexual minorities (non-heterosexual individuals) in the U.S., but recent evidence suggests that these shifts may create a “developmental collision” for younger generations (Meyer et al., 2021; Russell & Fish, 2019). Younger generations of sexual minorities “come out” and reach other sexual identity milestones earlier than older generations, and earlier timing of sexual identity development may contribute to increased vulnerability to stigma. The present study aimed to contribute to limited research on the relationship between the timing of sexual identity development milestones and well-being among three …

Does Resilience Moderate The Impact Of Children’S Experiences Of Racial And Ethnic Discrimination On Internalizing Problems?, Dahlia Abbas

Dissertations and Theses

This study’s objectives were to investigate how children’s experiences of discrimination impact the severity of their internalizing symptoms, and whether the relation between discrimination and internalizing symptom severity is moderated by resilience. It was predicted that children who had experienced more discrimination would have more severe internalizing symptoms, especially when they have low levels of resilience. Children [N=20; Mean (SD) age= 11.83 (2.50)] receiving low-cost music lessons in northern Manhattan were recruited into a larger study examining how learning music affects cognitive and emotional development. Children were interviewed in-person about experiences of discrimination because of their race/ethnicity using the Perceptions …

Acceptability Study And Pilot Rct Of A Guide To Understanding Reproductive Health For Ladeez (Gurhl) Code: An Hiv Risk Reduction App Intervention For Black And Latina Young Women In New York City, Sonia K. Gonzalez Gladstein

Dissertations and Theses

Background: Young Black and Latina women suffer from higher sexually transmitted disease (STD) incidences than White women, increasing their susceptibility to contracting human immunodeficiency virus (HIV). The adoption and widespread usage of mobile devices has contributed to the public’s ability to access available information at all hours, including information on sexual and reproductive health (SRH). Despite a growing body of mobile health literature, there is limited understanding of how mobile-based sexual and reproductive health interventions for use by young adult Black and Latina women could improve sexual health knowledge and connection to clinical care.

Methods: This pilot randomized controlled trial …

"Sociocultural Predictors Of Risky Sexual Behaviors: 1 The Role Of Nativity Status, Race, Ethnic Identity And Self-Construal", Elvine B. Andjembe

Dissertations and Theses

Recent national health reports have shown that despite a considerable increase in sexual health knowledge, risky sexual behaviors’ rates among the youth are on the rise. Minorities are disproportionately affected, which translates into strong racial disparities in health outcomes such as STI/STDs, and HIV prevalence. The literature examining ethnic differences in health behaviors has studied ethnic identity (self-identification with and commitment to the values of one’s ethnic group) as a protective factor against an array of maladaptive behaviors. In addition, self-construal, which refers to the extent to which one is individualistic or collectivistic has also been established as a positive …

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 …

Health, Wellbeing, And Academic Achievement Among Urban College Students, Elise Tanzini

Dissertations and Theses

The post-secondary educational environment is full of demands—both academically and outside of the direct college setting—and as a result, stress is a prevailing concern for college students. Chronic, high levels of stress have been linked to a number of negative health outcomes, such as anxiety and depression, and academic outcomes, such as lower academic achievement. Using a diverse sample of undergraduate and masters students [n=84; mean (SD) age = 22.89 (5.99) years] from an urban, public college, the current study measured students’ experiences of stress (Perceived Stress Scale) and the adaptive and maladaptive strategies they utilized to cope with stress, …

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 …

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 …

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 …

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 …

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 …

Quality Of Life Assessment Of Chronic Hemodialysis Patients At The Artificial Kidney Unit Of Good Samaritan Hospital And Medical Center, Karen Jones Whittle, Michael Tripp, Bruce De Young

Dissertations and Theses

The purpose of this study was to evaluate certain factors that affect the quality of life experienced by the chronic hemodialysis patient population served by the Artificial Kidney Unit at Good Samaritan Hospital and Medical Center, Portland, Oregon. The intent of the study was to discover if there was a significant difference in quality of life between patients who dialyzed at home and patients at the Artificial Kidney Unit (center patients).

For the purposes of this study, House, Livingston and Swinburn’s definition of quality of life was used. Their definition states that quality of life is a function of the …

The Effect Of Natural Childbirth Classes On Anxiety In Pregnant Women, Kitty M. Wilkinson

Dissertations and Theses

A study was conducted to investigate the claim made by proponents of the natural childbirth method that attendance in the program results in a decrease of the anxiety commonly associated with pregnancy and delivery. Seventy-two pregnant women filled out the A-State and A-Trait forms of the STAI twice in their obstetricians' offices at points which approximated 6.5 and 8.5 months along in their pregnancies. Subjects who elected not to attend natural childbirth classes evidenced significantly higher state and trait scores as compared to those scores of subjects who did attend classes. Implications for dealing with these differences are discussed in …

Social Workers In The Community Mental Health Field A Delphi Forecast Of Training Priorities, William Boyce Thomas, Mark L. Clay

Dissertations and Theses

This thesis describes an exploratory research project initiated to facilitate curriculum planning for and evaluation of a social work training program in the field of community mental health. The literature concerning community mental health, the historical relationship of social work to this field, and current issues in social work manpower and education was reviewed as part of the thesis project. On the basis of the review, a study was undertaken to determine appropriate priorities for training Master ' s level social worker’s specializing in this field of practice. The researcher's decided that these priorities would be determined in terms of …

Degree Of Depression In Women Preceding Abortion At The University Of Oregon Medical School, William M. Nathe, Ike R. Lacefield

Dissertations and Theses

This evaluation was undertaken because of an interest by the authors in the abortion program at the Medical School. Interest in the emotional status of patients receiving abortions was aroused while working in a field placement at the Medical School through the Portland State University School of Social Work.

With the consent and assistance of the Obstetrics-Gynecology Department and the Director of Social Services, this study was initiated with the hope that it would be a step toward providing an over-all and continuing assessment of information about the women receiving abortions. The researchers' particular area of interest concerned the characteristics …

An Interactional Approach To Weight Reduction, Carole T. Gygi

Dissertations and Theses

A treatment program was designed to enable subjects to lose weight through the use of self-confrontation as described in Saslow (1969), and the use of the General Relationship Improvement of the Human Development Institute (HDI), Berlin and Wyckoff (1964).

Self-confrontation is a programmed rehearsal of a specific problem by one person alone, for a five-minute period. The rehearsal, or self-confrontation is to be as vivid as possible, intellectually, emotionally, visually and physically.

The General Relationship Improvement Program is a 10-week text, worked in pairs, which is aimed at better intrapsychic and interpersonal communication and understanding.

Four matched groups were used …