Health Psychology Commons^™

Development Of A Short Version Of The Modified Yale Preoperative Anxiety Scale, Brooke N. Jenkins, Michelle Fortier, Sherrie H. Kaplan, Linda C. Mayes, Zeev N. Kain

Psychology Faculty Articles and Research

BACKGROUND: The modified Yale Preoperative Anxiety Scale (mYPAS) is the current “criterion standard” for assessing child anxiety during induction of anesthesia and has been used in >100 studies. This observational instrument covers 5 items and is typically administered at 4 perioperative time points. Application of this complex instrument in busy operating room (OR) settings, however, presents a challenge. In this investigation, we examined whether the instrument could be modified and made easier to use in OR settings.

METHODS: This study used qualitative methods, principal component analyses, Cronbach αs, and effect sizes to create the mYPAS-Short Form (mYPAS-SF) and reduce time …

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 …

Practicing Patienthood Online: Social Media, Chronic Illness, And Lay Expertise, Collette Sosnowy

Publications and Research

The use of digital technologies and social media by people with serious illness to find, share, and create health information is much celebrated but rarely critiqued. Proponents laud “Health 2.0” as transforming health care practice and empowering patients. Critics, however, argue that a discourse of developing lay expertise online masks the disciplinary practices of the neoliberal state’s emphasis on individual responsibility. Notably, the perspectives of people who are engaging with social media related to their health and illness are under-represented in this debate. This research examines the experiences and perspectives of women who blog about their lives with Multiple Sclerosis …

Reducing Stigma Toward The Transgender Community: An Evaluation Of A Humanizing And Perspective-Taking Intervention, Tanya L. Tompkins, Kay Livesay, Chloe N. Shields, Caitlyn C. Talbot, Kimberly M. Hillman

Faculty Presentations

Transgender (TG) individuals are an understudied group at high risk of experiencing discrimination and associated adverse mental health outcomes (IOM, 2011). Although many studies demonstrate that contact reduces negative attitudes toward out-groups, few studies have examined the link between contact and attitudes toward the TG community (Hill & Willoughby, 2005; Walchet al., 2012). This study represents one of the first attempts to understand how to effectively reduce stigma toward the TG community. Results indicate that education alone is not enough to change attitudes; in fact, there is some evidence that associating transgenderism with psychopathology may heighten stigma. Consistent with prior …

Dental Anxiety: Personal And Media Influences On The Perception Of Dentistry, Jacqueline Glazman

Honors College Theses

Dental anxiety is a condition that plagues millions of individuals worldwide. The cause of anxiety can arise from an array of negative experiences related to dentistry. Additionally, the media’s persistent deleterious portrayal of dentistry affects the public’s fears and skews the people’s general perception of how dentists really are. Nevertheless, people continue to seek dental care for medial and cosmetic purposes, despite major challenges in the healthcare systems. This study aimed to understand whether negative images of dentists would influence how anxious a sample of undergraduate students felt about various dental procedures. The study also asked participants to express their …

Guidelines For Culturally Based Interventions With Healthcare Professionals, Ifeanyi Anthony Onyemenem

Loma Linda University Electronic Theses, Dissertations & Projects

Early detection is critical to surviving breast and cervical cancer. Unfortunately, Latin American (Latino) women in the United States are more likely to be diagnosed at later stages of cancer and have poorer rates of repeat screenings when compared to non-Latino White (Anglo) women. One factor identified through research that negatively affect continuity of cancer screening is perceived mistreatment. Guided by Betancourt’s integrative model of culture, psychology and behavior, the current project proposes guidelines for developing culturally informed interventions with healthcare professionals that take into account the socially shared values, beliefs and norms that negatively impact breast and cervical cancer …

Family Criticism And Depressive Symptoms In Older Adult Primary Care Patients: Optimism And Pessimism As Moderators, Jameson K. Hirsch, Kristin L. Walker, Ross B. Wilkinson, Jeffrey M. Lyness

ETSU Faculty Works

Objective: Depression is a significant global public health burden, and older adults may be particularly vulnerable to its effects. Among other risk factors, interpersonal conflicts, such as perceived criticism from family members, can increase risk for depressive symptoms in this population. We examined family criticism as a predictor of depressive symptoms and the potential moderating effect of optimism and pessimism.

Methods: One hundred five older adult, primary care patients completed self-report measures of family criticism, optimism and pessimism, and symptoms of depression. We hypothesized that optimism and pessimism would moderate the relationship between family criticism and depressive symptoms.

Results: In …

Child Life Specialists’ Facilitation Of Family-Centered Care: The Importance Of Sibling Support, Carissa L. Lane

Psychology and Child Development

Certified Child Life Specialists’ understanding of family-centered care, and their beliefs and practices involving siblings of chronically/critically ill children were examined using an online survey. Participants were Certified Child Life Specialists recruited form the Child Life Council Forum. Relationships between utilization of certain words and support programs offered to siblings, were examined. Findings revealed a relationship in one area of coded language and support program for siblings, but not the other. Findings also revealed that all CCLS believe in the inclusion of siblings during the treatment process, however they are offered less support services than parents. Diverse results regarding multiple …

To Test Or Not To Test: Barriers And Solutions To Testing African American College Students For Hiv At A Historically Black College/University, Naomi M. Hall-Byers, Jennifer Peterson, Malynnda Johnson

Journal of Health Disparities Research and Practice

Young African Americans are disproportionately affected by sexually transmitted infections, including HIV. The purpose was to identify reasons that African American college students at a historically Black college/university (HBCU) identified as barriers to HIV testing, and how these barriers can be removed. Fifty-seven heterosexual-identified undergraduate students (ages 18-25) attending an HBCU in the southeastern US participated in the study. Latent content analytic techniques were used to code the transcripts for themes and categories, and representative quotations were used in the findings. Qualitative data indicates three main themes used to avoid testing and three themes to encourage testing. Students were forthcoming …

Lqts Patients’ Satisfaction With Emergency Room Care, Stephanie H. Felgoise, Katherine Lawrence, Victoria L. Vetter

Research Day

Abstract: Long QT Syndrome (LQTS) is a genetic condition affecting 1:2,500 that predisposes individuals to cardiac arrhythmias (Ellis et al., 2009). Life threatening symptoms are often unpredictable although there are known triggers to LQTS specific cardiac events. Triggers include physical exertion, emotional upset, and sleep. Events could be triggered by medications, dehydration, and other circumstances that affect cardiac rhythm. Treatments include betablockers, pacemakers, internal cardioverter defibrillators, and automated external defibrillator as precautionary measures. As such, LQTS patients often present to their emergency room (ER) when they become symptomatic. Research suggests that LQTS patients’ experience dissatisfaction in the ER and treatment …

Improv To Improve Interprofessional Communication, Team Building, Patient Safety, And Patient Satisfaction, Candace A. Campbell

Doctor of Nursing Practice (DNP) Projects

The purpose of this process improvement project was to implement a test of change within a healthcare team utilizing applied improvisational exercises (AIEs), and to lay the groundwork for more effective inter- and intra-professional communication.

Literature review: AIEs have been shown to facilitate individual participant communication strengths through a process of un-learning certain common behavioral habits, and learning new habits that assist in creating and expanding closed-loop communication. Such un-learning and learning enriches the participant’s awareness of the environment and encourages participant adaptability through positive group interactions.

Method: An all-day AIE seminar/workshop was conducted with members of two healthcare teams …

The Experience Of Stress In Women Diagnosed With Polycystic Ovary Syndrome, Amanda Canavatchel

Renée Crown University Honors Thesis Projects - All

Polycystic ovary syndrome (PCOS) is a complex endocrine disorder that affects multiple organ systems within the female body, hallmarked by infertility, the possibility of androgen excess, and the possibility of ovulatory dysfunction. Along with a myriad of physiological symptoms, PCOS is also associated with many psychological issues, including an increased incidence of depression, anxiety, and lower reported quality of life among women diagnosed with PCOS. The need for treatment directed to attenuate any psychological implications of the syndrome has become increasingly important are of research. While some researchers have focused on PCOS in a psychosocial perspective, including analysis on depression, …

Physical Activity And Nutritional Behavior Of Overweight College Students Trying To Lose Weight 2014, Santino Vallejos M.S.

Master's Theses

Although there are numerous benefits to increased physical activity and proper dietary behaviors, the decreased participation in physical activity and poor dietary behaviors has emerged as a significant problem within the college student population. The focus of this research study was to identify the relationship between physical activity and dietary behavior to weight loss behaviors within an undergraduate student sample of a small, comprehensive northeastern university. College-aged students (age range: 17 to 27 years old) completed the American College Health Association’s (ACHA) National College Health Assessment II (NCHA) during the years 2009 and 2012. According to the results, there were …

Rural Pediatric Primary Care Practice Patterns As A Result Of An On-Site Behavioral Health Consultant: A Retrospective Analysis, Kayla D. Mccarter

Undergraduate Honors Theses

Nationally, it has been estimated that 10 to 21% of children with psychosocial concerns are seen in primary care settings (Jellinek et al., 1999; McInerny, Szilagyi, Childs, Wasserman & Kelleher, 2000; Palermo et al., 2002). Often, however, children go undiagnosed with/treated for psychosocial concerns in pediatric primary care due to lack of physician time and poor referral rates to mental health providers. Evaluations of integrated care models, in which a behavioral health consultant is present in primary care practices, has shown to increase the availability of mental health services (Stancin, Perrin, & Ramirez, 2009). Using extant data from patient records …

Intrusive And Deliberate Rumination Predict Posttraumatic Growth In Members Enrolled In A Cardiovascular Rehabilitation Program, Erika Jade Gerwe

USC Aiken Psychology Theses

Posttraumatic growth (PTG) can be defined as the experience of positive change, or psychological growth, that occurs as a result of a highly challenging life event or crisis (Tedeschi & Calhoun, 2004). Given that over one-third of the American population lives with some form of cardiovascular disease (American Heart Association, 2011), promoting posttraumatic growth in this population may promote more successful adaptation and coping and may serve to reduce morbidity and mortality (Affleck, 1987). Thus, the present study investigated the predictors of posttraumatic growth in a cardiac rehabilitation setting at rehabilitation entrance (PTG1) and exit (PTG2) and examined change in …

Investigating The Relationships Between Personality, Valence And Modern Health Worries, Thomas Green

Renée Crown University Honors Thesis Projects - All

In our evolving world, new technologies and practices are frequently introduced to society and assimilated into daily life. People often form concerns about how these new technologies, and other types of change, affect public health and the surrounding environment. This paper aims to form a better understanding of Modern Health Worries (MHW). Two studies were conducted: one investigating personality correlates of the MHW scale, and a second examining the covariation of the MHW scale with participants’ valence and arousal ratings of images of MHWs selected in terms categories presented in the literature.

Undergraduate students at Syracuse University (n=143) took part …

Responding To Trauma: Help-Seeking Behavior And Posttraumatic Growth In A College Sample, Aaron J. Burrick

Honors Scholar Theses

Research indicates that traumatic experiences can impact college students’ mental health, academic abilities, and relationships with peers. Trauma and associated symptoms of PTSD can lower students’ well-being and increase the risk of withdrawing from the university. Research also emphasizes the importance of psychological help-seeking as a way to experience posttraumatic growth. This study examines traumatic experiences, help-seeking attitudes, barriers, and behaviors, and posttraumatic growth in a sample of 168 undergraduate college students. Results indicated an overwhelming preference for informal help-seeking resources and the importance of traumatic severity in the decision to seek help. Additionally, female participants reported greater traumatic severity …

Prevalence, Types, Risk Factors, And Course Of Intimate Partner Violence In Appalachian Pregnant Women, Tifani Fletcher

Electronic Theses and Dissertations

Intimate partner violence (IPV) during pregnancy can lead to a myriad of poor physical and psychological outcomes for both mother and child. There is a paucity of research examining IPV risk factors for rural pregnant women and on information regarding the course of the specific types of IPV throughout pregnancy. The current project was an investigation of the prevalence of IPV and IPV risk factors for different types of IPV in an Appalachian pregnant sample that contained women from both rural and nonrural locations (Study 1), and was an examination of the occurrence of any IPV and the different types …

A Resilient Warrior: Coping Positively With Combat Stress Exposure, William Stallard

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore and examine coping with combat stress exposure in a homogeneous group of 132 U.S. Marines who served in Operations Enduring Freedom or Iraqi Freedom, and who self-reported that they were coping positively. A mixed methods concurrent triangulation strategy was employed with positive psychology as the quantitative theoretical base and Husserlian transcendental phenomenology as the qualitative conceptual framework. Quantitatively, hardiness, hope, social support, personality, and coping strategies were assessed in the participants to examine how these variables may moderate or mediate the relationship between combat stress exposure and subjective well-being. Five hypotheses were …

Stupid Doctors And Smart Construction Workers: Perspective-Taking Reduces Stereotyping Of Both Negative And Positive Targets, Cynthia S. Wang, Gillian Ku, Kenneth Tai, Adam D. Galinsky

Research Collection Lee Kong Chian School Of Business

Numerous studies have found that perspective-taking reduces stereotyping and prejudice, but they have only involved negative stereotypes. Because target negativity has been empirically confounded with reduced stereotyping, the general effects of perspective-taking on stereotyping and prejudice are unclear. By including both positively and negatively stereotyped targets, this research offers the first empirical test of two competing hypotheses: The positivity hypothesis predicts that perspective-taking produces a positivity bias, with less stereotyping of negative targets but more stereotyping of positive targets. In contrast, the stereotype-reduction hypothesis predicts that perspective-taking reduces stereotyping, regardless of target valence. Three studies support the stereotype-reduction hypothesis. Perspective-taking …

Openness, Neuroticism, Conscientiousness, And Family Health And Aging Concerns Interact In The Prediction Of Health-Related Internet Searches In A Representative U.S. Sample, Tim Bogg, Phuong T. Vo

Psychology Faculty Research Publications

Recent estimates suggest 60 % of the U.S. adult population uses the Internet to find health-related information. The goal of the present study was to model health-related Internet searches as a function of an interdependent system of personality adaptation in the context of recent health and aging-related concerns. Assessments of background factors, Big Five personality traits, past-month health and aging-related concerns, and the frequency of past-month health-related Internet searches (via Google, Yahoo, AOL, Bing, or some other search engine) were obtained from a representative U.S. sample (N = 1,015). Controlling for background factors, regression analyses showed more frequent health-related …

External Vs. Innate: Sources Of Resiliency Among Emerging Adults, Black Gay And Bisexual Men, Caleb J. Banks Mr., Sienna L. Willams, Erika J. Janke, Justine A. Stallings, Ja'nina J. Walker Ph.D.

Creative Activity and Research Day - CARD

The purpose of this research was to examine the main sources and origins of resiliency that are present among Black gay and bisexual men. Resiliency refers to one’s response to adversity and ability to positively adapt to difficult situations. Twenty participants ranging in age between 18-25 years old (M = 22.8 years, SD = 1.7 years) participated in a semi-structured interview. Participants indicated varying sources of resiliency, which they utilize to encounter hardships. Innate sources (i.e., I was born this way) and external sources (i.e., music, my grandmother’s spirit) were conveyed by participants as mechanisms to overcome adversity. The …

Possible Psychosocial Benefits Of Having A Sibling With A Disability, Jenna M. Talbott

Senior Honors Theses

Possible psychosocial benefits resulting from exposure to siblings with disabilities are investigated in the current study. Previous literature has generally overlooked the possibility of psychosocial benefits by exclusively focusing on the negative effects of having a sibling with disabilities. Contact theory suggests that the increased exposure to individuals with disabilities should increase positive attitude toward those who are struggling with disadvantages. This investigation hypothesized that this tendency would be manifested as elevated empathy and compassion in individuals who have siblings with disabilities, and that these traits would be influenced by certain demographic variables. A survey was distributed, and the responses …

Attitudes Towards Drug And Alcohol Use: Culture And Emerging Adulthood, Sam Daniewicz

Undergraduate Research Symposium 2014

This study examined attitudes toward drug and substance use during emerging adulthood (18-26 years of age), a stage of the life span that works as a transition into adulthood and is defined by exploration and openness. Since drug and substance use among emerging adults is often a subject of current debates, it is important that more research is done about why young people think of certain drugs the way they do. Specifically, this study focused on how perceptions of drug and substance abuse are related to cultural values (individualism/collectivism) during emerging adulthood. To accomplish this goal, attitudes towards drugs in …

Latinos' Health Perceptions: A Cross-Cultural Analyisis, Elizabeth Pappenfus

Undergraduate Research Symposium 2014

The purpose of my study is to examine how Latinos’ cultural health beliefs impact their illness behaviors in a rural setting in comparison to White individuals. Illness behavior is defined as the manner in which a person monitors their body, interprets their symptoms, and their reactions to those symptoms. Although Latino immigrants suffer from higher rates of treatable diseases, they are largely underutilizing the healthcare system in the U.S. The Andersen model of healthcare utilization is the most commonly used model for predicting utilization based on the person's environment (i.e. healthcare system) and personal characteristics (i.e. personal need, available resources, …

Emergency Department: Effectiveness Of A Referral Intervention For High Utilizers, Tina Jee Yung Kang-Lim

Doctor of Psychology (PsyD)

This research examined the impact of a referral intervention for patients with high utilization of the Emergency Department (ED) for non-­‐emergent care. The referral intervention was offered by the ED provider who provided the patient with feedback regarding their utilization along with a referral to outpatient services including: primary care physicians, mental health services, and brochure of available resources in the local area. This study used archival retrospective data, and compared frequency of ED visits pre-­‐ intervention and referral to post-­‐intervention frequency of visits and length of time between intervention and next visit. Following the intervention, the participants were classified …

Does The Perception Of Psychosocial Factors Increase The Risk Of Pesticide Exposure Among Seasonal Hispanic Farmworkers?, Donna L. Levesque, Ahmed A. Arif

Walden Faculty and Staff Publications

BACKGROUND:

Migrant farmworkers are prone to several psychosocial stressors.

OBJECTIVE:

To investigate the effect of perceived psychosocial factors on pesticide exposure among seasonal migrant Hispanic farmworkers in North Carolina, USA.

METHODS:

A cross-sectional interview survey of 187 seasonal migrant farmworkers of Mexican descent, identified from labor camps located in rural counties in North Carolina, was conducted using nonprobability purposive sampling approach. Multivariable ordinal logistic regression analysis was used to determine the relationship between perceived control over the harmful effects of pesticide exposure, lack of social support, and the impact of anxiety on perception of pesticide exposure.

RESULTS:

More than 20% …

Depression Is More Prevalent Throughout Pregnancy And The First Six Months Postpartum In Women Low In Religious Commitment And Social Support, Andrea D. Clements, Tifani A. Fletcher, Beth A. Bailey

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

Gender And Personality Influence Video Gamers, Hannah Marie Redwine

Honors Program Theses and Research Projects

Video game preference, avatar similarity, and problem video game playing were examined to investigate potential relationships with gender and personality. Previous research (Elliott, Ream, McGinsky & Dunlap, 2012) focused on adolescents, however, the current study focuses on adults 18 years of age and older. Undergraduate students of St. Mary's University (N=15) and 2013 WorldCon attendees (N=32) were surveyed using an online survey that utilized the Ten-Item Personality Inventory (TIPI; Gosling, Rentfrow & Swann Jr., 2003), the Problem Video Game Playing measure (PVP; Salguero & Moran, 2002), demographic questions, and other measures. Avatar similarity and best avatar use were found to …

The Role Of Social Support In Adolescents: Are You Helping Me Or Stressing Me Out?, Gonzalo Bacigalupe, Maria Camara

Counseling, School Psychology & Sport Faculty Publication Series

Interpersonal relationships are indispensable in helping adolescents cope with stressors, acting as social support sources that protect them from psychological distress. Learning from their experiences may elucidate what strategies could be employed to support adolescents during this vulnerable life stage. Focus groups (N = 80) with adolescents in the Basque Country, Spain, were conducted to capture adolescents' narratives on stress and social support. Findings revealed the dual role of interpersonal relationships – as stressors and as sources of social support. Adolescents draw on sources of support that are familiar, mature, friendly, and, most importantly, worth of trust. Their most valued …