Health Psychology Commons^™

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

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

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

Posttraumatic Stress And Hazardous Alcohol Use In College Students: The Moderating Role Of Alcohol Protective Behavioral Strategies, Hallie R. Jordan

Master's Theses

The present study evaluated the moderating role of alcohol protective behavioral strategy subtypes (Al-PBS; Serious Harm Reduction [SHR], Manner of Drinking [MOD], Stopping/Limiting Drinking [SLD]) and gender on the relationships between traumatic stress symptoms and both hazardous drinking and alcohol-related negative consequences. Participants were 915 traditional age (18 to 25 years old) college students from nine universities in the United States who reported drinking in the past. All participants reported their gender and completed measures of traumatic stress symptoms, Al-PBS use, hazardous drinking, and alcohol-related negative consequences through an online survey. Experiencing greater traumatic stress symptoms was associated with both …

Breaking The Silence: Discussions About Disability, Sex, & Gender Identity, Janet Sauer, Kirsten Bond, Cassidy Donahue, Molly Wolber, Hannah Hunter, Elizabeth Bellin, Katherine Deluga

Violence Against Women conference

Silence often accompanies topics about disability, sexuality, and gender identity. This panel of Lesley students, alumni, and faculty discuss the issue of silence involving social stigma and ignorance that can often lead to violence against people with disabilities. The panelists participated in an interdisciplinary course, Disability Studies, in which students chose to research these topics for their social action projects and papers. Panelists who see themselves as allies and/or self-identify as disabled share their research, personal experiences, and interviews with the audience to provide insights into some of the systematic exclusion of people with disabilities in these discussions, particularly in …

Involuntary Termination From Substance Use Disorder Treatment: Unknown Phantoms, Red Flags, And Unexplained Medical Data, Izaak L. Williams

Journal of Human Services: Training, Research, and Practice

In the United States, all treatment programs receiving public funds are required by law to regularly submit admission and discharge data, inclusive of the forced/involuntary termination or administrative discharge of clients, to their local state authorities. In some states, this requirement even extends to programs not receiving public funds. The aim of collecting discharge data—collected under the auspices of the Substance Abuse and Mental Health Services Association [SAMHSA]—is to assist state and county authorities, funders, and accreditors to monitor recovery-focused program performance. However, investigation here undertaken shows that published discharge data from many state treatment settings are perennially and grossly …

Lifestyles, Income, Health Factors, And Life Satisfaction Of Older Hispanic Adults, Gina Fe G. Causin Ph.D., Hyunsook Kang Ph.D., Mary S. Olle Ph.D.

Journal of Human Services: Training, Research, and Practice

The aim of this study was to explore to what extent life styles, income, and health factors contribute to the life satisfaction of Hispanic older adults. A secondary data analysis from a national survey of Hispanic Established Populations for the Epidemiologic Study of the Elderly (HEPESE) (Markides, Ray, Angel, & Espino, 2012) was used. Subjects were Hispanic older adults (over 75 years, n = 1542). For this study, Hispanics and Latinos were considered as one and the same. A two-step hierarchical regression was conducted to address the research question. The results showed health status and income were unique predictors in …

Older Adults’ Social Relations: Life Satisfaction To Widowhood, Hyunsook Kang, Bonnie Ahn

Journal of Human Services: Training, Research, and Practice

Abstract

The objective of this study was to examine the breadth and depth of relationships with relatives and friends and the possible implications of those relationships with regards to life satisfaction to widowhood. Data from the National Social Life, Health, and Aging Project (NSHAP) survey were used, which sampled persons 57-85 years of age (N=3005). It was hypothesized that older widowed adults have greater quality of both family and friend relationships than do older married adults. Structural Equational Modeling analysis results supported these hypotheses, revealing that older widowed adults reported higher quality of engagement in family and friend …

Wellness And Karate, Cristina Kumpf

Electronic Theses and Dissertations

The promotion of wellness is an integral part of the counseling field and is considered to be a central focus to the counseling process (Barden, Conley, & Young, 2015; Myers, 1992). The counseling profession adopted the concept of wellness because it harmonizes with many of the founding principles of the ACA and is seen as a process of questing toward optimal health and well-being in body, mind, and spirit (Barden, Conley, & Young, 2015; Myers, 1992; Myers, Sweeney, & Witmer, 2000). Additionally, ACA Code of Ethics (2014) state that counselors “engage in self-care activities to maintain and promote their own …

The Role Of Meaning-Making In Posttraumatic Growth Among Eritrean Refugees With Posttraumatic Stress Disorder, Yacob Tewolde Tekie

Doctoral Dissertations

The study examined the moderating role of meaning made, meaning making and social support on the relationship between negative life events and posttraumatic stress disorder (PTSD), anxiety and depression as well as the facilitating role of these moderating variables for posttraumatic growth(PTG). Eritrean refugees (N = 135) who were residing in Europe were recruited. The results showed that post-migration living difficulties significantly related with negative outcomes. In addition, the results showed that social support moderated the relationship between the number of traumatic life events and anxiety symptoms. However, meaning made and social support were not significant moderators on the …

Differential Effects Of Mindful Breathing And Loving-Kindness Meditation Exercises On College Students' Mental Health, Sarah J. Bolognino

LSU Doctoral Dissertations

Mindfulness and loving-kindness are two concepts with associated meditation exercises that have been evaluated as part of mindfulness-based treatment approaches (MBTAs) to improve mental health. A common MBTA, Mindfulness Based Stress Reduction (MBSR) includes multiple component exercises including mindful breathing meditation (MBM), and loving-kindness meditation (LKM). The purpose of the present study was to examine differential effects of MBM and LKM on the proposed process variables of social connectedness, cognitive fusion and experiential avoidance, present moment awareness, affect, and compassion for self and others, as well as across outcomes measures of general anxiety, social anxiety, depression, and wellbeing. Additionally the …

An Examination Of The Impact Traumatic Events Has On Psychosocial Impairment In Eating Disorder Patients, Jennifer Parker Hackett

Electronic Theses, Projects, and Dissertations

Research suggests that trauma has an impact on eating disorders. While prior research has demonstrated that the trauma from abuse has a significant impact on eating disorders, research has failed to explore other types of trauma. In addition, previous studies have stopped short of examining the impact trauma has on functioning among individuals with an eating disorder. This study aimed to address that gap in the literature. The purpose of this study is to examine whether traumatic life events impact psychosocial functioning among individuals living with an eating disorder. Furthermore, this study aimed to identify which traumas are shown to …

The Moderating Role Of Pbs In The Relationship Between Positive Expectancies And Alcohol-Related Negative Consequences, Kray Scully

Master's Theses

Hazardous drinking college students have become an increasingly focused upon group within alcohol research, especially considering the extent of negative consequences they experience. Recently, increased positive expectancies has been identified as an influential contributor to increased hazardous drinking and alcohol-related negative consequences. However, more comprehensive evaluation of the domains of positive expectancies (e.g., sociability, tension reduction, sexual enhancement, liquid courage) is warranted to ascertain which types are more salient in predicting hazardous drinking and alcohol-related negative consequences. Further, research has yet to explore how protective behavioral strategies (PBS) affect the strength of the associations between specific positive expectancies and alcohol-related …

An Overview Of Suicide And The Impact Of Interacting Factors On Current Suicide Trends, Shawna Burrow

Undergraduate Honors Theses

Approximately 44,965 people committed suicide in 2016 in the United States, and the rate has been rising for a decade and a half. Suicide has far-reaching consequences which affect not only the victim, but those close to the person as well. For every suicide, an estimated six people are futher traumatized, bringing the current loss survivor estimate to over 5 million. Additionally, suicide costs tax payers about 70 billion dollars annually. Despite outranking homicide as a leading cause of death, the long-standing stigma associated with suicide creates a barrier for open and effective communication about the issue. This paper investigates …

Detecting Suicide Risk From Wristworn Activity Tracker Data Using Machine Learning Approaches, Pallavi Atluri

Electrical Engineering Theses

Suicide is a prevalent cause of death worldwide and depression is a primary concern of many suicidal acts. It is possible that an individual during depression never has any suicidal thoughts at all. On the other hand, some individuals in stable condition with no apparent symptoms of depression feel urges to commit suicide (suicidal ideation). Many such individuals never let anyone know what they are feeling or planning. Suicidal ideation considered an important precursor to suicidal acts.

Detecting the suicide risk in individuals with mood disorders is a major challenge. The current clinical practice to assess suicide risk in these …

Grief Off-The-Clock: Supporting Hospice Professionals Through Personal Loss, Rachel A. Guimond

Scholar Week 2016 - present

Working with clients who die can have a major impact on the way professionals address their own grief. Daily exposure to the possibility of death alters the process of mourning and can leave professionals feeling disconnected from family and friends during times of grief. This presentation will look at the challenges that hospice workers, clergy members, social workers and other professionals face when they experience grief in their own lives. Evidence-based strategies for supporting professionals in their grief will also be explored.

The Predictors Of Juvenile Recidivism: Testimonies Of Adult Students 18 Years And Older Exiting From Alternative Education, La Toshia Palmer

Dissertations

Purpose: The purpose of this descriptive, qualitative study was to identify and describe the importance of the predictors of juvenile recidivism and the effectiveness of efforts to prevent/avoid juvenile recidivism as perceived by previously detained, arrested, convicted, and/or incarcerated adult students 18 years of age and older exiting from alternative education in Northern California. A second purpose was to explore the types of support provided by alternative schools and the perceived importance of the support to avoid recidivism according to adult students 18 years of age and older exiting from alternative education.

Methodology: This qualitative, descriptive research design identified …

Assessing Levels Of Stigma And Accessing Mental Health Services, Kristina Giacobbe, Mike Morrison, Carrie Arnold

Western Research Forum

Assessing Levels of Stigma and Accessing Mental Health Services

Post-secondary students report high levels of anxiety and depression along with a host of other mental health issues (Fink, 2014). The present study focused on predictors of use of counselling services as well as strategies that would make the service easier to use by undergraduate students. Theoretical rationale included Astin’s Input-Environment-Outcome (I-E-O) (Fink, 2014), Theory of Planned Behaviour (Marsh, 2011), and Self-Regulatory Model (Oexle, 2015). The sample included 153 male and female students at a large research intensive university in Ontario. Participants ranged from ages 18-24 who completed the Satisfaction with …

Complicated Grief And Art Therapy, Rachel Brandoff

Expressive Therapies Dissertations

Complicated grief (CG) has come to be a common enough occurrence in mental health treatment to warrant research, literature, and discussion of markers, causes, prevalence, symptoms, measures, and treatment protocols. Art therapy presents one possible mode of treatment for individuals suffering from CG, and yet few art therapists know about CG or have training in this area. A systematic review of art therapy programs and educational requirements showed no current standards or training requirements for grief or CG. Art therapists are master’s trained clinicians who work with people with a variety of mental health challenges, and training in CG may …

Practice-Based Conundrums And Existentialist Quandaries Of A Professional Code Of Ethics, Izaak L. Williams

Journal of Human Services: Training, Research, and Practice

Ethical codes have long been considered indispensable tools in defining the proper conduct of counseling professionals. Revisions reflect the ideals of the industry to accommodate the evolving needs of clients and trends in treatment models, but the essence of the code is to convert principles befitting of the profession into concrete actions or considerations that abet professional decision-making. Acculturation into the profession involves ethics training intended to improve professionals’ ability to apply the code to situations that might arise in their practices, resulting in the most ethically appropriate action. However, such assumptions may be problematic. The idea of ethical competency …

Adult-Child Sexual Contact: Examining Mental Health Trainees’ Perception Of The Impact On Adult Psychological-Emotional Status, Robbie J. Steward Ph.D., Shavonne J. Moore Ph.D., Lisa P. Petersen M.A., L.P.C., Sharea Ayers M.A., Kristin A. Hinze M.A., L.P.C.

Journal of Human Services: Training, Research, and Practice

Thirty-eight graduate students enrolled in mental health-related programs completed the Brief Symptom Inventory (BSI) indicating anticipated impact of adult-child sexual contact on the psychological status of a young adult woman from positive family environment and one from a negative family environment. BSI subscale scores were significantly higher than the BSI general population’s mean scores in both cases. Multiple regression analyses found that: in the healthy family scenario, practitioners’ background variables (parent education, family of origin climate, prior childhood sexual contact with an adult, and education) did not contribute significantly to the variance in their prediction of expectation of client’s overall …

Concordance Of Illness Representations: The Key To Improving Care Of Medically Unexplained Symptoms, Lisa M. Mcandrew, Myrna L. Friedlander, L. Alison Phillips, Susan L. Santos, Drew A. Helmer

Educational & Counseling Psychology Faculty Scholarship

How can effective patient-provider relationships be developed when the underlying cause of the health condition is not well understood and becomes a point of controversy between patient and provider? This problem underlies the difficulty in treating medically unexplained symptoms and syndromes (MUS; e.g., fibromyalgia, chronic fatigue syndrome), which primary care providers consider to be among the most difficult conditions to treat.¹ This difficulty extends to the patient-provider relationship which is characterized by discord over MUS.¹ In this article, we argue that the key to improving the patient provider relationship is for the patient and provider to develop congruent …

Longitudinal Relationship Between Onset Of Physical Symptoms And Functional Impairment, Lisa M. Mcandrew, Drew A. Helmer, Shou-En Lu, Helena K. Chandler, Sarah Slotkin, Karen S. Quigley

Educational & Counseling Psychology Faculty Scholarship

Patients with chronic physical symptoms (e.g., chronic pain) often have significant functional impairment (i.e., disability). The fear avoidance model is the dominant theoretical model of how the relationship between chronic physical symptoms and functional impairment develops and proposes a cyclical/bidirectional relationship. There has never been a definitive test of the proposed bi-directional relationship. The current study followed 767 Operation Enduring Freedom/Operation Iraqi Freedom soldiers from pre-deployment, when they were relatively healthy, to one year after deployment, when it was anticipated that symptoms would increase or develop. Over the four assessment time points, physical symptom severity consistently predicted worse functional impairment …

A Stakeholder Examination Of Gestational Weight Gain Guidelines, Melissa Kwitowski

Theses and Dissertations

Obesity is a significant health concern for women of childbearing age. More than 40% of women have a Body Mass Index (BMI) in the overweight or obese ranges at the time they conceive, posing significant health risks for both mother and child. Excessive weight gain during pregnancy is common and associated with numerous deleterious complications. The Institute of Medicine published gestational weight gain (GWG) guidelines based on prepregnancy BMI. However, more than 50% of women gain in excess of these recommendations. Further, many women report receiving minimal guidance from their healthcare providers regarding weight gain, nutrition, and physical activity during …

A Phenomenological, Arts-Based Study Of Art Therapists’ Self-Reflective Practice, Laurie Ponsford-Hill

Theses and Dissertations (Comprehensive)

This phenomenological, arts-based study examined the experiences of 15 art therapists using five-minute, full-bodied self-portraiture with 55 minutes of self-reflective journaling once a week for four weeks at the end of each work week. The therapists determined the location for this practice. Subsequently, the four artworks, as a serial, were explored with each participant in a one-hour telephone or Skype interview to understand their lived experience through art, and its signs, and symbols. This process enabled the therapists to act as witness to their respective self/selves, deepening their insights and connections about self. The transcribed audio-taped interviews were manually coded …

Evaluating The Attitudes And Practices Of Exercise Prescription Among Psychotherapists, Igor Vasilj

Theses and Dissertations--Educational, School, and Counseling Psychology

Exercise has been shown to improve mood, anxiety, stress, and promote neuroplasticity (Conn, 2010; Donaghy, 2007; Josefsson, Lindwall, & Archer, 2014; Silveria et al., 2013; Stathopoulou et al., 2006). However, limited research on the topic suggests that many psychologists and mental health providers are not incorporating exercise into psychological treatment, and many lack the confidence to do so (Burton, Pakenham, & Brown, 2010; Weir, 2011). The purpose of this study was to evaluate current exercise prescription trends among practicing psychologists and trainees, including identifying their current beliefs, attitudes, training, and the perceived barriers hindering psychotherapists from recommending and prescribing exercise. …

Log Kya Kahenge: Psychological Well-Being And Perceived Stigma In The South Asian American Community, Khushboo Jain

Pomona Senior Theses

Current research has independently studied depression, stigma, and coping mechanisms in relation to culture, yet the effects of perceived stigma on the relationship between depression and control coping are heavily understudied. Typically, studies have broadly focused on comparing eastern and western cultures, but have not analyzed how populations with mixed cultural influences experience depression and stigma and further engage in control coping mechanisms. This study thus explores how perceived stigma moderates the relationship between depressive symptoms and control coping mechanisms for South Asian Americans. The study hypothesizes that the level of perceived stigma will moderate the relationship between depression and …