Health Psychology Commons^™

Using S-Predixcan To Identify Associations Of Genetically Determined Gene Expression Levels With Carotid Intima Media Thickness, Andy Bryan A Castaneda

Dissertations and Theses (Open Access)

The aim of the study was to identify associations between predicted gene expression levels using S-PrediXcan and carotid intima media thickness (cIMT) in order to elucidate the etiology of atherosclerosis. Further, we wanted to compare our results to those from a transcriptome wide association study (TWAS) that used actual gene expression levels in whole blood. For our analysis we used summary statistics from a GWAS of cIMT from the Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE) consortium, tissue-specific gene expression profiles from the GTEx project, and S-PrediXcan prediction models. The TWAS of cIMT that we compared our …

Treatment Outcomes Associated With Implementation Of An Express Sti Testing Model In A Prep Clinic In Austin, Texas, Diane Chau

Dissertations and Theses (Open Access)

It is unknown whether express STI testing is as effective as comprehensive STI testing. The research aims of this study are: (1) to describe the patients who obtained a STI testing at the Kind Clinic between February 01, 2019 to January 31, 2020; (2) to determine the association between STI testing type and sociodemographic factors, clinically-relevant factors, and treatment outcomes; (3) to visualize time-to-treatment among STI type and testing types for comparison on a diagnosis-level and a patient-level. Electronic medical records were abstracted for 2,201 patients that received an STI test during February 01, 2019 and January 31, 2020 at …

Exploration Of Breastfeeding As A Protective Factor For Breast Cancer In South African Women: A Nested Case-Control Study, Quiera S. Booker

Dissertations and Theses (Open Access)

South African’s (SA) breast cancer incidence rate is continually increasing (39 per 100,000 (2012) versus 46.2 per 100,000 (2018) with trends towards later-stage diagnosis. In previous literature, breastfeeding has been assessed as a protective factor for breast cancer; however, the SA population experiences inconsistent breastfeeding trends, rates, and support services. Therefore, this study will evaluate the inverse association between breast cancer and breastfeeding history. Methods. Cases (breast cancer) and controls (mastalgia) were matched 1:1 on clinical visit from May-August 2019 at Groote Schuur Hospital (GSH) in Cape Town, Western Cape, South Africa. Breastfeeding history, breast carcinoma diagnosis, and clinically relevant …

Raft-Versus-Host Disease Occurrence Among Cord Blood Transplantation Recipients In Relation To Human Leukocyte Antigen Match Grade, Sarah Chowdhury

Dissertations and Theses (Open Access)

Umbilical cord blood (UCB) transplantation has been consistently found to have low rates of graft-versus-host disease (GVHD), high rates of engraftment, and faster turnaround times in terms of finding suitable donors. In addition, it serves as a viable option for individuals with no matched donor options especially due to its flexible human leukocyte antigen matching criteria. Despite its advantages, there has been an overall decrease in UCB transplantation. However, its advantages emphasize the need for further research and investment in resources such as cord blood banking especially since pediatric populations are most likely to benefit from continued research due to …

Statistical Evaluation Of An Extension Of Linear Discriminant Analysis In Multiclass Settings With An Application For Detection Of Cervical Neoplasia, Frances A. Brito

Dissertations and Theses (Open Access)

Although a pathologists’ review of Papanicolaou smear cell samples has been successful in decreasing cervical cancer incidence, it is often costly and time-consuming. Quantitative cytology is a promising semi-automated method that measures cell features for further analysis or classification. There have been several advancements in classification algorithms, but many do not account for the nested data structure seen in quantitative cytology. Further, histologic diagnoses are separated into five or more classes, yet, multiclass classification has not been investigated. Here, we compare the predictive performance of macrolevel discriminant analysis (MDA) to traditional discriminant analysis methods in multi-class settings on cervical quantitative …

The Health And Wellness Characteristics Of Food And Beverage Service Industry Workers In Austin, Texas: A Participatory Cross-Sectional Survey, Alexandria Abbott

Dissertations and Theses (Open Access)

Food and beverage service industry workers are prone to tobacco use, alcohol abuse, illicit drug use, and mental health conditions. These workers are also highly likely to not have health insurance. Despite the poor health outcomes that stem from these conditions, little to no empirical evidence currently exists to explain the factors that contribute to the poor health condition of the service industry workforce. This study used a cross-sectional online survey to gather preliminary information on the health and wellness condition of service industry workers over the age of 18 in Austin, Texas. Survey respondents revealed high rates of alcohol …

Follow Up Care, Cancer Treatment Summaries And Patient Centered Communication, Ashleigh Gil

Dissertations and Theses (Open Access)

The adolescent and young adult (AYA) age group is the cohort of individuals who have been diagnosed with and/or are survivors of cancer. It is recommended they receive lifelong follow up care to prevent or mitigate late health effects associated with cancer and treatment. However, AYAs are caught between the pediatric and adult healthcare systems and they may not be able to fully advocate for their healthcare needs. Some factors that may be associated with AYAs survivorship care are treatment summaries and where they receive follow up care. This study aimed to identify if receipt of a treatment summary and …

Assessing Patient Attitudes To Ward Genetic Testing For Hereditary Hematologic Malignancy, Addison Johnson

Dissertations and Theses (Open Access)

Since 2003, more than 15 genes have been identified to predispose to hereditary hematologic malignancy (HHM). Although the diagnostic yield of germline analysis for leukemia is similar to solid tumors, referral for genetic evaluation in adults with leukemia is underperformed. Identifying HHM is important for prognostication, treatment, and donor selection for hematopoietic stem cell transplant. No studies have examined leukemia patients’ attitudes toward genetic testing for HHM. This study aimed to assess leukemia patients’ attitudes toward genetic testing and elicit current perceived distress due to a leukemia diagnosis. Data were elicited through an electronic survey sent to 5,513 patients diagnosed …

Managing Stress In A Constantly-Changing Workforce, Lorri Burch-Hubbard

Electronic Theses and Dissertations

When staffing reductions occur in the workplace, staff left behind may face increased stress, may not be given the support they need to manage the feelings caused by the reduction. This study was conducted to evaluate the impact of stress caused by staffing reductions has on medical technologists (MT), medical technicians (MLT) and respiratory therapists (RT), and to identify any common methods of stress management used by those staff who remain in the organization.

Literature research showed the negative impact stress can have on individuals when it is not addressed, such as decreased work performance, health issues, and even the …

Demographic Predictors Of Adult Behaviors In The Pediatric Postoperative Environment, Natasha H. Hikita, Amber Osorno, Carlie Taurosa, Michelle A. Fortier, Zeev N. Kain, Brooke N. Jenkins

Student Scholar Symposium Abstracts and Posters

Over 85% of children experience postoperative pain. If poorly treated, pediatric postoperative pain may lead to various negative health outcomes. Adult behaviors may be associated with child experiences in the postoperative environment. For example, adult behaviors such as distraction, humor, and coping advice divert a child’s attention away from their pain and thus, may significantly reduce child postoperative distress. In contrast, adult behaviors such as empathy, reassurance, and apology direct a child’s attention towards their pain which may increase a child’s overall postoperative distress. Moreover, patient demographic factors, like child ethnicity, may significantly alter the frequency of use of these …

Pediatric Postoperative Pain Medication: Child Sex And Ethnicity Interact To Predict Parent Medication Attitudes, Vivian Luong, Harshitha V. Venkatesh, Michelle Fortier, Zeev N. Kain, Brooke N. Jenkins

Student Scholar Symposium Abstracts and Posters

Over 85% of children experience significant pain after surgery. Despite this presence of pain, research suggests that a quarter of these children receive very little or even no pain medication at home. Such poor pain management in children can have harmful long-term consequences, both physically and psychologically. Previous research indicates that the amount of pain medication administered to children in the home may be significantly impacted by beliefs and attitudes parents have regarding analgesics. Given this, the purpose of the present study is to identify which demographic factors are associated with certain parent analgesic attitudes or misconceptions among pediatric patients …

Weight Status As A Moderator Of Low Self-Esteem And Poor Sexual Functioning, Madison Hinkle

Electronic Theses and Dissertations

Researchers have found that self-esteem and weight status can impact numerous aspects of an individual’s life, including reproductive health issues. However, there has been limited research specifically examining how self-esteem may affect female sexual functioning. The current study aims to examine whether self-esteem is a significant predictor of sexual functioning, and whether this relationship may change as a function of women’s weight status. Participants consisted of 730 women ranging from 18 to 49 years of age, who were recruited through an online questionnaire. Results indicate that higher levels of self-esteem predict better sexual functioning and weight status was found to …

Incentive Sensitization For Exercise Reinforcement To Increase Exercise Behaviors, Kyle D. Flack, Harry M. Hays, Jack Moreland

Dietetics and Human Nutrition Faculty Publications

Individuals can be sensitized to the reinforcing effects of exercise, although it is unknown if this process increases habitual exercise behavior. Sedentary men and women (body mass index: 25–35 kg/m², N = 52) participated in a 12-week aerobic exercise intervention. Exercise reinforcement was determined by how much work was performed for exercise relative to a sedentary alternative in a progressive ratio schedule task. Habitual physical activity was assessed via accelerometry. Post-intervention increases in exercise reinforcement predicted increases in physical activity bouts among those who expended over 2000 kcal per week in exercise and who compensated for less than …

Positive Emotions And Favorable Cardiovascular Health: A 20-Year Longitudinal Study, Julia K. Boehm, Ying Chen, Farah Qureshi, Jackie Soo, Peter Umokoro, Rosalba Hernandez, Donald Lloyd-Jones, Laura D. Kubzansky

Psychology Faculty Articles and Research

No studies have examined whether positive emotions lead to favorable cardiovascular health (CVH) early in the lifespan, before cardiovascular disease is diagnosed. Moreover, the direction of the association has not been thoroughly investigated. Among younger adults, we investigated whether baseline positive emotions were associated with better CVH over 20 years. We also considered whether baseline CVH was associated with subsequent positive emotions during the same period.

Participants included 4196 Black and White men and women from the Coronary Artery Risk Development in Young Adults Study. Positive emotions and cardiovascular-related parameters were each assessed in 1990 (this study's baseline), with repeated …

Emotional Intelligence Methods Utilized By Successful Major League Baseball Closers To Perform Successfully In High Pressure Situations, Joshua Rosenthal

Dissertations

Purpose: The purpose of this qualitative case study is to understand the similarities that exist in the descriptions of emotional intelligence methods utilized by retired successful Major League Baseball closers to appraise, express, regulate, and utilize their emotions to perform successfully in high pressure situations.

Methodology: The dissertation was a qualitative case study. Twelve of the top 50 retired save leaders in Major League Baseball were interviewed to understand the similarities in the descriptions of emotional intelligence methods used to perform successfully in high pressure situations. This study attempted to understand what exactly elite closers did to utilize emotional intelligence …

Examining The Influence Of Childhood Trauma On College Alcohol Use And Mental Health: A Comparison Between United States And Philippines, Irenea Soetjoadi, Jessie Tibbs, Antover Tuliao, Dennis Mcchargue

UCARE: Research Products

College students who have experienced trauma might use alcohol as a way to escape from their problems as drinking is a common way to forget the problems and create feelings of relaxation. Though the existing research has found that childhood trauma negatively impacts future alcohol use in many individuals, the specific patterns of these relationships across different cultures are not well understood. In this study, we investigate how these relationships vary across United States and Philippines. We hypothesized that college students who experience childhood trauma will report more mental health symptoms and greater alcohol consumption. Furthermore, we tested the ability …

A Brief Evidence-Based Intervention To Enhance Workplace Well-Being And Flourishing In Health Care Professionals: Feasibility And Pilot Outcomes, Abbie O. Beacham, Alison Brainard, Norah Janosy, Jennifer Reese

Journal of Wellness

Introduction: The deleterious direct and indirect effects of burnout among physicians and other health care professionals and learners have been well documented. Recently, there have been calls to shift the focus from distress and burnout to enhancing well-being of health care providers and learners. To this end, we developed a brief, well-being focused intervention entitled “CU Flourish” embedded in PERMA theory: positive emotion (P), engagement (E), relationships (R), meaning (M), and accomplishment (A) with a sixth domain – Health – in our working model. Within this framework, elements of values-based interventions, mindful awareness and psychological flexibility inherent to Acceptance and …

Self-Esteem And Disordered Eating In African American Youth, Carly Wagner, Samantha Ronderos, Dawn Witherspoon Phd

Showcase of Osprey Advancements in Research and Scholarship (SOARS)

Background: 30% of girls and 15% of boys engaging in disordered eating (DE) behaviors, such as irregular eating behaviors like bingeing, fasting, or purging (Campbell & Peebles, 2014). Low self-esteem has been found to have a significant impact on the development of mental health disorders (Stadelmann et al., 2017). Youth are susceptible to developing low self-esteem because of the developmental and social milestones that are experienced during this time (Chung et al., 2017). Although previous studies have found a relationship between DE and self-esteem, little research has focused on how self- esteem impacts DE in African Americans (AA).

Aims: To …

Relationship Satisfaction & Diet: Exploring The Mechanisms Through Which Intimate Relationships Influence Physical Health, Lindsey Robinson, Dylan Hillock, Dr. Josh Novak

Southeastern Council on Family Relations Conference [2018-2020]

Understanding how intimate relationships influence physical health has been an important topic of focus; however, research remains unclear on the mechanisms through which this influence occurs. The purpose of this study was to examine how relationship satisfaction relates to diet quality, through mental health (depression and anxiety) and diet self-efficacy. Using a dyadic mediation model with a sample of 234 heterosexual couples, researchers found that women's higher relationship satisfaction was associated with better diet through lower depression and higher diet self-efficacy. Results revealed the same association between women's relationship satisfaction and diet through lower anxiety. Interestingly, rather than mediation through …

Mindfulness-Based Cognitive Therapy And Diabetes Management, Kerri H. Watkoske

Conspectus Borealis

No abstract provided.

Emotional, Social, And Behavioral Factors Affecting Wellbeing And Academic Performance In University Students With Chronic Diseases: Proposed Longitudinal Study, Kevin R. Criswell, Wren Whitman, Madelynn Smith, Polly Denison, Kyle Anderson

2020 Symposium Posters

Background: Chronic diseases (CDs) affect about half (45%) of individuals in the U.S., and this population is expected to grow. Despite the high prevalence and psychosocial burden of CDs, less is known about the effects of CDs on university students’ academic performance and psychosocial wellbeing. Research on how CDs might affect pursuit of valued activities (e.g., higher education), psychosocial wellbeing, and internalized stigma is lacking in university students with CDs.

Aims: The first aim is to characterize the effects of chronic diseases on academic performance and psychosocial wellbeing in university students. The second aim is to examine the …

Healthcare Satisfaction In Lung Cancer Survivors: A Cross-Sectional Secondary Data Analytic Study, Gladys Greene, Marissa Zuniga, Kevin R. Criswell

2020 Symposium Posters

Introduction: Lung cancer is commonly associated with high levels of psychosocial distress and symptom burden. Healthcare professionals endeavor to meet complex needs, yet current research is sparse and presents an inconsistent picture of predictors of healthcare satisfaction in lung cancer. We examined psychosocial, physical functioning, demographic, and supportive care factors as predictors of healthcare satisfaction in a sample of lung cancer survivors.

Method: We conducted a cross-sectional secondary data analysis to examine psychosocial functioning, physical functioning, supportive care needs, healthcare satisfaction, and demographic and medical characteristics in lung cancer survivors sampled from two southern California hospitals (N = 187). Mean …

Examination Of A Partial Dietary Self‐Monitoring Approach For Behavioral Weight Management, Deborah F. Tate, Danika A. Quesnel, Lesley Lutes, Karen E. Hatley, Brooke T. Nezami, Alexis C. Wojtanowski, Angela M. Pinto, Julianne Power, Molly Diamond, Kristen Polzien, Gary Foster

Publications and Research

No abstract provided.

Patient, Hospital And State-Level Policy Characteristics Associated With Prevalence Of Treating Opioid Use Disorder In United States Emergency Departments, Rafeek Adeyemi Yusuf

Dissertations and Theses (Open Access)

The opioid crisis in the United States was declared a public health emergency due to escalating and untoward human, financial, and systemic consequences and effects on the nation. Opioid use disorder (OUD) comprising opioid abuse and dependence is devastating because of its associated chronic relapsing nature, overutilization of healthcare services, rising morbidity and mortality rates, and high cost of care. Efforts to address this have not made significant positive impacts. It is thus imperative to reassess the influence of factors associated with OUD. This study answered the question, what patient-, hospital-, and state-level policy factors were associated with prevalence of …

Identifying Risk Factors For Chronic Kidney Disease Of Unknown Origin In Six Central American Countries And Houston, Texas, Erika Figueroa-Solis

Dissertations and Theses (Open Access)

Chronic kidney disease (CKD) is a public health problem that is recognized worldwide. The type of CKD in Central America does not fit the “usual” CKD encountered in countries with upper middle-income economies, and is also often referred to as CKD of undetermined cause (CKDu). Evidence suggests that CKDu is a disease of occupational origin that can be brought on by a combination of exposures: hot environments, high physical job demands, inadequate hydration protocols, and effects of other nephrotoxic agents. Many gaps remain in knowledge related to CKDu and its putative risk factors, geographic distribution, distributions of renal function in …

Mindfulness And Food Selfies: A Naturalistic Investigation Of Healthy Eating, Alishea Hight, Mariah Isbell

Georgia College Student Research Events

Mindfulness is increasingly linked to effective self-regulation including regulation of health behaviors. Eating is an important behavior for health, and mindfulness has been linked to healthier eating choices in self-report, cross-sectional studies, and in laboratory eating paradigms (e.g., Jordan et al., 2014). In contrast, impulsivity is linked to poor self-regulation such as purchasing behavior (Baumeister, 2002), and impulsivity scores have been shown to be related to weight (Price, Lee, & Higgs, 2013). Along these lines, we sought to examine the links between trait mindfulness and impulsivity and eating behaviors. However, instead of examining eating behaviors through global self-report or forced …

Truly Promoting Diversity On College Campuses Means Supporting Persons In Recovery From Substance Use Disorders, Austin Mcneill Brown

Population Health Research Brief Series

College students who struggle with substance use disorders often experience decreased motivation, poorer academic performance, social isolation, and lower retention rates. This issue brief examines how Collegiate Recovery Programs help students in recovery from substance use disorders remain sober and excel academically.

Development And Psychometrics Of The English Version Of The Itch Cognitions Questionnaire, Carolyn J. Heckman, Christina Schut, Mary Riley, Anke Ehlers, Rodrigo Valdes-Rodriguez, Jörg Kupfer, Uwe Gieler, Jerod L. Stapleton

Health, Behavior & Society Faculty Publications

BACKGROUND: The aim of this study was to validate the English version of the Itch Cognition Questionnaire in a sample of patients with chronic itch due to psoriasis or atopic dermatitis. An English-language version of an instrument assessing itch-related cognitions is needed since cognitions can contribute to a worsening of itch, and chronic itch is prevalent in English-speaking counties and internationally.

METHODS: The German Itch Cognitions Questionnaire was translated into English, and cognitive interviewing was conducted to finalize item wording. Internal and test-retest reliability, item discrimination, responsiveness to change, and construct, convergent, and discriminant validity were assessed in a national …

A Case Study Of Barriers To Dental Care In Nebraska, Kaitlin Buhler

Honors Program: Senior Projects (Public)

An important aspect of overall health is access to dental care, which is, unfortunately, oftentimes difficult to obtain. This study used data collected from a case study of three registered dentists in Nebraska to investigate the barriers to dental care, and identified the lack of dental insurance, limited access to free or reduced-price dental care, and dental anxiety as perceived barriers to dental care. Factors that did not seem to have an impact were language or ethnicity differences between patients and workers, distance to travel, comfortability with receiving free or reduced-price dental care, knowledge of how often to visit the …

Perceptions Et Attitudes Face À La Conduite Automobile Dans Un Contexte De Travail Chez Les Policiers En Fonction Et Les Aspirants Policiers, Martin Lavallière, François Bellavance

Rapports de recherche scientifique

La conduite automobile représente une composante importante du travail policier. De la patrouille à la conduite en situation d’urgence, le policier se doit d’être constamment à la recherche d’informations pour lui permettre de préserver sa sécurité derrière le volant et celle de la population qu’il dessert. Des études sur les accidents routiers au travail ont montré que les policiers ne sont pas à l’abri des collisions routières et que celles-ci, lorsqu’elles surviennent, sont potentiellement mortelles. L’objectif de cette étude est de 1) documenter les perceptions et les attitudes face à la conduite automobile en fonction de l’appartenance à un groupe …