Health Psychology Commons^™

Perceived Discrimination Within The Patient-Provider Relationship And Its Impact On Help-Seeking Behaviors, Lechey S. Hibbler

Dissertations

Racial and ethnic minorities have faced discrimination for hundreds of years. When patients experience discrimination in healthcare settings, help-seeking behaviors decrease. Many patients choose to refrain from seeking treatment until their psychological or physical health issues are unmanageable, often resulting in acute visits to the emergency department. Patients that have experienced previous discriminatory encounters with health care providers are more likely to choose not to seek help for physical or mental health concerns, resulting in overall poorer physical health and mental health outcomes. With the use of critical evaluation of previous studies, this paper has demonstrated that perceived discrimination negatively …

Impact Of Moral Injury For Ethnic/Racial Minority Male Veterans, Kristopher Kern

Doctoral Dissertations

Trends in demographics of post-9/11 veterans (deployments to the Middle East after 2001) describe this group as having higher survival rates, increased service-connected disabilities, and more racially diverse (NCVAS, 2018; Schnurr et al., 2009; Tanelian & Jaycox, 2008). Additionally, their deployment experiences include combat-related experiences that contradict personal moral beliefs, later named “moral injury” (MI) (Litz et al., 2009). Currier, Holland, and Mallot (2015) describe MI as intense emotions of shame, guilt, and anger alongside maladaptive behaviors emerging after “witnessing and/or participating in warzone events that challenge one’s basic sense of humanity” (p. 231).

The research on MI continues to …

Divining Structural Factors Related To Intervention Success Or Failure: Cultural Sexism Versus Other Macro-Level Factors, Blair T. Johnson, Christine M. Curley

CHIP Documents

This article provides commentary on a spatial meta-analysis published by Price and colleagues (2021); it provides valuable preliminary evidence that a dimension of cultural sexism can countervail efforts for psychotherapy to succeed in samples that focus on girls aged four to 18. Our own study reveals cultural sexism to be markedly associated with at least three macro-level factors: cultural tightness, historical slaveholding (and by implication racism), and sex education inclusiveness. The fact that cultural sexism can be so well predicted by these factors is additional evidence that cultural sexism is real, yet it also suggests caution in interpreting these effects …

Exploring The Therapeutic Relationship As A Central Focus Through Expressive Arts Therapy In Oncology, Akshata Parekh

Expressive Therapies Capstone Theses

The treatment for cancer can be physically, mentally, emotionally and socially challenging. These treatments have side effects like physical body pain, hair loss, changes in weight, energy, nausea and more. These physical changes impact the social, mental and emotional well-being of the patient and makes this journey of the life-threating prognosis of cancer very tough to confront. Expressive arts therapy provides a safe space for the patients to address their mental health concerns as a result of this treatment. The Capstone Thesis Project explored expressive arts therapy interventions with 95 patients through single or multiple sessions while going through their …

Making Room: Addressing The Counter-Therapeutic Nature Of Psychiatric Hospitalization Through Containment- Based Group Expressive Therapy, Max Sandor Copans

Expressive Therapies Capstone Theses

The process of hospitalization and the environment of a typical psychiatric hospital is often counter-therapeutic. To challenge this problem, clinicians may introduce the concept of psychological containment. To elaborate, being hospitalized anywhere can be disorienting, frightening and even traumatic. This problem is only further exacerbated in psychiatric hospitals where patients may be disorganized, manic, or struggling with psychosis. Furthermore, psychological containment is essentially the ability for psychiatric patients to prevent their intense emotions from effecting others negatively, and to act with resiliency when other patients are unable to contain their own disruptive behaviors. This paper utilizes both an initial literature …

"It's The Way You Sing It": Translating Music Therapy For Isolated Older Adults Affected By Covid-19 To The Television Screen, Eunice Wong

Expressive Therapies Capstone Theses

The current Covid-19 pandemic has increased the likelihood of loneliness and social isolation among older adults due to the restrictions on movement and visitations in care facilities. Loneliness and social isolation have consistently been identified as risk factors for poor mental and physical health in older people. Meanwhile, a growing number of older adults are utilizing technological resources to enhance their interpersonal relationships and overall quality of life. In the winter of 2020/2021, an innovative music therapy-informed television program was designed and produced for isolated older adults in need of mental and emotional support. This project, produced jointly by a …

Exploring Social Determinants Of Covid-19 Related Sickness And Suffering In The Bronx, Hamida Chumpa

Student Theses and Dissertations

Through a positivistic and phenomenological approach, the study examines social determinants of COVID-19 related sickness and suffering in the Bronx, New York City, New York, ZIP codes 10462, 10472, 10467, 10458, 10474, and 10464. I utilize a violence paradigm (structural and everyday violence) to describe the social determinants of risk and sickness-related suffering and deploy an assemblage framework to shed light on how these determinants create negative synergies that undermine wellbeing and render certain communities vulnerable to extreme suffering. The mixed methods include 64 surveys and eight interviews. Analysis methods include a descriptive analysis of survey results and a thematic …

Understanding The Healthcare Experiences Of Lgbtq+ People: An Adaptation Of The Daily Heterosexist Experiences Questionnaire, Conor Smith

Doctoral Dissertations

LGBTQ+ people's experiences of heterosexism, which are common in the healthcare system, are linked to poor health outcomes. There are no measures of LGBTQ+ people’s experiences in healthcare settings which could be used by healthcare systems and providers to improve the quality of their care for this vulnerable population. The Daily Heterosexist Experiences Questionnaire (DHEQ), developed using the minority stress model, measures the general stressful life experiences of LGBTQ+ people. This project aimed to adapt the DHEQ for use in healthcare settings.

A mixed-methods study was conducted to create the Daily Heterosexist Experiences Questionnaire-Healthcare (DHEQ-H). Semi-structured interviews focused on the …

Reiki For Recovery: Incorporating Japanese Health Practices To Increase Contemporary Resiliency In American Health, Leif Peterson

Master's Projects and Capstones

The Japanese health practice of Reiki attempts to maximize the latent ability of the human system to heal itself. The Reiki system, established over a century ago, combines multiple Asian health traditions, experimenting with practices that maximize the natural processes of the body to perform its own repairs. Reiki encourages healthy behaviors that balance the mind and body, return the human system to a lowered stress level, and allow for an optimal recovery state for the patient. This paper illustrates how this Japanese health-affirming method can be integrated and utilized within existing health and medical practices. An area that is …

The Use Of Mindfulness Meditation To Increase The Efficacy Of Mirror Visual Feedback For Reducing Phantom Limb Pain In Amputees, Nicolas Sebastian Mills

Doctoral Dissertations

Phantom limb pain is a chronic pain condition that negatively impacts the lives of over half of amputees, and results in considerable morbidity. Currently, there is no gold standard for treatment for phantom limb pain. However, a frequently used intervention is the use of mirror visual feedback, in which the amputee watches the reflection of the adjacent non-amputated limb move and exercise. In the last few decades, mindfulness-based interventions have been increasingly used with individuals living with different types of chronic pain. This study attempts to discover if the addition of a mindfulness-based intervention, such as guided meditation, will augment …

Vegetarian Diets, Maybe Not As Healthy As You Think, Darryl Goh, Debbie Chan, Merson Hoo, Ian Wong

Introduction to Research Methods RSCH 202

Many are approaching vegetarianism as a viable diet option in recent years, presuming that adopting a vegetarian diet would provide health benefits. This paper explores the possibilities of physical and mental effects that vegetarianism may have on humans and its extent by the use of regression analysis. To measure the possible impacts vegetarian diets may hold on both the physiology and physical aspects of humans, we have utilized the measures of life expectancy and prevalence of depression respectively. Cross-sectional data were examined from sources such as the World Health Organization, Our World In Data and the World Bank, with figures …

Bmi And Associated Variables In A Pediatric Gender Clinic Sample, Mirae J. Fornander

Research Days

Background: Studies of transgender/gender diverse (TGD) youth indicate a high prevalence of overweight/obesity and concern for unhealthy weight control behavior.

Objectives/Goal: Describe BMI and the association of medication use, well-being, and recreational activities in treatmentnaïve pediatric TGD patients.

Methods/Design: Chart review of 302 patients (age 3-19, 73.5% sex assigned at birth (SAB) female; 85.8% white) from 2017-20. BMI was calculated by age and SAB using CDC growth charts. Parents reported medication use. Parent and self-reported Pediatric Quality of Life (PEDS-QL) Well-Being and activities were surveyed electronically.

Results: By BMI category, 3.3% were underweight (BMI85% and 29.5% fell >95%. Overweight and …

Changes In Family Functioning During The First Year Of Pediatric Cancer Treatment: A Mixed-Method Pilot Study, Carolyn Bates

Research Days

Background: A new diagnosis of pediatric cancer presents a sudden and tremendous stressor for families of all backgrounds and circumstances (Long & Marsland, 2011; Bemis et al., 2015). Although many families are resilient in the context of new cancer diagnosis, approximately 33% are at risk for negative outcomes due to psychosocial distress and difficulties with effective coping (Kazak et al., 2020; Pai et al., 2008), supporting the need for systematic assessment of psychosocial health as a standard of care in pediatric oncology (Kazak et al., 2015). Alongside heightened stress within the first year of diagnosis, parents may relax family rules …

Does The Tripartite Influence Model Of Body Image And Eating Pathology Function Similarly Across Racial/Ethnic Groups Of White, Black, Latina, And Asian Women?, Natasha L. Burke, Lauren M. Schaefer, Yvette G. Karvay, Anna M. Bardone-Cone, David A. Frederick, Katherine Schaumberg, Kelly L. Klump, Drew A. Anderson, J. Kevin Thompson

Psychology Faculty Articles and Research

The tripartite influence model suggests that appearance pressures from family, peers, and the media contribute to thin-ideal internalization, which leads to increased body dissatisfaction and subsequent eating disorder pathology. The tripartite influence model was initially developed and tested among primarily White samples, and emerging research suggests racial/ethnic differences in mean levels of particular model constructs. Consequently, the model's appropriateness for understanding eating disorder risk in racial/ethnic minorities warrants investigation to determine its usefulness in explicating eating disorder risk in diverse populations. Participants in the current study were White (n = 1167), Black (n = 212), Latina (n …

Using An Intersectionality Framework To Examine Disparities In The Steps To Kidney Transplantation In Patients With End Stage Renal Disease, Kacy Workman

Honors Theses

Intersectionality is a theory examining how individuals’ different identities intersect to create a new lived experience, often with compounded oppressions. This theory has recently been utilized in health research to help understand and find effective ways of addressing health disparities (Bowleg, 2012). However, while studies have theorized broadly about intersectionality theory in health research, it has seldom been used to specifically address health disparities in patients with End Stage Renal Disease (ESRD). This study conducted a systematic literature review of past research that has examined barriers to kidney transplantation among ESRD patients with intersectional identities, particularly concerning race and gender. …

Initial Validity Evidence For A Measure Of Transactional Sex In A U.S. College Student Sample, Jasmine Temple

Masters Theses, 2020-current

The purpose of the current study is to develop a measure of Transactional Sex (TS) and provide initial validity evidence for its’ use in future studies to examine this behavior as it relates to individuals’ mental, physical, and sexual health outcomes. TS is defined in the current study as engaging in a sexual relationship/sexual activity with another person with an expectation or intent to receive some form of compensation in return. Compensation can be monetary, material, opportunistic, etc. Participants (N = 269) were recruited through the university’s participant pool and email blast system. Participants completed a 40-minute online survey …

"Upskirting,” Homosociality, And Craftmanship: A Thematic Analysis Of Perpetrator And Viewer Interactions, Matthew Hall, Jeff Hearn, Ruth Lewis

psychology

“Upskirting” is the action or practice of surreptitiously taking photographs or videos up a female’s skirt or dress. In the United Kingdom, it is an offense. However, internationally, laws are uneven. Understanding how perpetrators account for their actions becomes an important question. Here, we present the findings of our thematic analysis of posts on the “upskirting” website, The Candid Zone. Our analysis shows that posters and respondents frame this activity as artistic and technical, providing each other with advice and guidance on where and how to get the “best” shots. We conceptualize this form of abuse as homosociality and crafts …

Why Do Some Americans Resist Covid-19 Prevention Behavior? An Analysis Of Issue Importance, Message Fatigue, And Reactance Regarding Covid-19 Messaging, Hannah Ball, Tayah Renea Wozniak

Communication Faculty Articles and Research

Despite the rapid transmission of and death toll claimed by COVID-19, there is evidence of resistance toward behaviors shown to effectively prevent and slow the spread of the disease, such as mask wearing and social distancing. This study applies psychological reactance theory to examine COVID-19 message factors (i.e., message fatigue, issue importance) that may be linked to nonadherence to CDC recommendations via the experience of reactance. Participants (N = 268) were current U.S. residents over the age of 18 who completed an online survey about their perceptions of COVID-19 messaging in general as well as toward a specific COVID-19 …

Can A Self-Compassion Writing Intervention Impact Feelings Of Loneliness?, Brooke R. Offenhauser

Psychology Honors Projects

Loneliness is an increasingly widespread concern for many individuals, especially college students and young adults, and has been exacerbated by the COVID-19 pandemic. Loneliness can negatively impact health and well-being; however, many interventions are not successful in reducing loneliness. One possible intervention may be a resilience practice. Namely, self-compassion may reduce feelings of loneliness because it provides a way to connect with oneself and support well-being. This study aimed to examine the impact of a self-compassion intervention on feelings of loneliness and well-being in college students. It utilized a self-compassion writing intervention compared to a control self-affirmation writing intervention and …

Trauma Informed Care Training Initiative: Implementation Study In Appalachia, Mattie V. Raza

Undergraduate Honors Theses

This study aims to evaluate the implementation of Trauma-Informed Care (TIC) trainings in Johnson City, Tennessee, and the surrounding Appalachian area. Previous TIC trainees were sent an email survey asking them if they had followed through with their plan to implement the training at their place of work or in other areas of their lives. The response rate for this study was 2%, possibly due to extraneous variables such as the Coronavirus Pandemic and the lag time between the initial training and survey follow-up. The responses that were analyzed indicated promise for the practical implementation of TIC concepts at the …

Psychological Distress And Susceptibility To Disease In The Infant And Early Childhood Mental Health (Iecmh) Workforce In The Time Of The Covid-19 Pandemic, Ashley Sexton

Undergraduate Honors Theses

Chronic stress, anxiety, and depression can have many adverse effects on physical health, including immunosuppression and increased susceptibility to disease. For the last year, the world has endured sustained stress caused by the COVID-19 pandemic which has had its own impact on mental health. Stress from COVID-19 will likely have an even greater impact on the Infant and Early Childhood Mental Health (IECMH) workforce due to the stressful nature of their work. Self-care has been shown to improve overall wellbeing and act as a buffer for stress. Therefore, the current study aims to investigate if IECMH workers with clinically significant …

Race, Ethnicity, And Insurance: The Association With Opioid Use In A Pediatric Hospital Setting, Vivian Luong

Student Scholar Symposium Abstracts and Posters

Pediatric opioid-related poisoning and deaths have increased by 268% between 1999 and 2016. One risk factor for these poisonings may be receiving an opioid prescription at a young age. Given the established link between legitimate opioid prescriptions and later misuse in young adulthood, research focused on identifying relationships between sociodemographic factors with opioid and non-opioid prescribing is needed to understand opioid prescribing inconsistencies and promote safe pain management. Of interest, this study examined the association between race/ethnicity and health insurance payer type with pediatric opioid and non-opioid ordering in an inpatient hospital setting. Statistical analyses were performed with cross-sectional inpatient …

The Effect Of Sex Education Programs On Rape Culture, Logan J. Griffin

Graduate Theses/Dissertations

Although schools in the United States primarily present abstinence only or comprehensive sex education programs, neither of these programs discuss the topic of sexual consent. In addition, these programs reinforce negative ideologies regarding rape-myths and victim blaming. The purpose of the current study is to determine if the prior type of sex education effects participants’ beliefs in rape-myth acceptance, sexism, willingness to help, and importance of consent, and if the sex education priming effects the participants’ likelihood to victim blame, express victim empathy, and their bystander behavior. The data reflected that those participants who received abstinence only sexual education did …

An Analysis Of The Factors That Impact Medicaid Recipient Tobacco Quit Rates, Raegan Winder

Schultz-Werth Award Papers

Background and Objectives: Tobacco use is the leading preventable cause of disability and disease in the United States. Individuals of low socioeconomic status are more likely to use tobacco, suffer from tobacco related illness, and fail to quit or stay quit. Medicaid recipients enrolled in the South Dakota QuitLine have significantly lower quit rates than participants who aren’t enrolled in Medicaid. The purpose of this paper is to review the factors that impact Medicaid recipients’ ability to quit or stay quit.
Methods: Tobacco use and demographic data were collected at enrollment and seven months post-enrollment using standardized assessments for 16,323 …

The Mediating Role Of Self-Blame In The Relationship Between Alcohol Intoxication, Bystander Intervention And Ptsd Symptoms Following A Sexual Assault, Hannah Sawyer

Psychological Science Undergraduate Honors Theses

Introduction: Sexual assault (SA) incidents are common. One in five women will be sexually assaulted during their lifetime (NSVRC, 2015); some will experience Posttraumatic Stress Disorder (PTSD) because of SA experiences (Resnick et al., 1993). Further, approximately two-thirds of all cases of sexual assault involve consumption of alcohol by the victim, perpetrator, or both (Testa & Livingston, 2009). Previous research has been dedicated to delineating cognitive and situational factors surrounding SA occurrences that contribute to risk for developing PTSD (Jaffe et al., 2013; Peter-Hagene & Ullman, 2018). Peter-Hagene and Ullman (2018) found that SA survivors that engage in more self-blame …

Effects Of Sleep On Intrusive Symptoms And Emotional Reactivity In A Laboratory-Based Film Analog Study, Anna Marie Thi Thanh Nguyen

Graduate Theses and Dissertations

Posttraumatic stress disorder (PTSD) is characterized by four symptom clusters. Recently, research highlights the need to focus on the impact of intrusive symptoms as a possible risk factor for the development and maintenance of PTSD. Cognitive and sleep models contribute to further understanding of intrusive symptoms. Recent work also highlights disgust as an emotion closely associated with the emergence of posttraumatic stress symptomology following traumatic events. This study used a film eliciting disgust in order to examine the effects of sleep on the intensity of intrusion symptoms and emotion reactivity. The sample consisted of 49 college students randomly assigned to …

Evaluation Of Telehealth Training To Teach The Stimulus Identification Questionnaire And Multiple Stimulus Without Replacement, Andrea Perez

Dissertations

The field of behavioral gerontology has seen a paucity in literature within the past 15 years focused on updating training technology and teaching best practice skills to staff. Specifically, there is a need to expand the breadth of training research focus areas could more broadly the elderly population (e.g., increasing engagement), to ensure that trainings are designed to equip caregivers with the skills to be independent, and finally, given the frequent staffing challenges experienced by aging settings (Harrington et al., 2020), to explore effective and efficient training techniques that are alternatives to lengthy, in-person training modalities. Given the personnel challenges, …

Learning About Healthy Relationships And Sexuality For Adults With Disabilities, Vanessa Karjack

Capstone Projects and Master's Theses

Many adults with developmental and intellectual disabilities receive little to no sex education; as a result, they often struggle to have fulfilling and healthy relationships, experience limitations in physical interactions, and are at risk of being taken advantage of by others. Sommaro et al. (2019) explained that individuals with intellectual disabilities (ID) and developmental disabilities (DD) are often placed into one of two categories: they are treated as either eternal children or sexual deviants. These ideas are based on old knowledge and are known to be inaccurate. However, current systems of care struggle to move forward from these notions. A …

Exploring Emotion Regulation As A Moderator Of The Relationship Between Benefit-Finding And Measures Of Stress In Cancer Survivors, Sarah W. Chen

Honors Scholar Theses

Chronic stressors due to cancer can cause a considerable amount of distress for individuals throughout their treatment process and even months to years after their cancer experience. The psychological health of this population post-treatment can therefore be measured by the presence or absence of distress or negative psychological responses as well as the presence or absence of positive psychological responses. Positive psychological responses include coping efforts that promote resilience and well-being. One such factor is benefit-finding, which could include “positive change in relationships, a greater appreciation of life and a change in life priorities” (Mols, 2009). Identifying positive coping strategies …

The Loss-Processing Framework, Lawrence Childress

Electronic Theses and Dissertations

The circumstances of responding to loss due to human death are among the most stressful experiences encountered in life. Although grief’s symptoms are typically considered essential to their gradual diminishment, possible negative impacts of complications related to grief are also well known, and have been associated with detriments to mental and physical health. Grief, however, can also generate transformative positive change. Thus, albeit ineludible, responding to loss is not uniformly experienced, expressed, or understood. It is also culturally-shaped, making attempts to define “normal” grief, as well as to label some grief “abnormal”—and to medicalize it—possibly problematic. Bereavement (the situation surrounding …