Health Psychology Commons^™

Parallel Processes Of Posttraumatic Stress And Metabolic Dysfunction: Long-Term Costs Of Trauma On The Psychological And Physical Health Of 9/11 Survivors, Shane W. Adams

Dissertations, Theses, and Capstone Projects

Metabolic conditions (MetC) have been associated with posttraumatic stress disorder (PTSD) symptoms and may be critical indicators of the systemic physical sequelae of traumatic stress. Parallel process latent growth modeling wasapplied to longitudinal data collected from 35,788 9/11 survivors and used to model PTSD symptoms and MetC to determine how the development and course of one affect the other. A unidirectional relationship was found in which the intercept of PTSD symptoms predicted the slope of MetC. Hyperarousal (ß=.172) and emotional numbing (ß=.171) PTSD symptoms demonstrated the strongest association with the growth of MetC over and above …

Examinations Of The Close Relationship Processes And Health Framework Among Adult And Adolescent Sexual Minority Men, Trey Victor Dellucci

Dissertations, Theses, and Capstone Projects

Despite advancements in biomedical preventions for HIV, sexual minority males continue to be disproportionately affected by HIV. Previous research has estimated that up to two thirds of HIV incidence among sexual minority male adults occur between main partners. In the past decade, a growing number of studies and intervention trials have focused on main relationships as a context for HIV. Much of this work has focused on adult relationships and has been grounded in interdependence theory and highlighted the importance of relationship functioning in facilitating the decisions couples make around condom use. Fewer studies, however, have examined the association between …

Illness Intrusiveness And Psychosocial Adjustment Among Older Adults With Multimorbidity, Irina Mindlis

Dissertations, Theses, and Capstone Projects

Given the high prevalence of multimorbidity (MM) among older adults and the exponential growth of the older adult U.S. population, identifying factors that can lessen depressive symptoms and improve quality of life (QOL) in this population is timely and important. While it is well established that MM is associated with greater depressive symptoms and poorer QOL (Li et al., 2016; Makovski et al., 2019; Marengoni et al., 2011; Read et al., 2017), the mechanisms underlying these relationships remain understudied. The illness intrusiveness model (Devins et al., 1984) proposes that stressors posed by diseases (disease-related factors) and their treatments (treatment-related factors) …

Apoe Risk Disclosure: A Review Of Positive And Negative Outcome, Stacey Rowcliffe

Dissertations

Two of this century’s most significant healthcare challenges are Alzheimer’s disease and mild cognitive impairment, with 40 million people suffering from the diseases. In fact, a conservative estimate projects that both conditions will double every 20 years until 2050. Alzheimer’s disease involves memory impairment, disorientation, confusion, and various problematic behaviors. Presently, no prevention method or cure has been discovered for Alzheimer’s. Mild cognitive impairment typically includes problems with memory, language, thinking, and judgment beyond those typical of one’s age. Usually, these symptoms do not interfere with daily activities but do not improve and have been linked with a risk of …

Empowering Students As Leaders Of Behavior Change: An Experiential-Learning Project, Zachary Zenko, Alexis Fuston, Jafrā D. Thomas

Educational Practices in Kinesiology

The purpose of this resource is to allow university educators to implement an experiential-learning project in which students act as leaders of behavior change. Specifically, kinesiology students are paired with “clients” to engage with outside of the classroom and tasked with helping the clients achieve their physical activity goals. This semester-long behavior change project can be used in classes delivered in online, in-person, or hybrid formats. It is estimated that two hours are required for initial project instructions and set-up, with about 12 additional hours throughout the semester for continuous instruction, review, discussion, and presentation. Students are expected to benefit …

Mental Health And Experiences Of Pregnancy Among Black Women And Birthing People With Type 1 Diabetes (T1d), Madeleine E. Marcus

Doctoral Dissertations

This dissertation explored the potential effects of intersections of oppression (i.e., anti-Black racism, diabetes discrimination, and sexism) on mental health and pregnancy experiences among Black women and birthing people with Type 1 diabetes (T1D). Previous studies about pregnancy and T1D have included mainly white, cisgender women. Three participants qualified for inclusion in the present study and participated in semi-structured interviews, which the researcher analyzed using an interpretative phenomenological analysis (IPA) framework. Participants described feeling uncertain about whether aspects of their pregnancy experiences were related to obstetric and/or medical racism. Similarly, participants sometimes seemed uncertain about how racism may affect their …

Recentering Psych Stats, Lynette Bikos

Faculty Open Access Books

To center a variable in regression means to set its value at zero and interpret all other values in relation to this reference point. Regarding race and gender, researchers often center male and White at zero. Further, it is typical that research vignettes in statistics textbooks are similarly seated in a White, Western (frequently U.S.), heteronormative, framework. ReCentering Psych Stats seeks to provide statistics training for psychology students (undergraduate, graduate, and post-doctoral) in a socially and culturally responsive way. All lessons use the open-source statistics program, R (and its associated packages). Each chapter includes a screencast lesson, features a workflow …

The Grindr Complex: The Behavioral Health Impact Of Sexual Racism On Latinx Men Who Have Sex With Men, Luisalfredo Plascencia

Doctoral Dissertations

Given the social history surrounding the issue of HIV/AIDS in the LGBTQ+ community and the unique and intersectional experiences that Latinx Men who have Sex Men (MSM) have in their community, this dissertation’s research will contribute to the growing work on sexual racism and how it correlates with various elements of behavioral health. The study investigated the moderation impact of Latinx cultural values of caballerismo and familismo on the relationship between experiences sexual racism to mental health symptoms. The study also examined the moderation of caballerismo and familismo and psychological flexibility on the relationship between experiences of sexual racism to …

Dog Tired: Examining The Relation Between Dog And/Or Cat Ownership And Owners’ Sleep, Courtney J. Bolstad

Theses and Dissertations

Sleep is an essential part of life, and obtaining quality sleep is important for various areas of functioning. Behaviors to promote sleep include physical activity, managing stress, reducing anxiety symptoms, maintaining a consistent sleep schedule, and obtaining bright light exposure. Many of these behaviors overlap with benefits observed from pet ownership (PO). The present study aimed to examine the relation between PO and sleep as well as moderators and mediators of this relation. Four research questions were examined: 1) Is PO significantly related to sleep? 2) Does gender moderate the relation between PO and sleep? 3) Do sleep-promoting behaviors (i.e., …

Identifying Associations Between The Family Environment And Anxiety And Depression Among Children Ages 0-17 In The United States, Reagan A. Richardson, Nicole M. Holt

OUR Journal: ODU Undergraduate Research Journal

This study analyzes whether physical, emotional & neurological, family environment, or community-related factors display the strongest association with anxiety and depression among children ages 0-17 in the United States.

Using IBM SPSS v. 27, we conducted a univariate and multivariate logistic regression analysis on data from the 2017 National Survey of Children’s Health (NSCH) with a sample size of 21,599. Our independent variables included 30 questions from the NSCH which were compared to a mental health index score.

Our study shows that about 10.6% of children suffer from either anxiety, depression, or both, and the univariate model found that 19 …

An Existential Punchline: How Humor Functions In A Young Adult Friendship Facing Advanced Cancer, Megan E. Solberg

Electronic Theses and Dissertations

Young adults (i.e., age 18-39) only comprise 4% of the total cancer population, yet cancers in this group are commonly found at more advanced stages due to situational factors influencing delayed diagnosis including access to healthcare, quality health insurance and competing life demands that may hinder prioritization of healthcare. Young adults with cancer also face unique challenges including higher rates of psychological distress, which may contribute to increased risk of social disconnection in response to cancer. Research suggests that humor may be a helpful coping approach and communication mechanism for mitigating distress and discussing difficult topics. Grounded within the frameworks …

Beyond Stressors: Identifying Protective Cultural Factors And Coping Strategies For Mental Health Symptoms Among Aging Latino/Hispanic Immigrants, Juan M. Pena

Psychology ETDs

Within the next decade, Latino immigrants will constitute the largest middle-aged and older immigrant group living in the U.S. This cross-sectional study investigated traumatic stressors, acculturative stress and perceived structural injustices and their associations with mental health symptoms. This study also examined the linkages between cultural factors, social support, and coping strategies and mental health outcomes. Eighty Latino/Hispanic immigrants who were 45 years of age or older completed a series of questionnaires and optional open-ended questions. A greater exposure to traumatic events, higher acculturative stress, and perceived injustices were associated with greater psychological distress and symptoms of anxiety, depression, and …

Understanding Associations Between Chronic Illness Identity, Psychological Flexibility, And Type 2 Diabetes Emotional, Behavioral, And Psychosocial Functioning., Valery Bodziony

Electronic Theses and Dissertations

Introduction: Illness identity, defined as the extent to which one integrates their illness into their sense of self, may be a key psychological factor to consider in overall adjustment to and management of Type 2 Diabetes. Emerging research suggests illness identity integration is associated with aspects of diabetes-specific functioning. Psychological flexibility has also been found to be associated with positive diabetes-specific functioning. This modifiable cognitive factor may play a role in the relationship between illness identity and diabetes-specific functioning. This study aims to examine associations between illness identity enrichment, illness identity rejection, psychological flexibility, and aspects of diabetes-functioning, including self-management …

Effect Of Body Mass Index Percentile On Complicated Appendicitis, Postoperative Complications And Health Service Utilization Among Pediatric Patients In The United States, Nutan Hebballi

Dissertations and Theses (Open Access)

While overweight and obesity have been extensively studied for complicated appendicitis, postoperative complications, and health service utilization, the effects of being underweight are unknown. This dissertation assesses the associations between the body mass index (BMI) spectrum with complicated appendicitis, postoperative complications, and healthcare service utilization in pediatric patients.  A retrospective review of pediatric patients who underwent appendectomy surgery (01/01/2016-12/31/2020) was conducted using the National Surgical Quality Improvement Program database. Computed age and gender-specific BMI percentiles were categorized into underweight, normal weight, overweight and obese. The 30-day postoperative complications were grouped into minor, major, and any. Healthcare service utilizations were compared …

“Oh, That’S For Girls”: Barriers To Men’S Enrollment In College Sex Education Courses, Savannah Burke

All Theses

American teens have diverse experiences with sex education that may leave some inadequately prepared for navigating their sexuality as emerging adults. For those who seek higher education, college-level sex education classes could fill this void. Yet, there is a notable gender gap in enrollment in college-level sex education classes across the US, with men being reluctant to taking these courses. Thus, it is important to understand what barriers prevent men from taking these classes. This study explores the roles that masculine ideology plays in dissuading men from enrolling in college-level sex education courses. Interviews with 17 masculine-identified college students who …

Diet By Genomic Interactions In Determining Metabolic Traits And Profiles On Glucose Metabolism Among Mexican Americans In Starr County, Texas, Shinhye Chung

Dissertations and Theses (Open Access)

Worsening glycemia, prediabetes and diabetes, is one of the essential diseases in public health, considering their high prevalence, the enormous impact on multiple organs, and the economic burden on the community. Various factors can affect the pathogenesis of worsening glycemia, and this study focused on macronutrient intake, genes, and their interactions with metabolome data. 616 self-reported Mexican American participants in Starr County were recruited with informed consent. 308 identified and 2,471 unidentified metabolites were used for the analysis, and all the metabolites were inverse normalized with less than half of the missing rate. Each of the five glycemic and lipid …

Economic And Policy Determinants Of National Abortion Rates: A Cross-National Study, Olufunke Akiyode

Dissertations and Theses (Open Access)

Abortion is as old as humanity and exists in all cultures. The number and rate of abortions differ among countries and regions of the world. Some determinants of abortion may include economic indicators and policy restrictiveness. This study analyzes the economic and policy determinants of abortion by evaluating the association of income and policy on abortion rates. It uses a panel data regression to examine the association between income, Gini Coefficient and abortion rates. Gini Coefficient measures income inequality, and GNI represents a country’s income. Publicly available longitudinal data obtained from the World Bank, United Nations, United Nations Population Development …

Gratitude And Sleep Quality In Primary Care: Mediating Effects Of Health Self-Efficacy, Health Behaviors, And Psychopathology, Heather R. Altier

Electronic Theses and Dissertations

Sleep disturbances are prevalent among primary care patients, and psychological dysfunction, including stress, anxiety, and depression, are robust contributors to poor sleep health. Yet, the presence of potential protective characteristics, such as health self-efficacy and engaging in adaptive health behaviors, may mitigate such outcomes. Gratitude (i.e., recognition and appreciation of experiences, relationships, and surroundings), a positive psychological cognitive-emotional characteristic, may serve as a catalyst of these beneficial downstream effects, given its association with improved health functioning and sleep. In a sample of primary care patients (N = 869) from 50 urban and 30 rural practices in Germany, health self-efficacy …

The Impact Of Covid-19 Stressors, Racial Discrimination, And Racial Socialization On Family Functioning In Black Families, Regina L. Alexander

Psychology Theses & Dissertations

Marginalized communities, specifically Black Americans, have been disproportionately impacted by the COVID-19 pandemic which has resulted in more hospitalizations and deaths within this particular community. However, this disproportionate impact of COVID-19 is likely the result of ongoing health disparities related to a lack of access to adequate healthcare. In addition to health disparities specifically related to COVID-19, Black Americans have also experienced public displays of racial discrimination resulting from the systemic racism that has occurred for many years. It has been determined that stress spillover can impact relationship factors and this same spillover may be an important factor by which …

The Effect Of Viewing Different Modalities Of Alcohol-Related Social Media Content Shared By Friends On Alcohol Outcomes: A Longitudinal Examination, Megan E. Strowger

Psychology Theses & Dissertations

Social influences have robust associations with problematic alcohol use among emerging adult college students. Examinations of social influences increasingly focus on social media influences via alcohol-related content (ARC) sharing and viewing. Limited longitudinal research suggests that increased exposure to ARC is associated with increased alcohol consumption among college students over time. Most research examining exposure has not focused on who (e.g., specific friends) is sharing this content, the modality (e.g., photos) or the qualities of those sharing content and their relationship (e.g., closeness) to the viewer. The current study examined cross-sectional and longitudinal associations between alcohol consumption/consequences and: 1) sharing …

Behavioral Indicators Of Reflective Functioning In Mother-Child Dyadic Interactions, Rachel Clingensmith

Electronic Theses and Dissertations

Positive parenting practices and secure attachments are consistently linked to healthy child outcomes (Ainsworth & Bowlby, 1991; Waters et al., 2000). Research on cognitive processes that scaffold parental behaviors which contribute to secure attachment is an essential contribution to the literature, particularly given the potential for early intervention with at-risk families. Parental Reflective Functioning (PRF) is a construct of increasing interest which has been linked to secure attachments and positive child outcomes, with one commonly used self-report measure of PRF being the Parental Reflective Functioning Questionnaire (PRFQ; Camoirano, 2017; Clingensmith, 2021; Luyten et al., 2017). As such, the purpose of …

The Mental Health Of Lgbtq+ Graduate Students: Examining The Role Of Lifestyle Factors, Lindsey Ostermiller

Master's Theses

The are many well-documented disparities among LGBTQ+ individuals and a rising concern about mental health in higher education, as LGBTQ+ graduate students may face unique and specific vulnerabilities in relation to their overall health compared to their peers. Part of what might be driving the mental health crisis among LGBTQ+ graduate students are poorer lifestyle factors. There is limited research that examines the impact of health-related lifestyle factors on mental health among LGBTQ+ graduate students, exacerbating our lack of insight into specific problems that may affect LGBTQ+ individuals’ mental health. As such, the present study examined mental health in LGBTQ+ …

Relative Impact Of Human & Natural Trauma On Psychological Functioning, Javeen Beard Psyd, Rodger K. Bufford, Kenneth Logan Psyd, Aundrea Paxton Psyd

Faculty Publications - Doctor of Psychology (PsyD) Program

The purpose of this study is to compare the long-term quality of life of individuals who undergo human and natural trauma. We hypothesize that with perceived social support held constant, individuals will have a better quality of life following natural trauma than human trauma.

Affect, Mind-Body Factors, And Disordered And Intuitive Eating Behaviors: Examining Naturalistic Associations Among Young Women With Elevated Eating Disorder Symptoms, Kelly A. Romano

Psychology Theses & Dissertations

Objective: The present study examined whether three mind-body factors—emotion dysregulation, interoceptive sensibility, and mindfulness—that are theorized to be implicated in the onset and maintenance of eating disorder (ED) pathology mediated (Aim 1) and moderated (Aim 2) within-person associations between affect and women with elevated ED symptoms’ disordered and intuitive eating behavior use. Method: Participants included 150 young women with elevated ED symptoms who completed a 10-day ecological momentary assessment protocol. To address Aim 1, multilevel structural equation models examined whether the mindbody factors (separately) mediated momentary associations between negative and positive affect, and women’s disordered (dietary restriction, loss of control …

Relationships Between Burnout, Isolation, Secondary Trauma, And Self-Compassion In Mental Health Providers, Michael Underiner Psyd, Rodger K. Bufford, Mary Peterson Phd, Daniel Rodriquez Psyd

Faculty Publications - Doctor of Psychology (PsyD) Program

Burnout is a common challenge among mental health professionals It is the main catalyst for professional misconduct (Morse, et al., 2012) and common among mental health professionals (Prime, et al., 2020; Sampiao, et al, 2021; Simionato & Simpson, 2018). COVID-19 increased social isolation, decreased social support, and strained family systems among mental health practitioners increasing risk (Prime, et al., 2020; Sampaio, et al., 2021). Social distancing also diminished systemic resources and increased reliance on personal resources for coping. Ongoing vicarious trauma increased, thus fostering burnout (McBride, et al., 2020; Shoji et al., 2016). Self-compassion is proposed as a possible solution …

Exercise And Mental Health Within A National Population, Robert A. Bourne

Honors Theses

This study assesses the relationships among exercise frequency, exercise intensity, and exercise type on four mental health variables of depression, anxiety, satisfaction with life, and flourishing. Participants include a sample of non-collegiate adults residing in or claiming citizenship of the United States. Participants provided survey data via Amazon’s Mechanical Turk crowdsourcing platform. To assess exercise, two measures were employed to distinguish duration only and duration combined with intensity, while a third was used to assess exercise type. After analyses were conducted on these variables, mixed results were found. Within the duration-focused measure of exercise, it was shown that participants who …

The Effects Of Stepped Care On Burnout For University Counseling Center Clinicians, Madison Estrada

Dissertations

The ability of university counseling centers (UCCs) to meet the increased demand for service by students is becoming an increasing concern. While UCCs are seeing more students than ever, this increased demand has not been met with an increase in resources. As such, UCC clinicians are at a greater risk for developing burnout. However, according to the Demand – Control – Support Model, this risk could be reduced if UCC staff were afforded higher degrees of control over the resources they do have and received adequate support and acknowledgement for the work they accomplish. Through surveying 339 UCC clinicians in …

Diabetes Related Distress And Co-Occurrence With Depressive Symptoms In Urban Low-Income African American And Hispanic/Latinx Adults With Type 2 Diabetes, Laurie Ruggiero, Sarah Williams Leng, Mary De Groot, Ben S. Gerber, Rosalba Hernandez, Lauretta Quinn

Journal of Health Disparities Research and Practice

Introduction. Burden of diabetes in the U.S. is greater in racial-ethnic minority populations than non-Hispanic Whites. Depression and diabetes-related distress (DRD) are recognized as relatively common and important psychosocial areas to address in people living with diabetes. Limited research in the U.S. has focused on DRD in racial-ethnic minority populations. The purpose of this study is to describe patterns of DRD and co-occurrence with depressive symptoms in urban low-income African American and Hispanic/Latinx adults with type 2 Diabetes Mellitus (T2DM).

Method. We examined the baseline data collected for a randomized clinical trial (RCT) studying the impact of a culturally tailored …

Contributions Of Community Organizations To Personal Outcomes For People With Intellectual And Developmental Disabilities: A Study Of Special Olympics Program Participation, Seb M. Prohn, Parthenia Dinora, Kayla Diggs Brody

Developmental Disabilities Network Journal

Community organizations can enhance the intellectual and developmental disability (I/DD) service system’s ability to improve the health, wellness, and participation of people with I/DD. This study added an item about Special Olympics (SO) participation to the 2019-2020 National Core Indicators In-Person Survey to predict active SO participation and to determine whether personal outcomes differed for SO participants. Results of a multinomial logistic regression showed that people who were younger or who did not require mobility aids were more likely to participate in SO. Compared with people who never or formerly participated in SO, current SO athletes had better personal outcomes. …

Affect Variability And Physical Health: The Moderating Role Of Mean Affect, Brooke N. Jenkins, Lydia Q. Ong, Hee Youn (Helen) Lee, Anthony D. Ong, Julia K. Boehm

Psychology Faculty Articles and Research

Research has only begun to explore how affect variability relates to physical health and has typically not assessed long-term associations nor considered the moderating role of mean affect. Therefore, we used data from the Midlife in the United States Study waves 2 (N = 1512) and 3 (N = 1499) to test how affect variability predicted concurrent and long-term physical health while also testing the moderating role of mean affect. Results indicated that greater negative affect variability was associated concurrently with a greater number of chronic conditions (p = .03) and longitudinally with worse self-rated physical health (p …