Neuropsychological Implications Of Nocturnal Hypoxemia In Sickle Cell Disease, Sheena Ram

Theses and Dissertations

Neuropsychological impairments have been observed in both individuals with sleep-disordered breathing and in individuals with sickle cell disease (SCD), but there has been little research on the potential effect of sleep-disordered breathing on neuropsychological function in individuals with SCD. This study aims to examine the effect nocturnal oxygen desaturations have on neuropsychological functioning in individuals with sickle cell disease when compared to those with non-sickle anemia and healthy controls. Thirty-four participants with SCD, 18 non-sickle anemia controls (ACTL), and 29 healthy controls (CTL), ages 9 to 63 years, participating in an IRB-approved Children’s Hospital Los Angeles study of cerebral blood …

A Conceptual Proposal For The Epigenetically Causal Relationship Between Parental Ptsd And Inflammatory Disease In Post Hoc Offspring., Emma Griffith

Williams Honors College, Honors Research Projects

Could a combat veteran's horrific experiences in early-2000s Afghanistan have a direct, biological impact his now-adult daughter's risk of a heart attack later in her life? This concept would have been unapologetically mocked a mere twenty years ago, and it has only been in the past decade that the new field of epigenetics has revealed a distinct possibility for this event to actually take place—for parents' experiences to profoundly influence the biology of their children. The major objective of this research project is to argue for the legitimacy of this theoretical phenomenon by discussing the latest data regarding PTSD's interaction …

2020 Lgbtq Specific Substance Use Service Survey: A Study On The Availability And Perceived Helpfulness Of Treatment Programs, Chonghui (Gabriella) Ji

Graduate Student Theses, Dissertations, & Professional Papers

Health disparities researchers have identified elevated rates of difficulties among gender and sexual minorities (GSM). In addition to a higher rate of general mental health issues, there is also a higher prevalence rate of substance misuse among GSM individuals when compared to the general population. Specific issues, such as stigma and oppression faced by GSMs, might have a direct linkage with the higher prevalence rate and might also impact treatment outcomes. To understand the specific factors that lead to substance misuse, as well as to understand the unique patterns of treatment-seeking and adherence among GSM clients, the development and dissemination …

Binegativity And Depression: Examining Alcohol Use Among Nonexclusively-Oriented Womxn, Kaylee M. Kronsperger

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Purpose:

Alcohol use disorders can lead to cirrhosis, cancer, domestic violence, and even death (Carvalho, Andre F, et al. 2019). Gender and sexual minorities (GSM; non-cisgender and nonheterosexual individuals) report elevated rates of alcohol use (“Sexual Orientation Differences”, 2013), although nonexclusively-oriented womxn (NOW; womxn-identified people attracted to more than one gender)(womxn - terminology encompassing all women identified individuals; more inclusive for transgender and nonbinary individuals) in particular report higher rates of alcohol misuse. NOW also report higher rates of depression than other sexual minority groups (Feinstein & Dyar, 2017). Minority stress theory conceptualizes health disparities as consequences of the increased …

Post-Bariatric Surgery Patients Fail To Exercise Consistently: Exploring The Potential Role Of Self-Compassion, Naomi Teeter

EWU Masters Thesis Collection

Many bariatric weight loss surgery patients do not exercise after surgery. One potential reason this population may not exercise is due to body image shame and low self-compassion, which can contribute to lower appreciation for one’s body. Adult participants from an international bariatric population sample (N = 805) and an Eastern Washington University undergraduate student sample (N = 104) completed a one-time online questionnaire that included measures of self-compassion, physical activity frequency, body appreciation, and body image shame. In the bariatric sample, self-compassion was indirectly associated with exercise frequency via body appreciation and body image shame. Additionally, at the highest …

Assessing The Comfort Of Earplugs: Development And Validation Of The French Version Of The Coprod Questionnaire, Jonathan Terroir, Nellie Perrin, Pascal Wild, Olivier Doutres, Franck Sgard, Chantal Gauvin, Alessia Negrini

Études primaires

Earplugs are a common form of protection for workers exposed to hazardous noise levels. Their comfort directly impacts the effective protection by influencing their consistent and correct use. Nevertheless, comfort definition may vary according to the studies. Thus, a previous review of the literature has shown that to improve our understanding of perceived comfort and to reduce measurement variability, it is advisable to consider comfort through a multidimensional construct (physical, acoustical, functional and psychological). On this basis, the COPROD (COnfort des PROtections auDitives/COmfort of hearing PROtection Devices) questionnaire was developed. It is intended for people working in noisy environments. Nine …

A Silent Struggle: Eating Disorders In College, Grace P. Olechowski

Undergraduate Theses, Professional Papers, and Capstone Artifacts

No abstract provided.

To Examine The Effects Of Exercise & Instructional Based Interventions On Executive Functioning, Motor Learning & Emotional Intelligence Abilities Among Older Adults, Lavanya Rajesh Kumar

Dissertations, Master's Theses and Master's Reports

Motor skills are a vital part of our life, and there might be situations where we will be required to either learn a new skill or relearn a known one. We examined the effectiveness of two different interventions - eccentric exercise and motivation-based instructions on enhancing the ability of older adults to learn a novel motor skill. Exercise intervention studies have shown that as little as 12 weeks of exercise can lead to improvements in both physical fitness and cognitive function in older adults, particularly executive control. But it is still unclear whether those improvements translate to improvements in other …

The Risks For Eating Disorders/Disordered Eating In Refugee & Immigrant Experiences And The Imperative Of Culturally Alert Screening, Chantal A. Bushelle

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Eating Disorders (ED)/Disordered Eating (DE) largely remain outside of global mental health agendas. There are limited data on the epidemiology EDs/DE in refugee and immigrant populations, and there is a paucity of research on refugee and immigrant experiences of EDs/DE. Study of acculturation issues in refugee and immigrant populations have historically missed investigating what role and impact experiences of stress and trauma (e.g., historical, chronic) along with cultural change and transition may have on their food attitudes and eating behaviors. While there has been some study of eating habits within refugee and immigrant populations, the focus is typically on food …

How Did We Learn About Sex? —— Sex Education And Sexual Health In Chinese Youth, Yujuan Liu

Theses and Dissertations (Comprehensive)

Attitudes toward sexuality among Chinese youth have become more liberal in recent generations, but sex education remains controversial and limited. Due to the lack of awareness of sexual risks, many Chinese youth engage in unprotected sexual activities resulting in unintended pregnancy, abortions, and STIs. Therefore, understanding successful pathways and unique challenges are crucial to develop adequate sex education for youth’s sexual health in China. The current study used semi-structured in-depth interviews and investigated 28 Chinese youths’ experiences of sex education and sexual health. The results mapped out youth’s sex education experiences by age and sources and demonstrated the impacts of …

Invisible Wounds: Assessing The Awareness Of Moral Injury Among Toronto Police, Daniel Saugh

Theses and Dissertations (Comprehensive)

Moral injury is believed to exist within the Canadian Police Services though it is difficult to recognize and is usually ignored. The research data emerging from military and first responders (i.e., police, firefighters, and EMS personnel) reveal the effects of moral injury and its implications for mental and spiritual health as it persists throughout the life and career of those affected.

This study investigates how moral injury may emerge from a potentially traumatic event(s) and/or psychological trauma and/or independent from such trauma and how moral injury may come to exist in members of the Toronto Police Service, as well as …

Does Social Media Promote Disordered Eating?, Carly Feldstein

Dissertations and Theses

Hispanic people are the largest and fastest-growing minority group in the U.S. with a total of 18.5% of the U.S population being of Hispanic descent (United States Census Bureau, 2020). Although eating disorders (ED), particularly those involving binge eating, comprise a significant health concern, EDs are often overlooked in the Hispanic culture (Higgins et al., 2016; Opara & Santos, 2019). Hispanic individuals have comparable rates of anorexia nervosa, bulimia nervosa, and an even higher rate of binge eating disorders compared to non- Hispanic (NH) White individuals (Higgins et al., 2016). Within Hispanic adults, the lifetime prevalence of EDs is higher …

Timing Of Sexual Minority Identity Developmental Milestones And Well-Being Among Three Generations Of Gay Men, Joseph R. Hillesheim

Dissertations and Theses

Social and political changes during recent decades have contributed to a more accepting environment for sexual minorities (non-heterosexual individuals) in the U.S., but recent evidence suggests that these shifts may create a “developmental collision” for younger generations (Meyer et al., 2021; Russell & Fish, 2019). Younger generations of sexual minorities “come out” and reach other sexual identity milestones earlier than older generations, and earlier timing of sexual identity development may contribute to increased vulnerability to stigma. The present study aimed to contribute to limited research on the relationship between the timing of sexual identity development milestones and well-being among three …

Investigating Body Dissatisfaction, Obesity, & Eating Pathology: African American Adolescent Girls & Mothers, Samantha Ronderos

UNF Graduate Theses and Dissertations

Body dissatisfaction is a globally prevalent issue among adolescents, particularly for those living in industrialized societies (Griffith et al., 2017). Body dissatisfaction is considered a central component of obesity intervention (Huh et at., 2011; Mitola et al., 2007) and eating disorder etiology (Kelly et al., 2005; Saunders & Frazier, 2016). It predominantly effects females and is commonly found among those with eating disorders and those who struggle with obesity or have higher BMI (Kelly et al., 2005; Saunders & Frazier, 2016). However this is contradicted in African American females, the majority of research has found low levels of body dissatisfaction, …

The Harm In Seeking Care: Assessing The Relationship Between Healthcare Discrimination And Healthcare Avoidance Behaviors In The Past Year And Since The Start Of The Coronavirus Pandemic In A Transgender And Gender Independent Sample, Kyle L. Mason

Theses and Dissertations

Background: Gender minorities encounter a myriad of barriers to accessing general and gender affirming healthcare. Financial disparities impacting affordability of healthcare costs and insurance-based denials for gender-affirming care are among prominent barriers discussed. Considerations of the prevalence of stigma, discrimination, and erasure of gender minority identities must not be neglected when seeking to understand healthcare accessibility and utilization in this population. Previous researchers have examined gender minority patients’ experiences of discrimination in healthcare settings and delaying care due to fear of discrimination. There is a dearth of knowledge about the relationship between lifetime exposure to varied forms of healthcare discrimination …

A Test Of The “Teachable Moment” Heuristic’S Relevance For Understanding Cancer Survivors’ Health Behavior Motivation And Performance: A Cross-Sectional Study, Gabriella Puleo

Theses and Dissertations--Psychology

Cancer diagnosis has potential to motivate health behavior changes to promote better health outcomes. The Teachable Moment Heuristic is a parsimonious, transtheoretical framework for understanding the conditions under which behavior change might occur, with constructs that include affective, cognitive, and social factors. This exploratory study aimed to measure the three primary constructs of the Teachable Moment, evaluate the extent to which they are associated with cancer survivors’ motivation to adopt favorable health behaviors, and explore their potential as a model for health behavior performance. Participants (n = 93) in this cross-sectional study were adult breast, prostate, colorectal, lung, and …

E-Cigarette Use And Perceptions Among Adolescents With Attention-Deficit/Hyperactivity Disorder: The Role Of Parental Messages About Tobacco, Mayra S. Ramos

Theses and Dissertations

Adolescents with attention-deficit/hyperactivity disorder (ADHD) are at increased risk of using e-cigarettes compared to their neurotypical peers. Parent-adolescent communication about tobacco use and number of ADHD symptoms can influence adolescents’ perceptions of e-cigarettes and their e-cigarette use. Adolescents with ADHD (n = 80) completed questionnaires assessing parental messages about tobacco use; e-cigarette harm perceptions; susceptibility to use e-cigarettes; and e-cigarette use. Parents reported on messages about tobacco use, adolescent’s ADHD symptomatology, and completed demographic questionnaires. Twenty-percent of adolescents reported e-cigarette ever use. Adolescent girls were significantly more likely to report higher e-cigarette harm perceptions than boys. Parents reported providing messages …

Evaluating The Effects Of Electronic Nicotine Delivery Systems On Smoking Reduction, Negative Mood, And Stress Among Smokers With Mental Illness, Cosima Hoetger

Theses and Dissertations

Introduction: Smokers with mental illness (MI) are disproportionately affected by negative health outcomes. Electronic nicotine delivery systems (ENDS) may represent a harm reduction tool for those who reduce and/or replace their cigarettes with ENDS. Little previous research has examined how smokers with MI respond to ENDS. This analysis aimed to address this research gap using secondary data from a randomized controlled trial of ENDS varying in nicotine delivery among smokers with and without current MI. The aims were to test 1) the effects of MI status, condition, and time on changes in smoking behavior and negative mood and stress measures, …

Physiological And Subjective Effects Of Protonated Nicotine Liquids In Tobacco Users, Alisha Eversole

Theses and Dissertations

Electronic cigarettes (ECIGs) produce an aerosol by heating a liquid that often contains nicotine. The nicotine can be protonated, potentially making the aerosol easier to inhale than freebase nicotine. This study’s purpose was to determine, in inhaled tobacco product users, the effects of three concentrations of protonated nicotine aerosolized at two different power settings (in watts).

Twenty-two participants completed six sessions that varied by liquid nicotine concentration (10, 15, or 30 mg/ml protonated nicotine) and device power (15 or 30 W). Participants took 10 puffs from each product and then used each product for 60 minutes ad libitum. Plasma …

Understanding Predictors Of Telemedicine Adoption Before, During, And After The Covid-19 Pandemic, Bradford S. Pierce

Theses and Dissertations

This study examined change in physicians’ use of telemedicine before, during, and expectations after the COVID-19 pandemic. It also examined the ability of personal and environmental variables to predict telemedicine adoption, and applied the theory of reasoned action and technology acceptance model to physicians’ adoption of telemedicine during the pandemic. A total of 230 licensed physicians currently practicing in the United States were recruited. Telemedicine accounted for 3.72% of physicians’ clinical work prior to the pandemic, 46.03% during the pandemic, and predicted 25.44% after the pandemic ends. Physicians within hospitals reported less telemedicine use during the pandemic (M = …

Skills For Living With Loss, Emily Mcneil

Undergraduate Research Symposium

Grief is a normative but highly life changing experience. Bereavement may disrupt one’s life as well as alter the way in which one lives and takes care of oneself. By approaching an individual’s grief as unique, specific skills and goals can be created to assist them in the midst of their new life. Specific skills and goals include engaging in self-care, developing a routine, and staying connected to others. Through the development of specific skills, one can learn to live with the losses experienced as well as take care of their physical and mental well-being. This talk will focus on …

Nonsuicidal Self-Injury, Suicide Planning, And Suicide Attempt Among High-Risk Adolescents Prior To Psychiatric Hospitalization, Christina M. Sellers, Antonia Díaz-Valdés, Andrew C. Porter, Catherine R. Glenn, Adam Bryant Miller, Adeline Wyman Battalen, Kimberly H. Mcmanama O'Brien

Psychology Faculty Publications

The purpose of this study was to understand the trajectories of nonsuicidal self-injury (NSSI) and suicide plans (SP) in the 90 days prior to inpatient hospitalization, understand the role of NSSI and SP in predicting suicide attempts (SA) on a given day, and to test the interaction between NSSI and SP in predicting same-day SA. Participants included 69 adolescents (77% female, 65% white, 77% Non-Hispanic/Latinx, Mage = 15.77 SDage = 1.00) from an inpatient psychiatric unit. Past 90 day NSSI, SP, and SA were measured using the Columbia Suicide Severity Rating Scale and Timeline Follow Back. First, mixed effect models …

Self-Concept, Healthcare, And Leadership: Understanding The Lived Experiences Of Physician Leaders In Urban Community Healthcare Centers, Eric James Charlton

Antioch University Dissertations & Theses

Reducing disparities in health services delivery and outcomes is a continued challenge. The consistence of healthcare disparities, despite advances in medical technology and increased awareness of the problem, poses an ongoing test to the nation. There is a growing body of work that demonstrates providing access to good primary care may be the most effective intervention at hand. For over 40 years, community health centers have been providing quality, comprehensive primary care focusing on reducing health outcome disparities. Increased awareness is now emphasizing primary care elimination of health disparities within disadvantaged, underserved populations. A major failing of the system that …

Second Generation Christian Korean Canadians: Exploring Their Lived Experiences Of Mental Health Issues And Services, Kyoung Jung Kim

Theses and Dissertations (Comprehensive)

Abstract

This study explores the lived experiences of second-generation Christian Korean Canadian young adults with mental health issues (MHI) and their use of health services (MHS). In addition, this study asked this cohort to discuss their beliefs about the views their parents held about MHI and MHS. All research participants were born and raised in Canada by Korean born immigrant parents. This study was descriptive, phenomenological, and qualitative in nature; it consisted of in-depth interviews with six male and six female participants. In their experience with MHI, seven participants experienced fear and sadness (depression and anxiety) and three of them …

Validation Of The Malay Version Of The Anticipatory And Consummatory Interpersonal Pleasure Scale (Acips): Comparison Between Schizophrenia Patients And Healthy Subjects, Kohini C Balasingam

Student Works (2020-2029)

Background The reduced capacity for social and interpersonal interactions, or social anhedonia, is regarded as an important facet of various psychiatric disorders. Its recognition has many important implications in the clinical setting. Though there are several measures to assess anhedonia, there are very few which specifically target the social aspect. A more recent scale is the Anticipatory and Consummatory Interpersonal Pleasure Scale (ACIPS). The goal of the present study was to validate the Malay version of the ACIPS for use in the Malaysian context. Method The study was cross-sectional in design and consisted of 95 schizophrenia patients and 300 healthy …

Resilience In Cancer Patients, Lori A. Gardner

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The phenomenon of resilience has long been identified as a key talking point within the realm of overall mental health, but the concept’s specific meaning, qualities, and sources remain somewhat elusive. For those with chronic health conditions, resilience is often identified as essential to coping effectively with significant disruptions to daily activities. The purpose of this study was to better understand the concept of resilience and to determine themes that underlie resilience, specifically within a cancer patient population. This goal was addressed by using a qualitative approach to elicit commonalities among the experiences of cancer patients representing varying types and …

The Impact Of Covid-19 On Transit Workers: Perceptions Of Employer Responses And Associations With Health Factors, Sean P.M. Rice, Leah S. Greenspan, Talya N. Bauer, Jarred Rimby, Todd Bodner, Ryan Olson

Business Faculty Publications and Presentations

COVID-19 has had a substantial impact on transit workers’ lives, especially among public-facing vehicle operators. The current project examined relationships between workers’ knowledge and perceptions of their employer’s COVID-19 safety responses, job attitudes, and health. We surveyed transit workers (N = 174) between July and August 2020 and followed up 3 months later. Fifty-seven workers responded to the follow-up survey. Surveys addressed workers’ knowledge and perceptions of their employer implementing Centers for Disease Control and Prevention (CDC)-recommended COVID-19 safety responses, COVID-19 risk perceptions, job attitudes, and health factors. Employees reported knowledge of their employer implementing ~8 of 12 CDC-recommended responses. …

A One-Session, Brief Acceptance And Commitment Therapy Workshop For Chronic Pain Patients: A One-Sample Pretest-Posttest Prospective Exploratory Study, Kelly Anne Thomas Ms

Graduate Theses, Dissertations, and Problem Reports (ETD)

Chronic pain affects one in every four persons (NIH, 2010). For individuals residing in rural communities where chronic pain treatment is often not accessible (Artnak et al., 2011), a one-session brief mental health intervention is a critical healthcare need. More specifically, acceptance and commitment therapy (ACT) for chronic pain is a novel treatment approach in need of more research (Society of Clinical Psychology, 2016). This current study contributes to the gap in the literature by implementing an ACT workshop in a rural healthcare setting for individuals with chronic pain. It was hypothesized that the workshop would increase adaptive coping mechanisms …

The Impact Of Healthcare Professional Students' Racial, Hiv-Related, And Abortion-Related Biases On Recommendations For Prenatal Care, Alison J. Patev

Theses and Dissertations

Black women and HIV-positive women have increased maternal mortality rates and other negative pregnancy outcomes, in part due to disparate prenatal care. Although women who seek abortions do not have the same negative outcomes, abortion stigma exists and is normalized in healthcare. Limited work has examined prenatal care provision for women in these groups, and even less work has explored the prenatal care provision by healthcare trainees (i.e., medical, nurse practitioner, and physician assistant students). Examining the role of bias on the prioritization of prenatal care items by healthcare trainees is imperative. Healthcare education sets the stage for future practice, …

Functional Limitations And Well-Being Throughout The Adult Lifespan: The Moderating Role Of Sleep, Claire M. Williams

Theses and Dissertations

Functional limitations represent individuals’ difficulty with completing essential activities of daily living, such as sitting, stooping, and walking. Though functional limitations have been linked to lower well-being outcomes, less is known about potential protective factors for well-being in the experience of functional limitations. The present study used archival data from the MIDUS Refresher study to evaluate how sleep and salient aspects of identity may alter the association between the experience of functional limitations and well-being. In particular, this study had two central aims: to examine the associations between functional limitations, life satisfaction, and affect and detect how aspects of identity …