Health Psychology Commons^™

Locus Of Control And Health Promotion For Marginalized Populations, Cara Stephenson-Hunter, Kathryn L. Dardeck

Journal of Social, Behavioral, and Health Sciences

Socioeconomic health disparities in the United States have remained largely unchanged for decades. This remains the case even for preventable illness and disease. Current health behavior theories and interventions rely on the perception of control over one’s fate to achieve desired behavior. In low-income and other marginalized populations, however, hopelessness and the perception of having limited control may make interventions less effective. The purpose of this quantitative study was to examine the role of the locus of control (LOC) as defined by the degree to which one believes outcomes are determined by external forces such as chance or authority figures …

Public Service Announcements To Promote Physical Activity, Jennifer Erickson, Jay Greiner

Journal of Social, Behavioral, and Health Sciences

The World Health Organization promotes physical activity (PA) as important for successful maintenance of health, but many individuals are inactive. Despite the potential for public service announcements (PSAs) to communicate health information and promote behavior change, no previous research on developing video PSAs to promote PA was found. The purpose of this quasi-experimental study was to examine how video PSAs designed for public health campaigns affect future levels of intention to engage in PA. The PSAs assessed perceived effectiveness of message foci and the impact of stage of change readiness. They were developed specifically for this study using the model …

Beneficial Mourning By Inmates Who Have Lost A Significant Person, James Bradley Shoemaker

Theses and Dissertations (Comprehensive)

Incarceration is already replete with loss before someone of significance to an inmate dies. The prison environment challenges every aspect of grieving, and failing to effectively mourn pathologizes grief, reduces quality of living, and results in behaviours that cause recidivism. It is a poignant interaction between this researcher in his role as a chaplain and a particular inmate that provides the impetus for this study. This study begins with a qualitative meta-synthesis that examined 10 qualitative articles and dissertations published over the last 30 years to explore how some inmates manage to effectively grieve the loss of a significant person. …

Moderating Effects Of Posttraumatic Growth On Suicidal Ideation After Combat Exposure, Matthew A. Strader

College of Graduate Studies: Theses & Dissertations

The suicide rate in the United States has risen since 1999 (Curtin, Warner, & Hedegaard, 2016). This increase may be a distinct problem for military service members who may have an additional risk through combat exposure (Bryan et al., 2015). There is a need to identify protective factors for suicide broadly and specifically for military service members and veterans. There is emerging evidence that posttraumatic growth may be a protective factor for suicide ideation possibly buffering the effects of combat exposure on suicide ideation (Bush, Skopp, McCann, & Luxton, 2011). The current study was designed to further examine the relationship …

The Impact Of Language Complexity In Weather Warnings: Does It Matter?, Ryan E. Arflin

College of Graduate Studies: Theses & Dissertations

This study examines how jargon and language complexity impact perceptions of tornado warnings. Protection motivation theory (PMT) asserts that as the readability and use of jargon in a warning and call to action increases, an individual’s ability to estimate threat and respond accordingly decreases. However, research had not examined how the use of complex language in a meteorological setting impact coping factors (self-efficacy, response efficacy, and response cost) and threat factors (vulnerability, fear, and severity). This study tested whether jargon in weather warnings and increased language complexity in calls to action affected PMT variables. Eighty-one participants viewed tornado warnings and …

Are Chronic Inflammatory Diseases Associated With Trauma Exposure And Gender? An Empirical Analysis Of Self-Reported Trauma And Health Histories Of Men And Women, Meghan Lacienski

College of Graduate Studies: Theses & Dissertations

A growing body of research indicates an association between trauma, inflammation, and chronic inflammatory disease; however, the mechanisms of this relationship are not fully understood, and the salience of potential risk factors, such as cumulative effects of trauma, trauma type, and gender, remain unclear. Trauma is associated with poor mental and physical health, such as PTSD, depression, and chronic inflammatory conditions, and this association may be stronger when certain risk factors are considered (Brody, Pratt, & Hughes, 2018; Groer, Kane, Williams, & Duffy, 2014; Husky, Mazure, & Kovess-Masfety, 2018; Kilpatrick et al., 2013). For example, sexual trauma and multiple traumatic …

Short-Term Abstinence Effects In Experienced Electronic Cigarette Users, Nicholas J. Felicione

Graduate Theses, Dissertations, and Problem Reports (ETD)

Nicotine/tobacco dependence is a problem that negatively affects health at an individual and population level. Nicotine/tobacco dependence may be best assessed by measuring withdrawal symptoms of a nicotine/tobacco user who abstains from use. Withdrawal symptoms experienced by cigarette smokers are well characterized, including deficits in attention and memory, as well as self-reported cravings, urges, and other symptoms. While withdrawal in cigarette smokers has been studied extensively, little is known about dependence and withdrawal associated with newer products, such as electronic cigarettes (ECIGs). ECIGs can deliver nicotine comparably to tobacco cigarettes, indicating that they may have the potential to cause dependence. …

Probability Discounting Of Lewis And Fischer 344 Rats: Strain Comparisons At Baseline And Following Acute Administration Of D-Amphetamine, Jenny E. Ozga

Graduate Theses, Dissertations, and Problem Reports (ETD)

Risky choice can be defined as choice for a larger, uncertain reinforcer over a smaller, certain reinforcer when choosing the smaller alternative maximizes reinforcement. Risky choice is studied using various procedures in the animal laboratory; one such procedure is called probability discounting. There are many variables that contribute to risky decision-making, including biological and pharmacological determinants. The present study assessed both of these variables by evaluating dose-response effects of d-amphetamine on risky choice of Lewis (LEW) and Fischer 344 (F344) rats. The probability-discounting procedure included discrete-trials choices between one food pellet delivered 100% of the time and three food …

Construction And Validation Of A Non-Medical Use Of Prescription Opioids Outcome Expectancies Scale Among College Students In China, Cheuk Chi Tam

Theses and Dissertations

Background:Non-medical use of prescription opioids (NMUPO) has become a clear threat to public health. Young adults (aged 18 to 25) have a high risk of NMUPO. My prior work on Chinese undergraduates indicates a high prevalence of lifetime NMUPO (49.2%). Health behavior theories propose that outcome expectancies are robust psychosocial determinants of substance use. Literature has identified the influence of outcome expectancies on alcohol and drug use. However, the role of outcome expectancies in NMUPO in China is unknown, and a scarcity of a valid measures for NMUPO outcome expectancies may be a barrier. Our previous research also found …

Evaluating The Use Of Lottery-Based Contingency Management To Increase Physical Activity In Adults, Jennifer M. Owsiany

Graduate Theses, Dissertations, and Problem Reports (ETD)

It is widely known that physically inactive adults are at a greater risk for developing noncommunicable diseases (e.g., cancer, stroke, coronary heart disease, type 2 diabetes) and premature death compared to their physically active peers. Consequently, physical inactivity is one of the leading causes of death worldwide. Thus, it is important to develop effective ways to increase and maintain physical activity. In the current study, we randomly assigned adults between the ages of 18 and 64 years old to one of three groups (i.e., contingency management, participation-based incentive, and self-monitoring). Participants wore Fitbit Alta HR fitness tracking devices, which provided …

Dispositional Empathy And Autonomic Reactivity During A Comfort Interaction, Alaina G. Tiani

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of the current study was to examine the association between dispositional (trait) empathy and autonomic reactivity during dyadic interactions among women enrolled in undergraduate psychology courses. The primary research question was: do individuals who are deemed higher in dispositional empathy according to self-report exhibit differential autonomic reactivity patterns during a task in which they are asked to comfort another student experiencing emotional distress than those who are deemed lower in dispositional empathy? The literature on this relation has been mixed and has utilized photos or videos to evoke emotion; thus this study sought to examine the relation between …

Differences In Sexual Delay Discounting Among In-Treatment Adults With Opioid Use Disorder, Jonathan J.K. Stoltman

Graduate Theses, Dissertations, and Problem Reports (ETD)

Previous research has found impulsive decision-making to be a core component of addiction (Moody, Franck, Hatz, & Bickel, 2016). One way to measure impulsive choice is through the use of a delay discounting task. The delay discounting task provides a way to measure choice of immediate, smaller rewards compared to delayed, larger rewards (Odum, 2011b). An emerging area of research in addiction science is the intersection of addiction and sexual health. Previous sexual delay discounting research has focused on whether attractiveness or STD risk can shift the likelihood of waiting until a condom was available (Johnson & Bruner, 2012). This …

Social Networking Sites And Physical Activity: The Role Of Framed Health Messages, Cassie Gonzalez

Murray State Theses and Dissertations

Cardiovascular disease, cancer, and diabetes are the current leading causes of death in the United States, where most of these diseases are caused by a few specific risk behaviors including tobacco use, poor nutrition, and lack of physical activity (Rutledge, Lane, Merlo, & Elmi, 2018). Healthcare professional are being encouraged to educate patients and the community about the risks associated with health behaviors and lifestyle choices. I explore aspect of these health messages in the context of gain- vs loss-framed messages presented through two social networking sites, Twitter and Instagram, on subsequent health behavior changes. Whereas existing literature have explored …

A Framework For Understanding The Role Of Psychological Processes In Disease Development, Maintenance, And Treatment: The 3p-Disease Model, Casey D. Wright, Alaina Tiani, Amber Lynn Billingsley, Shari Alaina Steinman, Kevin T. Larkin, Daniel W. Mcneil

Faculty & Staff Scholarship

Health psychology is multidisciplinary, with researchers, practitioners, and policy makers finding themselves needing at least some level of competency in a variety of areas from psychology to physiology, public health, and others. Given this multidisciplinary ontology, prior attempts have been made to establish a framework for understanding the role of biological, psychological, and socio-environmental constructs in disease development, maintenance, and treatment. Other models, however, do not explain how factors may interact and develop over time. The aim here was to apply and adapt the 3P model, originally developed and used in the treatment of insomnia, to couch the biopsychosocial model …

Provider-Patient Communication And Transition Readiness Among Adolescents With Type 1 Diabetes, Corrine N. Ahrabi-Nejad

Graduate Theses, Dissertations, and Problem Reports (ETD)

The majority of adolescents with type 1 diabetes do not maintain a glycemic control within the recommended range. Poor diabetes control can yield both short term and long term acute health complications, making it critical for adolescents to achieve diabetes control. During this same time in development, adolescents are preparing for the transition from pediatric to adult diabetes care. Adolescents often transition to adult care based on their age rather than their transition readiness, which may result in a lack of support from their pediatric provider, potentially exacerbating their already poor glycemic control. Transitioning from pediatric care to adult care …

Burnout: Moving Beyond The Status Quo, Renzo Bianchi, Irvin Sam Schonfeld, Éric Laurent

Publications and Research

Burnout has been defined as a job-induced syndrome combining emotional exhaustion, depersonalization/cynicism, and a sense of reduced personal accomplishment. In this article, we expand on past analyses of burnout by reviewing key, yet overlooked, problems affecting the construct. We concomitantly examine the implications of these problems for the overall validity of burnout research. Our work shows that burnout research is undermined by 4 main problems. First, what constitutes a case of burnout is unclear. Second, the basic conceptualization and operationalization of burnout are ill aligned. Third, burnout is unlikely to be the specifically job-induced syndrome it has been posited to …

Inquiry Into The Correlation Between Burnout And Depression, Irvin Sam Schonfeld, Jay Verkuilen, Renzo Bianchi

Publications and Research

The extent to which burnout refers to anything other than a depressive condition remains an object of controversy among occupational health specialists. In three studies conducted in two different countries and two different languages, we investigated the discriminant validity of burnout scales by evaluating the magnitude of the correlation between (latent) burnout and (latent) depression. In Study 1 (N = 911), burnout was assessed with the Maslach Burnout Inventory–General Survey’s Exhaustion subscale and depression with the depression module of the Patient Health Questionnaire (PHQ). In Study 2 (N = 1,386), the Shirom–Melamed Burnout Measure was used to assess burnout and …

An Exploratory Structural Equation Modeling Bi-Factor Analytic Approach To Uncovering What Burnout, Depression, And Anxiety Scales Measure, Irvin Sam Schonfeld, Jay Verkuilen, Renzo Bianchi

Publications and Research

In this study, we addressed the ongoing debate about what burnout and depression scales measure by conducting an exploratory structural equation modeling (ESEM) bifactor analysis. A sample of 734 U.S. teachers completed a survey that included the Center for Epidemiologic Studies Depression scale (CES-D-10), the depression module of the Patient Health Questionnaire (PHQ-9), the Generalized Anxiety Disorder scale (GAD-7), and the Maslach Burnout Inventory (MBI), which contains emotional exhaustion (EE), depersonalization (DP), and (diminished) personal accomplishment (PA) subscales. Job adversity and workplace support were additionally measured for the purpose of a nomological network analysis. EE, burnout’s core, was more highly …

The Utility Of Neuropsychological Measures On The Differential Diagnosis Of Adhd-Inattentive Type Versus Anxiety In A Pediatric Outpatient Behavioral Health Population, Emily Stapleton

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This study examined the differences in inattention and executive function between a group of children diagnosed with ADHD and a group diagnosed with anxiety disorders to establish differential profiles for these two disorders. This study evaluated the differences among children with ADHD and anxiety disorders, using parent-report and performance-based measures of inattention and anxiety. A retrospective chart review was completed for a total of 58 patients who met the criteria for an anxiety disorder or for ADHD-C and ADHD-I at the completion of the neuropsychological assessment. Analyses compared the ADHD group and the Anxiety group on select scales and subscales …

Telebehavioral Health Program Needs Assessment Conducted At Aurora Mental Health Center, Iwei Wang

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The purpose of this project was to conduct a needs assessment for a Telebehavioral Health Program at Aurora Mental Health Center (AuMHC) to determine how telebehavioral health aligns with the organization’s interests, needs, services, target population, and readiness for telebehavioral health services. This investigator used survey and content analysis methods to conduct this investigation. Findings of this assessment showed that both literature and existing programs at AuMHC were supportive of moving forward with telebehavioral health services. Considerations of AuMHC’s contextual conditions and recommendations for successful implementation are provided.

Health Equity Through Spatial Justice: A Critical Phenomenology Of Urban Trail Makers, Arvin Simon

Electronic Theses and Dissertations

Research has increasingly demonstrated that race, class and place are powerful predictors of health and social justice. This study was conducted to identify the lived experiences of individuals who were hired and trained as part of a green job program that created trails within a city park in Pittsburgh’s Mount Washington Community. This program has historically hired individuals who were formerly incarcerated, many of whom identify as African American. We explored the personal and social experiences of working in nature to better appreciate the intersections of race, class and environment in an urban community. This current study is based on …

Prenatal Risk For Autism Spectrum Disorder (Asd): Fetal Cortisol Exposure Predicts Child Asd Symptoms, Sheena Ram, Mariann A. Howland, Curt A. Sandman, Elyssia Poggi Davis, Laura M. Glynn

Psychology Faculty Articles and Research

The etiology of autism spectrum disorder (ASD) is multifactorial, complex, and likely involves interactions among genetic, epigenetic, and environmental factors. With respect to environmental influences, a growing literature implicates intrauterine experiences in the origin of this pervasive developmental disorder. In this prospective longitudinal study, we examined the hypothesis that fetal exposure to maternal cortisol may confer ASD risk. In addition, because ASD is four times more prevalent in males than in females, and because sexually dimorphic responses to intrauterine experiences are commonly observed, we examined whether or not any associations differ by fetal sex. Maternal plasma cortisol was measured at …

Syndemics Of Severity And Frequency Of Elder Abuse: A Cross-Sectional Study In Mexican Older Females, Mireya Vilar-Compte, Pablo Gaitán-Rossi

Department of Public Health Scholarship and Creative Works

Background: Elder abuse is a common phenomenon with important effects on the health and well-being of older adults. There are important gaps in elder abuse measurement, as it is usually reported as the absence or presence of elder abuse, disregarding its severity and frequency.

Objectives: Identify different ways of measuring severity and frequency of elder abuse and assess whether different experiences of severity and frequency suggest syndemic relationships.

Methods: Through a sample of 534 non-institutionalized Mexican older women, we assessed how severity (i.e., number of abusive experiences and number of types of abuses) and frequency (i.e., if abusive experiences had …

Measuring Hpv Vaccine Worry: Development And Validation Of A Scale In Parents With Hpv Vaccine Eligible Children, Catherine Rochefort

Psychology Theses and Dissertations

Worry is a negatively-valenced emotion associated with risk-related cognitions. In the context of HPV vaccination, it is likely that parents worry about giving their child the vaccine because some vaccine outcomes may be perceived as uncertain. Therefore, worry may be an important factor predicting HPV vaccination outcomes. This study’s purpose was to (1) develop a measure of HPV vaccine worry, (2) examine whether parents worry more about the HPV vaccine than other adolescent vaccines, and (3) determine whether HPV vaccine worry is associated with HPV vaccination intentions. In Study 1, a HPV vaccine worry item pool based on the three-process …

Screen Time, Sleep, And Mental Health: An Investigation Of Electronics Use And Sleep Habits, Robert Nicks

Electronic Theses and Dissertations

Internet addiction (IA) is classified as a compulsive-impulsive behavior disorder involving excessive use of the internet, withdrawal, tolerance, and negative repercussions (Block, 2007). Internet usage is becoming more widespread across all industrialized people, and younger people are using the internet more and more as it becomes more ubiquitous (Rideout, Foehr, & Roberts, 2010). The purpose of the current study is to investigate internet usage habits, sleep disturbance, and IA as it appeared in a national United States sample, and a sample seeking clinical psychological help in the Southwestern United States. The results of the current study suggested that IA predicted …

Wellness And Prevention Program Sustainability Design For Clark University Athletics Department, Emily Corbett

Sustainability and Social Justice

The purpose of this work is to design a wellness based prevention program that is tailored to fit the campus community within Clark University, Worcester, MA, called the Peer Athletes Advocating for Wellness (PAAW) initiative. This paper first presents the current research on wellness related issues within a college campus, specifically surrounding sexual violence. It then outlines the current sexual violence prevention programming that takes place yearly for incoming first year students at Clark University, as well as a one-time initiative during which student athletes participated in the sexual violence prevention programming. There is a review of the current most …

Characterizing Young Adult Exposure And Engagement With Social Media Tobacco And Nicotine Product Marketing And Messaging, Stephanie L. Clendennen

Dissertations and Theses (Open Access)

Tobacco use remains a critical public health issue in the United States. Young adults are disproportionately affected by high rates of tobacco use and heavily targeted by tobacco marketing. Social media has become an important source of exposure to tobacco and nicotine product marketing and messaging for young adults. This dissertation examined the prevalence and socio-environmental characteristics associated with young adults’ exposure to and engagement with tobacco-related social media (paper 1); the prospective associations between young adults’ exposure and engagement and tobacco and nicotine product use (paper 2); and young adults’ experiences with tobacco and nicotine product messaging on social …

Identifying Risk Factors Associated With Cardiovascular Disease Risk In Lesbians, Sofia S. Velazquez

Dissertations and Theses (Open Access)

Cardiovascular disease (CVD) is the leading cause of female deaths in the United States (1). While women, in general, are at risk for CVD, current research indicates that sexual minority women (i.e. lesbians and bisexual women [SMW]) may be at greater risk for CVD than heterosexual women. This heightened risk potentially stems from an increased prevalence of traditional CVD risk factors in SMW, creating health disparities between SMW and their heterosexual counterparts (2). Further research into this high-risk population is needed, in order to minimize these disparities.

The purpose of this study was to establish differences in the prevalence of …

Hemoglobin A1c Improvements And Better Diabetes-Specific Quality Of Life Among Participants Completing Diabetes Self-Management Programs: A Nested Cohort Study, Abhinav Khanna

Dissertations and Theses (Open Access)

Background: Numerous primary care innovations emphasize patient-centered processes of care. Within the context of these innovations, greater understanding is needed of the relationship between improvements in clinical endpoints and patient-centered outcomes. To address this gap, we evaluated the association between glycosylated hemoglobin (HbA1c) and diabetes-specific quality of life among patients completing diabetes self-management programs.

Methods: We conducted a retrospective cohort study nested within a randomized comparative effectiveness trial of diabetes self-management interventions in 75 diabetic patients. Multiple linear regression models were developed to examine the relationship between change in HbA1c from baseline to one-year follow-up and Diabetes-39 (a diabetes-specific quality …

Relationship Between Nursing Safety Culture And Patient Perception Of Safety In Inpatient Units Of An Academic Specialty Hospital, Miguel Angel Lozano Garcia

Dissertations and Theses (Open Access)

The objective of this research was to analyze the relationship between nursing safety work culture in inpatient nursing units of a specialty academic hospital and their patients’ perception of safety using quantitative and qualitative methods. The aim of the quantitative study was to quantitatively evaluate whether nursing safety culture, as measured on the Hospital Survey on Patient Safety Culture (HSOPS) safety questions of the institutional employee opinion survey, was associated with patients’ perception of safety during their inpatient care, as measured by responses on the inpatient Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. The aim of the …