Health Psychology Commons^™

Burnout Does Not Help Predict Depression In French Schoolteachers, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Objectives: Burnout has been viewed as a phase in the development of depression. However, supportive research is scarce. We examined whether burnout predicted depression among French school teachers.

Methods: We conducted a 2-wave, 21-month study involving 627 teachers (73% female) working in French primary and secondary schools. Burnout was assessed with the Maslach Burnout Inventory and depression with the 9-item depression module of the Patient Health Questionnaire (PHQ-9). The PHQ-9 grades depressive symptom severity and provides a provisional diagnosis of major depression. Depression was treated both as a continuous and categorical variable using linear and logistic regression analyses. We controlled …

Motivation, Mindfulness, And Metabolic Factors Predicting Adolescent Adherence And Attrition In A Multidisciplinary Weight Management Program, Stephen Trapp

Theses and Dissertations

Estimated rates of obesity are notably high in the United States and pose a significant public health concern. A number of deleterious physical and psychosocial conditions are associated with pediatric obesity and the cost of its treatment is considerable. Accordingly, the number of weight management treatments has increased to meet this growing public health challenge. Unfortunately, insufficient participation in weight management treatment, namely low adherence and high attrition, often impede the effectiveness of these programs. Although the barriers associated with inadequate adherence and elevated rates of attrition are documented, there is a dearth of research on the predictors of the …

Determinants Of Stress And Effects On Performance In Internal Medicine Residents, Sarah Braun

Theses and Dissertations

The purpose of the present study was to assess: a) perceived stress, burnout, depression, and empathy at three time points in internal medicine residents, b) the role of gender and trait mindfulness in stress response during residency and c) to evaluate the impact these variables have on performance evaluations. Additionally, specific tasks of the residency that may contribute to the experience of stress and burnout were evaluated to test a model of job strain. Stress predicted subsequent burnout and depression. Burnout predicted subsequent depression, and stress mediated this relationship. Women reported higher mean levels of empathy and burnout than men. …

Use And Perspectives Of A Social Marketing Campaign To Improve Fruit And Vegetable Intake, Allison Palmberg

Theses and Dissertations

The current study evaluated the development and acceptability of a social marketing campaign to improve emerging adults’ fruit and vegetable (FV) intake. A social marketing campaign was developed through focus groups with 24 college students. Materials were implemented in two dining locations at Virginia Commonwealth University. Sales of carrots, apples, and chips were collected in three phases: baseline, implementation of the campaign, and washout. In addition, surveys were collected from 303 diners across all phases and locations. Results indicated an increase in carrot sales, decrease in sales of chips sold with a meal, and mixed findings regarding sales of apples …

The Heart Of Strength: The Strong Black Woman Schema And Cardiovascular Disease Risk, Jasmine A. Abrams

Theses and Dissertations

Black women are disproportionately affected by cardiovascular disease (CVD). While chronic stress has been identified as a key contributor to CVD risk, research has not identified the specific mechanisms through which stress influences CVD risk among Black women. Research suggests that in response to stress, Black women who internalize the SBW Schema engage in high effort coping, avoidant coping, postponement of self-care, and other maladaptive health behaviors and experience premature health deterioration. However, it is important to consider that internalization of the SBW Schema may exert differential effects on the physiological profiles of Black women due to varied interpretations of …

Heterosexism, Mental Health, And Suicide: Investigating The Moderating Role Of Coping In Sexual Minority Men, Michael A. Trujillo

Theses and Dissertations

This cross-sectional study examined if heterosexist experiences (harassment/rejection, workplace/school discrimination, other) were associated with suicidality (suicidal ideation, suicide attempts) and symptoms of anxiety/depression, and if symptoms of anxiety/depression were associated with suicidality in a national sample of sexual minority men (SMM; N = 89). The study also examined if depression mediated the relationship between heterosexist events and suicidal ideation and whether active and disengaged coping styles moderated this relationship. All associations were significant and positive, with harassment/rejection and symptoms of depression generally independently associated with outcome variables. Symptoms of depression were a significant mediator of the harassment/rejection-suicidal ideation relationship; however, …

The Role Of Cognitve Distortions In Adaptation To Disability And Perceived Quality Of Life In Spinal Cord Injury Survivors, Kerri M. Garruba

PCOM Psychology Dissertations

Traumatic spinal cord injury (SCI) is a sudden, dramatic insult to the central nervous system that results in instant loss of sensory and/or motor function. In addition to physiological changes, survivors also endure both cognitive and emotional changes that increase susceptibility to depression, anxiety, and suicidality, all of which have been associated with cognitive distortions. This study sought to investigate the influence of cognitive distortions in relation to the ability to adapt to disability and establish a high quality of life among spinal cord injury survivors. Participants were 116 men and women living with spinal cord injury recruited via the …

Clarifying Observed Relationships Between Protective Behavioral Strategies And Alcohol Outcomes: The Importance Of Response Options, Abby L. Braitman, James M. Henson, Kate B. Carey

Psychology Faculty Publications

Protective behavioral strategies (PBS), or harm-reduction behaviors that can potentially reduce alcohol consumption or associated problems, have been assessed in varied ways throughout the literature. Existing scales vary in focus (i.e., broad vs. narrow), and importantly, in response options (i.e., absolute frequency vs. contingent frequency). Absolute frequency conflates PBS use with number of drinking occasions, resulting in inconsistencies in the relationship between PBS use and alcohol outcomes, whereas contingent frequency is less precise, which could reduce power. The current study proposes the use of absolute frequencies to maximize precision, with an adjustment for number of drinking days to extricate PBS …

Discrepant Alcohol Use, Intimate Partner Violence, And Relationship Adjustment Among Lesbian Women And Their Same-Sex Intimate Partners, Michelle L. Kelley, Robin J. Lewis, Tyler B. Mason

Psychology Faculty Publications

This study examined the association between relationship adjustment and discrepant alcohol use among lesbian women and their same-sex intimate partners after controlling for verbal and physical aggression. Lesbian women (N = 819) who were members of online marketing research panels completed an online survey in which they reported both their own and same-sex intimate partner's alcohol use, their relationship adjustment, and their own and their partner's physical aggression and psychological aggression (i.e., verbal aggression and dominance/isolation). Partners' alcohol use was moderately correlated. Discrepancy in alcohol use was associated with poorer relationship adjustment after controlling for psychological aggression and physical aggression. …

Emotional Distress, Alcohol Use, And Bidirectional Partner Violence Among Lesbian Women, Robin J. Lewis, Miguel A. Padilla, Robert J. Milletich, Michelle L. Kelley, Barbara A. Winstead, Cathy Lau-Barraco, Tyler B. Mason

Psychology Faculty Publications

This study examined the relationship between emotional distress (defined as depression, brooding, and negative affect), alcohol outcomes, and bidirectional intimate partner violence among lesbian women. Results lend support to the self-medication hypothesis, which predicts that lesbian women who experience more emotional distress are more likely to drink to cope, and in turn report more alcohol use, problem drinking, and alcohol-related problems. These alcohol outcomes were, in turn, associated with bidirectional partner violence (BPV). These results offer preliminary evidence that, similar to findings for heterosexual women, emotional distress, alcohol use, and particularly, alcohol-related problems are risk factors for BPV among lesbian …

Five Facets Of Mindfulness And Psychological Health: Evaluating A Psychological Model Of The Mechanisms Of Mindfulness, David B. Brown, Adrian J. Bravo, Corey R. Roos, Matthew R. Pearson

Psychology Faculty Publications

There has been an increasing focus on determining the psychological mechanisms underlying the broad effects of mindfulness on psychological health. Mindfulness has been posited to be related to the construct of reperceiving or decentering, defined as a shift in perspective associated with decreased attachment to one's thoughts and emotions. Decentering is proposed to be a meta-mechanism that mobilizes four psychological mechanisms (cognitive flexibility, values clarification, self-regulation, and exposure), which in turn are associated with positive health outcomes. Despite preliminary support for this model, extant studies testing this model have not examined distinct facets of mindfulness. The present study used a …

The Impact Of Time Perspective Latent Profiles On College Drinking: A Multidimensional Approach, Abby L. Braitman, James M. Henson

Psychology Faculty Publications

Background- Zimbardo and Boyd's¹ time perspective, or the temporal framework individuals use to process information, has been shown to predict health behaviors such as alcohol use. Previous studies supported the predictive validity of individual dimensions of time perspective, with some dimensions acting as protective factors and others as risk factors. However, some studies produced findings contrary to the general body of literature. In addition, time perspective is a multidimensional construct, and the combination of perspectives may be more predictive than individual dimensions in isolation; consequently, multidimensional profiles are a more accurate measure of individual differences and more appropriate for …

Green Exercise And Rural America: Cultural, Ecological, And Ideological Implications For Positive Social Change, Joshua M. Garrin

Journal of Sustainable Social Impact

As the global obesity pandemic continues to extend its epidemiological reach, its magnitude continues to transcend demographic boundaries. Increasingly, the extant literature highlights the myriad challenges experienced by socioeconomically disenfranchised populations to combat the insidious biopsychosocial impact of chronic health conditions. However, a counter argument suggests that rural Americans have wide ranging access to the natural environment—an intrinsic resource that offers a broad spectrum of health and wellness opportunities. Beyond its application as a tool for good health practices, green exercise—defined as physical activity in natural settings—can provide an existential platform for the ideals of self-sufficiency, solidarity, and sustainability. A …

The Relationship Between Stressors And Intent To Leave Nursing Homes Among Directors Of Nursing, Crystal R. Williamson

Journal of Sustainable Social Impact

According to the Centers for Medicare and Medicaid Services, some nursing homes have been ranked worst in the nation when rating the quality of resident care. The purpose of this study was to determine the relative strength of workplace stress, job satisfaction, organizational support, and personal data (number of years employed, age, highest education level) in predicting director of nursing (DON) intentions to leave the position. This information contributes to social change because it is important to know that DONs need to experience general satisfaction in order to maintain stable leadership that positively contributes to the quality of care in …

The Role Of Heart Rate Variability In The Treatment Of Migraines, Thomas M. Ledoux

Antioch University Dissertations & Theses

This dissertation assessed the role of heart rate variability (HRV) in the treatment of migraine headaches. The extent of this relationship was measured through a 12-session HRV biofeedback protocol to increase HRV and decrease migraine frequency through resonance frequency breathing (RFB) training. This project used a single-case design methodology to analyze phase changes in physiological variables with a specific focus on changes in HRV and migraine symptoms from baseline to completion of the biofeedback protocol. The prevalence of migraine headaches is discussed, the history of biofeedback as an intervention for migraine is reviewed, and the rationale for the relationship between …

Body Image Self-Discrepancies And Compulsive Exercise: Exploring The Role Of Approach And Avoidance Motivational Selves, Kristin A. Chandler

College of Graduate Studies: Theses & Dissertations

According to Brewer, Davis, Kalmbach, Kaptein, Katzman and Kirsch (1997), problematic exercise occurs in approximately 80% of anorexia nervosa patients and 55% of bulimia nervosa patients. Thus, a comprehensive understanding of unhealthy exercise is necessary for its assessment as well as eating disorder prevention and intervention. One term used to describe unhealthy exercise is compulsive exercise. Although compulsive exercise has been regarded as problematic in the development, treatment, and outcome of eating disorders, little research has investigated the risk factors for this behavior. Given the influence of body image disturbances on disordered eating and the relationship between compulsive exercise and …

An Examination Of Weight, Weight Bias, And Health Care Utilization And Attitudes Among Emerging Adults, Jessica M. Mccauley

Theses and Dissertations

Individuals with overweight/obesity have been found to exhibit more negative attitudes toward health care and disproportionate rates of health care delay and avoidance, compared to their healthy weight peers. The present study sought to examine potential mechanisms through which weight status influences health care utilization and attitudes. Six hundred and thirty-three students completed a questionnaire measuring weight status, perceived weight bias, patient-provider relationship, and health care utilization and attitudes. Although the majority of the paths in the proposed theoretical mediation model were supported by the present findings, there was no support for the anticipated link between perceived weight bias and …

An Exploration Of Factors Influencing Attrition From A Pediatric Weight Management Intervention, Melissa Ann Kwitowski

Theses and Dissertations

Childhood obesity is a serious health problem in the United States. Numerous weight management programs attempt to address this issue. However, attrition poses significant treatment efficacy challenges. Understanding attendance and attrition from childhood obesity programs is crucial for effective and appropriate resource utilization. NOURISH+ is a community-based treatment program for parents of overweight and obese children (age 5–11 years, BMI ≥ 85th percentile). The current study investigated attrition from NOURISH+ to enhance understanding of pediatric obesity treatment retention factors. NOURISH+ participants (n=70) completed a questionnaire assessing barriers to adherence and general program feedback. Data were analyzed using frequencies, …

Take A Deep Breath: How Yoga Postures And Breathing Techniques Can Impact Ptsd Symptoms, Sophia E. Armington

Scripps Senior Theses

Yoga postures (asana) and yoga breathing techniques (pranayama) could be an effective method of treating Post Traumatic Stress Disorder (PTSD). This study investigates the importance of the style of yoga treatment (pranayama, asana, or both) and the frequency with which these interventions are conducted (two or five times per week). The participants in this study will be military personnel with diagnosed PTSD who are currently receiving CBT and pharmaceutical treatment. All participants will have their PTSD symptoms assessed before the study begins, and then once a week each of the 12 weeks of the study. Structured interviews will be administered …

The Prospective Association Between Positive Psychological Well-Being And Diabetes, Julia K. Boehm, Claudia Trudel-Fitzgerald, Mika Kivimaki, Laura D. Kubzansky

Psychology Faculty Articles and Research

Objective: Positive psychological well-being has protective associations with cardiovascular outcomes, but no studies have considered its association with diabetes. This study investigated links between well-being and incident diabetes.

Methods: At study baseline (1991-1994), 7,800 middle-aged British men and women without diabetes indicated their life satisfaction, emotional vitality, and optimism. Diabetes status was determined by self-reported physician diagnosis and oral glucose tolerance test (screen detection) at baseline and through 2002-2004. Incident diabetes was defined by physician-diagnosed and screen-detected cases combined and separately. Logistic regression estimated the odds of developing diabetes controlling for relevant covariates (e.g., demographics, depressive symptoms). Models …

Tornado Trouble: How Can Current Tornado Warnings Be Improved?, Jonathan P. Evans

College of Graduate Studies: Theses & Dissertations

There are many unnecessary deaths from tornadoes every year (NOAA.org, 2013). Although there have been great advancements in tornado warning systems (Coleman, Knupp, Spann, Elliot, & Peters, 2010), more changes to systems could be made to motivate people to take action in preparation for tornadoes (Brotzge & Donner, 2013). Protection motivation theory outlines the process by which we assess threats and decide whether or not preventative actions are worth performing. If the threat is perceived as severe enough and the preventative actions are seen as capable of mitigating the threat, the individual is motivated to act (Rogers, 2000). One means …

Compliance To Exercise-Oncology Guidelines In Prostate Cancer Survivors And Associations With Psychological Distress, Unmet Supportive Care Needs, And Quality Of Life, Daniel A. Galvao, Robert U. Newton, Robert A. Gardiner, Afaf Grigis, Steven J. Lepore, Anna Stiller, Cathrine Mihalopolous, Steven Occhipinti, Suzanne K. Chambers

Research outputs 2014 to 2021

Objective The purpose of this study was to determine prevalence of Australian prostate cancer survivors meeting contemporary exercise-oncology guidelines and identify associations with distress, unmet supportive care needs, and quality of life. Methods A population-based cohort of 463 prostate cancer survivors who were on 10.8 months post-curative therapy was assessed for compliance with current exercise guidelines for cancer survivors, motivational readiness for physical activity, psychological distress, unmet supportive care needs, and quality of life. Results Only 57 men (12.3%) reported sufficient exercise levels (150 min of moderate intensity or 75 min of strenuous exercise per week and twice weekly resistance …

Psychological Distress And Quality Of Life In Lung Cancer: The Role Of Health-Related Stigma, Illness Appraisals And Social Constraints, Suzanne Chambers, P. Baade, P. Youl, J. Aitken, S. Occhipinti, S. Vinod, P.C. Valery, G. Garvey, K.M. Fong, D. Ball, H. Zorbas, J. Dunn, D.L. O'Connell

Research outputs 2014 to 2021

Objective: Health-related stigma is associated with negative psychological and quality of life outcomes in lung cancer patients. This study describes the impact of stigma on lung cancer patients' psychological distress and quality of life and explores the role of social constraints and illness appraisal as mediators of effect. Methods: A self-administered cross-sectional survey examined psychological distress and quality of life in 151 people (59% response rate) diagnosed with lung cancer from Queensland and New South Wales. Health-related stigma, social constraints and illness appraisals were assessed as predictors of adjustment outcomes. Results: Forty-nine percent of patients reported elevated anxiety; 41% were …

Neuropsychological, Cognitive And Physiological Implications Of Barefoot Running On Working Memory, Shelley Ann Floyd

UNF Graduate Theses and Dissertations

The aim of the present study was to compare the effects of barefoot versus shod running on working memory. I recruited exercise science students from the University of North Florida who exercised recreationally. Participants ran both barefoot and shod while hitting targets (poker chips) on a running track and without targets. I measured working memory using backward digit recall and also recorded participants’ heart rate, speed, and target accuracy. The main finding from this study was that working memory performance increased in the barefoot condition when participants hit targets (poker chips). This result supports the idea that additional attention is …

The Relationship Between Illness Representations, Avoidant Coping, And Health Outcomes In People With Ongoing Symptoms Of Chronic Illness, Emily A. Bell

UNF Graduate Theses and Dissertations

Illness representations play an important role in the way people with chronic illness manage symptoms and view their overall health. Those suffering from functional somatic syndromes as well as conventional diagnoses seek information and meaning about their health threats in order to make appraisals concerning health outcomes. The primary interest of this study was to determine whether illness representations predict coping strategies which in turn influence general health outcomes. Data was collected from a series of four online surveys that measured an individual’s illness representations (IPQ-R), coping responses (Brief COPE), and health outcomes (RAND-36). The sample included 204 participants (169 …

Unequally Distributed Psychological Assets: Are There Social Disparities In Optimism, Life Satisfaction, And Positive Affect?, Julia K. Boehm, Ying Chen, David R. Williams, Carol Ryff, Laura D. Kubzansky

Psychology Faculty Articles and Research

Socioeconomic status is associated with health disparities, but underlying psychosocial mechanisms have not been fully identified. Dispositional optimism may be a psychosocial process linking socioeconomic status with health. We hypothesized that lower optimism would be associated with greater social disadvantage and poorer social mobility. We also investigated whether life satisfaction and positive affect showed similar patterns. Participants from the Midlife in the United States study self-reported their optimism, satisfaction, positive affect, and socioeconomic status (gender, race/ethnicity, education, occupational class and prestige, income). Social disparities in optimism were evident. Optimistic individuals tended to be white and highly educated, had an educated …

Do Depressive Symptoms Predict The Incidence Of Myocardial Infarction Independent Of Hopelessness?, Patrick Pössel, Amanda M. Mitchell, Kimmo Ronkainen, George A. Kaplan, Jussi Kauhanen, Maarit Valtonen

Faculty and Staff Scholarship

Depression and hopelessness predict myocardial infarction (MI), but it is unclear whether depression and hopelessness are independent predictors of MI incidents. Hopelessness, depression, and MI incidence rate 18 years later were measured in 2005 men. Cox regressions were conducted with hopelessness and depression serving as individual predictors of MI. Another Cox model examined whether the two predictors predict MI when adjusting for each other. Depression and hopelessness predicted MI in independent regressions but when adjusting for each other, hopelessness, but not depression, predicted MI incidents. Thus, these results suggest that depression and hopelessness are not independent predictors of MI.

Reproductive (In)Justice: Exploring Young Women’S Experiences Of Reproductive Saliency In An Oppressive Environment, Angele D. Desroches

Theses and Dissertations (Comprehensive)

Young North American women are currently coming of age in a sociopolitical context governed by neoliberal ideology, post-feminist assumptions, agentic femininities, and demographic trends that have lengthened pathways to adulthood. Consequently, the avoidance of early reproductive experiences has become a key requisite governing the success of the young female subject. This project explores the diverse reproductive experiences of eleven young (≤ 24 years of age) women residing in Prince Edward Island, Canada. Prince Edward Island’s conservative community culture, anti-choice policies, and limited youth focused sexual-reproductive health services produces a unique experiential setting for young women who encounter reproductive events. Through …

Saying ‘No’: A Biographical Analysis Of The Experiences Of Women With A Genetic Predisposition To Developing Breast/Ovarian Cancer Who Reject Risk Reducing Surgery, Doreen Molloy

Theses: Doctorates and Masters

Background: Genetic technologies have identified some of the genes implicated in cancer susceptibility. Women with mutations in breast/ovarian cancer-susceptibility genes (BRCA1 and 2) have a lifetime combined risk of breast/ovarian cancer of more than 80%. Risk reducing surgery (RRS) reduces cancer risk by as much as 90% in high risk populations. Despite this, some BRCA1/2 mutation-positive women say no to RRS.

Purpose: To illuminate an understanding of why women at high risk of developing breast/ovarian cancer say no to risk reducing surgery (RRS).

Design: Denzin’s (1989) interpretive biography was combined with Dolby-Stahl’s (1985) literary folkloristic methodology to provide a contextualised …

Investigating The Value Of Workplace-Endorsed Social Media For Improving Deskbound Employee Physical Activity Program Engagement And Reducing Sedentary Behaviour Health Risks, Darren Leigh Webb

Theses: Doctorates and Masters

Sedentary (prolonged sitting) behaviour is now recognised as an independent health risk factor contributing to a number of preventable lifestyle related diseases (Katzmarzyk, Church, Craig, & Bouchard, 2009). The widespread integration of computers into the office environment has seen an increase in employee work time participating in technology facilitated desk-based tasks requiring them to remain physically inactive (Philipson & Posner, 2003). According to recent research, workplace sedentary behavioural practices have objectively been measured as accounting for 81.8% of employee time, with a further 15.3% categorised as light activity within office based populations (Parry & Straker, 2013). With a recorded national …