Health Psychology Commons^™

Traumatic Brain Injury: The Relationship Of Psychosocial Variables And Location Of Injury To Post-Injury Depression, Alicia L. Smith

Theses, Dissertations and Capstones

Traumatic Brain Injury (TBI) affects nearly 1.4 million people in the United States annually, and of these, 10% to 77% will experience post-injury depression. Psychosocial variables such as previous substance and alcohol abuse, prior mental illness, low educational attainment, and poverty have been identified as possible risk factors. Additionally, the location of injury appears to play a key role particularly if the injury occurs in the left hemisphere. This study examined archival data from brain-injured patients in an effort to better understand the factors related to post-TBI depression. Past medical records of brain-injured adults (N = 52) were reviewed …

A Mind-Body Approach To Promote Health And Enhance Healing, Lisa Dionne Meyering

Theses Digitization Project

The purpose of this project was to create for the public a research-based user-friendly booklet that provides guidance with regard to psychological considerations that may be employed to enhance, or accelerate, the process of healing from illness.

Psychological And Neural Mechanisms Of Trait Mindfulness In Reducing Depression Vulnerability, Natalie A. Paul, Steven J. Stanton, Jeffrey M. Greeson, Moria J. Smoski, Lihong Wang

College of Science & Mathematics Departmental Research

Mindfulness-based interventions are effective for reducing depressive symptoms. However, the psychological and neural mechanisms are unclear. This study examined which facets of trait mindfulness offer protection against negative bias and rumination, which are key risk factors for depression. Nineteen male volunteers completed a 2-day functional magnetic resonance imaging study. One day utilized a stress-induction task and the other day utilized a mindful breathing task. An emotional inhibition task was used to measure neural and behavioral changes related to state negative bias, defined by poorer performance in inhibiting negative relative to neutral stimuli. Associations among trait mindfulness [measured by the Five …

Independent Living Oldest-Old And Their Primary Health Provider: A Mixed Method Examination Of The Influence Of Patient Personality Characteristics, Lee Stadtlander, Martha Giles, Amy Sickel, Emma Brooks, Cherri L. Brown, Melissa Cormell, Lara Ewing, Delores Hart, Dawn Koons, Christie Olson, Pamela Parker, Veronica Semenova, Shawna Stoneking

Walden Faculty and Staff Publications

This convergent mixed methods study examined 35 healthy, independent living individuals' (over 85 years) perceptions of their relationship with their primary health provider (PHP) and health practices. The relationship between PHP relationship perceptions and locus of control (LOC), resilience, and self-efficacy was explored through surveys and interviews. The majority indicated they visited their PHP just for preventative care; the number of PHP visits per year was significantly lower than reported for individuals over 85 by the CDC, possible reasons for this finding are provided. A positive relationship between LOC, resiliency, and self-efficacy for the oldest-old was found. Few participants indicated …

Finding Still Waters And Green Pastures: Understanding And Reducing Stress In Urban Church Planting, David R. Dunaetz

Selected Faculty Publications

The work of urban church planters is often hindered by high levels of stress. Stress may be viewed as a process that involves stressors and an individual’s perceptions of both the level of threat and his or her ability to deal with the threat. The long term and the short term consequences of stress can be attenuated through appropriate coping strategies such as problem solving, prayer, and seeking social support. Recent empirical evidence indicates that exposure to nature is also very effective, a strategy that might be especially beneficial to urban church planters and their ministries. Several practical applications are …

Age-Related Concomitants Of Obtaining Mental Health Care In Adulthood, Erin L. Woodhead, R. C. Cronkite, R. H. Moos, H. Valenstein, C. Timko

Faculty Publications

No abstract provided.

Osteopathic Medical Student Knowledge Of And Attitudes Toward Chronic Pain, Amelia Grace Gradwell

PCOM Psychology Dissertations

Chronic pain is a prevalent presenting problem for patients in medical settings, yet how physician knowledge and attitudes about those with chronic pain may influence the treatment of this condition is not fully understood. The purpose of this study was to evaluate the knowledge and attitudes of osteopathic medical students about pain management, with particular emphasis on chronic pain, in an effort to address the lack of chronic pain research currently available. A review of current literature, including an overview of chronic pain, is included. This study used original data, collected from first and fourth year D.O. students at a …

Exploring Biopsychosocial (Bps) Facets Of Chronic Obstructive Pulmonary Disease (Copd) In Patients In An Acute Inpatient Physical Rehabilitation Facility (Irf), Ronnetta Williams

Theses and Dissertations--Educational, School, and Counseling Psychology

From a BPS perspective, COPD and other chronic diseases may have a significant negative impact on those living with them and may be associated with higher rates of depression and anxiety and lower levels of health-related quality of life (HRQOL). Certain factors, such as spirituality, may influence the negative impact of chronic disease on the relationship between mood and functional independence and HRQOL. Also, gender may influence the relationship between mood, spirituality, and HRQOL for men and women living with chronic diseases. The current study included 136 patients undergoing physical rehabilitation at an IRF. Anxiety, depression, spirituality, HRQOL, and functional …

Get Rich U Or Get Transformed U: Reflections On Catholic Liberal Arts Education In The 21st Century, Thomas G. Plante

Psychology

Catholic liberal arts educators can proclaim boldly that we are in the business of formation and transformation of students at multiple levels and in multiple ways. We want our students to be competent, ethical, and compassionate global citizens who are thoughtful, savvy, deep thinkers who love learning and who love helping others. Research and best practices support the claim that the virtues cultivated by the liberal arts contribute to the flourishing of individuals and society as a whole. Catholic colleges and universities have a long history of promoting the liberal arts, and data from various sources suggest that we are …

Relationships Among Pain Threshold, Self-Regulation, Executive Functioning, And Autonomic Activity: A General Inhibitory System Perspective, Ian Andres Boggero

Theses and Dissertations--Psychology

Chronic pain patients have poorer pain inhibition, self-regulatory ability, executive functioning and autonomic inhibition than those without pain, supporting the view that suppressing pain is mentally taxing. In the current study, an alternate explanation was proposed; namely, that pain inhibition, self-regulation, executive functions, and heart rate variability (HRV) are all controlled by the same general inhibitory system. To test this hypothesis, participants came into the laboratory for three sessions. At the first session, individual differences in pain thresholds, self-regulatory strength, executive functioning, and HRV were measured. At the second and third sessions, self-regulatory persistence and within-session changes in pain thresholds …

The Role Of Pubertal Timing And Temperamental Vulnerability In Adolescents’ Internalizing Symptoms, Lisa J. Crockett, Gustavo Carlo, Jennifer M. Wolff, Meredith O. Hope

Department of Psychology: Faculty Publications

This longitudinal study examined the joint role of pubertal timing and temperament variables (emotional reactivity and self-regulation) in predicting adolescents’ internalizing symptoms. The multiethnic sample included 1,025 adolescent girls and boys followed fromage 11 to age 15 (Mage¼11.03 years at Time 1). In structural equation models, age 11 measures of pubertal timing, emotional reactivity, and self-regulation and their interactions were used to predict adolescents’ internalizing behavior concurrently and at age 15. Results indicated that, among girls, early pubertal timing, higher emotional reactivity, and lower self-regulation predicted increased internalizing behavior. In addition, self-regulation moderated the effect of pubertal timing such that …

Predicting Initial Mental Health/Substance Abuse Treatment Attendance In Hiv/Aids Patients: An Exploration Of Risk Factors, Rachel D. Amodio

PCOM Psychology Dissertations

This study attempted to predict mental health/substance abuse treatment initial appointment attendance, utilizing specific social, provider, institutional, medical, and psychological risk factors through the use of a logistic regression model. The initial frequency analysis revealed that only 155 individuals were ever scheduled to attend an appointment of the original data set (N=298). The majority of individuals could not be scheduled due to unavailability, disinterest, latency and other reasons. A new data set was created from individuals who were scheduled and variables were collapsed across categories to include: length of wait time to appointment, CD4 count, prescribed medications, reason for referral, …

Parents' Coping With Children's Newly Diagnosed Long-Qt Syndrome: A Qualitative Study Of The Function And Utilization Of An Online User Group, Allison Burns-Pentecost

PCOM Psychology Dissertations

Long QT syndrome is a sudden death syndrome that occurs in about 1 in 2,000 births. LQTS is caused by genetic mutations that affect the electrophysiology of the heart, resulting in a prolonged QT interval and possible cardiac arrhythmia, syncope or sudden death. Treatments include medications, implantable cardioverter defibrillators and activity restrictions. Little research exists regarding the psychosocial factors of the illness or the ways in which families cope with diagnosis and management of the chronic illness. The current study used archival data from an online user group. Participants were members of the group who discussed concerns related to LQTS. …

The Concept Of Time In Rehabilitation And Psychosocial Adaptation To Chronic Illness And Disability: Parts I And Ii, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

Human fascination with the concept of time can be traced to antiquity. Time has been viewed as fundamental to all human experience, and efforts to understand its nature, structure, and relationship to the human experience have generated a burgeoning body of literature, over the past two millennia, among philosophers, astronomers, physicists, and more recently psychologists. Yet, the field of rehabilitation counseling has been rather silent on the role of time and especially its place in understanding psychosocial adaptation to chronic illnesses and disabilities. In the first part of this article, the author seeks to (a) provide a brief review of …

Narrative Versus Nonnarrative: The Role Of Identification, Transportation And Emotion In Reducing Health Disparities, Sheila T. Murphy, Lauren B. Frank, Joyee S. Chatterjee, Lourdes Baezconde-Garbanati

Communication Faculty Publications and Presentations

This research empirically tests whether using a fictional narrative produces a greater impact on health-related knowledge, attitudes, and behavioral intention than presenting the identical information in a more traditional, nonfiction, non-narrative format. European American, Mexican American, and African American women (N = 758) were surveyed before and after viewing either a narrative or non-narrative cervical cancer-related film. The narrative was more effective in increasing cervical cancer-related knowledge and attitudes. Moreover, in response to the narrative featuring Latinas, Mexican Americans were most transported, identified most with the characters, and experienced the strongest emotions. Regressions revealed that transportation, identification with specific characters, …

Examination Of Physician Decision Making With Children And Adolescents Diagnosed With Long Qt Syndrome: A Qualitative Study, Julie Radico

PCOM Psychology Dissertations

Physicians are faced with ongoing challenges in diagnosing long QT syndrome (LQTS) and the uncertainty regarding treatment for specific genotypes and prescription of restrictions regarding physical activity. This study explored what impacts physicians’ decision making with regard to treatment and recommendations for children and adolescents with LQTS. Semi-structured interviews were conducted with pediatric cardiologists who were currently treating this population. Several themes regarding physician decision making were identified: constant reevaluation of decisions, impact of years of experience/number of LQTS patients treated, differentiating from versus joining with other physicians, variations in recommending patient sports involvement and activity level, and physicians as …

Predictors Of Successful Weight Loss Following Bariatric Surgery, Francine R. Broder

PCOM Psychology Dissertations

Obesity is a major public health problem involving both medical and quality-of-life
issues. During the past 20 years, obesity has dramatically increased and is currently at an all-time high (Centers for Disease Control and Prevention, 2011). More than two thirds of the adult population in the United States is estimated to be overweight, with over one third of the population classified as obese (National Institute of Health, 2009). While attempting to lose weight is common, calorie reduction combined with physical activity typically results in 5 to 10 % reduction of body weight over a 6-month period, yet these moderate losses …

Ovarian Cancer Screening As A Teachable Moment For Health Behavior Change: Determining The Role Of Positive Affect And Self-Efficacy, Rachel F. Steffens

Theses and Dissertations--Psychology

In medical settings, a teachable moment (TM) has been described as an event which may lead to psychological changes prompting individuals to engage in health promoting behaviors. A cancer screening (CS) has been suggested as a potential TM because several types of positive health behavior change (HBC), ranging from dietary changes to smoking cessation, have been linked to CS. However, most research has examined the TM in CS settings using cross-sectional and prospective methodologies and has lacked a theory-driven model. Moreover, few intervention studies have attempted to capitalize on the potential TM in CS settings. In light of this, the …

The Effect Of Context On The Evaluation Of Obese Vs. Average-Weight Children As A Function Of Antifat Attitude, Stephanie Mcshane

Senior Independent Study Theses

No abstract provided.

Assessing Depression In Cancer Patients : A Longitudinal Comparison Of Three Questionnaires., Patrick Possel, Kerstin Knopf

Faculty and Staff Scholarship

The article by Johns et al. (1) compares the Hopkins Symptom Checklist 20-item depression scale (HSCL-20) (2), the Short-Form 36 Mental Health Inventory five-item distress scale (MHI-5) (3), and the Patient Health Questionnaire nine-item depression scale (PHQ-9) (4) in 309 adults with cancer in a longitudinal study.

The Ticking Of The “Biological Clock”: Worry About Future Fertility In Nulliparous Women, Karen E. Kersting

Theses and Dissertations

Abstract

Title: The Ticking of the “Biological Clock”: Worry about Future Fertility in Nulliparous Women

By: Karen Kersting, M.A., M.S.

A dissertation submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at Virginia Commonwealth University.

Virginia Commonwealth University, 2013.

Major Director: Kathleen M. Ingram, J.D., Ph.D.

Associate Professor of Psychology

Department of Psychology

Modern women are waiting until later in their lives to have children than women of previous generations, a trend influenced by a number of factors including financial stability, dating norms, and career goals and responsibilities. As women age, their fertility may decline …

Motivational Interviewing With Individuals In Recovery: Effects On Hope, Meaning, Empowerment And Service Participation, Scott D. Glassman

PCOM Psychology Dissertations

Service engagement continues to challenge providers working with individuals with serious mental illness and substance abuse disorders. Motivational Interviewing (MI), an intervention aligned with recovery-oriented principles in its emphasis on empathy, empowerment, and self-directed change, directly addresses this problem. Its effects on service engagement, however, have been inconsistent with dually diagnosed populations. To explore underlying processes that may influence engagement, the present mixed methods, single case experiment studied the effects of MI on key recovery constructs: hope, meaning, and empowerment. Participants were 6 consumers enrolled in an intensive outpatient program for co-occurring disorders. Results showed statistically significant increases for half …

From College Student To Change Agent: A Triadic Model Of Self-Efficacy, Attribution, And Appraisal, Joshua M. Garrin

Journal of Sustainable Social Impact

Beyond their newfound emancipation and opportunities for self-discovery, college students in the young adult stage of development are expected to achieve balance between their autonomous new world and the impending pressures of postgraduation life. The college student must not only reconcile issues related to identity formation, goal pursuits, and career exploration, but is expected to begin the process of identifying and developing the skills required to address salient social themes. How students establish competency beliefs, negotiate controllability over future outcomes, and appraise challenges have deep implications in their capacity to discover their social change “voice.” The following discussion proposes a …

The Association Of Psychosocial Factors On Hiv/Aids Disease Progression, Melissa Margolis

Scripps Senior Theses

Despite a rise in the number of studies looking at the relationship of psychosocial factors (coping style, personality type, and social support) on HIV/AIDS severity, there remains a lack of conclusive answers about the specific association between these factors. This study used a meta-analytic method of analysis to address these issues in the post anti-retroviral treatment modality world. A systematic search of major psychology and medical computerized databases led to 110 studies used in the meta-analysis. Social support was found to have the strongest relationship with HIV progression. Structural social support had greater protective effect on HIV progression than functional …

The Association Between Optimism And Serum Antioxidants In The Midlife In The United States Study, Julia K. Boehm, David R. Williams, Eric B. Rimm, Carol Ryff, Laura D. Kubzansky

Psychology Faculty Articles and Research

Objective Psychological and physical health are often conceptualized as the absence of disease, but less research addresses positive psychological and physical functioning. For example, optimism has been linked with reduced disease risk and biological dysfunction, but very little research has examined associations with markers of healthy biological functioning. Thus, we investigated the association between two indicators of positive health: optimism and serum antioxidants.

Methods The cross-sectional association between optimism and antioxidant concentrations was examined in 982 men and women from the Midlife in the United States study. Primary measures included self-reported optimism (assessed with the revised Life Orientation Test) and …

Relation Between Optimism And Lipids In Midlife, Julia K. Boehm, David R. Williams, Eric B. Rimm, Carol Ryff, Laura D. Kubzansky

Psychology Faculty Articles and Research

This research examined optimism’s relationship with total cholesterol, high density lipoprotein (HDL) cholesterol, low density lipoprotein (LDL) cholesterol, and triglycerides. The hypothesis that optimism is associated with a healthier lipid profile was tested. Participants were 990 mostly white men and women from the Midlife in the United States study who were on average 55.1 years old. Optimism was assessed by self-report with the Life Orientation Test. A fasting blood sample was used to assess serum lipid levels. Linear and logistic regression models examined the cross-sectional association between optimism and lipids accounting for covariates such as demographic characteristics (e.g., education) and …

Intellectual Functioning And Multi-Dimensional Attentional Processes In Long-Term Survivors Of A Central Nervous System Related Pediatric Malignancy, Robert W. Butler, Diane L. Fairclough, Ernest R. Katz, Anne E. Kazak, Robert B. Noll, Ryan D. Thompson, Olle Jane Z. Sahler

Faculty Publications - Doctor of Psychology (PsyD) Program

Abstract

Aims

Main methods

The Role Of Social Support And Emotional Representations In Health Outcomes For Individuals With Chronic Illness, Courtney Ann Lemons

UNF Graduate Theses and Dissertations

Health related outcomes for individuals with chronic symptoms of illness can be influenced by complex, socio-emotional processes. The primary interest of this study was to determine whether perceived social support lessens the negative emotional appraisals of illness experience (e.g. anger, fear, hostile interpretations of illness), and the role of these emotional appraisals in health outcomes for those diagnosed either with a conventional chronic illness (e.g. diabetes, arthritis, chronic obstructive pulmonary disease) or a functional somatic syndrome (e.g. fibromyalgia, chronic fatigue syndrome, irritable bowel). Data for this study were collected from a series of four surveys administered online, which included measures …

Self-Regulatory Skills For Controlled Eating Emanating From Newly Initiated Physical Activity, James J. Annesi Ph.D., Kandice Johnson Porter

Journal of Social, Behavioral, and Health Sciences

The relationship of physical activity with weight loss may largely be due to its association with psychosocial factors. The goal of this research was to clarify such relationships using a field design lasting 24 weeks. In Study 1, change in self-regulation for controlled eating, but not energy expenditure, mediated the relationship between changes in physical activity and weight in formerly sedentary, severely obese adults (n = 174). In Study 2 (n = 148), the addition of a cognitive-behavioral nutrition treatment was associated with significantly greater improvement in self-regulation for eating. Physical activity-related self-regulation changes were related to those …

Strengths And Limitations Of Qualitative Approaches To Research In Occupational Health Psychology, Irvin Sam Schonfeld, Joseph J. Mazzola

Publications and Research

Like all research methods, qualitative methods have strengths and limitations. This chapter describes seven strengths and five limitations. With an understanding of their strengths and limitations and how to minimize and/or balance them, occupational health psychology (OHP) researchers can benefit from qualitative methods. It is important to understand that qualitative findings do not establish generalizable cause-effect relations. However, qualitative methods can help an OHP researcher develop a theory of causality and derive hypotheses related to the theory and, thus, motivate quantitatively organized research designed to test the hypotheses. The challenge for the OHP researcher is to be mindful of what …