Health Psychology Commons^™

The Role Of Sleep And Social-Ecological Supports In The Association Between Racial Discrimination And Cardiometabolic Risk In Black Youth, Jelaina R. Shipman-Lacewell

Theses and Dissertations

Black youth are at an increased risk for poor short and long-term cardiometabolic health, including obesity, hypertension, and type 2 diabetes. Racial discrimination and poor sleep are theorized as key factors contributing to cardiometabolic health. While adult studies support sleep as a pathway through which discrimination is associated with health, there is a critical gap in our knowledge of this pathway in youth. Socio-ecological supports may protect Black youth against stressors, including racism. However, studies of the protective nature of these factors in Black youth have primarily focused on psychological and behavioral outcomes. Thus, the current study built upon previous …

Investigating Black Emerging Adult Health And Model Of Care Choices, Alexandra Wynn

Theses and Dissertations

This mixed methods study aimed to analyze the health profiles of Black emerging adults (who do not seek medical care for chronic condition management) college students to identify factors influencing their use of preventive services and their choices in healthcare plans. The study revealed distinct profiles of Black emerging adults based on patterns of factors related to their engagement with healthcare, such as barriers to care, insurance access, usual source of care, self-rated health, intention to seek care, discrimination, trust in physician, medical mistrust, and sex-assigned at birth. Interviews were conducted to investigate the similarities and differences among all participants …

Disparities Between Native Americans And White Individuals In Trajectories Of Community Participation Over The 5 Years After Traumatic Brain Injury, Jack Watson

Theses and Dissertations

Traumatic brain injury (TBI) disproportionately affects minoritized populations within the U.S., especially Native Americans who are more likely to experience a more severe or fatal TBI than White individuals. The current study used a subsample of 63 Native Americans with TBI from the TBI Model Systems (TBIMS) database matched by age, sex, and injury severity to 63 White individuals to examine disparities in community participation, as measured by the Participation Assessment with Recombined Tools—Objective (PART-O), over the five years following TBI. Analysis of variance (ANOVA) and chi-square tests revealed Native Americans were less likely to be employed prior to injury, …

Acute Effects Of An Oral Nicotine Pouch In People Who Use Smokeless Tobacco, Alisha Eversole

Theses and Dissertations

People who use smokeless tobacco (SLT) are exposed to a variety of carcinogenic toxicants, yet, despite health risks, nearly 6 million people in the US use SLT. SLT contains and delivers nicotine, a psychostimulant that causes dependence and hinders cessation efforts. An orally-administered nicotine pouch marketed as “tobacco-free” recently has become available for purchase in the US. However, there are very few non-industry-sponsored studies regarding the effects of these oral nicotine pouches.

The current study used clinical laboratory methods to determine the acute effects of an oral nicotine pouch in people who use SLT. Participants completed four sessions (within subjects, …

The Many Impacts Of The Covid-19 Pandemic On Latinx College Students’ Mental Health: Exploring The Role Of Sleep, Social Support, And Familismo, Mayra S. Ramos

Theses and Dissertations

College students experienced a multitude of disruptions to their daily life, and changes to their physical (i.e., sleep quality) and mental health (e.g., anxiety and depressive symptoms) because of the COVID-19 pandemic. Though the field has identified the factors that have contributed to negative physical and mental health changes, there remains much to be known about social and cultural protective factors that could buffer the negative role of the COVID-19 pandemic on Latinx college students. The current study contributed to the literature on the mental health outcomes of Latinx college students by identifying a possible mediator and moderators between the …

Life After Discharge: Predicting Longitudinal Trajectories Of Community Integration And Global Functioning In Black Individual With Traumatic Brain Injury, Chimdindu Ohayagha

Theses and Dissertations

The onset of traumatic brain injury (TBI) begins a chronic health pathway that contributes to various impairments and comorbidities across the lifespan. Common consequences of TBI include mental health issues, cognitive impairments, and reduced functional independence, all of which impact how an individual integrates into their community. Community integration is a primary goal for rehabilitation after TBI. Studies show that racially/ethnically minoritized individuals have a higher incidence of TBI, higher rates of mortality, and report poorer functional and community integration outcomes. Limited studies have explored longitudinal outcomes of community integration in a Black-only sample of individuals with TBI. Additionally, no …

Correlates Of Coffee And Energy Drink Use Among Individuals With Severe Alcohol Use Disorder, Enkelejda Ngjelina

Theses and Dissertations

Research on caffeine consumption among college students and young adults has primarily focused on caffeinated energy drinks (EDs) and their combination with alcohol, demonstrating a strong association with heavy and problematic alcohol use. However, little attention has been directed toward older adults. Furthermore, studies have shown that regular ED consumers are more likely to meet the criteria for alcohol dependence compared to their peers. Despite this association, little is known about ED consumption among individuals with Alcohol Use Disorder (AUD), particularly those undergoing treatment, and even less is understood about other caffeine sources such as coffee. This study aimed to …

Mental Health Practitioners’ Trauma Knowledge And Self-Efficacy Post-Emdr Training, Christy R. Collins, Shelby L. Dean, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

This research study examines mental health practitioners’ level of trauma knowledge and trauma treatment self-efficacy pre- and post-EMDR therapy training in Texas. The purpose is to determine if practitioners' self-perception of efficacy in treating trauma and trauma knowledge will improve after completing EMDR training. The practitioner sample (N = 113) is from an EMDR trainer who conducted six EMDR trainings in Texas. Descriptive, correlational, and paired t-test statistical procedures were implemented to analyze the data for the study. The results show that practitioners’ self-perception of competence and knowledge could be attributed to their years of clinical experience treating clients with …

Describing The Experiences Of Fulfillment And Stress In Coptic Orthodox Priests, Dr. Martha Salama

Journal of Human Services: Training, Research, and Practice

This qualitative study was conducted to understand how Coptic Orthodox priests describe their experiences of fulfillment and/or stress with their work. While many Christian leaders such as pastors, reverends, and clergy helping to serve their church members are represented in the literature, there is limited research on the roles and experiences of the Coptic Orthodox priesthood serving their communities. The Coptic church has been around for centuries, and the church has a history of religious persecution. The research question was “how do Coptic Orthodox priests describe their experiences of fulfillment and/or stress with their work?” The research methodology used in …

Understanding The Addiction Recovery Experience: The Use Of Experiential Learning In Undergraduate Human Services, Chaniece J. Winfield, Jason M. Sawyer

Journal of Human Services: Training, Research, and Practice

Since 2020, the steady rise of overdose and substance use related deaths has created an ongoing need for a greater addiction workforce. Responding to this need, Human Service education programs are strongly encouraged to prepare competent professionals to work in recovery-oriented treatment settings. Research supports experiential learning to foster clinical competency, however its application toward SAMSHA transdisciplinary foundations in human service education is limited or unknown. The authors present an exploration of the use of experiential learning as a teaching tool to foster student competency toward the SAMSHA core transdisciplinary foundations of application to practice and professional readiness.

The Effect Of Cytomegalovirus Infection On Daily Stress Processes In Early Adulthood, Elana Gloger

Theses and Dissertations--Psychology

Chronic stress increases risk for disease, poor health, and early mortality. Cytomegalovirus (CMV), a common latent herpes virus, may promote neurological changes that increase vulnerability to chronic stress by way of self-regulatory deficits, though this has yet to be directly tested. Investigating CMV at younger ages is crucial to understand the effect of CMV across the lifespan and identify modifiable health-factors for future anti-aging interventions. The present study aimed to investigate how, and for whom, CMV associates with daily stress processes in early adulthood.

Participants (N = 108, M_age = 19.7, 83.3% female, 72% White) completed an in-person lab …

A Mixed-Methods Study Exploring Free Nicotine Replacement Therapy As A Strategy To Promote Tobacco Treatment Equity At Cancer Center Cessation Initiative Sites, Marguerite A. Webster

Theses and Dissertations--Psychology

Nicotine replacement therapy (NRT) is a safe, efficacious smoking cessation treatment for cancer patients; however, equitable access is limited due to insurance gaps. Offering free NRT to patients with cancer has potential to increase tobacco treatment engagement and promote equity. This mixed-methods study aims to describe how some Cancer Center Cessation Initiative (C3I) sites implemented free NRT within their tobacco treatment programs (TTPs) to inform future development of equitable TTPs. Participating sites’ (N=9) TTP and patient population characteristics were assessed via survey and analyzed with descriptive statistics. Semi-structured interviews were conducted with 16 individuals and analyzed using directed …

Associations Between Parenting Factors, Self-Efficacy, And Physical Activity Levels In Overweight African American Adolescents, Noelle Mink

Senior Theses

While there is extensive research on physical activity (PA) and the role it plays in preventing obesity, African American populations remain understudied despite reporting lower levels of PA compared to White Americans. Particularly, PA in adolescence has several indications for the development of healthy adult lifestyles. Additionally, there is limited data on the relationship between parenting factors and adolescent PA in overweight African American adolescents, despite theories that suggest that authoritative parenting factors, such as demandingness (e.g., control, monitoring) and responsiveness (e.g., warmth), can influence adolescent behaviors, including their motivation and self-efficacy for engaging in PA. Confidence in one’s ability …

Music And Perceived Stress: An Investigation Into The Effects Of Music On Chemistry Students' Perceived Stress Levels, Alice Young, Eric Malina

Honors Program: Senior Projects (Public)

Music has long been a prevalent intervention when trying to lower stress in certain populations (Thoma et al., 2013). This study aimed to explore the possible usefulness of music as an intervention for students experiencing stress in the chemistry laboratory setting. Students in general chemistry laboratories were surveyed regarding their stress at the ends of periods in which music was or was not played in their laboratory classes. While the results were not statistically significant, mean stress scores did lower in those groups where music was played. Further research into this topic should focus on type of music, the effects …

Adherence To Personal Protective Equipment Practices During The Covid-19 Pandemic: A Pilot Study, Taryn Amos, Cameron Griffin, Joshua K. Schaffzin, Andrea Ankrum, Felicia Scaggs Huang

Psychology Faculty Publications

A direct observational pilot project of healthcare personnel (HCP) was conducted to validate a tool that measures personal protective equipment (PPE) adherence at a large pediatric institution. Overall unit PPE adherence for all moments ranged from 50-61%. Masking was the most adhered to PPE moment (100%); hand hygiene prior to donning PPE had the lowest adherence (13%). Using data from this standardized tool, researchers can evolve PPE standards to maximize their adherence, effectiveness, and ease of utilization.

Evaluating The Experience Of Teen-To-Teen Crisis Line Volunteers: A Pilot Study, Catherine R. Glenn, Taylor Kalgren, Sandipan Dutta, Raksha Kandlur, Kelsie K. Allison, Annie Duan, Cheryl Karp Eskin, Morgan Leets, Madelyn S. Gould

Psychology Faculty Publications

Teen-to-teen (t2t) crisis lines are a special type of crisis service where youth volunteers help their peers. Although prior research has examined the experience of adult crisis line responders, no research has examined the experience of adolescents who do this work. In collaboration with two of the largest t2t lines in the U.S., this pilot study is the first examination of t2t crisis line work. Volunteers (ages 14–20) reported: their primary motivation for joining the crisis lines was to help others and give back to the community; responding to a range of peers’ problems on the t2t crisis line, …

Switching The Narrative: Pastors’ Beliefs And Reasonings, Dejaune K. Thompson, Sheriyse M. Williams, Shuntay Tarver, Portia C. Stokes

Psychology Faculty Publications

Although many African Americans experience mental health/addiction (MH/A), only 39% of the population seek professional treatment. Several significant barriers contribute to their ability to seek treatment, and as such, many African Americans feel more comfortable relying on the Black Church and pastors for support. However, many pastors are not prepared to support the MH/A needs of their parishioners thus leaving those who seek help without the proper MH/A care they need. The purpose of this qualitative study was to investigate the perceptions held by African American pastors on preparedness based on experience and theological beliefs to address MH/A issues within …

Centering Veg*Ns Of Color: An Intersectional Imperative To Anti-Veg*N Stigma, Caitlin M. Mercier

Faculty Publications – Psychology

Veg*ns of color continue to be underrepresented with their health less understood in veg*n scholarship. As intersectionality and health outcomes remain an understudied focus in anti-veg*n scholarship, the concealable stigmatized identity (CSI) framework offers a way to identify the link between stigmatization and health outcomes for VOC. Using the CSI framework, the paper provides a review of multilevel manifestations of anti-veg*n stigmatization in previous and current veg*n scholarship. The paper offers future directions for researchers to examine stigmatization and its impact on VOC. Recommendations are provided to generate knowledge about the experiences and health of VOC.

Language Acquisition, Mental Health, And Acculturation Among Migrants In Canada, Ali Jasemi

Theses and Dissertations (Comprehensive)

This dissertation examines the integration of first-generation migrants in Canada, focusing on the constructs of acculturation, language proficiency, and mental health. With nearly a quarter of Canada's population comprising migrants (Statistics Canada, 2022), understanding their adjustment is critical. Acculturation, language proficiency, and mental health can all have an impact on the success of migrants in their new country (Balidemaj et al. 2019; Brance et al. 2023; Iversen et al. 2014; Rousseau et al. 2019; Rashtchi et al. 2012; Salami et al. 2019). There are a limited number of studies examining these variables in relation to certain migrant groups, such as …

“You Do Not Need To Be Skinny Or Look Like An Athlete To Still Live A Healthy Life”: Exploring Anti-Fat Bias Within Health-Related Undergraduate Programs, Maddie Katz

Theses and Dissertations (Comprehensive)

Anti-fat bias negatively influences well-being, particularly for fat people. This bias is present in healthcare and fitness contexts, where emphasis on bodies and weight are salient. Healthcare and fitness professionals often re-learn anti-fat bias in their education through a weight-centric paradigm of health, which frames weight as a primary indicator of health (good or bad), an individual responsibility, and a direct reflection of individual behavioural choices (i.e., diet and exercise). The failure to control one’s weight within societally acceptable levels is seen as a moral failure rather than resulting from complex factors relating to the social determinants of health (i.e., …

The Relation Between Disordered Eating And Perceived Stress, Tori E. Byars

College of Graduate Studies: Theses & Dissertations

Disordered eating behavior encompasses a spectrum of maladaptive eating patterns, including emotional eating, binging, restricting, and other similar behaviors. Perceived stress is the extent that an individual perceives their demands exceed their ability to cope. Existing research has demonstrated a positive relation between high ratings of perceived stress and disordered eating behaviors (King et al., 2009; Skead et al., 2018). The current study aimed to expand this research by examining the relation between disordered eating and stress in students, workers, and those who partake in both commitments. Utilizing a single survey, participants completed assessments including the Perceived Stress Scale, the …

Using Education To Confidently Identify And Report Concerns Of Child Abuse And Neglect: A Qualitative Improvement Initiative Through Staff Development, Sarah E. Neilson

Master's Theses and Capstones

BACKGROUND: Pre-licensure education on child abuse and neglect is crucial for nurses in the healthcare field. It helps to equip them with the knowledge and skills necessary to effectively identify, report, and intervene in cases of child abuse and neglect. Having this education available and understanding the signs and effects of child abuse and neglect, empowers nurses to take quick and decisive action in early intervention and prevention. Within the microsystem of a local Operating Room (OR), this quality improvement (QI) project will determine the muchneeded addition to the healthcare curriculum.

METHODS: The Plan, Do, Study, Act (PDSA) framework was …

The Associations Of Physical Activity And Sedentary Behavior With Self-Rated Health In Chinese Children And Adolescents, Yahan Liang, Youzhi Ke, Yang Liu

Human Movement Studies & Special Education Faculty Publications

Objective

The study aimed to analyze the independent and joint associations of physical activity (PA) and sedentary behavior (SB) with self-rated health (SRH) among Chinese children and adolescents.

Methods

Cross-sectional data on moderate-to-vigorous physical activity (MVPA), school-based PA, extracurricular physical activity (EPA), screen time (ST), homework time, and SRH were assessed through a self-report questionnaire in the sample of 4227 Chinese children and adolescents aged 13.04 ± 2.62 years. Binary logistic regression was used to compare gender differences in PA, SB, and SRH among children and adolescents, and analyses were adjusted for age and ethnicity.

Results

In independent associations, boys …

Self-Efficacy And Parental Miscarried Helping In Adherence And Transition Readiness Among Adolescents And Young Adults With Epilepsy, Kirby-Estar G. Laguerre

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Given the complex regimen associated with epilepsy, ensuring that adolescents and young adults (AYAs) adhere to their medications, and are ready to transition from pediatric to adult care, is crucial to optimizing their health outcomes. Several social and ecological factors such as self-efficacy and parental miscarried helping can strengthen or weaken an adolescent’s medication adherence and readiness to shift from pediatric to adult care. Intending to contribute to informing and improving clinical care, this study sought to understand the relationships between self-efficacy, parental miscarried helping, medication adherence, and transition readiness. Methods: Using a cross-sectional observational design, 46 AYAs with …

Associations Between Diabetes-Specific Psychological Flexibility, Family Conflict, Parental Distress And Adherence In Adolescents With Type 1 Diabetes, Rebecca I. Laquaglia

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Type 1 diabetes (T1D) is a chronic disease that impacts the lives of millions of children and adolescents in the United States. Adherence to diabetes medical regimens is often challenging, particularly among adolescents. Based on previous research, diabetes-specific psychological flexibility, or the ability of an individual with T1D to psychologically adjust to, accept, and commit action to manage their diagnosis, may improve adherence in youth with T1D. Factors such as diabetes-specific family conflict (i.e., conflict within parent-child dyads that is specifically related to T1D management) and diabetes-specific parental distress (i.e., emotional distress experienced by a parent or caregiver as …

Associations Between Positive Affect And Physical Activity From Young Adulthood To Midlife: A 25-Year Prospective Study, Farah Qureshi, Laura D. Kubzansky, Ying Chen, Jackie Soo, Eric S. Kim, Donald Lloyd-Jones, Julia K. Boehm

Psychology Faculty Articles and Research

Objective: Positive affect may influence health by promoting physical activity, but evidence evaluating this association is mostly cross-sectional and cannot discern directionality. This study used a counterfactual-based framework to estimate the causal effect of positive affect on physical activity patterns over 25 years, accounting for potential reverse associations. Method: Data were from 3,352 participants in the Coronary Artery Risk Development in Young Adults study. Repeated assessments of positive affect and physical activity were collected from 1990 to 2016. Longitudinal associations were evaluated in two ways: (a) using baseline positive affect in traditional linear mixed models that accounted for reverse causal …

Validation Of The Intolerance Of Uncertainty Scale-12 In A Sample Of Pregnant People, Kayla Costello

Electronic Theses & Dissertations (2024 - present)

Background: Intolerance of uncertainty (IU) has been proposed as a transdiagnostic mechanism driving anxiety, depression, and eating disorder symptoms. Pregnancy is a time of significant uncertainty, yet few studies have examined the measurement of IU and its impacts on pregnant people. The current study aimed to examine the psychometric performance of two versions of the Intolerance of Uncertainty Scale (IUS-27 and IUS-12) and its associations with psychopathologies common in pregnancy.

Methods: This study is a secondary analysis of participants (n = 254) recruited for a larger study of a single-session intervention targeting disordered eating in pregnancy. We examined fit …

Review Of Steve Taylor’S Disconnected, Zeke Floro

Journal of Conscious Evolution

This article presents a review of Steve Taylor’s (2023) book, DisConnected: The Roots of Human Cruelty and How Connection Can Heal the World. Taylor makes a significant contribution to the study of psychological development, spiritual growth, and the overall evolution of consciousness by thoughtfully examining the disconnection that underlies violent crime, terrorism, dishonest business practices, authoritarianism, religious extremism, surrender of autonomy, culture wars, and polarized politics. He convincingly argues that disconnection is not the default state of humanity, but rather an aberration, and that dark aspects of human nature emerge from an environmentally conditioned sense of separation and inability to …

Guest Delight: The Influence Of Sustainable Performance And Guests' Perceived Health And Safety, Mi Ran Kim, Eunsil Lee, Jisun Lee

ICHRIE Research Reports

Recently, the COVID-19 pandemic has further emphasized the importance of guests’ health, safety, and well-being in the hotel industry. Further, in today’s highly competitive environment, hotels must orchestrate memorable experiences for guests to realize their value and become ambassadors for the brand. The purpose of this research is to explore the antecedents (i.e., sustainable performance, safety, and health) and the outcomes (i.e., brand love, trust, and willingness to pay more) of customer delight. Surveys will be distributed to hotel guests and the results can provide insights and implications for scholars and practitioners to better understand the concept of customer delight.

Assessment Of Deficits In Specific Cognitive Domains In Older Adults Living With Hiv., Andrea Reyes-Vega, Harideep Samanapally, Rishikesh Rijal, Stephen P. Furmanek, Christopher B. Shields, Brandon C. Dennis, Smita Ghare, Shirish Barve

Faculty and Staff Scholarship

A significant proportion of people living with HIV (PLWH) have cognitive impairment. Moreover, approximately 70% of PLWH in the United States will be ≥50 years old by 2030, raising concerns of a higher incidence of dementia as they age. Accordingly, there is a clinical need to monitor their cognitive status. The aim of this study was to delineate specific cognition areas impacted in OALWH with a clinical diagnosis of neurocognitive impairment. We used a comprehensive set of tests (paper and NIH Toolbox Cognition Battery), to assess different cognitive domains in a total of 25 OALWH ≥ 50 years. 64% were …