Mental and Social Health Commons^™

Testing The Effectiveness Of The Irelate Program On Marines: An Enhanced Program Evaluation, Griselda M. Lloyd

Loma Linda University Electronic Theses, Dissertations & Projects

Junior enlisted Marines are getting married at a faster rate than their civilian counterparts and nearly twice that of senior personnel (Gomulka, 2010; Cohen, Passel, Wang, & Livingston, 2011). With the high rate of marriage, these same junior Marines have a disproportionately high divorce rate. While the high rate of divorce is a significant issue, divorce in the Marine Corps population is complex as it affects the individual’s and family’s well-being, and the Marine’s unit level of readiness (Karney & Crown, 2007; United Stated Marine Corps, 2014). As a result of this high rate of divorce, a group of Navy …

Living On Borrowed Time: A Longitudinal Examination Of A Time-Limited Housing Voucher Program, Lauren D. Foster

Loma Linda University Electronic Theses, Dissertations & Projects

There are a number of families currently living in poverty across the United States (Census, 2010). These families are often stressed and spread thin in their daily lives. Different governmental supports are used to bolster individuals and families during their experiences of poverty. One such entity is the United States Department of Housing and Urban Affairs (HUD). This agency provides housing to countless residents each year (HUD, 2016). Much is known about the different program that HUD offers but information is limited what strengths families can bring in that can aid in their experiences while living in poverty. Using Hierarchical …

Dyadic Research In Couple Therapy: The Link Between Attachment And Relationship Satisfaction, Bryson Greaves

Loma Linda University Electronic Theses, Dissertations & Projects

Couple therapy ranks among the most frequently and diligently researched topics in Marital and Family therapy (MFT). Additionally, intimate partner relationships are a key focal point for clinical intervention with increasingly more couples seeking therapy to address relational conflict, repair emotional injury, and increase intimacy (Lebow, Chambers, Christensen, & Johnson 2012). Rigorous empirical inquiry has suggested that attachment theory is a crucial foundation to understanding relationship distress and increasing relationship satisfaction (Wiebe & Johnson, 2016). Secure attachment between intimate partners can lead to an increase in trust (Pistole, 1993), healthy emotion regulation (Kobak & Hazan, 1991), and positive conflict resolution …

Neurophysiological Capacity In A Working Memory Task Differentiates Dependent From Nondependent Heavy Drinkers And Controls, Michael J. Wesley, Joshua A. Lile, Mark T. Fillmore, Linda J. Porrino

Behavioral Science Faculty Publications

Background—Determining the brain-behavior profiles that differentiate heavy drinkers who are and are not alcohol dependent will inform treatment efforts. Working memory is linked to substance use disorders and can serve as a representation of the demand placed on the neurophysiology associated with cognitive control.

Methods—Behavior and brain activity (via fMRI) were recorded during an N-Back working memory task in controls (CTRL), nondependent heavy drinkers (A-ND) and dependent heavy drinkers (A-D). Typical and novel step-wise analyses examined profiles of working memory load and increasing task demand, respectively.

Results—Performance was significantly decreased in A-D during high working memory load …

Physiological Attunement And Influence In Couples Therapy: Examining The Roots Of Therapeutic Presence, Julia Campbell Bernards

Theses and Dissertations

Extensive interdisciplinary common factor research has identified the therapeutic relationship as a consistent factor influencing therapeutic outcomes. We use Polyvagal and Interpersonal Neurobiology (IPNB) theories to guide an examination of the physiological mechanisms at work in the therapeutic relationship. Both Polyvagal and IPNB theories provide understandings about how humans are neurophysiologically wired for social connection. Each points to a sense of safety as being essential for meaningful connection to occur and clarifies that physiological attunement is an observable indicator of interpersonal connection. In this study, we use these theories to guide an examination of therapist physiological influence on clients in …

Understanding The Link Between Substance Abuse And Mental Health, Crystal Ann Horton

Electronic Theses, Projects, and Dissertations

Treating people with co-occurring or dual diagnosis disorders requires an integrated treatment approach due to the complex health and social needs of people who suffer from mental illness and drug addiction. An integrated approach is not only necessary but crucial to treat both the drug addiction and mental illness concurrently. The aim of this study is to explore the impact that non- integrated care can have on the number of relapses that dually diagnosed people can have. The study found that there is no correlation between concurrent treatment and the number of relapses that dually diagnosed people may have. Social …

Clinical Social Workers’ Perspectives On Illicit Drug Use And The Development Of Psychotic Disorders, Asma Naseer

Electronic Theses, Projects, and Dissertations

This purpose of this study was to explore social workers’ perspectives of drug-induced psychosis. More specifically, it sought to determine how knowledgeable clinical social workers are on the impact illicit drug use on the development of psychotic disorders. The study also aimed to discover clinical social workers’ perspectives regarding the influence of illicit drug use on the development of psychotic illnesses. This study used mixed methods approach in attempt to solve the research question. The quantitative portion of the research, an anonymous survey, allowed for the assessment of social workers’ knowledge of drug-induced psychosis. The qualitative portion of the research, …

Exploring The Relationship Between Occupational Burnout And The Behavioral Well-Being Of Social Workers, Damian A. Pisapia

Electronic Theses, Projects, and Dissertations

The purpose of this study was to determine if there was a relationship between occupational burnout and the behavioral well-being of social workers. Burnout is a multidimensional syndrome where workers experience feelings of emotional exhaustion, depersonalization, and reduced personal accomplishment as a consequence of work related stress and overwhelming job demands. Burnout can negatively affect organizational functioning, work performance, and pose significant health risks to workers. There are a limited number of studies focusing on the impact of occupational burnout on the behavioral well-being of workers. The findings of this study indicated that there was a significant relationship between burnout …

A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot

Electronic Theses, Projects, and Dissertations

As gerontologists may know, there are a great deal of studies and a variety of academic literature on the misuse of alcohol and prescription medication amongst the elderly population. While there is a plethora of information on alcohol and prescription misuse, there is little reported data about the prevalence of other substance misuse experienced by this population. This study aims to help to fill that gap in the data by using quantitative methods to describe the scope of substance abuse of individuals 55-years or older. This study utilizes data from the Treatment Data Set Admission (TEDS-A). The TEDS-A is a …

Incremental Validity Of The Pid-5 In Relation To The Five Factor Model And Traditional Polythetic Personality Criteria Of The Dsm-5, J Christopher Fowler, Michelle A Patriquin, Alok Madan, Jon G Allen, B Christopher Frueh, John M Oldham

Staff and Researcher Publications

Background: This study assessed the incremental validity of the Personality Inventory for DSM-5 (PID-5) beyond the impact of demographic, burden of illness, five-factor model of personality, and DSM-5 personality disorder criteria with respect to associations with admission psychiatric symptoms and functional disability.

Methods: Psychiatric inpatients (N = 927) were administered the Big Five Inventory, PID-5, and personality disorder criteria counts. Prior treatment utilization, as well as baseline depression, anxiety, emotion regulation, and functional disability were administered within two days of the personality measures. Hierarchical regression models were used to explore the association of personality functioning with symptom functioning, emotion regulation …

Determined Wellness: The Influence Of Mental Illness Models Upon Treatment Outcome Expectancies And Treatment Engagement, Francisco I. Surace

Graduate Doctoral Dissertations

Multiple campaigns geared towards reducing public and self-stigma associated with depression, and increasing help-seeking behaviors have been launched in the past two decades. There has been an increase in promoting psychoeducation on the biological bases of mental illness. Recent international studies have documented that this increase in public knowledge has not reduced stigma. Indeed, growing evidence suggests that biological models, in comparison to other causal models of mental illness, decrease people’s sense of self-efficacy and self-control, and decrease positive expectancies of treatments and prognosis–among those with and without mental illness. Individuals who have come in contact with health services, however, …

Intercepting The Intergenerational Trauma Of Mass Incarceration Through Art-Based Parent Programs, Ana Ruth Yela Castillo

LMU Theses and Dissertations

This study discusses the intergenerational impact of mass incarceration on families. The general literature repeatedly described the negative effects of mass incarceration among children who have an incarcerated parent by pointing to the difficulty of educational attainment, social exclusion, stigma, substance abuse, and the exacerbation of mental health issues such as depression, anxiety, and antisocial behavior (Kjellstrand & Eddy, 2011; Miller & Barnes, 2015; Turney, 2014). Unfortunately, most incarcerated individuals are parents and most incarcerated women are mothers (Scudder, A., et al., 2014, and Miller, et al., 2014). Through the use of art, service providers (artists, clinicians, etc.) that facilitate …

Foundational Knowledge And Other Predictors Of Commitment To Trauma-Informed Care, Stephanie Anne Sundborg

Dissertations and Theses

Trauma-informed care (TIC) is an approach to service delivery based on the understanding of the prevalence of psychological trauma among service users, knowledge about the impact trauma has on engagement to services, and recognition that service settings can be re-traumatizing. For more than a decade, momentum has been building on this topic. Practitioners are pursuing the knowledge and skills needed to implement trauma-informed service delivery, while organizations are building infrastructure and processes aimed at supporting this approach. Disciplines across many human service sectors are eager to incorporate TIC into policy and practice. Despite this enthusiasm, implementation efforts are slow. Acquiring …

Coming To The New D.A.R.E.: A Preliminary Test Of The Officer-Taught Elementary Keepin’ It Real Curriculum, L. Edward Day, Michelle Miller-Day, Michael L. Hecht, Desiree Fehmie

Communication Faculty Articles and Research

The present study reports a preliminary evaluation of D.A.R.E.’s new elementary school keepin’ it REAL substance abuse prevention program. Given the widespread dissemination of D.A.R.E., this evaluation, even though of short term effects, has important implications for national prevention efforts. The new prevention curriculum teaches social and emotional competencies such as decision making and resistance skills. Social and emotional competencies and other risk factors were examined among students (N = 943) in 26 classrooms, 13 classrooms in the treatment condition (n = 359) and 13 classrooms in the control condition (n = 584) using a quasi-experimental matched group design. Pretest …

Measuring Personal Beliefs And Perceived Norms About Intimate Partner Violence: Population-Based Survey Experiment In Rural Uganda, Alexander C. Tsai, Bernard Kakuhikire, Jessica M. Perkins, Dagmar Vořechovská, Amy Q. Mcdonough, Elizabeth L. Ogburn, Jordan M. Downey, David R. Bangsberg

OHSU-PSU School of Public Health Faculty Publications and Presentations

Background: Demographic and Health Surveys (DHS) conducted throughout sub-Saharan Africa indicate there is widespread acceptance of intimate partner violence, contributing to an adverse health risk environment for women. While qualitative studies suggest important limitations in the accuracy of the DHS methods used to elicit attitudes toward intimate partner violence, to date there has been little experimental evidence from sub-Saharan Africa that can be brought to bear on this issue.

Methods and Findings: We embedded a randomized survey experiment in a population-based survey of 1,334 adult men and women living in Nyakabare Parish, Mbarara, Uganda. The primary outcomes were …

A Mixed Methods Study Of Multiple Health Behaviors Among Individuals With Stroke, Matthew Plow, Shirley M. Moore, Martha Sajatovic

Faculty Scholarship

Background: Individuals with stroke often have multiple cardiovascular risk factors that necessitate promoting engagement in multiple health behaviors. However, ob-servational studies of individuals with stroke have typically focused on promoting a single health behavior. Thus, there is a poor understanding of linkages between healthy behaviors and the circumstances in which factors, such as stroke impairments, may influence a single or multiple health behaviors. Methods. We conducted a mixed methods convergent parallel study of 25 individuals with stroke to examine the relationships between stroke impairments and physical activity, sleep, and nutrition. Our goal was to gain further insight into possible strategies …

Digital Mindfulness: An Emerging Field Of Inquiry And Practice, Sherri Henderson

Mindfulness Studies Theses

This two-part paper explores digital mindfulness as an emerging field of inquiry and practice into the integration of technology and contemplative practices. The first part surveys the growing research on the effects of technology on health and well-being. Investigating Buddhist teachings leads to a more balanced and aware approach towards integrating mindfulness with the digital world. Digital mindfulness encourages meaningful engagement while online. It also encourages thoughtfulness, awareness and intention. Digital mindfulness also reshapes and encourages conversations in our homes, schools, and proposes digital responsibility and digital citizenship. The second part of the paper proposes a framework for a workshop …

Mindfulness And Law Enforcement: An Effective Approach To Implementing Mindfulness For First Responders, Gina White

Mindfulness Studies Theses

An increasing number of studies show that people employed as first responders in high trauma service jobs tend to experience a high level of stress, at work and after hours. Studies suggest that constant exposure to job related stress leads to both physical and mental dysregulation. This study looks at the effects of implementing mindfulness tools and techniques to those working in law enforcement. Other works on this topic report mindfulness as a successful tool to increase wellbeing to a broad spectrum of populations. The methodology used in this study was designed specifically for first responders. The data findings were …

Black, Woman And Alive: Black Women’S Practices Of Nontraditional Healing And Freedom, Hythia Phifer

Expressive Therapies Capstone Theses

This thesis explores the implications of nontraditional healing methods on Black women’s psychological and holistic health. It includes a critical literature review of existing research by Black Feminist theorists and other Black women scholars on Black women who use nontraditional healing methods, particularly to overcome the violent and pervasive experience of gendered racism and misogynoir. A brief autoethnographic analysis of my own art-based practice is included, with ties to the effectiveness of Literature and Poetry as a nontraditional healing method used by Black women. This thesis is my attempt to create space for myself in academia, in social science, in …

Employing Polyethnography To Navigate Researcher Positionality On Weight Bias, Nancy Arthur, Darren E. Lund, Shelly Russell-Mayhew, Sarah Nutter, Emily Williams, Monica Sesma Vazquez, Anusha Kassan

The Qualitative Report

Researchers often focus on the content of their research interests but, depending on the research approach, may pay less attention to the process of locating themselves in relation to the research topic. This paper outlines the dialogue between an interdisciplinary team of researchers who were at the initial stages of forming a research agenda related to weight bias and social justice. Using a polyethnographic approach to guide our discussion, we sought to explore the diverse and common life experiences that influenced our professional interests for pursuing research on weight bias. As a dialogic method, polyethnography is ideally suited for the …