Health Psychology Commons^™

Examining The Use Of Expressive Arts Therapies In Neurorehabilitation Treatment Planning, Rebecca J. Horner

Expressive Therapies Capstone Theses

Those undergoing neurorehabilitation after stroke and traumatic brain injury report a diminished sense of overall wellness. This paper examines the conceivable benefits of introducing expressive arts therapies, which is the therapeutic use and combination of the visual arts, movement, drama, music, writing and other intermodal creative processes, into physical therapy and neurorehabilitation treatment planning. Expressive arts therapies have the capacity to engage with an individual’s physical, emotional, social and spiritual states concurrently. They simultaneously offer the ability to promote an increased sense of well-being, address mind-body disconnects, and process trauma non-verbally.

The sections of this narrative literature review focus ...

The Benefits Of Art Therapy On Stress And Anxiety Of Oncology Patients During Treatment, Helen Shiepe

Expressive Therapies Capstone Theses

Within the last ten years research on art therapy and its positive impact on oncology patients’ stress and anxiety during treatment has been minimal. Oncology patients whether they are children or adults when diagnosed experience similar reactions due to their diagnosis, treatment, and in some cases end of life care. The current question is whether or not art therapy does have a positive impact on decreasing the stress and anxiety with oncology patients while undergoing treatment. Deane, Fitch & Carmen (2000), discussed art therapy as a healing art that is “intended to integrate physical, emotional, and spiritual care by facilitating creative ...

Approaching Trans Healthcare Competency: The Implementation Of Trans Health Education For Medical Providers In Appalachia, Rebecca Altschuler

Electronic Theses and Dissertations

Barriers to competent and safe healthcare disproportionately impact people who are marginalized because of their race, ethnicity, gender, or socioeconomic status. It is well documented that transgender patients in particular experience barriers to both accessing care and receiving high quality, non-discriminatory care (Hatzenbuehler & Pachankis, 2016; James et al., 2016; Rahman et al., 2019; Safer et al., 2016). This lack of access to culturally competent healthcare services contributes to health disparities that disproportionately impact the trans community. Literature on barriers to competent care for trans patients indicates that providers experience discomfort related to their ability to provide competent care (Safer et al., 2016 ...

The Impact Of Having Foreign Domestic Workers On Informal Caregivers Of Persons With Dementia: Findings From A Multi-Method Research In Singapore, Qi Yuan, Yunjue Zhang, Ellaisha Samari, Anitha Jeyagurunathan, Tee Hng Tan, Fiona Devi, Peizhi Wang, Harish Magadi, Richard Goveas, Li Ling Ng, Mythily Subramaniam

Research Collection School of Social Sciences

Background: Informal caregivers of persons with dementia (PWDs) sometimes engage foreign domestic workers (FDWs) to support their caregiving journey. However, there has not been much research to establish if this is really beneficial. The current study aims to investigate whether engaging FDWs specifically for caregiving of PWDs truly moderates caregiver stress and to explore caregivers’ experiences of engaging FDWs. Methods: A multi-method study design with a quantitative and qualitative sub-study was adopted. For the quantitative sub-study, 282 informal caregivers of PWDs were recruited. Propensity score matching analysis was used. For the qualitative sub-study, 15 informal caregivers with FDWs were interviewed ...

The Community Resiliency Model In Health Decision-Making, Michelle Ngo

Loma Linda University Electronic Theses, Dissertations & Projects

This doctoral project reviews the literature to support the utilization of the Community Resilience Model (CRM) for health-related decision making, such as health behavior change and medication adherence. Research has shown that decision-making under significant stress can lead to making less advantageous choices, as the nervous system becomes dysregulated. The evidence in this literature review suggests that self-regulation using skills in the CRM Model can increase one’s ability to effectively making decisions.

Dietary Approaches To The Treatment Of Autism Spectrum Disorders, Dhira Patel

Loma Linda University Electronic Theses, Dissertations & Projects

This chapter reviews the literature surrounding autism spectrum disorders (ASD) and their relation to gastrointestinal (GI), behavioral, neurological, and immunological functioning. Individuals with ASDs often have poor GI health, including bowel motility issues, autoimmune and/or other adverse responses to certain foods, and lack of necessary nutrient absorption. These issues may be caused or exacerbated by restrictive behavioral patterns (e.g., preference for sweet and salty foods and/or refusal of healthy foods). Those individuals with GI issues tend to demonstrate more behavioral deficits (e.g., irritability, agitation, hyperactivity) and also tend to have an imbalance in overall gut microbiome ...

Crm As A Psychosocial Intervention For Cancer Patients, Lauren Wakabayashi

Loma Linda University Electronic Theses, Dissertations & Projects

The present treatment manual is intended to outline the implementation of an intervention to manage psychological distress in cancer patients. Cancer patients suffer from psychological distress, in part due to physical symptoms that impact well-being. This can create a cycle of poor mental and physical health that is bidirectionally affected by poor responses to physical treatments. Thus, it is necessary to implement interventions for cancer patients that can combat these and other psychological symptoms. The Community Resiliency Model (CRM) has recently emerged as a set of wellness skills that can promote physiological and psychological well-being, as well as minimize negative ...

Investigating Young Adult Cancer Survivors' Perspectives On Their Future And Interpersonal Relationships, Zeba N. Ahmad

Dissertations, Theses, and Capstone Projects

For many young adults (YA, aged 18-39) who have recently survived cancer, planning and working towards goals for the future is a fraught process. Prior research consistently identifies the challenges of survivorship, including: rebuilding personal identity, accepting the impact of cancer-related interruptions on personal goals, navigating new roles in significant close relationships, and initiating new relationships as a survivor. However, there is limited research describing the mechanisms underlying these persistent challenges, which poses difficulties when tailoring evidence-based psychological intervention. The present study consolidates both established and newly hypothesized survivorship challenges into a novel conceptual model, hypothesizing that they are interrelated ...

Ambivalent Sexism And Condom Use Self-Efficacy Amongst Men Who Bottom: A Serial Mediation Model, Elliott Nolan Devore

Doctoral Dissertations

The effects of gendered power dynamics between men and women during sexual encounters are well documented in the literature. Specifically, internalizing sexist beliefs about masculine dominance and feminine submission is related to worse sexual health outcomes. Less is known, however, about gendered power dynamics between men having sex. Those who engage in anal sex as the receptive partner (i.e., bottom) are feminized and shamed in various cultures, viewed as submissive, and may have internalized sexist beliefs and, thus, sexual role prejudice. Consequently, bottoms may feel less sexual autonomy, which influences their condom use self-efficacy. This is important given that ...

Racial Differences In Tobacco Use And Risk Factors Among Young Adults: Roles Of Expectancies And Emotion Regulation, Laurel Brockenberry

Psychology Theses & Dissertations

African Americans experience higher mortality from lung cancer and other smoking-related diseases than Caucasian Americans (Kochanek et al., 2016) despite engaging in cigarette and e-cigarette use significantly less or at comparable rates to other racial groups (CDC, 2015; Schoeborn, 2013). During adolescence, smoking prevalence is lower among African Americans than Caucasian Americans, but there is a “cross-over effect” whereby smoking rates become similar later in adulthood (Belgrave et al, 2010). The mechanisms driving this effect are poorly understood. Thus, examining motivating factors for tobacco use, such as outcome expectancies and emotion regulation, may be especially illuminating for young adult African ...

Factors Associated With Eating Disorders In Men: A Systematic Review, Zoe Alsup

Psychology Capstone Projects

This systematic review sought to identify factors that are associated with men who experience anorexia or bulimia nervosa or symptoms of these disorders. Articles were included in this review if they were peer reviewed, published in or translated to English, published from 2010 to 2021, had full text accessible, included male participants, and included male participants diagnosed with anorexia and/or bulimia nervosa or who displayed symptoms of anorexia and/or bulimia nervosa. Articles were excluded if they did not meet the inclusion criteria, were a case study, interview, or literature review, or focused on a topic outside of the ...

Let's Get Physical: Exploring The Socioemotional Motivators Of Group Exercise For Older Adults, Tessneem S. Hasan, Alyssa R. Minton, Jason Snyder, Joseph A. Mikels

DePaul Discoveries

Approximately 75% of active adults in the U.S. do not meet the recommended levels of overall physical activity (CDC, 2021a). Given the beneficial impact of physical activity on health, an 8-week long, evidence-based group exercise program—Fit & Strong! (F&S!)—was created to improve the health of older adults (Hughes et al., 2004, 2006, 2010). Despite the clear physical benefits of F&S!, it remains unknown what motivates F&S! participants to initially participate in the program and also throughout the program. Drawing from core notions of socioemotional selectivity theory (SST; Carstensen, 2006), research has found that older adults are highly motivated to exercise by social goals (Steltenpohl et al., 2019). In other work, Fredrickson (2016) has proposed that positivity resonance—a caring interpersonal connection involving shared positivity and synchrony—is impactful in enhancing psychological and physiological wellbeing, and may play a central role in the quality of the older adults’ exercise experiences ...

College Athletes’ Views On Academics: A Qualitative Assessment Of Perceptions Of Academic Success, Amanda M. Brouwer, John Johanson, Thomas Carlson

Journal of Athlete Development and Experience

The primary purpose of the current study was to give “voice” to college athletes regarding their views on academics. Given their perspectives, means of promoting their academic achievement were suggested. Research describing athletes’ experiences and the impact of socio-emotional stressors on academic success, especially for those not at a Division I school, is needed. Therefore, a qualitative study exploring the academic experiences of college athletes was conducted. Twelve focus groups of college athletes (N = 62) from six teams were held. Results revealed that college athletes are motivated to achieve by external factors and see grades as an external evaluation of ...

Perceived Social Support And Risk Of Cyberbullying In Adolescents: A Systematic Review, Sergio A. Castaño-Pulgarín, Katy Millán, Álvaro A. Acosta Echavarría, Ciro E. Redondo Mendoza, Milton C. Cardona Parra, Jose F. Castilla Tang

The Qualitative Report

This article analyzes the main findings of studies investigating the relationship between perceived social support and cyberbullying in adolescents. We reviewed research papers published between January 2015 and January 2020, included in the Web of Science, Scopus, PUBMED, and Science Direct databases. The protocol was previously registered on the PROSPERO International Systematic Reviews database (CRD42020176938). The article follows the PRISMA guidelines for systematic reviews (Moher et al., 2015). Out of 1929 surveyed articles, 23 met the inclusion criteria and quality standards of scientific evidence set by Downs and Black (1998). Results reveal the types and characteristics of studies and instruments ...

A Pilot Study Of A Cohort-Based Solution-Focused Wellness Group For Graduate Students Using Solution-Focused Coaching, James Beauchemin, Danya Krueger, Jennifer Newman, Paul Beitelspacher

Journal of Solution Focused Practices

Graduate students experience heightened levels of stress, compromising their well-being and predisposing them to mental health disorders. Graduate students are over six times more likely to experience depression and anxiety than the general population. Despite the presence of counseling services on college and university campuses, graduate students are less likely to access these services and more prone to utilize alternative institutional supports (i.e., faculty advisors or peer counselors). This pilot study assessed the effectiveness of a six-week solution focused wellness (SFW) group intervention with a graduate program cohort using a pre-post, mixed-methods design. A total of twenty-seven (N = 27 ...

Pediatric Seizures: Access And Utilization Of Specialty Care And Mental Health Care, Samantha Delos Santos

Theses and Graduate Projects

Epilepsy is the leading neurological disorder among children, and requires specialized health care (Zack & Kobau, 2015). However, many patients with seizures do not receive appropriate specialized care (Begley et al., 2009; Burneo et al., 2009). This study examined the impact of health insurance type on access to and use of specialty care and mental health care among pediatric patients, ages 3-17, whose parents reported that they had experienced at least one seizure in the last year. This study was a secondary analysis of data collected in the 2011 (n = 77) and 2016 (n = 87) National Health Survey and investigated whether having private, public, or no insurance affected these children’s access to and utilization of specialty and ...

Evaluating The Impact Of A Safe Exercise Training Workshop On Knowledge And Self-Efficacy To Manage Dysfunctional Exercise Among Eating Disorders Clinicians At Alsana Eating Disorders Center, Danika A. Quesnel

Electronic Thesis and Dissertation Repository

Engaging in dysfunctional exercise (DEX) is detrimental to eating disorders (EDs) prognosis, although common amongst clients. Though nutritionally supported exercise can improve ED treatment outcomes, without negatively impacting weight restoration, clinicians remain hesitant to address DEX, perhaps due to a lack of information and training. The current study examined the effects of a Safe Exercise at Every Stage (SEES) training on clinician knowledge and self-efficacy in managing DEX in ED treatment. Eating disorders clinicians completed measures before (n = 96) and after (n = 44) SEES training to assess their knowledge and self-efficacy around treating DEX, with a subsample completing both time ...

The Draw Of The Wild: How To Easily Integrate Nature Into Clinical Practice, Jason T. Duffy

Journal of Counselor Preparation and Supervision

For thousands of years many societies and people have intuitively recognized the wellness-enhancing power of the natural world as well as its ability to assist people in the construction of a sense of purpose and meaning. More recently, research emanating from the field of ecotherapy as well as other fields has begun to build empirical support for the efficacy of the natural world in promoting mental and physical health. This conceptual manuscript provides the rationale for integrating nature into clinical practice and describes flexible, concise, and easy ways for counselors to utilize ecotherapy in their work with clients, including, ironically ...

Is The Phq-9 A Unidimensional Measure Of Depression? A 58,272-Participant Study, Renzo Bianchi, Jay Verkuilen, Sharon Toker, Irvin Sam Schonfeld, Markus Gerber, Elmar Brähler, Kurt Kroenke

Publications and Research

The PHQ-9 has become a measure of reference in depression research and clinical practice. However, the issue of the PHQ-9’s unidimensionality has not been fully elucidated, and the usability of the PHQ-9’s total score requires clarification. In this study, we examined the dimensionality, scalability, and monotonicity properties of the PHQ-9 as well as the scale’s total-score reliability. We did so based on exploratory structural equation modeling (ESEM) bifactor analysis and Mokken scale analysis (MSA). We relied on a total of 58,272 participants (63% female; Mage = 43, SDage = 13) from 29 samples involving seven different countries (e ...

Pathways For Healing: An Online Therapeutic Support Group Program, Lisa Yvette Salazar

Loma Linda University Electronic Theses, Dissertations & Projects

Pathways for Healing: An Online Therapeutic Support Group Program (OTSG) is for women, ages 18 to 65 years old, diagnosed with chronic pelvic floor dysfunction (PFD). The program focuses on women living in Texas rural communities with limited access to mental health providers. The aim for this study is to determine if an OTSG program, utilizing narrative therapy (NT) within a biopsychosocial-spiritual lens (BPS-S) will improve overall health-related quality of life (HRQOL). Support groups are provided in English and Spanish, over the course of 12 weeks, facilitated by a licensed marriage and family therapist (LMFT) and licensed pelvic floor physical ...