Health Psychology Commons^™

Rethinking Health Systems Responsiveness In Low–And Middle-Income Countries, Meesha Iqbal

Dissertations and Theses (Open Access)

Health systems responsiveness (HSR) refers to a health system’s ability to meet legitimate non-health expectations of the population. Traditionally, HSR has been conceptualized across eight domains: respect for dignity, autonomy, confidentiality, prompt attention to health needs, availability of basic amenities, choice of provider, access to social support networks, and clarity of communication. However, as the expectations of populations in high-income countries (HICs) and low- and middle-income countries (L&MICs) differ significantly due to diverse social and cultural contexts, the conceptualization of HSR also varies. We conducted a systematic review of literature to adapt and contextualize the HSR framework for L&MICs based …

Mindfulness As A Protective Factor In Women’S Sexual Health, Shana Byerley

Electronic Theses and Dissertations

Many women who experience physical health complaints also report sexual dysfunction across a variety of domains including decreased arousal, desire and satisfaction. Although there are well-established connections between disease-specific populations and sexual dysfunction, less research has focused on women who experience somatic symptoms more broadly. Similarly, mindfulness as a treatment intervention has been applied across many facets of sexual functioning, but mindfulness as a trait characteristic has been less explored in its connections with generalized somatic complaints. Further, the within-domain interactions between facets of mindfulness and domains of sexual dysfunction have not been previously explored. Using data from an online …

Reflecting On Racial Microaggressions: The Impact On Food Consumption In Minority Women, Khadiza Akter

Master's Theses

U.S. laws, policies, and practices have been implemented to reduce forms of overt racism and discrimination. These structural barriers have been effective (e.g., Dovido & Gaertner, 2000; McConahay, 1986; Sue & Sue, 2007). Covert forms of racism, however, including racial microaggressions, are more difficult to address using structural changes and, therefore, continue to thrive (Omi & Winant 1994; Sue et al., 2007). Racist attitudes and discriminatory behaviors are sources of anxiety and stress (Kogan et al., 2014; Pascoe & Richman, 2009) with long-term anxiety and stress leading to elevated risks for mental and …

Do Finances Determine Our Fate?: Understanding The Relationships Between Socioeconomic Status, Inflammation, And Cancer Recurrence Risk, Faith Wilbourne

Master's Theses

Individuals of a low socioeconomic status (SES) are more likely to experience a cancer recurrence relative to individuals with a higher SES. This may be partially explained by the stressors of living with a low SES. These stressors can increase inflammatory markers known to elevate the risk of cancer development. Health-promoting behaviors such as exercise, adequate sleep, and a healthy diet can reduce systemic inflammation. Health behaviors may therefore moderate any potential relationship between SES and cancer recurrence risk. This study explored associations between SES (income, educational attainment) and inflammatory markers related to cancer recurrence while seeking to determine if …

Examination Of Caregiver Supervision Practices And Beliefs Among Caregivers Of Children With Bleeding Disorders, Sophia Noelle Prokos

Dissertations

Abstract: Unintentional injury is the leading cause of death for young children in the United States, and children with chronic medical conditions such as bleeding disorders are at elevated risk for injury and more severe outcomes (Centers for Disease Control and Prevention [CDC], 2021; Mayes et al., 2009; Shen et al., 2016). While caregiver supervision is a known strategy for injury prevention (Damashek & Corlis, 2017; Morrongiello et al., 2011), limited research has examined how supervision beliefs and practices differ for caregivers of children with bleeding disorders. The present study compared caregiver supervision, injury attitudes, and injury history between …

The Influence Of Psychological, Biological, And Social Determinants On Disordered Eating Behaviors Among U.S. Young Adults: Evidence From Nhanes 2015-2018., Samantha Kaye Gerbine

Electronic Theses and Dissertations

Disordered eating behaviors (DEBs) are influenced by biological, social, and psychological factors, yet research often narrowly focuses on White, college-aged women. This study assessed the predictors and prevalence of DEBs in a nationally representative sample of U.S. young adults using data from the 2015–2018 National Health and Nutrition Examination Survey (NHANES). Survey weights were applied to generate national estimates. Descriptive statistics characterized the sample, and logistic regressions tested biological, social, and psychological predictors of DEBs. A composite risk score was developed using variables retained in the final model. The unweighted sample (n = 1,062) represented 64 million U.S. young adults. …

Exploring Rehabilitation Therapists' Knowledge And Perspectives On The Use Of Artificial Intelligence And Machine Learning For Persons Poststroke, Hannah Clark, Mia Delvecchio, Min Hun Lee, Elena D. Brown, Kaia Mikula, Robert Halyama, Kasey Stepansky

Research Collection School Of Computing and Information Systems

Research Objectives: The use of technology such as robotics, gaming systems, self-monitoring apps, or other sensor-based devices in standard practice is infrequent. Due to the rapid development of artificial intelligence (AI) and machine learning (ML) applications, it is important to look at how therapists perceive AI/ML, and design applications with potential barriers in mind. to support future integration into practice. The purpose of this research project is to gain rehabilitation therapists’ perspectives on AI/ML in post-stroke assessment and intervention.Design: This ongoing study uses a mixed methods design with surveys and focus groups. Participants engaged in a 30-minute webinar to learn …

The Acute Effects Of Tetrahydrocannabivarin (Thcv) On Appetite, Caroline M. Sokol

Masters Theses, 2020-current

The purpose of the current study was to assess the acute effects of tetrahydrocannabivarin (THCV) on appetite. Participants (N = 28) experienced 12.5 mg THCV, 25mg THCV, and placebo in counterbalanced order across three, 3-hr experimental sessions. Following baseline procedures, participants consumed THCV or placebo and completed self-report measures every 30 minutes. A series of repeated measures factorial ANOVAs were conducted to examine potential differences in study outcomes across THCV dosing conditions as well as within session (i.e., baseline, every 30 minutes after dosing (5), end of session) with respect to self-reported hunger, mood, and perceived drug effects (e.g., …

I See Sick People: Beliefs About Sensory Detection Of Infectious Disease Are Largely Consistent Across Cultures, Joshua M. Ackerman, Theodore Samore, Daniel M. T. Fessler, Norman P. Li, Et Al

Research Collection School of Social Sciences

Identifying cues to contagious disease is critical for effectively tracking and defending against interpersonal infection threats. People hold lay beliefs about the types of sensory information most relevant for identifying whether others are sick with transmissible illnesses. Are these beliefs universal, or do they vary along cultural and ecological dimensions? Participants in 58 countries (N = 19,217) judged how effective, and how likely they were to use, cues involving each of the five major sensory modalities in an imagined social interaction during a flu outbreak. Belief patterns were strongly consistent across countries (sight > audition > touch > smell > taste), suggesting a largely …

Efficacy Of Digital Mental Health Interventions For Attention-Deficit Hyperactivity Disorder: A Meta-Analytic Review Of Randomised Controlled Trials, K. T. A. Kasturiratna, Andree Hartanto, Angel Khaterina Lee, Charmaine Jiali Koh, Nadyanna M. Majeed

Research Collection School of Social Sciences

Attention-Deficit Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder that significantly impacts various facets of life. While traditional treatments such as medication and behavioural therapy are effective, they often fall short due to limited access and undesirable side effects. In response to these limitations, digital mental health interventions have emerged as a transformative approach in alleviating ADHD symptoms. The current meta-analysis investigates the effectiveness of digital mental health interventions for ADHD synthesising data across 23 randomised controlled trials, with 99 effect sizes across 1,472 participants. Results showed small, significant effects of digital mental health interventions in reducing overall ADHD symptoms …

Understanding The Physical Health Associations Of Intra-Individual Variability In Life Satisfaction Among Older Adults, Frosch Y. X. Quek, Kenneth Tan, David Chan

Research Collection School of Social Sciences

It is well established that inter-individual differences in life satisfaction positively predict health, but it is less clear how intra-individual variability in life satisfaction across time could influence health, particularly across individuals with different satisfaction levels. To address this gap, we analysed a large panel dataset from a national sample of 8,674 older adults, aged 50–70 (M = 59, SD = 5.42) in Singapore who completed surveys over 53 consecutive months. Results from multi-level modelling showed an interaction between variability in life satisfaction and life satisfaction mean on physical health. Specifically, there was no association between variability and health among …

Exploring The Relationship Between Cannabis Use Motives And Readiness To Change Among Young Adult College Students, Emma Kathryn Rawls

Psychology Theses & Dissertations

Cannabis use among young adult college students has risen steadily over the past decade, raising concerns about the associated health, academic, and psychological consequences. While cannabis use motives and readiness to change have each been linked to use patterns and outcomes, limited research has examined how these factors interact. The current study investigated whether readiness to change, based on the Transtheoretical Model (TTM), moderates the relationship between cannabis use motives and cannabis-related consequences as well as past-30-day use frequency. A sample of 100 college students 18-25 years old (M_age = 20.08, SD = 2.12; 67% female; 55.0% Black or …

Drinking To Compensate: Expanding Upon The Motivational Model Of Alcohol Use, Douglas J. Glenn

Psychology Theses & Dissertations

The motivational model of alcohol use identifies four key drinking motives – coping, conformity, social, and enhancement – as important proximal antecedents of problematic drinking. However, applications of this model have been inconsistent in explaining drinking outcomes. Specifically, it is unclear under which conditions each drinking motive can be a risky or benign indicator of drinking behaviors. The current study theorized that a problematic drinking to compensate behavior could emerge across all drinking motives when alcohol is used to counteract a psychosocial (i.e., nondrinking) deficit. It was hypothesized, at the cross-sectional and daily level, that the associations between each drinking …

Translation, Adaptation, And Validation Of Player Experience Of Need Satisfaction Scale (Pens) Modified Version In Malaysian Multiplayer Online Battle Arena (Moba) Players, Soo Ting T'Ng Dr, Khee Hoong Ho, Wen Sam Leong, Poh Chua Siah, Nurul Iman Binti Abdul Jalil, Kee Pau

Makara Human Behavior Studies in Asia

This study aimed to translate, adapt, and validate the modified version of the Player Experience of Need Satisfaction (PENS) for Malaysian Multiplayer Online Battle Arena (MOBA) players. The translation and adaptation process involved a rigorous procedure with nine mental health and linguistic experts. A non-probability sampling method was applied by recruiting 491 participants from the MOBA Facebook groups. The parallel analysis indicated a two-factor structure (autonomy and competence as one factor and relatedness as another factor). Confirmatory factor analysis demonstrated a better model fit for the translated version compared with the original English version, with satisfactory psychometric properties. Future studies …

From Heroic Imagination To Belonging-Focused Healing: A Tribute To Philip Zimbardo, Agnieszka Wilczynska

Heroism Science

This article offers a reflective account of the Polish adaptation of the Heroic Imagination Project (HIP), a global educational initiative founded by Philip Zimbardo to promote everyday heroism through psychological awareness. As HIP took root in Poland, we developed a robust infrastructure of certified trainers, academic collaborators, and educational centers, reaching over 250 schools and 800 educators. Grounded in core psychological principles -- such as the bystander effect, social conformity, and prejudice -- the program empowered participants to resist negative social influences and cultivate moral courage. The experience also gave rise to Belonging Focus Therapy (BFT), a psychobiological and sociocultural …

Computational Thinking As A Novel Framework For Enhancing Cognitive Organization In Older Adults With Cognitive Frailty (Letter To The Editor), Daisuke Akiba

Publications and Research

As aging populations grow, especially in high-income nations, the burden of dementia-related care continues to escalate both economically and socially. In response, this article introduces Computational Thinking (CT) as a novel, non-pharmacological framework to support cognitive organization in older adults experiencing cognitive frailty. Though CT has gained traction in fields like PK-16 education, including special education, for enhancing executive function and problem-solving, it has not yet been applied to geriatric- or memory-care contexts. This perspective proposes that CT’s core components (i.e., decomposition, pattern recognition, abstraction, and algorithmic thinking) may align with residual cognitive strengths in mild-to-moderate dementia, offering a strengths-based, …

Exploring Buffering Effects Of Interpersonal Relationships On The Impacts Of Stress On Physical Health, Hadley Freedman, Sophie Forcier, Emma Slatnick, Keely Wright, Kevin M. Summers, Sarah Huff

DU Undergraduate Research Journal Archive

We examined the potential moderating effects of interpersonal relationships on the association between stress and physical health. We hypothesized that there would be a significant main effect of stress on physical health, a significant main effect of relationships on physical health, and a significant interaction between stress and relationship quality on physical health, such that quality relationships provide a buffering effect, reducing the negative impacts of stress on physical health. Data was collected through a self-report Qualtrics survey on CloudResearch. We found a significant main effect of stress on physical health and a significant main effect of relationship quality on …

Exploring Relationships Between Racial Bias, State Empathy, And Perceived Recovery Time Following A Medical Hardship, Kabe Aberle, Lydia Gengler, Madelyn Kavalieros, Brookelyn Mayfield, Kevin M. Summers, Sarah Huff

DU Undergraduate Research Journal Archive

This experiment investigated whether racial biases exist in laypeople's perceptions of recovery time following a common, medically-related hardship and whether these biases can be explained by differential empathy across race. White participants (n=133) read a vignette describing either a White or Black target who experienced a minor car accident. They then rated the amount of time they felt was reasonable for the target to take off from work and normal activities and how much time it would take to recover physically and mentally. Participants also completed measures of state empathy toward the target and their sleep quality. Results …

A Systematic Review Of Flotation-Restricted Environmental Stimulation Therapy (Rest), Elnaz Lashgari, Emma Chen, Jackson Gregory, Uri Maoz

Psychology Faculty Articles and Research

Background

Restricted Environmental Stimulation Therapy (REST) is a therapeutic technique that involves immersing an individual in an environment with minimal sensory input or stimulation. The goal of REST is to induce a state of relaxation that is deeper than what can be achieved through other forms of relaxation techniques. Research suggests that REST can help reduce anxiety, alleviate chronic pain, improve sleep, and enhance creativity and cognitive function. Flotation-REST is a popular type of REST that utilizes an enclosed tank filled with buoyant saltwater to facilitate relaxation. This study aimed to synthesize the evidence on studies that investigate the effects …

Spiritual Practices In Survivor Care: A Qualitative Analysis Of Christian Faith-Based Shelters And Survivor Well-Being, Jeanne L. Allert

Dignity: A Journal of Analysis of Exploitation and Violence

Christian faith-based organizations constituted a significant proportion of shelter programs for survivors of sex trafficking in the United States, with an estimated 63% identifying as Christian-affiliated (Institute for Survivor Care, 2024). Despite their prevalence, such programs often elicited skepticism due to the rise of secularism (Pew Research, 2022) and concerns that spiritual programming might retraumatize survivors (Ahrens et al., 2010; Hodge, 2020). However, Ahrens et al. (2010) and Hodge (2020) also found that religious practices can be helpful. This qualitative study employed a trauma-informed, descriptive survey design to explore the experiences of 158 trafficking survivors, who had either resided in …