Diabetes-Related Distress Screening: A Survey Of Primary Care Providers' Knowledge, Attitudes, And Practices In Treating Patients With Difficulty Meeting Glycemic Goals., Michele Patrice Paxton

DNP Projects

A patient with diabetes is two to three times more likely to be depressed than the general population. Furthermore, the combination of diabetes and depression is associated with increased morbidity and mortality. However, research has shown that treatment for depression does not correlate with lower HbA1c levels or a decrease in morbidity and mortality. Recently, a body of evidence has shown that increased HbA1c levels and depression are associated with the emotional burden of managing diabetes. The emotional burden is caused by the constant behavioral and mental demands of managing the disease and the worry and fear of the impending …

Burnout Research: Eyes Wide Shut, Irvin Sam Schonfeld, Eric Laurent, Renzo Bianchi

Publications and Research

In a study published in a recent issue of Critical Care Medicine, Colville and Smith (2017) found modest overlap between burnout and depression and assumed that burnout and depression are distinct entities. For four reasons, we think that the study is seriously flawed. First, Colville and Smith assessed burnout symptoms with an abbreviated version of the Maslach Burnout Inventory (MBI), the psychometric properties of which are unclear. Second, they used clinically and theoretically arbitrary cutoff scores for categorizing burnout, a modus operandi that, unfortunately, has become commonplace in studies of medical professionals. Third, participants could be categorized as “burned out” …

Computational Model For Behavior Shaping As An Adaptive Health Intervention Strategy, Vincent Berardi, Ricardo Carretero-González, Neil E. Klepeis, Sahar Ghanipoor Machiani, Arash Jahangiri, John Bellettiere, Melbourne Hovell

Psychology Faculty Articles and Research

Adaptive behavioral interventions that automatically adjust in real-time to participants’ changing behavior, environmental contexts, and individual history are becoming more feasible as the use of real-time sensing technology expands. This development is expected to improve shortcomings associated with traditional behavioral interventions, such as the reliance on imprecise intervention procedures and limited/short-lived effects. JITAI adaptation strategies often lack a theoretical foundation. Increasing the theoretical fidelity of a trial has been shown to increase effectiveness. This research explores the use of shaping, a well-known process from behavioral theory for engendering or maintaining a target behavior, as a JITAI adaptation strategy. A computational …

Exploring Research-Based Yoga Interventions Targeting Underserved Women And Sexual Trauma: A Descriptive Study, Shannon Steele

Graduate Student Theses, Dissertations, & Professional Papers

BACKGROUND

Racial/ethnic, minority women of low socioeconomic status are disproportionately affected by sexual assault and are more likely to develop PTSD. Women’s social, economic and environmental circumstance may contribute to this disadvantage. Yoga has shown to reduce symptoms of PTSD in underserved women. However, it is unknown whether yoga interventions for underserved women who have experienced sexual trauma in the research literature are theory-based and whether constructs are consistent across interventions. Furthermore, it is unknown whether existing trauma-based yoga training programs incorporate similar constructs found in yoga interventions for underserved women who have experienced sexual trauma.

METHODS

A descriptive research …

The Association Between Distress And Both Social Support And Social Constraint In Recently Diagnosed Cancer Survivors: A Daily Assessment Study, Jessica Rivera-Rivera

Theses and Dissertations--Psychology

This study evaluated two distinct aspects of social functioning (specifically, social support and social constraint) in an attempt to increase understanding of its bidirectional relationship with distress after cancer diagnosis. Participants in this intensive longitudinal study were all recently diagnosed, first primary cervical or head/neck cancer survivors (n=47). Data collection involved a comprehensive baseline assessment and 30-day period of daily assessment (n=37) of key variables (i.e., social support, social constraint, and distress). Data were analyzed using unconditional and conditional multilevel linear models. None of the variables changed significantly over the 30-day period. On a typical day, …

The Role Of Diaphragmatic Breathing In Self-Regulation Skills Training, Matthew E. B. Russell

Theses and Dissertations--Psychology

A central component of many psychological interventions is breathing training. Breathing training protocols based on a mindfulness or a cognitive behavioral therapy (CBT) have demonstrated value in the management of psychological and medical ailments. Yet, despite the wealth of literature examining each approach, little direct comparison exists. An additional concern is the proliferation of smart phone health (mHealth) applications (apps) providing breathing training with little empirical evidence to support their clinical use. A possible explanation for the interest in breathing and mHealth apps is the growing body of literature indicating breathing training provides wide ranging health benefits through improved stasis …

Causal Attributions And Smoking Behaviors In Cervical Cancer Survivors: A Mixed-Methods Pilot Study, Gabriella E. Puleo

Theses and Dissertations--Psychology

This cross-sectional, mixed-methods study examined the nature of, and association between, causal attributions and current smoking behavior in cervical cancer survivors who were smokers at cancer diagnosis (n=50). As a whole, participants’ beliefs about smoking as a risk factor or cause of cervical cancer in general (i.e., global attribution) and/or their own cervical cancer (i.e., personal attribution) reflected far greater endorsement of global than personal attributions. Data collection involved a quantitative survey and an optional semi-structured interview to assess key variables (i.e., smoking behavior and causal attributions). Data were analyzed via descriptive statistics and inferential tests, all of …

Food For Thought: The Effects Of Past And Present Food Insecurity On Subjective Well-Being And Child Behavior, Jena C. Styka

Senior Independent Study Theses

Food insecurity arises when one does not have physical, social, or economic access to safe, sufficient, and nutritious food. According to the United States Department of Agriculture (2016), food insecurity affects 15.6 million U.S. households. Its effects go beyond the physical consequences that might arise from not having adequate nutrition, influencing subjective well-being and behavior in both adults and children. This 2 x 2 quasi-experiment investigated how current and prior food insecurity influenced depression, anxiety, stress, life satisfaction, and happiness in parents, as well as how it influenced child behavior. Results indicated that prior experiences of food insecurity resulted in …

Stigma And Its Reduction: The Role Of Knowledge, Causal Attribution, And Mental Disorder Type, Jesica N. Ferguson

Undergraduate Honors Thesis Projects

Abstract

Research has shown undeniable evidence of mental illness stigma. Stigma has been shown to reduce treatment seeking and negatively impact emotion and cognition in individuals with mental illness (Livingstone & Boyd, 2010). By discovering the driving forces behind stigma, treatment seeking and quality of life can be improved for individuals with mental illness. This study investigates the effect of knowledge, disorder type, and causal attribution on mental illness stigma. Specifically, participants were assigned to one of two conditions, knowledge or no knowledge. Knowledge conditions included information about a disorder (schizophrenia or depression, depending on disorder condition) such as definition, …

Investigating Racial Bias In Perceptions Of Free Will, Courtney J. Alderson

Theses and Dissertations

The overarching goal of this study was to examine whether perceptions of others’ free will would differ depending on perceiver race as well as target race. The current study proposed that such a racial bias may be one mechanism by which racial disparities in medical treatment recommendations arise. By bridging findings from four different lines of research (i.e., the literatures on racial health and medical treatment disparities, racial bias, free will beliefs, and social identity), it was hypothesized that: (1) participants would perceive greater amounts of free will for a hypothetical racial ingroup patient than an outgroup patient; (2) such …

A Stakeholder Examination Of Gestational Weight Gain Guidelines, Melissa Kwitowski

Theses and Dissertations

Obesity is a significant health concern for women of childbearing age. More than 40% of women have a Body Mass Index (BMI) in the overweight or obese ranges at the time they conceive, posing significant health risks for both mother and child. Excessive weight gain during pregnancy is common and associated with numerous deleterious complications. The Institute of Medicine published gestational weight gain (GWG) guidelines based on prepregnancy BMI. However, more than 50% of women gain in excess of these recommendations. Further, many women report receiving minimal guidance from their healthcare providers regarding weight gain, nutrition, and physical activity during …

Queer Health Equity And Cervical Cancer: Identifying Social Determinants Of Papanicolaou Test Uptake In A Sample Of Sexual Minority Women And Gender Nonbinary Individuals, Ariella R. Tabaac

Theses and Dissertations

Sexual minority women (SMW) demonstrate lower rates of cervical cancer screening than heterosexual women. This is concerning as lesbian and bisexual women tend to engage in higher rates of substance-related cancer risk behaviors, unprotected sex, and tend to have higher body mass indices, all of which are risk factors for cancer development. Another major risk factor, screening avoidance, places SMW at increased risk for the development of high grade cervical lesions in the absence of early detection practices, which is likely to impact overall cervical cancer morbidity in this population. The aim of the present study was to utilize the …

A Laboratory Study Of Stress Reactions To Witnessing A Police Killing Of An Unarmed Black Man: Discrimination, Distress Tolerance, Ethnic Identity, And Risk-Taking, Michael A. Trujillo

Theses and Dissertations

Black individuals have been disproportionately targeted by law enforcement, most notably in shooting deaths at the hands of police, and has contributed to a general distrust of law enforcement. A rise in citizen journalism has helped document excessive use of force by police on video; however, little is known how individuals respond to viewing this type of media. A history of race-based stress is likely to contribute to an expectation of racism and may impact how individuals respond to videos of the treatment of unarmed Black men at the hands of police, with some evidence suggesting ethnic identity may moderate …

Abuse Liability Of An Electronic Cigarette In Traditional Cigarette Smokers, Sarah F. Maloney

Theses and Dissertations

Electronic cigarettes have grown in popularity across the U.S. and concerns have been raised about their abuse liability. The purpose of the current study was to evaluate and compare the abuse liability of an electronic cigarette with and without nicotine to a nicotine inhaler (the Nicotrol inhaler) and participants’ own brand of cigarettes. A total of 24 smokers attended four sessions in which the abuse liability of each product was examined using the Multiple-Choice Procedure (MCP), nicotine delivery, nicotine abstinence symptom suppression, and subjective reinforcing effects. Results revealed that the nicotine containing and non-nicotine containing electronic cigarette had a higher …

Perceptions Of Obese African American Women Regarding Altering Traditional Soul Food Preparation, Patricia Young

Journal of Social, Behavioral, and Health Sciences

The obesity epidemic continues to be a major concern in the United States. The World Health Organization reported that 1.4 billion adults were either obese or overweight African American (AA) women have the highest incidence of obesity worldwide. A qualitative descriptive study was used to explore the perceptions of obese AA women about altering how they prepare soul food to make it healthier. The empowerment model and the health belief model were used to frame this study. Data were collected using a nonprobability purposeful sampling strategy. The sample for this study consisted of four focus groups with six to seven …

Expressions Of Optimism Bias And "Self" Versus "Other" Perceived Controllability In The Context Of Military-Related Risks, Lauren Lachica-Muschett

College of Graduate Studies: Theses & Dissertations

This study aimed to examine expressions of optimism bias and perceived controllability specifically regarding risks often associated with military service. Optimism bias refers to people’s tendency to believe they are less susceptible to experiencing negative life events compared to others. Previous studies show high levels of optimism bias are associated with strong perceptions of personal controllability. Optimism bias is a significant aspect of health promotion research particularly in the field of general occupational health and safety (OHS). However, optimism bias has never been investigated in the military OHS domain. Given the number of risks associated with military occupations, examination of …

The Role Of Psychosocial Factors In The Non-Medical Use Of Prescription Stimulants Among Undergraduate Greek-Life Members, Kathleen May

College of Graduate Studies: Theses & Dissertations

The non-medical use of prescription stimulants (NMUPS) is a growing concern across U.S. college campuses. Amphetamine misuse increased from 7.7% to 11.1% among undergraduate students over the past decade. Research has identified Greek-life members are twice as likely to report NMUPS in comparison to non-Greek-life members; however, little is known about social and psychological factors contributing to this discrepancy. While researchers have identified specific personality characteristics significantly correlated with higher levels of reported NMUPS, including sensation seeking and internal restlessness, currently little is known about social factors related to NMUPS. It is important to examine psychosocial variables motivating NMUPS in …

Perceptions And Attitudes Of Healthcare Students Towards Marijuana, Carrie Crosby

EWU Masters Thesis Collection

Perceptions of marijuana were studied in healthcare students at EWU. It was found that most students had an average self-reported knowledge of marijuana use. Marijuana comes in several forms such as, edibles, smoked, patches, and lotions. With its recent legalization in Washington State, sales tax alone has accumulated $400 million dollars in the past 3 years. With this increase in use an examination of healthcare students was warranted. Most students also felt there was a need for more education on marijuana and that their current knowledge level was not enough to be competent when talking with patients about use. Overall, …

Women’S Subjective Experiences Of Living With Vulvodynia: A Systematic Review And Meta-Ethnography, Rebekah Shallcross, Joanne M. Dickson, David Nunns, Catharine Mackenzie, Gundi Kiemle

Research outputs 2014 to 2021

Vulvodynia, the experience of an idiopathic pain in the form of burning, soreness, or throbbing in the vulval area, affects around 4–16% of the population. The current review used systematic search strategies and meta-ethnography as a means of identifying, analyzing, and synthesizing the existing literature pertaining to women’s subjective experiences of living with vulvodynia. Four key concepts were identified: (1) Social Constructions: Sex, Women, and Femininity: Women experienced negative consequences of social narratives around womanhood, sexuality, and femininity, including the prioritization of penetrative sex, the belief that it is the role of women to provide sex for men, and media …

Burnout Syndrome And Depression, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

In this chapter, we proposed an overview of burnout, from the introduction of the construct in the mid-1970s to the growing realization that the syndrome was better conceived of as a depressive condition. Recent studies have shown that the distinction between burnout and depression is problematic, both theoretically and empirically. The history of burnout research suggests that transdisciplinary communication and methodological standards should be strengthened to avoid the proliferation of constructs that, in fact, refer to the same phenomena. Construct proliferation, a transgression of the scientific canon of parsimony, is considered a major problem today because it undermines theory building …