Health Psychology Commons^™

Collaborative Treatment Of Late-Life Depression In Primary Care (Germanimpact): Study Protocol Of A Cluster-Randomized Controlled Trial, Iris Wernher, Frederike Bjerregaard, Iris Tinsel, Christiane Bleich, Sigrid Boczor, Thomas Kloppe, Martin Scherer, Martin Härter, Wilhelm Niebling, Hans-Helmut König, Michael Hüll

Institute on Aging Publications

Background: Depression is not a normal side effect of aging, however it is one of the most prevalent mental health issues in later life, imposing a tremendous burden on patients, their families, and the healthcare system. We describe the experimental implementation of a collaborative, stepped-care model for the treatment of late-life depression (GermanIMPACT trial) in the German primary care context. GermanIMPACT was developed as an adaptation of a successful and widely used American model. The aim of the study is to evaluate the model’s applicability to the German primary care setting and its cost-effectiveness.

Methods/Design: The study will be conducted …

Concussion Guidelines Step 1: Systematic Review Of Prevalent Indicators, Nancy Carney, Jamshid Ghajar, Andy Jagoda, Steven Bedrick, Cynthia Davis-O'Reilly, Hugo Du Coudray, Dallas Hack, Nora Helfand, Amy Huddleston, Tracie Nettleton, Riggio Silvana

Psychology Faculty Publications and Presentations

BACKGROUND: Currently, there is no evidence-based definition for concussion that is being uniformly applied in clinical and research settings.

OBJECTIVE: To conduct a systematic review of the highest-quality literature about concussion and to assemble evidence about the prevalence and associations of key indicators of concussion. The goal was to establish an evidence-based foundation from which to derive, in future work, a definition, diagnostic criteria, and prognostic indicators for concussion.

METHODS: Key questions were developed, and an electronic literature search from 1980 to 2012 was conducted to acquire evidence about the prevalence of and associations among signs, symptoms, and neurologic and …

Possible Psychological Effects Of Ultrasound Scanning On Women, Hang Wu

Journal of Undergraduate Research at Minnesota State University, Mankato

Questionnaires were designed and given to 30 female subjects to investigate the possible psychological effects caused by the use of ultrasound scanning. The answers were analyzed in a numerical way and correlation tests were run to explore the relations among various factors. No significant correlation was found between any pair of the four selected factors. Further interviews with the subjects and detailed qualitative study of the answers provided answers for the results, and suggested that the possible psychological effects introduced by the ultrasound scanning, if any, were very limited.

Using Social Cognitive Theory To Predict Behavior, Gretchen Walker, Amy Posner

Journal of Undergraduate Research at Minnesota State University, Mankato

The purpose of this study was to test a theoretical model where self-efficacy is hypothesized to influence people’s behavioral intentions directly and indirectly through effects on outcome expectancy. Data on self-efficacy, outcome expectancy, and intention to jog two consecutive miles were collected from 115 college students enrolled in general education classes. As anticipated, path analyses indicated that efficacy had both a direct impact on intention and an indirect impact through its effects on outcome expectancy. The more efficacious people were, the more positive the outcomes they associated with jogging and the surer they were they would jog. The model tested …

Correlation Between Health And Stress, Hang Wu

Journal of Undergraduate Research at Minnesota State University, Mankato

This study examined participants’ level of stress and their perceived level of stress and success in school. The subjects were given the stress questionnaire in order to determine the level of stress they were experiencing and the frequency of health issues experienced during the previous year. The results of the study suggest that although level of stress may be similar between individuals, how they perceived the stress impacted their health level. Students who perceived the stress in a negative fashion were more likely to be sick than individuals who were less impacted by the stress. By identifying the correlation between …

At Risk For Ptsd: The Public Health Implications Of Trauma, Madeline Peyton

Master's Projects and Capstones

The fieldwork experience is the summation of six semesters of graduate level public health training. At commencement, students are to be proficient in basic data analysis and epidemiological principles, in how environmental risks impact health, and demonstrate strong program planning, evaluation and leadership skills. Throughout, students are encouraged to focus their academic work on an area of public health that interest them and on a problem that they hope to impact in their professional work. I continued in an area I began as an undergraduate student of medical anthropology and explored the systems that interact to influence mental health of …

The Impact Of Weather Conditions On Mood Variability In Geographically Relocated Versus Non-Relocated Individuals, Jamie M. Scott

Journal of Undergraduate Research at Minnesota State University, Mankato

A void exists in the literature in regards to how identical weather conditions impact individuals from different geographic locations. It is believed relocated individuals are more susceptible to fluctuations in mood stemming from novel weather conditions than indigenous individuals. The sample consisted of 70 life-long Minnesota residents and 25 individuals who have spent minimum of one year living outside of Minnesota. Participants completed a mood self-report measure online for four consecutive weeks to determine positive and negative affect levels. Data was then matched with corresponding weather data for the same time period. No support was found for the hypothesis. However, …

Utilizing Emotionally Responsive Virtual Human Role-Play Simulations To Train Users To Identify, Talk To And Refer Students In Psychological Distress Including Those At-Risk For Suicide: A Meta-Analysis, Glenn Albright, Jesse Davidson, Ron Goldman, Kristen Shockley, Sue Eastgard, Joy Himmel

Publications and Research

Background: The American College Health Association found that over 30% of students reported difficulty in functioning due to feeling depressed, overwhelming anxiety (50%) and anger (36%). Suicide is the second leading cause of death among US adolescents and over half of mental illnesses emerge prior to adulthood. A similar study found that nearly half of student veterans met criteria for Post Traumatic Stress Disorder and 46% had suicidal ideation. Left untreated, mental illness can lead to increased absenteeism, lower academic performance, disrupted classroom behaviors and compromises school safety. Educators and students are well positioned to identify and refer students in …

Hair Cortisol As A Biomarker Of Stress In Mindfulness Training For Smokers., Simon B Goldberg, Alison R Manley, Stevens S Smith, Jeffrey M Greeson, Evan Russell, Stan Van Uum, Gideon Koren, James M Davis

College of Science & Mathematics Departmental Research

OBJECTIVES: Stress is a well-known predictor of smoking relapse, and cortisol is a primary biomarker of stress. The current pilot study examined changes in levels of cortisol in hair within the context of two time-intensity matched behavioral smoking cessation treatments: mindfulness training for smokers and a cognitive-behavioral comparison group.

PARTICIPANTS: Eighteen participants were recruited from a larger randomized controlled trial of smoking cessation.

OUTCOME MEASURES: Hair samples (3 cm) were obtained 1 month after quit attempt, allowing for a retrospective analysis of hair cortisol at preintervention and post-quit attempt time periods. Self-reported negative affect was also assessed before and after …

Objective Measures And Insight Assessments Of Muscle Dysmorphia, Austin Blake Lowe

Masters Theses & Specialist Projects

Muscle dysmorphia is a relatively new psychological disorder primarily affecting males who engage in weightlifting or bodybuilding. Individuals with this disorder are obsessed with the idea that their body is not sufficiently lean or muscular when compared to others and engage in several, risky behaviors (i.e., frequent exercise sessions, anabolic steroid use, structured diets) to increase muscularity. As obtaining and maintaining a muscular physique is so important to his or her self-worth, an individual may have little insight to how their behaviors are affecting their social and occupational lives and are reluctant to seek out psychological treatment. The purpose of …

Masculinity, Male Empowerment, And Hiv/Aids Risk In Caprivi, Namibia, Mark Perry

Dissertations and Theses (Open Access)

Namibia has a generalized HIV epidemic, with 13% of adults being infected. Its East Caprivi Region has the highest prenatal HIV prevalence in the country, 21%, among girls and women aged 15-24 years. In recent years, researchers have pointed to men who express their masculinity through high-risk sex as driving the epidemic in East Caprivi. This exploratory study examined the role that men and their masculinity concepts played in transmission, how those concepts were evolving over time, what was influencing the change, and in which directions. Employing grounded theory methods and guided by Robert Connell's theoretical framework on masculinities, the …

Do Social Control Motives Combine With Perceptions Of Social Support To Predict Relationships Between Interpersonal Stress And Blood Pressure In The Normal Environment?, Gavin James Elder

Dissertations - ALL

Social support is related to lower risk for cardiovascular disease development. Yet, research has failed to yield consistent evidence for psychological mechanisms of relationships between social support and health outcomes. Explanations for these failures include limitations of research design and statistical analysis, inadequate theory-building, and a failure to investigate implicit psychological processes that operate during normal everyday social interactions. The present study utilized a promising theoretical framework (i.e., social action theory) to evaluate implicit mechanisms within a naturalistic observation study design using multilevel modeling. The primary aims of this study were to evaluate the role of between-person differences in agonistic …

Basic Psychological Needs, Suicidal Ideation, And Risk For Suicidal Behavior In Young Adults, Peter C. Britton, Kimberly A. Van Orden, Jameson K. Hirsch, Geoffrey C. Williams

ETSU Faculty Works

Associations between the satisfaction of basic psychological needs of autonomy, competence, and relatedness with current suicidal ideation and risk for suicidal behavior were examined. Two logistic regressions were conducted with a cross-sectional database of 440 university students to examine the association of need satisfaction with suicidal ideation and risk for suicidal behavior, while controlling for demographics and depressive symptoms. Suicidal ideation was reported by 15% of participants and 18% were found to be at risk for suicidal behavior. A one standard deviation increase in need satisfaction reduced the odds of suicidal ideation by 53%, OR (95% CI) = 0.47 (0.33–0.67), …

A Comparison Of Descriptive And Injunctive Norms Brief Interventions For College Drinkers, Mark A. Prince

Dissertations - ALL

College drinking remains a major public health concern. One contributing factor is the overestimation by college students of their peers' alcohol use (DN: descriptive norm) and their peers' acceptability of excessive drinking (IN: injunctive norm). Normative re-education interventions have traditionally focused on changing descriptive norms even though the Theory of Normative Conduct identifies both DN and IN as beliefs that motivate behavior. The current study developed a brief, manualized, personalized, IN intervention, delivered face-to-face, in a Motivational Interviewing style that can be used as a stand alone treatment or added to existing descriptive norms interventions. This randomized controlled trial compared …

Development Of A Short Version Of The Modified Yale Preoperative Anxiety Scale, Brooke N. Jenkins, Michelle Fortier, Sherrie H. Kaplan, Linda C. Mayes, Zeev N. Kain

Psychology Faculty Articles and Research

BACKGROUND: The modified Yale Preoperative Anxiety Scale (mYPAS) is the current “criterion standard” for assessing child anxiety during induction of anesthesia and has been used in >100 studies. This observational instrument covers 5 items and is typically administered at 4 perioperative time points. Application of this complex instrument in busy operating room (OR) settings, however, presents a challenge. In this investigation, we examined whether the instrument could be modified and made easier to use in OR settings.

METHODS: This study used qualitative methods, principal component analyses, Cronbach αs, and effect sizes to create the mYPAS-Short Form (mYPAS-SF) and reduce time …

Emerging From The Shadows: Civil War, Human Rights, And Peacebuilding Among Peasants And Indigenous Peoples In Colombia And Peru In The Late 20th And Early 21st Centuries, Charles A. Flowerday

Department of Anthropology: Theses and Student Research

Peacebuilding in Colombia and Peru following their late-20^th and early 21^st century civil wars is a challenging proposition. In this study, it becomes necessary as indigenous peoples and peasants resist domination by extractive industries and governments in their thrall. Whether they protest nonviolently or rebel in arms, they are targeted for human-rights violations, especially murder, disappearance and displacement. The armed actors, state, insurgency, paramilitaries or drug traffickers, destroy civic institutions (local or regional government) and the civil (nonprofit) sector and replace them with their own authoritarian versions. Therefore, peacebuilding has emphasized rebuilding civic institutions, civil society and local …

Practicing Patienthood Online: Social Media, Chronic Illness, And Lay Expertise, Collette Sosnowy

Publications and Research

The use of digital technologies and social media by people with serious illness to find, share, and create health information is much celebrated but rarely critiqued. Proponents laud “Health 2.0” as transforming health care practice and empowering patients. Critics, however, argue that a discourse of developing lay expertise online masks the disciplinary practices of the neoliberal state’s emphasis on individual responsibility. Notably, the perspectives of people who are engaging with social media related to their health and illness are under-represented in this debate. This research examines the experiences and perspectives of women who blog about their lives with Multiple Sclerosis …

Reducing Stigma Toward The Transgender Community: An Evaluation Of A Humanizing And Perspective-Taking Intervention, Tanya L. Tompkins, Kay Livesay, Chloe N. Shields, Caitlyn C. Talbot, Kimberly M. Hillman

Faculty Presentations

Transgender (TG) individuals are an understudied group at high risk of experiencing discrimination and associated adverse mental health outcomes (IOM, 2011). Although many studies demonstrate that contact reduces negative attitudes toward out-groups, few studies have examined the link between contact and attitudes toward the TG community (Hill & Willoughby, 2005; Walchet al., 2012). This study represents one of the first attempts to understand how to effectively reduce stigma toward the TG community. Results indicate that education alone is not enough to change attitudes; in fact, there is some evidence that associating transgenderism with psychopathology may heighten stigma. Consistent with prior …

Dental Anxiety: Personal And Media Influences On The Perception Of Dentistry, Jacqueline Glazman

Honors College Theses

Dental anxiety is a condition that plagues millions of individuals worldwide. The cause of anxiety can arise from an array of negative experiences related to dentistry. Additionally, the media’s persistent deleterious portrayal of dentistry affects the public’s fears and skews the people’s general perception of how dentists really are. Nevertheless, people continue to seek dental care for medial and cosmetic purposes, despite major challenges in the healthcare systems. This study aimed to understand whether negative images of dentists would influence how anxious a sample of undergraduate students felt about various dental procedures. The study also asked participants to express their …

Family Criticism And Depressive Symptoms In Older Adult Primary Care Patients: Optimism And Pessimism As Moderators, Jameson K. Hirsch, Kristin L. Walker, Ross B. Wilkinson, Jeffrey M. Lyness

ETSU Faculty Works

Objective: Depression is a significant global public health burden, and older adults may be particularly vulnerable to its effects. Among other risk factors, interpersonal conflicts, such as perceived criticism from family members, can increase risk for depressive symptoms in this population. We examined family criticism as a predictor of depressive symptoms and the potential moderating effect of optimism and pessimism.

Methods: One hundred five older adult, primary care patients completed self-report measures of family criticism, optimism and pessimism, and symptoms of depression. We hypothesized that optimism and pessimism would moderate the relationship between family criticism and depressive symptoms.

Results: In …