Health Psychology Commons^™

Osteopathic Medical Student Knowledge Of And Attitudes Toward Chronic Pain, Amelia Grace Gradwell

PCOM Psychology Dissertations

Chronic pain is a prevalent presenting problem for patients in medical settings, yet how physician knowledge and attitudes about those with chronic pain may influence the treatment of this condition is not fully understood. The purpose of this study was to evaluate the knowledge and attitudes of osteopathic medical students about pain management, with particular emphasis on chronic pain, in an effort to address the lack of chronic pain research currently available. A review of current literature, including an overview of chronic pain, is included. This study used original data, collected from first and fourth year D.O. students at a …

Motivational Interviewing With Individuals In Recovery: Effects On Hope, Meaning, Empowerment And Service Participation, Scott D. Glassman

PCOM Psychology Dissertations

Service engagement continues to challenge providers working with individuals with serious mental illness and substance abuse disorders. Motivational Interviewing (MI), an intervention aligned with recovery-oriented principles in its emphasis on empathy, empowerment, and self-directed change, directly addresses this problem. Its effects on service engagement, however, have been inconsistent with dually diagnosed populations. To explore underlying processes that may influence engagement, the present mixed methods, single case experiment studied the effects of MI on key recovery constructs: hope, meaning, and empowerment. Participants were 6 consumers enrolled in an intensive outpatient program for co-occurring disorders. Results showed statistically significant increases for half …

The Association Between Optimism And Serum Antioxidants In The Midlife In The United States Study, Julia K. Boehm, David R. Williams, Eric B. Rimm, Carol Ryff, Laura D. Kubzansky

Psychology Faculty Articles and Research

Objective Psychological and physical health are often conceptualized as the absence of disease, but less research addresses positive psychological and physical functioning. For example, optimism has been linked with reduced disease risk and biological dysfunction, but very little research has examined associations with markers of healthy biological functioning. Thus, we investigated the association between two indicators of positive health: optimism and serum antioxidants.

Methods The cross-sectional association between optimism and antioxidant concentrations was examined in 982 men and women from the Midlife in the United States study. Primary measures included self-reported optimism (assessed with the revised Life Orientation Test) and …

Ovarian Cancer Screening As A Teachable Moment For Health Behavior Change: Determining The Role Of Positive Affect And Self-Efficacy, Rachel F. Steffens

Theses and Dissertations--Psychology

In medical settings, a teachable moment (TM) has been described as an event which may lead to psychological changes prompting individuals to engage in health promoting behaviors. A cancer screening (CS) has been suggested as a potential TM because several types of positive health behavior change (HBC), ranging from dietary changes to smoking cessation, have been linked to CS. However, most research has examined the TM in CS settings using cross-sectional and prospective methodologies and has lacked a theory-driven model. Moreover, few intervention studies have attempted to capitalize on the potential TM in CS settings. In light of this, the …

Forgiveness, Mental Health, And Adult Children Of Alcoholics., Khia L. Sams

Undergraduate Honors Theses

Research has shown that spirituality can play a role in addiction and recovery. However, little work in this area has focused on adults who have grown up with parents who have had alcohol and/or drug problems. Cross-sectional data was collected from college students from a regional university in southern Appalachia. Multiple dimensions and aspects of forgiveness and mental health were examined among undergraduates, including differences based upon participants’ likelihood of being an adult child of an alcoholic (ACOA). Individuals likely to be an ACOA had poorer levels of the forgiveness and mental health related variables. Among ACOAs forgiveness of others …

A Practical Scale For Multi-Faceted Organizational Health Climate Assessment, Zandra M. Zweber

Master's Theses

The current study sought to develop a practical scale to measure workplace health climate in a way that has not previously been conceptualized – as a three-faceted approach from the employee perspective serving as an indicator of a healthy organization. The goal was to create a short, useable yet comprehensive scale that could translate into practical use by organizations and occupational health professionals planning workplace interventions. To accomplish this, the proposed multi-faceted organizational health climate scale (MOHCA) assesses three-facets which match up with three organizational levels: 1) organization 2) supervisor and 3) workgroup. Ten items were developed and tested on …

The Relationship Between Eating Disorder Symptomology, Critical Body Comments, And Memory Recall, Morgan Littrell

Masters Theses & Specialist Projects

Previous research done in the area of eating disorders suggests many different variables, such as cognitive, biological, and social, that are thought to influence eating disorder development and maintenance. The present study attempts to combine cognitive and sociocultural research findings, memory recall and critical body comments, in an effort to see how, if at all, these two variables affect eating disorder symptomology. Participants for this study were 120 female students that were recruited via Study Board. Participants completed the demographics form, the Eating Disorder Inventory-3 RF, and the Social Hassles Questionnaire. The participants then watched an E-prime presentation of different …

Increasing Positive Interactions Between Staff And Individuals With Disabilities: The Impact Of Training On Acquisition And Maintenance, Kimberly Anne Martell

Dissertations

The primary purpose of the present study was to evaluate the use of direct training to increase the rate of positive interactions between direct care staff (DCS) and individuals with developmental disabilities who reside in intermediate care facilities. Specifically, this study evaluated whether real-time prompts delivered via a one-way radio would result in immediate and sustained increases in rates of DCS positive interactions. Additionally, this study evaluated the link between increased rates of DCS positive interactions and concomitant decreases in residents’ challenging behaviors. A multiple baseline design across participants was implemented to assess DCS rates of positive and negative interactions. …

The Effect Of Weight Loss On Changes In Health-Related Quality Of Life Among Overweight And Obese Women With Urinary Incontinence, Angela Marinilli Pinto, Leslee L. Subak, Sanae Nakagawa, Eric Vittinghoff, Rena R. Wing, John W. Kusek, William H. Herman, Delia Smith West, Miriam Kuppermann

Publications and Research

OBJECTIVE: To estimate the effect of change in weight and change in urinary incontinence (UI) frequency on changes in preference-based measures of health-related quality of life (HRQL) among overweight and obese women with UI participating in a weight loss trial.

METHODS: We conducted a longitudinal cohort analysis of 338 overweight and obese women with UI enrolled in a randomized clinical trial comparing a behavioral weight loss intervention to an educational control condition. At baseline, 6, and 18 months, health utilities were estimated using the Health Utilities Index Mark 3 (HUI3), a transformation of the SF-36 to the preference-based SF-6D, and …

Identifying Barriers To Adherence For Hiv+ Patients Placed On Renal Dosing, Richard S. Colon Jr

Master's Theses

No abstract provided.

Development Of The Posttraumatic Stress Symptoms -- Childhood Obesity Model, Kristi Wilsman

Masters Theses & Specialist Projects

This project developed a model to account for an obesity outcome in children who have posttraumatic stress disorder (PTSD) and whose parents have posttraumatic stress symptoms (PTSS) or PTSD. A literature review provided the basis for the model and covered the areas of childhood obesity, parental PTSS, childhood PTSD, adverse childhood experiences, relational PTSD, ineffective parent support, and the stress response. A model to explain the outcome of obesity in children with PTSD as mediated by parental support provided after a traumatic event was developed: The Parental PTSSChildhood Obesity Model. The literature review supports a relational perspective for viewing child …

Perceptions Of Childhood Abuse And Life Stress: Contributors To Increase In Binge Eating Behavior, Dylan C. Nguyen

Masters Theses & Specialist Projects

Many studies reported that childhood abuse and stress play contributory roles in the development and maintenance of disordered eating behaviors. However, these studies made no mentioned efforts to validate their self-report data, and thus failed to separate the effects of actuality versus perception of childhood abuse. Thus, the current study examined how perceptions of childhood abuse and life stress affect binge eating behavior among university students.

Participants for the current study included 173 undergraduate students, recruited via Study Board. After giving verbal consent, participants completed a series of surveys and questionnaires that collected demographic data, and measured perception of abuse, …

Does Psychopathy Predict Future Risky Sexual Behavior?, Jessica Jade Fulton

Dissertations

Risky sexual behavior (RSB), such as having sex with an unknown partner, is associated with a variety of negative consequences including sexually transmitted diseases and unplanned pregnancy. Previous research (e.g., Fulton, Marcus, & Payne, 2010) suggests that psychopathic personality traits as assessed by the Psychopathic Personality Inventory (Lilienfeld & Andrews, 1996) are associated with RSB. Self-Centered Impulsivity (SCI), which is characterized by impulsivity, irresponsibility, and reckless behavior, was positively associated with RSB among men and women. In contrast, Fearless Dominance (FD), which is characterized by fearlessness, manipulativeness, and social dominance, was positively associated with RSB among men but not women. …

The Ratio Of Positive To Negative Affect, Flourishing, And Health Behavior, Michael Stuart Leibow

Loma Linda University Electronic Theses, Dissertations & Projects

The ratio between positive and negative affect, known as the positivity ratio (PR) is thought to be associated with flourishing (psychological and social well-being). However, little research has been done on how PR and flourishing relate to specific health behaviors. The relationships between PR and flourishing with health behavior i.e., physical activity, and diet (fruit, leafy green vegetables [LGV] and meat intake) were investigated in this study. We examined whether PR mediated the relationship between flourishing and health behaviors, and whether flourishing mediated the relationship between PR and these behaviors. Gender and ethnic differences for the above associations were examined …

Depression As A Risk Factor For Breast Cancer : Investigating Methodological Limitations In The Literature., Patrick Pössel, Erica Adams, Jeffrey C. Valentine

Faculty and Staff Scholarship

Purpose: A relationship between depression and the development of breast cancer has not been convincingly shown in the research conducted over the past three decades. Methods: In an effort to better understand the conflicting results, a review was conducted focusing on the methodological problems associated with this literature, including time frame between the assessment of depression and the diagnosis of breast cancer and the use of somatic items in measuring depression. Fifteen breast cancer prospective studies were reviewed. Results: While twelve of the studies found positive associations between depression and breast cancer development, three studies found negative associations. With regards …

The Association Of Diet With Affect, Patricia Ann Ford

Loma Linda University Electronic Theses, Dissertations & Projects

Nutrients such as omega-3 fatty acids have been associated with mental health yet few studies have examined whether foods protective or deleterious for cardiovascular disease affect mood. The purpose of this study was to examine associations between consumption of foods typical of Mediterranean and Western diets and fatty acids with positive and negative affect.

Adventist church attendees residing in North America completed a validated food frequency questionnaire in 2002-6 as part of the Adventist Health Study-2. A subset of these participants ^=9,121) completed the Positive and Negative Affect Schedule (PANAS) in the Biopsychosocial Religion and Health Study conducted in 2006-7. …

I'M The Same Me: Communication And Renegotiation Of Identity In The Weight-Loss Surgery Experiences Of Women, Heather D. Schild

Masters Theses

Adult obesity rates are on the rise in the United States according to the Centers for Disease Control (2009) which has led to an increase in obesity-related illnesses such as diabetes and heart disease. Weight-loss surgery (WLS) has become accepted as a "cure" for obesity by the medical community. There has been a dramatic increase in the number of obese individuals electing to undergo WLS every year; 82% of these individuals are women (AHRQ, 2007). More women may be electing to undergo these procedures than men due to the pressures women face in American culture to achieve social standards of …

The Effect Of Preconceived Expectations Of Alcohol And College Life On Freshmen's Drinking Behaviors, Trisha Nicole Wilcox

Undergraduate Honors Thesis Collection

Drinking on college campuses is a primary concern of university staff, administration, law enforcement, and parents. In a study that evaluated the normative perceptions about college life and alcohol use with 147 college freshmen, normative perceptions of the college experience were evaluated with their relationship to drinking behavior. Researchers surveyed the residential, incoming freshmen class about their perceptions their first night on campus and followed up with these students on their behaviors after a full semester on campus. Researchers aimed to pinpoint a relationship between the expected student role, the typical student role, and the campus climate. It was hypothesized …

Self-Regulation: An 'Active Ingredient' In The Spirituality-Health Relationship, Claire Ellyn Brownson

Undergraduate Honors Thesis Collection

Recent research suggests that spirituality promotes physical well-being. Explaining this relationship proves difficult. This cross-sectional study was conducted to test whether self-regulatory ability acts as a mediator between spirituality and health. It has been proposed that high levels of spirituality are related to strong self-regulation, which in turn should be related to better physical well-being. To address this hypothesis, a questionnaire containing validated measures of the targeted constructs was administered to a sample of 78 Butler students. Additionally, some ancillary data were collected concerning participants' level of religiosity. Regression-based mediational analyses indicated that self-regulatory ability does indeed function as a …

Spirituality And Anxiety: Forgiveness As A Mediator., Charli N. Caulkins

Undergraduate Honors Theses

Introduction: There is a growing interest in psychological and health research in the relationship between spirituality and physical and mental health variables. Forgiveness has also been considered in such research and hypothesized as a potential mediating variable. However, much of the research in this area has not examined spirituality in the dimensions ritualistic, theistic, and existentialistic, nor has it tested for the potential mediation of forgiveness. The purpose of this study was to expand upon the dimensions of spirituality, with forgiveness as a mediator, and to test how they affect state and trait anxiety.

Methods: Participants in this cross-sectional study …