Health Psychology Commons^™

Examination Of Patient-Physician Relationship Among College Students, Archi Patel

Honors Undergraduate Theses

The patient-physician relationship is established when a doctor provides care for their patient. This interpersonal interaction consists of perspectives on health issues, treatment plans, confidentiality, and support. Trust is also a component of the patient-physician relationship. Existing findings show that patient-physician trust is critical for achieving compliance and higher satisfaction rates with medical care (Cohen, 2002). Previous studies have investigated the physician's emotional intelligence as a factor in patient-physician trust, as well as the health locus of control on outlook, religious viewpoints on patient outcomes, and vulnerable attachment styles on the patient trust of the patients in determining the patient-physician …

A Pilot Randomized Trial To Assess Motivating Operations In Delay Discounting Of Food, Breeanna Michelle Slusher

Graduate Theses/Dissertations

This pilot study addresses the impact motivating operations have on delay discounting of food in the presence of real food. Six participants were recruited and randomly assigned to three food stimuli groups (donut, vegetable, and control) and assigned to either a deprivation or non-deprivation condition within the group. Participants were asked to complete a set of questionnaires and a delay discounting task. Demographics and anthropometric measurements were obtained from each participant. The pilot study showed support for previous delay discounting research that as the delay to more nutrient dense meals increases the subjective value of the delayed reward decreases. Thus, …

The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor

Capstone Showcase

Natural brain processes make all individuals susceptible to unconscious bias; however, stressful, fearful, or anger-evoking situations as well as the negative influence of media and social surroundings increase the risk of holding obstructive bias, and there is a greater risk of being negatively impacted by this phenomenon when belonging to a minority population (Rose & Flores, 2020). As a result, high rates of infant mortality (10.2 deaths per 1,000 live births for the Non-Hispanic Black population compared to 4.1 in the White population) and cardiovascular related diseases (190.0 cases per 1,000 in the Non-Hispanic Black population compared to 161.3 in …

Pain Interference Across Chronic Pain Populations: Variability And Associated Psychosocial Processes, Stephanie Judge

Theses and Dissertations--Psychology

Chronic pain is one of the most common health complaints, yet the limited effectiveness of existing treatment options suggests that chronic pain is still not fully understood. The goals of this study are to identify and organize well-established and emerging psychosocial factors associated with pain interference, clarify the nature of between- and within-diagnostic group differences in psychosocial and demographic factors associated with pain interference, and identify interactions among diagnostic and psychosocial factors associated with pain interference.

Community-dwelling participants (N = 284) completed a one-time survey which included demographic information, information about pain and diagnosis, and five existing measures that assess …

Interactions Of International Pilots' Stress, Fatigue, Symptoms Of Depression, Anxiety, Common Mental Disorders And Wellbeing, Marion Venus, Martin Grosse Holtforth

International Journal of Aviation, Aeronautics, and Aerospace

Objective

This study Investigates more dimensions than previous studies simultaneously: pilots’ duty rosters, stress, sleep difficulties, fatigue levels, wellbeing, symptoms of depression, anxiety, and common mental disorders (CMD), and how they are interrelated.

Background

Several scientific studies have confirmed that fatigue can pose a significant risk to flight safety. Other studies reported positive depression screening results for more pilots, compared with the general population.

Method

A cross-sectional online survey was completed by 406 international pilots, who reported their duty rosters of the last two months. Pilots also self-assessed their stress-levels, sleep problems, fatigue, wellbeing, and mental health.

Results

Although pilots …

The Examination Of Health Care System Distrust As A Barrier To Utilization And Engagement Of Preventive Services In The Health Care System In Black Emerging Adults, With A Special Focus On Insurance Status And Usual Source Of Care., Alexandra Wynn

Theses and Dissertations

Health care system distrust is a well-known barrier to health utilization and engagement in older African Americans. However, it has not been explored in Black emerging adults, individuals 18- 26. It is important to explore the social and psychological effects of systemic barriers, such as health care system distrust, in this developmental period as emerging adults undergo unique demographic shifts, changes in sense of self, and identity exploration. Due to emerging adulthood being an exploratory and challenging transitionary phase, emerging adults have an increased susceptibility to preventable morbidity and mortality issues and decreased access to important preventive services. Thus, health …

Awareness And Knowledge Of Aging And Hiv-Associated Neurocognitive Disorder: Service User And Provider Perspectives And Experiences In Southern Nevada, Renato M. Liboro, Brandon Ranuschio, Sherry Bell, Jenna Despres, Trinity Puno, Aruna Sedere, Nadia Sheik Yosef, Esmeralda Villalobos, Janelle Wackens, Lianne Barnes

Psychology Faculty Research

This community report presents the findings and analysis of a survey that was part of the quantitative stage of a mixed-method Community-Based Participatory Research (CBPR) project dedicated to examine the awareness and knowledge of racially and ethnically diverse, middle-aged and older people living with HIV/AIDS, and their healthcare and service providers from Southern Nevada, on aging, brain health, HIV/AIDS, and the condition known as HIV-Associated Neurocognitive Disorder. The CBPR project was conducted in collaboration with community partners such as the LGBTQIA+ Community Center of Southern Nevada, Southern Nevada Health District’s Ryan White Program, Community Counseling Center of Southern Nevada, and …

“What If This Happiness Doesn’T Last Forever?”: Stressors Faced By Racialized Sogie Refugees, Moni Sadri-Gerrior

Theses and Dissertations (Comprehensive)

Racialized refugees with diverse SOGIE (Sexual Orientation, Gender Identity, and Expression) experience the unique intersection of racism, homo- and/or transphobia, and anti-refugee sentiments. As a result, this group (herein: racialized SOGIE refugees) often face poor mental health and well-being. The purpose of this study is to identify stressors faced by racialized SOGIE refugees in Ontario through the lens of Meyer’s Minority Stress Theory and Crenshaw’s intersectionality theory. The interviews from ten racialized SOGIE refugees and two service providers living in Ontario were taken from a larger study looking at the life trajectories of SOGIE refugees. Participants identified both explicit and …

Promotion Of Early Recognition Of Depression To Improve Health Related Quality Of Life In Pediatric Oncology Patients, Jennifer Blankenship

DNP Projects

Background: Depression and anxiety are serious complications of cancer and deemed a challenging diagnosis due to the symptoms of depression mimicking common side effects of chemotherapy and radiation. Signs/symptoms frequently are underrecognized thus appropriate treatment is delayed, compromising the health-related quality of life (HRQOL) for pediatric oncology patients.

Purpose: Analyze existing physician and Advanced Practice Provider (APP) clinical practice regarding depression, via a pre- and post-survey and educational PowerPoint on the use of the Center for Epidemiological Studies Depression Scale for Children (CES-DC) to promote early recognition of depression.

Methods: A prospective, single-arm, study was completed in the Kentucky Children’s …

Examining Perceived Stigma, Disclosure, Self-Compassion, And Health-Related Quality Of Life In College Students With Cystic Fibrosis, Anna R. Hangge

Electronic Theses and Dissertations

Cystic Fibrosis (CF) is a life-limiting genetic disorder that affects the lungs, pancreas, and other organs. Recent advances in CF-related healthcare have improved the life expectancy of individuals with CF from childhood to approximately 50 years old (CFF, 2020). Therefore, more individuals with CF are attending college and facing challenges within this new stage of life. This study examined perceived stigma, disease disclosure, self-compassion, and health-related quality of life (HRQoL) in a sample of current and former college students with CF to understand their psychosocial experience of managing their illness while in college. Results indicated that perceived stigma and HRQoL …

The Effect Of The Covid-19 Pandemic On How Social Media Use Influences Eating Disorders And Exercise Motivation, Abhilasha Kumar

UNF Graduate Theses and Dissertations

The COVID-19 pandemic has drastically impacted the life of every individual. Stay-at-home orders imposed to control the spread of the virus have only led to an increase in social media use to stay connected with others. College students were particularly affected by the measures put in place to control the spread of COVID-19 due to geographical, social, and economic changes (Aristovnik et al., 2020). The stress caused by these changes can increase eating disorder symptoms (Lacey et al., 1986) and exercise behaviors (Kim & McKenzie, 2014). The aim of the study is to observe the impact of the COVID-19 pandemic …

Psychosocial Factors In Fibromyalgia: A Phenomenological Understanding Of The Experiences Of Latinas, Elisenda Rodes

Theses and Dissertations

Fibromyalgia (FM) is a syndrome characterized by chronic, widespread musculoskeletal pain. Its prevalence is estimated to be about 2% to 5% of the adults in the United States (Arnold et al., 2019). However, significant variations exist in this respect, due to a lack of consensus about the guidelines for FM diagnosis by physicians. FM symptoms are not restricted to pain, and often include fatigue, anxiety, depression, somatic and cognitive symptoms, and poor quality of life. Although its etiological causes are still not clear, important psychological, social, and cultural factors have been linked to the onset, maintenance, and to the ways …

"Think Of The Situation In A Positive Light": A Look At Cognitive Reappraisal, Affective Reactivity And Health, Jessica Chloe Maras

Theses and Dissertations--Psychology

How individuals regulate their emotions is critical for maintaining health and well-being. For example, reframing a stressful situation in a positive light, a form of cognitive reappraisal, is beneficial for health and well-being outcomes. However, it is currently unclear why this relationship exists. One potential mechanism could be how one emotionally reacts to stressors in daily life, termed affective reactivity. The current study examined longitudinal associations that spanned 20 years between cognitive reappraisal and health outcomes and subjective well-being and if affective reactivity mediated this relationship. Participants completed waves 1-3 of the Midlife in the United States (MIDUS) Survey series …

Comparison Of Schedules, Stress, Sleep Problems, Fatigue, Mental Health And Well-Being Of Low Cost And Network Carrier Pilots, Marion Venus

International Journal of Aviation, Aeronautics, and Aerospace

Objective

This research investigates and compares working-conditions, duty rosters, stress, sleep problems, fatigue levels, mental health, and well-being of pilots working for network (NWCs), and low-cost carriers (LCCs). This study extends previous research by investigating working conditions, pilots’ actual rosters, fatigue and mental health of two groups of pilots flying for LCC or NWC.

Method

A comprehensive cross-sectional online survey was completed by N=338 pilots (185 NWC, 153 LCC pilots). All pilots reported their roster data of the last 2 months during peak flight season, psychosocial and work-related stress (e.g., high job insecurity, less total flight-experience, lower income, more time …

The Abuse Liability Profile Of An Unflavored, Sucralose-Sweetened, Electronic Cigarette In Combustible Cigarette Smokers, Sarah F. Maloney

Theses and Dissertations

The purpose of this study was to examine the effects of sucralose and nicotine in otherwise unflavored PG/VG ECIG liquid solutions, via a 30-watt ECIG, using multiple measures predictive of abuse liability to provide a basic understanding of the effects of sweeteners and perceived sweetness on ECIG abuse liability in reference to combustible cigarettes. Fourteen dependent smokers completed five independent study sessions that were within-subject, Latin-square ordered, and were identical in regards to all aspects but the product used. In each session, participants were given either their own brand of cigarettes or one of the four ECIG conditions: 0 mg/mL …

Empowerment In Adolescents And Young Adults With Cystic Fibrosis, Rachel Holder

Theses and Dissertations

Adolescence and young adulthood is a pivotal time for individuals with cystic fibrosis (CF) that is characterized by increased self-management, transition to adult-oriented healthcare, and often a decline in treatment adherence and health-related quality of life (HRQoL) (Abbott et al., 2015; Modi et al., 2008). The literature regarding which factors are important for readiness to transition, treatment adherence, and HRQoL is limited in this population. However, empowerment has emerged as a salient construct in other disease groups (Acuña Mora et al., 2019; Burström et al., 2019; Kaal et al., 2017). As such, this thesis determined the convergent validity of the …

Shared Decision Making In Adolescence: The Role Of Race And Health Status, Mona L. Quarless

Theses and Dissertations

Youth participation in Shared Decision Making (SDM) is still a novel clinical practice with unique considerations. Moreover, though SDM has been touted as an effective model for patient-centered care it has largely been underutilized and under-researched in Black and Latinx adolescent populations. The current study examined the association of health factors that may relate to Black and Latinx adolescents, their families, and HCPs engaging in SDM. Specifically, I examined within-group racial differences in relation to health conditions (i.e., pain, obesity, mental health status) and SDM during adolescence. Measures of adolescent chronic pain, BMI status (overweight/obese), mental health symptoms (depression/anxiety), SDM …

Characterizing The Patterns, Predictors, And Processes Involved In Recovery From Substance Use Disorders, Rebecca L. Smith

Theses and Dissertations

Alcohol and drug use disorders are associated with significant cost to individuals, families, and society.Approximately 40-75% of affected individuals remit from alcohol use disorders (AUD). Although the development of AUD is well studied, recovery from AUD and factors that contribute to recovery are not as well characterized. With the definition of recovery evolving towards a process rather than an outcome, there is a need to better understand psychosocial functioning and quality of life among individuals at different points in their recovery journeys. Concurrently, additional research is needed to understand the interplay between sources of recovery capital, individual differences in risk …

Investigating The Potential Causal Relationship Between Free Will Belief And Well-Being, Courtney J. Alderson

Theses and Dissertations

This multi-study dissertation had four primary aims. My first was to add to the evidence base indicating a positive association between free will belief (FWB) and subjective well-being (SWB). My second aim was to develop a measure to assess the FWB theme referred to as the principle of alternate possibilities (PAP). To achieve the first two aims, I conducted two cross-sectional studies to further establish the FWB-SWB association and start the development and assessment of a new PAP FWB measure. In the first study (N=995), I hypothesized that an EFA of the new PAP items would produce at least a …

Predicting Medication Adherence Patterns During The Maintenance Phase Of Treatment For Pediatric Leukemia And Lymphoma: A Model Of Individual- And Family-Level Factors, Stephanie M. Romo

Theses and Dissertations

Adherence during the maintenance phase of pediatric cancer treatment is critical to prevent relapse and ensure long-term, event-free survival. Yet, little research has been done to examine individual- and family-level factors that may relate to adherence during the maintenance phase of treatment, particularly among Latinx patients. This is surprising given findings demonstrating that children who miss more than 5% of their prescribed oral chemotherapy medicine, most commonly 6-mercaptopurine (6MP), are 2.5-2.7 times more likely to relapse than children who take 95% or more of their prescribed 6MP. Pediatric cancer patients face unique adherence challenges given the importance of family involvement …