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Title: SPECIFICITY OF DEFICITS IN EXECUTIVE FUNCTIONING IN YOUTH WITH NONVERBAL LEARNING DISABILITY, ATTENTION DEFICIT HYPERACTIVITY DISORDER AND READING DISORDER
Creator: McCue, Kimberly Ann
Date: 2021
Description: Nonverbal Learning Disability (NLD) has been the focus of four decades of neuropsychological research. However, it has yet to be included as a...
Show moreNonverbal Learning Disability (NLD) has been the focus of four decades of neuropsychological research. However, it has yet to be included as a diagnostic category in the Diagnostic and Statistical Manual of Mental Disorders (i.e., currently in its fifth edition, DSM-5, American Psychiatric Association, 2013). Many of the characteristics associated with Nonverbal Learning Disorder (NLD) are similar to those found in other more established disorders such as Attention-Deficit/Hyperactivity Disorder (ADHD), Specific Learning Disorders (SLD), and Autism Spectrum Disorder (ASD). Recent research in neuropsychology and other fields has contributed to a greater understanding of the cognitive profiles of NLD, ADHD, and Reading Disorder (RD). However, the neurological underpinnings of deficits in executive functioning specific to NLD versus ADHD and RD have yet to be fully elucidated. Ongoing research has failed to distinguish NLD from other childhood disorders, including ADHD, based on specific structural or functional neurological deficits. The current study examined the specificity of deficits in executive functioning in youth with nonverbal learning disability, attention deficit hyperactivity disorder and reading disorder. In addition, the study examined the degree to which the Rey Complex Figure Test subscales and Processing Speed Index (PSI) and Working Memory Index (WMI) scores (WISC-IV or WISC-III) could discriminate between the NLD group from ADHD and RD groups. Data for the present study were collected from a population served by the Pediatric Neuropsychological Service at The University of Chicago Medicine. Children who had been referred for neuropsychological assessment and whose comprehensive battery included a WISC measure (WISC-III or WISC-IV) and RCFT measurements were included. All data were archival, i.e., gleaned from the Service database; data from 202 participants was retrieved, including youth who underwent neuropsychological evaluation between 2003 and 2016. The present study hypothesized differences between NLD, ADHD, and RD diagnostic groups on visuo-spatial planning/organization, visuo-spatial working memory, long-term visuo-spatial recall, visuo-spatial recognition, verbal working memory, and processing speed. In summary, of the six executive function domains examined, two domains showed significant underperformance for the NLD group, two domains showed a non-significant trend of underperformance for the NLD group and two domains did not show significant differences between diagnostic groups.
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Title: The Public Stigma of Tourette Syndrome
Creator: Tooley, Anastasia Cherise
Date: 2021
Description: There is a dearth of quantitative research examining the public stigma of Tourette syndrome (TS), and no known studies assessing public...
Show moreThere is a dearth of quantitative research examining the public stigma of Tourette syndrome (TS), and no known studies assessing public perceptions of difference (how similar they are), disdain (how bad they are), and blame (how responsible they are) toward individuals with TS. The current study sought to understand the public stigma of TS as a visible and unconcealable condition. An internet sample of 450 adults were recruited through MTurk. Participants read four brief vignettes, each describing an adolescent with TS, obsessive-compulsive disorder (OCD), autism spectrum disorder (ASD), or a history of juvenile detention. Results showed TS to be associated with neutral or negative public perceptions across stigma facets. When compared to OCD and ASD, vignettes describing TS were viewed with similar difference, disdain, and blame. TS was least familiar to participants. Findings highlight differences in stigma for concealable versus visible stigmatized conditions which has implications for future research and anti-stigma interventions.
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Title: Examining Racial Differences in Body Dissatisfaction and Disordered Eating Following Media Exposure of a Curvaceous Body Ideal
Creator: Dorsaint, Talissa
Date: 2021
Description: Previous research has found that internalization of a thin body ideal contributes to negative cognitive and behavioral symptoms, such as body...
Show morePrevious research has found that internalization of a thin body ideal contributes to negative cognitive and behavioral symptoms, such as body dissatisfaction and disordered eating. However, studies supporting a sociocultural model have typically included mostly White samples. Research suggests that there may be racial differences in body dissatisfaction and disordered eating among Black and White women, specifically that Black women may be protected from body dissatisfaction via the buffering hypothesis. However, studies have found that differences in body dissatisfaction between Black and White women are smaller than previously thought. Additionally, Black women do not feel represented in the mainstream media on the basis of their physical appearance and ascribed ideals when exposed to thin ideals. Research is needed to examine the impact of other ideals (e.g., the curvaceous body ideal) on body dissatisfaction, as well as body dissatisfaction for Black women in Western culture. The present study used an experimental design to examine differences in body dissatisfaction and disordered eating behaviors in a community sample of Black and White self-identified women before and after exposure to a thin or curvaceous body ideal. Participants were randomized to a thin ideal or curvaceous ideal condition. All participants completed a demographic questionnaire, baseline measures of body dissatisfaction and disordered eating and Visual Analog Scales before and after viewing thin or curvaceous images. Findings indicated no racial differences in baseline body dissatisfaction and disordered eating. Additionally, associations between baseline body dissatisfaction and disordered eating were significant and align with previous research, but an effect of condition was found on body satisfaction change scores. No statistically significant interaction was found between race and body ideal condition for body dissatisfaction change scores. Finally, change scores of body dissatisfaction measures were not statistically different from pre- to post-exposure of either thin or curvy body ideal conditions. Findings have significant implications for the buffering hypothesis and add to studies that have found small racial differences in body dissatisfaction. Present findings also have implications for assessment and treatment in overall eating pathology as seen by the Sociocultural Model in Black women.
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Title: Exploring differences in eating disorder symptomatology and treatment outcomes between sexual minority and heterosexual women in eating disorder treatment programs
Creator: Murray, Matthew Ford
Date: 2020
Description: Research on eating disorder (ED) symptomatology in sexual minority (SM) women is limited and has demonstrated inconsistent findings with...
Show moreResearch on eating disorder (ED) symptomatology in sexual minority (SM) women is limited and has demonstrated inconsistent findings with respect to how they differ from heterosexual women. Further, many studies combine SM women into one group, potentially masking important sub-group differences. Existing data appears to suggest that SM women may be at similar or increased risk for certain types of disordered eating behaviors and present with body image concerns that may differ from heteronormative female body ideals. However, it is unclear how weight and shape control behaviors differ across sexual orientations in women seeking treatment for EDs, and if there are differences in treatment outcomes. The present study used analyses of variance and covariance to test 1) group differences in frequency and severity of ED symptomatology and 2) differences in group by time interaction effects as an indicator of treatment outcomes in a sample of 3,120 adult women of diverse sexual orientations who presented for ED treatment between 2015 and 2018. Participants identified their sexuality as heterosexual, lesbian, bisexual, or other/unsure. Results indicated notable group differences in ED symptoms upon admission to treatment. Bisexual women, in particular, presented to treatment at younger ages, with higher BMIs, and more severe illnesses than heterosexual women. Further, results from the present study suggest that despite such differences, women across sexual orientation groups achieved similar treatment outcomes. These findings underscore the importance of subgroup analyses of ED symptoms in SM women and have both clinical and research implications related to ED psychopathology in this population.
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Title: An experimental study on the effects of partial sleep deprivation on disordered-eating urges and behaviors
Creator: Johnson, Nicole Kathryn
Date: 2020
Description: Previous research has linked sleep disturbances with disordered eating. Studies have also shown that one night of partial sleep deprivation...
Show morePrevious research has linked sleep disturbances with disordered eating. Studies have also shown that one night of partial sleep deprivation causes increases in food intake and appetite disturbances. However, the effects of sleep deprivation on disordered eating are unclear as research has yet to examine the effects of one night of partial sleep deprivation (≤ 4 hours of sleep) on disordered eating in a representative adult female sample. Adult, female participants (N=40) completed eligibility and baseline measures reporting medical conditions, eating disorder symptoms, sleep disturbances, depressed mood, and anxiety symptoms. Participants were randomized to either the sleep-deprived condition (~50% of their average sleep duration) or the habitual-sleep condition (~100% of their average sleep duration). The morning after the sleep condition, participants completed self-report appetite and disordered eating measures before and after consuming a test meal and later that evening. The following statistical analyses, adjusted for multiple comparisons (p<0.002), found no significant group differences: independent samples t-tests (outcome: pre-meal appetite, disordered eating, and test-meal consumption), multivariate analyses of variance (MANOVAs; outcome: pre- and post-meal area under the curve disordered eating and appetite), repeated measures ANOVAs (time X group; outcome: pre- and post-meal appetite and disordered eating), analyses of covariance (ANCOVAs; controlling for pre-meal ratings; outcome: disordered eating at follow-up), and chi-square tests (outcome: follow-up appetite and disordered eating). Despite finding no support for the effect of sleep deprivation on disordered eating, this study extends previous research as a novel study using the experimental manipulation of sleep deprivation to examine its effects on disordered eating.
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Title: STAKEHOLDER FEEDBACK ON A NOVEL EMOTION REGULATION INTERVENTION FOR PRESCHOOL-AGE CHILDREN WITH DISRUPTIVE BEHAVIOR PROBLEMS: A THEMATIC ANALYSIS
Creator: Lossia, Amanda
Date: 2019
Description: Disruptive behavior disorders are among the most prevalent psychological disorders in preschoolers. There are evidence-based treatments for...
Show moreDisruptive behavior disorders are among the most prevalent psychological disorders in preschoolers. There are evidence-based treatments for these disorders, but clinically significant behavior problems persist in approximately one-fourth to one-third of children after treatment. These treatments consist of behavioral parenting interventions and are not designed to directly address children’s affective dysregulation, which is a core component of behavior problems. To address this limitation, a manualized intervention was developed to treat disruptive behavior in preschool-age children by specifically targeting their emotion regulation abilities as the mechanism of change by coaching the caregiver to scaffold the child’s emotion regulation strategy use. The purpose of the present study was to further the development of this intervention by obtaining feedback from key stakeholders (i.e., caregivers and therapists) on the intervention’s focus, content, and procedures. Obtaining this feedback is an essential component of developing a novel psychosocial intervention. A qualitative thematic analysis of in-depth focus group discussions was conducted. Data were organized into the following broad themes: Intervention approach (support for targeting emotion regulation but ensuring the approach is an appropriate fit and considering the important role of behavioral strategies; additional focus on facilitating a positive caregiver-child relationship; developing some independent regulation skills in the child), Intervention structure and session content (making the intervention structure more flexible or modular; retaining the main intervention components with modifications to enhance acceptability, relevance, and developmental appropriateness), The caregiver’s role (the caregiver’s role is of primary importance and should be active throughout all sessions; ensuring adequate caregiver preparation and skill development; additional primary focus on facilitating the caregiver’s own emotion regulation; attention to the caregiver’s own therapeutic needs), Individualized approach (individualizing the content and timing of all sessions to account for individual needs), Generalizability (ensuring generalization of skills to home and other settings through effective at-home practice and including other primary caregivers and family members in sessions), and Learning and skill development (considering individual differences in how children and caregivers learn and modifying activities accordingly). These themes and stakeholders’ specific feedback will guide revisions to the intervention manual prior to pilot testing and further examination of efficacy and effectiveness.
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Title: Mental Health Stigma and Care-Seeking in First Generation Indian Immigrants
Creator: Shah, Binoy
Date: 2019
Description: Objective: Immigrants from India face unique obstacles, including migration related factors and cultural pressures, that may contribute to...
Show moreObjective: Immigrants from India face unique obstacles, including migration related factors and cultural pressures, that may contribute to underutilization of mental health treatment services. The present thesis examined paths between mental health stigma and care-seeking in a sample of first-generation Indian immigrants, with a specific emphasis on the influences of acculturation and parental autonomy support. Method: A sample of 201 first-generation immigrants from India was ascertained using MTurk. Path analysis was conducted to examine the relationships between public stigma of mental illness, disclosure, mental health care-seeking, parental autonomy support, and bi-directional acculturation. Results: Final model was supported by good fit indicators. Greater public stigma was associated with reduced care-seeking, but greater disclosure was associated with increased care-seeking. Interestingly, parental autonomy support, mainstream acculturation, and heritage acculturation facilitated disclosure but had no discernible impact on public stigma. Conclusions: In contrast to traditional anti-stigma strategies that focus on reducing public stigma, present results suggest that it may be more beneficial to facilitate care-seeking by targeting disclosure of status. In turn, disclosure may be promoted by facilitating autonomy supportive social networks and bi-directional acculturation.
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Title: CULTURALLY SENSITIVE HELP-SEEKING AMONG ASIAN INTERNATIONAL AND ASIAN AMERICAN COLLEGE STUDENTS
Creator: Tsen, Jonathan Yee-jon
Date: 2020
Description: Asian populations are rapidly rising, representing the fastest growing racial group of immigrants in the U.S. with many seeking higher...
Show moreAsian populations are rapidly rising, representing the fastest growing racial group of immigrants in the U.S. with many seeking higher education. While many face risk for poor mental health outcomes and high suicidal ideation, Asian college students report lower rates seeking mental health services than White Americans. The purpose of this study was to test a culturally sensitive help-seeking model for Asian international and Asian American college students, and to capture relevant psychological and cultural factors that influence help-seeking. This study used an observational design to build on the current research and evaluated the effects of acculturation, enculturation, public stigma of help-seeking, self-stigma of help-seeking, and attitudes on willingness to seek psychological services. Four hundred and fifty-eight students (Age M = 23.93, SD = 4.36) represented by 265 Asian International Students and 193 Asian American Students. Using a path analysis, results demonstrated a poorly fitted model, suggesting that acculturation, enculturation, public stigma, self-stigma, attitudes, and willingness do not relate significantly to each other when viewed altogether in a model. This remained true even when modifications to the model were made, and when observing the model within only Asian American student sample or Asian international student sample. However, significant direct effects were observed between enculturation and public stigma in the total sample, as well as separately in Asian American or Asian international samples. These findings highlight the importance of exploring with different methodological approaches to gain insight on other important psychological and cultural factors that impact help-seeking among Asian international and Asian American college students.
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Title: Using population-level data to examine between-group health differences among transgender and cisgender United States military veterans
Creator: Woodward, Honor
Date: 2021
Description: Some subgroups of military veterans, including those with marginalized identities, may be especially vulnerable to poor health. This...
Show moreSome subgroups of military veterans, including those with marginalized identities, may be especially vulnerable to poor health. This hypothesis is supported by the Minority Stress Theory framework, which posits that disparities in health can be attributed to the stress that minority individuals experience as a result of discrimination, prejudice, and oppression (Meyer, 1995; Meyer, 2003). A specific, potentially marginalized group of veterans that is under-explored regarding health is transgender veterans. Using data from the 2019 U.S. Behavioral Risk Factor Surveillance System (BRFSS), the current study hypothesized that transgender U.S. military veterans will report worse health than cisgender U.S. military veterans. Using case control matching, groups of transgender veterans (n = 124) and cisgender veterans (n = 104) were compared on several population-relevant health outcome measures. Chi-square tests of independence were conducted to test for significant differences between transgender and cisgender military veterans on the likelihood of experiencing certain health conditions, engaging in certain health behaviors, and utilizing health care services. Independent samples t-tests were used to test continuous health outcomes, such as self-reported mental health, physical health, and access to health care services. Gender identity was significantly associated with only one health outcome variable, with transgender veterans being more likely than cisgender veterans to have received a formal depression diagnosis (p = .01, phi = .17). No significant differences emerged between transgender and cisgender veterans on continuous health outcome variables. This suggests that previous literature on health disparities between transgender and cisgender individuals may not be generalizable to transgender veterans.
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Title: Sex Differences in a Network Model of Depressive Symptoms
Creator: Ginger, Emily J
Date: 2021
Description: Major Depressive Disorder (MDD) is one of the most prevalent mental health disorders, with a lifetime prevalence rate of 13-16% and 12-month...
Show moreMajor Depressive Disorder (MDD) is one of the most prevalent mental health disorders, with a lifetime prevalence rate of 13-16% and 12-month prevalence rates of 5-7%. It has long been established that the rates of MDD in females is two to three times that of males. Previous research has examined sex differences in the occurrence and severity of MDD symptoms, primarily indicating greater severity of appetite increase and weight gain in females compared to males. The majority of previous research has been conducted assuming the latent factor model that MDD accounts for the symptoms of depression, and sex operates as a mediator or moderator between the latent variable and MDD, or between MDD and its symptoms. The present study used network analysis to examine whether there are sex differences in the relations between symptoms of depression, which might be an important factor for understanding sex differences in prevalence rates of MDD. The present study compared networks of DSM MDD symptoms between currently depressed females and males, and separate networks that also included other symptoms commonly associated with depression (e.g., anxiety, anger). Sex differences were examined using jointly estimated networks, and a Network Comparison Test (NCT) for the independently estimated networks. Results indicated no sex differences in depression symptom networks. These results indicate that depressive symptom networks, or the relations between symptoms are not an important factor for understanding the disparity in sex differences in MDD prevalence rates. Interestingly, non-DSM symptoms were among the strongest and most important symptoms within the network, suggesting future research and diagnostic criteria should consider inclusion of non-DSM symptoms associated with MDD.
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Title: Child Temperament, Attachment, and Loneliness: The Mediating Effects of Social Competence
Creator: Evans, Lindsey M
Date: 2021
Description: Chronic loneliness is a risk factor associated with adverse psychological, physical, and academic outcomes. Converging evidence suggests that...
Show moreChronic loneliness is a risk factor associated with adverse psychological, physical, and academic outcomes. Converging evidence suggests that young children experience and can reliably report on their own loneliness. Due to the significant negative sequalae associated with childhood loneliness, it is critically important to examine risk factors for child loneliness. The aims of this study were two-fold: (a) to examine if temperament (i.e., negative affect, effortful control, and inhibitory control) and attachment security assessed at 4 years of age predict loneliness at age 6; and (b) to determine if social competence at age 5 mediates the relation between temperament and attachment security at age 4 and loneliness at age 6. Participants included a diverse sample of 796 4-year old children, about half of whom were male. At age 4, temperament was assessed with the Rothbart Child Behavior Questionnaire and three inhibitory control tasks, and attachment security was assessed with the Attachment Q-Sort. At age 5, the Social Skills Rating Scale was used to assess social competence, and, at age 6, loneliness was assessed with the Loneliness and Social Dissatisfaction Questionnaire. Results of hierarchical regression analyses indicated that lower levels of effortful control and inhibitory control at age 4 significantly predicted higher levels of loneliness at age 6. Also, lower levels of negative affect and higher levels of effortful control and attachment security at age 4 significantly predicted higher levels of social competence at age 5. However, social competence at age 5 did not predict loneliness at age 6. There was no evidence that social competence at age 5 mediated the relation between age 4 temperament, attachment security and age 6 loneliness. These findings reveal that early self-regulation is associated with later child-reported loneliness and that intervention for children who struggle with cognitive regulation may be effective in decreasing risk for later loneliness.
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Title: Qualitative Investigation of Stigma Experiences of Individuals Living with Hoarding Disorder
Creator: Bates, Sage
Date: 2023
Description: Hoarding disorder (HD) is characterized by significant difficulty discarding items, resulting in an accumulation of clutter. HD is a public...
Show moreHoarding disorder (HD) is characterized by significant difficulty discarding items, resulting in an accumulation of clutter. HD is a public health concern and is associated with treatment ambivalence (e.g., refusal to initiate treatment, dropout, and limited treatment compliance). While low insight and motivation may account for some of the treatment ambivalence, it also could be due to a number of other factors related to how HD is being perceived by others, such as stigma. Yet, there is very little research on the relationship between stigma and hoarding, and what these studies have shown is that HD is judged negatively by the general population (i.e., public stigma) in a variety of ways. However, despite these initial findings, there are no in-depth studies examining stigma of HD from the perspective of those with lived experience. Further, previous research of stigma and HD utilized stigma measures that were significantly modified from their original intent to measure severe mental illness, and it is possible that general measures of stigma may not capture the specific features of HD or public perceptions of HD. The present study is a qualitative analysis to investigate stigma pertinent to HD.
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Title: Pain and Life Satisfaction: The Role of Emotional Support and Social Participation in Adults with Pediatric-Onset Spinal Cord Injury
Creator: Oh, Alison J.
Date: 2023
Description: Individuals who acquire a spinal cord injury (SCI) during their pediatric years are unique from individuals who acquire an SCI during...
Show moreIndividuals who acquire a spinal cord injury (SCI) during their pediatric years are unique from individuals who acquire an SCI during adulthood due to the heightened risks for developing secondary health conditions and chronic pain. These concerns may significantly impede developmental milestones and experiences, such as social participation, that may decrease life satisfaction. Thus, research on pain characteristics (e.g., frequency of pain, duration of pain, level of current pain, and level of general pain) alongside the role of emotional support and social participation on life satisfaction in adults with pediatric-onset SCI is needed. This study sample consisted of 205 individuals with pediatric-onset SCI who were former patients at pediatric hospitals in three metropolitan cities. Participants were individuals who were 19 years of age or older at the time of the interview, with the age of injury at 18 years or prior. Associations between demographic, pain, and injury characteristics, emotional support, social participation, and life satisfaction were assessed via bivariate Pearson correlations and a 3-block hierarchical multiple linear regression with LS as the primary outcome. Although pain characteristics and emotional support were not associated with life satisfaction among adults who sustained a pediatric-onset SCI, social participation was positively associated with life satisfaction. These findings suggest that clinicians should evaluate various pain characteristics and highlight the role of social participation when treating individuals with SCI.
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Title: Distinctive Categorization Deficits in Repeated Sorting of Common Household Objects in Hoarding Disorder
Creator: Hamilton, Catharine Elizabeth
Date: 2022
Description: The present study examines sorting techniques and deficits among individuals with hoarding disorder (n = 34) compared to age- and gender...
Show moreThe present study examines sorting techniques and deficits among individuals with hoarding disorder (n = 34) compared to age- and gender-matched adults (n = 35) in the general population. Performance was compared on the Booklet Category Test (BCT), selected other neuropsychological measures, and an ecologically valid sorting task designed for the study to model the Delis-Kaplan Executive Function System (D-KEFS) Sorting subtest but with common household objects as stimuli. Contrary to predictions, individuals with hoarding disorder did not perform significantly worse than controls on the BCT or the sorting task designed for the present study. Also contrary to predictions, the hoarding group performed significantly better when initiating their own sorts of the objects than when tasked with naming categories grouped by the researcher. These findings are discussed as well as exploratory analyses suggesting participants with hoarding put forth more mental effort sorting the household objects (shoes and mail). They provided significantly more individual responses on the task with significantly more description errors. IQ and performance on other selected neuropsychological measures were not significantly different between groups. These findings provide preliminary evidence there may be specific types of real-life sorting difficulties associated with hoarding disorder that are subtle and beyond what existing neuropsychological tests can measure. Given that current CBT treatments for hoarding presuppose a certain level of competency in sorting (e.g., recognizing and naming different categories of household items to complete a personal organizing plan), it is important to clarify potential sorting and categorization deficits in this group as one possible avenue to help improve treatment response among individuals struggling with hoarding disorder.
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Title: Decreasing Body Dissatisfaction in Male College Athletes: A Pilot Study of the Male Athlete Body Project
Creator: Perelman, Hayley
Date: 2020
Description: Body dissatisfaction is associated with marked distress and often precipitates disordered eating symptomology. Body dissatisfaction in male...
Show moreBody dissatisfaction is associated with marked distress and often precipitates disordered eating symptomology. Body dissatisfaction in male athletes is an important area to explore, as research in this field often focuses on eating disorders in female athletes. The current body of literature regarding male college athletes suggests that they experience pressures associated with both societal muscular ideals and sport performance. While there is a clear association between drive for muscularity and body dissatisfaction in college male athletes, no study to date has evaluated the efficacy of a body dissatisfaction intervention for this population. Therefore, the present study sought to investigate the efficacy and feasibility of a pilot intervention program that targeted body dissatisfaction in male college athletes. Participants were randomized into an adapted version of the Female Athlete Body Project (i.e., the Male Athlete Body Project) or an assessment-only control condition. A total of 79 male college athletes (39 in treatment condition) completed this study for a retention rate of 84.9%. Participants in the experimental group attended three 80-minute group sessions once a week for three weeks. All participants completed measures of body dissatisfaction, internalization of the body ideal, drive for muscularity, negative affect, and sport confidence at three time points: baseline, post-treatment (three weeks after baseline for the control condition), and one-month follow-up. Hierarchical Linear Modeling was used to assess differences between conditions across time. Participation in the MABP improved men’s satisfaction with specific body parts, drive for muscularity, and body-ideal internalization at post-treatment. Men in the MABP also reported improvements in appearance evaluation and overweight preoccupation at post-treatment and one-month follow-up, and in negative affect at one-month follow-up only. Improvements in drive for muscularity were retained at one-month follow-up. This study provides preliminary evidence for the feasibility and efficacy of the Male Athlete Body Project.
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Title: Health Information Seeking, Depression, and Satisfaction with Life in Racial/ethnic Minority vs. White individuals with Spinal Cord Injuries
Creator: Stipp, Kelsey
Date: 2022
Description: Health information is available both traditionally by conversations with health care professionals, and non-traditionally via use of the...
Show moreHealth information is available both traditionally by conversations with health care professionals, and non-traditionally via use of the Internet and other media sources. Health information is crucial to individuals with chronic health conditions and/or disabilities, such as spinal cord injury (SCI), to promote health, minimize comorbidities, and improve quality of life (QOL). Methods of health information seeking have been shown to differ between individuals who are racial/ethnic minority individuals and individuals who are White. Existing research appears to show health information seeking may increase QOL in populations with chronic health conditions and/or disabilities. However, it is unclear how aspects of QOL differ between individuals within the SCI population by race/ethnicity. The present study used Chi Square analyses to test racial/ethnic group differences in health information seeking and multiple analysis of covariance (MANCOVA) to test whether method of health information seeking and aspects of QOL, specifically depression and satisfaction with life, were moderated by race/ethnicity. An adult sample of 9,403 individuals with SCI who completed a survey on their injury, health, and QOL between 2011 and 2016 was used. Participants identified their source of health information as traditional (i.e., conversations with health care professionals) or non-traditional (e.g., newspaper, television, radio, etc.). Results indicated non-traditional sources of health information were utilized more frequently regardless of race/ethnicity. Unexpectedly, moderation results suggested that associations between source of health information and depression and satisfaction with life did not differ by race/ethnicity. However, source of health information was associated with satisfaction with life and depression for the entire sample. Study findings demonstrate the shift towards non-traditional (e.g., newspaper, television, radio, etc.) health information seeking within the SCI population. Further, findings support previous empirical work demonstrating the association between method of health information seeking and depression and satisfaction with life. These findings can be used to improve dissemination of accurate health information to the SCI population via non-traditional sources. Further research should include more diverse samples of individuals to better understand health information seeking as well as depression and satisfaction with life within the SCI population.
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Title: DO ACT CONSTRUCTS MODERATE ASSOCIATIONS BETWEEN SOCIAL MEDIA AND EATING PATHOLOGY?
Creator: Badillo Regan , Krystal E
Date: 2022
Description: Limited research has assessed individuals with disordered eating and their social media use. Additionally, there has been limited...
Show moreLimited research has assessed individuals with disordered eating and their social media use. Additionally, there has been limited investigation into psychotherapy constructs that could be used when addressing social media use in those with eating pathology. This study aims to improve the existing literature on social media and eating pathology by recruiting a sample of probable eating disorders and assessing if Acceptance and Commitment Therapy (ACT) constructs moderate the relation between social media and eating pathology. It is anticipated that 1) eating disorder pathology severity will be positively correlated with photo-based social media behavior; 2) eating disorder symptom severity will be positively associated with importance of social media; and 3) those who score higher in mindful eating, body image flexibility, and body image acceptance will have a weaker positive association between ED pathology and importance of social media and those who score lower in body image cognitive fusion will have a weaker positive association between ED pathology and importance of social media mindful eating, body image flexibility, body image acceptance, and body image cognitive fusion will moderate the relation between eating disorder symptom severity and social media use. To test the hypotheses women with a probable eating disorder (N=121) completed online questionnaires via prolific. The majority of participants identified as non-Hispanic (81%) and White (45.5%). Results suggest that there are associations between ED pathology, ACT constructs, Importance of Twitter and Instagram, and photo-based behaviors but not Importance of Facebook. Additionally, the moderation models examined were not statistically significant. Implications of these findings are discussed as well as future direction for research and clinical work.
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Title: A Network Analysis of the Six Core Processes Associated with Acceptance and Commitment Therapy
Creator: Bailey, Jennifer Rose
Date: 2022
Description: According to the theoretical model of Acceptance and Commitment Therapy, six core processes comprise a latent factor of psychological...
Show moreAccording to the theoretical model of Acceptance and Commitment Therapy, six core processes comprise a latent factor of psychological flexibility: present moment, chosen values, committed action, self as context, cognitive defusion, and acceptance. Little research has directly examined the unique relations among the processes. The present study extended our knowledge of the structure and relations between these processes by examining the relative importance and influence of a single process to the system of processes as a whole utilizing network analysis with a sample of 277 adult, non-clinical participants. Committed action was the most central of all the processes, demonstrating the highest strength centrality and most number of edges. Cognitive defusion and present moment also showed high strength centrality, suggesting that these processes exert the greatest influence on other processes in the network based on partial correlations controlling for all other constructs. Results provided support for the conceptualization of the three response styles (i.e., open, centered, and engaged). The addition of neuroticism to the core processes network showed little effect on the number of edges present between the six core processes. Neuroticism was strongly related to cognitive defusion and more weakly related to committed action. Results not only increased our understanding of the relations between processes and provided knowledge that may be useful to our understanding of the ACT theoretical model, but it also may have potential clinical implications, such as aiding in the identification of treatment targets to enhance psychological flexibility.
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Title: FACILITATORS AND BARRIERS TO PRE-EXPOSURE PROPHYLAXIS (PREP) UPTAKE WILLINGNESS FOR FULL-SERVICE SEX WORKERS
Creator: Ramos, Stephen D
Date: 2022
Description: Full-service sex workers (FSSW) are individuals who exchange direct sexual services for goods, money, or other services (Centers for Disease...
Show moreFull-service sex workers (FSSW) are individuals who exchange direct sexual services for goods, money, or other services (Centers for Disease Control and Prevention, 2022a). FSSW report relatively poorer physical and mental health compared to others (Ramos et al., 2022; Rekart, 2005). Related, the CDC indicates that due to the nature of sex work, sex workers may be disproportionately at-risk for contracting Human Immunodeficiency Virus (HIV; Centers for Disease Control and Prevention, 2022a). However, a variety of factors may relate to HIV-risk in this population. Specifically, different multi-level factors may relate to sex workers’ willingness to use pre-exposure prophylaxis (PrEP), a once-daily HIV preventative medication (Centers for Disease Control and Prevention, 2022a). While highly effective against HIV, PrEP uptake in several key HIV populations is slow (Holloway et al., 2017). Here, I adapted the Social-Ecological Model (Kaufman et al., 2014), with the assistance of lived-experience members and community organizations in developing and disseminating the study, to assess barriers and facilitators towards PrEP uptake willingness for FSSW and investigated a distal-proximal stigma-based mediation analysis to PrEP willingness. I found that two barriers and two facilitators initially emerged as significant predictor of PrEP uptake willingness. However, in adopting a more conservative approach, only (a) anticipating stigmatizing disapproval from others, and (b) providing others with PrEP knowledge, independently remained as a significant barrier and facilitator to PrEP uptake willingness, respectfully. Mediation analysis did not yield a distal-proximal stigma-based mediation of PrEP uptake willingness. Implications for future research, clinical work, and policy are discussed.
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Title: POLYTRAUMA CLINICAL TRIAD ASSOCIATED ATTENTION AND MEMORY FUNCTIONING
Creator: Ramirez, Amanda M.
Date: 2021
Description: The purpose of the current study was to explore cognitive functioning associated with the polytrauma clinical triad in a sample of post-9/11...
Show moreThe purpose of the current study was to explore cognitive functioning associated with the polytrauma clinical triad in a sample of post-9/11 veterans. More specifically, it sought to determine if a component (i.e., PTSD, mTBI, or pain), in the context of the triad, accounted for variability in attention and memory functioning as measured by neuropsychological assessments. The study also sought to evaluate the relation between PTSD and cognition more comprehensively by examining if the four PTSD symptom clusters were associated with differential patterns of neuropsychological performances. Participants included 111 veterans who served in Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn, otherwise known as post-9/11 veterans. Participants completed a brief structured interview and neuropsychological battery. Several hierarchical regressions examined the association between the polytrauma clinical triad and performances on select measures of attention and memory. Results indicated that the triad did not significantly predict sustained attention, visual memory, or verbal memory. These findings suggested that despite the rates of the polytrauma clinical triad among a significant portion of post-9/11 veterans, the current evidence does not support the presence of related cognitive impairment.
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