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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: Testing a pilot intervention aiming to increase transgender allyship among future healthcare providers
Creator: Yoder, Wren
Date: 2021
Description: Transgender individuals often experience poor health outcomes related to a lack of provider knowledge and comfort around transgender issues. ...
Show moreTransgender individuals often experience poor health outcomes related to a lack of provider knowledge and comfort around transgender issues. Ally identity development and cultural humility theories have been used to develop interventions shown to improve attitudes, knowledge, and skills related to being an ally to the transgender community. Additionally, healthcare providers have reported a desire for online tools related to transgender healthcare, and online interventions can be more cost effective than traditional in-person trainings. The current study developed an hour-long online intervention composed of six activities aiming to increase attitudes, knowledge, skills, and identification as an ally to the transgender community. Tests were conducted to assess whether these domains increased significantly from baseline to post in the intervention condition compared to the control condition and whether the increase was maintained at 2-week follow up. The sample included cisgender (i.e., male or female) students studying a subject related to healthcare recruited online through Prolific (N = 78). Results indicated that knowledge and skills increased significantly from baseline to post in the intervention condition compared to the control condition, and increases were maintained at 2-week follow up. However, this was not the case for attitudes and identity. These findings largely replicate existing research on knowledge about transgender individuals and provide new insights into skills, attitudes, and identity related to transgender allyship. Findings can inform future research on transgender allyship intervention design and allyship theory as well as support improvements in clinical practice and policy related to transgender healthcare services.
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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: ARE SUPPORTIVE FOSTER CAREGIVERS ASSOCIATED WITH IMPROVED FOSTER CARE ALUMNI OUTCOMES? A LONGITUDINAL EXAMINATION OF THE EFFECT OF SUPPORTIVE FOSTER CAREGIVERS ON MENTAL HEALTH OUTCOMES IN A NATIONALLY REPRESENTATIVE SAMPLE
Creator: Dunn, Megan Reeves
Date: 2021
Description: Foster youth are a vulnerable population associated with poor health outcomes, but relatively little research has identified factors that may...
Show moreFoster youth are a vulnerable population associated with poor health outcomes, but relatively little research has identified factors that may mitigate adverse outcomes for these youth. The present study augments previous research by utilizing a nationally representative, longitudinal study (The National Longitudinal Study of Adolescent to Adult Health or Add Health) to investigate whether foster youth in the United States face significantly different mental and behavioral health outcomes compared with same-age peers, and second, whether presence of a supportive foster caregiver may predict better mental and behavioral health outcomes in the foster youth subsample. Using data from Waves III and IV of the Add Health study (N = 12,288 participants, of which n = 282 were foster youth), analyses examined whether foster status and higher caregiver support was related to rates of depression symptoms, suicidal ideation, marijuana use, and alcohol use. Surprisingly, there were few differences between those with and without a foster history; higher frequency of marijuana use among foster youth was the only significant difference. However, analyses in the foster youth subsample indicated that the presence of a supportive caregiver was associated with lower rates of depression symptoms and lower endorsement of suicidal ideation, demonstrating caregiver support as a possible protective factor for foster youth. Future research must continue to explore potential benefits of caregiver support, as it may inform policy that can improve long-term outcomes for foster youth.
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Title: Transdiagnostic Emotional Factors as Mediators of the Relation between Obsessive-Compulsive Symptoms and Tobacco Use and Dependence in a Large Community Sample of Adolescents
Creator: Chang, Weilynn Christine
Date: 2023
Description: This study investigated the associations between obsessive compulsive disorder symptoms (OCS) and tobacco use and tobacco dependence in a...
Show moreThis study investigated the associations between obsessive compulsive disorder symptoms (OCS) and tobacco use and tobacco dependence in a large community sample of adolescents. Specifically, transdiagnostic emotional vulnerability factors (i.e., anhedonia, distress tolerance and anxiety sensitivity) were explored as potential mediators of the relation between OCS and tobacco use/dependence. Weighted logistic regression models found that OCS was significantly positively associated with likelihood of tobacco use in the past six months (when suppressor variables were excluded). Similarly, zero-inflated negative binomial regression models found a significant positive relation between OCS and tobacco dependence (when suppressor variables were excluded). There was no significant weighted indirect effect via anhedonia for the OCS-Tobacco Use association, which suggests that anhedonia was not a significant mediator in this case. However, the indirect effect via anhedonia for the OCS-Tobacco Dependence association was significant at the p < .05 level, but not the adjusted p < .001 threshold (when suppressor variables were removed). The weighted indirect effect via distress tolerance for the OCS-Tobacco Use association was significant at the p < .05 level, but not the p < .001 threshold (when suppressor variables were removed). There was no significant indirect effect via distress tolerance for the OCS-Tobacco Dependence association. There was a significant weighted indirect effect via anxiety sensitivity for the OCS-Tobacco Use association (when suppressor variables were removed). There were no significant indirect effects via anxiety sensitivity for the OCS-Tobacco Dependence association. When overlapping variance was accounted for by including all three mediators simultaneously, anhedonia was still not a significant mediator of the OCS-Tobacco Use association; there were still significant indirect effects via distress tolerance and anxiety sensitivity, under specific model parameters. Our results also revealed that while Asian adolescents demonstrated lower likelihood of tobacco use compared to those who were Hispanic/Latinae, Asian youth demonstrated more severe tobacco dependence symptoms.
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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: Neuropsychological Pattern of Verbal and Nonverbal Processing Speed Discrepancy in Veterans with Co-Occurring mTBI and PTSD
Creator: VanLandingham, Hannah B.
Date: 2023
Description: Rates of traumatic brain injury (TBI) exposure have increased over time (CDC, 2022). This pattern of increased TBI risk is additionally...
Show moreRates of traumatic brain injury (TBI) exposure have increased over time (CDC, 2022). This pattern of increased TBI risk is additionally associated with risk for development of posttraumatic stress disorder (PTSD; APA, 2013). Ongoing PTSD symptomology can lead to neuropsychological profiles in which deficits are more pronounced for verbally constrained performances when compared to nonverbal performances. However, less is known about this performance discrepancy in patients with a history of head injury with comorbid PTSD. Moreover, the little existing research focuses on the domains of executive functioning, learning, and memory, with little to no research on processing speed discrepancies. These findings could have significant implications for healthcare and cognitive intervention pre- and post-mTBI and/or trauma exposure because this discrepancy may impact clinical assessment and subsequent diagnosis. The analysis will include 1) determination of statistically and clinically significant differences for those with co-occurring PTSD and mTBI, and 2) examine within-subjects differences with and without the inclusion of covariates. The present research found that there are no differences between those with co-occurring PTSD and head injury compared to individuals without a co-occurring diagnosis, in addition to no significant discrepancies notes within the PTSD and mTBI group alone
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Title: Leader Identity Claiming and Granting Process: The Role of Gender on Perceptions of Leadership
Creator: Standish, Melanie P.
Date: 2023
Description: Ely, Ibarra, and Kolb (2011) theorize that the leader identity work among women is an area of work wherein subtle gender bias is pervasive and...
Show moreEly, Ibarra, and Kolb (2011) theorize that the leader identity work among women is an area of work wherein subtle gender bias is pervasive and impacting women’s advancement in the workplace. Interferences with the leader identity development process not only impact how a woman views herself as a leader, but how others collectively come to endorse her as a leader. Simply observing an individual claiming leadership and having that leadership be granted by someone else is known to influence how an observer classifies an individual as a leader or a non-leader. This study examines how the gender of an individual claiming leadership impacts external perceptions of how leader-like they are to others, when they are granted vs. not granted leadership. To examine this gap, this study uses an experimental vignette methodology to explore the impact of gender on leadership perceptions, during a claiming and granting process. Specifically, this work examines the mediating roles of competence and likability, as potential drivers through which differences may occur. Though women today are evaluated as equally competent as their male counterparts, engaging in dominant, agentic, behaviors, may make them less likable, and rated less leader-like as a result. The results of this study did not find an interaction between gender and granting, on perceived likability. The results did replicate existing findings that claiming leadership is not enough to be relationally recognized as a leader, and that granting from others plays an important role in how competent, and subsequently leader-like, an individual is perceived to be.
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Title: Understanding the Impact of Age and Gender Demographic Similarity in Assessment Center and Individual Assessment Ratings
Creator: Levin, Kelly
Date: 2023
Description: Organizations have become increasingly reliant on the use of assessment centers and individual assessments when making hiring decisions....
Show moreOrganizations have become increasingly reliant on the use of assessment centers and individual assessments when making hiring decisions. However, there has been relatively limited research on the prevalence of subgroup differences with the use of these tools. As such, this study investigated the individual characteristics of gender and age in both assessment centers and individual assessments. Specifically, the study examined how candidate gender and age, as well as the dyadic “match” between assessor-assessee gender and age impacted assessors’ hiring recommendations. Results from this research partially supported the hypothesized outcomes. Both female and younger candidates were rated more favorably on the overall assessment center recommendation. However, neither candidate gender or age had a significant impact on individual assessment recommendations. Further, demographic similarity had little effect on overall recommendations in both ACs and individual assessments. Implications and avenues for future research are discussed.
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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: How Does Self-Stigma Influence Functionality in People with Serious Mental Illness? A Multiple Mediation Model of "Why-Try" Effect, Coping Resources, and Personal Recovery
Creator: Qin, Sang
Date: 2022
Description: People with serious mental illness (SMI) face self-stigma effects that often undermine their functionality. Functionality herein refers to a...
Show morePeople with serious mental illness (SMI) face self-stigma effects that often undermine their functionality. Functionality herein refers to a person's execution of tasks (i.e., activities) and engagement in life situations (i.e., participation). This study used a path model to examine three mediating factors between self-stigma and functionality: The "why-try" effect, coping resources, and personal recovery. Specifically, the “why-try” effect was viewed as an extension of self-stigma harm that occurred when people suffered from a loss of self-esteem and self-efficacy. Coping resources were conceptualized as individuals’ strengths and the support they had to overcome negative stigma outcomes, particularly stigma stress. Endorsement of personal recovery, namely pursuing self-defined life goals despite illness—had a buffering effect reducing self-stigma. These three mediators were examined simultaneously using an archival dataset. Due to poor internal consistency, coping resources were eventually removed from the model; the subsequent, revised model achieved a good model fit. Results showed that people with SMI experiencing self-stigma were found to have an enhanced "why-try" effect as well as reduced personal recovery, leading to a decline in functionality. Implications of the results and future research directions are discussed.
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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: The Development of a Measure of Public Stigma Towards Adults With Autism
Creator: Beedle, Robert Brian
Date: 2022
Description: Adults with autism (AwA) report experiences of stigma and discrimination. Yet, quantitative research suggests that public attitudes are...
Show moreAdults with autism (AwA) report experiences of stigma and discrimination. Yet, quantitative research suggests that public attitudes are relatively benign. This research discrepancy is compounded by the present lack of a stakeholder-informed, theoretically-guided measure of the stigma towards AwA. The objective of the present study was to develop a measure of stigma towards AwA following best practices survey methodology. First, existing related measures were reviewed for possible candidate items, yielding 36 draft questions related to the stigma of AwA. Next, seven stakeholders in the AwA community were recruited to provide feedback on their experiences of stigma and discrimination, as well as feedback on the draft items. Following stakeholder feedback, draft items were edited, added, or removed based on feedback from the participants with AwA and their lived experiences, resulting in a revised measure of 51 candidate items. Finally, these 51 items underwent a quantitative phase with participants recruited through MTurk (N = 357). Exploratory factor analyses were conducted in order to generate a data driven factor structure that reflected stigma theory. The end result was a 20-item, four factor solution measuring numerous components of stigma within factors including cognitive components of stigma, blame, positive and negative affect, and comfort with close contact. The resulting measurement tool was titled the Public Stigma towards Adults with Autism Scale (PSAWA) and demonstrated strong psychometric properties. The tool has utility for further studying stigma towards AwA and assessing stigma interventions.
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Title: Examining Associations Between Discrimination, Social Cohesion, and Health among White and POC LGBT Chicagoans
Creator: Kannout, Lynn
Date: 2022
Description: Consistent with the minority stress perspective, lesbian/gay, bisexual, and transgender (LGBT) individuals on average report worse health than...
Show moreConsistent with the minority stress perspective, lesbian/gay, bisexual, and transgender (LGBT) individuals on average report worse health than heterosexual individuals in several domains, e.g., general health, mental health, physical health, and health care access. Intersectionality-based research shows that LGBT-POC are, on average, at even greater risk for adverse health outcomes compared to their White LGBT counterparts. Discrimination and social cohesion may be two mechanisms underlying these between- and within-group disparities, given their broader relations to health and their relatively high frequency within marginalized populations. This study used data from the Chicago Department of Public Health to examine broad health differences between LGBT White and LGBT-POC individuals, and to test specific mediations models in which social cohesion mediated links between discrimination and health. LGBT-POC reported experiencing worse general health, lower access to health care, more experiences of discrimination, and lower feelings of social cohesion than did White LGBT individuals. No mediation effects emerged, however there was a direct effect of experiencing discrimination on mental health distress. Further, discrimination exposure related inversely to feelings of social cohesion. Study strengths, limitations, and implications are discussed.
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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: FACTORS INFLUENCING INDIVIDUALS’ PROVISION OF AUTONOMY SUPPORT TO THEIR PARTNERS WITH CHRONIC PAIN: A PATH ANALYSIS MODEL BASED ON SELF-DETERMINATION THEORY
Creator: Ivins-Lukse, Melissa N.
Date: 2021
Description: Receiving autonomy support from a relationship partner has been associated with increased physical activity among individuals with chronic...
Show moreReceiving autonomy support from a relationship partner has been associated with increased physical activity among individuals with chronic pain (ICP), but no studies have explored what factors may influence partners’ use of an autonomy supportive interpersonal style with an ICP. Self-determination theory (SDT) posits that contextual, perceptual, and individual factors influence how much individuals use an autonomy supportive interpersonal style through the mediators of basic psychological need satisfaction and autonomous motivation. The present study used path analysis to test a SDT model of the relationships between a contextual factor (autonomy support from health care provider), a perceptual factor (partner’s perception of ICP motivation for physical activity), an individual factor (partner catastrophizing about ICP’s pain), and the sequential mediators of relationship need satisfaction and autonomous motivation with respect to the dependent variable of partners’ use of an autonomy supportive interpersonal style. 176 partners of ICPs completed a cross-sectional survey including the Health Care Climate Questionnaire, partner-report revised Behavioral Regulation in Exercise Questionnaire, Pain Catastrophizing Scale – Significant Other version, Need Satisfaction Scale, Motivation to Help, and Interpersonal Behaviours Questionnaire-Self. The proposed model demonstrated poor fit to the data: χ2 (10) = 31.949, p < 0.001), RMSEA = 0.11 (90% CI = .07 to .16, p = 0.01), CFI = 0.81, and SRMR = .10. While the overall model was not supported, most individual pathways in the model were significant. Alternative analyses were conducted to identify a model with acceptable fit.
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