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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
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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
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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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- Title
- Implicit Theory of Willpower and Life Satisfaction Among Persons with Spinal Cord Injury
- Creator
- Cerny, Brian M.
- Date
- 2022
- Description
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Spinal cord injury (SCI) is a leading cause of physical disability and physical, functional, and psychosocial outcomes vary among persons with...
Show moreSpinal cord injury (SCI) is a leading cause of physical disability and physical, functional, and psychosocial outcomes vary among persons with SCI. Persons with SCI are at risk for poor psychosocial adjustment, evidenced by higher rates of mood disorders and lower reported life satisfaction (LS) when compared to the general population. LS among persons with SCI is influenced by sociodemographic, injury-related, and psychosocial factors. Implicit theory of willpower (TOW) refers to individuals’ beliefs about their capacity for self-regulation; specifically, whether or not self-regulatory capacity (i.e., willpower) is depleted with use. TOW has previously been associated with LS and other aspects of subjective well-being. This is the first study to assess TOW among persons with SCI, and aims to investigate the association between TOW and LS among persons with SCI. The study sample consisted of 156 adults with SCI who completed an anonymous online questionnaire. Associations between demographic- and disability-related factors, global perceived stress, TOW, engagement coping, disengagement coping, and LS were assessed via bivariate Pearson correlations and a 3-block hierarchical multiple linear regression with LS as the primary outcome. LS was significantly correlated with age, perceived physical health, self-reported participation, and perceived stress. After controlling for the influence of other variables, age, perceived physical health, and perceived stress were significantly associated with LS, consistent with prior work. Neither TOW nor the interaction between perceived stress and TOW were significantly associated with LS. Post hoc analyses suggest a chronic disability population may have different interpretations of the TOW construct or measure items than populations previously investigated. Clinical implications and future directions for research are discussed.
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- Title
- Mothers’ Vaccination Decision: The Relation Between Science Skepticism, Social Networks, Vaccination Beliefs, and Fear of ASD
- Creator
- Lockwood, Maria Izabel Kugelmas Guarita
- Date
- 2021
- Description
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Vaccines are instrumental in stopping the spread of disease, yet some parents choose to not vaccinate their children. Despite scientific...
Show moreVaccines are instrumental in stopping the spread of disease, yet some parents choose to not vaccinate their children. Despite scientific evidence that childhood vaccines are safe, there is an increasing number of children in the United States and the United Kingdom who are not getting vaccinated. The current study investigates different factors that may be associated with mothers’ decision to vaccinate their children. This study examines the relations between skepticism in science, vaccination beliefs, fear of having a child with Autism Spectrum Disorder (ASD), social network recommendations, and maternal decision to vaccinate. Participants included 293 expectant mothers in the United States and the United Kingdom. Results indicated that mothers who are pro-vaccine and mothers who are vaccine-hesitant have different score profiles across scales that measure skepticism in science, vaccination beliefs, and fear of having a child with ASD. Specifically, we found that relative to mothers who are vaccine-hesitant, mothers who are pro-vaccine: (1) indicated less skepticism in science; (2) had fewer anti-vaccination beliefs; (3) did not statistically differ on their fear of having a child with ASD; and (4) had a smaller percentage of their social network advocating against vaccination. Thus, the study adds to the research literature, as it illustrates that mothers who are vaccine-hesitant differ from mothers who are pro-vaccine on key factors.
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- Title
- Promoting Healthy Lifestyle Behaviors for African Americans with Serious Mental Illness and Weight Concerns
- Creator
- Nieweglowski, Katherine
- Date
- 2022
- Description
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People with serious mental illness face greater rates of chronic illness and obesity compared to those without mental illness. These rates are...
Show morePeople with serious mental illness face greater rates of chronic illness and obesity compared to those without mental illness. These rates are disproportionately higher for those who are part of racially minoritized groups. For example, African Americans are more likely to be obese compared to their white counterparts. This study sought to test a diet and exercise program—developed through community-based participatory research—called “Behaviors for Healthy Lifestyles” (BHL) for African Americans with serious mental illness and weight concerns. The impact of this program, also combined with peer health navigation (PHN), was tested on various physical and mental health outcomes. Participants were randomly assigned to either integrated-care treatment as usual (IC-TAU), BHL, or BHL+PHN. Data was collected at baseline, 4-month, 8-month, and 12-month follow up for outcomes measuring general health, bodily pain, physical functioning, emotional well-being, depression, recovery, quality of life, weight efficacy, and emotional eating. Monthly data collection was also conducted on frequency of healthy lifestyle behaviors related to diet and physical activity. Findings from group by trial analyses of variance on these outcomes did not show any significant impact. Implications for testing diet and exercise interventions combined with PHN for this population are discussed along with future research considerations related to increasing attendance and participation for greater health improvements.
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- Title
- Relations Between Inhibitory Control, Teacher Support, and Externalizing Behaviors in Elementary School Children
- Creator
- Kurian, Jennifer
- Date
- 2021
- Description
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The aim of this study was to examine the relation between child hot and cool inhibitory control (IC) at the beginning of the school year and...
Show moreThe aim of this study was to examine the relation between child hot and cool inhibitory control (IC) at the beginning of the school year and externalizing behaviors at the end of the year, and to determine if teacher support moderates this relation in early elementary school. Participants included a diverse sample of 138 children in grades 1 (n = 62) and 2 (n = 76), with a mean age of 7.2 years (SD = 10.1 months), about half of whom were male. Hot IC was assessed with the Puzzle Box Task and cool IC with the Happy-Sad Stroop Task. Teacher support was rated by independent observers using the Adapted Teaching Style Rating Scale. A composite teacher-report score based on ratings on subscales from two measures, the Strengths and Weaknesses of Attention Deficit Hyperactive Disorder Symptoms and Normal Behavior and the Strengths and Difficulties Questionnaire, was used to assess externalizing behavior at both time points. Results of hierarchical regression analyses revealed that, contrary to expectation, neither hot nor cool IC significantly predicted child externalizing behavior at the end of the school year. A moderation analysis also failed to show a significant moderating effect for teacher support. The only variable that significantly predicted externalizing behavior at the end of the year was externalizing behavior at the beginning of the year. There were significant concurrent associations between hot IC and externalizing behaviors at both the beginning and end of the school year. These findings suggest that externalizing behaviors in early elementary school are relatively stable. Thus, early and comprehensive intervention may be critical for implementing prevention strategies designed to increase self-regulation and thereby decrease externalizing behaviors after formal school entry.
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- Title
- Comparing the effects of an adjunct brief action planning intervention to standard treatment in a heterogeneous sample of chronic pain patients
- Creator
- Mikrut, Cassandra Leona
- Date
- 2022
- Description
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Objectives: Behavioral treatments for chronic pain have been associated with positive outcomes, but they are often time consuming in nature....
Show moreObjectives: Behavioral treatments for chronic pain have been associated with positive outcomes, but they are often time consuming in nature. The aim of the present study was to investigate the effectiveness of a brief behavioral treatment for chronic pain and compare Brief Action Planning used in conjunction with treatment as usual (BAP + TAU) to TAU, on changes in pain severity, pain interference, pain self-efficacy, quality of life, and anxiety and depression in a heterogeneous sample of chronic pain patients. Methods: A total of 172 participants were recruited from an urban pain clinic. Eighty-five participants were quasi-randomly assigned to the BAP + TAU group and 87 participants were quasi-randomly assigned to the TAU control group. After completing T1 measures, two iterations of the BAP protocol were delivered to the intervention group by a trained clinician over the phone, with two weeks in between iterations. The TAU group received check-in calls, collecting brief mood and pain scores, to control for clinician contact. All participants completed T2 measures following the last phone call. Validated measures were used at T1 and T2 to examine participant outcomes. Results: Two-way repeated measures analysis of variance (ANOVA) tests were used to test the primary hypotheses that there would be a Group x Time interaction, on pain severity, pain interference, pain self-efficacy, quality of life (QOL), and anxiety and depression, such that participants assigned to the BAP + TAU group would endorse improved scores from T1 to T2, while TAU participants would not. Results showed a significant Group x Time interaction on pain severity and anxiety and depression. However, there was not a significant Group x Time interaction on pain interference, pain self-efficacy, or QOL. Discussion: These findings provide preliminary support for the effectiveness of BAP, as an adjunctive treatment to TAU, when provided by a trained clinician, as a treatment for reducing pain severity and anxiety and depression, in a heterogeneous chronic pain population. These results advance the current BAP literature, providing preliminary support for using BAP with individuals with a wide variety of chronic pain diagnoses.
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- Title
- EMBEDDING RELATIONSHIPS: THE INDIRECT EFFECTS OF WORK RELATIONSHIPS ON TURNOVER INTENT
- Creator
- McDonald, Jordan C.
- Date
- 2022
- Description
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With the onset of the “Great Resignation” following the onset of the COVID-19 pandemic, employees are quitting jobs at unprecedented levels....
Show moreWith the onset of the “Great Resignation” following the onset of the COVID-19 pandemic, employees are quitting jobs at unprecedented levels. Although the traditional model of turnover (Mobley, 1977; Mobley, Griffeth, Hand, & Meglino, 1979) links job attitudes and turnover intentions as key determinants in understanding the turnover process, there is a growing recognition of the importance of studying contextual variables, namely social relations, in expanding our understanding of employee turnover and retention. Job embeddedness (Mitchell et al., 2001) and social capital theories (Granovetter, 1973; Burt, 1992; Lin, 1982) implicate employees’ social networks as additional factors worth investigating in understanding employee turnover. The aim of the current study was to study an expanded model of turnover by examining whether different types of social relationships at work differentially related to work experiences and attitudes that, in turn, related to turnover intentions. The current research leveraged an ego-centric method to collect information on employees’ social networks at work along with work experience and attitudinal constructs. The results of the study found that expressive relationship networks (i.e., friendship networks) had a positive, significant effect on employees’ job embeddedness, with an indication of a marginal indirect effect with organizational commitment. Surprisingly, employees’ instrumental networks were not significantly related to any work experience or attitudinal factors. There was no support for the hypothesized indirect effects linking social networks, work experiences and attitudes, and turnover intentions. Practical implications and directions for future research are discussed.
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- Title
- PLAYER MOTIVATION AND TRAINING EFFECTIVENESS: INSIGHTS FROM A STRUCTURAL MODEL OF GAME-BASED LEARNING
- Creator
- Gandara, Daniel A.
- Date
- 2022
- Description
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Digital game-based learning (DGBL) delivers training through video games. Practitioners are using DGBL in attempts to increase motivation,...
Show moreDigital game-based learning (DGBL) delivers training through video games. Practitioners are using DGBL in attempts to increase motivation, promote learning, and increase transfer in training. Theory and models of DGBL aim to explain how motivation is created to yield these benefits, and studies have compared DGBL to traditional methods, yet the tenets of these theories remain largely unexamined. The present study tested the process-outcome link of Garris et al.’s (2002) input-process-outcome model, examined the effect of positive and negative user judgments on behavior and learning, and expanded the model to include trainee reactions and adaptive transfer. Participants (N = 254) learned about identifying misinformation online by playing Fake It to Make It, a social-impact game that teaches core critical thinking skills. Autoregressive cross-lagged (ARCL) panel analysis was used to analyze and compare models to test the hypothesized relationships among judgments and behavior scores across six game levels in predicting six learning outcomes, including adaptive transfer tasks evaluating online sources. Findings indicated that each judgment was predicted by its own lagged judgment and lagged behavior. Additionally, positive user judgments predicted reactions, post-training self-efficacy, and motivation to transfer, while frustration inhibited declarative knowledge. Results also demonstrated that behavior and declarative knowledge predicted performance on the adaptive transfer tasks. Research recommendations and practice implications are discussed relative to using games to deliver training with emphasis on motivational properties and targeted outcomes.
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- Title
- Child Temperament, Attachment, and Loneliness: The Mediating Effects of Social Competence
- Creator
- Evans, Lindsey M
- Date
- 2021
- Description
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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
- PARENTAL RELATIONSHIP FACTORS, ACADEMIC EXPECTATIONS, AND MENTAL HEALTH OUTCOMES IN INDIVIDUALS WITH ADHD
- Creator
- Small, Eva E.
- Date
- 2022
- Description
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Individuals with Attention Deficit Hyperactivity Disorder (ADHD) are at a higher risk for developing comorbid psychological conditions...
Show moreIndividuals with Attention Deficit Hyperactivity Disorder (ADHD) are at a higher risk for developing comorbid psychological conditions including depression and anxiety by the time they reach adulthood. While there has been some research on potentially beneficial aspects of parent-child relationships that can help to improve the mental health of pediatric populations with ADHD, less work has been done to assess the long-term influence of the parent -child relationship in adults with ADHD. The purpose of this study was to add to previous research by utilizing the National Longitudinal Study of Adolescent to Adult Health (Add Health) to investigate how parenting relationship and family factors (i.e., parental warmth, behavioral autonomy, family cohesion, and parental academic expectations) predict symptoms of stress and depression in adults with ADHD. Using data from Waves I, III, and IV of the Add Health study, analyses examined whether positive parenting relationship factors were related to levels of depression symptoms and stress in a sample of participants with self-reported ADHD (N = 316). Results indicated that higher levels of family cohesion experienced in adolescence were associated with lower depression symptoms reported in adulthood, thus suggesting that family cohesion is a beneficial for individuals with ADHD. Future research should continue to examine the role that child-relationship factors can have on long term mental health outcomes in individuals with ADHD
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- Title
- THE IMPACT OF SHARED RECRUITMENT INFORMATION ON APPLICANT OUTCOMES AND THE INFLUENCE OF MODERATING VARIABLES
- Creator
- Savage, Catherine M.
- Date
- 2022
- Description
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Organizations are currently experiencing one of the most challenging environments when it comes to recruiting talent. What started in the...
Show moreOrganizations are currently experiencing one of the most challenging environments when it comes to recruiting talent. What started in the 1990s as the “War for Talent,” in which organizations faced fierce competition when hiring and retaining employees, has persisted, and grown more competitive, post-pandemic. As a result, organizations must re-evaluate their recruitment strategies and find ways to connect with job candidates that will increase the probability that they will pursue open job positions. Thus, we examined how sharing different information regarding pay, diversity statements, and mentoring benefits with 250 potential job applicants, based in the US, may influence their attraction to an organization, perceived person-organization fit, and their intention to pursue the job that was posted. We also examined how ethnicity, gender, and age can influence the job candidates’ perception of the information provided. Results from this research partially supported our hypothesized outcomes. Presenting more information to participants (rather than less) generally had a positive impact on organization attraction and intentions to pursue the position posted in the job advertisement. However, the amount of information shared to participants did not influence perceptions of person-organization fit. Additionally, while ethnicity did not moderate the relationship between amount of information shared and the outcome variables, gender and age were found to influence participants’ reaction to the information provided and their subsequent level of organizational attraction and intention to pursue. Implications and avenues for future research are discussed.
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- Title
- Do Numeric Performance Ratings Have Any Merit?
- Creator
- Sanders, Emily Kathleen
- Date
- 2022
- Description
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Numeric performance ratings have been a component of performance evaluation for decades (Prowse & Prowse, 2009; Pulakos, Mueller-Hanson & Arad...
Show moreNumeric performance ratings have been a component of performance evaluation for decades (Prowse & Prowse, 2009; Pulakos, Mueller-Hanson & Arad, 2019). Yet, in recent years their necessity has been questioned (Adler, Campion, Colquitt, Grubb, Murphy, Ollander-Krane, & Pulakos, 2016), with some organizations going so far as to remove numeric ratings entirely (Capelli & Tavis, 2016; Rock, Davis & Jones, 2014; Burkus, 2016). Unfortunately, this practice has been largely unexamined in an empirical manner. The present study tested whether the claim – that numeric ratings do not matter – holds up in all cases. This is done by exploring whether the presence or absence of numeric ratings, impacts employee perceptions of fairness associated with the appraisal. As numeric ratings are argued to be a mechanism for communicating a fair, standard, and consistent practice, the study aimed to understand if the mere presence of numeric ratings may offset some of the negative reaction employees have toward performance appraisal when they have poor-quality relationships with their supervisors. Findings indicated that while employee-manager relationship quality (assessed via Leader-Member Exchange) has a direct relationship with perceptions of fairness associated with the appraisal, the presence of numeric ratings did not moderate this relationship. Practical implications and future research recommendations are discussed.
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- Title
- Stress-Induced Habitual Responding as a Maintenance Factor in Bulimia Nervosa Spectrum Disorders
- Creator
- Dougherty, Elizabeth Nash
- Date
- 2022
- Description
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Individuals with bulimia nervosa spectrum disorders often compulsively engage in binge eating and purging, despite life threatening...
Show moreIndividuals with bulimia nervosa spectrum disorders often compulsively engage in binge eating and purging, despite life threatening consequences. Little is known about factors that contribute to compulsivity in these conditions. The purpose of this study was to investigate whether stress and habitual control over bulimic behaviors play a role in maintaining symptoms in these disorders, using ecological momentary assessment. Women with bulimia nervosa spectrum disorders (N = 81) completed self-report baseline questionnaires and a 14-day EMA protocol which involved daily assessments of stress, negative affect, bulimic behaviors, and contextual antecedents to bulimic behaviors. The results indicated that baseline habitual control over binge eating and purging were not associated with global eating pathology or eating disorder-related clinical impairment. However, exploratory analyses revealed that habitual control over binge eating and purging were associated with more frequent engagement in these behaviors during the previous four weeks. Neither stress appraisal nor stressor frequency were associated with habitual control over bulimic behavior during the EMA period. In terms of affect trajectories surrounding bulimic behaviors, negative affect increased in the hours leading up to these behaviors, decreased in the hours following these behaviors, and was higher immediately after these behaviors compared to before. Habitual control over binge eating and purging did not moderate temporal relations between negative affect and bulimic behaviors during the EMA period. Overall, the findings suggest that habit may play a role in maintaining binge eating and purging.
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- Title
- DOES FAMILY QUALITY OF LIFE MEDIATE THE RELATION BETWEEN AUTISM WAIVER SERVICES AND CHILD PROGRESS?
- Creator
- Desai, Shivani S.
- Date
- 2022
- Description
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Autism Spectrum Disorder (ASD) is a pervasive neurodevelopmental disorder that affects a child’s language, social, and behavioral development,...
Show moreAutism Spectrum Disorder (ASD) is a pervasive neurodevelopmental disorder that affects a child’s language, social, and behavioral development, and also is associated with difficulty with academics, independent completion of daily living skills, and emotion regulation. Diagnosed individuals often require comprehensive, long-term, and family-based intervention that is costly. Several states, including Maryland, have adopted Medicaid Home and Community Based Services (HCBS) waiver services that specifically serve children and young adults with ASD at no out-of-pocket cost to families. The Maryland autism waiver (AW) also includes services to support diagnosed individuals’ family members, including family consultation and respite services. Family factors, such as specific parenting behaviors and parental mental health, contribute significantly to symptom improvement in children with ASD and child development more broadly, highlighting the importance of studying family systems and targeting them in treatment. Prior research has found that AW services have a positive impact on family quality of life (FQoL), which is a multidimensional concept of family functioning. The aim of the present study was to examine if the several domains of FQoL are mediators in the relation between receipt of Maryland HCBS AW services and caregivers’ perception of their child’s improvement in several domains of functioning. The participants in this study consisted of 460 families who were enrolled in a larger study examining effects of Maryland AW services. Half of these families (n = 230) received the Maryland Medicaid AW services (n = 230) and the other half were on a registry to receive services (n = 230). Deidentified survey data were collected between 2013-2016 from caregiver informants who had a child under the age of 21 who exhibited symptoms of ASD. The survey included questions about demographics, FQoL, and their child’s progress in the areas of academics, independent living skills, social communication skills, stereotypic and repetitive behaviors, and aggressive behaviors over the past 6 months. Results of the mediation analyses revealed that FQoL in the domains of parenting, emotional well-being, and disability support services (but not in the domains of family interaction and physical/material well-being) each mediated the relations between AW services and caregiver report of improvement in all measured domains of child functioning (academics, independent living skills, social communication skills, stereotypic and repetitive behaviors, and aggressive behaviors). These findings highlight the significant role of FQoL as a mediator in the relation between waiver serves and child outcome. They also reveal the importance of increasing family quality of life when providing treatment services to children with symptoms of autism and their families.
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- Title
- Keeping the Spark Alive: Examining Associations Between Technology Use For Cybersex, Health and Relationship Satisfaction In Long-Distance Relationships
- Creator
- Khan, Humza
- Date
- 2022
- Description
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Background: Technology is important to many romantic relationships, especially long-distance relationships (LDR), insofar as technology can...
Show moreBackground: Technology is important to many romantic relationships, especially long-distance relationships (LDR), insofar as technology can minimize the impact of the lack of proximity that is characteristic to LDR. Cybersex, a specific use of technology within romantic relationships, is associated with increased relationship satisfaction among partners in proximal relationships. Cybersex also relates to health broadly, and to anxiety and depression specifically, with mixed associations. Despite LDR lending themselves to cybersex, associations between cybersex, relationship satisfaction, and health have not been studied in LDR. This study has three aims: (1) to provide the first descriptive data related to cybersex behavior, relationship satisfaction and health in LDR; (2) to examine associations between cybersex behaviors and relationship satisfaction, and cybersex and health in LDR; and, (3) to test whether biological sex moderates cybersex-relationship satisfaction and cybersex-health associations among those in LDR. We predicted that cybersex behaviors would relate positively to relationship satisfaction for both males and females, although we predicted males would report stronger associations than females. We predicted cybersex behaviors would relate positively to health for both males and females, although we predicted females would report weaker associations than males. Methods: Participants (N = 146; 18 years or older; English speaking; in LDR for 3+ months) completed a paid online survey on relational experiences and health/well-being. Cybersex behaviors were assessed through an internally created “sex and cybersex behaviors” scale. Relationship satisfaction was assessed via the Couples Satisfaction Index (CSI). Both broad health, and anxiety and depression, were assessed with the PROMIS-29. Correlations were assessed between key study variables. Regression analyses were used first to test associations between cybersex and relationship satisfaction, then cybersex and health, and finally, the moderation effect of biological sex in these associations. Results: The average member of our sample was White, college aged, had no children, a full-time undergraduate student and low SES. Correlation analyses show significant correlations between core study variables (relationship satisfaction, global health, cybersex behavior, depression & anxiety) at some level. Sex-level analyses show that when compared to males, females reported significantly higher average anxiety scores, and more texting sex behavior. Linear regressions established cybersex behavior as a negative predictor of global health and a positive predictor of depression and anxiety, but not relationship satisfaction. Moderation analyses indicated that biological sex moderated the cybersex behavior-global health association such that more cybersex behavior negatively predicted global health for males but not females. Discussion: These differences among sexes and health in LDR observed within our findings may be explained by the social role theory, in which females have worse health than males however, males having worse overall physical health than females may be due to a lack of copresence from their partner. In addition, females engaging in higher levels of texting cybersex may be related to sociocultural factors. Conclusion: Overall, our study contributes to the understanding of cybersex behavior, relationship satisfaction and health outcomes by among males and females in LDR. Our findings suggest that this sample of LDR females engage in more texting cybersex, have higher anxiety symptom severity, and have equal levels of relationship satisfaction.
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- Title
- THE RELATIONSHIP BETWEEN SLUGGISH COGNITIVE TEMPO AND PERFORMANCE ON TASKS OF PROCESSING SPEED: INFLUENCE OF DEPRESSION
- Creator
- Kim, Jeong Hye
- Date
- 2021
- Description
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Sluggish cognitive tempo (SCT) is often associated with reported difficulties in various functional areas, including daily activities,...
Show moreSluggish cognitive tempo (SCT) is often associated with reported difficulties in various functional areas, including daily activities, emotional functioning, cognitive functioning, academic performance, and sleep. However, there are only a handful of research studies on SCT and neurocognitive functioning in adult populations, and the neuropsychological profile of SCT in adults is unclear.The purpose of this research is to investigate the effect of depression on the relationship between a self-reported measure of SCT and objective measures of SCT in adults by focusing on processing speed performance. The result of this research supports the previous notion that SCT is a novel and independent condition distinct from ADHD, and there are significantly positive relationships between symptoms of SCT and Inattention and Hyperactivity/Impulsivity. Furthermore, SCT and depression are also positively associated indicating the people who experience more symptoms of SCT report more symptoms of depression. However, results did not support the hypothesis that SCT significantly contribute to differences in performance on various types of neuropsychological tasks (WAIS PSI, Trail Making Test, and CPT-II Reaction Time) assessing processing speed after controlling for symptoms of ADHD (inattention and hyperactivity/impulsivity) and symptoms of depression. It is notable that the significant model beta weights for SCT in the final regression model suggests that the relationship between SCT and processing speed is worthy of additional investigation.
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- Title
- CARING FOR THE CAREGIVER: INTERPERSONAL FACTORS AND DEPRESSION AS PARALLEL-SERIAL MEDIATORS BETWEEN STIGMA AND SUICIDAL IDEATION
- Creator
- Tsen, Jonathan Y.
- Date
- 2022
- Description
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Background/Objectives: This study applied Joiner's Interpersonal PsychologicalTheory to a caregiver population, by describing relationships...
Show moreBackground/Objectives: This study applied Joiner's Interpersonal PsychologicalTheory to a caregiver population, by describing relationships among affiliate stigma, thwarted-belongingess (TB), perceived-burdensomeness (PB), and depression, and suicidal ideation (SI). Participants/Setting: 243 adult caregivers participated in this study via Prolific Academic and caregiver-related websites. Design/Main Outcome Measures: This study used a cross-sectional, survey-based design including demographics, the Affiliate Stigma Scale (α=.93), Interpersonal Needs Questionnaire-15 (α=.95), Center of Epidemiology Studies–Depression-10 (α=.90), and Depressive Symptom Inventory— Suicide Subscale (α = .91) via Qualtrics. Analyses run on SPSSv27/Hayes’ PROCESS macro. Results: Parallel-serial mediation found after controlling for covariates that the total indirect effect of affiliate stigma on SI through both TB and PB then through depression was significant, B = .0271, SE = .0062, β = .1659, 95%CI [.0152, .0393]. Conclusions: Findings indicated that affiliate stigma indirectly affected SI through both TB and PB then through depression. Interventions to improve caregiver wellbeing should capitalize on both improving interpersonal functioning and depressive symptoms in tandem in order to reduce SI risk.
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- Title
- Quality of Life in People with Epilepsy: The Associations of Anti-seizure Medications and Biopsychosocial Variables
- Creator
- Thomas, Julia A.
- Date
- 2022
- Description
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People with epilepsy, on average, experience lower quality of life (QOL) than healthy controls (Taylor et al., 2011). This study examined the...
Show morePeople with epilepsy, on average, experience lower quality of life (QOL) than healthy controls (Taylor et al., 2011). This study examined the associations between specific anti-seizure medication, biopsychosocial factors, and QOL in people with epilepsy. Analysis of covariance revealed that individuals taking three or more anti-seizure medications had significantly lower QOL than those taking levetiracetam. Findings also demonstrated that when looking at biopsychosocial factors as predictors of QOL in hierarchical regression, anxiety, depression, and daytime sleepiness were significant predictors of QOL. Once these factors were entered into the model, number of medications was no longer significant. The final model predicted 59.6% of the variance in QOL. Lastly, a moderation analysis to examine the moderating effect of employment on the association between number of anti-seizure medications and QOL was not significant. Additional exploratory analyses looking at individuals who were employed versus those who were not employed were completed. These findings underscore the importance of addressing psychological health and sleep factors within the epilepsy population.
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- Title
- Child and Family Outcomes Associated with Specific Maryland ASD Waiver Services and Choice and Control as Mediators of These Outcomes
- Creator
- Turchmanovych-Hienkel, Nataliya
- Date
- 2022
- Description
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Autism spectrum disorder (ASD) is a neurodevelopmental condition that affects 1in 44 children and is characterized by impairments in cognitive...
Show moreAutism spectrum disorder (ASD) is a neurodevelopmental condition that affects 1in 44 children and is characterized by impairments in cognitive, behavioral, and social domains of functioning. Literature suggests that ASD not only impacts the quality of life of the individuals diagnosed with this condition, but also has a negative impact on family quality of life (FQoL). Interventions and services offered through the Medicaid 1915(c) Home and Community-Based Services waiver programs can enhance child and family outcomes. The present study looked at one specific waiver program, the Maryland ASD waiver, and examined the frequency at which families received different waiver services and the associations between those service frequencies and child (i.e., academic performance, independent living skills, social communication and interaction skills, stereotypic and repetitive behavior, and aggressive behavior) and family (i.e., FQoL) outcomes, as well as explored whether the family’s perception of choice and control mediate these child and family outcomes. Results suggest that frequencies of some waiver services are associated with progress in some child outcomes, but not in FQoL. This study also suggests that the choice and control that families have over services do not mediate the relation between frequency of waiver services and child and family outcomes. Overall, results suggest that the Maryland ASD waiver program may help improve some domains of child functioning.
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