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Title: EXPERIMENTAL EFFECTS OF SOCIAL MEDIA ON BODY DISSATISFACTION AND EATING PATHOLOGY: UPWARD VERSUS DOWNWARD COMPARISONS
Creator: Badillo, Krystal Elizabeth
Date: 2019
Description: Research has been limited in assessing the different impacts of social media platforms on body dissatisfaction, apart from Facebook. In...
Show moreResearch has been limited in assessing the different impacts of social media platforms on body dissatisfaction, apart from Facebook. In addition, most studies have measured social media use by only assessing time. This study aimed to test experimental effects of social comparison on body dissatisfaction (BD) and desire to engage in eating behaviors. In addition, a mediation model was tested of the association between social media use and BD via social comparison. Participants viewed one of two live public Instagram profiles and were asked questions that facilitated individuals comparing their appearance to the Instagram profile. A total of 74 women completed questionnaires regarding social media use, body image, and eating disorder psychopathology. It was found that regardless of condition, desire to eat decreased after profile views, but there was no change in BD. The mediation model suggests that there was a significant indirect effect of increased BD and importance of Instagram through social comparison. Results suggest that, contrary to earlier work, overall social media use may not negatively impact BD as previously thought. Rather, it appears that trait level factors such as social comparison negatively influence BD while using social media.
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Title: Testing Relational Proximity as a Moderator of Associations Between Marital Satisfaction and Health
Creator: Yoder, Wren
Date: 2019
Description: Individuals with high marital satisfaction tend to have better health and engage in healthier behaviors than those with low marital...
Show moreIndividuals with high marital satisfaction tend to have better health and engage in healthier behaviors than those with low marital satisfaction. Multiple studies have explored satisfaction-health associations for married individuals in proximal relationships (PR), but no known study has tested these associations for married individuals in long distance relationships (LDR). LDR is a relationship arrangement that challenges traditional conceptions of romantic relationships and physical closeness. Related, recent empirical work indicates marital satisfaction-health associations may be weaker in LDR than PR due to unique relational and individual factors. The current study tested whether marital satisfaction-health associations are moderated by relational proximity (i.e. LDR vs. PR). We used an adult, married sample of individuals in LDR and PR (N=293) who completed an online survey on relationships and health. Unexpectedly, moderation results suggested that associations between marital satisfaction and health did not differ by relational proximity. One potential difference emerged: Marital satisfaction was associated with satisfaction with functioning for those in PR, but not LDR. Overall, study findings challenge recent empirical work reporting between-group, relationship-health differences between PR and LDR. Clinicians can utilize our findings to improve treatment for couples and families in LDR. Future research should utilize actor-partner interdependence models and longitudinal studies to further elucidate the associations between marital satisfaction and health for individuals in this unique but increasingly prevalent relationship arrangement.
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Title: The Impact of Knowledge, Self-efficacy, and Stigma on STI Testing Intention among College Students
Creator: Thomas, Julia
Date: 2019
Description: Young people (ages 15-24) account for over half of the new cases of sexually transmitted infections (STIs) each year in the United States (CDC...
Show moreYoung people (ages 15-24) account for over half of the new cases of sexually transmitted infections (STIs) each year in the United States (CDC, 2016). The current study examined how knowledge, self-efficacy, and stigma are associated with STI testing intention among sexually active college students using path model analysis. Data were collected via an online survey (N = 76, 54% female). STI testing intention was measured using a 5-point Likert scale for eight STIs referenced in the Brief Sexual History Tool (CDC, 2018). These items comprised an intention scale with high internal consistency for this sample (α = .97). Path analysis was conducted using SPSS AMOS and MacKinnon’s ab product approach in RMediation was used to test mediating effects. The predicted path model fit the data well and the relationships between self-efficacy and knowledge, label avoidance, and intention were significant. Mediation analysis revealed significant indirect paths for knowledge and label avoidance on STI testing intention through self-efficacy. These findings indicate that self-efficacy directly impacts college students’ STI testing intention, while knowledge and label avoidance indirectly impact intention through self-efficacy. Findings suggest that providers and college health clinics may be able to increase the frequency of STI testing behavior by promoting strategies to increase students’ self-efficacy.
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Title: Maternal-Fetal Attachment: Does it predict parenting outcomes?
Creator: Desai, Shivani S.
Date: 2018
Description: Maternal-fetal attachment (MFA) predicts critical aspects of the caregiver-child relationship, including parental sensitivity and engagement....
Show moreMaternal-fetal attachment (MFA) predicts critical aspects of the caregiver-child relationship, including parental sensitivity and engagement. However, little is known about the relation between MFA and specific parenting beliefs and attitudes that contribute to these positive parenting behaviors, such as parenting sense of competence and parenting stress. The aim of this longitudinal study was to examine if MFA predicts specific domains of parenting sense of competence and parenting stress when children are two years of age. Participants included 53 mainly Caucasian women with a mean age of 33.9 years. MFA was assessed during pregnancy (mean gestational age = 27.02 weeks) using the Maternal Fetal Attachment Questionnaire. Parenting sense of competence and stress were assessed when the children were 2 years of age with the Parenting Sense of Competence questionnaire and the Parenting Stress Index questionnaire. Results of regression analyses indicated that higher levels of MFA significantly predicted higher levels of parenting satisfaction, a domain of parenting sense of competence. They also indicated that higher levels of MFA predicted lower levels of two domains of parenting stress, including stress associated with attachment and role restriction. These findings suggest that prenatal attachment is important to assess during pregnancy, as it may predict future parenting beliefs and attitudes, including sense of competence and stress.
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Title: Correlating Veterans' Employment Status by Analysis of Recovery from the Recovery Assessment Scale-Short Form
Creator: Avezuela-Perez, Margaret
Date: 2020
Description: Past research has examined the low employment rates in veterans with serious mental illness (SMI) (Zivin et al., 2011) and the research...
Show morePast research has examined the low employment rates in veterans with serious mental illness (SMI) (Zivin et al., 2011) and the research suggests that the benefits of employment for veterans are improved mental health symptoms, better finances, and better self-esteem (Bond et al., 2001). The specific relationship between employment and recovery from SMI in individuals has been examined (Drake et al., 2001; Bond et al., 2001; Modini et al., 2016). Previous research has not examined the correlation between recovery from SMI and employment, specifically in a population of veterans with SMI. The current study examines the relationship between recovery and employment of veterans with SMI, using the Recovery Assessment Scale (RAS) as a measure of recovery. A logistic regression analysis yielded that no relationship was found between recovery and employment status. Results of this study suggest there may be other factors affecting the relationship between these two factors. Moreover, there is the possibility that there is no relationship between recovery and employment.
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Title: THE MODERATING AND MEDIATING ROLE OF SELF-REPORTED FAMILY ACCOMMODATION ON THE RELATION BETWEEN OBSESSIVE-COMPULSIVE SYMPTOMS AND RELATIONSHIP SATISFACTION IN AN ADULT, CLINICAL SAMPLE OF INDIVIDUALS IN ROMANTIC RELATIONSHIPS
Creator: De Leonardis, Andrew J
Date: 2020
Description: Severity of obsessive-compulsive symptoms (OCS) is associated with treatment resistance, and in an interpersonal context, is associated with...
Show moreSeverity of obsessive-compulsive symptoms (OCS) is associated with treatment resistance, and in an interpersonal context, is associated with increased relationship distress and decreased relationship satisfaction. In addition, caregivers for those with clinical levels of OCS often engage in family accommodation (FA) behaviors that serve as an extension of the OCD patient’s compulsive behavior. However, the literature on the interchange of OCS, FA, and relationship satisfaction is limited in scope because it focuses mainly on the perspective of the caregiver or partner of the individual with OCD. The current study aims to address this limitation by examining OCS, FA, and relationship satisfaction variables from the perspective of the individual with OCD. Participants included 78 adults with self-reported OCD who were recruited in the US through clinics and clinicians specializing in OCD treatment, as well as from OCD non-profit organizations to target non-treatment-seeking participants. After controlling for demographic variables, results indicated the following: (1) a significant positive association between OCS and FA, (2) a significant negative association between OCS and relationship satisfaction, and (3) a lack of an interaction between FA and OCS when predicting relationship satisfaction. However, the third result was trending towards significance and may be statistically underpowered. Exploratory analyses found FA to be a partial mediator of the association of OCS and relationship satisfaction. The findings support current trends in the research literature as well as contradict extant research on the associations between OCS, FA, and relationship satisfaction. Additionally, findings continue to show the importance of addressing family accommodation in treatment of individuals with OCD.
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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 THE ROLES OF PUBLIC STIGMA AND ACCULTURATION ON CARE-SEEKING IN PAKISTANIS
Creator: Laique, Aamir
Date: 2021
Description: Pakistani Americans face bi-directional cultural influences related to their heritage culture and the mainstream culture of the host. The...
Show morePakistani Americans face bi-directional cultural influences related to their heritage culture and the mainstream culture of the host. The present study examined the impact of culture on the relationship between public stigma and care-seeking attitudes. A sample of 158 Pakistani Americans was collected using MTurk. Hierarchical regression was conducted to examine the moderating effect of heritage acculturation and mainstream acculturation on the relationship between public stigma and care-seeking. Multiple regression analysis predicting care-seeking from public stigma, heritage acculturation, and mainstream acculturation did not yield a statistically significant model. Hierarchical regression analyses examining the moderating effect of heritage acculturation and mainstream acculturation were non-significant. Acculturation had no notable impact on stigma and care-seeking. This study was unable to demonstrate significant results. Future considerations should include inter-generational differences, other forms of stigma that may play a crucial role, and inclusion of different measures to determine if there are other scales better suited for the target population.
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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: Self-Stigma & Vicarious Stigma Experienced by Parents of Children with Mental Health Challenges
Creator: Serchuk, Marisa Dyan
Date: 2019
Description: Research has been limited regarding the stigma experienced by parents of children with mental health challenges. It is commonly understood...
Show moreResearch has been limited regarding the stigma experienced by parents of children with mental health challenges. It is commonly understood that stigma effects people with lived-experience (e.g., a child with mental health challenges), however, stigma has been noted to have a wide scope, which extends to family members as well. Parents of children with mental health challenges have been found to endorse aspects of self-stigma, specifically regarding public stereotypes of blame and feelings of incompetence. Vicarious stigma is a fairly new area of research, which describes the sad and/or angry response a parent may experience when witnessing their child being stigmatized. The purpose of this study is to examine emotional and behavioral outcomes related to specific types of stigma experienced by parents of children with mental health challenges. Archival data from a larger study of adult participants (N=50), who identified as having a child (age 3-10 years old) with mental health challenges, completed measures examining self-stigma, vicarious stigma, stress, depression, quality of life, disclosure, secrecy coping, and help-seeking. A novel measurement for vicarious stigma was introduced and examined in this study. Results found higher levels of self-stigma and dimensions of vicarious stigma were associated with higher levels of depression as well as diminished quality of life. Higher levels of self-stigma were also associated with lower perceived benefits of disclosing and greater levels of secrecy coping. These findings highlight the importance of further examining the role of stigma for parents of children with mental health challenges.
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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: 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: 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: 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: 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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