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 Degree Discipline: Psychology
 Collection: UNT Theses and Dissertations
Impact of Grit on Performance After Mastery- or Performance-oriented Feedback

Impact of Grit on Performance After Mastery- or Performance-oriented Feedback

Date: May 2016
Creator: Auerbach, Alex
Description: Grit and achievement motivation have been predictors of behavior in academia and military settings (Duckworth, Matthews, Peterson, & Kelly, 2007), but to date, research on their effects on sport performance has been limited. Given grit's predictive role in other performance domains, grit may be influential in athletes' long-term goal attainment, interacting with their achievement motives and leading to better performances. Athletes' trait levels of grit may influence how they understand and respond to messages received within motivational climates from key personnel such as from coaches and teammates. We examined potential moderating effects of grit on the relationship between motivational feedback and high school soccer players (N = 71, Mage = 15.81) performance on a soccer task, their desire to persist in the task, and their choices of task difficulty. We used hierarchical multiple regression to test the main effects of feedback and grit and to determine if grit moderated the effects of feedback on performance. Grit was a significant moderator of the feedback-shooting performance relationship, accounting for 3.9% of variance. Simple slopes analysis revealed a significant effect for low (B = 13.32, SEb = 4.44, p = .004, t = 2.99), but not high, (B = 2.11, SEb = 4.31, ...
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Medical comorbidity in the course of bipolar disorder.

Medical comorbidity in the course of bipolar disorder.

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Date: May 2016
Creator: Smith, Patrick M
Description: Bipolar disorder is a serious illness affecting approximately 2-4% of the population and is one of the world’s leading causes of disability. In individuals with bipolar disorder, medical comorbidity associated with cardiovascular, respiratory and endocrine disorders is related to increased rates of mortality. Recent updates to multi-system inflammatory related conceptualizations of bipolar disorder focus on the unique power that medical illness and biological processes may play as factors associated with course and outcome in bipolar disorder. The current study examined medical comorbidity and its associations with various demographic and psychological variables in individuals with bipolar disorder, schizophrenia, and major depressive disorder with psychotic features followed for 10 years from their first hospital admission. When compared to an age, gender and race-matched control sample from the population, those with bipolar disorder had significantly higher medical comorbidity across a range of medical diagnoses both at 6 months and 10 years after first hospital admission. Ten years following initial hospitalization, individuals in all three diagnostic groups reported increased rates of diabetes (OR: 2.0 – 3.7), stroke (OR: 4.6 – 7.0) and asthma (OR: 1.9 - 3.1), and individuals with bipolar disorder reported increased rates of cancer (OR = 2.1). A number of psychological ...
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Predicting Posttraumatic Stress Disorder Symptoms During Adolescence: A Longitudinal Study of The Role of Hypothalamic-Pituitary-Adrenal (HPA) Axis Dysfunction

Predicting Posttraumatic Stress Disorder Symptoms During Adolescence: A Longitudinal Study of The Role of Hypothalamic-Pituitary-Adrenal (HPA) Axis Dysfunction

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Date: May 2016
Creator: Liu, Keke
Description: Posttraumatic stress disorder (PTSD) is a trauma-related disorder that may develop in response to traumatic or stressful events. Dysfunction of the Hypothalamic-Pituitary-Adrenal (HPA) axis has been implicated in the disorder. Studies support such dysfunction as being a consequence of PTSD, rather than a precursor. However, most studies of the HPA are either cross-sectional or have been carried out in adults. The aim of the present study was to identify whether HPA dysregulation interacts with stressful experiences to increase the likelihood of developing PTSD symptoms in a community-recruited sample of healthy adolescent girls. Adolescent girls (N = 550) and one of their parents participated. Adolescents’ clinical symptoms were assessed at baseline and at a nine month follow-up. Saliva samples were collected from all adolescent participants at waking, 30 minutes after waking, and 8 pm on 3 consecutive days. Flattened diurnal slope of cortisol at baseline was associated with increased PTSD symptoms nine months later. Baseline cortisol awakening response (CAR) per se was not prospectively related to developing PTSD symptoms, but its interactions with stressful experience was associated with elevated PTSD symptoms at follow-up. Effects were small and need to be replicated in samples with more severe stressors, as well as more ...
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Role of Combat Exposure and Insomnia in Student Veterans' Adaptation to College

Role of Combat Exposure and Insomnia in Student Veterans' Adaptation to College

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Date: May 2016
Creator: McGuffin, James J
Description: Since 2002, the number of veterans enrolled in universities has nearly doubled, although 30-40% of veterans fail to complete their degree. While research efforts to understand the challenges veterans face transitioning from military life to college has increased in recent years, few studies have looked beyond the effects of post-traumatic stress disorder (PTSD). Insomnia is the most frequently reported symptom of combat veterans and can have serious implications for college students. The purpose of this study was to examine the role of insomnia and student veteran adaptation to college relative to civilian students. College students (N = 588) were administered a Background Information Questionnaire, the Insomnia Severity Index, the Deployment Risk and Resilience Inventory, and the Student Adaptation to College Questionnaire. Results revealed that students with insomnia reported significantly lower adaptation to college than students without insomnia. Student veterans reported better academic and personal-emotional adaptation to college than civilian students, while civilians reported better social adjustment than veterans. Although combat veterans without insomnia scored consistently higher academic adjustment than non-combat veterans and civilian students, when present insomnia seemed to have a greater negative effect on combat veterans’ academic adjustment relative to civilian students. Furthermore, insomnia mediated the relationship between combat ...
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Social Anxiety and Non-Medical Prescription Stimulant Use among College Students

Social Anxiety and Non-Medical Prescription Stimulant Use among College Students

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Date: May 2016
Creator: Cloutier, Renee
Description: Current evidence suggests that non-medical prescription stimulant (NMPS) use is on the rise, particularly among college students. Identifying individuals at risk for regular and problematic use is a critical step towards the development of effective intervention efforts. A growing body of work has noted that individuals with elevated levels of social anxiety (SA) or social anxiety disorder are at an enhanced risk for developing substance use problems, including NMPS use disorder. Despite the relevance of SA and NMPS use among college students, no studies have attempted to examine subclinical SA or the relation between SA and NMPS use among college students specifically. Thus, the present study sought to extend this area by testing the relation of SA symptoms and NMPS use frequency among college students. A large online study of college students was conducted (N=1604) to identify 252 NMPS users (18-25 years; 68.3% female). A hierarchical linear regression was used to test the moderation of positive prescription stimulant expectancies on SA symptoms in predicting past year NMPS use frequency. A subsample of 15 participants was also brought into the lab to assess subjective (State Anxiety) and physiological (salivary cortisol) responding to a social stressor task. Overall, the current study did ...
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Stress, Spirituality and Self-Esteem: Correlates of Psychological Quality of Life in an LGB Sample

Stress, Spirituality and Self-Esteem: Correlates of Psychological Quality of Life in an LGB Sample

Date: May 2016
Creator: Stephen, Krystal A
Description: In the current study, we aimed to explore the relationship between perceived stress, spirituality and self-esteem and how they are related to psychological QOL. We found that our overall model accounted for 58% of the total variance in psychological QOL (adj. R2 = .58, F(10, 136) = 21.79, p < .001) with stress (β = -.37, p < .01) and self-esteem (β = .45, p < .01) as the significant predictors. Additionally we found that spiritual beliefs and practices moderate the relationship between stress and QOL (adj. R2= .49, F(11, 135) = 13.88, p < .001). Lastly, we conducted a principle component analysis (PCA) on our three variables of interest and outcome variable to determine whether the proposed structure of our measures holds true for our sample (i.e., LGB populations).
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Anger, Forgiveness and Mindfulness: Correlates of Perceived Stress in an Lgb Sample

Anger, Forgiveness and Mindfulness: Correlates of Perceived Stress in an Lgb Sample

Date: December 2015
Creator: Schumacher, Matthew Robert
Description: A sexual minority is someone who identifies as lesbian, gay or bisexual (LGB). According to the Minority Stress Model (Meyer, 2003), sexual minorities encounter significant levels of stress due to their minority group status, thus they are more likely to experience perceived stress. Our cross-sectional, correlational study aimed to explore the relationships between forgiveness, mindfulness and anger and how they are related to perceived stress in a convenience sample of ethnically diverse LGB adults. We hypothesized that: 1) anger is positively associated with perceived stress; 2) forgiveness is negatively associated with perceived stress; 3) mindfulness is negatively associated with perceived stress; and 4) anger, forgiveness and mindfulness account for a significant proportion of the variance in perceived stress. 5) The relationship between anger and perceived stress is moderated by forgiveness. 6) The relationship between anger and perceived stress is moderated by mindfulness. Among LGB adults, the extant literature does not address these four variables in conjunction and the relationships between anger, forgiveness, mindfulness and stress has yet to be explored. Various statistical analyses were conducted, including a hierarchical linear regression to test our model. We found that our overall model accounted for 36% of the total variance in perceived stress ...
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Assessment of Hot and Cool Executive Functioning Following Trauma Using the Traditional Stroop Task, Emotional Stroop Task, and a Novel Implicit Association Test

Assessment of Hot and Cool Executive Functioning Following Trauma Using the Traditional Stroop Task, Emotional Stroop Task, and a Novel Implicit Association Test

Date: December 2015
Creator: Sullivan, Erin
Description: Individuals who have experienced a traumatic event and develop Post-Traumatic Stress Disorder (PTSD) frequently show deficits in both primarily “cool” and “hot” cognitive executive functions (e.g., traditional & emotional Stroop tasks, respectively) that can be impacted by high affective salience. Given the dimensional nature of psychopathology, questions remain about individuals within the general population who have experienced trauma but do not meet full criteria for PTSD and yet may manifest problems in these areas, especially areas of hot and cool executive functioning (EF). Thus, the current project was designed to assess hot and cool EF in a relatively large sample of individuals from the general population who have experienced trauma and currently demonstrate sub-clinical levels of post-traumatic symptoms. The Stroop task, Emotional Stroop task, and a novel modified Implicit Association Test were utilized to assess EF across a spectrum of individuals with varying traumatic histories and level of post-traumatic symptoms. Results suggest that a greater frequency of trauma experiences was moderately associated with worse performance on both hot and cool executive functioning measures. Specifically, females within the sample evidenced a close relationship between traumatic experiences, post-trauma symptoms, and executive functioning. Clinical and theoretical implications are discussed.
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Determinants of Effort and Associated Cardiovascular Response to a Behavioral Restraint Challenge

Determinants of Effort and Associated Cardiovascular Response to a Behavioral Restraint Challenge

Date: December 2015
Creator: Agtarap, Stephanie
Description: This study directly tested implications of motivation intensity theory on effort to restrain against a behavioral urge or impulse (i.e. restraint intensity). Two factors were manipulated—magnitude of an urge and the importance of successfully resisting it—with cardiovascular (CV) responses related to active coping measured. Male and female undergraduate students were presented with a mildly- or strongly evocative film clip with instructions to refrain from showing any facial response. Success was made more or less important through coordinated manipulations of outcome expectancy, ego-involvement, and performance assessment. As expected, systolic blood pressure responses assessed during the performance period were proportional to the evocativeness of the clip when importance was high, but low regardless of evocativeness when importance was low. These findings support a new conceptual analysis concerned with the determinants and CV correlates of restraint intensity. Implications of the study and associations with current self-regulatory literature are discussed.
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Longitudinal Prevalence of Disordered Eating and Weight Control Behaviors in Female Collegiate Athletes

Longitudinal Prevalence of Disordered Eating and Weight Control Behaviors in Female Collegiate Athletes

Date: December 2015
Creator: Thompson, Alexandra J.
Description: Female collegiate athletes have been established as a high-risk group for the development of eating disorders due to the high prevalence rates of clinical and subclinical eating disorders, which have ranged from 1.9% to 16.6% and 4.0% to 26.1%, respectively. Collegiate athletes appear to meet criteria for ED-NOS more often than anorexia or bulimia nervosa, and frequently engage in pathogenic weight control behaviors (e.g., dieting, excessive exercise). To date, only a few studies have examined the long-term stability of eating disorders in collegiate female athletes. The current study investigated the prevalence of eating disorders (i.e., eating disordered, symptomatic, and asymptomatic) and pathogenic weight control behaviors (e.g, binging, vomiting, laxative use) in 325 NCAA-DI female collegiate gymnasts and swimmers/divers across two time points – the beginning of their competitive seasons (Time 1) and during the final two weeks of their competitive seasons (Time 2). By Time 2, 90% of the athletes classified as eating disordered at Time 1 (n = 20) maintained clinical or subclinical eating disturbances. Of the 83 athletes originally symptomatic, 37.3% remained so and 10.8% became eating disordered. Significantly more athletes became satisfied with their bodies over the course of the season than became dissatisfied. The athletes reported ...
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Relationship Centrality and Expressive Writing: Understanding Post-breakup Distress

Relationship Centrality and Expressive Writing: Understanding Post-breakup Distress

Date: December 2015
Creator: Nowlin, Rachel B.
Description: When a romantic relationship ends in dissolution, the ex-partners may experience distress similar to post-traumatic stress or complex grief (i.e., dysphoric mood, feelings of loss, intrusive memories, negative rumination regarding the relationship, and a loss of self-esteem). Interventions designed to reduce post-breakup distress have historically attempted to foster integration of the breakup into the self-narrative through techniques such as expressive writing. Recent research indicates centrality, or heightened integration of an event or concept into an individual’s identity, predicts heightened levels of distress in the case of negative life events, including romantic relationship dissolution. Given the role romantic relationships themselves play in identity formation, exploration is warranted of the potential distress resulting from over-identification with a romantic relationship itself, or relationship centrality, after a breakup has occurred. Furthermore, if an individual has overly-integrated a relationship into their identity, the effectiveness of interventions focusing on further integration of the breakup is called into question. This study explored the centrality of participants’ previous romantic relationships, the distress resulting from the dissolution of those relationships, and the role of expressive writing as a distress reduction tool when centrality is taken into account.
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Self-definition and College Adaptation in Students From the Ronald E Mcnair Postbaccalaureate Achievement Program

Self-definition and College Adaptation in Students From the Ronald E Mcnair Postbaccalaureate Achievement Program

Date: December 2015
Creator: Vance, Jeffrey Michael
Description: While a great deal of psychological research is conducted on college students, less has been done on their adaptation to college. These young adults, as they develop ego identity and differentiate themselves from parents and families, must adjust to the social and academic environment of college. Psychosocial adjustment predicts college retention better than academic predictors do. First generation college students face greater than typical challenges adapting to college. The Ronald E. McNair Post-Baccalaureate Achievement Program exists to aid first generation, lower income undergraduate student who wish to pursue a doctoral degree. Self-definition scored from thematic apperceptive technique stories reflects an individual’s relative freedom from social role constraint. This study examined the role of self-definition and familial understanding and acceptance in this population as predictors of successful adaptation to college. While neither was found to be a significant predictor, family understanding and acceptance was found to be a more defining characteristic of this sample than was self-definition. This suggests that when social support is sufficient, individuals do not need to rely on self-definition.
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Shame Due to Heterosexism, Self-esteem and Perceived Stress: Correlates of Psychological Quality of Life in a Lesbian, Gay and Bisexual Sample

Shame Due to Heterosexism, Self-esteem and Perceived Stress: Correlates of Psychological Quality of Life in a Lesbian, Gay and Bisexual Sample

Date: December 2015
Creator: Bonds,Stacy E.
Description: Sexual minorities experience higher levels of stress than heterosexuals, which in turn affects coping and psychological quality of life (PQOL). Although many sexual minorities remain mentally healthy, a higher prevalence of mental disorders among members of the lesbian, gay and bisexual (LGB) communities exists; thus, LGB PQOL becomes an important area to examine. Several key factors are related to PQOL: shame due to heterosexism, self-esteem and perceived stress. Using minority stress model, I hypothesized that shame due to heterosexism and perceived stress are negatively correlated with PQOL, while self-esteem is positively correlated with PQOL. I hypothesized that collectively shame due to heterosexism, self-esteem and perceived stress account for a significant proportion of the variance in PQOL, that self-esteem moderates the relationship between perceived stress and PQOL and that age moderates the relationship between shame due to heterosexism and PQOL. I calculated Pearson product-moment correlation coefficient and found shame due to heterosexism was negatively correlated with PQOL (r(146) = -.21, p = .009), perceived stress was negatively correlated with PQOL (r (146) = -.69, p < .001) and self-esteem was positively correlated with PQOL (r(146) = .72, p < .001). I conducted a regression analysis and found our model accounted for ...
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Weigh-in Environment and Weight Intentionality and Management of Female Collegiate Athletes

Weigh-in Environment and Weight Intentionality and Management of Female Collegiate Athletes

Date: December 2015
Creator: Tackett, Bailey
Description: Research suggests that female athletes, in particular, experience “sport-environment” pressures such as: weight, performance, and body image demands from their coaches, teammates, and judges. These influences in tandem with society’s portrayal of the thin ideal are thought to considerably increase the risk of developing disordered eating problems in this population. Although numerous studies have been conducted over the past decade on the prevalence of eating disorders and pathogenic weight control behaviors among female athletes, few have examined in detail the weight pressures that exist within the sport environment, such as whether or not (and how often) athletes are weighed by their coaches, and how athletes respond to those pressures in terms of weight management practices. In the proposed study, we will examine the weigh-in environment, weight satisfaction, weight management practices, menstrual health, and reported source of nutritional guidance. The sample includes 414 NCAA Division I female collegiate swimmers/divers and gymnasts drawn from 26 universities across the U.S. Participants anonymously completed a series of questionnaires as part of a larger study on student-athlete health and well-being. This study found that 41% of athletes were weighed, and most often by an athletic trainer in private. Despite most weigh-ins were reportedly conducted in ...
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Community Gardening: a Novel Intervention for Bhutanese Refugees Living in the Usa

Community Gardening: a Novel Intervention for Bhutanese Refugees Living in the Usa

Date: August 2015
Creator: Gerber, Monica M.
Description: Since 2008, the United States (USA) has resettled thousands of Bhutanese refugees, providing brief financial support and pathways to citizenship. Despite the efforts of governing bodies and voluntary agencies which facilitate resettlement, many refugees struggle with adapting to the vastly different lifestyle, economy, language and social structures. In particular, effectively addressing psychological needs of this population is a challenge for service providers operating within an expensive health care system based on Western constructs of mental health. In response to this challenge, refugee resettlement agencies throughout the country use community gardens to promote psychological healing, self-sufficiency, community engagement, and a return of human dignity. Though success of these programs is being shared in the media, there has yet to be empirical data examining their impact. The current study tested whether Bhutanese refugee engagement in a community garden impacts symptoms of depression, anxiety, PTSD and somatic complaints. The study also investigated whether community gardening is associated with perceptions of social support and adjustment to life in the United States. Quantitative and qualitative data was collected from 50 adult Bhutanese refugees in Fort Worth, Texas. Gardening was significantly related to increased social support overall, a key factor in overall functionality within communal cultures; ...
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Effects of Immaturity on Juveniles’ Miranda Comprehension and Reasoning

Effects of Immaturity on Juveniles’ Miranda Comprehension and Reasoning

Date: August 2015
Creator: Sharf, Allyson J
Description: Over the last several decades, researchers have documented how impaired reasoning by adult offenders impeded the intelligent waiver of Miranda rights. Logically, it stands to reason that juveniles – who are developmentally less mature and have less life experience than their adult counterparts – would possess even greater impairment, thereby heightening their risk for invalid Miranda waivers. Juvenile Miranda research supports this notion; with some researchers finding that psychosocial maturity, among other factors, affect a juvenile’s understanding of their rights. Yet, relatively few studies have examined its relation to Miranda reasoning and decision-making. Thus, the current study investigated the specific role of maturity in juveniles’ Miranda comprehension and reasoning. Participants included 236 legally-involved juveniles recruited from either a juvenile detention center or a juvenile justice alternative education program. The effects of psychosocial maturity were examined on a variety of Miranda-related measures and assessed a broad range of Miranda abilities. It was found that, in general, immature juveniles performed more poorly on all Miranda measures as compared to their mature counterparts. However, the impact of maturity varied considerably depending on the ability. Specifically, maturity was most important in the context of Miranda reasoning. As a novel addition to the literature, the ...
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Interpersonal Decentering in Relationship Breakups: Social Cognitive Maturity and Distress Recovery in Young Adults

Interpersonal Decentering in Relationship Breakups: Social Cognitive Maturity and Distress Recovery in Young Adults

Date: August 2015
Creator: Tucker, Molly S.
Description: The termination of a romantic relationship, be it by breakup or divorce, is a fairly ubiquitous experience. Most individuals will recover from a traumatic experience of this nature; some however, experience substantial difficulties in recuperating that persist over time. For these individuals, relationship termination can invoke a variety of negative physical and psychological health outcomes. This project examines the role of social cognitive maturity, operationalized as Interpersonal Decentering, in recovery following a relational loss. Participants in this study were assigned to a pre/post control or measurement intensive (four visits) condition over the course of nine weeks. Individuals in the latter condition completed a Stream of Consciousness (SOC) task in which they discussed their breakup experience out loud for four minutes. These narratives were then transcribed and scored using the Interpersonal Decentering manual as adapted for Expressive Writing. Results indicate that – for women only – mature social cognition is inversely related to depressive mood at the initial visit. However, it is not related to initial PSTD symptomatology for men or women, nor does it predict decreases in depression and trauma symptomatology from the initial visit to the nine-week follow-up. Implications, limitations, and future directions for research of this nature are ...
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The Virtual Classroom As a Tool for the Assessment of Automatic and Controlled Processing in Autism Spectrum Disorders

The Virtual Classroom As a Tool for the Assessment of Automatic and Controlled Processing in Autism Spectrum Disorders

Date: August 2015
Creator: Carlew, Anne R.
Description: Assessment of executive functioning in neurodevelopmental disorders (e.g., autism) is a crucial aspect of neuropsychological evaluations. The executive functions are accomplished by the supervisory attentional system (SAS) and include such processes as inhibition, switching, and planning. Autism spectrum disorder (ASD) tends to present similarly to other neurodevelopmental disorders (e.g., ADHD). For example, ASD and ADHD may share similar etiological underpinnings in the frontostriatal system of the frontal lobe. Research on executive functioning in ASD has been mixed, thus the precise nature of executive functioning deficits in ASD remains equivocal. In recent years, simulation technologies have emerged as an avenue to assess neurocognitive functioning in individuals with neurodevelopmental disorders impacting frontostriatal function. Simulation technology enables neuropsychologists to assess neurocognitive functioning within a testing environment that replicates environments in which the subject is likely to be in everyday life, as well as present controlled, real-world distractions, which may be better able to tap “hot” executive functions. A Virtual Classroom Continuous Performance Test (CPT) has been used successfully to assess attention in individuals with neurodevelopmental disorders impacting frontostriatal function. The current study aimed to investigate executive functioning in individuals with high functioning ASD using a new construct driven Stroop assessment embedded into the ...
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Adult Attachment, Acculturation and Help-seeking of Latino College Students

Adult Attachment, Acculturation and Help-seeking of Latino College Students

Date: May 2015
Creator: Zamudio, Gabriel
Description: Based on theoretical reasoning and empirical evidence, the present study examined the unique and shared effects of attachment anxiety, attachment avoidance, and acculturation on attitudes toward seeking professional help among Latino college students. The research participants included 149 bilingual Latino college students from a large, public southwestern university. Results of a multiple regression analysis indicated that attachment avoidance was positively associated with both the recognition of need for psychological help and stigma of seeking professional help. Acculturation to American society was found to be statistically insignificant in predicting help-seeking attitudes in this sample of the population. Findings from exploratory questions suggested that Latino individuals would most likely seek help from parents, close friends, and then professionals. This study suggested that Latino individuals with high attachment avoidance acknowledge the potential benefit of professional help-seeking but distrust the process of approaching others for help. Limitations, implications, and future research directions will be discussed.
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Associations Between Physical Fitness and Academic Achievement: A Meditational Analysis

Associations Between Physical Fitness and Academic Achievement: A Meditational Analysis

Date: May 2015
Creator: Dorfman, Jocelyn C.
Description: Research has illustrated the interrelatedness of childhood physical fitness and psychological wellbeing, psychological wellbeing and academic achievement, as well as physical fitness and academic achievement. In this study, we proposed that psychological wellbeing (self-esteem and depression) serves as a mediator between physical fitness and academic achievement during adolescence. In a sample of middle school children (N = 1,530), significant correlations were found between all three variables (p.0001). A hierarchical regression analysis was performed to assess the associations between physical fitness, psychological wellbeing, and academic achievement. The regression analysis reported a significant partial mediation effect. The results of this study supported the proposed hypotheses, including a mechanism of psychological wellbeing partially mediating the relationship between physical fitness and academic achievement. The findings of this study support the importance of encouraging activities to promote both physical fitness and psychological wellbeing in schools.
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Cross-cultural Differences in the Presentation of Depressive Symptoms

Cross-cultural Differences in the Presentation of Depressive Symptoms

Date: May 2015
Creator: Tse, Pui San
Description: Epidemiological studies show that China has a lower prevalence rate of major depression than that of Western countries. The disparity in prevalence is commonly attributed to the tendency of Chinese to somatize depression. Empirical evidence of Chinese somatization has yielded mixed results. The present study thus aimed to 1) examine differences in somatic and psychological symptom reporting between Chinese from Macau and Americans in America and 2) identify cultural and psychological variables that would predict somatization. Independent and interdependent self-construals, sociotropy, and emotional approach coping were hypothesized to predict somatization of depression. Participants included 353 Chinese and 491 American college students who completed self-report measures online. Contrary to prediction, results indicated that Americans endorsed a higher proportion of somatic symptoms than Chinese did. Sociotropy predicted both relative endorsement and severity of somatic symptoms for the American sample, whereas emotional expression coping was related to somatization in the Chinese sample. The findings challenge the common assumption of greater Chinese somatization and highlight the importance of context in understanding the relationships between somatization and cultural and psychological variables. Implications of the present study and future directions are discussed.
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Marital Status and Racial/ethnic Differences in Health Outcomes

Marital Status and Racial/ethnic Differences in Health Outcomes

Date: May 2015
Creator: Villarreal, Cesar
Description: Substantial evidence demonstrates that marriage is associated with better health outcomes and lower mortality risk. Some evidence suggests that there are gender and race/ethnicity differences between the marriage-health benefits association. However, previous studies on marriage and health have mainly focused on non-Hispanic White-Black differences. Limited information is available regarding the roles of Hispanics. The present study examined marital status, gender, and the differences between non-Hispanic Whites, non-Hispanic Blacks, and Hispanics, in health outcomes. A retrospective cohort analysis of 24,119 Hispanic, NH White, and NH Black adults admitted to a large hospital was conducted. A total of 16,661 patients identified as either married or single was included in the final analyses. Consistent with the broader literature, marriage was associated with beneficial hospital utilization outcomes. With respect to differences in these benefits, results suggest that married patients, Hispanic patients, and women, were less likely to experience in-hospital mortality. Similar effects were observed in aggregated length of stay with married Hispanic women hospitalized nearly 2 days less than their single counterparts (6.83 days and 8.66 days, respectively). These findings support existing literature that marriage is associated with health benefits, add to the emerging research of a Hispanic survival advantage, and broaden the understanding ...
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Prevalence and Predictors of Perinatal Mental Health Outcomes

Prevalence and Predictors of Perinatal Mental Health Outcomes

Date: May 2015
Creator: Janis, Beth. M.
Description: Prior research has identified risk factors that may contribute to the development of maternal stress reactions following childbirth. Specifically, situational factors (e.g., factors associated with childbirth), individual factors, and personality factors, have been explored in a multitude of prior studies. The current study sought to build upon this literature by examining both risk and resilience in a sample of both mothers and fathers via a prospective longitudinal investigation. Baseline assessment of expectant parents occurred prior to the birth of their child, with additional assessment at approximately 1, 6, and 9 weeks post-childbirth. A total of 50 participants completed all four of these assessments. Results indicated approximately 20% (n = 10) of participants endorsed moderate or greater stress symptoms after birth, while 22% (n = 11) also exhibited symptoms of moderate or greater depressive symptoms. Stress reactions were assessed with the Perinatal Posttraumatic Stress Disorder Questionnaire (PPQ); validity analyses indicated the PPQ had significantly stronger correlations with convergent measures than discriminant measures. Additionally, participants were randomized into one of two post-delivery study arms: an expressive writing group or an active control group. Although expressive writing results were inconclusive, there was a general effect of time, which may be reflective of a ...
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Racial/Ethnic Differences in Social Support

Racial/Ethnic Differences in Social Support

Date: May 2015
Creator: Goans, Christian R. R.
Description: Despite a substantially greater risk factor profile, Hispanics in the United States (US) consistently demonstrate better health outcomes compared to their non-Hispanic White counterparts, an epidemiologic phenomenon termed the Hispanic Mortality Paradox. Emerging hypotheses suggest cultural values regarding relational interconnectedness and social support may help to explain these surprising health outcomes. The present study sought to inform these hypotheses via two aims: the first was to examine racial/ethnic differences in perceived social support, and the second was to examine the relationship between acculturation and perceived social support among Hispanic college students. Non-Hispanic White, non-Hispanic Black, and Hispanic college students (N = 330) completed an online survey for course credit. Contrary to expectations, no racial/ethnic differences in perceived social support were observed, nor was an association between acculturation and perceived social support evident among the sampled Hispanic students. The limited sample size, homogeneity in social support levels across groups, and the restricted range of age and acculturation may have obscured relationships that may exist outside the college environment. Future work should consider a more heterogeneous sampling strategy to better assess these associations.
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