Theses and dissertations

This collection includes both ASU Theses and Dissertations, submitted by graduate students, and the Barrett, Honors College theses submitted by undergraduate students. 

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The influence of benefit finding on activity limitation and everyday adaptation to chronic pain

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In rehabilitation settings, activity limitation can be a significant barrier to recovery. This study sought to examine the effects of state and trait level benefit finding, positive affect, and catastrophizing on activity limitation among individuals with a physician-confirmed diagnosis of either Osteoarthritis (OA), Fibromyalgia (FM), or a dual diagnosis of…

In rehabilitation settings, activity limitation can be a significant barrier to recovery. This study sought to examine the effects of state and trait level benefit finding, positive affect, and catastrophizing on activity limitation among individuals with a physician-confirmed diagnosis of either Osteoarthritis (OA), Fibromyalgia (FM), or a dual diagnosis of OA/FM. Participants (106 OA, 53 FM, and 101 OA/FM) who had no diagnosed autoimmune disorder, a pain rating above 20 on a 0-100 scale, and no involvement in litigation regarding their condition were recruited in the Phoenix metropolitan area for inclusion in the current study. After initial questionnaires were completed, participants were trained to complete daily diaries on a laptop computer and instructed to do so a half an hour before bed each night for 30 days. In each diary, participants rated their average daily pain, benefit finding, positive affect, catastrophizing, and activity limitation. A single item, "I thought about some of the good things that have come from living with my pain" was used to examine the broader construct of benefit finding. It was hypothesized that state and trait level benefit finding would have a direct relation with activity limitation and a partially mediated relationship, through positive affect. Multilevel modeling with SAS PROC MIXED revealed that benefit finding was not directly related to activity limitation. Increases in benefit finding were associated, however, with decreases in activity limitation through a significant mediated relationship with positive affect. Individuals who benefit find had a higher level of positive affect which was associated with decreased activity limitation. A suppression effect involving pain and benefit finding at the trait level was also found. Pain appeared to increase the predictive validity of the relation of benefit finding to activity limitation. These findings have important implications for rehabilitation psychologists and should embolden clinicians to encourage patients to increase positive affect by employing active approach-oriented coping strategies like benefit finding to reduce activity limitation.
ContributorsKinderdietz, Jeffrey Scott (Author) / Zautra, Alex (Thesis advisor) / Davis, Mary (Committee member) / Barrera, Manuel (Committee member) / Okun, Morris (Committee member) / Arizona State University (Publisher)
Created2012
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Daily Rumination and Diurnal Cortisol: The Role of Bicultural Competence and Gender

Description

Latinos make up the fastest growing ethnic minority group in the United States and are at higher risk for the developmental of internalizing symptoms in adolescence than other ethnic groups (Merikangas et al., 2010). Rumination has been identified as a transdiagnostic risk factor associated with several internalizing disorders such as…

Latinos make up the fastest growing ethnic minority group in the United States and are at higher risk for the developmental of internalizing symptoms in adolescence than other ethnic groups (Merikangas et al., 2010). Rumination has been identified as a transdiagnostic risk factor associated with several internalizing disorders such as depression, anxiety, and comorbidities of the two (McLaughlin & Nolen-Hoeksema, 2011; Nolen-Hoeksema et al., 2008). Further, indicators of the hypothalamic-pituitary-adrenal (HPA) axis (i.e., flatter diurnal cortisol slopes [DCS] and greater cortisol awakening responses [CAR]) are associated with greater risk of internalizing disorders and chronic stress (Adam et al., 2010; Adam et al., 2017). Notably, no studies have examined the association between rumination and the diurnal cortisol slope in Latino populations, and literature on the relation of rumination and the CAR is mixed (Cropley et al., 2015; Hilt et al., 2017; Zoccola et al., 2011). Leveraging self-reported rumination as well as gold-standard salivary cortisol collection procedures (Stalder et al., 2016), the current study sought to elucidate associations between daily rumination and diurnal cortisol in an adolescent Latino sample by examining gender differences and bicultural competence as potential moderators of this association. Results indicated a significant but small association between night-before rumination on problems/stress and next-day DCS. Further, gender differences were detected in the effects of same-day rumination and the CAR. Greater rumination on feelings was associated with a smaller CAR the same day in males, while greater rumination on problems/stress was linked with a greater CAR the same day in females. In addition, there were no buffering effects of bicultural competence. Findings inform future research regarding potential bidirectional relations of daily rumination and the CAR, as well was how different kinds of daily rumination may have differing associations with the CAR of males and females.
ContributorsTrent, Kevin (Author) / Doane, Leah (Thesis director) / Davis, Mary (Committee member) / Cruz, Rick (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor) / Historical, Philosophical & Religious Studies, Sch (Contributor)
Created2023-05