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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- Creators: Braden, B. Blair
Description
Adults with autism spectrum disorder (ASD) face heightened risk of co-occurring psychiatric conditions, especially depression and anxiety disorders, which contribute to seven-fold higher suicide rates than the general population. Mindfulness-based stress reduction (MBSR) is an 8-week meditation intervention centered around training continuous redirection of attention toward present moment experience, and has been shown to improve mental health in autistic adults. However, the underlying therapeutic neural mechanisms and whether behavioral and brain changes are mindfulness-specific have yet to be elucidated. In this randomized clinical trial, I utilized functional magnetic resonance imaging (fMRI) and electroencephalography (EEG) to characterize fMRI functional activity (Study 1) and connectivity (Study 2) and EEG neurophysiological (Study 3) changes between MBSR and a social support/relaxation education (SE) active control group. Study 1 revealed an MBSR-specific increase in the midcingulate cortex fMRI blood oxygen level dependent signal which was associated with reduced depression. Study 2 identified nonspecific intervention improvements in depression, anxiety, and autistic, and MBSR-specific improvements in the mindfulness trait ‘nonjudgment toward experience’ and in the executive functioning domain of working memory. MBSR-specific decreases in insula-thalamus and frontal pole-posterior cingulate functional connectivity was associated with improvements in anxiety, mindfulness traits, and working memory abilities. Both MBSR and SE groups showed decreased amygdala-sensorimotor and frontal pole-insula connectivity which correlated with reduced depression. Study 3 consisted of an EEG spectral power analysis at high-frequency brainwaves associated with default mode network (DMN) activity. Results showed MBSR-specific and nonspecific decreases in beta- and gamma-band power, with effects being generally more robust in the MBSR group; additionally, MBSR-specific decreases in posterior gamma correlated with anxiolytic effects. Collectively, these studies suggest: 1) social support is sufficient for improvements in depression, anxiety, and autistic traits; 2) MBSR provides additional benefits related to mindfulness traits and working memory; and 3) distinct and shared neural mechanisms of mindfulness training in adults with ASD, implicating the salience and default mode networks and high-frequency neurophysiology. Findings bear relevance to the development of personalized medicine approaches for psychiatric co-morbidity in ASD, provide putative targets for neurostimulation research, and warrant replication and extension using advanced multimodal imaging approaches.
ContributorsPagni, Broc (Author) / Braden, B. Blair (Thesis advisor) / Newbern, Jason (Thesis advisor) / Davis, Mary (Committee member) / Brewer, Gene (Committee member) / Arizona State University (Publisher)
Created2022
Description
Behavior challenges impact children and educational professionals on a daily basis; however, it is difficult for educators to obtain high quality training in behavior management. The purpose of this study was to compare cognitive apprenticeship and group work, two teaching methods, to determine which provides better knowledge and implementation outcomes for educators taking a course on behavior analysis. Seventeen educational professionals currently working with students who display challenging behavior were randomly assigned to the cognitive apprenticeship or group work conditions. The difference between the conditions is the introduction of a coach in the cognitive apprenticeship condition. The coach guides learners through the process of understanding and using behavior analysis throughout the course by providing feedback, scaffolding, and encouraging reflection and exploration. Participants completed pre-, post-, and post-posttests that measured their knowledge of behavior analysis and how well they implemented the skills taught in the course. Additionally, they completed weekly quizzes and reported how often they used the skills in real-life situations. Overall group differences across time points for knowledge and implementation scores were analyzed using a repeated measures analysis of variance (ANOVA). There were significant differences across time for both scores but not condition or time by condition. A covariance pattern model was used to determine if self-efficacy, self-confidence, previous behavior knowledge, or overall quiz performance predicted the variance in knowledge and implementation scores on the pre-, post-, and post-posttests across conditions. Time was the only significant predictor of knowledge scores, while time, condition and self-efficacy significantly predicted the variance in implementation scores. Additionally, one-way ANOVAs were used to find condition-based differences in quiz scores and practical skill use, neither of which were significant. Finally, a linear regression was used to determine if on quiz performance predicts the use of skills in real-world settings, which it did not. The courses impact on learning, skill use, and student behavior as well as future applications are discussed.
ContributorsSacchetta, Melissa (Author) / Gray, Shelley (Thesis advisor) / Braden, B. Blair (Committee member) / McNeish, Daniel (Committee member) / Zuiker, Steve (Committee member) / Arizona State University (Publisher)
Created2022