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 Relations Between Childhood Trauma, Cortisol Levels, and Pain Perceptions in Response to Induced Thermal Pain in Fibromyalgia Patients

Description
Childhood trauma has been linked to an increased risk of chronic pain in adulthood. One potential mechanism is via childhood trauma's impact on the hypothalamic-pituitary-adrenal axis (HPA) response to stress, reflected in changes in salivary cortisol levels (Nicolson et al., 2010). This study sought to determine the relations between childhood…

Childhood trauma has been linked to an increased risk of chronic pain in adulthood. One potential mechanism is via childhood trauma's impact on the hypothalamic-pituitary-adrenal axis (HPA) response to stress, reflected in changes in salivary cortisol levels (Nicolson et al., 2010). This study sought to determine the relations between childhood trauma, increases in cortisol levels following induced pain, and pain perceptions in adults with fibromyalgia, a chronic pain condition. It drew on data collected from participants enrolled in an investigation comparing the effectiveness of behavioral treatments for chronic pain. Before receiving treatment, participants attended a laboratory session during which they first rested, and then were exposed to heat stimuli to assess pain threshold and tolerance. Saliva samples were collected from each participant immediately following the rest, and twice during pain induction. Fibromyalgia participants with a history of childhood trauma were expected: 1) to report lower pain threshold and tolerance levels (i.e., have higher pain sensitivity), 2) to exhibit a higher resting cortisol level, and 3) to have greater increases in cortisol in response to acute pain induction than fibromyalgia participants without a history of childhood trauma. Findings showed that childhood trauma scores were: 1) related to lower pain tolerance (but not pain threshold), 2) unrelated to resting cortisol levels, and 3) unrelated to changes in cortisol in response to pain induction and pain tolerance, contrary to prediction. However, a subtype of childhood trauma, i.e., emotional maltreatment: 1) predicted lower pain tolerance, and 2) moderated the cortisol changes over time in response to pain induction during the laboratory session in the expected direction. That is, individuals who reported higher levels of childhood emotional maltreatment showed greater cortisol responses to the pain induction than individuals who reported lower levels of exposure to emotional maltreatment. Cortisol responses did not relate to pain perception. Thus, childhood emotional trauma predicted greater pain sensitivity and cortisol reactivity, but cortisol did not relate to pain perception. The findings suggest that early childhood trauma predicts cortisol reactivity and pain sensitivity, but that cortisol reactivity is not a mediator in the trauma-pain relation.
ContributorsCiaramitaro, Marissa Catherine (Author) / Davis, Mary (Thesis director) / Glenberg, Arthur (Committee member) / Doane, Leah (Committee member) / Yeung, Wan (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor)
Created2013-12
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Building adaptation and error feedback in an intelligent tutoring system for reading comprehension of English language learners

Description
Many English Language Learner (ELL) children struggle with knowledge of vocabulary and syntax. Enhanced Moved by Reading to Accelerate Comprehension in English (EMBRACE) is an interactive storybook application that teaches children to read by moving pictures on the screen to act out the sentences in the text. However, EMBRACE presents…

Many English Language Learner (ELL) children struggle with knowledge of vocabulary and syntax. Enhanced Moved by Reading to Accelerate Comprehension in English (EMBRACE) is an interactive storybook application that teaches children to read by moving pictures on the screen to act out the sentences in the text. However, EMBRACE presents the same level of text to all users, and it is limited in its ability to provide error feedback, as it can only determine whether a user action is right or wrong. EMBRACE could help readers learn more effectively if it personalized its instruction with texts that fit their current reading level and feedback that addresses ways to correct their mistakes. Improvements were made to the system by applying design principles of intelligent tutoring systems (ITSs). The new system added features to track the student’s reading comprehension skills, including vocabulary, syntax, and usability, based on various user actions, as well as features to adapt text complexity and provide more specific error feedback using the skills. A pilot study was conducted with 7 non-ELL students to evaluate the functionality and effectiveness of these features. The results revealed both strengths and weaknesses of the ITS. While skill updates appeared most accurate when users made particular kinds of vocabulary and syntax errors, it was not able to correctly identify other kinds of syntax errors or provide feedback when skill values became too high. Additionally, vocabulary error feedback and adapting the complexity of syntax were helpful, but syntax error feedback and adapting the complexity of vocabulary were not as helpful. Overall, children enjoy using EMBRACE, and building an intelligent tutoring system into the application presents a promising approach to make reading a both fun and effective experience.
ContributorsWong, Audrey (Author) / Walker, Erin (Thesis advisor) / Nelson, Brian (Committee member) / Glenberg, Arthur (Committee member) / Arizona State University (Publisher)
Created2017