Matching Items (19)
Description
Female infertility can present a significant challenge to quality of life. To date, few, if any investigations have explored the process by which women adapt to premature ovarian insufficiency (POI), a specific type of infertility, over time. The current investigation proposed a bi-dimensional, multi-factor, model of adjustment characterized by the identification of six latent factors representing personal attributes (resilience resources and vulnerability), coping (adaptive and maladaptive) and outcomes (distress and wellbeing). Measures were collected over the period of one year; personal attributes were assessed at Time 1, coping at Time 2 and outcomes at Time 3. It was hypothesized that coping factors would mediate associations between personal attributes and outcomes. Confirmatory Factor Analysis (CFA), simple regressions and single mediator models were utilized to test study hypotheses. Overall, with the exception of coping, the factor structure was consistent with predictions. Two empirically derived coping factors, and a single standalone strategy, avoidance, emerged. The first factor, labeled "approach coping" was comprised of strategies directly addressing the experience of infertility. The second was comprised of strategies indicative of "letting go /moving on." Only avoidance significantly mediated the association between vulnerability and distress.
ContributorsDriscoll, Mary (Author) / Davis, Mary C. (Thesis advisor) / Aiken, Leona S. (Committee member) / Luecken, Linda J. (Committee member) / Zautra, Alex J. (Committee member) / Arizona State University (Publisher)
Created2011
Description
The population of older adults and the percentage of people living in urban areas are both increasing in the U.S. Finding ways to enhance city-dwelling, older adults' social integration, cognitive vitality, and connectedness to nature were conceptualized as critical pathways to maximizing their subjective well-being (SWB) and overall health. Past research has found that gardening is associated with increased social contact and reduced risk of dementia, and that higher levels of social support, cognitive functioning, mindfulness, and connectedness to nature are positively related to various aspects of SWB. The present study was a pilot study to examine the feasibility of conducting a randomized, controlled trial of community gardening and to provide an initial assessment of a new intervention--"Mindful Community Gardening," or mindfulness training in the context of gardening. In addition, this study examined whether community gardening, with or without mindfulness training, enhanced SWB among older adults and increased social support, attention and mindfulness, and connectedness to nature. Fifty community-dwelling adults between the ages of 55 and 79 were randomly assigned to one of three groups: Traditional Community Gardening (TCG), Mindful Community Gardening (MCG), or Wait-List Control. The TCG and MCG arms each consisted of two groups of 7 to 10 participants meeting weekly for nine weeks. TCG involved typical gardening activities undertaken collaboratively. MCG involved the same, but with the addition of guided development of non-judgmental, present-focused awareness. There was a statistically significant increase in different aspects of mindfulness for the TCG and the MCG arms. The interventions did not measurably impact social support, attention, or connectedness to nature in this small, high functioning, pilot sample. Qualitative analysis of interview data from 12 participants in the TCG and MCG groups revealed that both groups helped some participants to better cope with adversity. It was concluded that it is feasible to conduct randomized, controlled trials of community gardening with urban older adults, and considerations for implementing such interventions are delineated.
ContributorsOkvat, Heather Audrey (Author) / Zautra, Alex J. (Thesis advisor) / Davis, Mary C. (Committee member) / Knopf, Richard C. (Committee member) / Okun, Morris A. (Committee member) / Arizona State University (Publisher)
Created2011
Description
Fibromyalgia (FM) is a chronic pain condition characterized by debilitating fatigue. This study examined the dynamic relation between interpersonal enjoyment and fatigue in 102 partnered and 74 unpartnered women with FM. Participants provided three daily ratings for 21 days. They rated their fatigue in late morning and at the end of the day. Both partnered and unpartnered participants reported their interpersonal enjoyment in the combined familial, friendship, and work domains (COMBINED domain) in the afternoon. Additionally, partnered participants reported their interpersonal enjoyment in the spousal domain. The study was guided by three hypotheses at the within-person level, based on daily diaries: (1) elevated late morning fatigue would predict diminished afternoon interpersonal enjoyment; (2) diminished interpersonal enjoyment would predict elevated end-of-day fatigue; (3) interpersonal enjoyment would mediate the late morning to end-of-day fatigue relationship. In cross-level models, the study explored whether individual differences (between-person) in late morning fatigue and afternoon interpersonal enjoyment would moderate within-person relations from late morning fatigue to afternoon interpersonal enjoyment, and from afternoon interpersonal enjoyment to end-of-day fatigue. Furthermore, it explored whether the hypothesized relationships at the within-person level would also emerge at the between-person level (between-person mediation models). Multilevel structural equation modeling and multilevel modeling were employed for model testing, separately for partnered and unpartnered participants. Within-person mediation models supported that on high fatigue mornings, afternoon interpersonal enjoyment was dampened in the spousal and combined domains in partnered and unpartnered samples. Moreover, low afternoon interpersonal enjoyment in both the spousal and combined domains predicted elevated end-of-day fatigue. Afternoon interpersonal enjoyment mediated the relationship of late morning to end-of-day fatigue in the combined domain but in not the spousal domain. Cross-level moderation analyses showed that individual differences in afternoon spousal enjoyment moderated the day-to-day relation between afternoon spousal enjoyment and end-of-day fatigue. Finally, the mediational chain was not observed at the between-person level. These findings suggest that preserving interpersonal enjoyment in non-spousal relations limits within-day increases in FM fatigue. They highlight the importance of examining domain-specificity in interpersonal enjoyment when studying fatigue, and suggest that targeting enjoyment in social relations may improve the efficacy of existing treatments.
ContributorsYeung, Wan (Author) / Aiken, Leona S. (Thesis advisor) / Davis, Mary C. (Thesis advisor) / Mackinnon, David P (Committee member) / Zautra, Alex J (Committee member) / Arizona State University (Publisher)
Created2013
Description
This study examined whether cognitive behavioral therapy and mindfulness interventions affect positive (PA) and negative affect (NA) reports for patients with rheumatoid arthritis (RA) before, during, and after stress induction. The study also investigated the effects of a history of recurrent depression on intervention effects and testing effects due to the Solomon-6 study design utilized. The 144 RA patients were assessed for a history of major depressive episodes by diagnostic interview and half of the participants completed a laboratory study before the intervention began. The RA patients were randomly assigned to 1 of 3 treatments: cognitive behavioral therapy for pain (P), mindfulness meditation and emotion regulation therapy (M), or education only attention control group (E). Upon completion of the intervention, 128 of the RA patients participated in a laboratory session designed to induce stress in which they were asked to report on their PA and NA throughout the laboratory study. Patients in the M group exhibited dampened negative and positive affective reactivity to stress, and sustained PA at recovery, compared to the P and E groups. PA increased in response to induced stress for all groups, suggesting an "emotional immune response." History of recurrent depression increased negative affective reactivity, but did not predict reports of PA. RA patients who underwent a pre-intervention laboratory study showed less reactivity to stressors for both NA and PA during the post-intervention laboratory study. The M intervention demonstrated dampened emotional reactions to stress and lessened loss of PA after stress induction, displaying active emotion regulation in comparison to the other groups. These findings provide additional information about the effects of mindfulness on the dynamics of affect and adaptation to stress in chronic pain patients.
ContributorsArewasikporn, Anne (Author) / Zautra, Alex J (Thesis advisor) / Davis, Mary C. (Committee member) / Karoly, Paul (Committee member) / Arizona State University (Publisher)
Created2012
Description
Program leadership’s decision to include an evaluator during the program planning and design phase is the critical first step necessary for evaluators to provide the
programmatic benefits associated with the evaluation profession. Several recent
developments have promoted evaluator inclusion in program planning and design
activities, including federal legislation that mandates evaluator inclusion and advocacy
efforts from evaluation academics. However, the evaluation literature presents a
collective frustration within the evaluation field due to ongoing exclusion from program
planning and design activities. Utilizing the defensive attribution hypothesis, this
quantitative study gathered responses from 260 American Evaluation Association
members and 61 Project Management Institute members to determine an evaluator
exclusion rate, develop a taxonomy of exclusion factors, and explore the extent to which
program leaders and program evaluators demonstrate defensive attributions when rating
these factors’ influence on evaluator exclusion in program planning and design activities.
Results indicated an approximately 70% evaluator exclusion rate in respondents’ most
recent program experiences. Furthermore, the defensive attribution hypothesis was not
supported in the study, as program evaluators more strongly attributed their lack of
inclusion to deficiencies outside of the evaluation practice, but program leaders also more
strongly attributed evaluator exclusion to deficiencies outside of the evaluation practice.
Program evaluators most strongly attributed their exclusion to program leaders’
insufficient training and knowledge on the role of evaluation during the program planning
and design phase. Program leaders most strongly attributed evaluator exclusion to their
own staffing decisions, indicating a preference to not include evaluators in program
planning and design activities due to achieving previous program success without them,
assigning evaluation activities to non-evaluation staff, and a funding process that allows
the practice to occur. As the first study to explore evaluator exclusion in the program
planning and design phase, it sets a foundation for future research studies to corroborate
and build upon its findings, identify policies that encourage evaluator inclusion, and
continue efforts to establish mutually beneficial relationships in the program planning
and design phase.
ContributorsGallagher, Matthew (Author) / Lecy, Jesse (Thesis advisor) / Knopf, Richard C. (Committee member) / Budruk, Megha (Committee member) / Schuster, Roseanne (Committee member) / Arizona State University (Publisher)
Created2022
Description
In a contemporary socioeconomic context that pushes universities toward a more neoliberal agenda, some are answering a call to reinvest in the public purpose of higher education. Their strategies increasingly integrate teaching, research, and service through university-community partnerships. Within this movement, several initiatives aim to support a qualitative transformational shift toward a more egalitarian paradigm of collaboration. However, the literature and knowledge-building around these aims is largely insular to higher education and may be insufficient for the task. Thus, this study situates these aspirations in the community development literature and theories of power to better conceptualize and operationalize what is meant by reciprocal, mutually-beneficial approaches to university-community partnerships.
First, a theoretically grounded analytical framework was developed using both higher education and community development literatures to build two ideal-typical approaches to community practice characterized by power-over versus power-with. Within power-over, the institution exclusively holds authority, control, and legitimacy. Power-with is built through partnerships that share these elements with communities. Second, the resulting theoretical framework was developed further through a multi-stage deductive-inductive content analysis of written data readily available from university websites about their community partnerships. This process operationalized the framework by identifying and clarifying specific indicators within the power-over and power-with ideal-types.
The analytical framework was then compared to the aspirational community empowerment goals found in materials about the Carnegie elective classification for Community Engagement and materials from both the Anchor Initiatives Task Force and Anchor Initiatives Dashboard Learning Cohort. This comparative analysis found that while these initiatives aspire to transform power dynamics between universities and communities, they are vague on the meaning of these practices and their antitheses. This gap in clarity hinders these initiatives from distinguishing transformative work from the status quo, potentially inadvertently allowing the perpetuation of power-over dynamics in university-community partnerships.
The more robust analytical framework developed herein will enable these initiatives to better assess the quality of university-community partnerships against the aspirations of equity, social justice, democratic practice, mutual respect, shared authority, and co-creation. Such assessment will enable more effective knowledge-building toward transformational practice.
First, a theoretically grounded analytical framework was developed using both higher education and community development literatures to build two ideal-typical approaches to community practice characterized by power-over versus power-with. Within power-over, the institution exclusively holds authority, control, and legitimacy. Power-with is built through partnerships that share these elements with communities. Second, the resulting theoretical framework was developed further through a multi-stage deductive-inductive content analysis of written data readily available from university websites about their community partnerships. This process operationalized the framework by identifying and clarifying specific indicators within the power-over and power-with ideal-types.
The analytical framework was then compared to the aspirational community empowerment goals found in materials about the Carnegie elective classification for Community Engagement and materials from both the Anchor Initiatives Task Force and Anchor Initiatives Dashboard Learning Cohort. This comparative analysis found that while these initiatives aspire to transform power dynamics between universities and communities, they are vague on the meaning of these practices and their antitheses. This gap in clarity hinders these initiatives from distinguishing transformative work from the status quo, potentially inadvertently allowing the perpetuation of power-over dynamics in university-community partnerships.
The more robust analytical framework developed herein will enable these initiatives to better assess the quality of university-community partnerships against the aspirations of equity, social justice, democratic practice, mutual respect, shared authority, and co-creation. Such assessment will enable more effective knowledge-building toward transformational practice.
ContributorsTchida, Celina V (Author) / Knopf, Richard C. (Thesis advisor) / Buzinde, Christine N (Committee member) / Feeney, Mary K. (Committee member) / Arizona State University (Publisher)
Created2018
Description
Current models of pain coping typically focus on how pain contributes to poor physical and psychological functioning. Researchers have argued that this focus on the negative consequences is too narrow and does not account for times when individuals are able to maintain meaningful functioning despite their pain. Thus, the current study sought to investigate the day-to-day processes that both help and hinder recovery from pain and persistence towards daily goals. Specifically, the present study tested: a) a two-factor model of risk and resilience “factors” that capture key processes across affective, cognitive and social dimensions of functioning, and b) whether the relation between morning pain and end-of-day physical disability is mediated by increases in these afternoon risk and resilience factors. Within-day study measures were collected for 21 days via an automated phone system from 220 participants with Fibromyalgia. The results of multi-level confirmatory factor analysis indicated that, consistent with prediction, risk and resilience do constitute two factors. Findings from multilevel structural equation models also showed resilience factor mediated the link between late morning increases in pain and end-of-day disability, in line with hypotheses. Although the vulnerability factor as a whole did not mediate the within-day link between pain and disability, pain-catastrophizing individually did serve as a significant mediator of this relation. This study was the first to empirically test a within-day latent factor model of resilience and vulnerability and the first to capture the multidimensional nature of the pain experience by examining mechanisms across affective, cognitive and social domains of functioning. The findings of the current study suggest that in addition to studying the processes by which pain has a negative influence on the lives of pain sufferers, our understanding of the pain adaptation process can be further improved by concurrently examining mechanisms that motivate individuals to overcome the urge to avoid pain and to function meaningfully despite it.
ContributorsThummala, Kirti (Author) / Davis, Mary C. (Thesis advisor) / Doane, Leah (Committee member) / Karoly, Paul (Committee member) / Barrera, Manuel (Committee member) / Arizona State University (Publisher)
Created2018
Description
Comorbid posttraumatic stress disorder (PTSD) and chronic pain create a heavier symptom burden than does chronic pain alone. Individuals with both conditions may exhibit physiological and emotional reactivity that make them susceptible to distressing reactions to negative social-emotional stimuli as well as less able to capitalize on positive social-emotional experiences. The current study examined physiological and emotional reactivity to affective stimuli in a laboratory setting as well as social responses to changes in interpersonal events in daily life among individuals with fibromyalgia (FM) and a history of PTSD symptoms versus those with FM only. The impact of the type of traumatic event experienced was also examined. Participants’ startle reflex responses and emotional reactions to affective stimuli in a laboratory setting and social stress and enjoyment responses to interpersonal events in daily diaries were collected. Results indicated that higher levels of past PTSD symptoms were associated with higher levels of bodily pain, social stress, depression, negative affect, and less positive affect. Higher levels of past PTSD symptoms did not affect physiological or social-emotional reactivity to stimuli either in the laboratory setting or in the daily diaries. Individuals with a history of PTSD symptoms from sexual trauma exhibited lower startle magnitudes to positive emotional stimuli in the laboratory compared to individuals with no trauma or a history of PTSD symptoms from of other types of trauma. There were no differences among trauma types in responsivity to negative stimuli in the laboratory or social-emotional responses in daily life. Findings suggest lasting and stable effects of past PTSD symptoms on physical and emotional health in chronic pain, rather than reactivity to positive and negative changes in the environment. Findings indicate the need to assess for past trauma in pain patients and tailor treatments to account for specific traumas.
ContributorsWolf, Laurie (Author) / Davis, Mary C. (Thesis advisor) / Arizona State University (Publisher)
Created2016
Description
Objective: The present study sought to 1) examine the measurement of emotional complexity (EC) by examining the associations among different indicators of EC (i.e., covariation between positive affect and negative affect; overall, negative, and positive granularity; overall, negative, and positive differentiation) derived from the same data set and identifying a latent factor structure; and 2) evaluate the predictive ability of EC on psychological distress, emotional well-being, and physical functioning while accounting for stressful contexts. The utility of assessing emotion diversity (ED) as another aspect of EC was also explored.
Methods: 191 middle-aged adults from a community-based study on resilience were asked to complete 30 daily diaries assessing positive and negative affect. At least 6 months later, participants completed a phone interview that assessed distress (i.e., depressive and anxiety symptoms), well-being (i.e., WHO-5 well-being, vitality, social functioning), physical functioning, and perceived stress.
Results: A three-factor solution with latent factors representing overall, negative, and positive EC was identified. Overall EC significantly predicted enhanced physical functioning, but was not associated with distress or well-being. Contrary to study hypotheses, positive and negative EC were not associated with future distress, well-being, or physical functioning, though a trend toward improved physical functioning was noted for positive EC. In contrast, positive and negative ED were both associated with less distress, and better well-being and physical functioning. Overall ED was unexpectedly related to worse outcomes (i.e., more distress, less well-being, decreased physical functioning). Stress did not moderate the relationship between emotional complexity and the outcome variables.
Conclusions: Different indicators of EC represent distinct aspects of emotional experience. Partial support of the hypotheses found. Physical functioning was the only outcome influenced by EC. The inclusion of stress did not change the results. The discrepancy between the findings and those in the literature may be related to reliability of EC indicators and absence of contextual factors. Further exploration of ED revealed a potentially important construct of emotional experience that is deserving of further inquiry.
Methods: 191 middle-aged adults from a community-based study on resilience were asked to complete 30 daily diaries assessing positive and negative affect. At least 6 months later, participants completed a phone interview that assessed distress (i.e., depressive and anxiety symptoms), well-being (i.e., WHO-5 well-being, vitality, social functioning), physical functioning, and perceived stress.
Results: A three-factor solution with latent factors representing overall, negative, and positive EC was identified. Overall EC significantly predicted enhanced physical functioning, but was not associated with distress or well-being. Contrary to study hypotheses, positive and negative EC were not associated with future distress, well-being, or physical functioning, though a trend toward improved physical functioning was noted for positive EC. In contrast, positive and negative ED were both associated with less distress, and better well-being and physical functioning. Overall ED was unexpectedly related to worse outcomes (i.e., more distress, less well-being, decreased physical functioning). Stress did not moderate the relationship between emotional complexity and the outcome variables.
Conclusions: Different indicators of EC represent distinct aspects of emotional experience. Partial support of the hypotheses found. Physical functioning was the only outcome influenced by EC. The inclusion of stress did not change the results. The discrepancy between the findings and those in the literature may be related to reliability of EC indicators and absence of contextual factors. Further exploration of ED revealed a potentially important construct of emotional experience that is deserving of further inquiry.
ContributorsArewasikporn, Anne (Author) / Zautra, Alex J (Thesis advisor) / Davis, Mary C. (Committee member) / Doane, Leah D (Committee member) / Infurna, Frank J. (Committee member) / Arizona State University (Publisher)
Created2016
Description
This dissertation explores youth community involvement in a geographically defined urban community in the United States. The research approach was qualitative, naturalistic, and ethnographic, and utilized grounded theory analysis. The study included fifty-six participants. In focus groups and interviews with youth and adults as well as with a group of youth and adults working on events in the community (hereby called the “Active Youth Group” or AYG), the characteristics of the community were discussed. Furthermore, the study inquired about the nature of youth adult-interactions. In this context, the categories “family” and “leadership” emerged. The study highlights the importance of family in the lives of residents of the community. Furthermore, the study contributes to the literature about youth adult-partnerships (Camino, 2000; Camino & Zeldin, 2002a; Jones, 2004; Lofquist, 1989) by exploring the dynamics between youth-led and adult-led community work. It discusses some of the factors that may influence whether the youth or the adults are in charge of various components of a youth development program.
ContributorsPštross, Mikuláš (Author) / Knopf, Richard C. (Thesis advisor) / de la Garza, Sarah Amira (Committee member) / Larsen, Dale (Committee member) / Mook, Laurie (Committee member) / Arizona State University (Publisher)
Created2016