Matching Items (90)
Description
Children with congenital heart disease (CHD) are at increased risk for psychosocial issues (PSI), decreased quality of life (QOL), and decreased resilience. The purpose of this project was to implement a screening protocol for PSI, QOL, and resilience, with appropriate psychosocial referral for children with CHD.
A pilot protocol was implemented to screen children with CHD, aged 8-17 years, and parents, for resilience, QOL, and PSI. Referrals for psychosocial services were made for 84.2% of children screened (n = 16) based on scoring outcomes. Statistically significant differences in the parents and children’s resilience mean scores were noted. Higher parental scores may indicate that parents believe their children are more resilient than the children perceive themselves to be.
Early identification of concerns regarding QOL, resilience, and PSI in children with CHD can provide ongoing surveillance, while affording opportunities for improved communication between providers, parents, and children. Routine screening and longitudinal follow-up is recommended.
ContributorsBonowski, Kelley (Author) / Jacobson, Diana (Thesis advisor) / Zangwill, Steven (Thesis advisor) / Espinoza, Jennifer (Thesis advisor)
Created2018-04-30
Description
This study draws upon original data to identify protective factors of resilience among Indigenous college students who experience victimization with the goal of facilitating safety and health. The data draws from 16 interviews and 95 surveys with Indigenous college students about their victimization, including their experiences with the global issue of Missing and Murdered Indigenous Peoples (MMIP). This research uses a decolonizing methodology, a trauma-informed approach, and a human-centered design while incorporating aspects of community-based participatory research with Indigenous populations. Many participants experienced at least one form of victimization (82%), and nearly all (94%) were aware of the MMIP crisis. Interviews revealed that MMIP had an emotional, psychological, and social impact on students regardless of their relationship with a victim. Participants identified several protective factors that enhanced their resilience, including reclaiming identity, reciprocity, taking healing actions, self-reflection, taking healthy risks, having goals, being with their community and their family, and having courage and strength. These findings provide support for five culturally appropriate university policy recommendations to enhance Indigenous students’ resilience through culturally-competent programming, evaluation, and training.
ContributorsHarvey, Cassie L. (Author) / Fox, Kathleen A. (Thesis advisor) / Stolzenberg, Stacia (Committee member) / Sharp, Christopher (Committee member) / Arizona State University (Publisher)
Created2023
Description
Depression and anxiety are common and debilitating illnesses that negatively impact personal well-being and functioning. The effects of depression and anxiety not only affect the individual, but also peers, family, the community, economy, and even the health care system. Pharmacological therapy is a first line treatment for depression and anxiety, but the risk for relapse remains. Cognitive behavioral therapy (CBT) and mindfulness-based cognitive therapy (MBCT) are treatments that have demonstrated effectiveness in treating depression. The evidence suggests that both therapies are successful in terms of reducing depressive symptoms, but most effective when combined. Further, evidence shows that the combination of MBCT and traditional pharmacological therapy provides relief from depressive symptoms and lengthens the amount of time between recurrent episodes and improves the quality of life. A project was implemented at an integrated health clinic to evaluate the effectiveness of a mindfulness-based intervention to reduce the symptoms of depression and anxiety. The results revealed that practicing mindfulness was statistically and clinically significant in reducing depression and anxiety. In addition, mindfulness scores increased over 30 day application of the intervention. The results demonstrated the value of utilizing mindfulness as a cost-effective therapy in addition to pharmacological treatment to decrease symptoms of depression and anxiety, as well as improve mindfulness. The ease of use demonstrated the value of mindfulness and self-directed skills aimed at improving wellness, reducing depression and anxiety which will result in the improvement of individual, economic, healthcare system, and community health.
ContributorsFong, Luis (Author) / Guthrey, Ann (Thesis advisor)
Created2018-04-28
Description
The purpose of this project is to implement an on-site mindfulness-based intervention to reduce stress and burnout among mental health care workers. Healthcare professionals are among the most stressed of any profession, and mental health workers are at an extremely high risk for burnout and compassion fatigue (Christopher & Meris, 2010) with an estimated 21% to 67% of mental health workers reporting that they experience high levels of burnout (Salyers et al., 2011).
After researching the literature, it was evident that practicing mindfulness can lead to less stress and higher job satisfaction. In an effort to combat this problem, an on-site mindfulness intervention was implemented at an outpatient psychiatric setting for eight weeks. Twenty-seven mental health workers gave their consent to be part of the study, and eleven were able to complete the study and self-assessment surveys for three time periods. The Maslach Burnout Inventory (MBI) (the Human Service Version) and a 1-item job satisfaction were used to measure the effect of intervention on employees’ levels of stress and job satisfaction.
A non-parametric Friedman test of differences among repeated measures was conducted and findings were not significant when comparing the average total scores of means between pre-, post-, or 1-month follow-up for Emotional Exhaustion (p = .148), Depersonalization (p = .223), Personal Achievement (p = .784) and job satisfaction (p = .422). The positive outcomes cited by participant support the thesis that the on-site mindfulness-based intervention is better than no intervention though the effect was not statistically significant.
ContributorsUwimana, Aimee (Author)
Created2016-04-29
Pluvial Flood Risk Modeling, Assessment, and Management under Evolving Urban Climates and Land Cover
Description
Pluvial flooding is a costly, injurious, and even deadly phenomenon with which cities will always contend. However, cities may reduce their risk of flood exposure by changing historically dominant patterns of development that have removed natural landscape features and reduce the damages that flooding causes by identifying and supporting vulnerable populations. Accomplishing either goal requires the development and application of appropriate frameworks for modeling or recording flood exposure. In this dissertation, I used modeling and surveying methods for assessing pluvial flood exposure in two cities, first in Valdivia, Chile, and then in Hermosillo, México. I open with a summary on pluvial flood risk in the present day and the threat it may pose under changing climates. In the second chapter, I explored how a form of urban ecological infrastructure (UEI), the wetland, is being wielded in Valdivia toward pluvial flood mitigation, and found that wetland daily, seasonal, and interannual changes in wetland surface and soil water storage alter pluvial flood risk in the city. In the third chapter, I used a mixed methodology, including projections of future land cover generated by cellular automata models with inputs from visioning workshops conducted by the Urban Resilience to Extremes Sustainability Research Network (UREx SRN), and found that wetland loss in future land configurations may lead to increased pluvial flood risk. In the fourth chapter, I combined these land cover models from the third chapter with downscaled climate data on precipitation, also generated by the UREx SRN, and found that wetland conservation can help to mitigate the pluvial flood risk posed by changing patterns of rainfall. In the fifth chapter, I applied the Arc-Malstrøm method for pluvial flood assessment in Hermosillo, México, and compared it with the more traditional rational method for flood assessment, and through accompanying surveys found that perception of flood risk is significantly affected by flood dimensions and impacts. This dissertation concludes with a synthesis of pluvial flood risk assessment, suggestions for improvements to modeling, as well as suggestions for future research on pluvial flood risk assessment in cities. This dissertation advances the understanding of the utility of inland wetland UEI in cities under present and future land cover and climate conditions. It also qualifies the utility of common and new pluvial flood risk assessments and offers research directions for future pluvial flood assessments.
ContributorsSauer, Jason R (Author) / Grimm, Nancy B (Thesis advisor) / Chester, Mikhail V (Committee member) / Cook, Elizabeth M (Committee member) / Childers, Daniel L (Committee member) / Eakin, Hallie (Committee member) / Arizona State University (Publisher)
Created2022
Description
Hotline crisis counselors witness trauma in others, leaving them vulnerable to compassion fatigue and burnout. Vicarious resilience can counterbalance the harmful effects of trauma work and help individuals avoid vicarious traumatization. This dissertation examined four research questions constructed to explore the lived experiences of child abuse hotline crisis counselors over thirty-six months, both before and during the COVID-pandemic. Furthermore, the recent implementation of text and chat, in addition to a traditional phone call, has ushered in new issues of abuse and concern brought on by the pandemic (i.e., isolation, fear of sickness and death, employment, housing and childcare insecurities, school closures, remote work, divisive custody issues related to masks and vaccines). Using a phenomenological methodology, this study draws upon three years of focus group data (2019, 2020, & 2021). Six focus groups were conducted with twenty-six hotline counselors over the three years to address the research questions that explore the counselors’ professional experiences before and during the pandemic. Analysis of the focus group transcriptions included a single-year analysis that looked at each year and a cross-year analysis to look at themes generated by analyzing all years together. Themes of resilience, workspace, and healing found that the hotline counselors shared positive experiences and personal growth from their work with implications of advocating for self-care not as an individual issue but as a larger collective issue among counselors. The results of this study will advance the concept of vicarious resilience, trauma-informed practices, and, most importantly, sustaining, and empowering helping professionals in challenging times.
ContributorsDiaz, Marisol Juarez (Author) / Swadener, Beth B (Thesis advisor) / Lopez, Vera (Committee member) / Ayers, Stephanie (Committee member) / Arizona State University (Publisher)
Created2022
Description
The trend of increasing mental health issues for undergraduate students is a worrisome and important topic for research in higher education. College students become the backbone of society as they graduate, start families, and enter the workforce. To increase the mental health of students on campus, many institutions have implemented university-wide interventions that ask students to engage with written or visual models. I propose that this large-scale intervention that uses a one-size-fits all narrative is leaving behind important students on campus who do not relate to the written or video narratives that are often used in these settings. My current research employed a classroom-based intervention in which students were asked to discover intergenerational narratives themselves. This mixed methods design used pre-intervention and post-intervention surveys to investigate changes in levels of resilience, belonging, and mattering among a group of college students at a university in the southwest United States. My sample was predominantly young (m = 19.4, SD = 1.2) female students (85.7%) who identified as white (54%) and in their freshman year of college (48.6%). Additional qualitative thematic analyses were performed to investigate the adherence of student narratives to restorative elements and representative quotes were pulled to elaborate on the convergence and divergence of data. Although no statistically significant differences were found, individual students reported positive change and future research is warranted.
ContributorsWhetten, Jason LaMont (Author) / Weinberg, Andrea (Thesis advisor) / Smith, Stephanie (Committee member) / Dunbar, Nora (Committee member) / Arizona State University (Publisher)
Created2022
Description
The goal of this thesis was to create a theory of change for an annual Multicultural Arts Camp (MAC) that offers youth with trauma histories opportunities to cultivate protective factors associated with resilience. MAC is designed to promote four primary protective outcomes among its participants: (1) safety, (2) self-expression, (3) skill-building and (4) self-efficacy through exploration of various multicultural art forms and connecting with caring adults. The theory of change was informed by my observations during my experience as a MAC volunteer and my review of academic literature to better define and understand how various factors involved in the MAC program are linked to resilience processes. Arts programming can provide opportunities for youth who have experienced trauma to feel safe enough to engage in self-expression and build corresponding skills that promote feelings of self-efficacy. Building these protective factors thereby strengthens children’s capacity for resilience. Accordingly, the theory of change articulates program activities and processes that promote these outcomes among participating youth. Program directors may draw on the theory of change for strategic planning and evaluation efforts assessing the program’s processes and corresponding impact.
ContributorsJanss, Alena Lilia (Author) / Sechler, Casey (Thesis director) / Foster, Stacie (Committee member) / Department of Psychology (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2020-05
Description
Attention-deficit/hyperactivity disorder (ADHD) is a common developmental disorder characterized by symptoms of impulsivity, inattention, and hyperactivity that interfere with development. Given the lasting academic and social deficits associated with ADHD symptoms, it is critical to study the risk factors of this disorder and possible factors that could protect against its development. Therefore, the current study investigated the potential role of social support from parents, siblings, teachers, and peers as promotive and protective factors against the development of ADHD symptoms for children at familial risk of developing ADHD symptoms. Participants included 903 twins (30.5% monozygotic twins, 35.9% same-sex dizygotic twins, 31.7% opposite-sex dizygotic twins) from the longitudinal Arizona Twin Project. Children (51.6% female) were assessed for social support and ADHD symptoms at age 8 (M = 8.42, SD = 0.68) and for ADHD symptoms at age 9 (M = 9.71, SD = 0.93). Children’s familial risk for developing ADHD symptoms was assessed as a function of their cotwin’s symptom status at age 8 and the pair’s zygosity. Mixed model regression analyses indicated that familial risk was a robust predictor of ADHD symptoms. Further, peer acceptance was found to operate as a promotive factor against the development of ADHD symptoms, with some evidence for positive parenting as a promotive factor, as well. None of the forms of social support were found to be protective factors for children at familial risk of developing ADHD symptoms. Bivariate twin analyses revealed that peer acceptance and ADHD were related for both genetic and environmental reasons, suggesting that children’s heritable behaviors influence their peer acceptance. Future directions may include examining additional factors as possible moderators of familial risk of developing ADHD symptoms.
ContributorsHawkins, Jessica Kathryn (Author) / Lemery-Chalfant, Kathryn (Thesis director) / Miadich, Samantha (Committee member) / School of Life Sciences (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2020-12
DescriptionMy creative project is a brand new Barrett, The Honors course that examines the complex and evolving intersections between natural disasters, culture, and resilience in Italy.
ContributorsNavia, Bianca Christine (Author) / Dal Martello, Chiara (Thesis director) / Vitullo, Juliann (Committee member) / School of Politics and Global Studies (Contributor, Contributor) / School of International Letters and Cultures (Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2020-12