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Introduction: The current study aimed to explore the prevalence rates of binge-eating and weight compensatory behaviors across sexual minority undergraduate men and women. Methods: The sample included 3411 undergraduate men and women from a large public university. Participants completed a self-report online questionnaire regarding various personality, social networking, and health

Introduction: The current study aimed to explore the prevalence rates of binge-eating and weight compensatory behaviors across sexual minority undergraduate men and women. Methods: The sample included 3411 undergraduate men and women from a large public university. Participants completed a self-report online questionnaire regarding various personality, social networking, and health behaviors. Results: Analyses showed no difference in binge-eating for women, but statistically significant differences across sexual orientation groups for weight compensatory behaviors. Analyses for men showed statistically significant differences between sexual orientation groups for objective-binge eating and self-induced vomiting. There were no differences among men for other behaviors. Discussion: These findings demonstrate both statistically and clinically significant differences across sexual orientation groups indicating that gender as well as sexual orientation bear a correlation to the propensity to engage in certain disordered eating behaviors.
ContributorsVon Schell, Anna Victoria (Author) / Perez, Marisol (Thesis director) / Ohrt, Tara (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
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In this study, potential differences in the manifestation and rates of eating disorders and symptoms (body dissatisfaction, weight and shape concerns, food restriction, and compensatory behaviors) in college women across sexual orientations were examined. The sociocultural model of eating disorders was also examined for these women across sexual orientations. The

In this study, potential differences in the manifestation and rates of eating disorders and symptoms (body dissatisfaction, weight and shape concerns, food restriction, and compensatory behaviors) in college women across sexual orientations were examined. The sociocultural model of eating disorders was also examined for these women across sexual orientations. The participants were organized into three different sexual orientation groups for analysis: heterosexual (group 1), bisexual, pansexual, and polysexual (group 2), and lesbian, gay, queer, transsexual, asexual, and other (group 3). Using cross-sectional data, it was revealed that there were significant group differences when comparing the three sexual orientation groups on loss of control over eating, but no significant group differences on body dissatisfaction, thin ideal internalization, and weight-related eating pathology, and total eating disorder symptoms scores. The sociocultural model was not predictive of eating disorder symptoms among non-heterosexual groups. Longitudinal analyses revealed that the sociocultural model of eating disorders prospectively predicts eating disorder symptoms among heterosexual women, but not non-heterosexual women. Both cross-sectional and longitudinal analyses indicate that non-heterosexual women may be protected from societal pressure to subscribe to the thin ideal and its subsequent internalization. However, the comparison group of heterosexual women in our study may not have been completely representative of undergraduate women in terms of total eating disorder symptoms or eating pathology. Additionally, regardless of sexual orientation, our sample reported more total eating disorder symptoms and emotional eating than previous studies. These findings have both clinical and research implications. Future research is needed to determine what risk factors and treatment target variables are relevant for non-heterosexual women.
ContributorsNorman, Elizabeth Blair (Author) / Perez, Marisol (Thesis director) / Presson, Clark (Committee member) / Cavanaugh Toft, Carolyn (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
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Prior research has identified that clinicians in the treatment of eating disorders often do not adhere closely to empirically-supported treatments (EST), and are particularly likely to modify Cognitive-Behavioral therapy (CBT). Several reasons for this phenomenon, dubbed "clinician drift", have been identified, including level of clinician training, education, and type of

Prior research has identified that clinicians in the treatment of eating disorders often do not adhere closely to empirically-supported treatments (EST), and are particularly likely to modify Cognitive-Behavioral therapy (CBT). Several reasons for this phenomenon, dubbed "clinician drift", have been identified, including level of clinician training, education, and type of patient care. In addition to the phenomenon of clinician drift, there has been a growing controversy within the field of clinical psychology about the compatibility of ESTs and multiculturalism. Some argue that the standardization inherent to EST resists the concept of cultural adaptability; while others have countered that cultural adaptability is essential in order for empirically supported treatments to remain relevant, ethical, and effective. In order to shed more light on this issue, this study examined how clinicians tend to drift from CBT in the treatment of Latinos suffering from eating disorders, in order to accommodate Latino culture and elements of eating behavior specific to Latino populations. We both attempted to replicate prior findings regarding predictors of clinician drift, as well as build upon the little existing research into the "culturally-motivated clinician drift." It was discovered that no therapist characteristics or client characteristics were predictive of drift. However, the majority of the sample still adapted or abandoned at least part of the CBT treatment. Their responses regarding the weaknesses of CBT for their Spanish-speaking clients can provide insight into how the treatment can be modified for more diverse clients.
ContributorsJosephs, Jamie Elise (Author) / Perez, Marisol (Thesis director) / Luecken, Linda (Committee member) / Davis, Mary (Committee member) / Department of English (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2017-12
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Description
Higher education institutions have increasingly sought to diversify the ethnic makeup of freshmen classes (Covarrubias, Herrmann, & Fryberg, 2016) and rates of Latinx college attendance have been rising (Hall, Nishina, & Lewis, 2017). However, despite comparable levels of earned-credits, Latinx students have lower rates of college completion (Contreras & Contreras,

Higher education institutions have increasingly sought to diversify the ethnic makeup of freshmen classes (Covarrubias, Herrmann, & Fryberg, 2016) and rates of Latinx college attendance have been rising (Hall, Nishina, & Lewis, 2017). However, despite comparable levels of earned-credits, Latinx students have lower rates of college completion (Contreras & Contreras, 2015). One potential explanation may be disproportionate increases in stress, and in particular, discrimination experiences reported by Latinx students during the transition from high school to college (Hunyh & Fuligni, 2012). As such, the aim of the current study was to examine whether everyday discrimination in high school and college were associated with changes in adolescent well-being and academic adjustment over the college transition in a sample of Latinx adolescents. Study participants were 209 Latinx adolescents (85.1% Mexican descent, 62.1% 2nd generation; 35.6% male; Mage= 17.59) who completed questionnaire assessments during the spring or summer before entering college (T1) and again during the first semester of college (T2; 88.5% retention). In both high school and college, participants completed a modified version of the Everyday Discrimination Scale (T1 α=.88, T2 α=.89; Williams et al., 1997). Dependent variables included internalizing symptoms in college (depressive symptoms {α = .95}, anxiety symptoms {α = .88}, stress symptoms {α = .94}; DASS; Lovibond & Lovibond, 1995), and institutional records of college GPA. Correlation and regression analyses were conducted in SPSS 23 to examine associations between discrimination experiences (high school and college) and college internalizing symptoms and GPA, controlling for high school levels. Other covariates included immigrant generation status, sex, parent education (as a proxy for socioeconomic status), and whether the participant attended the focal higher education institution. Zero order correlations (Table 1) revealed that greater reports of discrimination in high school and college were associated with higher depressive symptoms, higher anxiety symptoms, higher stress, but not GPA in college (Table 1; all ps <.05). In multivariate analyses and after adjusting for covariates similar patterns emerged (Table 2). Greater reports of discrimination in college were associated with higher depressive symptoms (β = .18, p < .05), anxiety symptoms (β = .19, p <.05) and stress (β = .18, p <.05), but not GPA (β = -.04, ns). Everyday experiences of discrimination in high school were not significantly associated with college outcomes. In summary, our findings suggest that discrimination experiences among Latinx students in college, but not high school, are associated with increases in internalizing symptoms, including depression, anxiety and stress. Interestingly, discrimination experiences in high school and college were not associated with academic achievement in the first semester of college. Such findings suggest that higher education institutions should focus on global indicators of well-being during the Latinx college transition and seek to implement programs to: a) reduce stress associated with engaging in diverse college environments and b) reduce discrimination experiences on college campuses. Future research is needed for replication of these results and should also seek to further explore the trajectories of internalizing symptoms beyond the first semester of college.
ContributorsSills, Jessica (Author) / Doane, Leah (Thesis director) / Perez, Marisol (Committee member) / Castro, Saul (Committee member) / Department of English (Contributor, Contributor) / Department of Psychology (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
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Description
Today's society increasingly sexualizes women (Kilbourne, 2003). Women are constantly confronted with an image of beauty through various forms of media. Body acceptance programs on college campuses have found that women often report feeling pressure to dress in a sexualized manner, cover up their so-called flaws with make-up, and continually

Today's society increasingly sexualizes women (Kilbourne, 2003). Women are constantly confronted with an image of beauty through various forms of media. Body acceptance programs on college campuses have found that women often report feeling pressure to dress in a sexualized manner, cover up their so-called flaws with make-up, and continually strive to be thin. Currently, no measure exists to assess the daily behaviors of women to wear make-up or dress in certain ways due to body image concerns. Thus, the goal of the current studies was to develop a brief self-report questionnaire on make-up and sexualized clothing for college women. In Study 1, items were developed from qualitative data collected by the Body Project Prevention Program to assess pressure to wear make-up, discomfort when not wearing make-up, pressure to wear sexualized clothing, and body image concerns with regards to sexualized clothing. Exploratory factor analyses revealed a Confidence and a Comfort subscale for the Make-up Questionnaire (MUQ) and a Body Dissatisfaction and Pressure subscale for the Sexualized Clothing Questionnaire (SCQ). Confirmatory factor analyses in Study 2 confirmed the factor structure for the MUQ and SCQ. Study 3 compared scores on the MUQ and SCQ among intervention and control groups across time points. A gain score analysis revealed that women in the intervention did not become significantly healthier over time in comparison to the control group on the MUQ and SCQ subscales. However, the treatment condition did become significantly healthier over time in regard to other measures of eating pathology. These studies provide insight into the pressures women feel to wear make-up and sexualized clothing.
ContributorsSmith, Haylie Jean (Author) / Perez, Marisol (Thesis director) / Glenberg, Arthur (Committee member) / Cavanaugh Toft, Carolyn (Committee member) / Barrett, The Honors College (Contributor)
Created2016-12
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Previous studies suggest an association between depression and anxiety in childhood and adolescence and increased risk for cardiovascular disease later in life. The aim of the present study was to test whether depression and anxiety symptoms in young adulthood were associated with retinal vessel diameter, a subclinical marker of cardiovascular

Previous studies suggest an association between depression and anxiety in childhood and adolescence and increased risk for cardiovascular disease later in life. The aim of the present study was to test whether depression and anxiety symptoms in young adulthood were associated with retinal vessel diameter, a subclinical marker of cardiovascular disease. We further tested whether associations for depression were similar to associations for anxiety. Participants completed questionnaires about their depression and anxiety symptoms and underwent retinal imaging. Retinal vessel diameter was assessed using computer software. Results showed no association between depression or anxiety symptoms and retinal vessel diameter, suggesting that retinal vessel diameter may not signal subclinical cardiovascular risk in young adults with symptoms of depression and anxiety.
ContributorsGandee, Katherine Marie (Author) / Meier, Madeline (Thesis director) / Perez, Marisol (Committee member) / Infurna, Frank (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05