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Psychogenic non-epileptic seizures (PNES), is a conversion disorder thought to be linked to unresolved emotional distress. While some studies suggest that PNES patients do not attribute their somatic symptoms to severe psychological experiences (Stone, Binzer, & Sharpe, 2004; LaFrance & Barry, 2005), it is unclear what PNES patients do think

Psychogenic non-epileptic seizures (PNES), is a conversion disorder thought to be linked to unresolved emotional distress. While some studies suggest that PNES patients do not attribute their somatic symptoms to severe psychological experiences (Stone, Binzer, & Sharpe, 2004; LaFrance & Barry, 2005), it is unclear what PNES patients do think causes their seizures, and the psychological consequences of those attributions. The aim of the present study was to investigate PNES patients' attributions for their seizures, and to determine how these attributions relate to stress and emotion regulation. It was hypothesized that participants who attribute their seizures to something (i.e., have an explanation for their seizures) will have lower perceived stress and less difficulty with emotion regulation than those who are unsure of the cause of their seizures. Twenty-four PNES participants completed a questionnaire assessing seizure diagnosis, characteristics of seizure impact, perceived stress, psychological symptoms, emotion regulation, attributions for seizures, and coping resources. Contrary to the hypothesis, having an explanation for seizures, rather than being “unsure” of seizure cause, was related to greater perceived stress. While it would seem that attributing unpredictable seizure events to a cause would lower perceived stress and emotion regulation difficulty, this study indicates that an attribution to an unknown cause may be more beneficial for the individual.
ContributorsBarker, Mallory (Author) / Roberts, Nicole A. (Thesis advisor) / Miller, Paul A. (Committee member) / Burleson, Mary H (Committee member) / Arizona State University (Publisher)
Created2012
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Description
The present study examined daily survey data collected from married couples over the course roughly 14 days. I investigated the relationships of the morning quality ratings of three distinct spousal interactions conversation (physical affection, and sexual activity) reported in mornings on later-day positive and negative affect, as well as next-day

The present study examined daily survey data collected from married couples over the course roughly 14 days. I investigated the relationships of the morning quality ratings of three distinct spousal interactions conversation (physical affection, and sexual activity) reported in mornings on later-day positive and negative affect, as well as next-day intensity of negative somatic symptoms (e.g. headaches, dizziness, aches and pains). Hierarchical linear modeling was used to estimate path models for both husbands and wives. Direct and indirect effects were observed. Results showed that quality of conversation and physical affection increased later-day positive mood for both husbands and wives; however, positive quality activity increased later-day positive affect for wives only. Quality of sexual activity decreased later-day negative affect for wives only. Less later-day negative affect decreased next-day intensity of symptoms for both husbands and wives. Lastly, quality of sexual activity decreased later-day negative affect, which decreased next-day somatic symptoms for wives. This was the only significant indirect effect. Implications are that high marital quality is important for maintaining psychological health for both spouses, and physical health, particularly for wives.
ContributorsVincelette, Tara (Author) / Burleson, Mary H (Thesis advisor) / Roberts, Nicole A. (Committee member) / Schweitzer, Nicholas J (Committee member) / Arizona State University (Publisher)
Created2012
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Description
How early life is experienced and perceived can greatly affect mental and physical health outcomes. An individual is greatly influenced by their first models of what social relationships look and feel like, and with time also learn how to survive when less favorable social experiences occur. The lessons learned may

How early life is experienced and perceived can greatly affect mental and physical health outcomes. An individual is greatly influenced by their first models of what social relationships look and feel like, and with time also learn how to survive when less favorable social experiences occur. The lessons learned may lead to healthy problem solving and resilience, or it may lead to unhealthy problem-solving habits that hinder well-being. Anxious thoughts and other mental health symptoms may accompany an individual long-term and hinder an essential need for a healthy life. The first main purpose of this thesis is to examine the impact of Adverse Childhood Experiences (ACEs) on mental health (anxiety symptoms), and on sleep quality (an essential need). The second purpose of my thesis is to investigate the impact of genetics on resilience, specifically, the mu-opioid receptor gene. The first hypothesis proposed ACEs that were perceived as more traumatic and occurred more frequently would be associated with more poor sleep quality symptoms. The second hypothesis predicted that anxiety symptoms would mediate the association. The third hypothesis (exploratory) suggested that an individual’s alleles for the mu-opioid receptor gene would moderate the mediation pathway. The study was conducted with 318 participants between the ages of 18 and 35 years old. The study demonstrated a direct effect for ACEs and sleep. Anxiety mediated the association between ACEs (exposure and severity) and sleep (insomnia, quality, sleepiness), suggesting that ACEs possibly increase feelings of anxiety which, in turn, lead to worse sleep outcomes. Finally, the moderated-mediation model with OPRM1 as the moderator, was not significant for the mediation pathway A; however, there was a significant interaction with anxiety and sleep symptoms.
ContributorsBailey, Elise (Author) / Mickelson, Kristin (Thesis advisor) / Burleson, Mary (Committee member) / Petrov, Megan (Committee member) / Arizona State University (Publisher)
Created2022
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Description
With widespread increases in the use of electronic communication technology, cyber-sexual harassment (CSH) has been on the rise. Broadly defined, CSH is unwelcome and repeated conduct of a sexual nature performed through electronic technology. The prevalence of CSH reported in previous studies varies significantly due in part to inconsistencies in

With widespread increases in the use of electronic communication technology, cyber-sexual harassment (CSH) has been on the rise. Broadly defined, CSH is unwelcome and repeated conduct of a sexual nature performed through electronic technology. The prevalence of CSH reported in previous studies varies significantly due in part to inconsistencies in how CSH is defined and measured. Whereas four existing scales measuring aspects of CSH have been published, each has several limitations. This research aims to develop and psychometrically validate the Multidimensional Cyber-Sexual Harassment Experiences and Attitudes Scale for Victimization (MCSHEA-V), which taps into five key components of CSH, including: (1) gathering sexual information online, (2) image and video-based sexual harassment, (3) offensive comments or posts, (4) coercive behaviors, and (5) CSH attitudes. In Study 1, a sample of psychology graduate students and faculty (N = 13) evaluated the content validity of the MCSHEA-V items, leading to key improvements in item relevance, clarity, and wording. In Study 2, a sample of adult participants (N = 298) completed the initial version of the scale through the online survey platform, Prolific.co. Confirmatory factor analyses indicated the proposed 5-factor structure was a good fit, but exploratory factor analyses indicated the items represented an alternative 4-factor structure. Specifically, these items captured dyadic CSH behaviors, CSH behaviors that affect one’s reputation, perceptions of the seriousness of CSH, and CSH victim-blaming behaviors. In Study 3, an additional sample of adult participants (N = 207) was surveyed via Prolific.co. Separate confirmatory factor analyses indicated the 4-factor model was the best fit. Overall, the MCSHEA-V will contribute to a clearer understanding of the defining features and prevalence of CSH victimization and facilitate future research through the introduction of a psychometrically-validated measurement tool.
ContributorsWheeler, Brittany (Author) / Hall, Deborah (Thesis advisor) / Mickelson, Kristin (Committee member) / Burleson, Mary (Committee member) / Arizona State University (Publisher)
Created2022
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Description
Prior studies have demonstrated the positive impact of touch on both individualand relational well-being. In contrast, a history of trauma is associated with reductions in well-being. Post-traumatic stress disorder caused by prior interpersonal trauma (IPT) may cause individuals to avoid interpersonal touch, which may lead to many negative outcomes. Additionally, prior studies found

Prior studies have demonstrated the positive impact of touch on both individualand relational well-being. In contrast, a history of trauma is associated with reductions in well-being. Post-traumatic stress disorder caused by prior interpersonal trauma (IPT) may cause individuals to avoid interpersonal touch, which may lead to many negative outcomes. Additionally, prior studies found that experiencing more post-traumatic stress symptoms (PTSS) is linked with worse romantic relationship quality. Accordingly, higher PTSS may be a pathway through which more IPT leads to fewer touch behaviors, more touch aversion, and worse relationship quality. Participants were 543 English-speaking females (64.8% White; mean age 30.3 years) recruited through online survey systems Sona and Prolific. The following measures were used: Cumulative Stress and Trauma Scale (IPT); Brennan Touch Scale (touch aversion); the PTSD Checklist for DSM-5 (PTSS); CSE Scale for Trauma (CSET); Emotion Regulation Questionnaire (expressive suppression); and Perceived Relationship Quality Component Index (relationship quality). Mediation and moderated mediation models were analyzed using the PROCESS macro v.3.4 in SPSS v. 27. The major hypotheses were that 1) more IPT would lead to fewer touch behaviors, greater touch aversion, and worse relationship quality through its links to greater PTSS; and 2) the pathways between PTSS and the outcome variables would be moderated by expressive suppression (strengthening the association) and trauma coping self-efficacy (weakening the association). The results showed that the overall associations between IPT and touch behaviors and between IPT and relationship quality were not significant, but the indirect links via PTSS were significant. The association between IPT and touch aversion was significant, but the addition of PTSS as a mediator made that association nonsignificant. When moderators were added, there were mixed outcomes. The moderation term for CSET on the PTSS to touch behaviors pathway was significant. Because touch is important for healthy relationships, therapies should focus on reducing touch aversion for people with a history of IPT and high PTSS. Furthermore, therapy focusing on improving CSET and reducing expressive suppression may help increase touch behaviors, reduce touch aversion, and improve relationship quality in individuals with IPT.
ContributorsMunson, Aubrie A (Author) / Burleson, Mary H (Thesis advisor) / Roberts, Nicole A (Committee member) / Hall, Deborah L (Committee member) / Arizona State University (Publisher)
Created2022
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Description
Although adverse events cannot always be prevented, the negative outcomes on development can potentially be modified by considering methods of fostering positive emotional and behavioral responses. The study examined biopsychosocial health outcomes in the presence of uncontrollable adverse childhood events with the goal of identifying a potential intervention to increase

Although adverse events cannot always be prevented, the negative outcomes on development can potentially be modified by considering methods of fostering positive emotional and behavioral responses. The study examined biopsychosocial health outcomes in the presence of uncontrollable adverse childhood events with the goal of identifying a potential intervention to increase resilience, health, and safe behaviors among at-risk children. It was hypothesized that adverse events can result in positive biopsychosocial outcomes in the presence of high scores on the Positive Emotion, Engagement, Relationships, Meaning, and Accomplishments (PERMA) model of well-being, self-efficacy, gratitude, and the ability to envision a positive future self. The study retrospectively examined adverse childhood events and present behavioral, emotional, and physical health outcomes. Participant (n = 685) data were analyzed using Hayes PROCESS (v3.5) to test all components of the moderation model. Results suggest that as adverse events increase, health adversity also increases. However, those with high intrapersonal strengths showed better health outcomes. Through understanding intrapersonal pathways in the presence of adverse events, the study can potentially identify mechanisms important for promoting resilient outcomes in childhood that could cascade into adulthood.
ContributorsBraunstein, Bailey Marie (Author) / Mickelson, Kristin (Thesis advisor) / Hall, Deborah (Committee member) / Lindstrom-Johnson, Sarah (Committee member) / Arizona State University (Publisher)
Created2022
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Description
The COVID-19 pandemic has affected many aspects of daily life due to social distancing guidelines, including physical exercise. Prior research indicates that physical activity is a potent resilience factor against stress’ impact on mental health. Further, research suggests that social integration and participation positively contributes to mental well-being. Yet, one

The COVID-19 pandemic has affected many aspects of daily life due to social distancing guidelines, including physical exercise. Prior research indicates that physical activity is a potent resilience factor against stress’ impact on mental health. Further, research suggests that social integration and participation positively contributes to mental well-being. Yet, one aspect of physical activity that may be particularly impacted by social distancing guidelines is the social context. It is unclear if those who participated in social physical activity prior to the COVID pandemic are more impacted by the restrictions placed on these behaviors. In a sample of 519 adults in the United States, the current longitudinal study examined whether participation in social physical activity, compared to individual physical activity, moderates the influence of pandemic stress on mental health and whether there are gender differences between men and women in these associations. Study results indicated physical activity did benefit mental health during the COVID pandemic. However, greater social physical activity did not buffer against the negative impact of stress. Future research should examine other variables potentially influencing these relationships, and examine them under non-pandemic conditions.
ContributorsKaneris, Marianna Irene (Author) / Mickelson, Kristin (Thesis advisor) / Hall, Deborah (Committee member) / Mean, Lindsey (Committee member) / Arizona State University (Publisher)
Created2022
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Description
Individuals with psychogenic non-epileptic seizures (PNES) show signs of emotion-related dysfunction and disrupted interpersonal relationships. Affectionate touch is an important form of non-verbal communication in relationships that may foster emotion regulation and emotional awareness. The present online survey study included 62 individuals with PNES and 80 seizure-free trauma-exposed controls high

Individuals with psychogenic non-epileptic seizures (PNES) show signs of emotion-related dysfunction and disrupted interpersonal relationships. Affectionate touch is an important form of non-verbal communication in relationships that may foster emotion regulation and emotional awareness. The present online survey study included 62 individuals with PNES and 80 seizure-free trauma-exposed controls high (n=40) or low (n=40) in overall symptoms of psychopathology. As hypothesized, PNES individuals reported experiencing less frequent affectionate touch and less interoceptive awareness than either control group. They also reported more somatic symptoms, more emotion regulation difficulties, and less positive emotion than the low psychopathology group. Unexpectedly, there were no group differences in emotional awareness difficulties, nor in initiation of affectionate touch. Across participants, lower interoceptive awareness was associated with lower affectionate touch frequency, indicating that if one has difficulty understanding and being aware of their own body, affectionate touch sensations may not necessarily be understood as pleasant and may be minimized or avoided. Emotional awareness difficulties surprisingly were associated with greater affectionate touch frequency among PNES (versus the expected pattern of awareness difficulties associated with less affectionate touch, as found among controls), suggesting affectionate touch may be used as an attempt to try and understand one’s own feelings, or to compensate for, or even mask a lack of understanding. Findings indicate a distinct difference in physical affection frequency and interoceptive awareness among PNES individuals even when matched to a group similar in psychiatric distress/psychopathology. These findings offer insight into the relationships between interoceptive awareness, affectionate touch, and emotion regulation more broadly.
ContributorsVillarreal, Lucia (Author) / Roberts, Nicole A (Thesis advisor) / Burleson, Mary H (Committee member) / Duran, Nicholas (Committee member) / Arizona State University (Publisher)
Created2021
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Description
Given the prevalence and severity of dating violence (DV) in our World, uncovering the long-term effects of DV is pivotal. This thesis provides information about how prior DV impacts a survivor’s future relationships. First, understanding the association between prior DV and current relationship satisfaction. Next, suggesting potential moderators between DV

Given the prevalence and severity of dating violence (DV) in our World, uncovering the long-term effects of DV is pivotal. This thesis provides information about how prior DV impacts a survivor’s future relationships. First, understanding the association between prior DV and current relationship satisfaction. Next, suggesting potential moderators between DV and current relationship satisfaction in forms of resilience. Tangible resilience strategies such as seeking therapy and obtaining an order of protection were assessed as potential moderators. As well as one’s attachment style as a predictor of how one overcomes prior DV and impacts current relationship satisfaction. A study was conducted with 218 participants from both the United States and international countries. Prior DV was a predictor of relationship satisfaction, however in the adverse way as predicted. Survivors of prior dating violence reported higher levels of current relationship satisfaction. Tangible resilience and secure attachment style were both significant moderators of the relationship between prior DV and current relationship satisfaction. These results present new ways to face the challenge of overcoming the repercussions of DV for survivors. As well as provide hope and support to all survivors of DV that their past does not have to impact their future.
ContributorsGraham, Kaylyn (Author) / Mickelson, Kristin (Thesis advisor) / Randall, Ashley (Committee member) / Burleson, Mary (Committee member) / Arizona State University (Publisher)
Created2022
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Description
With its ever-increasing prevalence throughout the world, social media use has become a primary means of communication and connection with others. Much research has been dedicated to the topic of social media use, suggesting both positive and negative outcomes for those who are online more frequently. While uploading content and

With its ever-increasing prevalence throughout the world, social media use has become a primary means of communication and connection with others. Much research has been dedicated to the topic of social media use, suggesting both positive and negative outcomes for those who are online more frequently. While uploading content and interacting with posts that others have created is associated with social comparison and identity formation, there is little research to date that examines the relationship between social media use and an individual’s meaning in life. One of the greater benefits of social media use is the ease with which people can curate their own personal identities, and this has led to an increase in users—particularly young adults—posting sexualized images of themselves for social gain. Untested in prior research is the relationship between self-objectification via social media and life meaning. For my thesis, I proposed a moderation model in which participants who reported higher levels of self-objectified beliefs and online habits would also report lower levels of meaning in life. Furthermore, I hypothesized that there would be unique differences between genders and sexual orientations that would also serve as moderators, such that heterosexual women and LGBQ men would demonstrate the lowest levels of life meaning when reporting high levels of self-objectification. Results from analyses found that while there was no significant relationship between active social media use and meaning in life, there was a significant three-way interaction between objectified social media use, gender and sexual orientation, and meaning. Findings from this study provide support for previous research that has found LGBQ men and heterosexual women face the most adverse effects from self-objectification. These results suggest that self-objectified social media use can negatively impact life meaning for certain populations.
ContributorsMostoller, Alexis (Author) / Mickelson, Kristin (Thesis advisor) / Salerno, Jessica (Committee member) / Burleson, Mary (Committee member) / Arizona State University (Publisher)
Created2022