Matching Items (91)
Filtering by
- Creators: Arizona State University
Description
Excessive gestational weight gain (GWG) during pregnancy is a major public health concern. Studies have reported more than 70% of pregnant women gain excessive weight which may pose increased maternal and fetal risks. Little is known about the relationships of GWG to behavioral factors (i.e., physical activity, sleep, social support) and maternal mental health (i.e., stress, anxiety, depression) during pregnancy. This descriptive, cross-sectional study explored the relationships of GWG to behavioral factors and maternal mental health during pregnancy. Secondarily, this study described the preferences, uses of, and interests in alternative approaches as well as the mental health differences between users and non-users of alternative approaches during pregnancy. A national survey was administered to women ≥8 weeks pregnant, ≥18 years old, and residing in the United States (N=968). Bivariate correlations were used to determine relationships between GWG and variables of interest. Independent t-tests were used to observe mental health differences between users and non-users of alternative approaches. Data were analyzed throughout pregnancy and by trimester. Throughout pregnancy, significant relationships were found in GWG to stressful events (r=-.112, p<.01), depression (r=.066, p<.05), mindfulness (r=-.067, p<.05), and sleep (r=.089, p<.01). When GWG was assessed by trimester, stressful events were significant in the second (r=-.216, p<.01) and third trimesters (r=-.085, p<.05). Depression remained positively related to GWG in the first (r=.409, p<.01) and second trimesters (r=.162, p<.01). A positive relationship emerged between GWG and anxiety in the first trimester (r=.340, p<.01) and physical activity became significant in the second (r=-.136; p<.05) and third trimesters (r=-.100; p<.05). Mindfulness was the only variable significantly related to GWG throughout all time points. Mean anxiety (d=.236; p=.001) and depression (d=.265; p<.001) scores were significantly lower in users compared to non-users of alternative approaches throughout pregnancy and when assessed by trimester anxiety (d=.424; p=.001) and depression (d=.526; p<.001) were significant in the second trimester. This study provides a framework for future analyses in GWG and maternal mental health. The information presented here may inform future interventions to test the effectiveness of alternative approaches to simultaneously manage maternal mental health and GWG due to the integrative nature of alternative approaches.
ContributorsMatthews, Jennifer L. (Author) / Huberty, Jennifer L (Thesis advisor) / Leiferman, Jenn (Committee member) / Larkey, Linda (Committee member) / McClain, Darya (Committee member) / Arizona State University (Publisher)
Created2015
Description
The purpose of this constructivist grounded theory study was to explore the perceptions of adult female sexual assault victims/survivors about their wellbeing: their definitions and descriptions of wellbeing; the impact of the assault on wellbeing; and barriers and facilitators to achieving wellbeing following assault. Feminist theory provided the sensitizing concepts for this research. Data were collected via semistructured interviews with 22 adult women who had experienced at least one episode of sexual assault at or above the age of 18. Data analysis included first, second, and third level coding techniques, memo writing, and data displays. Participants experienced negative effects to their overall wellbeing as well as to the wellbeing domains of physical, mental, career/economic/financial, relational, and spiritual. The findings of this study support wellbeing as a core category encompassing the five domains listed above, also described in the literature. The participants also confirmed and expounded in depth on the dynamic, interactive, and overlapping nature of each of the domains of wellbeing and their ability to enhance, maintain, or worsen health status and overall wellbeing. In addition, a new construct emerged that cut across all domains, that of safety, and the overarching significance of culture was recognized. Additional research should continue to explore wellbeing in diverse populations of sexual assault victims/survivors. Additional research should also explore the significance and function of safety in sexual assault victims/survivors. Formal and informal supporters of sexual assault victims/survivors should be aware of the complex ways that sexual assault affects women. In addition, they should be aware of helpful resources for sexual assault victims/survivors.
ContributorsWadsworth, Pamela (Author) / Reifsnider, Elizabeth G. (Thesis advisor) / Evans, Bronwynne (Committee member) / Moe, Angie (Committee member) / Champion, Jane (Committee member) / Arizona State University (Publisher)
Created2015
Description
Pitchers are a vital part of the game of baseball and may account for up to two-thirds of the variance in win percentage. As they rise through the ranks of competition, physical skill set becomes less of a factor when compared to mentality. Pitchers are the “first line of defense” for keeping opponents from having an opportunity to score, as well as for holding onto their own team’s lead. Baseball pitchers not only face pressure to perform, but also experience stress from factors such as low pay, adjusting to higher levels of competition, and internal team competition for a limited number of spots. Athletes are often resistant to seeking aid from sport psychologists and often turn to unfavorable means to cope (i.e. drugs/alcohol, excessive exercise) with stress instead. Meditation has been shown to have beneficial effects on psychological factors associated with performance including emotional regulation, anxiety, confidence, focus, and mindfulness. Mobile applications have become a popular means of delivering mindfulness. The purpose of this study was to determine the feasibility and preliminary effectiveness of delivering a mindful meditation intervention using a mobile meditation application to improve psychological factors associated with performance (i.e. emotional regulation, anxiety (somatic and cognitive), confidence, focus, mindfulness) to minor league baseball pitchers. Pitchers in instructional league (Phase one) and off season (Phase two) were asked to meditate daily for 10-minutes each day for three weeks (Phase one) and eight weeks (Phase two). Pitchers were asked to complete self-report questionnaires and satisfaction surveys at pre- and post-intervention. Pitchers in phase one reported enjoying meditation, had improvements in self-confidence and sport confidence, and reported moderate decreases in cognitive anxiety and concentration disruption. Pitchers in phase two also enjoyed meditating (94.7%) and had improvements in self-confidence and moderate decreases in somatic anxiety. Low adherence due to timing (off-season) of intervention may have been a contributing factor to fewer outcomes. Future research should explore the feasibility and effectiveness of implementing meditation during the baseball season.
ContributorsDowling, Tiffany (Author) / Huberty, Jennifer (Thesis advisor) / Ransdell, Lynda (Committee member) / Buman, Matthew (Committee member) / Michel, Jesse (Committee member) / Arizona State University (Publisher)
Created2018
Description
Military veterans have a significantly higher incidence of mild traumatic brain injury (mTBI), depression, and Post-traumatic stress disorder (PTSD) compared to civilians. Military veterans also represent a rapidly growing subgroup of college students, due in part to the robust and financially incentivizing educational benefits under the Post-9/11 GI Bill. The overlapping cognitively impacting symptoms of service-related conditions combined with the underreporting of mTBI and psychiatric-related conditions, make accurate assessment of cognitive performance in military veterans challenging. Recent research findings provide conflicting information on cognitive performance patterns in military veterans. The purpose of this study was to determine whether service-related conditions and self-assessments predict performance on complex working memory and executive function tasks for military veteran college students. Sixty-one military veteran college students attending classes at Arizona State University campuses completed clinical neuropsychological tasks and experimental working memory and executive function tasks. The results revealed that a history of mTBI significantly predicted poorer performance in the areas of verbal working memory and decision-making. Depression significantly predicted poorer performance in executive function related to serial updating. In contrast, the commonly used clinical neuropsychological tasks were not sensitive service-related conditions including mTBI, PTSD, and depression. The differing performance patterns observed between the clinical tasks and the more complex experimental tasks support that researchers and clinicians should use tests that sufficiently tax verbal working memory and executive function when evaluating the subtle, higher-order cognitive deficits associated with mTBI and depression.
ContributorsGallagher, Karen Louise (Author) / Azuma, Tamiko (Thesis advisor) / Liss, Julie (Committee member) / Lavoie, Michael (Committee member) / Arizona State University (Publisher)
Created2017
Description
Emotion regulation repertoire, or the number of emotion regulation strategies one is able to employ when needed, is an important element of emotion regulation flexibility. Emotion regulation flexibility, the ability to regulate in accordance with changing situational contexts and demands, is predictive of emotion regulation success. Currently, little is known about emotion regulation repertoire and its association with emotional health and well-being. In particular, more can be learned about how the different strategies in one’s repertoire interact, and which strategies show stronger relationships with mental health. The current study aimed to assess the relationship of different emotion regulation strategies to mental health, including their individual and combined influence. In addition, the interaction between the use of specific emotion regulation strategies and emotion regulation flexibility with respect to mental health was examined. I hypothesized (1a) reappraisal and (1b) acceptance, two strategies previously associated with positive psychological outcomes, would be significant predictors of mental health, and (2) better flexibility would predict better mental health. In addition, I hypothesized that (3) strategies often found to be maladaptive (suppression, distraction, rumination, and experiential avoidance) would have an inverse relationship with mental health. Finally, (4) maladaptive strategies would be associated with worse mental health for those lower in flexibility. These hypotheses were tested through a questionnaire as part of a larger in-lab study. Results revealed that reappraisal and rumination were the strongest predictors of mental health. Emotion regulation flexibility did not predict mental health or moderate the relationship between individual emotion regulation strategies and mental health. Results from this study suggest some emotion regulation strategies are stronger predictors of mental health than others. This will guide future research on specific emotion regulation strategies in a repertoire as well as their combined effect on mental health. Creating a clearer picture of how different strategies interact and influence mental health will also be vital for clinical interventions.
ContributorsSchmitt, Marin (Author) / Roberts, Nicole A. (Thesis advisor) / Burleson, Mary (Committee member) / Robles-Sotelo, Elias (Committee member) / Arizona State University (Publisher)
Created2018
Description
This project analyzes contemporary U.S. mental health discourse as an assemblage that constantly renegotiates the normative subject through the production and regulation of intersectional mentally ill subjects. It uses feminist disability and biopolitical theoretical frameworks to explore how media discourses of mental illness reveal the regulation of mentally ill subjects in relationship to intersections of gender, sexuality, and race. These discourses constitute a biopolitical technology that genders, racializes, and regulates mental illness. This regulation not only reveals the cultural boundaries around who is designated as “mentally ill” (and how they are designated as such), but it also demonstrates how mental illness is normalized when attached to certain bodies in specific contexts, yet perceived as a threat to the social body when attached to other bodies in other contexts.
In order to explore this assemblage, this project is organized around four foundational questions: How is mental illness produced, surveilled, and differentially regulated as a social formation within medicine and policy? How does media reproduce and renegotiate these medical and political mental health discourses? How do these mental health discourses intersect with gender, race, and sexuality? How does our assemblage of cultural, medical, and political discourse produce, observe, and regulate intersectional mentally ill subjects in relationship to shifting ideals of normative subjecthood?
This project answers these questions over the course of several case studies, each of which explores a set of thematically linked texts as a window into understanding how mental illness operates intersectionally and biopolitically in cultural discourses and social institutions. The first section establishes a broad theoretical framework for articulating how discourses of gender and sexuality are central to the production of mental illness in the United States today. The second section explores how this intersection of gender, sexuality, and mental illness is observed and regulated through social institutions like the workplace, the nation-state, and the carceral system. The final section explores emergent discourses of mental illness that move us away from centering individual mentally healthy subjects as idealized entities and toward understanding mental and emotional well-being as a collective social enterprise.
In order to explore this assemblage, this project is organized around four foundational questions: How is mental illness produced, surveilled, and differentially regulated as a social formation within medicine and policy? How does media reproduce and renegotiate these medical and political mental health discourses? How do these mental health discourses intersect with gender, race, and sexuality? How does our assemblage of cultural, medical, and political discourse produce, observe, and regulate intersectional mentally ill subjects in relationship to shifting ideals of normative subjecthood?
This project answers these questions over the course of several case studies, each of which explores a set of thematically linked texts as a window into understanding how mental illness operates intersectionally and biopolitically in cultural discourses and social institutions. The first section establishes a broad theoretical framework for articulating how discourses of gender and sexuality are central to the production of mental illness in the United States today. The second section explores how this intersection of gender, sexuality, and mental illness is observed and regulated through social institutions like the workplace, the nation-state, and the carceral system. The final section explores emergent discourses of mental illness that move us away from centering individual mentally healthy subjects as idealized entities and toward understanding mental and emotional well-being as a collective social enterprise.
ContributorsHerson, Kellie (Author) / Leong, Karen J (Thesis advisor) / Mallot, J. Edward (Committee member) / Kuo, Karen (Committee member) / Arizona State University (Publisher)
Created2018
Description
The challenges that face student-athletes when they retire from formal sport participation coincides with their loss of their athletic identity (how much they identify with their athlete role), often geographic upheaval, uncertainty of the future regarding alternate roles, and change in social support systems, which make this period more difficult to adjust to. This study explored the experiences of the retirement transition of graduating student-athletes. The current study aims to examine this unique experience through qualitative investigation into the collective experiences of student-athletes to identify overarching relevant themes common throughout this experience. The participants were 13 student-athletes who graduated in the Spring Semester of 2017 (May- June 2017), played their sport at a National Collegiate Athletics Association (NCAA) Institution at the Varsity level, and were not continuing to play their sport at the elite level. Semi-structured interviews were conducted with participants between five and eight months post-graduation. Thematic analysis was used to categorize participants’ responses and allow for an in-depth investigation of different factors affecting personal adjustment throughout this period. The five overarching themes identified were: the need for social connection, the impact of a goal-oriented mindset, preparedness for the transition, translatable skills from being a student-athlete, and the perspective of their own identity and purpose. The ability to shift perspective to retrospectively appreciate the student-athlete experience, while incorporating it as one part of their overall life journey, is discussed as a protective factor for positive transition outcomes. As the large majority of collegiate athletes do not continue to play their sport professionally, this population is in high need of continued guidance. The present work can inform interventions to aid student-athletes in this difficult transitional period. Mentorship from previously graduated student-athletes, coaches, or administrative programs are suggested as a tangible positive intervention strategy based off of the results.
ContributorsKnizek, Olivia Alison (Author) / Meân, Lindsey J. (Thesis advisor) / Roberts, Nicole A. (Thesis advisor) / Mickelson, Kristin (Committee member) / Arizona State University (Publisher)
Created2018
Description
This dissertation describes a qualitative research study that was conducted in order to deconstruct the notion of trauma using a resiliency framework in one Pueblo Indian community in New Mexico. Trauma is widely discussed in relation to mental health issues impacting Indigenous peoples worldwide, as demonstrated in my review of the literature and throughout this work. Yet, the result of most research tends towards pointing out deficiencies in Indigenous communities. Rarely, if ever, is trauma explored through a strengths-based and resiliency approach. This study represents the first attempt to do so in and with a Pueblo Indian community. As a Pueblo researcher working with my own community of Kewa, my goal was to go back to the very people consistently being studied, that is, the Indigenous community, and to re-examine what is trauma, including its definitions and with a focus on local culturally-based interventions.
This work is broken down into three components that are woven together through the common theme of understanding, deconstructing, and addressing trauma: a journal article, book chapter and policy brief. The journal article is titled: “Walking the Path: A Pueblo Journey through Trauma and Healing.” The journal article begins by reviewing concepts on trauma and resilience documented in a literature. I both review the literature and offer critiques from the perspective of a Pueblo Indian researcher working in the field of health. This segues into my dissertation study. A series of eight qualitative, semi-structured interviews were conducted using an interview guide with open-ended questions. I found that participants reported ample evidence of both trauma and resilience, documenting the need for further research in this area and, most importantly, a values-based intervention. Critical in my research findings is that participants revealed the types of trauma relevent to Pueblo people, which points to our understanding of local issues that may also resonate with the experiences of other Indigenous peoples but that are intended to speak to Pueblo communities. Through my research, I consistently assert that understanding trauma also includes the need to document how Pueblo people have coped and overcome their trauma. These forms of resilience were also documented in the findings.
The book chapter is titled, “Using Pueblo Values to Heal from Trauma.” This section of the dissertation details Pueblo values and the implications on trauma. Pueblo values are described in detail based on my research and explicated in relation to theory that I propose. In this book chapter, I argue that these Pueblo values play an integral role in how we cope and heal from trauma. To summarize what participants explained, the idea is proposed that following these values will lead you to “the right path.” Suggestions for an ideal intervention based on participant interviews include the development of a values-based curriculum whose success is contingent on following Pueblo values that teaches values as defined by the Pueblo community.
My dissertation concludes with a policy section that focuses on “Finding the Path when you have Fallen Off.” This section talks about “cultural freezing” and the need to integrate positive cultural identity in youth, who are especially vulnerable in Indigenous communities, through the development of a values-based curriculum. The policy section will focus on the implications of trauma concepts defined for Native People that have demonstrated the need to process trauma. In order to process trauma, culturally-relevant frameworks and curricula such as “Transcending the Trauma” or “Gathering of Native Americans” (GONA) have been developed to help guide communities to begin the conversation around trauma. These discussions help to raise awareness around trauma and help people begin their healing journey. However, these developed concepts, frameworks and curricula have only started the journey and now there is a significant need for interventions to sustain recovery from trauma. These interventions also must include levels of individual and community readiness to address trauma and align with the values of the community and individual. It is a step we need to take to decolonize education and unfreeze culture
This work is broken down into three components that are woven together through the common theme of understanding, deconstructing, and addressing trauma: a journal article, book chapter and policy brief. The journal article is titled: “Walking the Path: A Pueblo Journey through Trauma and Healing.” The journal article begins by reviewing concepts on trauma and resilience documented in a literature. I both review the literature and offer critiques from the perspective of a Pueblo Indian researcher working in the field of health. This segues into my dissertation study. A series of eight qualitative, semi-structured interviews were conducted using an interview guide with open-ended questions. I found that participants reported ample evidence of both trauma and resilience, documenting the need for further research in this area and, most importantly, a values-based intervention. Critical in my research findings is that participants revealed the types of trauma relevent to Pueblo people, which points to our understanding of local issues that may also resonate with the experiences of other Indigenous peoples but that are intended to speak to Pueblo communities. Through my research, I consistently assert that understanding trauma also includes the need to document how Pueblo people have coped and overcome their trauma. These forms of resilience were also documented in the findings.
The book chapter is titled, “Using Pueblo Values to Heal from Trauma.” This section of the dissertation details Pueblo values and the implications on trauma. Pueblo values are described in detail based on my research and explicated in relation to theory that I propose. In this book chapter, I argue that these Pueblo values play an integral role in how we cope and heal from trauma. To summarize what participants explained, the idea is proposed that following these values will lead you to “the right path.” Suggestions for an ideal intervention based on participant interviews include the development of a values-based curriculum whose success is contingent on following Pueblo values that teaches values as defined by the Pueblo community.
My dissertation concludes with a policy section that focuses on “Finding the Path when you have Fallen Off.” This section talks about “cultural freezing” and the need to integrate positive cultural identity in youth, who are especially vulnerable in Indigenous communities, through the development of a values-based curriculum. The policy section will focus on the implications of trauma concepts defined for Native People that have demonstrated the need to process trauma. In order to process trauma, culturally-relevant frameworks and curricula such as “Transcending the Trauma” or “Gathering of Native Americans” (GONA) have been developed to help guide communities to begin the conversation around trauma. These discussions help to raise awareness around trauma and help people begin their healing journey. However, these developed concepts, frameworks and curricula have only started the journey and now there is a significant need for interventions to sustain recovery from trauma. These interventions also must include levels of individual and community readiness to address trauma and align with the values of the community and individual. It is a step we need to take to decolonize education and unfreeze culture
ContributorsTenorio, Rachell (Author) / Sumida Huaman, Elizabeth (Thesis advisor) / Dandeneau, Stephane (Committee member) / Martin, Nathan (Committee member) / Arizona State University (Publisher)
Created2018
Description
Madness is disruptive. It doesn't play by the rules. Madness is influenced, created, and caused by many different factors; it can be at different times disorienting, debilitating, or a space of radical potential. In this thesis, I argue for the empowering potential of narrative and rewriting identity in the face of painful disruptions. I argue that the way that we conceptualize madness and how we internalize trauma affects how we reconfigure identity as an ongoing process and therefore whether and how we are able to embrace creative, diverse and dynamically empowered futures. I argue against positivist traditions of categorization and concept formation when it comes to madness – whether medical or historic//cultural/social. I first use similar tools to “categorize the categorizers” and later break away from positivist tradition through feminist inquiry, pushing against static, linear, and inactive kind and family conceptual hierarchies with my own experience. I use active feminist frameworks and phenomenological ontologies to argue for a corrective epistemic justice exposing reductive gaps in the literature and highlighting the links between violence/oppression/trauma/agency and mental illness that positivist models minimize. I employ personal experiences of gender-based violence and my own changing and intersectional understanding and experience of depression and mental health as a lens through which different pathways can emerge. I use memoir as method to disturb the binary limitations of madness models, instead offering a conceptualization of madness as fluid, intersectional, changing, and deeply personal: an experience that cannot be reduced and compartmentalized. Finally, I explore the pain of trauma and madness as well as the possibility therein towards action as a way of reclaiming self-agency.
ContributorsTownsley, Rebecca (Author) / Behl, Natasha (Thesis advisor) / Muphy-Erfani, Julie (Committee member) / Colbern, Allan (Committee member) / Arizona State University (Publisher)
Created2018
The effects of an internet-based self-compassion writing intervention for adults with mental illness
Description
Multiple studies have found that writing with self-compassion about a difficult event helps promote mental health and improve affect in college students and non-clinical populations (Johnson & O'Brien, 2013; Leary et al, 2007; Shapira & Mongrain, 2010). This study investigated whether a self-compassion writing intervention would lead to increases in self-compassion and proactive coping and reductions in depression and physical symptoms in a sample of individuals with different types of mental illness. This study also looked more broadly at the feasibility of conducting an online randomized trial on individuals with mental illness, including psychotic disorders, on Amazon MTurk. Individuals with schizophrenia, schizoaffective disorder, bipolar disorder and/or depression on Amazon MTurk were recruited and randomly assigned to either a (1) treatment condition in which participants wrote with self-compassion or a (2) neutral condition in which participants wrote about how they spent their time. Participants were asked to write for 20 minutes each day for three consecutive days. Outcome measures were administered at baseline, after the three-day intervention, and one month later. Computerized linguistic analysis (LIWC; Pennebaker et al., 2015) was also used to analyze participants' writing to determine if the intervention had the intended effect. Both the treatment and control groups showed significant improvements in self-compassion, proactive coping, general mental health and physical health following the intervention and both groups showed significant improvements in self-compassion, proactive coping and general mental health between the post-test and 1-month follow-up. In addition, the self-compassion writing group's positive affect improved significantly more than the control group after the wave 1 writing intervention and the control group's negative affect improved significantly more than the self-compassion writing group after the wave 2 writing intervention. Overall, the results suggest both self-compassion writing and writing about how one spends one's time may be beneficial for individuals with mental illness with different needs. Moreover, it was found Amazon MTurk may not be a reliable platform for recruiting individuals with psychotic disorders, and that the prevalence of individuals with any mental illness on MTurk may be equal or greater than the prevalence of any mental illness in the general population.
ContributorsUrken, Debra (Author) / LeCroy, Craig W. (Thesis advisor) / Holschuh, Jane (Committee member) / Stalker, Katie (Committee member) / Arizona State University (Publisher)
Created2018