Matching Items (6)
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- All Subjects: Chronic Pain
- All Subjects: neuropsychology
- All Subjects: Postpartum Depression
- Creators: Luecken, Linda
- Member of: Theses and Dissertations
- Member of: Barrett, The Honors College Thesis/Creative Project Collection
- Resource Type: Text
Description
Type 1 Diabetes Mellitus (T1DM) is a chronic disease that requires maintaining tight metabolic control through complex behavioral and pharmaceutical regimens. Subtle cognitive impairments and stress response dysregulation may partially account for problems negotiating life changes and maintaining treatment adherence among emerging adults. The current study examined whether young adults with T1DM physiologically respond to psychological stress in a dysregulated manner compared to non-diabetic peers, and if such individuals also demonstrated greater cognitive declines following psychological stress. Participants included 23 young adults with T1DM and 52 non-diabetic controls yoked to T1DM participants based on age, gender, ethnicity, participant education, and maternal education. Participants completed a laboratory-based social stressor, pre- and post-stressor neurocognitive testing, provided fingerstick blood spots (for glucose levels) and salivary samples (for cortisol levels) at five points across the protocol, and completed psychosocial questionnaires. Related measures ANOVAs were conducted to assess differences between T1DM participants and the average of yoked controls on cortisol and cognitive outcomes. Results demonstrated that differences in cortisol reactivity were dependent on T1DM participants' use of insulin pump therapy (IPT). T1DM participants not using IPT demonstrated elevated cortisol reactivity compared to matched controls. There was no difference in cortisol reactivity between the T1DM participants on IPT and matched controls. On the Stroop task, performance patterns did not differ between participants with T1DM not on IPT and matched controls. The performance of participants with T1DM on IPT slightly improved following the stressor and matched controls slightly worsened. On the Trail Making Test, the performance of participants with T1DM was not different following the stressor whereas participants without T1DM demonstrated a decline following the stressor. Participants with and without T1DM did not differ in patterns of performance on the Rey Verbal Learning Task, Sustained Attention Allocation Task, Controlled Oral Word Association Task, or overall cortisol output across participation. The results of this study are suggestive of an exaggerated cortisol response to psychological stress in T1DM and indicate potential direct and indirect protective influences of IPT.
ContributorsMarreiro, Catherine (Author) / Luecken, Linda (Thesis advisor) / Doane, Leah (Thesis advisor) / Barrera, Manuel (Committee member) / Aiken, Leona (Committee member) / Arizona State University (Publisher)
Created2013
Description
Postpartum depression is recognized as the most common psychiatric disorder that appears in approximately 10-15% of women, with higher frequencies among low-income minority women. Past studies have revealed that depressive symptoms negatively impact child development and mother-child synchrony. The current study's purpose was to explore the effects of postpartum depressive symptoms on later dyadic dysregulation. The data was collected from Las Madres Nuevas' study, a longitudinal investigation. Participants were 322 Mexican and Mexican American mother-infant dyads from the Phoenix metropolitan area who were recruited though a Maricopa Integrated Health System (MIHS) prenatal clinic. The Edinburgh Postnatal Depression Scale (EPDS) was used to measure depression 6 weeks postpartum. Additionally, the dysregulation-coding scheme used at child's 24 months of age measured the children's, mothers', and dyads' regulatory skills throughout their interactions with each other. Linear regression analyses were the central analyses of this study. In the first regression analysis, results showed that mother's age at prenatal visit (p= 0.44), 6-week depression score (p= 0.37), mother's education (p= 0.77), and number of biological children (p= 0.28) did not significantly predict dyadic dysregulation at 24 months. The second linear regression analysis concluded that the 6-week depression score, mother's country of birth, the interaction of maternal depression and country of birth, mother's education, mother's age at prenatal visit, and number of biological children also did not predict dyadic dysregulation at 24 months. Although not statistically significant, the findings suggest that the Hispanic Paradox theory, conservation of native cultural values, and strong social support have protective effects in Mexican immigrant and Mexican American childbearing women.
ContributorsOlivas Varela, Itzel (Author) / Luecken, Linda (Thesis director) / Lemery-Chalfant, Kathryn (Committee member) / Winstone, Laura (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
Accruing evidence suggests that the neural underpinnings of the social and physical pain systems overlap. The preponderance of the data are based on experimental manipulations of healthy individuals. Those data suggest that the experience of social pain, in the form of rejection, influences the experience of physical pain. The current study sought to extend this literature in four ways: first it examined whether the relation between social pain and physical pain holds in individuals with chronic pain. Second, it evaluated the rejection-pain relation in everyday life though use of daily diary repots. Third, it evaluated whether aversive social events other than rejection (i.e., conflict) are also related to daily pain, to determine, if the relation to pain is specific to rejection. Finally, it tested whether the relational context (i.e., chronic level of rejection or conflict) predicted pain levels. The sample for the current study is comprised of 123 partnered individuals with fibromyalgia (FM) who completed 21 daily diaries that assessed their experience of spousal rejection, spousal conflict, and daily physical pain. Multilevel modeling was used to examine 1) the within person relations between daily increases in negative spousal events, and reports of chronic physical pain; and 2) The moderating effect of chronic spousal discord on the daily negative event pain relations. Results showed a marginally significant relation between daily rejection events and increased levels of pain, and a significant relation between daily conflict events and increased levels of pain. Keywords: chronic pain, social pain, rejection, conflict, Fibromyalgia
ContributorsBernal, Josi Ann (Author) / Davis, Mary (Thesis director) / Glenberg, Arthur (Committee member) / Luecken, Linda (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
Description
The theory of biological sensitivity to context (BSC; Boyce & Ellis, 2005) posits that specific biological characteristics, such as vagal tone, may confer risk for physical and mental health outcomes for some children but promote health for others. High levels of resting respiratory sinus arrhythmia (RSA), an index of vagal tone, may confer susceptibility to the effects of the caregiving environment on child development. Consistent with BSC, I expected that, relative to infants with lower RSA, infants with higher RSA would demonstrate fewer behavior problems if their mothers reported fewer postpartum depressive symptoms, but more behavior problems if their mothers reported more postpartum depressive symptoms. I also evaluated whether observed child social engagement with their mothers mediated children's biological sensitivity to the effects of postpartum depressive symptoms on behavior problems in early childhood. I evaluated a mediated moderation model among a sample of 322 low-income Mexican American mother-infant dyads. As expected, the RSA x maternal depressive symptoms interaction, controlling for covariates, was a significant predictor of internalizing, externalizing and total behavior problems, and high vagal tone conferred susceptibility for externalizing behavior problems. Contrary to my hypothesis, children with low RSA may be more susceptible to the effects of maternal postpartum depressive symptoms on children's internalizing and total behavior problems, and child social engagement did not account for these effects. Among infants in economically disadvantaged families, lower RSA and fewer maternal depressive symptoms may promote resilience, and more research is needed to understand behavioral mediators of biological sensitivity.
ContributorsSomers, Jennifer (Author) / Luecken, Linda (Thesis advisor) / Crnic, Keith (Committee member) / Spinrad, Tracy (Committee member) / Arizona State University (Publisher)
Created2017
Description
The purpose of this study was to test the reproducibility of the current data set. It was hypothesized that older adults’ scores on the Repeatable Battery for Assessment of Neuropsychological Status (RBANS) would decrease from their initial visit to their one year follow-up visit and that greater overall age is associated with worse performance. Overall, the older adults with a follow-up visit in this study experienced greater decline on the RBANS DMI than on the RBANS total scaled score. There seems to be a negative trend in which individuals with higher first-visit VCI scores experience greater improvement on the first trial of the motor task with the non-dominant hand. The same trend can be seen in DMI scores where higher initial DMI scores are associated with greater improvement on the first non-dominant hand trial of the motor task. This initial trend suggests that visuospatial scores have an association with long-term change in the motor task. The number of participants in this data set were limited, thus more data will be needed to increase confidence in conclusions about these relationships in the future.
ContributorsDettmer, Alaina Nicole (Author) / Schaefer, Sydney (Thesis director) / Hooyman, Andrew (Committee member) / Department of Psychology (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
Description
Experiencing poor, unrefreshing sleep is a common occurrence for individuals with chronic pain. Sleep disturbance predicts not only greater pain and disability, but also heightened negative affect and reduced positive affect in individuals with chronic pain. Such fluctuations in affect have been linked with more negative and fewer positive social events. For those with chronic pain, negative social relations can exacerbate pain, whereas positive social interactions can help decrease disability. Thus, exploring the sleep‒social functioning process in chronic pain may be one way to improve daily functioning and quality of life. The current study examined positive and negative affect as two parallel mediators of the within-day relations between sleep quality and positive and negative social events in individuals with chronic pain. For 21 days, electronic daily diary reports were collected from 220 individuals with fibromyalgia, a condition characterized by widespread chronic pain. Within-person relations among reports of last night’s sleep quality, afternoon affects and pain, and evening social events were estimated via multilevel structural equation modeling. Findings showed that positive affect mediated both the sleep quality‒positive social events and sleep quality‒negative social events relations. That is, greater than usual sleep disturbance last night predicted afternoon reports of lower than usual positive affect. Low positive affect, in turn, predicted evening reports of fewer than usual positive social events and more than usual negative social events that day, controlling for the effects of afternoon pain. In addition, negative affect mediated the sleep quality‒negative social events link. That is, greater than usual sleep disturbance last night predicted afternoon reports of higher than usual negative affect, which, in turn, predicted evening reports of more than usual negative social events that day, controlling for the effects of afternoon pain. Of the three significant mediated paths, the sleep quality‒positive affect‒positive social events path was the strongest in magnitude. Thus, a night of poor sleep can have an impact on social events the next day in those with chronic pain by dysregulating affect. Further, findings highlight the key role of positive affect in the sleep‒social functioning process and potential socio-affective benefits of sleep interventions in chronic pain.
ContributorsKothari, Dhwani J. (Author) / Davis, Mary (Thesis advisor) / Luecken, Linda (Committee member) / Karoly, Paul (Committee member) / Infurna, Frank (Committee member) / Arizona State University (Publisher)
Created2019