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- Creators: Arizona State University
Description
Touch appears to be an important component for understanding psychological and emotional well-being, as well as the formation and maintenance of interpersonal relationships later in life. While research about touch in relation to these topics is gaining momentum, there is still little evidence on the specific effects and processes that take place when touch is negative or harmful. The current study examined how women who have experienced physical or sexual abuse perceive touch in the context of interpersonal relations and in turn, how these experiences, perceptions and attitudes are related to depressive symptoms. Taking into consideration the significance of interpersonal touch, I speculated that 1) attitudes towards touch would be more negative among women who reported physical or sexual abuse than among women who did not; 2) among women who reported past abuse, increased abuse severity would predict increased current depressive symptoms; and 3) among women who reported past abuse, current attitudes towards touch would mediate the relationship between abuse severity and depressive symptoms. As predicted, results indicated that women who reported physical or sexual abuse had less positive attitudes towards touch than women who did not report any abuse. Echoing prior research, reports of childhood and adult abuse predicted increased depressive symptoms. Finally, for women who reported childhood abuse, Discomfort with Social Touch was a significant partial mediator of depressive symptoms, whereas for women who reported adult abuse, both Desire for More Partner Touch and Discomfort with Social Touch were significant partial mediators of depressive symptoms. Results suggested that negative attitudes towards general social touch, in particular, may play a strong role in mediating depressive symptoms among women who reported abuse.
ContributorsSchellenger, Kendall Elizabeth (Author) / Burleson, Mary H. (Thesis advisor) / Roberts, Nicole A. (Committee member) / Hall, Deborah L. (Committee member) / Arizona State University (Publisher)
Created2015
Description
Intake of alcohol, tobacco, and illicit substances such as marijuana and methamphetamine during pregnancy can have significant deleterious effects on a developing fetus and the resulting infant. The existence of substance-exposed newborns also has negative impacts on society as a whole; these include financial burdens placed on taxpayers and the additional time and resources required by health care professionals, social workers, and law enforcement authorities to properly care for such infants. Existing literature show a strong correlation between prenatal care and improved birth outcomes, including abstinence from or reduction of prenatal substance abuse. The Health Start Program in the state of Arizona attempts to mitigate the incidence of substance-exposed newborns, among other goals, by employing community health workers who identify high-risk pregnant and postpartum women, inform these women about how to receive prenatal care services, educate them on appropriate prenatal and neonatal care, and provide program and referral services to both pregnant and postpartum women. Community health workers interact directly with women most at-risk for prenatal substance abuse and should be well-versed in the understanding of the complex issues related to substance-exposed newborns. In an attempt to discover, analyze, and compile those complex issues with which community health workers should be knowledgeable, this project explores existing federal regulations regarding substance-exposed newborns, compares Arizona’s regulations to Minnesota’s, Virginia’s, and Washington’s, and analyzes prevailing literature in the field about the various implications associated with screening and reporting substance-exposed newborns to law enforcement authorities. After an intensive literature review, this project concludes that the Health Start Program needs a comprehensive resource document which enumerates federal and select state policies, landmark cases involving substance-abusing pregnant women and the precedence set by each, and recommendations from medical and public health experts. The document should also provide clear guidelines by which each stakeholder should abide and why, and recommend potential best practices the state of Arizona could adopt into law based on other state policies which have proven to be effective.
ContributorsTantibanchachai, Chanapa (Author) / Maienschein, Jane (Thesis advisor) / Ellison, Karin (Thesis advisor) / Coursen, Cristi (Committee member) / Arizona State University (Publisher)
Created2015