Matching Items (30)
Description
Low-income Mexican American women face significant risk for poor health during the postpartum period. Chronic stressors are theorized to negatively impact mental and physical health outcomes. However, physiological factors associated with increased self-regulatory capacity, such as resting heart rate variability, may buffer the impact of stress. In a sample of 322 low-income Mexican American women (mother age 18-42; 84% Spanish-speaking; modal family income $10,000-$15,000), the interactive influence of resting heart rate variability and three chronic prenatal stressors (daily hassles, negative life events, economic stress) on maternal cortisol output, depressive symptoms, and self-rated health at 12 weeks postpartum was assessed. The hypothesized interactive effects between resting heart rate variability and the chronic prenatal stressors on the health outcomes were not supported by the data. However, results showed that a higher number of prenatal daily hassles was associated with increased postpartum depressive symptoms, and a higher number of prenatal negative life events was associated with lower postpartum cortisol output. These results suggest that elevated chronic stress during the prenatal period may increase risk for poor health during the postpartum period.
ContributorsJewell, Shannon Linda (Author) / Luecken, Linda J. (Thesis advisor) / Lemery-Chalfant, Kathryn (Committee member) / Perez, Marisol (Committee member) / Arizona State University (Publisher)
Created2015
Description
Latino children are more than twice as likely to live in poverty than their non-Latino, White peers (Kids Count Data Center, 2017), yet limited work has aimed to understand neighborhood influences on pathways of mental health among Latino children. Substantial work documents the deleterious effects of living in a disadvantaged neighborhood on mental health outcomes throughout the lifespan (Leventhal & Brooks-Gunn, 2000). Parental and familial variables may explain neighborhood influences on children’s mental health during the first few years of life (May, Azar, & Matthews, 2018). The current study evaluated the influence of three neighborhood indicators (concentrated disadvantage, residential instability, and the percentage of residents identifying as Hispanic/Latino) on maternal postpartum depressive symptoms and child behavior problems at 3 and 4.5 years via mediation and moderated mediation models among a sample of 322 low-income, Mexican American mother-child dyads. Contrary to hypotheses and existing literature, concentrated disadvantage and residential instability were not predictive of maternal or child mental health outcomes. The percentage of residents identifying as Hispanic/Latino emerged as a protective neighborhood factor for both mothers and children. The neighborhood ethnocultural context may be especially relevant to understanding pathways of mental health specific to Mexican American families. More research is needed to understand specific parental and familial mechanisms underlying this protective effect.
ContributorsCurci, Sarah (Author) / Luecken, Linda J. (Thesis advisor) / Perez, Marisol (Committee member) / White, Rebecca MB (Committee member) / Arizona State University (Publisher)
Created2019
Description
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
Description
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
Description
This study assessed the effects of running an eating prevention program on body image satisfaction/behavior and the leadership skills of collegiate women. The sample included a group of 43 undergraduate women who voluntarily chose to become peer-educators in the eating prevention program called the Body Project. Self-report questionnaires evaluating both the preoccupation with personal body image and general leadership skills were distributed and collected electronically. The results were analyzed to determine that being a peer leader in the Body project did not increase eating disorder symptoms but actually decreased the symptoms. It was also determined that being a peer educator had no effect on leadership skills. Therefore, being a peer leader is beneficial for reducing eating disorder symptoms, but not for advancing leadership skills.
ContributorsCamiliere, Taylor Marie (Author) / Perez, Marisol (Thesis director) / Cavanaugh Toft, Carolyn (Committee member) / Barrett, The Honors College (Contributor) / Department of Chemistry and Biochemistry (Contributor) / Department of Psychology (Contributor)
Created2015-05
Description
Literature on the undocumented population in the United States is rich, and is growing in the area of the 1.5 generation (which refers to undocumented individuals, typically under age 30, who have grown up in the U.S.), but is scant regarding the health of this population, how they alleviate illnesses and what resources they have to do so. While Deferred Action for Childhood Arrivals (DACA) provides temporary benefits to undocumented youth, a DACA health gap persists. Even for those who are awarded DACA, when compared to their citizen counterparts, resources are still unequal. The 1.5 generation faces unique health challenges and even with policy progress, circumstances tied to their documentation status leave them reverting back to limited resources. In this study, ten members of this generation were interviewed. Findings show that they suffer from minor physical health challenges, but significant mental and emotional health challenges without the means to access adequate healthcare comparable to their citizen counterparts.
ContributorsDay, Elinor Gabriela (Author) / Estrada, Emir (Thesis director) / Perez, Marisol (Committee member) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
Description
College-aged women are at an increased risk for the development of subclinical levels of eating disordered symptoms, which have been correlated to lasting deleterious cognitive, physical, and academic effects. The Body Project (TBP) is a universal group-based eating disorder prevention program that targets undergraduate women and challenges thin ideal messages through cognitive dissonance. Burlingame, Strauss, and Joyce (2013) in a meta-analysis of group treatments proposed five factors that independently and congruently work to promote individual change in group treatments: formal change theory, patient characteristics, leader characteristics, structural factors, and small group processes. A host of literature within TBP exists surrounding four of these factors, however, little research has been conducted on the small group processes that moderate individual change within this eating disorder prevention program.
The current study was designed to replicate and extend previous findings on the prevalence of the lemming effect within TBP, as well as examine how the lemming effect is related to outcome of treatment at a 3-month follow-up. Thirty-two participants aged 18-24 were examined. Groups ranged from 3 to 21 participants, including peer leaders. Twenty-nine audio recordings of session one of TBP were coded for lemming effects by the main research, and ten were coded by blind raters for inter-rater reliability measures. Three scales, the Ideal Body Stereotype Scale-Revised (IBSS-R), the Body Parts Satisfaction Scale-Revised (BPSS-R), and the Eating Disorder Examination Questionnaire (EDE-Q), were used to measure levels of thin-ideal internalization, body satisfaction, and frequencies of eating disordered (ED) behaviors, respectively.
Partial correlations revealed nonsignificant relationships between the number of lemming effects and the change in thin-ideal internalization and body satisfaction from baseline to follow-up. Additionally, a reliable change index revealed that the majority of change from baseline to follow-up was reliable for the IBSS-R, and the majority of change for the BPSS-R was unreliable. Lastly, chi-square tests of independence revealed nonsignificant relations between the number of lemming effects and change in ED behaviors.
Due to the small sample and lack of findings, future research would benefit from including a larger sample. This would enable larger power to detect effects and allow for more thorough statistical analyses to be performed to compare the relation of lemming effects to changes in outcome. However, this was the first study to look at the lemming effect variable as a small group process within TBP and added to the growing literature on how small group processes result in efficacious outcomes of treatment within group treatments.
The current study was designed to replicate and extend previous findings on the prevalence of the lemming effect within TBP, as well as examine how the lemming effect is related to outcome of treatment at a 3-month follow-up. Thirty-two participants aged 18-24 were examined. Groups ranged from 3 to 21 participants, including peer leaders. Twenty-nine audio recordings of session one of TBP were coded for lemming effects by the main research, and ten were coded by blind raters for inter-rater reliability measures. Three scales, the Ideal Body Stereotype Scale-Revised (IBSS-R), the Body Parts Satisfaction Scale-Revised (BPSS-R), and the Eating Disorder Examination Questionnaire (EDE-Q), were used to measure levels of thin-ideal internalization, body satisfaction, and frequencies of eating disordered (ED) behaviors, respectively.
Partial correlations revealed nonsignificant relationships between the number of lemming effects and the change in thin-ideal internalization and body satisfaction from baseline to follow-up. Additionally, a reliable change index revealed that the majority of change from baseline to follow-up was reliable for the IBSS-R, and the majority of change for the BPSS-R was unreliable. Lastly, chi-square tests of independence revealed nonsignificant relations between the number of lemming effects and change in ED behaviors.
Due to the small sample and lack of findings, future research would benefit from including a larger sample. This would enable larger power to detect effects and allow for more thorough statistical analyses to be performed to compare the relation of lemming effects to changes in outcome. However, this was the first study to look at the lemming effect variable as a small group process within TBP and added to the growing literature on how small group processes result in efficacious outcomes of treatment within group treatments.
ContributorsStadheim, Jenna Lynn (Author) / Perez, Marisol (Thesis director) / Doane, Leah (Committee member) / Sanford School of Social and Family Dynamics (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
Description
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
Description
The purpose of this literature review is to examine the distinction between Binge Eating Disorder (BED) and Food Addiction (FA). There is confusion and debate regarding the two: some argue they are distinct and others argue they are too similar for FA to deserve its own diagnosis. It is important to examine differences and similarities because obesity is a growing public health problem, and determining the root cause of obesity may help with efforts to reverse the problem. In addition, developing effective treatment and prevention programs will be easier once specific risk factors and characteristics of FA and BED are established. This literature review includes empirical studies and other literature reviews looking at the overlap, unique personality correlates, and general psychopathology associated with both BED and FA. A consistent finding among studies that looked at impulsivity and FA was that negative urgency and lack of perseverance accurately predicted FA, relative to BED. Other consistent correlates of FA were negative affect, emotion dysregulation, and (negative) self-esteem. Treatment options for FA currently include a combination of addiction-based treatment and psychotherapy that is commonly used for BED (i.e. CBT, DBT). Based on my research review, it seems reasonable to conclude that FA does in fact differ from BED and that efforts to identify unique treatment targets for FA are needed.
ContributorsPigeon, Emma Johanna (Author) / Corbin, William (Thesis director) / Perez, Marisol (Committee member) / Department of Psychology (Contributor) / W.P. Carey School of Business (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
The Arizona healthcare system is changing and although its effects can be seen in almost every realm of the medical field, psychiatry is a specialty that is still experiencing hardship. There are scarce resources available for the ever-growing and struggling patient pool, especially in rural areas and minority populations. A comorbid cycle of untreated psychiatric illness contributes to the burden on emergency department and primary care medicine, as well as homelessness, crime, and suicide within the state. Arizona currently has a dismal spot in the rankings for American states with appropriate access to psychiatric resources, leaving many who need treatment without it. Compared to states with similar populations who are at the top of these rankings, Arizona spends more government money for behavioral health services, indicating a disparity in productivity and questioning monetary waste. Demographic statistics and other relevant scientific literature reveals that Arizona's psychiatric system lacks appropriate structure, and is failing the mental health care system both in monetary and societal constructs. These issues highlight the need for remedies and identify areas for future reform. Recommendations on such reform include permanent change in legislation and department models to improve crisis ward work, communication and networking during transition of care, integration of and access to continuum of care, and community education. They also include creating incentive and certification programs within the state in order to increase the number of available providers, especially in rural areas. These recommendations are directed to specifically reduce the burden of mental illness on emergency medical services, increase productivity, and decrease chronic untreated mental disease and monetary waste.
ContributorsHarding, Calen LeMay (Author) / Perez, Marisol (Thesis director) / Neal, Tess (Committee member) / Department of Psychology (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05