Matching Items (8)
Filtering by
- Genre: Masters Thesis
Description
The purpose of this thesis study was to evaluate the nature of social anxiety in clinic-referred African American children versus their Caucasian counterparts. In particular, social anxiety symptom endorsement along the Social Phobia and Anxiety Inventory Scale for Children (SPAI-C; Beidel, Turner, & Morris, 1995) was examined in a sample of 107 African American and 364 Caucasian children (ages 7- to 17-years old) referred for anxiety. To evaluate symptom endorsement, simple descriptive analyses were conducted whereas measurement invariance tests were examined using confirmatory factor analyses. For the most commonly endorsed items, African American and Caucasian children shared seven of the top 10 most commonly identified social anxiety symptoms. Similar social fears across ethnicity focused on "assertiveness in situations perceived to be difficult" and ""speaking to large groups of peers they do not know." Findings also showed that African American children were more likely to report symptoms of "shaking when in social situations" than Caucasian children, and Caucasian children were more likely to report symptoms of "embarrassment when in front of adults" compared to African American children, but this was also on the basis of two items. When it came to the five factors of the SPAI-C, results showed measurement invariance across African American and Caucasian children. Overall, there were more similarities than differences between African American and Caucasian children in social anxiety symptoms based on the SPAI-C. Findings from this thesis study shed light on how to best accurately identify social anxiety among African American children compared to Caucasians, a contribution that can potentially impact assessment, treatment planning, and program response evaluation.
ContributorsWynne, Henry (Author) / Pina, Armando (Thesis advisor) / Gonzales, Nancy (Committee member) / Millsap, Roger (Committee member) / Arizona State University (Publisher)
Created2013
Description
The moderating effects of five characteristics of peers--their effortful control, anger, sadness, aggression, and positive peer behavior--were investigated in two separate series of analyses of preschooler's social behavior: (a) the relation between children's own effortful control and social behavior, and (b) the relation between children's shyness and reticent behavior. Latent variable interactions were conducted in a structural equation framework. Peer context anger and effortful control, albeit with unexpected results, interacted with children's own characteristics to predict their behavior in both the EC and shy model series; these were the only significant interactions obtained for the EC model series. The relation between shyness and reticent behavior, however, showed the greatest impact of peer context and, conversely, the greatest susceptibility to environmental variations; significant interactions were obtained in all five models, despite the limited range of peer context sadness and aggression observed in this study.
ContributorsHuerta, Snježana (Author) / Eisenberg, Nancy (Thesis advisor) / Spinrad, Tracy (Committee member) / Pina, Armando (Committee member) / Geiser, Christian (Committee member) / Arizona State University (Publisher)
Created2012
Description
The current study examined the unique influence of emotional childhood abuse on positive and negative aspects of different types of social relationships (e.g., family, spouse/partner, and friends) in midlife and whether genetic variations of the oxytocin receptor gene (OXTR) moderated these associations. Genetic variations in OXTR are measured by single-nucleotide polymorphisms (SNPs), which have been the most substantially studied prospects for explaining individual differences in socio-behavioral phenotypes. Specifically, an SNP, rs53576, involving a guanine (G) to adenine (A) substitution located in the third intron of the OXTR has been associated with fundamental aspects of social processes and behaviors. Compared to A carriers, individuals homozygous for the G allele have enhanced social competencies and tend to elicit more positive responses from social partners, consequently increasing the overall quality of social relationships across the lifespan. However, the G allele of the OXTR has also been associated with greater social sensitivity. In the current study, conducted among a sample of 614 adults in midlife, it was shown that emotional childhood abuse was significantly associated with having less supportive and more strained relationships in midlife. Regarding supportive family relationships, the effect of emotional childhood abuse was moderated by the OXTR rs53576 polymorphism. Specifically, under conditions of more emotional abuse in childhood, individuals homozygous for the G allele had more supportive family relationships in midlife compared to A carriers. Overall, the findings suggest that genetic variations of OXTR rs53576 may be an important candidate in understanding the development of social relationship functioning within the context of negative early life experiences.
ContributorsEbbert, Ashley Marie (Author) / Infurna, Frank (Thesis advisor) / Corbin, William (Committee member) / Lemery, Kathryn (Committee member) / Luthar, Suniya (Committee member) / Arizona State University (Publisher)
Created2018
Description
Mobile health (mHealth) applications (apps) hold tremendous potential for addressing chronic health conditions. Smartphones are now the most popular form of computing, and the ubiquitous “always with us, always on” nature of mobile technology makes them amenable to interventions aimed and managing chronic disease. Several challenges exist, however, such as the difficulty in determining mHealth effects due to the rapidly changing nature of the technology and the challenges presented to existing methods of evaluation, and the ability to ensure end users consistently use the technology in order to achieve the desired effects. The latter challenge is in adherence, defined as the extent to which a patient conducts the activities defined in a clinical protocol (i.e. an intervention plan). Further, higher levels of adherence should lead to greater effects of the intervention (the greater fidelity to the protocol, the more benefit one should receive from the protocol). mHealth has limitations in these areas; the ability to have patients sustainably adhere to a protocol, and the ability to drive intervention effect sizes. My research considers personalized interventions, a new approach of study in the mHealth community, as a potential remedy to these limitations. Specifically, in the context of a pediatric preventative anxiety protocol, I introduce algorithms to drive greater levels of adherence and greater effect sizes by incorporating per-patient (personalized) information. These algorithms have been implemented within an existing mHealth app for middle school that has been successfully deployed in a school in the Phoenix Arizona metropolitan area. The number of users is small (n=3) so a case-by-case analysis of app usage is presented. In addition simulated user behaviors based on models of adherence and effects sizes over time are presented as a means to demonstrate the potential impact of personalized deployments on a larger scale.
ContributorsSingal, Vishakha (Author) / Gary, Kevin (Thesis advisor) / Pina, Armando (Committee member) / Lindquist, Timothy (Committee member) / Arizona State University (Publisher)
Created2019
Description
In the last decade, the number of people who own a mobile phone or portable electronic communication device has grown exponentially. Recent advances in smartphone technology have enabled mobile devices to provide applications (“mHealth apps”) to support delivering interventions, tracking health treatments, or involving a healthcare team into the treatment process and symptom monitoring. Although the popularity of mHealth apps is increasing, few lessons have been shared regarding user experience design and evaluation for such innovations as they relate to clinical outcomes. Studies assessing usability for mobile apps primarily rely on survey instruments. Though surveys are effective in determining user perception of usability and positive attitudes towards an app, they do not directly assess app feature usage, and whether feature usage and related aspects of app design are indicative of whether intended tasks are completed by users. This is significant in the area of mHealth apps, as proper utilization of the app determines compliance to a clinical study protocol. Therefore it is important to understand how design directly impacts compliance, specifically what design factors are prevalent in non-compliant users. This research studies the impact of usability features on clinical protocol compliance by applying a mixed methods approach to usability assessment, combining traditional surveys, log analysis, and clickstream analysis to determine the connection of design to outcomes. This research is novel in its construction of the mixed methods approach and in its attempt to tie usability results to impacts on clinical protocol compliance. The validation is a case study approach, applying the methods to an mHealth app developed for early prevention of anxiety in middle school students. The results of three empirical studies are shared that support the construction of the mixed methods approach.
ContributorsPatwardhan, Mandar (Author) / Gary, Kevin A (Thesis advisor) / Pina, Armando (Committee member) / Amresh, Ashish (Committee member) / Arizona State University (Publisher)
Created2016
Description
The primary goal of this study was to investigate whether youth from an affluent community showed elevated rates of substance use and associated problems in young adulthood relative to national norms. The secondary goal was to determine if parents’ “containment,” or stringent disciplinary action, of adolescent substance use as measured in Grade 12 could help predict substance use in senior year of college, over and above other parenting factors. The final goal was to assess trends of substance use over time for stability based on categories of participants’ overall levels of use in Grade 12, (low, medium, high). Results indicated that substance use remained elevated into young adulthood, relative to national norms, consistent with extant research involving upper middle class youth. In regression analyses, high parents’ containment was associated with low substance use in senior year of college; however, the inclusion of Grade12 use as a covariate reduced this association with containment such that it was no longer statistically significant. Such results suggest a mediated effect, with Grade 12 substance use mediating the effects of Grade 12 Containment on college senior year substance use. Finally, upper middle class youth were found to remain in their relative substance use group (low, medium, high) as determined at Grade 12 through all four years of college. Taken together, these results emphasized the importance of high school substance use behaviors as a notable risk factor for problematic substance use over time.
ContributorsSmall, Phillip J (Author) / Luthar, Suniya (Thesis advisor) / Meier, Madeline (Committee member) / Infurna, Frank (Committee member) / Arizona State University (Publisher)
Created2015
Description
Given the major investment young people make in earning and maintaining a peer reputation, our goal in this study was to explore the association between dimensions of negative and positive peer reputation in middle school and adjustment several years later, by the end of high school, among upper middle class youth. Prior research has shown negative reputations such as aggressive-disruptive and sensitive-isolated to be associated with maladjustment later in life, whereas reputations like popular and prosocial-leader have been related to positive future outcomes. However, there are contrary findings that reveal a more complex relationship between peer reputation and adjustment, showing certain “negative” reputations to be tied with better outcomes in some domains and the converse in others. Using a sample of middle school students, a confirmatory factor analysis (CFA) was performed to test a four-factor model of the Revised Class Play, a peer report measure on peer reputations. CFA findings supported the four-factor model with the following reputations: popular, prosocial, aggressive, and isolated. Structural equation models were used to predict 12th grade adjustment outcomes (academic achievement, psychopathology, substance use) from middle school peer reputation. Prosocial reputation in middle school was connected to higher academic achievement and fewer externalizing symptoms in 12th grade. Both prosocial and isolated peer reputation were negatively associated with alcohol, cigarette, and marijuana use, whereas a popular reputation was related to higher levels of alcohol use. Middle school reputation did not predict internalizing symptoms in 12th grade. Findings are discussed in terms of adaptive and maladaptive adjustment outcomes associated with each peer reputation and implications for future research.
ContributorsCurlee, Alexandria (Author) / Luthar, Suniya (Thesis advisor) / Aiken, Leona (Committee member) / Infurna, Frank (Committee member) / Arizona State University (Publisher)
Created2016
Description
Students at High Achieving Schools (HASs) have recently been identified as an at-risk population, and excessive pressure to excel is considered the cause of this maladjustment. However, the specific aspects of pressure that lead to these outcomes have yet to be comprehensively explored. In two schools, one public and one independent, this study examined multiple constructs potentially implicated: feelings of pressure to succeed from different sources (parents, teachers, coaches, the self, and friends) and total felt pressure. Also considered are dimensions of being overextended across commitments, including hours of sleep, homework, and levels of associated strain and enjoyment. These indices were all examined in relation to adolescents’ internalizing and externalizing symptoms, as well as feelings of disengagement with school, after controlling for attachment to both parents. Results showed that total felt pressure, and pressure felt from the self, were most notably related to internalizing symptoms and disengagement with school. Additionally, strain from commitments showed unique links with depression, anxiety, and negative feelings about school. Finally, enjoyment from different commitments showed robust links with feelings about school. Overall, the different pressure predictors showed sporadic links with externalizing behaviors and substance use. Findings are discussed in terms of directions for interventions as well as future research with HAS populations.
ContributorsBenoit, Renee, L (Author) / Luthar, Suniya (Thesis advisor) / Infurna, Frank (Committee member) / Benitez, Viridiana (Committee member) / Arizona State University (Publisher)
Created2019