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- Title
- EXPLORING STRESS MANAGEMENT AND COPING MECHANISMS IN PARENTS OF INFANTS IN THE NEONATAL INTENSIVE CARE UNIT (NICU).
- Creator
-
Day, Samantha E, Decker, Jonathan, University of Central Florida
- Abstract / Description
-
The purpose of this study was to conduct a literature review that examined parental coping mechanisms and stress relief techniques for parents of infants admitted to the neonatal intensive care unit (NICU). A search was conducted using multiples databases using key terms such as stress AND coping, parent* OR caregiver, ped* OR child*, support* or aid, NICU OR neonatal intensive care unit, and nurs*. The results were limited to scholarly, peer reviewed journals in the English language....
Show moreThe purpose of this study was to conduct a literature review that examined parental coping mechanisms and stress relief techniques for parents of infants admitted to the neonatal intensive care unit (NICU). A search was conducted using multiples databases using key terms such as stress AND coping, parent* OR caregiver, ped* OR child*, support* or aid, NICU OR neonatal intensive care unit, and nurs*. The results were limited to scholarly, peer reviewed journals in the English language. Exclusion criteria included not relating to parents or caregivers and mechanisms of coping with stress or if they pertain to palliative or end-of-life care. Each article meeting the inclusion criteria were critiqued and analyzed for information pertaining to the topic of this review. The thirteen articles yielded from the search revolved around the common themes of Visitation/Participation, Communication, and Comfort Measures. The literature revealed an overall positive association in reducing the amount of stress experienced when an intervention was provided. Implications for further research involve directly comparing the efficacy of interventions to determine which could be most useful in practice.
Show less - Date Issued
- 2019
- Identifier
- CFH2000467, ucf:45863
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000467
- Title
- THE EFFECT OF APHASIA ON QUALITY OF LIFE, COPING STYLE, AND RESILIENCE.
- Creator
-
Hernandez, Nelson J, Whiteside, Janet D., University of Central Florida
- Abstract / Description
-
Approximately one million people in the United States suffer from aphasia. There are multiple types of aphasia, however they are usually placed into two categories: non-fluent or fluent. The psychosocial factors that are impacted due to the type of aphasia has not been systematically investigated. The purpose of this study is to examine how non-fluent and fluent Individuals With Aphasia (IWA) compare or contrast across three psychosocial factors, Quality of Life (QoL), coping style, and...
Show moreApproximately one million people in the United States suffer from aphasia. There are multiple types of aphasia, however they are usually placed into two categories: non-fluent or fluent. The psychosocial factors that are impacted due to the type of aphasia has not been systematically investigated. The purpose of this study is to examine how non-fluent and fluent Individuals With Aphasia (IWA) compare or contrast across three psychosocial factors, Quality of Life (QoL), coping style, and resilience. The World Health Quality of Life- BREF (WHOQOL-BREF), Assimilative-Accommodative Coping Scale (AACS), and the Connor-Davidson Resilience Scale-10 item version (CD-RISC-10), were administered once to 24 subjects with a diagnosis of aphasia. Four of the subjects were excluded after administration, due to incompletion of questionnaire or not meeting inclusion criteria. A cross sectional multivariate analysis of variance (MANOVA) study design was utilized with a separate one-way analysis of variance (ANOVA) utilized to analyze each domain and scale individually. Results from the MANOVA analysis showed no statistically significant difference between non-fluent and fluent IWA when considered jointly among the three Likert scales. However, a separate ANOVA was conducted for each scale individually and showed a statistically significant difference between fluent and non-fluent IWA in the domains of Social Relationships and Environment for the WHOQOL-BREF scale. There was no statistically significant difference discovered among the other domains and scales. In conclusion, the significant difference found between fluent and non-fluent IWA in the domains of Social Relationships and Environment, may be due to the majority of the fluent IWA being categorized as anomic, a higher functioning form of aphasia. Whereas the majority of non-fluent IWA were categorized as having Broca's aphasia, which greatly affects speech output and, in six out of nine participants, hemiplegia was noted. Future research may want to take into account the severity of aphasia when comparing and contrasting non-fluent and fluent IWA.
Show less - Date Issued
- 2016
- Identifier
- CFH2000147, ucf:46038
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000147
- Title
- PERCEIVED STRESS, COPING, AND ADEQUACY OF SOCIAL SUPPORT: IMPLICATIONS FOR SUBJECTIVE WELL-BEING IN COLLEGE STUDENTS.
- Creator
-
Asberg, Kia, Bowers, Clint, University of Central Florida
- Abstract / Description
-
Stress is a widespread concept commonly associated with psychological and medical problems that may impair an individual's functioning and incur costs on society. Alarming rates of depression, anxiety, suicidal ideation, and other stress-related problems have been found among college students. This study (N = 241)argues that reducing emotional and financial stress-related costs may be possible through increasing public and professional awareness of moderating variables, such as social support...
Show moreStress is a widespread concept commonly associated with psychological and medical problems that may impair an individual's functioning and incur costs on society. Alarming rates of depression, anxiety, suicidal ideation, and other stress-related problems have been found among college students. This study (N = 241)argues that reducing emotional and financial stress-related costs may be possible through increasing public and professional awareness of moderating variables, such as social support and coping resources. Results indicated that stress, inadequate social support, and escape-avoidance coping were related to higher levels of depression and lower life satisfaction in both males and females. Social support functioned as a moderator of stress in determining negative outcomes, primarily during high stress. Specifically, the interaction between stress and social support predicted depression in the combined sample, anxiety in males, and life satisfaction in females. In addition, the present study highlights the importance of accounting for gender in research concerning stress, social support, coping, and psychological adjustment. Finally, limitations and suggestions for future research will be discussed.
Show less - Date Issued
- 2005
- Identifier
- CFE0000882, ucf:46634
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0000882
- Title
- Stress, Coping, and Quality of Life Among Parental Caregivers of Children with Autism Spectrum Disorder.
- Creator
-
Turnage, Dawn, Conner, Norma, Edwards, Joellen, Weiss, Josie, Hinojosa, Melanie, Uddin, Nizam, University of Central Florida
- Abstract / Description
-
Purpose: Parental caregivers of children with Autism Spectrum Disorder (ASD) are exposed to stressors associated with the daily care of raising a child with a developmental disability, which may negatively impact parental quality of life (QOL). The specific aim of this study was to examine the relationships between demographic factors, stress, and coping among parental caregivers of children with ASD to determine whether predictors of QOL exist. Methodology: This study was descriptive, and an...
Show morePurpose: Parental caregivers of children with Autism Spectrum Disorder (ASD) are exposed to stressors associated with the daily care of raising a child with a developmental disability, which may negatively impact parental quality of life (QOL). The specific aim of this study was to examine the relationships between demographic factors, stress, and coping among parental caregivers of children with ASD to determine whether predictors of QOL exist. Methodology: This study was descriptive, and an electronic survey was distributed to Florida parents of children, age 3-21 years old, diagnosed with ASD. The survey measured parentreported demographic factors, severity of the diagnosis of ASD in the child, parental stress, coping, and QOL. Data were analyzed using multiple regression. Findings: Study findings suggest that, in parental caregivers of children with ASD in Florida (N = 152) daily stressors, coping self-efficacy, and household income were predictors for physical QOL; daily stressors and coping self-efficacy were predictors of psychological QOL, and coping-self efficacy, household income, and severity of the diagnosis of the child were predictors for environmental QOL. Conclusion: Coping self-efficacy and improved income can positively improve QOL, while severity of the diagnosis of ASD and daily stressors can negatively impact QOL. Clinically, nurses with a better understanding of the parental stress and coping in parents of children with ASD can better recommend tailored resources to improve QOL. Policies to support financial help for families may also improve QOL. Future research should focus on interventions to improve coping-self efficacy.
Show less - Date Issued
- 2019
- Identifier
- CFE0007737, ucf:52412
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007737
- Title
- The Self-described Experience of Coping and Adaptation Associated with Workplace Stress of Registered Nurses in the Acute Care Setting in Florida: An Ethnographic Study.
- Creator
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Burr, Joyce, Bushy, Angeline, Sole, Mary, Andrews, Diane, Malvey, Donna, University of Central Florida
- Abstract / Description
-
ABSTRACTLittle is known about how nurses learn and use coping and adaptation skills in the workplace. Quantitative studies have identified the factors, nature, and outcomes of nursing stress. However, qualitative studies describing the human experience associated with workplace stress are lacking. The phenomenon of interest for this study using focused ethnographic method is the self-described experience of coping and adaptation associated with workplace stress of registered nurses working 12...
Show moreABSTRACTLittle is known about how nurses learn and use coping and adaptation skills in the workplace. Quantitative studies have identified the factors, nature, and outcomes of nursing stress. However, qualitative studies describing the human experience associated with workplace stress are lacking. The phenomenon of interest for this study using focused ethnographic method is the self-described experience of coping and adaptation associated with workplace stress of registered nurses working 12-hour shifts employed in acute care hospital facilities in east central and central Florida. Three aspects of the phenomena were examined: the self-described experiences of stress, the manner in which coping skills are acquired, and the manner in which adaptation strategies are developed by experienced bedside nursing working 12-hour shifts in acute care hospital facilities. The purposive sample included nine female bedside nurses with five or more years' experience, working 12 hour shifts in acute care hospital facilities on bedside units, with patient ratios of 4:1 or greater. Data were collected using semi-structured, digitally recorded interviews at mutually convenient locations. The qualitative data were analyzed using inductive, constant, comparative process of coding, sorting, generalizing, and memoing to guide exploration and identify emergent themes and patterns. The predominant theme of stress emerged as the overwhelming sense of duty to the patient. Additional themes of coping and adaptation were noted. Recommendations for research, education, practice and policy are offered to support a healthy and sustainable nursing workforce.
Show less - Date Issued
- 2012
- Identifier
- CFE0004525, ucf:49280
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0004525
- Title
- EFFECTS OF AN EVIDENCE-BASED INTERVENTION ON STRESS AND COPING OF FAMILIES OF CRITICALLY ILL TRAUMA PATIENTS.
- Creator
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Knapp, Sandra, Sole, Mary Lou, University of Central Florida
- Abstract / Description
-
Problem/Purpose: Critical care nurses are frequently exposed to the stress experienced by their patients' families, yet they often do not have the knowledge or skills to help family members cope with the stress of critical illness. While needs and stressors of families of the critically ill have been researched extensively, no prior studies have been conducted to determine the effects of an evidence-based nursing intervention for reducing family members' stress and improving their coping...
Show moreProblem/Purpose: Critical care nurses are frequently exposed to the stress experienced by their patients' families, yet they often do not have the knowledge or skills to help family members cope with the stress of critical illness. While needs and stressors of families of the critically ill have been researched extensively, no prior studies have been conducted to determine the effects of an evidence-based nursing intervention for reducing family members' stress and improving their coping skills. The purpose of this study was to determine if an evidence-based nursing intervention designed to address the needs of family members would reduce stress and improve coping skills in family members of critically ill trauma patients. Additionally, the study assessed the family members' perceptions of how well their needs were met while their loved one was hospitalized in the surgical intensive care unit (SICU). Methods: Using a quasi-experimental, nonequivalent control group design, an evidence-based intervention for critical care nurses was implemented to test its effect on stress and coping of family members of critically ill trauma patients. The study setting was the SICU at a tertiary university hospital in north central Florida. Subjects were family members of critically ill trauma patients who had been hospitalized in the SICU for at least 48 hours. Participants in the control group were given a packet containing instruments that measured 1) anxiety as an indicator of stress (Spielberger's State-Trait Anxiety Inventory ); 2) coping (Lazarus and Folkman's Ways of Coping Questionnaire ); and 3) assessment of family members' perception of having their needs met while their family member was in the SICU (Family Care Survey ). An evidence-based family bundle was implemented over an eight-week period and included an educational program for the nurses. After eight weeks, participants in the experimental group were given the same instruments previously administered to the control group. Anxiety levels, coping skills, and family members' perception of having needs met were compared between the two groups to determine the effectiveness of the evidence-based intervention. Results: A total of 84 family members participated in the study (control = 39; experimental = 45). The majority were women (n=60), spouse or parent of the patient (n=47), and Caucasian (n=70). Mean ages were 45.9 years for the control group and 47.4 years for the experimental group. No differences were noted in the demographic characteristics between the control and experimental groups. Using an independent samples t-test, no significant differences (p > .05) were noted between groups for either state or trait anxiety, although the mean anxiety score was lower in the experimental group. Significant differences between groups were noted on two of the eight coping subscales: Distancing and Accepting Responsibility. Improved coping, although not statistically significant, was noted on four additional subscales: Confrontive Coping, Self-Controlling, Planful Problem-Solving, and Positive Reappraisal. Overall coping scores also improved, but not statistically, for the total Ways of Coping Scale (both 50 and 66 item totals). Although not statistically significant, participants in the experimental group rated four out of eight items higher on the FCS, indicating an increased perception that more of their needs were met, greater overall satisfaction with the care that family members received, increased nurses' consideration of family members' needs and the inclusion of those needs in planning nursing care, and greater encouragement for family members to participate in care. Although findings were not statistically significant, the trend implies increased satisfaction with family care in areas involving family care and family member needs, including needs in planning care and encouragement to participate in care. In areas regarding information and communication, there was overall less satisfaction in both groups. Conclusions: This study provides data that can be used as a guide in developing programs that help families function and adapt to the extremely stressful experience of having a loved one who is critically ill. The information can be used to develop future research on larger scales with a longer and more extensive plan for implementation of the intervention to assist in a unit culture change. Nurses can use the results to facilitate practice changes in caring for families of critically ill patients. Modifying the interventions to focus on an interdisciplinary approach to meet families' needs, reduce stress, and improve coping also warrants further development and testing. Funding acknowledgement: Florida Nurses Foundation and the American Association of Critical Care Nurses. College of Nursing, University of Central Florida
Show less - Date Issued
- 2009
- Identifier
- CFE0002774, ucf:48134
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0002774
- Title
- The Coping Assessment for Bereavement and Loss Experiences (CABLE): Development and Validation.
- Creator
-
Crunk, Anne, Robinson, Edward, Bai, Haiyan, Robinson, Sandra, Burke, Laurie, University of Central Florida
- Abstract / Description
-
The loss of a loved one through death is a virtually inescapable part of the human experience and one that can elicit marked psychological and physical distress on the part of the survivor. However, not all individuals who lose a loved one cope with their grief in the same way. Variation in the duration and intensity of grief reactions among mourners is well supported, with 10-15% of the bereaved population experiencing a protracted, debilitating, and sometimes life-threatening grief response...
Show moreThe loss of a loved one through death is a virtually inescapable part of the human experience and one that can elicit marked psychological and physical distress on the part of the survivor. However, not all individuals who lose a loved one cope with their grief in the same way. Variation in the duration and intensity of grief reactions among mourners is well supported, with 10-15% of the bereaved population experiencing a protracted, debilitating, and sometimes life-threatening grief response known as complicated grief (CG). However, most grievers respond to loss with relative resilience, demonstrating an ability to sustain reasonably stable and adaptive levels of functioning while grieving the loss of their loved one. One factor that might distinguish resilient and CG reactions is differences in the cognitive, behavioral, emotional, social, and spiritual strategies they use to cope with their distressing grief symptoms. However, prior to this study, an instrument designed to assess potential constructive strategies for coping with bereavement had yet to be developed, limiting helping professionals and researchers to the use of nonspecific measures that assess coping with life stressors in general, rather than with bereavement, in particular. Therefore, the aim of this study was to construct and validate the Coping Assessment for Bereavement and Loss Experiences, or CABLE, an instrument designed to identify which strategies bereaved individuals currently use to cope with grief following the death of a loved one. The present study followed a mixed-methods approach to instrument development, incorporating both qualitative (i.e., Phase 1) and quantitative (i.e., Phase 2) approaches with two diverse samples of bereaved adults (N = 12 for Phase 1 and N = 918 for Phase 2, respectively). Exploratory factor analysis (EFA) with the initial item pool (n = 89 items) yielded a six-factor, 30-item structure, which was cross-validated for item selection using confirmatory factor analysis (CFA). CFA generated a final six-factor, 28-item model of grief coping. The CABLE demonstrated good internal consistency reliability and provided initial evidence for convergent and discriminant validity with the present sample. Finally, findings from hierarchical multiple regression analyses and one-way analysis of variances (ANOVA) tests shed light on participant demographic and background variables that accounted for small but significant variance in CABLE scores. Limitations of the present study, recommendations for future research, and implications for helping professionals and researchers are discussed.
Show less - Date Issued
- 2017
- Identifier
- CFE0006938, ucf:51675
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006938
- Title
- LIFE EVENT PERCEPTION:A STRUCTURAL EQUATION MODELING APPROACH TO THE ANTECEDENTS OF THE LIFE STRESS RESPONSE.
- Creator
-
Myers, Christopher, Bowers, Clint, University of Central Florida
- Abstract / Description
-
It has been often argued that life events have an impact on our physical and psychological well-being. In general, research supports this connection between life events and general health, though some argue that simply experiencing life events has a measurable and predictable impact our health, while others contend that this effect is mediated by the appraisal process. Further, research has identified a number of different factors (hypothetically stratified into pre-existing beliefs, external...
Show moreIt has been often argued that life events have an impact on our physical and psychological well-being. In general, research supports this connection between life events and general health, though some argue that simply experiencing life events has a measurable and predictable impact our health, while others contend that this effect is mediated by the appraisal process. Further, research has identified a number of different factors (hypothetically stratified into pre-existing beliefs, external resources and demands, and behavioral activation and coping strategies) that may influence appraisal and general health. The current study attempts to integrate these findings by testing structural models of the relationship between life events, life stress, and general health while considering the appraisal process and other potential moderators of appraisal and general health. University students (N=204) were tested using 17 assessment measures representing 7 latent constructs of Life Events, Life Stress, Appraisal, General Health, Beliefs, External, and Activation. Results of the measurement models required model respecification to combine Appraisal and Beliefs into one construct and External and Activation into another construct, resulting in a five-factor hypothetical structural model. The resulting empirical structural model is a partially-mediated model that suggests that appraisal and pre-existing beliefs influence the relationship between life events and life stress, and that life events significantly impact measured life stress. The empirical model also indicates that general health is significantly impacted by life stress, as well as behavioral activation and external resources and demands. Practical implications of the findings and recommendations for further research were discussed.
Show less - Date Issued
- 2005
- Identifier
- CFE0000628, ucf:46519
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0000628
- Title
- PRETEND LAND.
- Creator
-
Neely, Detrachia, Milanes Rodriguez, Cecilia, University of Central Florida
- Abstract / Description
-
The bond between a mother and child is thought to be sacred. It is a phenomenon that society seems to expect as axiomatic based on the single biological fact that a woman carries her child, creating an inseparable bond; even for non-biological mothers, the bond is perceived as one of supreme importance. What happens to the mother and to the child, if this sacred bond is broken? The intent of this thesis was to focus on the perceived bond between mother and child and turn it on its head. As a...
Show moreThe bond between a mother and child is thought to be sacred. It is a phenomenon that society seems to expect as axiomatic based on the single biological fact that a woman carries her child, creating an inseparable bond; even for non-biological mothers, the bond is perceived as one of supreme importance. What happens to the mother and to the child, if this sacred bond is broken? The intent of this thesis was to focus on the perceived bond between mother and child and turn it on its head. As a work of fiction, Pretend Land is a series of interrelated short stories about a young woman named Dalia and her issues of abandonment and consequent coping mechanisms. My goal was to explore the effects of mother/child separation through the vehicle of storytelling and create a tale that would allow an honest narrative, not to prove one thing or another, but to finally bring a story to the forefront about an absent mother and the child she left behind.
Show less - Date Issued
- 2011
- Identifier
- CFH0004108, ucf:44870
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004108
- Title
- International Saudi Female Students' Experiences of Acculturation During Their Study at an American Public University in The South (APUS).
- Creator
-
Alzahrani, Hnan, Cintron Delgado, Rosa, Mendez, Jesse, Owens, J. Thomas, Preston, Michael, University of Central Florida
- Abstract / Description
-
According to my literature review and my reflection of its meaning, few studies have been conducted that explore the adjustment and acculturation experiences of female international students in US colleges and universities specifically on Saudi female students. Therefore, this study explored the academic and socio-cultural experiences of Saudi female students before and after arriving in the US. Furthermore, this study identified the sources of acculturative stress and Saudi female students'...
Show moreAccording to my literature review and my reflection of its meaning, few studies have been conducted that explore the adjustment and acculturation experiences of female international students in US colleges and universities specifically on Saudi female students. Therefore, this study explored the academic and socio-cultural experiences of Saudi female students before and after arriving in the US. Furthermore, this study identified the sources of acculturative stress and Saudi female students' successful strategies for coping with these stressors. Eight Saudi female students participated in one-on-one semi-structured interviews and Moustakas' (1994) transcendental phenomenology was utilized in analyzing students' voices. During the data analysis process, there were five themes that emerged from the data, including sociocultural expectations and issues, motivation for studying abroad, challenges, coping strategies, and adaptation. The results of this study provided recommendations for American and Saudi higher education administrators and faculty concerning how to help Saudi female students adjust to American culture and campus life and provide appropriate academic environments for this growing population.
Show less - Date Issued
- 2018
- Identifier
- CFE0007149, ucf:52329
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007149
- Title
- Temperament and Child Maltreatment: A Closer Look at the Interactions Among Mother and Child Temperament, Stress and Coping, Emotional and Behavioral Regulation, and Child Maltreatment Potential.
- Creator
-
Lowell, Amanda, Renk, Kimberly, Paulson, Daniel, Sims, Valerie, University of Central Florida
- Abstract / Description
-
Several theoretical risk models were proposed previously regarding the prediction of child maltreatment. Although child maltreatment was predicted individually in these models by such variables as parent temperament, emotional and behavioral regulation, stress, coping, and child temperament, these variables were not yet examined collectively. As such, a new transactional theory was proposed for the current study. As part of this study, a national community sample of 158 culturally diverse...
Show moreSeveral theoretical risk models were proposed previously regarding the prediction of child maltreatment. Although child maltreatment was predicted individually in these models by such variables as parent temperament, emotional and behavioral regulation, stress, coping, and child temperament, these variables were not yet examined collectively. As such, a new transactional theory was proposed for the current study. As part of this study, a national community sample of 158 culturally diverse mothers of young children who were between the ages of 1(&)#189;- to 5-years rated their own temperament, emotional and behavioral regulation abilities, parenting stress, daily hassles, and coping behaviors as well as their young children's temperament. Correlational analyses demonstrated many significant relationships among the variables of interest. In addition, hierarchical regression analyses suggested that several parent (i.e., mother mood quality, mother flexibility/rigidity, emotion dysregulation, parenting stress, cumulated severity of stress, and emotion-focused coping) and child characteristics (i.e., young child mood quality) added unique incremental variance to the prediction of child maltreatment potential. Finally, mediation analyses indicated that mothers' emotion dysregulation mediated the relationship between mothers' flexibility/rigidity and child maltreatment potential. Overall, this study contributed information regarding the importance of emotion dysregulation as a mechanism through which difficult mother temperament may be related to increased child maltreatment potential. Accordingly, these findings suggested that emotion regulation skills may serve as a potential point of intervention for mothers who are at increased risk for child maltreatment due to difficult temperament characteristics.
Show less - Date Issued
- 2015
- Identifier
- CFE0005652, ucf:50172
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0005652
- Title
- THE MEDIATING ROLES OF COPING AND SOCIAL SUPPORT ON ADOLESCENT LESBIAN HOMELESSNESS.
- Creator
-
Craft, Katelynn, Jacinto, George, University of Central Florida
- Abstract / Description
-
This paper analyzes the stress and coping mechanisms of lesbian homeless adolescents to identify potential buffers against homelessness. The Minority Stress Model and identity theories are used as a framework to interpret the findings in the literature. Based on the findings in the literature, it is possible to conclude that lesbian homeless youth are more susceptible to minority stress due to a lack of adaptive coping resources and social support. Increased levels of minority stress may lead...
Show moreThis paper analyzes the stress and coping mechanisms of lesbian homeless adolescents to identify potential buffers against homelessness. The Minority Stress Model and identity theories are used as a framework to interpret the findings in the literature. Based on the findings in the literature, it is possible to conclude that lesbian homeless youth are more susceptible to minority stress due to a lack of adaptive coping resources and social support. Increased levels of minority stress may lead to internalizing and externalizing symptoms that cause runaway and throwaway episodes in homeless youth. This paper proposes a new model to understand the internal and environmental factors that contribute to homelessness in lesbian adolescents.
Show less - Date Issued
- 2015
- Identifier
- CFH0004748, ucf:45368
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004748
- Title
- THE EFFECT OF JOB STRAIN IN THE HOSPITAL ENVIRONMENT: APPLYING OREM'S THEORY OF SELF CARE.
- Creator
-
Andrews, Diane, Wan, Thomas, University of Central Florida
- Abstract / Description
-
The purpose of this research was to evaluate the causal relationships between job strain, the practice environment and the use of coping skills in order to assist in the prediction of nurses who are at risk for voluntary turnover. It was conducted at the level of the individual nurse employee in order to better understand the health consequences associated with job strain, the factors in the professional practice environment which may contribute to the propensity to leave and the influence of...
Show moreThe purpose of this research was to evaluate the causal relationships between job strain, the practice environment and the use of coping skills in order to assist in the prediction of nurses who are at risk for voluntary turnover. It was conducted at the level of the individual nurse employee in order to better understand the health consequences associated with job strain, the factors in the professional practice environment which may contribute to the propensity to leave and the influence of coping behaviors in response to workplace stressors. It was undertaken with the intention of identifying intervention strategies which will promote a healthy workforce and the retention of nurses in the workplace. An exploratory cross-sectional survey of 1235 staff nurses employed on the intensive, progressive and general medical-surgical nursing units of seven hospitals associated with a major Central Florida healthcare network tested a client-centered model in an effort to identify nurses vulnerable to the health consequences of job strain using structural equation modeling. Human subject protection was assured. An 82 item questionnaire was used to collect demographic data and measure responses to items associated with the constructs of health status, autonomy, collaboration, decentralization, coping, satisfaction, absenteeism and intent to leave. A variety instruments that were previously demonstrated as valid and reliable were used in the construction of the instrument. Subjects were also given the option of including additional written comments. A total of 325 surveys were returned, of which 308 met inclusion criteria, for a response rate of 25%. Data analysis determined that the measurement of job strain as a function of self-assessed generic health status was predictive of propensity to leave (ã = -.21). The experience of job strain shared a strong association with indicators of mental health status. Job strain was significantly influenced by coping behavior (ã = .56) which targeted activities associated with sustaining and balancing. Anecdotal remarks suggested that the need for balance influenced perceptions regarding stressors in the workplace. The professional practice environment was associated negatively with the propensity to leave (ã = -.58). Those staff nurses who experienced higher levels of autonomy expressed a greater degree of satisfaction and lower intent to leave. The variables of collaboration and decentralization contributed minimally to the construct of professional practice. Anecdotal remarks suggested that the low contribution of collaboration and decentralization contributed to a sense of powerlessness and frustration with work related circumstances. The influence of job strain, coping and the professional practice environment upon staff nurses suggests that health promotion strategies, efforts to enhance coping behavior and promotion of a professional practice environment will increase employee satisfaction and reduce intent to leave. Adoption of policies and procedures which support the health and well-being of individual staff members will benefit employees, strengthen the organizations in which they practice and promote the overall retention of nurses in the face of looming nurse shortages.
Show less - Date Issued
- 2006
- Identifier
- CFE0000935, ucf:46742
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0000935
- Title
- AN EXPLORATION OF CHRONIC PAIN EXPERIENCE, COPING, AND THE NEO FIVE FACTORS IN HIGH FUNCTIONING ADULTS.
- Creator
-
Stalter, Juliana, Mottarella, Karen, University of Central Florida
- Abstract / Description
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Chronic pain affects nearly 48 million Americans (Haggard, Stowell, Bernstein, & Gatchel, 2008). Established guidelines for pain management encourage the use of personality assessment in chronic pain evaluation (Karlin, Creech, Grimes, Clark, Meagher, & Morey, 2005). In relation to the Big Five personality factors, low Openness relates negatively to treatment success, (Hopwood, Creech, Clark, Meagher, & Morey, 2008), and elevated Neuroticism scores also correlate with increased pain levels...
Show moreChronic pain affects nearly 48 million Americans (Haggard, Stowell, Bernstein, & Gatchel, 2008). Established guidelines for pain management encourage the use of personality assessment in chronic pain evaluation (Karlin, Creech, Grimes, Clark, Meagher, & Morey, 2005). In relation to the Big Five personality factors, low Openness relates negatively to treatment success, (Hopwood, Creech, Clark, Meagher, & Morey, 2008), and elevated Neuroticism scores also correlate with increased pain levels among individuals in hospital or rehab settings (Ashgari & Nicholas, 2006; Nitch & Boon, 2004). In contrast to these prior studies, this study identifies correlates in a relatively high-functioning population (college students) to further elucidate the connection between chronic pain and personality. This study compares scores on the NEO-FFI (Costa & McCrae, 1992), the West Haven-Yale Multidimensional Pain Inventory (WHYMPI, Kerns, Turk, & Rudy, 1985), and the Pain Catastrophizing Scale (PCS, American Academy of Orthopaedic Manual Physical Therapists, 2010). Significant correlations were found between Neuroticism, Extraversion, and Agreeableness and select subscales of both the WHYMPI and the PCS. A linear regression of scores showed that Neuroticism was very strongly related to WHYMPI scores. In fact, the WHYMPI scores accounted for 67.9% of variance in Neuroticism. Scores on the WHYMPI also correlated with PCS scores. Helplessness and Overall scores significantly correlated to Life Control and certain positive social support scores. The findings of this study emphasize the need for pain clinicians to incorporate psychological assessments, especially concerning Neuroticism, into their evaluations of chronic pain patients.
Show less - Date Issued
- 2011
- Identifier
- CFH0004121, ucf:44863
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004121
- Title
- RESILIENCY FACTORS AND PATHWAYS TO INCARCERATION IN FEMALE SURVIVORS OF CHILDHOOD SEXUAL ABUSE.
- Creator
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Asberg, Kia, Renk, Kimberly, University of Central Florida
- Abstract / Description
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Studies find consistently that survivors of childhood sexual abuse (CSA) are likely to suffer from depression, post-traumatic stress, and problematic substance use, and may experience also a variety of adjustment difficulties in several emotional, behavioral, and interpersonal domains. Involvement with the legal system is one such outcome to consider, especially given the increasing number of women serving time in correctional facilities with nearly two-thirds of these women being survivors...
Show moreStudies find consistently that survivors of childhood sexual abuse (CSA) are likely to suffer from depression, post-traumatic stress, and problematic substance use, and may experience also a variety of adjustment difficulties in several emotional, behavioral, and interpersonal domains. Involvement with the legal system is one such outcome to consider, especially given the increasing number of women serving time in correctional facilities with nearly two-thirds of these women being survivors of CSA (e.g., Browne, Miller, & Maguin, 1999). The current literature lacks comparisons between female survivors of CSA who have legal involvement and those who do not; hence, the current study addresses the need for a comprehensive investigation of early victimizations and later adjustment. Data were obtained from 169 female inmates and 420 female college students, a number of whom were survivors of CSA (66% and 35.5%, respectively), so that group differences could be examined and relationships among family environment, abuse disclosure history, coping, perceived social support, adjustment (i.e., trauma symptoms, substance abuse, depressive symptomatology, revictimization), and criminal history could be explored. Results suggested that inmate survivors experience poorer functioning overall relative to student survivors of CSA, including more depressive symptoms, trauma symptoms, and substance abuse. Further, avoidance coping by using substances mediated fully the relationship between trauma symptoms and substance abuse for both groups. Finally, severity of CSA, problematic substance use, and social support emerged as significant predictors of incarceration among survivors of CSA. Findings may aid in the refinement of interventions, prevention efforts, and educational programs regarding CSA, and shed light on pathways to incarceration.
Show less - Date Issued
- 2008
- Identifier
- CFE0002331, ucf:47777
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0002331
- Title
- Stepping Outside of Yourself: Social Anxiety, Dissociation, Alcohol Consequences, and Relationship Satisfaction.
- Creator
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Cook, Matthew, Newins, Amie, Beidel, Deborah, Dvorak, Robert, University of Central Florida
- Abstract / Description
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OVERVIEW: Social anxiety disorder is the third most prevalent psychiatric disorder in the United States. Dissociation can arise during acute daily social stressors in individuals with social anxiety. This study examined the relationship between social anxiety and functional outcomes (i.e., alcohol-related consequences and relationship satisfaction) as moderated by levels of dissociation (i.e., depersonalization/derealization). It was hypothesized that dissociation would moderate the...
Show moreOVERVIEW: Social anxiety disorder is the third most prevalent psychiatric disorder in the United States. Dissociation can arise during acute daily social stressors in individuals with social anxiety. This study examined the relationship between social anxiety and functional outcomes (i.e., alcohol-related consequences and relationship satisfaction) as moderated by levels of dissociation (i.e., depersonalization/derealization). It was hypothesized that dissociation would moderate the relationships between social anxiety and alcohol-related consequences and between social anxiety and relationship satisfaction. METHOD: College students who endorsed alcohol use within the past 30 days (n = 320) and college students who reported having been in a romantic relationship lasting 30 or more days (n = 364) were recruited through the Psychology Department's Sona system. All participants completed measures of social anxiety, dissociation, alcohol use motives, alcohol-related consequences, and relationship satisfaction as part of an online questionnaire. RESULTS: Findings indicated no moderation effect in either model; both social anxiety and dissociation predicted alcohol-related consequences via coping-motivated alcohol use. Additionally, there was a negative association between dissociation and relationship satisfaction. CONCLUSIONS: Future research should include longitudinal research designs or ecological momentary assessment designs and should examine these relationships in clinical samples.
Show less - Date Issued
- 2019
- Identifier
- CFE0007445, ucf:52725
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0007445
- Title
- INVESTIGATING THE MODERATING EFFECTS OF OPTIMISM, HOPE, AND GRATITUDE ON THE RELATIONSHIP AMONG NEGATIVE LIFE EVENTS AND PSYCHOLOGICAL DISTRESS AND LIFE SATISFACTION.
- Creator
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Gungor, Abdi, Young, Mark, Sivo, Stephen, Barden, Sejal, Munyon, Matthew, University of Central Florida
- Abstract / Description
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The literature has documented that negative life events such as divorce, financial issues, or relationship changes lead to various psychological concerns including depression, anxiety, or suicidal behaviors. However, several variables affect how people cope with negative life events. Among those variables, optimism, hope, and gratitude have been emphasized in the literature, and their relationships with several psychological outcomes have been studied. However, little is known about the...
Show moreThe literature has documented that negative life events such as divorce, financial issues, or relationship changes lead to various psychological concerns including depression, anxiety, or suicidal behaviors. However, several variables affect how people cope with negative life events. Among those variables, optimism, hope, and gratitude have been emphasized in the literature, and their relationships with several psychological outcomes have been studied. However, little is known about the effects of these variables on negative life events and their relationship to psychological distress and life satisfaction. The purpose of this study was to investigate the relationship between negative life events and psychological distress and life satisfaction. This study also examined the moderating effects of optimism, hope, and gratitude on negative life events' prediction of psychological distress and life satisfaction. This investigation tested the theoretical model that negative life events predicted psychological distress and life satisfaction in undergraduate students (N = 738). In addition, this investigation tested three theoretical interaction models that optimism, hope and gratitude moderated the relationships between negative life events and psychological distress and life satisfaction. The results revealed that negative life events predicted psychological distress and life satisfaction. Regarding moderating effects, optimism hope, and gratitude moderated negative life events' prediction of psychological distress, but not life satisfaction. These results are consistent with the existing literature on negative life events. The results and limitations are discussed along with suggestions for future research. Implications are presented for college counselors and counselor educators.
Show less - Date Issued
- 2016
- Identifier
- CFE0006313, ucf:51611
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006313
- Title
- How does brief cognitive behavioral therapy work? Potential mechanisms of action for veterans with physical and psychological comorbidities.
- Creator
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Deavers, Frances, Cassisi, Jeffrey, Bowers, Clint, Eldridge, Gloria, University of Central Florida
- Abstract / Description
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Depression and anxiety are commonly comorbid among patients with chronic medical conditions. These comorbidities are associated with negative outcomes including poorer quality of life and worse physical functioning. Evidence that traditional cognitive behavioral therapy (CBT) is less effective for these populations has led to the development of brief CBT protocols that incorporate physical health self-management skills and are delivered in primary care. To continue refining treatment packages...
Show moreDepression and anxiety are commonly comorbid among patients with chronic medical conditions. These comorbidities are associated with negative outcomes including poorer quality of life and worse physical functioning. Evidence that traditional cognitive behavioral therapy (CBT) is less effective for these populations has led to the development of brief CBT protocols that incorporate physical health self-management skills and are delivered in primary care. To continue refining treatment packages, it is important to understand how brief CBT works. The present study used the transactional model of stress and coping as a framework for investigating potential mechanisms of action of brief CBT. Veterans with chronic obstructive pulmonary disease and/or heart failure and elevated symptoms of depression and/or anxiety were randomized to receive brief CBT (n =180) or enhanced usual care (EUC; n = 122). At 4-month follow-up, depression and anxiety symptoms were significantly lower in veterans who received brief CBT, compared to EUC. Multiple mediation analyses revealed that brief CBT was associated with higher self-efficacy and less avoidant coping at 4-month follow-up, which were in turn associated with less depression and anxiety symptoms. Illness intrusiveness was also a significant mediator of the relationship between brief CBT and anxiety symptoms, but not depression symptoms. In contrast, increases in active coping attributable to brief CBT were not associated with improvements in depression or anxiety symptoms. These results demonstrate the utility of the transactional model of stress and coping as a framework for understanding mechanisms of action of brief CBT in patients with comorbid physical and psychological conditions.
Show less - Date Issued
- 2017
- Identifier
- CFE0006733, ucf:51884
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006733
- Title
- Early and Intermediate Hospital-to-Home Transition Outcomes of Older Adults Diagnosed with Diabetes.
- Creator
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Lamanna, Jacqueline, Bushy, Angeline, Norris, Anne, Wink, Diane, Gammonley, Denise, University of Central Florida
- Abstract / Description
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Over 5 million older adults with diabetes are hospitalized each year. Though typically not the index condition that leads to hospitalization, diabetes control often decompensates during the course of an admission and necessitates changes in home self-management plans. The specific transitional care needs of older adults with diabetes have been largely unstudied. Transition theory provided the guiding framework for this research and proposes that each transition is a complex process created by...
Show moreOver 5 million older adults with diabetes are hospitalized each year. Though typically not the index condition that leads to hospitalization, diabetes control often decompensates during the course of an admission and necessitates changes in home self-management plans. The specific transitional care needs of older adults with diabetes have been largely unstudied. Transition theory provided the guiding framework for this research and proposes that each transition is a complex process created by the continuous interaction of personal, community, and societal-level conditions that facilitate or inhibit the health of a transition. Hospitalization has been described as a series of three successive, interrelated transitions. The aims of this study were to determine whether personal and community transition conditions impacted the early and intermediate post-discharge outcomes in a sample of older adults with diabetes. A simultaneous quantitative/qualitative mixed method design was used to identify factors that impacted the home recovery transition experiences in a sample of 96 older adults with a mean age of 75 years. A supplementary content analysis of free-response data gathered during administration of the Post-Discharge Coping Difficulty Scale (PDCDS) clarified difficulties encountered by elders and caregivers during in the first 30 days following discharge. Four overarching themes emerged: (")the daily stuff is difficult("); (")engineering care at home is difficult("); (")life is stressful(") and (")difficulty managing complex health problems(").Difficulties managing a complex medication regimen, regulating blood glucose, and managing a non-diabetes chronic health problem such as hypertension and chronic lung disease were subthemes that emerged during qualitative data analyses. These subthemes were transposed into discrete nominal level variables and served as additional indicators of post-discharge coping difficulty in the descriptive correlational core component of the research project.Participants in this study who experienced an event of recidivism had lower pre-discharge assessments of readiness on the Readiness for Hospital Discharge Scale (RHDS) (t = 2.274,df = 48, p =.028). Higher PDCDS scores were observed in patients who experienced an event of recidivism within 30 days of discharge (t = -3.363, df=24.7, p = .003) and also in respondents who described difficulties with managing medications, controlling diabetes, and managing a chronic illness. Binary logistic regression was used to identify factors that may predict recidivism risk. No condition-specific predictor variables were identified. A statistically significant three-variable model (X2 = 26.737, df = 3, p (<) .001) revealed that PDCDS scores at 7 days (Wald X2 =3.671, df = 1, p =.050), PDCDS scores at 30 days (Wald X2 = 6.723, df = 1, p =.010), and difficulty managing a chronic health condition (Wald X2 = 8.200, df = 1, p =.004) were predictive of an event of recidivism within 30 days of discharge. Difficulty managing a chronic health problem other than diabetes was particularly predictive of recidivism. The nurse's skill in delivering discharge education was a factor in limiting early post-discharge difficulties. Elders with residual information needs on the day of discharge as measured by scores the Quality of Discharge Teaching Scale (QDTS) reported a lower readiness for discharge (r = -.314, p = .003) and experienced greater difficulties with early post-discharge coping (r =. 288, p = .023). Greater satisfaction with the post-discharge transition was noted in participants with higher QDTS scores (r = .444, p (<).001). Outcomes of the hospital-to-home transition experience were impacted by a variety of personal, hospital, and community factors. Findings of this study suggest that there is a need to better understand the sequential nature of the home recovery transition and the fluid needs of older adults during this high-risk phase of care. The environments in which older adults receive post-discharge care are complex and need to be thoroughly considered when planning the post-discharge transition. Metrics of institutional performance of transitional care practices need to extend beyond events to recidivism and include evaluations of post-discharge coping and transition satisfaction. The nurse as the primary provider of discharge education has the potential to significantly promote positive transition outcomes for older adults and their family care providers.
Show less - Date Issued
- 2013
- Identifier
- CFE0004875, ucf:49652
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0004875
- Title
- Temperament, emotion regulation, and distress tolerance as related correlates of psychological symptoms.
- Creator
-
Pearte, Catherine, Negy, Charles, Renk, Kimberly, Bedwell, Jeffrey, University of Central Florida
- Abstract / Description
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Researchers have postulated that those with difficult temperament are at risk for difficulties with regulating emotions, are less tolerant of distressing stimuli, have characteristic difficulty coping with distress, and are (at some periods of development) more apt to experience clinically significant psychological symptoms. This study used exploratory factor analyses and structural equation modeling to compose and test a model that explained how emotion regulation, distress tolerance, and...
Show moreResearchers have postulated that those with difficult temperament are at risk for difficulties with regulating emotions, are less tolerant of distressing stimuli, have characteristic difficulty coping with distress, and are (at some periods of development) more apt to experience clinically significant psychological symptoms. This study used exploratory factor analyses and structural equation modeling to compose and test a model that explained how emotion regulation, distress tolerance, and coping skills interact to explain how certain temperament features translate into psychological symptoms. Because those with difficult temperament were thought to be at a unique risk for psychological maladjustment, mean-based criterion were used to identify those with relatively difficult, typical, or easy temperament and then test whether the degree of between-group differences on study variables was statistically significant. Results of correlational and EFA analyses suggested that there were statistically significant differences between constructs that were correlated highly (i.e., distress tolerance, emotion regulation, and emotion dysregulation). Results of SEM analyses indicated that the relationship between difficult temperament and psychological maladjustment was explained partially by the way in which emotion regulation, emotion dysregulation, distress tolerance, and coping skills interact, with the strength of each mediating variable differing considerably. There were also differences in the power of the relationship between variables when correlational power was considered alone rather than in the context of the larger measurement and structural models. Future directions and implications are discussed.
Show less - Date Issued
- 2015
- Identifier
- CFE0005686, ucf:50120
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0005686
