Current Search: psychosocial (x)
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- Title
- THE PSYCHOSOCIAL EFFECTS OF APHASIA ON THE CAREGIVER.
- Creator
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Ferrara, Lauren A, Whiteside, Janet D., Wharton, Tracy; Zraick, Richard, University of Central Florida
- Abstract / Description
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Studies have investigated the physical and emotional wellbeing of family members and spouses who care for persons with stroke (Bakas, et al. 2006). Literature shows burden of care is high in role reversal and depression is frequent. Variables that affect the caregiver burden with persons with aphasia (PWA) have not been identified prior to this study. Results from caregiver interviews found six themes, some which have not been identified prior, such as feelings of optimism.
- Date Issued
- 2017
- Identifier
- CFH2000175, ucf:45968
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000175
- Title
- Cardiac Autonomic Control in Patients with Metabolic Syndrome.
- Creator
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Mitchell, Jonathan, Cassisi, Jeffrey, Bedwell, Jeffrey, Beidel, Deborah, University of Central Florida
- Abstract / Description
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Metabolic syndrome (MetS) encompasses metabolic abnormalities that substantially increase risk for chronic illnesses. MetS and stress are closely related; the pathophysiology of MetS involves dysregulated stress response in both the physiological and psychological domains. In an effort to further clarify the relationship between metabolic abnormalities and autonomic dysregulation, we used ambulatory impedance cardiography to examine indicators of cardiac autonomic control (CAC) in a sample of...
Show moreMetabolic syndrome (MetS) encompasses metabolic abnormalities that substantially increase risk for chronic illnesses. MetS and stress are closely related; the pathophysiology of MetS involves dysregulated stress response in both the physiological and psychological domains. In an effort to further clarify the relationship between metabolic abnormalities and autonomic dysregulation, we used ambulatory impedance cardiography to examine indicators of cardiac autonomic control (CAC) in a sample of 50 adult primary care patients with and without MetS. Indices of sympathetic and parasympathetic influences on cardiovascular functioning were assessed in the context of psychological stressors and compared across experimental groups and examined in relation to self-reported health measures. Primary results suggest that while our experimental groups did not differ significantly on baseline measures, patterns of responses to experimentally induced stressors were largely consistent with our predictions, and demonstrate that individuals with MetS responded to stress cues with more maladaptive CAC scores. Moreover, in line with previous work, we found that elements of CAC in our sample were predictive of both cardiovascular disease and self-reported environmental quality of life. Overall, our results suggest that maladaptive physiological manifestations of the stress response are evident among individuals with MetS and may also be related to long-term health outcomes. The present study carries implications for both evaluation and assessment as well as treatment delivery and monitoring. In addition, the ambulatory nature of data collection demonstrated here supports trends toward mHealth and related initiatives in emerging modes of healthcare delivery.
Show less - Date Issued
- 2016
- Identifier
- CFE0006359, ucf:51519
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006359
- Title
- Identification of Areas of Patient Need Using the Cancer Support Source Program.
- Creator
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Ross, Emily, Cassisi, Jeffrey, Jensen, Bernard, Robinson, Diane, University of Central Florida
- Abstract / Description
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Understanding, screening, and providing resources for quality of life factors and psychosocial distress have become an important area of focus in cancer care. Negative consequences of poor quality of life and psychosocial distress have been widely studied in oncological research. The National Comprehensive Cancer Network, or NCCN, defines (")psychosocial distress(") as extending on a continuum, (")ranging from common normal feelings of vulnerability, sadness, and fears to problems that can...
Show moreUnderstanding, screening, and providing resources for quality of life factors and psychosocial distress have become an important area of focus in cancer care. Negative consequences of poor quality of life and psychosocial distress have been widely studied in oncological research. The National Comprehensive Cancer Network, or NCCN, defines (")psychosocial distress(") as extending on a continuum, (")ranging from common normal feelings of vulnerability, sadness, and fears to problems that can become disabling, such as depression, anxiety, panic, social isolation, and existential and spiritual crisis(") ((")National Comprehensive Cancer Network,(") n.d.). Findings have indicated the significant impact of poor quality of life and psychosocial distress in the cancer patient population. Elevated levels of psychosocial distress increases the risk of developing depression, anxiety, immune suppression, and may lead to high levels of stress. Studies have also revealed associations between increased psychosocial distress levels, relapse, treatment and healing outcomes, and survival rates (Anderson, Kiecolt-Glaser, (&) Glaser, 1994; Spiegel (&) Nemeroff, 1997). Evidence also shows that heightened psychosocial distress negatively influences a patient's capability to adhere to their medical plan and treatment (Allison et al., 1995; Pirl et al., 2007; Zabora, Brintzenhofeszoc, Curbow, Hooker, (&) Piantadosi, 2001). Attending to these negative outcomes of psychosocial distress and providing supportive care is a crucial action of oncology practice today. The American College of Surgeons Commission on Cancer responded to the imperative of addressing psychosocial needs in cancer care by mandating national cancer centers for accreditation purposes to screen for psychosocial distress and provide appropriate referral and resources (Standard 3.2). UF Health Cancer Center (-) Orlando Health began psychosocial distress screening on January 1st, 2015 with the utilization of the Web-based, HIPPA compliant, and action based Cancer Support Source Program. Patient data responses collected with the Cancer Support Source Program over the first calendar year of the implementation of the American College of Surgeons Commission on Cancer standards were analyzed for this research study. A sample of 317 patient data responses was included to conduct an exploratory factor analysis (EFA) on the Cancer Support Source Program test items. Specifically, a Principal Component Analysis (PCA) with an oblique rotational procedure (Promax) was conducted on the resulting data set for interpretation. Factorial interpretation was made to ascertain latent dimensions in the Cancer Support Source Program. A five factor structure model was found with adequate discriminant and face validity. Factors were grouped by conceptual basis and item-loading composition: Distress, Treatment Management and Decisions, Lifestyle, Relationship, and Substance Use. These factors were collectively termed the Concern Subscales. The Distress, Treatment Management and Decisions, and Lifestyle Factors were found to present the most psychometrically sound and internally consistent model. Further analysis was conducted to examine the resulting factorial structure model on four cancer location groups: breast, head and neck, lung, and gynecological cancer. Results displayed that no significant differences were found between cancer location groups and the five extracted factors. However, an ad hoc test (Tukey's HSD) revealed two significant differences between the Lifestyle Factor and cancer location groups at the p (<) 0.05 level. The Breast Cancer group's Lifestyle scores were higher than the Gynecologic Cancer group, and the Breast Cancer group scores were lower than the Lung Cancer group. Additionally, the action scores were summed to examine correlation between the five extracted Concern Subscales. A high correlation was found, indicating that the action items in the Cancer Support Source questionnaire correspond with the extracted Concern Subscales and do not need to undergo dimension reduction. Furthermore, a high correlation was also found with the extracted Distress Concern Subscale and the existing depression subscale in the Cancer Support Source Program.Results indicated that the Cancer Support Source Program could indeed benefit from dimension reduction to ascertain more parsimonious areas of need presented by the cancer patient population. The 25 single-items in the Cancer Support Source questionnaire may inhibit the ability to indicate other concerns that may be expressed by the patient. By identifying the latent dimensions in this exploratory endeavor, we were able to demonstrate how the Cancer Support Source questionnaire could be refined to include easily scored Concern subscales to better identify areas of need for each individual patient that is screened for psychosocial distress. These findings provide an opportunity to impact patient care, opportunities for referral, and resources for cancer care in a hospital setting using this psychosocial distress screening instrument.
Show less - Date Issued
- 2017
- Identifier
- CFE0006650, ucf:51254
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFE0006650
- Title
- IMPROVED PHYSIOLOGY AND PSYCHOSOCIAL WELL-BEING FOR CHILDREN WITH PHYSICAL DISABILITIES THROUGH VIRTUAL REALITY IMMERSION.
- Creator
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Fralish, Bethany D, Nickels, Megan, University of Central Florida
- Abstract / Description
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The purpose of this case study was to examine the physiological and psychosocial effects of an immersive virtual reality (VR) system in a female, young adult with right side paralysis following a left hemisphere brain bleed in order to determine the usefulness of immersive VR for children with physical disabilities, in particular, cerebral palsy (CP). The current study consisted of six sessions over a span of three weeks, with each session lasting approximately 45 minutes. Physiological...
Show moreThe purpose of this case study was to examine the physiological and psychosocial effects of an immersive virtual reality (VR) system in a female, young adult with right side paralysis following a left hemisphere brain bleed in order to determine the usefulness of immersive VR for children with physical disabilities, in particular, cerebral palsy (CP). The current study consisted of six sessions over a span of three weeks, with each session lasting approximately 45 minutes. Physiological factors (upper body mobility, heart rate variability) were assessed via a hand use questionnaire and a heart rate monitor, while psychosocial factors (e.g. positive mood) were assessed through post-session debriefing discussions with the participant. All measures were completed at each of the six VR sessions, with the exception of the hand use questionnaire, which was administered at baseline, and post-intervention. The VR programs selected were specifically chosen to engage upper body and arm movements. Descriptive analyses and coding of interviews were conducted to examine changes throughout the study sessions. The participant reported an increase in hand mobility and psychosocial well-being, such as improvement in mood, as a result of her participation in the VR sessions. The results of the current study suggest that the use of movement-specific VR programs may be beneficial to children with physical disabilities and CP, although due to the single-subject design of the study, further research is warranted.
Show less - Date Issued
- 2017
- Identifier
- CFH2000255, ucf:46028
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000255
- Title
- EFFECTS OF A MODIFIED JUDO PROGRAM ON PSYCHOSOCIAL FACTORS IN TYPICALLY DEVELOPING AND CHILDREN WITH AUTISM SPECTRUM DISORDER: A MIXED-METHODS STUDY.
- Creator
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Tomey, Keanu L., Garcia, Jeanette M., Fukuda, David H., University of Central Florida
- Abstract / Description
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PURPOSE: The purpose of this study was to examine the effect of a modified judo training program on psychosocial health in both typically developing (TD) and children with Autism Spectrum Disorder (ASD) using a mixed-methods approach. METHODS: The sample consisted of 5 children with ASD and 5 TD children (age=8-11yrs) who participated in 10 sessions of a modified judo program during their typical physical education time for school. Psychosocial factors (enjoyment, perceived competence,...
Show morePURPOSE: The purpose of this study was to examine the effect of a modified judo training program on psychosocial health in both typically developing (TD) and children with Autism Spectrum Disorder (ASD) using a mixed-methods approach. METHODS: The sample consisted of 5 children with ASD and 5 TD children (age=8-11yrs) who participated in 10 sessions of a modified judo program during their typical physical education time for school. Psychosocial factors (enjoyment, perceived competence, benefits of PA) were assessed at baseline and post intervention, with completion of all measures dependent upon the level of comfort expressed by the participant. At the end of the program, children took part in focus group discussions centered around their experience with the program, while key school staff participated in semi-structured interviews based on their observations of the program. All focus group discussions and interviews were audio-recorded and transcribed verbatim. RESULTS: Quantitative results for pre and post psychosocial measures showed no significant differences existed between PA self-efficacy (p=.99), PA enjoyment (p=.6), and barriers to PA (p=.27). Qualitative results revealed that the majority of the participants found the program to be enjoyable, with partner centered activities being particularly fun. Suggestions for improvement included increasing the duration and frequency of the judo classes. All children reported a desire to continue participating in the judo classes. Findings from staff interviews indicated that school staff observed improvements in psychosocial health and behavior both immediately following a judo class, and throughout the intervention period. Increased self-confidence was mentioned by all participating school staff members. CONCLUSION: Despite the lack of significant quantitative findings, psychosocial benefits were observed in both TD children and children with ASD, with all participants reporting their desire to continue with the program. Future studies should examine the psychosocial benefits in a judo-training program in larger sample of children over longer durations.
Show less - Date Issued
- 2017
- Identifier
- CFH2000252, ucf:46017
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH2000252
- Title
- COUNSELING STUDENTS' ATTITUDES AND BELIEFS TOWARD LGBTQ INDIVIDUALS AND RELATIONSHIPS BETWEEN PSYCHOSOCIAL FACTORS.
- Creator
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McHarg, Samantha, Molina, Olga, University of Central Florida
- Abstract / Description
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Attitudes and beliefs influence how counselors practice. This study explored four psychosocial factors and their correlation to the attitudes of graduate counseling students' (N = 28) toward lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) individuals. The four main psychosocial factors that were identified in previous research include knowledge level, religiosity, political affiliation, and previous experience with LGBTQ individuals. The hypothesis of this study was...
Show moreAttitudes and beliefs influence how counselors practice. This study explored four psychosocial factors and their correlation to the attitudes of graduate counseling students' (N = 28) toward lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) individuals. The four main psychosocial factors that were identified in previous research include knowledge level, religiosity, political affiliation, and previous experience with LGBTQ individuals. The hypothesis of this study was there are relationships between attitudes toward LGBTQ individuals and the aforementioned psychosocial factors. Students were invited to participate through emails sent by the Director of the Counseling Education program. The survey used to collect data included a demographics questionnaire and three scales. The findings did not show any significant correlations between knowledge level, religiosity, and political affiliation and attitudes. Personal relationships and attitudes could not be tested due to limitations of the study. These findings were not congruent with previous research.
Show less - Date Issued
- 2013
- Identifier
- CFH0004417, ucf:45090
- Format
- Document (PDF)
- PURL
- http://purl.flvc.org/ucf/fd/CFH0004417