The Benefits of Journaling/Creative Writing for Mental Health & Treatment for Anorexia-Nervosa

Description
My thesis consists of a research paper on effective therapeutic practices for anorexia-nervosa, which include FBT, CBT-E, and DBT. The creative portion of my thesis includes a self-paced recovery journal and recipe book that are meant to be used in conjunction with a therapeutic practice.
Date Created
2023-05
Agent

Evaluating The Role of Objective and Subjective Neighborhood Context with Mental Health and Well-Being in Midlife

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Description
It is well known that neighborhood contexts form an integral part in shaping development across the lifespan. At the same time, it is recognized that there is variability in the manner with which the neighborhood context is associated with pertinent

It is well known that neighborhood contexts form an integral part in shaping development across the lifespan. At the same time, it is recognized that there is variability in the manner with which the neighborhood context is associated with pertinent outcomes, such as mental health and psychological well-being. In this regard, empirical research has differentiated between subjective and objective neighborhood indicators. Midlife is a critical life stage due to middle-aged adults being “sandwiched” between generations and being firmly entrenched in the workforce; in this regard, the neighborhood context could play a role in shaping mental health and psychological well-being in midlife. Of importance is determining which factors account for development in midlife, and whether individuals can find protective factors in order to preserve their health and psychological wellbeing into older adulthood. The purpose of this dissertation was to examine whether and how neighborhood context is associated with mental health and psychological well-being in midlife. The first study examined whether the subjective and objective neighborhood context moderates the impact of monthly adversity on mental health and psychological well-being in midlife. The second study aimed to examine whether and which potentially relevant latent factors exist among subjective and objective neighborhood indicators in a sample of middle-aged adults from the Phoenix Metropolitan area. Taken together, the results of these studies provide evidence that neighborhood context is indeed relevant resource for middle-aged adults. Specifically, in Paper 1, found that individuals who live in neighborhoods with less disorder show fewer steep declines in mental health and well-being in months when an adversity was reported. Paper 2 found that that there are distinct latent constructs that were primarily comprised of factors related to resource and prosperity and financial strain for the objective indicators. For subjective perceptions factors comprised neighborhood insights. These findings contribute to the literature on potential ways in which neighborhood context may serve as a resource and serve as the groundwork for future studies that test mechanisms linking the neighborhood context to mental health and well-being in midlife and inform future intervention studies.
Date Created
2022
Agent

Neighborhoods and Health Behaviors among Low-income Mexican American Children

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Description
Ecological systems theory argues that multiple nested systems impact child development. This study used a moderated mediation pathway to examine whether presence of a grocery store, number of fast-food restaurants, outdoor play space, and outdoor play safety affected children’s blood

Ecological systems theory argues that multiple nested systems impact child development. This study used a moderated mediation pathway to examine whether presence of a grocery store, number of fast-food restaurants, outdoor play space, and outdoor play safety affected children’s blood pressure and BMI through variation in healthy family habits. Maternal perceived neighborhood social and cultural cohesion was examined as a moderator of the mediated effect. Data was collected from 214 mother–child dyads via biological measurement, maternal-report surveys, and geocoding of children’s neighborhoods using Google Earth. Zero-order correlations showed that higher number of fast-food restaurants in a child’s neighborhood was correlated with less engagement in healthy family habits and lower child BMI z-score. In all models, higher neighborhood social and cultural cohesion was associated with more engagement in healthy family habits. No statistically significant mediated effects or moderation of the mediated effects were found. Future directions may aim to identify which objective neighborhood environment indicators influence child health and what are potential variables mediating the relation.
Date Created
2020
Agent

Does neighborhood ethnic concentration interact with ethnic identity, Mexican orientation, or generation status to predict recidivism among Mexican American juvenile offenders?

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Description
Ethnic enclaves, or neighborhoods with high ethnic densities, have been linked with positive health outcomes and lower crime rates. Using data from the Pathways to Desistance project, this study tested whether neighborhood Latino concentration prospectively predicted re-offense rates among a

Ethnic enclaves, or neighborhoods with high ethnic densities, have been linked with positive health outcomes and lower crime rates. Using data from the Pathways to Desistance project, this study tested whether neighborhood Latino concentration prospectively predicted re-offense rates among a sample of Mexican American juvenile offenders (n = 247). Further, I tested whether the effect of neighborhood Latino concentration on re-offense was moderated by ethnic identity, Mexican orientation, and generation status. Covariates included demographics and risk factors for offending. Results showed that neighborhood Latino concentration, ethnic identity, Mexican orientation, and generation status were not predictive of re-offense rates. Gender, risk for offending, and time spent supervised during the follow-up period predicted re-offense rates one year later. The results highlight the importance of risk assessment for this high risk group.
Date Created
2018
Agent

Relations between Race/Ethnicity and Peer Relationships during Early Adolescence

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Description
I investigated if race/ethnicity was associated with self- and peer-reported victimization and aggression in a sample of 5th through 8th graders (N = 383, 51% males) from two schools in which Hispanic/Latino students were the ethnic-racial majority. Self-reported victimization did

I investigated if race/ethnicity was associated with self- and peer-reported victimization and aggression in a sample of 5th through 8th graders (N = 383, 51% males) from two schools in which Hispanic/Latino students were the ethnic-racial majority. Self-reported victimization did not differ between races. In contrast, White students often had higher peer-reported victimization relative to Hispanic and Multi-racial students. Few significant associations were found for aggression. There was some, albeit inconsistent, support for the idea that power imbalance based on race/ethnicity is shifted by numbers. In the future, researchers should conduct studies aimed verifying this notion and that are tailored toward answering questions of mechanism.
Date Created
2018-05
Agent

Moderation of sensation seeking effects on adolescent substance use

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Description
Adolescent substance use carries a considerable public health burden, and early initiation into use is especially problematic. Research has shown that sensation seeking traits increase risk for substance use experimentation, but less is known about individual and contextual factors that

Adolescent substance use carries a considerable public health burden, and early initiation into use is especially problematic. Research has shown that sensation seeking traits increase risk for substance use experimentation, but less is known about individual and contextual factors that can potentially protect against this risk. This study utilized a longitudinal sub sample of youth (N=567) from a larger study of familial alcoholism to examine sensation seeking in early adolescence (ages 10-15) and its relations to later substance use experimentation. Hypotheses tested whether individual executive control, parenting consistency, neighborhood disadvantage, and neighborhood ethnic concentration moderated sensation seeking’s effects on substance use experimentation using multilevel zero-inflated Poisson modeling. Across models, higher levels of sensation seeking were predictive of a higher likelihood of having initiated substance use, but sensation seeking was not significantly related to the number of different substance use classes tried. Only neighborhood disadvantage emerged as a significant moderator of the path from sensation seeking to substance use initiation. The strength of sensation seeking effects on substance use initiation increased as neighborhood disadvantage decreased below average levels, with the most advantaged neighborhoods exhibiting the strongest link between sensation seeking and substance use. There was also a trend towards the most disadvantaged neighborhoods exhibiting increased sensation seeking effects on substance use initiation. These results highlight the importance of focusing on relatively more advantaged areas as potentially risky environments for the externalizing pathway to substance use.
Date Created
2016
Agent

Examining neighborhood, maternal, and cultural influences on Mexican-origin adolescent mothers' educational outcomes

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Description
Mexican-origin adolescent females have the highest birthrate of all other ethnic groups in the U.S. Further, teen mothers are at significant risk for poor outcomes, including low educational attainment. Therefore, examining predictors of Mexican-origin teen mothers' educational attainment was the

Mexican-origin adolescent females have the highest birthrate of all other ethnic groups in the U.S. Further, teen mothers are at significant risk for poor outcomes, including low educational attainment. Therefore, examining predictors of Mexican-origin teen mothers' educational attainment was the main goal of the current study. Future-oriented beliefs such as educational aspirations and expectations are suggested to have positive implications for adolescents' educational attainment in general. Therefore, guided by bioecological, social capital, status attainment, social learning, and collective socialization of neighborhood theories, the current study examined neighborhood, maternal, and cultural predictors of 190 Mexican-origin parenting adolescents' educational aspirations, expectations, and attainment. With respect to maternal predictors, the study examined mother figures' (i.e., grandmothers') educational attainment, and aspirations and expectations for the adolescent as predictors of adolescents' educational attainment. Using a multi-informant, longitudinal analytic model, results suggest that adolescents' educational expectations, rather than aspirations, significantly predicted adolescents' attainment one year later. Additionally, grandmothers' educational attainment was indirectly associated with adolescents' educational attainment via the educational expectations of both the grandmother and the adolescent. Further, the neighborhood context indirectly informed adolescents' educational attainment via both grandmothers and adolescents' educational expectations. Finally, adolescents' ethnic identity affirmation was significantly associated with adolescents' educational attainment two years later. Implications regarding the importance of educational expectations and ethnic identity affirmation for at-risk parenting adolescents' educational attainment will be discussed.
Date Created
2014
Agent