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Racial/ethnic Differences in Hospital Utilization for Cardiovascular-related Events: Evidence of a Survival and Recovery Advantage for Latinos? (open access)

Racial/ethnic Differences in Hospital Utilization for Cardiovascular-related Events: Evidence of a Survival and Recovery Advantage for Latinos?

Evidence continues to demonstrate that racial/ethnic minority groups experience a disproportionate burden of disease and mortality in cardiovascular-related diseases (CVDs). However, emerging evidence suggests a health advantage for Latinos despite a high risk profile. The current study explored the hospital utilization trends of Latino and non-Latino patients and examined the possibility of an advantage for Latinos within the context of CVD-related events with retrospective data collected over a 12-month period from a local safety-net hospital. Contrary to my hypotheses, there was no advantage for in-hospital mortality, length of stay or re-admission in Latinos compared to non-Latinos; rather, Latinos hospitalized for a CVD-related event had a significantly longer length of stay and had greater odds for re-admission when compared to non-Latinos. Despite data suggesting a general health advantage, Latinos may experience a relative disparity within the context of hospital utilization for CVD-related events. Findings have implications for understanding the hospital utilization trends of Latinos following a CVD-related event and suggest a call for action to advance understanding of Latino cardiovascular health.
Date: May 2014
Creator: García, James J.
System: The UNT Digital Library
Daily-collected Sleep Diaries Compared to Weekly-collected Sleep Diaries Via Actigraph Concordance (open access)

Daily-collected Sleep Diaries Compared to Weekly-collected Sleep Diaries Via Actigraph Concordance

Both sleep diaries and actigraphy have been recommended to assess sleep in research and clinical settings. Investigators have traditionally used sleep diaries that were completed daily by participants and collected weekly but have recently begun using sleep diaries that are both completed and collected daily. No research had previously assessed the agreement between daily-collected sleep diaries and actigraph data over one week. Undergraduate students were randomly assigned to use daily- or weekly-collected sleep diaries. Sleep parameters obtained from these measures were compared to each other via concordance with concurrent actigraph data. It was hypothesized that daily-collected sleep diaries would have greater concordance with actigraphy than weekly-collected sleep diaries. Results indicated that daily-collected sleep diaries provided more reliable data than weekly-collected sleep diaries, but the differences were not statistically significant. Additional aims examined self-reported sleep diary adherence, the participation day number, and day of the week. There were trends for the Daily group to have better adherence. Overall concordance did not change based on the day number or day of the week. Both sleep diaries yield comparable sleep parameter data, suggesting that clinicians and researchers can use either method to estimate sleep parameters.
Date: May 2014
Creator: Francetich, Jade M.
System: The UNT Digital Library
Lipodystrophy, Body Image and Depression in Hiv Positive Black Women (open access)

Lipodystrophy, Body Image and Depression in Hiv Positive Black Women

Human immunodeficiency virus (HIV) seropositive men on highly active antiretroviral therapy treatment (HAART) who experience lipodystrophy syndrome (LD), a side effect of HAART, rate themselves as more depressed than those who did not experience LD(Crane et al., 2008). Furthermore, men who rated their LD symptoms as more severe also scored higher on depression measures than men who experienced less severe symptoms. It is unknown these findings can be generalized to other groups of HIV positive individuals. The current study seeks to fill this gap in the literature by exploring the associations between LD, body image, and depressive symptoms in an archival sample of HIV positive Black women. This study aims to describe the body changes associated with HAART in a Black female sample and explore the relationships between LD, body image, depression, and quality of life. Findings supported past research indicating a correlation between depression and poor body image but did not indicate that body image quality of life moderated the relationship between perceived body changes and depression. Results expanded on the literature by indicating that perceived body changes may be more distressing to Black women with HIV than objective changes. Lastly, findings suggested that Black women may have inaccurate …
Date: May 2014
Creator: Carr, Jarice N.
System: The UNT Digital Library
Is Mindfulness Just Another Ego Depletion Exercise? (open access)

Is Mindfulness Just Another Ego Depletion Exercise?

Given increasing interest in the therapeutic benefits of mindfulness, limitations of its treatment utility are frequently questioned. As such, the purpose of the study was to examine the effects of mindfulness on a subsequent self-control task in a sample of college students. A total of 67 participants were randomly assigned to one of three conditions: a control condition, an experimental mindfulness-only condition or a comparison expectancy-plus-mindfulness condition to investigate the utility of mindfulness practice when motivated by an outcome of increased self-control. Results did not indicate a difference in persistence on a difficult task between conditions, regardless of the manipulation. Conceptual and experimental limitations of current study’s findings, as well as future directions, are discussed.
Date: May 2014
Creator: Connally, Melissa Londoño
System: The UNT Digital Library
Sexual and Nonsexual Boundary Violations Between Sport Psychology Professionals and Their Client-athletes (open access)

Sexual and Nonsexual Boundary Violations Between Sport Psychology Professionals and Their Client-athletes

Sexual attraction (SA), as well as sexual (SBVs) and nonsexual boundary violations (NSBVs), have been identified as matters of ethical concern, being viewed as harmful within mental health or counseling relationships. Much of the literature in the area of SA and SBVs has focused on the counselor-client relationship, but it has been investigated only minimally in the field of sport psychology and specifically with regard to sport psychology professionals (SPPs). Because SA, SBVs, and NSBVs between SPPs and their client-athletes seem to be potentially problematic concerns in need of empirical investigation and practical scrutiny, the aim of this study was to examine: (a) the incidence of SBV and NSBV beliefs and behaviors among SPPs; (b) SPPs' feelings regarding SA for and from client-athletes; and (c) SPPs' willingness to seek supervision to manage their SA beliefs and behaviors towards client-athletes. SPPs (n = 365) completed the Survey of Applied Sport Psychologists (SASP) via e-mail or regular mail. As expected, SPPs experienced SA (40.6%) and generally did not experience strong feelings as a result of the SA. However, of the SPPs experiencing SA, 13.5% of males and 13.8% of females engaged in a SBV with a client-athlete. NSBV behaviors and beliefs are …
Date: May 2014
Creator: Moles, Troy
System: The UNT Digital Library
Athletic Trainers and Sport Psychology: Knowledge, Experience and Attitudes (open access)

Athletic Trainers and Sport Psychology: Knowledge, Experience and Attitudes

Certified athletic trainers (ATCs) play a unique role in sport environments as the primary medical staff available to athletes. Thus, ATCs are well positioned to oversee athletes’ physical and psychological well-being. Although sport psychologists (SPs) have been identified as a potential resource for ATCs, previous studies have reported a lack of collaboration between SPs and ATCs. This study aimed to (a) examine ATCs’ views regarding professional roles for both ATCs and SPs, (b) explore ATCs’ referral behaviors, (c) evaluate ATCs belief in the credibility of sport psychology across demographic (i.e., gender, age) and experiential variables (i.e., access to SPs), and (d) examine ATCs’ involvement in sport psychology. Four hundred ninety-six ATCs (265 men, 231 women) completed and returned the questionnaire. ATCs viewed assisting in the psychological recovery of athletes as the most acceptable professional role for fellow ATCs; aiding in the psychological recovery of injured athletes and teach mental skills were identified by ATCs as the most appropriate roles for SPs. In considering an athlete experiencing interpersonal difficulties (e.g., relationship problems), a mixed design ANOVA revealed a ATC sex by referral option interaction; female and male ATCs indicated they would likely refer the athlete to a counselor/therapist, followed by a …
Date: May 2014
Creator: Ramaeker, Joseph P.
System: The UNT Digital Library