Thesis (Ph.D.)--Fairleigh Dickinson University, 2005. / Source: Dissertation Abstracts International, Volume: 65-11, Section: B, page: 6086. Chair: Christopher A. Capuano. Available also in print.

Thesis (Ph.D.)--Pacific Graduate School of Psychology, 2003. / Source: Dissertation Abstracts International, Volume: 65-02, Section: B, page: 1018. Adviser: A. Wisniewski.

Thesis (Ph.D.)--Pacific Graduate School of Psychology, 2005. / Source: Dissertation Abstracts International, Volume: 66-07, Section: B, page: 3936. Adviser: Amy Wisniewski.

Thesis advisor: Rebekah Levine Coley / Theories of upward mobility argue that academic and employment success grant individuals improved health, yet emerging evidence suggests that striving for such mobility in the context of marginalization may actually dysregulate physiological stress responses and compromise health. It is still unclear whether these associations operate as a function of cumulative exposure to risk (including both socioeconomic and racial/ethnic marginalization), or whether they would emerge outside of such collective risk. Further, little is known about how the school context, one of the most central contexts in adolescent development, affects associations between mobility and health, despite evidence that opportunities for socioeconomic comparisons or for discrimination at school may further exacerbate these associations. Drawing on data from the National Longitudinal Study of Adolescent Health, a longitudinal survey of a nationally representative school-based sample of adolescents in the United States (N=14,797), the current study sought to clarify links between achievement and physiological health. Multilevel regression analyses considered prospective associations between achievement and health while attending to potential variation in links across the socioeconomic spectrum and across racial/ethnic groups. Additionally, school-level factors were taken into account and explored as potential augmenting mechanisms in these links. Findings suggested promotive links between achievement and physiological health, but also suggested that such links were not shared broadly by all youth. Although links did not vary across the socioeconomic spectrum, Asian American youth demonstrated some greater health payoffs of achievement compared to their non-Hispanic White peers, while non-Hispanic Black and Mexican American youth largely experienced reversed links. These results suggest additional evidence that striving for academic achievement while experiencing racial/ethnic marginality may engender dysregulation of the stress-response system. Thus, findings are discussed in relation to the social and historical contexts that may contribute to such divergent links. However, the school-level factors considered did not moderate links among achievement, individual characteristics, and physiological health, pointing to the importance of future research considering alternate social and contextual mechanisms in these relationships. / Thesis (PhD) — Boston College, 2017. / Submitted to: Boston College. Lynch School of Education. / Discipline: Counseling, Developmental and Educational Psychology.

<p>Over 40% of Americans are at risk for developing cancer during their lifetime. Technological advances have resulted in improved survival rates. The uncertainty associated with the diagnosis of cancer may give rise to psychological distress. Psychological distress is a multifaceted, complex concept that has shown to interfere with the patient's quality of life, treatment regimens, and treatment outcomes. The purpose of this study was to explore the factors that influence psychological distress in patients with cancer. Influencing factors of psychological distress include medical treatments, personal concerns, family relationships, social support, spirituality, uncertainty and professional support. The theoretical framework that guided this study was derived from the Theory of Uncertainty, Chaos Theory, and review of the literature. The sample consisted of 150 patients diagnosed with non-metastatic cancer living in the suburbs of a major Northeastern United States city. Data was collected using three instruments that measured the degree of psychological distress and the influencing factors: the Distress Thermometer, Mishel's Uncertainty Scale and the Distress Inventory for Cancer-Version 2. The results of this study revealed that significant relationships exist between psychological distress and personal concerns, finances, and uncertainty. In this study the influencing factor of personal concerns was shown to mediate the other factors. Studies have shown that nurses do not routinely screen for psychological distress. Nurses involved in the care of oncology patients can utilize the results of this study to recognize the impact of cancer beyond the clinical manifestations. In addition, nurses can use the results to develop a collaborative plan of care to address the psychological distress that patients with cancer may be experiencing. </p>

Thesis (Ph.D.)--Pacific Graduate School of Psychology, 1996. / Source: Dissertation Abstracts International, Volume: 57-08, Section: B, page: 5332.

Thesis (Ph.D.)--Fairleigh Dickinson University, 1999. / Source: Dissertation Abstracts International, Volume: 59-12, Section: B, page: 6487. Chair: Neil A. Massoth. Available also in print.

Thesis (Ph.D.)--Fairleigh Dickinson University, 2000. / Source: Dissertation Abstracts International, Volume: 61-02, Section: B, page: 1066. Chairperson: Christopher A. Capuano. Available also in print.

The current study considered school stress appraisal, as a challenge or hindrance, as it relates to individual school outcomes (performance and satisfaction), and individual health outcomes (physiological and psychological). Correlations were calculated between predictor and outcome variables. Confidence intervals were calculated and regression analyses performed in order to highlight differences in the relationship between predictors on the same outcome variables. A mediation analysis was conducted to establish the potential effect of health on the relationship between the predictors and performance/satisfaction outcomes. Challenge and hindrance stress were each found to be correlated with both types of health outcomes. Hindrance stress was found to be correlated with satisfaction. Challenge stress was found to be correlated with performance. Physical and psychological health were found to partially mediate the relationship between hindrance stress and satisfaction. Overall, stress appraisal was found to be a good predictor of individual outcomes. Health outcomes were found to mediate the relationship between satisfaction outcomes.

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