Student Research Posters

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  Coffee Consumption, Perceptions, and Patterns

  Shannon Rodriguez

  Coffee is a substance people consume daily, but there are inconclusive and conflicting results from studies about the positive and negative effects of coffee and caffeine. For example, evidence from one study links lower levels of stress with coffee consumption while another study concluded drinking coffee results in sleep disruption. Given this information, there are numerous factors that contribute to why people drink coffee and the effects it has on each individual. The purpose of this study is to see if there are patterns between demographics, coffee consumption, and perceptions to understand how students, staff, and faculty at Dominican University of California perceive coffee and any factors that could contribute to their views.

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  A Sensory-Based Program to Enhance Occupational Performance for Dementia

  Naomi Grace Wong, Jacob Joseph Gantan, Ivy Annahi Torres-Flores, and Heather Anne August

  Dementia is a neurological disease, causing behavioral and cognitive symptoms, that progressively impairs an individual’s ability to engage in meaningful activities. Progressive deterioration associated with dementia impacts occupational performance and independence and quality of life. Sensory based interventions, such as drumming groups, have been hypothesized to be a non-pharmacological intervention for individuals with dementia. The purpose of this study was to analyze the effects of a sensory based intervention program, in this case participation in a drumming group, on functional engagement during self-feeding for individuals with dementia. Researchers gathered data over the course of two days using the Functional Behavior Profile, Self-Feeding Questionnaire, Visual Analog Scale, and the Agitated Behavior Scale as outcome measures. The first day was a baseline day, during which participants did not participate in the drumming group. Researchers completed observational questionnaires measuring the participant’s agitation and mood prior to lunch, and during lunch. On the second day, the participants engaged in the drumming group. Agitation, mood, and function was observed before and after the drumming group, and during lunch. Mood was elevated and increased engagement was observed during the drumming group. The effect of the drumming group did not carry over into self-feeding. There was a 20 minute wait period in between the drumming group and lunch time, which may have affected the results. Recommendations for future research include the evaluation of arousal and engagement during the drumming group and its effect on occupational performance.

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  Fragile X Syndrome and Family Occupations: Sertraline Treatment

  Tracy Ye, Decerie Mendoza, Elena A. Javier, and Martina C. Dualan

  Current research on children with Fragile X Syndrome (FXS) lacks inclusion of qualitative outcomes on the child’s daily occupational performance. Standardized measurements are frequently utilized and provide useful information, however, can be less sensitive to change (Berry Kravis et al., 2013) and miss capturing family perspectives and improvements within meaningful occupations. This research incorporates family perspectives via semi-structured interviews to promote an in-depth understanding about FXS and its impact on child and family occupations in addition to standardized assessment scores through in-depth case study analysis. This study used a mixed method research design examining four male participants who were given sertraline in an in-depth case study analysis. Caregivers were interviewed using a semi-structured interview protocol at baseline and at six months post-treatment to discuss their child, occupations, and any potential impacts of sertraline. Baseline and post-testing standardized assessment results were compared to the occupation centered semi-structured interviews. The data was collected from a pre-existing database in a previous study determining the outcome measures of sertraline. Dedoose software was used to code for categories and themes found in the FXS family interviews. Results indicated that standardized assessments have limited sensitivity to fully capture the lived experiences of families with FXS. Standardized assessments test for performance skills that may not necessarily translate to daily occupations as reported by families. While future practitioners should use standardized assessments in their evaluations, they should also include what families report in their daily lives to fully conclude the child’s abilities to participate and engage in their daily occupations

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  Fragile X Syndrome: An Examination of Family Occupations (Preliminary Findings)

  Samantha L. Alexander, Noelani M. Brisbane, Rebecca M. Schira, and Kaitlyn M. Williams

  Fragile X Syndrome (FXS) is the most common form of inherited Intellectual Developmental Disorder and a genetic model for Autism Spectrum Disorder. Those living with FXS face emotional, social, intellectual, and physical challenges that impact engagement in occupations, yet to date, there has been limited qualitative research examining family occupations in FXS. In this research, twelve interviews were transcribed, coded, and analyzed for common themes anchored in the Person, Environment, Occupation (PEO) model. Results indicated that while children with FXS exhibit strengths, there are certain occupations that families find difficult to engage in. A new model was created for consideration of family occupations and FXS. This model depicts family occupations as a complex and ever changing, dynamic interaction between the child and family engaging in varying environments, and activities. This model can further inform clinical reasoning when designing a comprehensive child and family-centered approach supporting participation in occupations.

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  Factors & Risks Associated with Adolescents Late Entry into Prenatal Care

  Shannon Almonia, Kimberly Damian, Giuliana Enea, Solveig Karlsen, and Jessica Markham

  Prenatal care is a type of preventative health care for pregnant women that is typically initiated in the first trimester. However, when prenatal care is inadequate, initiated past the first trimester or missed, the mother and fetus experience an increased risk for preterm delivery. Adolescents are apart of a specific subgroup of pregnant women that are at a higher risk for adverse outcomes during pregnancy due to knowledge deficits. Therefore, adolescents are especially likely to receive inadequate prenatal services. Numerous studies have been conducted to discover the result of inadequate prenatal care; however, not as many studies explore the factors associated with late entry or lack of entry into prenatal care for adolescents. These factors need to be identified so care providers can accurately identify pregnant adolescents who are at the greatest risk for receiving inadequate care so that they can attempt to prevent preterm births.

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  Parental Cultural Conflict and Children's Cultural Identity Development

  Amanda Araki

  Parent culturally incompatibility was evaluated for its possible negative impact on a bicultural offspring’s cultural identity development. The 43 self-identified bicultural participants, aged from 18 to 67 years, provided family cultural histories, and completed the Parental Cultural Conflict Scale (PCCS) and the Multigroup Ethnic Identity Measure (MEIM). The hypothesized relationship between high PCCS levels and low MEIM levels was not supported by the data; however, the range of responses on the PCCS was very limited with a complete absence of any very low or very high conflict scores. It was concluded that parents’ cultural incompatibility does not have the level of negative impact on their offspring’s cultural identity development as originally anticipated, but due to the limited range of PCCS values, the hypothesis cannot be completely rejected. Results also demonstrated that there was also no significant difference found in the mean MEIM scores for the bicultural study sample and published norms for various monocultural groups, suggesting that bicultural children may find their path to self-identification that is neither enhanced nor impaired by having two parents of different cultures.

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  Effects of Childhood Experiences on Adult Desire to Parent

  Sarah Bailey

  Many believe the primary role in life is to settle down and have children. The present study focuses on understanding what can influence a person’s choice to have children. With a wide variety of childhood experiences that exist, as well as the influences of an optimism/pessimism attitude about life, this study will focus on how these characteristics can combine to influence one’s decision to have children.

  According to McDonnell (2012), many of those who experienced an unstable or undesirable childhood grow up wanting no children as a way to not repeat the cycle. Meanwhile, some who experienced adversity in childhood seek parenthood as a way to do the opposite of what they experienced, and effort to provide better for their children. What differentiates these responses may have to do with general attitude about the world.

  Individuals vary on their optimism-pessimism level. Evidence has been found that show optimism and pessimism to exist on a singular, bi-polar spectrum (Marshall, Wortman, Kusulas, Hervig, & Vickers, 1992); high optimism equates to a low level of pessimism and vice versa.

  Studies have also shown that childhood adversities can play a large role when it comes to adulthood dispositional optimism (Korkeila et al, 2004). It is clear, then that childhood experiences, optimism-pessimism, and desire to have children are all somehow interconnected; these relationships suggests the following hypotheses: 1) Adults who had little or no adversity in childhood will desire to have children, independent of their levels of optimism/pessimism; and 2) Adults who did experience childhood adversity only will desire to have children if they are also high in levels of general optimism.

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  Occupations as an Outcome Measure in a Clinical Trial: Fragile X Syndrome and Sertraline

  Michelle Beckwith, Brina Nguyen, Jennifer Sik, Kenneth Yu, and Laura Greiss Hess

  Fragile X Syndrome (FXS) is the most common form of inherited intellectual and developmental disability, and a known genetic cause of autism. Individuals with FXS present with deficits in cognition, social skills, behavior, language and sensory processing skills; all of which are commonly assessed through standardized and norm-referenced assessments. However, these outcome measures are sometimes not sensitive to contextually based changes in daily life. Further, there is limited research employing qualitative methods in the FXS literature. The purpose of this research was to examine family perspectives collected via semi-structured interviews as part of a randomized controlled medication trial of sertraline (Zoloft®) on children two to six years old diagnosed with FXS. The constant comparison method was used to analyze differences in family expressions of their child’s improvements over the course of the 6-month clinical trial. Twelve interviews were analyzed, six-treatment, six-placebo, and all coding was done blind to group assignment. Results indicated greater improvements in the treatment group when compared to the placebo group in: anxiety, receptive / expressive communication, maladaptive behaviors and some sensory issues. These preliminary findings warrant a need for further research with a larger sample.

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  Validation of the Medication Box Task Assessment

  Katherine Blank, Alison Chandler, Malcolm Isely, Serena Soria, and Yamin Zaw

  Individuals with acquired brain injury (ABI) may experience challenges in their everyday occupational performance due to cognitive impairments. Cognitive tabletop and occupation-based assessments are used to evaluate cognition in individuals with ABI. There is a need for cognitive occupation-based assessments as they possess ecological validity: a reflection of an individual’s occupational performance in daily life. This study aimed to validate the Medication Box Task assessment in its use as a cognitive occupation-based assessment. The results of the Medication Box Task assessment were compared against the results of a battery of five gold standard tabletop assessments. Pearson correlations showed significant correlations between type II errors of the Tower of London and the extra and missing pills of the Medication Box Task assessment. No other significant correlations were found between scores of the Medication Box Task assessment and the battery of cognitive tabletop assessments. More importantly, it was discovered that six out of seven participants, who indicated that they managed their own medication, made errors on the Medication Box Task assessment. Based on the results, no conclusion can be made about the Medication Box Task assessment as a valid cognitive occupation-based assessment.

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  Stem Cell Derived Osteoprogenitors and Their Role in Bone Repair Using Morphogenic Activators

  George Washington Brownridge III, Sylvanna Islas, Angelina Miller, and Warren Hoeffler

  Bone constantly cycles through a dynamic process of breakdown and remodeling. Osteoblasts are the specialized mesenchymal stem cells that have a major role in bone formation and the remodeling process whereas their counterpart osteoclasts, handle bone resorption. Embryonic stem cells can be partially differentiated into Progenitor cells, and we worked with #18, a candidate for being an osteoprogenitor that has the potential to respond to morphogenic activators. In the case of bone remodeling, TGF-β 2, BMP-2 and an abundance of CA++ have been shown to be potential activators of differentiation into osteoblasts. Eight different trials were conducted with the cells using different combinations of the three morphogenic activators. After inducing the cells with the activators, we performed Immunohistochemistry (IHC) to analyze the expression of osteocalcin, which is the enzyme that binds calcium to mineralize bone. The cells with varying activator combinations showed different physiology with a variance in the cell shape, structure, and spacing. The greatest results were from the combination of TGF-β 2 and BMP-2, which is consistent with #18 operating as an osteoprogenitor. A 3D construct model of #18 seemed to have a similar structure to that of an osteon, possibly indicating the formation of bone. We took slices of the model and performed an IHC staining for Osteocalcin, Prolyl Hydroxylase (5B5), and Collagen I. We saw a strong positive signal for Col I and 5B5, and a slight positive signal for Osteocalcin. This information confirmed that #18 is an osteoprogenitor and is able to assemble bone.

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  Sensory Psychophysiology

  Sarah Button, Emily Minor, and Kristen Christensen

  Objective: Sensory processing issues can have a large negative impact on the ability to participate in daily occupations such as ADLs, access to work, school and leisure environments, and social interactions (Dunn, 2001). The evidence documenting sensory processing issues in adults is sparse. Physiological information can be used as objective evidence to support the claim that those with over-responsivity to sensations are experiencing their environment differently than the typical population. Understanding more about sensory processing in adults may lead to increased recognition of the problem and more opportunities for intervention to increase occupational participation. The purpose of this quantitative study compared the physiological responses to sensation in people who self-report as high in sensory sensitivity compared to people who self-report as low in sensory sensitivity.

  
  Method: Using a quasi-experimental design, physiological responses to sensation in typical adults was measured. The use of the Sensory Profile assessment as a behavioral self-reported measure was used as a pretest and the Sensory Challenge Protocol was used as our physiological outcome measure to quantify participants’ physiological responses to sensation.
  
  Results: No significant differences were shown between experimental and control groups in EDR responses to stimuli. Based on the sensory profile, participants’ in the experimental group who identified as sensory sensitive had higher EDR responses to more the intense sensations, such as mower (1.3), feather (1.8), and camphor (1.7). There is a significant correlation between low registration and sensory sensitive (.678), sensory avoidant (.847) and sensory defensive (.817) for the experimental group’s self-reported scores on the Sensory Profile supporting the idea that people who have sensory sensitivities may also suppress responses to sensation.
  
  Conclusion: There are differential, meaningful patterns observed in how people with sensory sensitivities are responding to sensations. There is high variability in individuals’ personal understanding of their own sensory sensitivities and what sensory stimuli they are responding to. Therefore, it is important to know and understand what certain people in the general population do because overtime it can lead to maladaptive behaviors in daily functioning.

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  Healthy Aging Website: Providing Online Occupation Based Information

  Haley Caruthers, Samantha Talavera, Stephanie Vera, and Jackeline Ulloa

  Older adults (OAs) over the age of 65 are the fastest growing age group in the United States. They are also the fastest growing population of Internet users as they use the Internet to access health information related to optimizing independence, productivity, and social engagement. Although there is an abundant amount of information available that is devoted to healthy aging, the validity of the information can be questionable and the information may be confusing.

  Dominican University of California’s (DUC) Healthy Aging website contains relevant and evidence-based research, including activities and local community based programs that promote healthy aging. To expand the website, a literature-based needs assessment was conducted, which indicated, the value of health promotion materials that foster of emotional and physical wellness and encourage a safe and active lifestyle in and outside of the home. Specifically, new topics such as “Living Safely Inside and Outside of Home,” “Local Events,” “Emotional Wellness,” “At Your Fingertips,” “Apps You Can Use,” and “ Position, Movement, & Ergonomics” have been added to enhance the DUC Healthy Aging website. The DUC Healthy Aging website is very beneficial to both OAs and health profession majors because it is highly accessible and provides resources and information regarding health promotion and prevention behaviors to live a productive lifestyle.

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  Pilot Study: Assistive Technology as a Vocational Support for Individuals with Autism Spectrum Disorder

  Erin Chaffee, Christina Ho, and Kevin Ng

  The purpose of this pilot study was to determine the effectiveness of video-based instruction (VBI) to support completion of vocational tasks. A mixed-method approach was utilized to explore the use of VBI on a personal digital assistant with adults with autism spectrum disorder. Using two assembling cooking tasks, researchers investigated the level of independence with task completion through written instruction versus VBI. The results indicated a small non-significant increase in the level of independence with task completion during the intervention task independent of intelligence quotient (IQ) levels. Participant’s feedback of VBI was also noted as positive to help learn other tasks. This study presents evidence for the use of assistive technology to support task completion in the area of vocation.

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  Occupational Therapy in the Intensive Care Unit

  Michelle Chan, Kelsie Colombini, Kristen M. Henderson, and Courtney Malachowski

  In recent years, the number of inpatient cardiovascular surgeries has significantly increased in hospitals around America. Occupational therapists in the intensive care unit (ICU) at Mills-Peninsula Medical Center (Burlingame, California) currently lack a standard protocol for addressing physical, cognitive, and psychosocial factors in patients post cardiac surgery. Furthermore, interventions are frequently guided by professional experience and clinical reasoning instead of current evidence. The American Occupational Therapy Association’s Centennial Vision encourages occupational therapists to pursue science-driven practices and provide evidence-based interventions. In response to this vision, an extensive review of current literature was conducted and applied to develop an evidence-based clinical pathway for the occupational therapists at Mills-Peninsula Medical Center. The proposed clinical pathway includes intervention guidelines for physical recovery, early detection of cognitive impairment, and psychosocial health for patients post cardiac surgery recovering in the ICU. The clinical pathway would establish a standard of care and facilitate patients’ return to their highest level of function during post-cardiac surgery rehabilitation.

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  Implementing Multifactorial Education Modules with Older Adults: Individualized and Interactive Fall Prevention Education

  Salvador Chavez, Jocelle Flores, and Rachelle Yambao

  Falls are a significant concern for community-dwelling older adults (OAs), with one in four OAs reporting a fall every year. Occupational therapy students collaborated with first responders of the Novato Fire District to identify gaps in fall prevention community outreach programs and found that many interventions lack an interactive or individualized approach. Based on the gap analysis and current literature, seven education modules were developed to address key risk factors including home modifications, polypharmacy, fear of falling, and balance exercises. Thirty community-dwelling OAs participated in the education modules and were implemented at two senior community sites in Marin County. Participants were screened via Functional Reach Test (FRT) and completed a survey to determine their personal risk factors for falling, which guided their personalized fall prevention education. Of the participants, 90% rated their experience with the education modules as “very good” or “excellent,” and a majority rated the balance exercises as most important. The interactive 1:1 education modules are an effective and innovative method for fall prevention education and highlight the importance of client-centered treatment.

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  Fall Risk Reduction Using Lifestyle-integrated Functional Exercise (LiFE)

  Kayla Comer, Tiffany Huang, Kelly Schmidt, and Matthew Tong

  As the population and longevity of older adults’ increases, the prevalence of falls is becoming an ever-growing issue. One in three adults aged 65 years and older experience a fall each year. Falls in older adults may lead to sedentary behavior, decreased independence, and lower quality of life. Evidence has shown that traditional exercise programs emphasizing strength and balance exercises can decrease the fall risk in older adults, but may be difficult to sustain over time. Emerging evidence suggests that exercises that are integrated into daily life may have a more lasting effect in reducing fall risk in older adults. This study explored the effectiveness of an integrated exercise program, the modified-LiFE program, in decreasing fall risk in community-dwelling older adults. Results supported integrative exercise programs may decrease fall risk in community-dwelling older adults with previous history of falls. Therefore, integrating exercises into daily life offers occupational therapists an effective occupation-based intervention that promotes safety, independence, and quality of life for older adults.

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  A Collaborative Approach to School-Based Sensorimotor Programs

  Brooke Czuleger, Emily Garnica, Jessica Phung, and Maciej Rzepka

  In the past decade, the prevalence of Autism Spectrum Disorder (ASD) and Intellectual Disabilities (ID), has increased. Sensory processing is an area of need for individuals with ASD and ID that requires specialized interventions. In best practices, these services are delivered by an interdisciplinary team, often consisting of an occupational therapist, speech language pathologist, behaviorist and special education teacher. Yet, to date there has been limited research examining interdisciplinary collaboration with the many professionals on the team. The purpose of this study was to empirically examine the interdisciplinary team practices at a special education center in Northern California. This research employed interview methods and qualitative analysis. Results informed a conceptual practice model for collaboration as a highly intentional practice. The model depicts sensory needs of individual students and thusly sensorimotor programming for the classroom as a priority for the interdisciplinary team. Final themes from the analysis as essential to collaboration were: taking action, communicating, addressing barriers, reinforcing team values and understanding interdisciplinary roles. Implications for practice include advocating for the scope of OT, active engagement in the collaborative process at the IEP level, taking leadership roles, creating opportunities for collaboration, engagement in dialogue with administration and formal inservice training.

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  Evaluating the Effectiveness of Abilities Care Approach™ Training

  Michelle E. D'Amato, Sophie E. Miller, April Perez, Carmen Joaquin, and Louiza Alexandria Villarina

  Approximately 50% of US nursing home residents have a diagnosis of dementia. Abilities Care Approach® was created by occupational therapists (OTs) to promote quality dementia care for residents in skilled nursing facilities (SNFs). Certified nursing assistants (CNAs) are often the primary caregiver for residents with dementia. To ensure carryover of ACA principles, ACE dementia training was targeted towards CNAs. The purpose of this study was to evaluate Abilities Care Experts®(ACE) training program which provides CNAs with an occupation-based dementia care approach by focusing on the importance of occupational engagement and knowledge of dementia stages. Results indicated that ACE trained CNAs (N=13) had significantly higher levels of self-efficacy, knowledge of dementia care approaches, and perceived knowledge of dementia compared to non ACE trained CNAs (N=16). Findings demonstrate the importance of caregiver training focused on strategies to facilitate occupational engagement at each stage of dementia. OT expertise in providing stage-specific dementia care training can improve caregiving educational outcomes. Further empirical research may help to further understand the optimal use of ACA-focused dementia training programs to improve quality of care.

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  Gender Differences in Drinking Habits Among College Students

  Margaret Anne DeMayo

  Binge drinking is a common problem found among college students. According to the Centers for Disease Control and Prevention (CDC), one in six U.S. adults binge drink about four times a month, consuming about eight drinks per binge." Over time, binge drinking in college can cause negative factors for students such as, poor academics and health problems.

  The purpose of my study is to evaluate how stress factors such as environment and peer relationships affect drinking habits in male and female college students. Students experience stress factors such as environment (e.g. housing), peer relationships (e.g. peer pressure, relationships), school (e.g. grade level), and appearance (e.g. body image).

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  Managing Fatigue with Technology for Individuals with Multiple Sclerosis

  May Anne Gamueda, Janie Grant, America Ortega, and Jordan Song

  OBJECTIVE: The purpose of this study was to investigate whether a mobile health application (mHealth app) will result in a decrease in fatigue and an increase in adherence to energy conservation techniques for adults with multiple sclerosis (MS).

  METHOD: Using a quantitative, exploratory, pretest and post-test design, we examined the use of the mHealth app, Pace My Day (PMD), by seven participants during one chosen task while incorporating energy conservation strategies for two weeks. Main outcome measures included Modified Fatigue Impact Scale (MFIS) and Canadian Occupational Performance Measure (COPM).

  RESULTS: There was a significant decrease in the MFIS scores indicating a decrease in fatigue over the two-week period t(6)=5.75, p=0.001.

  CONCLUSION: Use of mHealth apps and energy conservation strategies were found to significantly reduce levels of fatigue and increase self-perceived performance and satisfaction of task execution.

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  What Do We Think About Birth Order?

  Jessica Garcia

  Stereotypical beliefs people have of personality traits that are expected from children in relation to their birth order has become a popular area of study. Parents can be consciously or unconsciously swayed to form impressions of their children based on birth order personality attributes formed by society and family. How parents act towards their children can impact a child’s cognitive and behavioral development (Eckstein & Kaufman, 2012). Using Adler’s psychological perspective theory, the present study hypothesized that there is a positive correlation between people’s perception of birth order traits and self-reported personality. Participants were 50 adults (84% female) 18 to 62 years old and primarily recruited on a university campus. Participants completed two online surveys, both shortened forms of Big 5 personality dimensions. The Mini-IPIP was used to gather participant’s self-reported personality traits. The TIPI was used to evaluate which traits the participants expect to see from a person that has the same birth order as them. Results demonstrated that there is a positive relationship between perceptions of birth order traits and self-reported personality. This is important because it suggest that Adler’s psychological perspective theory could be a more reliable measure to use compared to Sulloway’s evolutionary theory (Eckstein et al., 2010). Findings also add validity to Adler’s claim that the type of role a child adopts and the development of characteristics are a result of its interactions with family and society. Limitations include a small sample size and inaccurate hypothesized birth order traits. This study demonstrates that it is crucial for researchers to keep in mind that the family structure is the system from which specific birth order personality traits can develop and that parents should be aware of forming impressions of their children based on stereotypical societal beliefs.

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  Age-Related Changes in Visual Processing Speed: A Pilot Study Using the Motor-Free Visual Perception Test- 4 (MVPT-4)

  Lauren Gollnick, Kassidy Ha, Stephanie Pawek, Zoe Studer, and Amber Zadravecz

  Evidence reveals that visual processing speed decreases with age. The Motor-Free Visual Perception Test- Third Edition (MVPT-3) has an age-normed Response Time Index that measures visual processing speed. In 2015, a new version, Motor-Free Visual Perception Test- Fourth Edition (MVPT-4), was published. The new MVPT-4 does not yet demonstrate its utility in measuring visual processing speed. The purpose of this study was to explore if differences in visual processing speed between younger adults ages 20-35 years and older adults ages 70 years and older could be detected using the new MVPT-4. Results revealed a significant difference between older and younger adults’ time to complete the MVPT-4 (p <.05). This pilot study demonstrated that the MVPT-4 may be able to detect age-related changes in visual processing speed and therefore, a possible clinical tool for occupational therapists.

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  Living with Fragile X Syndrome: Occupations as an Outcome Measure in a Clinical Trial

  Kaylee E. Gothelf, Ty Duong, Ana Baldinger, and Theresa Chase

  The purpose of this study was to evaluate the use of semi-structured interviews as an outcome measure in a clinical trial for children with fragile X syndrome (FXS) ages 2-6. This qualitative approach was used to analyze twenty-five interviews of parents with children in a double-blind medication trial - sertraline or placebo. The aim was to assess occupational improvements in their child that may not have been detected with the use quantitative outcome measures alone. Results showed greater improvements in the sertraline group in areas of behavior, social participation, sensory-related behaviors, receptive language, education, family impact and therapeutic strategies. Our findings support the use of semi-structured interviews as an additional outcome measure in a medication trial to account for the voice and context of family experiences through an occupation centered lens.

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  The Relationship of Anxiety, Depression and Low Self-Esteem on the Tendency to have Compulsive Buying-type Behaviors

  Ingrid Granados

  “Retail Therapy” is a term commonly used to describe the action taken to relieve or compensate for negative feelings by purchasing things not planned or necessary. This is also considered the first phase of shopping addiction (Sohn et al, 2013), and like other behaviors (e.g., drinking alcohol, eating, gambling) these can be problematic if not done in moderation.

  When shopping involves a preoccupation or uncontrollable urge to buy and also leads to significant social and financial problems, it is called Compulsive Buying (CB). This problem behavior is a cycle that maybe initiated by negative feelings, followed by a short-lived euphoria and possible long-term negative consequences. Although not officially recognized as a psychological disorder, CB is associated with impaired functioning (Gallagher et al, 2017).

  Studies suggest that certain personality traits and mood disorders are factors common in people with CB. Prior research has linked individuals who met criteria for CB with significantly higher rates of mood and anxiety disorders (Harvanko et al, 2013) and greater levels of depression (Kyrios et al, 2013). This information exposes the possibility that people can behave in ways consistent with compulsive buying from time to time without meeting the diagnosis for a mental illness.

  It is reasonable to suggest that if the patterns of behavior have similar origins that differ only slightly, people who demonstrate non-clinical compulsive buying tendencies may also do so to alleviate (or change) negative mood(s). Therefore it is hypothesized that occasional compulsive-buying type behaviors will be more common for individuals with higher levels of depression or anxiety and lower self-esteem.