Children with cancer can experience decreased emotional health along with deteriorating
physical health compared to children without cancer. Many studies have been done to examine the effects of emotional distress and mental health on the cancer patient, as well as the role of familial support. It was found that children with cancer may suffer from depression, anxiety, PTSD, and socio-emotional problems as a result of the trauma of being diagnosed and treated for a pervasive, life-threatening disease. Late effects may also worsen co-morbid mental health disorders. Childhood cancer patients who experience co-morbid mental health problems of depression and anxiety end up having a longer duration of recovery, as well as a worsened outcome than others with a single disorder (Massie, 2004). It was also shown that family members are affected emotionally and mentally from dealing with childhood cancer. Not only is the cancer patient at risk for PTSD during or after treatment, but also family members (National Cancer Institute, 2015). Siblings of the child with cancer may experience feelings of loneliness, fear, and anxiety, as the parent’s attention is focused on the child suffering with cancer. According to the National Cancer Institute (2015), familial problems can affect the child’s ability to adjust to the diagnosis and treatment in a positive way. However, children with strong familial and social support adjust easier to living with cancer. A common theme found in literature is that regular mental health checkups during and after cancer treatment is important for quality of life. Therefore, it is important for all childhood cancer patients and their families to receive information about mental health awareness, as well as therapeutic interventions that are developed for families caring for a child with cancer.

This study examined whether early adversity at 30-months moderated the heritability of common and individual components of EF at 8 years. It was hypothesized that early adversity would not moderate the common EF factor, but instead moderate individual EF components. The sample included 208 twin pairs from the Arizona Twin Project. Early Adversity, assessed at 30 months of age, included Parenting Daily Hassles, low perceived MOS social support, punitive punishment (Parental Responses to Child Misbehavior), home chaos (Confusion, Hubbub, and Order Scale), CES-D maternal depression, and low maternal emotional availability. EF at 8 years included the Eriksen Flanker Task, Continuous Performance Task, Digit Span Forward and Backward, and parent-reported Attentional Focusing and Inhibitory Control (Temperament in Middle Childhood Questionnaire). For both early adversity and EF, the first principal components were extracted as composites. A confirmatory factor analysis was also conducted to index common EF. Genetic analyses were tested on the common EF composites as well as each individual task using umx. Univariate models revealed genetic influences on all individual measures and common EF, with broad sense heritability from .22 (Digit Span Backwards) to .61 (parent-reported inhibitory control). Shared environmental influences were found for the Flanker Task (.13) and parent-reported inhibitory control (.24), and E was moderate to high (.40-.73) for all measures except parent-report inhibitory control (.15) and attentional focusing (.31). Moderation of heritability was not observed in for Digit Span Forward, Digit Span Backward, and Attentional Focusing. However, the nonshared environment was moderated for Common EF, and the Flanker Task, and additive genes and the nonshared environment were moderated for the Continuous Performance Task and Inhibitory Control. Generally, total variance decreased as early adversity increased, suggesting that homes with low levels of adversity may allow children to interact with more proximal processes that can promote EF development.

Although it is typically a normal family process, marital conflict that is not managed in a healthy way can lead to disruptions in the family system. Because approximately 46% of marriages end in divorce (U.S. Center for Disease Control, 2017), a literature review was conducted to better understand the complex relationship between marital conflict and socioemotional development in children. The current study focused on multiple phases in the family system: (1) the transition to parenthood, (2) early childhood, (3) middle childhood, and (4) adolescence. The review found that marital conflict and socioemotional development in children have bidirectional effects within developmental periods. By studying marital conflict and socioemotional development in children in these various stages of life, the thesis identified gaps in both the literature and our understanding of how these processes may have short- and long-term impacts on one another. I propose the Marital Conflict and Socio-Emotional Child Development (MCSECD) Dynamic to provide a more detailed explanation of the complex relationship between marital conflict and socioemotional development in children. To better improve the health and stability of the family system moving forward, I suggest that this complex dynamic be taken into account when implementing preventative and interventional marriage and family therapies.

Community Action Research Experiences (CARE) partnered with Mission of Mercy, a faith-based nonprofit organization that provides free medical care services to uninsured and underinsured individuals throughout the Phoenix valley. A needs assessment was conducted on Mission of Mercy's patient population and data collected over a two month long period, in which 91 completed surveys were collected. Participants were between the ages of 18 to over 65 and were largely Hispanic/Latino, followed by White/Anglo and Black/African American. The results indicate that there is need for increased patient education which could be satisfied by implement an incentive program. A need for a program specific to high blood pressure was also found. Participants were interested in dental services being offered, a service that is currently not offered through the Arizona chapter of Mission of Mercy. The study also showed that respondents were satisfied with the level of care received at Mission of Mercy.

The Community Action Research Experiences program integrates the research and teaching mission of Arizona State University by providing services to the community by fostering professional and leadership development of students. It is hoped that the results of the collaborations with CARE will serve to further an organization's goals and effectiveness. VALLEYLIFE (VL) is a non-profit organization striving to help people with disabilities. VL develops Action Programs for each of its clients, whom they call members, to improve their independent or social skills. Examples of programs that members may work on include tasks such as computer training, visual arts, or writing. VALLEYLIFE lacked the data to evaluate if the developed and implemented Action Programs are properly carried out by the staff in ways that are beneficial to members. Given the problem, this research project sought to conduct a process evaluation of the staff regarding their implementation of the Action Programs. This involved observations of employee-member interactions in performing the Action Programs and an interview of staff measuring their preparedness and confidence in performing the program and their feelings of the programs and how things are run. This research provided the following implications to VALLEYLIFE. VL might consider performing periodic observations and reviews of the program implementation to monitor quality. VL may consider involving staff in program development and revision to create programs that better serve members. VL may consider generating ideas for how they may cooperate when a peer is struggling to keep up with events that happen through the day in the interest of better serving the members. Overall, employees are doing well as they are efficient in carrying out the written programs during program time. They are comfortable with what they are doing, use time effectively, and do their best to help the members. There is always room for improvement however and by considering some of the implications mentioned, VALLEYLIFE and their employees may be able to take action that may hold potential for further improvements in effectiveness.

Gender discrimination and inequality in this day and age points to the existence of ambivalent sexist beliefs. That is, men and women hold outwardly negative or superficially positive sexist beliefs about the innate inferiority of women (Glick & Fiske, 1996; Glick & Fiske, 1997). In the past twenty years, outcomes and effects of women due to these beliefs have been researched extensively. Less common are suggestions or conclusions regarding the underlying existence of these beliefs, though many researchers have related their results to aspects within the Social Identity Theory (1979) and other alike theories involving the self and threats to self. The present study looks at smaller constructs, reporting a relationship between a model of women's identity, including predictors: 1) closeness to women, 2) public regard 3) gender identity centrality, to hostile, benevolent and ambivalent sexist beliefs. A group of N=115 women with ages ranging from 18 to 22 at Arizona State University were administered a survey asking questions about their sexist beliefs and their personal gender values. Results show a significant relationship between predictor variables to hostile sexist beliefs, but not benevolent sexist beliefs. These findings suggest that women's association with their gender-derived identity may parallel with endorsement of sexist beliefs when conceptions of the traditional woman is more salient.

We examined the relations between maternal depression, discipline practices, and toddler mental health outcomes, specifically competence and total problem behavior. Ethnicity was considered as a moderator in all analyses. For the first time, ethnicity was considered as a moderator of the heritability of toddler competence and total problem behavior. The data came from the Arizona Twin Project. A subsample containing only Caucasian (66%) and Hispanic (34%; 87% of Mexican descent) participants was used. Primary caregivers (>95% mothers) reported on levels of maternal depression, discipline practices, and their twins' competency and problem behaviors. It was hypothesized that maternal depression would be associated with less competency and more problem behaviors in toddlers; inductive discipline practices would be associated with higher competency and fewer problem behaviors; and punitive discipline practices would be associated with lower competency and more problem behaviors. Ethnicity was predicted to moderate only the relation between discipline practices and toddler mental health. Consistent with predictions, maternal depression predicted less competency and more problem behaviors, and inductive discipline predicted higher competency and fewer problem behaviors, while punitive discipline predicted lower competency and more problem behaviors. Ethnicity moderated the relation between maternal depression at 12 months and total problem behaviors. The heritability of competence and total problem behavior varied across the Caucasian and Hispanic samples.

This thesis was an analysis of items in the Late Adolescent Home Observation for Measure of the Environment (LA HOME) after the first wave of N = 138 interviews. The purpose of this project was to learn how to utilize a statistical software such as SPSS to analyze items and interpret results. Frequency analysis, inter-rater reliability (IRR), correlation analysis, internal consistency using Cronbach's alpha, and feedback from research assistants were considered when deciding which items should be eliminated from the measure. After running these analyses, ten items were suggested for deletion including: clean, adolescent's room allows for privacy, reference materials, news, family encourages adolescent to think independently, community service, parent knows where adolescent spends time, weekly household responsibilities, school/career planning, and dentist. Future interviews generating a larger sample size as well as discussions and subsequent revisions to the manual will clarify additional items that may be eliminated from the final version of the instrument.

The overall goal of this dissertation was to examine teacher characteristics, teachers’ beliefs, and contextual factors that may motivate teachers’ decisions to engage in high quality teacher-child interactions. I use two complementary studies to meet this goal. These two studies provide insight into several aspects of early childhood teachers’ and children’s interactions including the complexity of the conversations and teachers’ supportive practices. Findings from both studies reveal that teachers are selective in how they distribute their time and attention across various types of high-quality interactions with children. Study 1suggests that teachers’ perception of how often children interact with one another motivates their decisions to engage in high quality teacher-child interactions (i.e., facilitate children’s peer interactions). Study 2 suggests that teacher well-being, specifically teacher depression, limits the extent to which teachers engage in high quality interactions (i.e., complex conversations with children). Importantly, this dissertation also showed that teachers’ motivation for engaging in teacher-child interactions does not stem from their own characteristics or perceptions alone. In addition to these factors, contextual aspects of teacher-child interactions also appear to influence teachers’ motivation to engage in high-quality teacher child interactions. Study 1 revealed that the gender composition of the children involved in each teacher-child interaction was associated with the extent to which teachers use facilitative practices, as well as with the direction and magnitude of both quality and frequency effects on teachers’ facilitation. Moreover, Study 2 revealed that the relation between teacher depression and complex conversations is changed when teachers and children are engaged in academic activities (e.g., math, books, language) relative to play or routine activities. In both Study 1 and 2, I used a teacher-focused observational coding system. Use of this observational coding system contributes novel, objective information about teacher-child interactions, as prior work on teacher-child interactions has most often relied on teachers’ self-reports of how often they interact with students. Findings from this dissertation will contribute new knowledge about teacher and contextual classroom characteristics and teacher-child interactions that will inform efforts to promote positive teacher child interactions and, in turn, student and teacher well-being.

Background: There is a rapid decline in moderate-to-vigorous physical activity (MVPA) during middle childhood and adolescence. Information on the environmental factors implicated in this decline is limited. This study focuses on family factors associated with the rate of decline in objectively measured physical activity during middle childhood and adolescence.

Methods: Longitudinal analysis of 801 participants from 10 US sites in the NICHD Study of Early Child Care and Youth Development whose data included accelerometer-determined levels of moderate-to-vigorous physical activity (MVPA) between ages 9 and 15 years, as well as family process, BMI and demographic information. The sample included an even split of boys (49%) and girls (51%), was predominantly white (77%), and contained about 26% low income and 19% single parent families. The outcome measure was mean MVPA. It was based on 4 to 7 days of monitored physical activity.

Results: Boys with lower parental monitoring scores and more days of parental encouragement had significantly more minutes of MVPA at age 9 years. The effect of parental monitoring, however, was moderated by early puberty. High parental monitoring was associated with decreased activity levels for boys experiencing later puberty and increased activity for boy experiencing early puberty. Minutes of MVPA for boys living in the Midwest decreased at significantly faster rates than boys living in any other region; and boys in the South declined faster than boys in the West. Girls in the Midwest and South declined faster than girls in the West and Northeast. Among girls, more days of parental exercise and transportation to activities were associated with more MVPA per day at age 9. However, more parental transportation to activities and less monitoring was associated with faster linear declines in daughters' MVPA between the ages of 9 and 15 years. For girls who experienced puberty early, parental encouragement was associated with more MVPA.

Conclusions: Parenting processes, such as monitoring and encouragement, as well as the parents' own level of physical activity, showed significant, but small, gender-specific associations with MVPA levels at age nine and the linear rate of decline in MVPA between ages 9 and 15.