Misty A.W. Hawkins

Misty A.W. Hawkins
Oklahoma State University - Stillwater | Oklahoma State · Department of Psychology

Ph.D.

About

66
Publications
8,219
Reads
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757
Citations
Additional affiliations
August 2015 - present
Oklahoma State University - Stillwater
Position
  • Professor (Assistant)
Description
  • www.reachlab.org
July 2013 - June 2015
Kent State University
Position
  • Research Associate
August 2007 - May 2013
Indiana University-Purdue University Indianapolis
Position
  • PhD Student

Publications

Publications (66)
Article
Objective: Bariatric surgery is associated with improved cognitive function, though the mechanisms are unclear. Elevated inflammation is common in obesity and associated with impaired cognition. Inflammation decreases after bariatric surgery, implicating it as a possible mechanism for cognitive improvement. The objective of this study was to examin...
Article
Full-text available
Objective Because it is not known whether particular clusters of depressive symptoms are associated with a greater risk of adverse cardiac outcomes, we compared the utility of four clusters in predicting incident coronary artery disease (CAD) events during a 15-year period in a large cohort of primary care patients 60 years and older.Methods Partic...
Article
Heart failure (HF) and obesity are associated with cognitive impairment. However, few studies have investigated the relationship between adiposity and cognitive functioning in HF for each gender, despite observed gender differences in HF prognosis. We tested the hypothesis that greater body mass index (BMI) would be associated with poorer cognitive...
Article
Taken in isolation, depression, anxiety, and hostility/anger have been shown to predict obesity. It is unknown whether these negative emotional factors are associated with adiposity, independently of each other. The objective of this review was to determine whether negative emotional factors have independent associations with adiposity. We searched...
Article
Because depression is a multidimensional construct and few studies have compared the relative importance of its facets in predicting cardiovascular risk, we evaluated the utility of depressive symptom clusters in predicting the 5-year incidence of coronary artery calcification (CAC). Participants were 2171 middle-aged adults (58% female; 43% black)...
Article
Shifts in body-image ideals over the past 30 years towards leaner, muscular bodies have revealed new health behaviors that may be related to cognitive function. This study objective was to investigate prospective associations between a drive for muscularity and/or muscularity-oriented disordered behaviors (MODBs) with cognition. Data were drawn fro...
Article
Full-text available
PurposeFood susceptibility refers to an individual’s thoughts, feelings, and motivations when highly palatable foods are available. Mindfulness, or the practice of paying attention, non-judgmentally, in the present moment, is a key element in acceptance-based programs, which have been shown to benefit those with high food susceptibility. This study...
Article
Purpose: This study investigated the relationship between internalized weight stigma (IWS) and visceral adipose tissue (VAT), an independent predictor of cardiometabolic disease risk, and how this relationship is moderated by gender. Methods: Participants (N=70, 81% white, 51% women, M age=30.4±7.8 years, M BMI=28.7±5.5 kg/m2, M BF%=32.4±8.9%) c...
Preprint
Courts in seven U.S. states have removed children with “obesity” from parental custody until children could maintain “healthy weights.” These rulings—alongside qualitative reports from parents of children with higher-weight (PoCH)—suggest parents of PoCH are stigmatized. Yet little work tests whether social perceivers genuinely stigmatize PoCH, or...
Article
Full-text available
Most adults in the United States report experiencing at least one adverse childhood experience (ACE), with around a quarter of the population reporting three or more. ACEs impact adult biological (e.g., hypothalamic-pituitary-adrenal axis) and psychosocial (e.g., loneliness) functioning, including cognitive patterns in stressful situations. As one...
Article
Full-text available
Background: Painful sex can lead to increased psychological distress, including major depressive disorder, and the experience of loneliness may explain this association. Aims: We aimed to investigate loneliness as a mediator between painful sex and depressive symptoms and hypothesized that women who experienced greater pain during intercourse (i...
Article
Objective: To investigate the role of internalization of body image ideals as a potential mediator between perceived body acceptance and intuitive eating among college students. Participants/method: 168 undergraduates completed the Body Acceptance By Others Scale (BAOS), Sociocultural Attitudes Toward Appearance Questionnaire-3 (SATAQ-3; Interna...
Article
Full-text available
Adverse childhood experiences (ACEs) may be an early life factor associated with adult weight stigma via biological (e.g., stress response), cognitive (e.g., self-criticism/deprecation), and/or emotional (e.g., shame) mechanisms. This pilot study investigated relationships between ACEs and internalized and experienced weight stigma in adult women w...
Article
Background Adverse childhood experiences (ACEs) may have lasting impacts on cognition. Objective To determine if ACE exposure is prospectively associated with cognition in young adults. We hypothesized that deprivation- and threat-type ACEs as well as higher cumulative ACE exposure predict poorer cognition. Participants & setting Participants wer...
Article
Full-text available
Objective Understanding how biological, cognitive, and self-regulatory factors are related to obesity and weight regulation is clearly needed to optimize obesity prevention and treatment. This objective of this investigation was to understand how baseline biological, cognitive, and self-regulatory factors are related to adiposity at the initiation...
Article
Introduction Pediatric brain tumor survivors (PBTS) are at risk for both neurocognitive impairments and psychological difficulties, yet these two domains have historically been discretely examined, with assessment of psychosocial outcomes rarely included in studies of cognitive outcomes. Taking a person‐centered approach, the current study aimed to...
Article
Background and Objective Adverse childhood experiences (ACEs) are associated with negative health outcomes, yet their associations with performance-enhancing substance (PES) use are unclear. This study aimed to determine whether ACEs predict greater use of legal and illegal PES in young adults. Methods We analyzed data from the National Longitudin...
Article
High Conscientiousness (C) is linked to lower body mass index (BMI); however, the facets of C have not yet been analyzed in relation to BMI while adjusting for other personality domains or one another. The objectives of this study were to examine: 1) the BMI-C relationship within the broader context of the Five Factor Model (FFM) domains, 2) unique...
Poster
Full-text available
Objectives Intuitive eating (IE) is a pattern of adaptive eating behaviors that consists of four facets: Unconditional Permission to Eat (PERM), Eating for Physical Rather than Emotional Reasons (PHYS), Reliance on Hunger and Satiety Cues (REL), and Body-Food Choice Congruence (CON). The objective of this study was to observe differences in self-re...
Poster
Full-text available
Objectives Inhibitory control measured by the Go/No-Go Task measures automatic inhibition. Difficulty with inhibition can extend into eating behavior, leading to unhealthy patterns such as emotional eating. Individuals who eat emotionally may also be less likely to engage in adaptive patterns of eating, such as intuitive eating (IE). IE is based on...
Article
Acceptance-based behavioral therapies for obesity (ABTs) may be superior to standard behavioral therapies but have not been adequately tested with American Indians (AIs). Neurocognitive function is also unexamined in relation to behavioral weight loss among AIs despite findings that neurocognition predicts outcomes in general samples, may help expl...
Article
This article introduces the rapidly growing literature linking cognitive dysfunction to overeating and obesity. Though neural responses to food and food cues can predispose individuals to overeating, these processes are moderated by a series of cognitive factors. Deficits in attentional bias, delay discounting, and episodic memory have clear connec...
Article
Background: Depression and binge eating disorder (BED) are prevalent among bariatric surgery candidates. Depression subtypes may be differentially related to obesity, such that the atypical subtype predicts poorer outcomes. However, no research has examined depression subtypes, BED, and weight loss in bariatric candidates. Objective: To examine...
Article
Full-text available
Background: Adverse childhood experiences (ACEs) and obesity are independently associated with brain/neurocognitive health. Despite a growing emphasis on the importance of early life adversity on health, the relationship between ACEs and neurocognition in adults with overweight/obesity is unclear. The objective was to examine associations between...
Article
Background: While presurgical eating behaviors have demonstrated limited prognostic value, cognitions regarding the effects of eating may serve as important predictors of weight loss outcomes after bariatric surgery. The Eating Expectancies Inventory (EEI) is a commonly used, self-report measure of expected consequences of eating; however, its psy...
Article
Full-text available
Introduction: Intuitive eating (IE) has emerged as a weight-neutral approach to health promotion for those with overweight/obesity. This weight-neutral paradigm has some support, although research thus far has often neglected to control for potential confounds (i.e. objective weight status and demographics) and foundational studies are lacking. Th...
Article
Objective: This study examined psychosocial distress and substance use in young adults with asthma (A), obesity (O), comorbid asthma and obesity (AO), or neither (controls). Participants: Eight hundred eighty-one young adults were included in the A, O, AO, or control group. Methods: ANCOVA and logistic regression analyses were performed to compare...
Article
Full-text available
Objective: Adolescents/Young Adults (AYAs) with a chronic illness display elevated risk for poor psychosocial outcomes, yet relatively little is known about factors that place these individuals at risk. Illness intrusiveness is a known predictor of negative psychosocial outcomes in AYAs. Illness-related stigma, an understudied concept in this popu...
Article
Full-text available
Background: Exclusive breastfeeding for 6 months is recommended; however, women with obesity have lower exclusive breastfeeding rates than their normal weight peers. The impact of the timing of maternal excess adiposity onset is unknown. Research Aim: We examined whether the timing of onset of excess weight was related to exclusive breastfeeding d...
Article
Full-text available
Purpose: Few studies have examined acute cognitive effects of dairy products. Prior work suggests baseline glucoregulatory function may moderate the relationship between macronutrient profile and postprandial cognition. This study examined the role of glucoregulatory function in postprandial cognition after milk, fruit juice, and a water control....
Article
Background: Individuals with heart failure (HF) exhibit comorbid impairments in both sleep and cognitive performance. Sleep quality has been associated with impaired cognitive performance in HF patients, but reports are inconsistent. In this study, we examined associations between sleep quality, daytime sleepiness, and cognitive function in HF. M...
Article
Background: The mechanisms underlying the depression-obesity relationship are unclear. Food attentional bias (FAB) represents one candidate mechanism that has not been examined. We evaluated the hypothesis that greater depressive symptoms are associated with increased FAB. Method: Participants were 89 normal weight or overweight adults (mean age...
Article
Full-text available
Purpose of review: Recent evidence documents the negative impact of obesity, diabetes mellitus, and other metabolic dysregulation on neurocognitive function. This review highlights a key dietary factor in these relationships: refined carbohydrates. Recent findings: Chronic consumption of refined carbohydrates has been linked to relative neurocog...
Article
Objective: We sought to determine whether depressive symptoms are associated with attempting to lose weight and engaging in weight loss behaviors in a large, diverse sample of adults representative of the U.S. Population: Methods: Respondents were 23,106 adults, free of cardiovascular disease and diabetes, who participated in the 2005-2014 yea...
Article
Full-text available
Background Obesity is a global health crisis, and portion control is a key method for reducing excess body weight. Given consumers’ familiarity with large portion sizes, reducing portion sizes can be difficult. Smaller plates are often recommended to reduce portion sizes and appear to reduce portion sizes. However, there are no studies evaluating d...
Article
Full-text available
Obesity is a global epidemic, yet successful interventions are rare. Up to 60% of people fail to achieve clinically meaningful, short-term weight loss (5-10% of start weight), whereas up to 72% are unsuccessful at achieving long-term weight loss (5-10% loss for ≥5years). Understanding how biological, cognitive, and self-regulatory factors work toge...
Article
Background Eating pathology among bariatric surgery candidates is common and associated with adverse outcomes. However, its assessment is complicated by the inconsistent use of standardized measures. We addressed this by examining the use of the Eating Disorder Diagnostic Scale (EDDS) in a large bariatric sample (N = 343). Objectives To evaluate t...
Article
Full-text available
Obesity is a prevalent health care issue associated with disability, premature morality, and high costs. Behavioral weight management interventions lead to clinically significant weight losses in overweight and obese individuals; however, many individuals are not able to participate in these face-to-face treatments due to limited access, cost, and/...
Article
Full-text available
Background: Subclinical cognitive impairment is prevalent in heart failure (HF); however, its role in important clinical outcomes, such as HF treatment adherence, is unclear. Given the complex polypharmacy in HF treatment, cognitive deficits may be important in predicting medication management. Thus, the objective of the current study was to exami...
Article
Background: Few investigators have examined whether cognitive deficits predict poorer self-care of weight management recommendations and weight gain in adults with heart failure. Objective: The purposes of this study were (1) to examine whether cognition is associated with adherence to daily weighing and weight gain incidence and (2) to explore...
Article
Full-text available
Objectives: Determine the relationship between cognitive function and health literacy in heart failure (HF) knowledge in patients with HF. Background: HF requires extensive, complex treatment; thus, cognition and health literacy may contribute to understanding and self-management of HF. Methods: Participants were 330 HF outpatients. Health lit...
Article
Full-text available
Heart failure (HF) is associated with high rates of depression. In turn, depression is associated with reduced heart rate variability (HRV), a marker of parasympathetic dysfunction and poorer cardiac outcomes. Cognitive impairment-especially executive dysfunction-is also highly prevalent in HF, but it is unknown whether executive function (EF) impa...
Article
Objective: Because depression and anxiety are typically studied in isolation, our purpose was to examine the relative importance of these overlapping emotional factors in predicting incident cardiovascular disease (CVD). Methods: We examined depression and anxiety screens, and their individual items, as predictors of incident hard CVD events, my...
Article
Full-text available
Background: Although cognitive impairment is common in heart failure (HF) patients, its effects on sodium adherence recommendations are unknown. Purpose: Our aim is to examine if cognitive function is associated with patient sodium adherence. Methods: Sodium collection/excretion and cognitive function were assessed for 339 HF patients over a 5...
Article
Introduction: Cognitive impairment is prevalent in heart failure (HF); however, its role in HF treatment adherence is unclear. Given the complex polypharmacy in HF treatment, cognitive deficits may be especially important in predicting medication management. Thus, the objective of the current study was to examine the impact of cognitive function on...
Article
Objective: Obesity is associated with cognitive deficits; however, the mechanisms are unclear, especially among otherwise healthy adults. Our objectives were to examine (a) whether obesity is linked to elevations in fasting glucose and (b) whether these elevations are associated with cognitive impairment among otherwise healthy young adults. Meth...
Article
This review paper will discuss the recent literature examining the relationship between obesity and neurocognitive outcomes, with a particular focus on cognitive changes after bariatric surgery. Obesity is now recognized as an independent risk factor for adverse neurocognitive outcomes, and severely obese persons appear to be at even greater risk....
Article
Objective: Depression may be a predictor and consequence of obesity. However, available evidence for racial minorities has been inconsistent, and more prospective studies are needed. Thus, the present study’s objective was to examine whether depressive symptom severity is a predictor and/or consequence of total adiposity over a 9-year period in a r...
Article
Objective To examine the ability of the Mini Mental Status Examination (MMSE) and Montreal Cognitive Assessment (MoCA) to detect cognitive impairment in persons with heart failure (HF). Background Although the MMSE and MoCA are commonly used screeners in HF, no research team has validated their performance against neuropsychological testing. Meth...
Article
Background: Patients with heart failure (HF) have high rates of cognitive impairment and depressive symptoms. Depressive symptoms have been associated with greater cognitive impairments in HF; however, it is not known whether particular clusters of depressive symptoms are more detrimental to cognition than others. Objective: The aim of this stud...
Article
Full-text available
Background: Depression is a predictor and consequence of obesity in the general population. Up to 50% of patients with heart failure exhibit elevated depressive symptoms or depressive disorders; however, research on the depression-obesity relationship in heart failure populations is limited, especially in regard to gender differences. Aims: To c...
Article
Full-text available
Cardiovascular disease (CVD) continues to be the leading cause of death in America despite contributions from largely preventable, behaviorally based risk factors. Four of the primary behavioral risk factors are poor diet, physical inactivity, tobacco use, and alcohol abuse. These negative health behaviors are highly prevalent in American college s...
Conference Paper
Introduction: Cognitive impairment is common in heart failure (HF). A recent study found three distinct cognitive profiles in HF patients–namely–persons with intact abilities, those impaired in multiple cognitive domains, and those with isolated deficits in memory. We examined whether these profiles would replicate and also identified whether the p...
Conference Paper
Full-text available
Background: Bariatric surgery is associated with improved cognitive function, though mechanisms for these benefits are unclear. Elevated inflammation is common in obesity and associated with impaired cognitive function in other populations. Importantly, inflammation levels have been shown to decrease after bariatric surgery, implicating it as a pos...
Conference Paper
Full-text available
Although depression is associated with an increased risk of obesity, the mechanisms underlying this relationship are poorly understood. Increased attention toward food cues in the environment is one potential pathway from depression to obesity, as biased attention to food may lead to increased caloric intake. To date, no studies have examined the r...
Article
Inquiry-based instruction in the sciences has been demonstrated as a successful educational strategy to use for both high school and college science classrooms. As participants in the NSF Graduate STEM Fellows in K-12 Education (GK-12) Program, we were tasked with creating novel inquiry-based activities for high school classrooms. As a way to intro...
Article
Depression and hostility have been separately related to indicators of sympathetic hyperactivation and parasympathetic hypoactivation. We examined the associations of depressive symptoms, hostility, and their interaction with pre-ejection period (PEP) and high frequency heart rate variability (HRV), specific indices of sympathetic and parasympathet...
Article
Because most studies have examined only one emotional factor at a time, it is not clear which features of these overlapping constructs are important determinants of sleep quality. Our aims were to determine which aspects of negative emotional factors are most strongly associated with poor sleep quality, whether positive emotional factors are indepe...
Article
Coronary artery disease (CAD) is the leading cause of death in the United States. A number of biomedical and psychosocial factors may contribute to its development and progression. Evidence suggests that one such psychological factor, cognitive emotion regulation (CER), may be associated with different cardiovascular responses to stress. This study...

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