Digital Commons Network^™

From Burnout To Occupational Depression: Recent Developments In Research On Job-Related Distress And Occupational Health, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

Job-related distress has been a focal concern in occupational health science. Job-related distress has a well-documented health-damaging and life-threatening character, not to mention its economic cost. In this article, we review recent developments in research on job-related distress and examine ongoing changes in how job-related distress is conceptualized and assessed. By adopting an approach that is theoretically, empirically, and clinically informed, we demonstrate how the construct of burnout and its measures, long favored in research on job-related distress, have proved to be problematic. We underline a new recommendation for addressing job-related distress within the long-established framework of depression research. In …

Who Needs To Be “Burned-Out”? Time For A New Approach To Job-Related Distress, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Burnout is a popular indicator of job-related distress, notably in research on the ill-being of medical professionals. The burnout construct is, however, plagued by definitional and measurement problems. Often unnoticed, these problems undermine findings and conclusions emanating from burnout research. The definitional and measurement problems affecting the burnout construct hamper knowledge growth, waste resources, and impede our ability to make informed decisions and take effective action to support personnel. It is time for occupational health specialists to abandon the idea of burnout and focus on occupational depression.

Semantic Network Activation Contributes To The Relationship Between Mood And Inhibition, James S. Maniscalco

Dissertations, Theses, and Capstone Projects

Prior research has identified several relationships between mood and executive functions. Very broadly, these findings generally suggest that positive moods are associated with enhanced cognitive performance, particularly in working memory and learning. However, recent studies note that there are some instances in which negative moods may benefit select executive skills, such as those involved in divided attention and inhibition. In sum, these findings indicate that positive moods favor top-down, heuristic, or relational processing, whereas negative trait moods favor bottom-up, detail-oriented processing. However, a clear mechanism by which these effects occur has yet to be identified.

The most compelling theories that …

Youth Bystander Intentions To Intervene In Peer Intimate Partner Violence: The Co-Influence Of Perceived Perpetrator Race And Perceived Culpability, Nana Amoh

Dissertations, Theses, and Capstone Projects

In recent years, bystander intervention programs that focus on addressing violence have notably become more popular and prevalent on college campuses. Bystander intervention programs serve to help college students identify and intervene in emergency situations like intimate partner violence. Despite advances in the bystander intervention literature, there is a dearth of research that has examined bystander intentions to intervene in situations of intimate partner violence among youth who have witnessed violence between peers. This study examined bystander intentions to intervene among young adults who witnessed peer male-to-female physical intimate partner violence and whether intentions to intervene varied depending on perpetrator …

The Relationship Of Pathological Narcissism To Empathic Functioning, Antonia M. Mcmaster

Dissertations, Theses, and Capstone Projects

This study examined the relationship of pathological (grandiose and vulnerable) expressions of narcissism to empathic functioning by comparing performance-based and self-report assessments of empathy. Current research suggests that narcissism is related to more impairments in affective than cognitive empathy, and that narcissistic individuals over-report their empathic capabilities overall on self-report measures because empathy is a socially-desirable trait, and they may wish to appear more empathic in order to manage the positive impression of others. Hierarchical regression analyses were conducted in an undergraduate college sample of eighty-nine participants using a cross-sectional study design. It was hypothesized that self-reported pathological (grandiose and …

Pilot Study Of The Effects Of Mobile Based Resonant Frequency Breathing On Cognitive Performance In Healthy Young Adults With Elevated Stress, Daniel Saldana

Dissertations, Theses, and Capstone Projects

Objective: Prior research has shown a bidirectional relationship between breathing, emotions, behavior, and cognitive functions thought to be mediated by the autonomic nervous system (ANS). Studies have shown that deep or diaphragmatic breathing interventions are associated with improved affect and decreased stress levels, but little attention has been paid to the effects of breathing training on cognition. The few studies that have looked at this have shown improved attention, memory, and executive functioning as a result of breathing interventions. While suggestive of positive benefits, these studies used control groups that are either inactive or inappropriate for determining their respective mechanisms …

Treatment, Diagnostic, Demographic, And Historical Factors Affecting Mental Health Diversion Outcomes, Amanda L. Reed

Dissertations, Theses, and Capstone Projects

The deinstitutionalization movement, which began in the 1950s and culminated in the closure of most psychological institutions by the 1980s, promised to usher in a new era of community mental health (Torrey et al., 2010). While the movement, which began largely due to advances in psychological treatment and the exposure of widespread abuses in asylums, was well-intentioned, it ultimately created new problems for people experiencing mental illness. Many of the programs designed to handle the influx of newly-released patients were never fully funded or well-received (Human Rights Watch, 2003). The criminal justice landscape also changed dramatically around the same time, …

The Effect Of Psilocybin On Personality, Ravital Labua

Dissertations, Theses, and Capstone Projects

As classic psychedelics are increasingly legalized and reintroduced into the psychotherapeutic frame, a deeper understanding of their effect on personality and overall wellbeing - as well as their clinical contraindications and potential pitfalls - will prove essential. As a result, this study represents a preliminary investigation into the effect of psilocybin exposure on a range of personality constructs.

Methods: Data was collected through a collaboration with The Psychedelic Society, an organization that legally administers psilocybin truffles in the Netherlands to self-selecting retreat attendees who have been screened for mental health disorders in accordance with Johnson et al.’s (2008) widely accepted …

A Randomized Controlled Trial Of Psychological Outcomes Of Mobile Guided Resonant Frequency Breathing In Young Adults With Elevated Stress During The Covid-19 Pandemic, Al Amira Safa Shehab

Dissertations, Theses, and Capstone Projects

Deep breathing practices have shown promise in reducing stress, anxiety, and depression in different populations, including young adults. Specifically, resonant frequency breathing can exert an impact on stress response systems through the vagus nerve and the hypothalamo-pituitary-adrenal (HPA) axis. This may induce reductions in stress and improvement in emotion regulation. Young adults, including college students, tend to be at a higher risk for psychological distress, as they face several psychosocial challenges. The COVID-19 pandemic has imposed new and unique stressors that resulted in higher levels of stress and emotional symptoms and it has been shown that this may have placed …

Childhood Adhd, Impulsivity, And Alcohol-Related Impairment Among Diverse College Students, Mariely Hernandez

Dissertations, Theses, and Capstone Projects

Aims: We examined (1) if students with high childhood ADHD symptoms, and at high risk for alcohol use disorder (AUD) reported greater alcohol-related impairment (ARI) than their low childhood ADHD peers who had comparable rates of alcohol use; and (2) whether alcohol-related problems were more severe for those with high childhood ADHD and high AUD risk when their trait impulsivity was high.

Method: 18-to 25-year-old (N=81), racially/ethnically diverse, college students completed a two-part study. An online survey assessed childhood ADHD symptoms (Wender Utah Rating Scale) and past-year alcohol use (Alcohol Use Disorders Identification Test). Laboratory assessment comprised neuropsychological and self-report …

Barriers And Bridges To Intimacy: A Constellation Of Same-Sex Female Couples’ Experiences, Struggles And Strengths, Jenna K. Bennett

Dissertations, Theses, and Capstone Projects

Intimacy is central to romantic relationships, however, this aspect of experience has been largely unstudied in female couples. Further, few studies have looked at how minority stress and internalized homophobia impact these women’s experiences of intimacy. With a sample of 19 women, through self-report measures and a semi-structured interview, experiences of intimacy, the factors that impact intimacy, barriers to intimacy, and how couples bridge these barriers were explored. Quantitative analysis revealed an association between internalized homophobia and relationship satisfaction. Qualitative thematic analysis indicated that this group of women had a robust range of explicit and implicit experiences of intimacy. Further, …

A Comparison Of Simulated Schizophrenia In Mental Health Experts And Genuine Schizophrenia In Psychiatric Patients, Amanda Rosinski

Dissertations, Theses, and Capstone Projects

Malingering includes the intentional feigning of psychiatric symptoms combined with motivation for external gain (American Psychiatric Association, 2013). Malingering is likely to occur in the justice system in both criminal and civil contexts, as there is increased opportunity for secondary gain in these settings. When individuals successfully malinger, it can be very costly for the United States. For example, if an individual successfully malingers, it can delay their criminal proceedings, allow them to inappropriately use resources associated with psychiatric or medical treatment, allow them to gain access to unneeded medications or financial assistance, or allow them to avoid work (Chafetz …

How Frustration Impacts The Relationship Between Potential For Child Physical Abuse Perpetration And Emotion Processing, Amanda L. Zwilling

Dissertations, Theses, and Capstone Projects

Research conducted over the past 20 years has substantiated the serious, long-lasting impacts of child physical abuse (CPA) has on individuals, families, and society. Research has also suggested several appreciable risk factors for perpetration of CPA. Intergenerational transmission of abuse, described as the personal experience of abuse or neglect during childhood, is prominent in the literature as a predictor of subsequent perpetration of CPA. However, the majority of individuals who experience abuse in childhood do not subsequently engage in perpetration of child abuse as adults. As such, the literature has sought to investigate risk factors that mediate the relationship between …

Advanced Psychopathology, Comfort Asanbe

Open Educational Resources

This syllabus is designed for a graduate course in the study of abnormal psychology, also known in some institutions as Psychopathology. The course is required for new students who are starting their program in clinical mental health counseling (CMHC). The syllabus provides information on required resources for optimal performance in the class. These resources include; electronic DSM-5 book through the CSI library e-resources, digital interactive learning resource (MindTap), instructional movies through Wikipedia, and links to relevant mental health organizations. The resources are mostly open education resources (OER), with a few that are not free (MindTap).

Stigma Towards Treatment Amongst People With Mental Illness, Haya M. Khan

Student Theses

There is evidence for the persistence of stigma towards people diagnosed with mental illness, as well as that endorsement of stigma is associated with reluctance to seek treatment. However, the process by which self-stigma impacts treatment choice amongst people with mental illness is not well understood. This study examined the impact of self-stigma on one’s decision to take medication or undergo psychotherapy; as well as the impact of stigma on choice of individual or group therapy. Surveys were administered through CloudResearch to 128 participants from the U.S, who reported a disorder diagnosed by a professional. The SSMIS-SF and ISMI-9 estimated …

Disinhibition And Persistent Maladaptive Behavior, Angela T. West

Student Theses

Objective: There is an urgent need to reduce overpopulation in U.S. prisons, which are inundated with individuals needing substance use treatment. Research on both substance use and antisocial behaviors highlight maladaptive beliefs and behaviors, while also implicating disinhibition as an important factor. Disinhibition is a dynamic trait that can be targeted with therapeutic interventions. The current study explored the relationships between neurocognitive disinhibition, substance use, and recidivism among incarcerated men. The study hypothesized that disinhibition would be associated with history of substance use, history of antisocial behavior, and institutional misconduct, as well as predicting recidivism over and above history of …

Learning To Feel Safe: A Translational Study Of The Influence Of Safety Learning On Anxiety-Related Overgeneralized Fear, Hyein Cho

Dissertations, Theses, and Capstone Projects

Anxiety disorders are among the most common mental health diagnoses, affecting about a third of the population in their lifetime. However, approximately a third of individuals with anxiety do not respond to current treatment approaches, highlighting the need to identify additional potential therapeutic mechanisms. Safety learning is one such mechanism, but methodological challenges and a dearth of research have prevented the field from advancing the understanding of the role of safety learning in the etiology and remediation of anxiety disorders. Animal research, using single-cued safety learning paradigms, has yielded promising early findings, demonstrating that safety learning directly reduces anxiety-related behaviors …

Traces Of Absence: How The Trauma Of The Yemenite, Mizrahi And Balkan Kidnapped Children Affair Is Present In Photographs And Home Movies, Natalie Haziza

Dissertations, Theses, and Capstone Projects

Between 1948 and 1956, an estimated thousands of babies and young children were kidnapped through the state medical system, in the newly established State of Israel. They were offered for adoption to barren parents (often Holocaust survivors), sold to international adoptive families (often in the United States), and in the most disturbing cases used in medical experiments. Parents were often told that their children had died during routine medical care, but were provided with neither death certificate nor body. The majority of the victims of these kidnappings were Mizrahi - Jewish immigrant families from Arab and Muslim countries. Most families …

Profiling Child Molesters: Thematic Differentiation Of Crime Scene Indicators And Correlations To Psychopathology, John P. Santora

Student Theses

Offender profiling has become an increasingly important tool in criminal investigations. The current research took an expansive, multifaceted empirical approach to the profiling of child molesters through investigative psychological methodologies with additional perspectives investigating concomitant clinical implications. In doing this, offenders were thematically differentiated based on their behaviors at the offense. The quality of the differentiation was tested, and the distribution of offenders across the derived themes was developed. Associations between the Massachusetts Treatment Center Child Molester Three, Axis One (MTC:CM3 A1) were assessed. This process was repeated for offender characteristic variables which were also thematically differentiated. Finally, behavioral themes …

The Joint Influence Of Social Support And Coping On Anxiety In Aya Cancer Survivors, Genevieve Durso

Theses and Dissertations

Background Adolescent and young adult (AYA) cancer survivors experience unique psychosocial needs during remission. Cancer-related anxiety is endemic amongst AYA survivors and can impede upon the survivor’s life post-cancer treatment. Independent of one another, confiding in a social support system and frequent engagement in coping mechanisms benefit those throughout the cancer experience, leading to more positive psychosocial outcomes. Hypothesis The dual utilization of one’s social support network and coping mechanisms would reduce cancer-related anxiety in AYA cancer survivors. Methods This study’s data was derived from a prior study conducted at Memorial Sloan Kettering Cancer Center, consisting of 128 adolescent and …

Psychiatrist Burnout, Irvin Sam Schonfeld, Renzo Bianchi

Publications and Research

We critique a paper published by Summers et al. (2020) and papers in general that, because of flawed methods, arrive at exceedingly high estimates of burnout in psychiatrists and other professionals.

Smartphones And Somatizing, Jonathan Berkowitz

Dissertations, Theses, and Capstone Projects

This project explores the relationship between smartphone use, somatizing, and mentalized affectivity. The sample consisted of 511 iPhone users who completed an online survey that included scales measuring somatizing, mentalized affectivity, and general symptoms, as well as measures of smartphone engagement and addiction. Participants also provided data from their screentime application, and information about game-playing tendencies. A series of regression models were used to analyze data.

Results showed that smartphone addiction and game playing predicted somatizing, and did not interact with mentalized affectivity. Game-players somatized more than non-game players, and within the game-playing subgroup, those who reported spending more time …

How Psychotherapists Practice In The Digital Era, Josh Weinstein

Dissertations, Theses, and Capstone Projects

The digital era, marked by digital devices connected via high speed data networks, has altered human experience in profound ways over the past 40 years. The potential for novel forms of human relating and fulfillment of desire has led to myriad changes in behavior, thought and unconscious activity. While many adapt or thrive in expanded reality, for some, the digital can be context, source and/or location for psychological affliction. When those who suffer seek psychological relief, how psychotherapists listen for, conceptualize and work with the effects of the digital matter a great deal. While theoretical and quantitative research literature exists …

Antecedents Of Borderline Personality Disorder And Antisocial Personality Disorder: An Examination Of Gene X Environment Interactions, Amy L. Medina

Dissertations, Theses, and Capstone Projects

Current thinking suggests that genotypes associated with impulse-control disorders and negative emotionality, such as monoamine oxidase-a (MAOA), interact with negative early environmental factors like childhood maltreatment and develop into the disorders know as Borderline Personality Disorder (BPD) and Antisocial Personality Disorder (ASPD). Using existing data from a prospective cohort design study of the consequences of child abuse and neglect, participants (N = 896 represent individuals with documented histories of child abuse and neglect and a matched comparison group that were followed up into adulthood and interviewed. A subsample of 631 participants gave permission for DNA extraction and analyses during …

Does Social Media Promote Disordered Eating?, Carly Feldstein

Dissertations and Theses

Hispanic people are the largest and fastest-growing minority group in the U.S. with a total of 18.5% of the U.S population being of Hispanic descent (United States Census Bureau, 2020). Although eating disorders (ED), particularly those involving binge eating, comprise a significant health concern, EDs are often overlooked in the Hispanic culture (Higgins et al., 2016; Opara & Santos, 2019). Hispanic individuals have comparable rates of anorexia nervosa, bulimia nervosa, and an even higher rate of binge eating disorders compared to non- Hispanic (NH) White individuals (Higgins et al., 2016). Within Hispanic adults, the lifetime prevalence of EDs is higher …

The Contribution Of Adverse Childhood Experiences To The Interplay Between Insecure Attachment Characteristics, Trait Emotional Intelligence, Difficulties In Emotion Regulation, And Personality Organization, Kseniia Gvozdieva

Dissertations and Theses

There are well-established connections between unfavorable attachment experiences and subsequent personality pathology. Individuals with adverse attachment experiences and those with personality pathology have been found to have difficulty with emotional awareness and emotion regulation. Attachment characteristics inform emotional intelligence and emotion regulation, while emotional intelligence and emotion regulation capacities can be protective against personality pathology and serve as a potential mechanism of positive change in one’s attachment. Complex trauma disrupts attachment and the subsequent development of emotional intelligence, emotion regulation, as well as personality structure.

In this dissertation, we examine the ways in which individual attachment patterns can be linked …

A Solution For Breaking The Impasse Of Burnout Measurement, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

In view of the profound problems affecting burnout’s conceptualization and measurement and because there is now robust evidence that burnout is a depressive condition, we recommend that occupational health specialists shift their focus from burnout to depression. A measure of job-related depressive symptoms, the Occupational Depression Inventory (ODI), has recently been developed. Advantageously, the ODI resolves many of the persistent problems linked to burnout while being consistent with burnout researchers’ original aim of assessing a work-attributed form of distress. The ODI includes a diagnostic algorithm that allows investigators to estimate the prevalence of depressive disorders that individuals specifically ascribe to …

The Occupational Depression Inventory—A Solution For Estimating The Prevalence Of Job-Related Distress, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

We are concerned about researchers’ reliance on the burnout construct and the MBI-GS to estimate the prevalence of job-related distress. In this paper, we first describe some of the problems plaguing the burnout construct and its measures. Then, we present the Occupational Depression Inventory, a new instrument designed to help occupational health specialists get a clearer view of the mental health status of the workforce (Bianchi and Schonfeld, 2020).

Occupational Depression, Cognitive Performance, And Task Appreciation: A Study Based On Raven’S Advanced Progressive Matrices, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

The Occupational Depression Inventory (ODI) was recently developed to assess depressive symptoms that individuals specifically attribute to their work. Research on the criterion validity of the instrument is still in its infancy. In this study, we examined whether the ODI predicted performance on, and appreciation of, a cognitively challenging test. In light of the link established between clinical depression and neuropsychological impairment, and considering that individuals with depressive symptoms are more likely to feel helpless under challenging circumstances, we hypothesized that occupational depression would be associated with poorer cognitive performance and a darkened appreciation of the task undertaken. We relied …

Is Burnout A Depressive Condition? A 14-Sample Meta-Analytic And Bifactor Analytic Study, Renzo Bianchi, Jay Verkuilen, Irvin S. Schonfeld, Jari J. Hakanen, Markus Jansson-Fröjmark, Guadalupe Manzano-García, Eric Laurent, Laurenz L. Meier

Publications and Research

There is no consensus on whether burnout constitutes a depressive condition or an original entity requiring specific medical and legal recognition. In this study, we examined burnout–depression overlap using 14 samples of individuals from various countries and occupational domains (N = 12,417). Meta-analytically pooled disattenuated correlations indicated (a) that exhaustion—burnout’s core—is more closely associated with depressive symptoms than with the other putative dimensions of burnout (detachment and efficacy) and (b) that the exhaustion–depression association is problematically strong from a discriminant validity standpoint (r = .80). The overlap of burnout’s core dimension with depression was further illuminated in 14 exploratory structural …