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Obstetric Violence And Postpartum Adjustment: Exploration Of Risk And Resilience Factors, Hope O'Neill

Electronic Theses and Dissertations

Obstetric violence includes acts of abuse, coercion, or disrespect that occur during the labor process. The present study explores how obstetric violence impacts a person’s postpartum psychosocial adjustment. This study used a subset of data (N = 339) from a larger online study, which attempted to explore multiple facets of a person’s postpartum health. The psychological constructs examined are postpartum depression and postpartum anxiety. Additional constructs assessed were protective and risk factors: self-compassion and medical mistrust. Self-compassion and medical mistrust were examined by using moderation models. Additional analyses were completed using simple regression models to explore whether obstetric violence predicts …

Suicide Among South Asians In The United States: A Growing Public Health Problem, Aruna Jha, Manik Ahuja, Rajvi J. Wani

ETSU Faculty Works

This research study quantifies and describes suicide among South Asian Americans (SAAs), an emerging population that are underrepresented group in suicide research. The purpose of this study was to examine key characteristics of suicide deaths among SAAs. Data were employed from DuPage County, IL, a county with a large SAA population. Following federal recommendations for disaggregating Asian American data at a granular level, four SAA researchers used name recognition to identify all SAA cases classified as suicide in the DuPage County coroner’s database from 2001 to 2017 (N = 38). Coroner’s reports were analyzed for contextual details and correlating …

Psychosocial Well-Being And Efforts To Quit Smoking In Pregnant Women Of South-Central Appalachia, Brittney Stubbs, Valerie Hoots, Andrea D. Clements, Beth Bailey

ETSU Faculty Works

Introduction: Psychosocial well-being variables from the Tennessee Intervention for Pregnant Smokers (TIPS) study, a longitudinal smoking cessation study in South-Central Appalachia, were investigated as potential predictors of smoking status.

Methods: A sample of 1031 pregnant women participated in an expanded 5A's (Ask, Advise, Assess, Assist, Arrange) program, from 2008 to 2011. Measures of stress, self-esteem, depressive symptoms, and disordered eating collected by interview during the first trimester, or during the third trimester in a combined interview if participants began prenatal care late, were hypothesized to differ among three groups of participants: pregnant women who never smoked, pregnant women who smoked …

Pyschosocial Well-Being And Efforts To Quit Smoking In Pregnant Women Of South-Central Appalachia, Brittney Stubbs

Undergraduate Honors Theses

A sample of 1,031 pregnant women from five prenatal practices participated in Tennessee Intervention for Pregnant Smokers (TIPS), an expanded 5A’s (Ask, Advise, Assess, Assist, Arrange) program. Stress, self-esteem, depressive symptoms, and disordered eating were hypothesized to differ among three groups: pregnant women who never smoked, pregnant women who smoked but quit prior to birth, and pregnant women who smoked and did not quit prior to birth. Smokers who quit were lower in stress and higher in self-esteem than those who did not quit. Non-smokers were lowest in stress and depression, and highest in self-esteem. These findings may lead to …

As A Pediatrician, I Don’T Know The Second, Third, Or Fourth Thing To Do: A Qualitative Study Of Pediatric Residents’ Training And Experiences In Behavioral Health, Rachel Petts Phd, Jeffrey D. Shahidullah Phd, Paul W. Kettlewell Phd, Kathryn A. Dehart Md, Kris Rooney Md, Ilene G. Ladd Ms, Tyler Bogaczyk Bs, Sharon L. Larson Phd

International Journal of Health Sciences Education

Despite a mandated 1-month rotation in developmental-behavioral pediatrics (DBP), pediatric residents report inadequate training in behavioral health care. As a first step in much needed curriculum development in this area, this study sought to assess learner experiences regarding the management of behavioral health problems during residency. Four focus groups were conducted for residents in years 1-3 of training in 2 residency programs in a northeastern state. Transcripts were analyzed and coded by researchers through qualitative classical content analysis. The exploratory analysis revealed 9 key themes: time requirements, rapport building, resources and referrals for behavioral health, psychiatric medications, diagnosis vs. treatment, …

Perceptions Of Confidentiality And Stigma Associated With Use Of Counseling Services, Jesi Hall

Electronic Theses and Dissertations

Counseling services are offered in most universities, but are often underutilized. Past researchers found that students listed time, cost, stigma, and confidentiality concerns as their top reasons for avoiding seeking help (e.g., Clement et al., 2015; Dearing, Maddux, and Tangney, 2005). The purpose of this study was to identify whether concerns about confidentiality affect stigma related to use of mental health services. Students answered questions about perceived stigma and the reasons they have avoided seeking counseling in the past. Those who had previously used services reported fewer confidentiality concerns. In a stepwise multiple regression, concerns about confidentiality were found to …

Investigating Barriers To Mental Health Care In Law Enforcement Officers, Samantha F. Johnson

Electronic Theses and Dissertations

The profession of law enforcement is an inherently stressful job. Although the physical stress of the job is often discussed, the mental health impact on officers is often ignored, resulting in poor mental health and increased risk for suicide. The purpose of the current study was to investigate factors related to the reluctance of law enforcement officers (LEOs) to seeking treatment, as well as to gain an understanding of the prevalence rates of disorders in a law enforcement population. Convenience sampling was used to recruit participants (N = 306) across a variety of agencies. Correlation, moderated regression analysis, and structural …

Exploring Protective Factors Among Lesbians, Gays, And Bisexuals: A Framework For Psychological Well-Being And Relative Influence, Sheri Laduke

Electronic Theses and Dissertations

Lesbian, gay, and bisexual individuals must regularly navigate stigma, or social situations in which they are devalued because of their sexual orientation. The research has well established minority stress processes which link situations of stigma to reports of poor psychological well-being. However, protective factors leading to healthy psychological well-being are relatively understudied. This dissertation is a review of protective factors that have already emerged in the research and an assessment of these protective factors simultaneously to better understand how they influence psychological well-being. I recruited adult sexual minority participants using a comprehensive social media approach. I then tested mastery, problem-solving …

Identity As A Buffer Against Negative Outcomes Of Public Stigma Among Lesbian, Gay, And Bisexual Individuals, Emma G. Fredrick

Electronic Theses and Dissertations

Sexual minority individuals suffer stigmatization which often predicts negative mental health outcomes and low self-esteem. However, specific dimensions of identity have been shown to buffer against negative outcomes in racial minorities and other stigmatized groups. Yet, limited research has examined identity as a buffer for sexual minorities. This thesis aimed to explore the moderating role of identity characteristics between sexual stigma and mental health outcomes. Findings in a sample of 209 gays, lesbians, and bisexuals suggested that public stigma, centrality, and private regard predict psychological distress. Private regard also emerged as a predictor of self-esteem. Additionally, centrality and public stigma …

Perceived Barriers And Facilitators To Mental And Behavioral Health Screening And Treatment In Primary Care For Women In Northeast Tennessee, Sarah K. Hill

Electronic Theses and Dissertations

Between one quarter and one third of all primary care patients meet criteria for at least one mental disorder. However, many women are not screened for mental disorders as recommended by the literature. Some studies suggest even lower rates of screening and treatment in rural areas. This researcher sought to identify barriers and facilitators to mental and behavioral health screening and treatment for women in primary care and solicit feedback on how to ameliorate perceived barriers. Given the limited extant data describing rural Appalachian women’s perceptions of barriers and facilitators to receiving mental health services an exploratory qualitative analysis was …