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Perceived Barriers And Facilitators To Mental And Behavioral Health Screening And Treatment In Primary Care For Women In Northeast Tennessee, Sarah K. Hill Dec 2013

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 …


Impact Of Co-Occurring Psychiatric Disorders And Traumatic Brain Injury On Speech-Language Treatment: Speech-Language Pathologists’ Perspectives, Janis Whitney Neal Oct 2013

Impact Of Co-Occurring Psychiatric Disorders And Traumatic Brain Injury On Speech-Language Treatment: Speech-Language Pathologists’ Perspectives, Janis Whitney Neal

Master's Theses and Doctoral Dissertations

Previous studies have associated traumatic brain injury (TBI) with higher rates of psychiatric disorders. This study investigated speech-language pathologists’ (SLPs) perspectives on the prevalence of co-occurring psychiatric disorders in the TBI population and its impact on speech-language treatment. Interviews were conducted with twelve SLPs working with a TBI population. Results revealed a lack of standard measures to assist SLPs in distinguishing between the symptoms of psychiatric disorders versus the neuropsychiatric symptoms of TBI. Also, results indicated the heavy reliance on a multidisciplinary team to provide comprehensive and individualized treatment for the TBI clientele, and the negative consequences of untreated psychiatric …


Understanding African American Male Inmates’ Decisions To Seek Mental Health Treatment While Incarcerated, Darnell A. Durrah Jr. Oct 2013

Understanding African American Male Inmates’ Decisions To Seek Mental Health Treatment While Incarcerated, Darnell A. Durrah Jr.

Dissertations (1934 -)

Incarceration in United States correctional facilities has significantly increased in the past decade (The Pew Charitable Trust, 2009). African American adult males are more likely to be incarcerated compared to all other major ethnic groups (U.S. Department of Justice, 2010). One of the current challenges experienced within correctional facilities is the need to provide appropriate mental health treatment services (U.S. Department of Justice, 2011). Studies have noted the need for such services, however, African American adult males generally are not likely to utilize these services (Morgan et al., 2004). In the general (not incarcerated) population, research has found that cultural …


The Association Between Attachment-Related Trauma And Adult Representations Of Attachment And The Role Of Maternal Mental Health, Syreeta Scott Jul 2013

The Association Between Attachment-Related Trauma And Adult Representations Of Attachment And The Role Of Maternal Mental Health, Syreeta Scott

Master's Theses and Doctoral Dissertations

Despite longstanding theoretical associations in the attachment literature between early experiences of trauma, unresolved attachment representations, and mental health symptoms, few studies have explored associations between these variables, and findings amongst current studies are inconsistent. This study aimed to examine these relationships in a high-risk sample of mothers. It also explored relationships between aspects of trauma, such as type, severity, and age of exposure in relation to unresolved attachment representations. Possible moderating effects of mental health were also examined. Data for the study were collected as part of a larger longitudinal study on women’s transition to motherhood. The present study …


An Evaluation Of Culture-Specific Risk Factors And Emotion Regulation Strategies On Psychological Distress And Maladaptive Behaviors Among Asian Americans, Joo-Hyun Lee Apr 2013

An Evaluation Of Culture-Specific Risk Factors And Emotion Regulation Strategies On Psychological Distress And Maladaptive Behaviors Among Asian Americans, Joo-Hyun Lee

Master's Theses and Doctoral Dissertations

Cultural context is fundamental in cross-cultural conceptualizations of risk factors for mental health status among ethnic minorities. Existing studies indicate that acculturation level predicts psychological adjustment, but findings remain inconclusive. This study, consisting of university students of Asian descent, evaluated the relationship between acculturation level and internalizing/externalizing problems via the incorporation of more proximal measures of risk factors associated with acculturation (e.g., acculturative dissonance and acculturative stress). In addition, the predictive values of non-culture specific risk factors, such as emotion dysregulation and experiential avoidance, were examined. Acculturation-related stressors and difficulties with emotion regulation increased risk for maladjustment within the study’s …


Notions Of Spirits As Agents Of Mental Illness Among The Akan Of Ghana: A Cultural-Psychological Exploration, Annabella Opare-Henaku Apr 2013

Notions Of Spirits As Agents Of Mental Illness Among The Akan Of Ghana: A Cultural-Psychological Exploration, Annabella Opare-Henaku

Theses and Dissertations

The study explores lay conceptualizations of mental illness among the Akans of Ghana as influenced by their cultural worldview. Akan, the largest ethnic group in Ghana, is noted for the use of supernatural attributions for various health-related issues. The supernatural attributions are based on Akan ontological belief that the universe is unitary such that there is no clear distinction between physical and spiritual occurrences. This worldview guides Akans in how they deal with a wide range of issues including their mental health. Clinicians and other mental health professionals who rely solely on biomedical approaches to mental health fail to meet …


Understanding Gendered Criminal Involvement With A Community-Based Criminal Sample: Assessing Substance Abuse And Mental Health Needs, Stacy Taylor Apr 2013

Understanding Gendered Criminal Involvement With A Community-Based Criminal Sample: Assessing Substance Abuse And Mental Health Needs, Stacy Taylor

Electronic Thesis and Dissertation Repository

This study explored the gendered effect of substance abuse and mental health issues on the pathways to criminal convictions with a criminal population in the community setting. The data was retrieved through a file review of a sample of 48 female and 42 male offenders who received crisis care during a one-year period, at a community corrections agency in a medium-sized urban community in Ontario. The data collected was based upon factors derived from the LSI-R (Andrews & Bonta, 1995) and the Women’s Supplemental Risk/Needs Assessment (Van Voorhis, Wright, Salisbury & Bauman, 2010). Results of the present study revealed gender …


Applying The Social Norms Approach To Help Seeking Behavior In The Military, Janette Hamilton Apr 2013

Applying The Social Norms Approach To Help Seeking Behavior In The Military, Janette Hamilton

Theses and Dissertations

OBJECTIVE: The study assessed the applicability of the social norms approach to help-seeking behavior in the military by exploring whether Service Members are affected by perceptions of peers’ beliefs about stigma related barriers to mental health care. METHOD: Data were collected from members of the Virginia National Guard (N= 84) during Yellow Ribbon events. Using surveys, Service Members’ own perceptions and their perceptions of their peers’ beliefs about barriers to seeking psychological care were gathered. RESULTS: Participants’ own beliefs about barriers to care were positively correlated with perceptions of peers’ beliefs. Variance in help-seeking status was better accounted for by …


Predictors Of Perfectionism In Latter-Day Saint Students, Preston V. Tenney Mar 2013

Predictors Of Perfectionism In Latter-Day Saint Students, Preston V. Tenney

Theses and Dissertations

The purpose of the present study was to gain insight into the prevalence, nature and etiology of perfectionism in a sample of devout Latter-day Saint college students at Brigham Young University. A number of variables-including self-conscious emotions, mental health, interpersonal/cognitive style, and religious orientation-were entered into multiple regression models to determine the strongest predictors of perfectionism. Participants were 245 students studying at Brigham Young University in Provo, UT in the spring of 1995. The self-conscious construct of shame demonstrated to be the strongest predictor of perfectionism followed by depression and religious fundamentalism. In addition to these findings, it was found …


Work-Related Stress And Mental Health Of Child Care Center Workers, Sarah Lietzow Witherell Jan 2013

Work-Related Stress And Mental Health Of Child Care Center Workers, Sarah Lietzow Witherell

Wayne State University Dissertations

The purpose of this study was to investigate what factors are associated with symptoms of depression, anxiety, somatization, and general psychological distress in a sample of child care center workers. A sample of 101 employees from 14 different child care centers in the southeastern Michigan area were administered questionnaires that asked about work and home life, social support, and mental health. Data was also collected from center directors regarding the type and size of the child care program and the annual turnover rate of each facility. One of the key findings of the study was that a significant number of …


The Relationship Between Gratitude And Psychological, Social, And Academic Functioning In Middle Adolescence, Michelle Denise Hasemeyer Jan 2013

The Relationship Between Gratitude And Psychological, Social, And Academic Functioning In Middle Adolescence, Michelle Denise Hasemeyer

USF Tampa Graduate Theses and Dissertations

Guided by positive psychology and broaden-and-build theoretical frameworks, this study utilized a correlational research design to explore the relationships between gratitude and adolescents' psychological, social, and academic well-being in a diverse sample of 499 high school students. Results of multiple regression analyses that controlled for potential effects of student demographic features on outcomes showed that higher levels of gratitude predicted more life satisfaction (β=.63, sr2=.40) , less internalizing symptoms (β= -.44, sr2= .19), more social support from parents (β=.50, sr2=.25), teachers (β=.28, sr2=.08), and peers (β=.34, sr2=.12), higher grades (β=.12, sr2=.014), and better academic self-perceptions (β=.30, sr2=.09). These relationships were …