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Effects Of A Collaborative Care For Depression Intervention On Health Service Utilization And Depression Severity, Girlyn Arganza Cachaper

Health Services Research Dissertations

Depression is the leading cause of disability worldwide, disproportionately affecting the Medicaid population. Collaborative care programs for depression are transforming primary care to increase access and coordinate physical and behavioral health services. Understanding the relationships between components of collaborative care programs, characteristics of participants, and their effect on outcomes can maximize program effectiveness. A pilot collaborative care for depression program within a Medicaid managed care organization was evaluated using administrative claims and case management data. Participants (n=444) included adults with prior Medicaid coverage and a comparison group identified using one-to-one propensity score-matching. Multivariate logistic regression models estimated the odds of …

Affective Factors Explaining The Association Between Depressive Functioning And Alcohol Outcomes, Peter D. Preonas

Psychology Theses & Dissertations

Depressive symptoms and alcohol use frequently coexist. In college students, the rates of depression and alcohol use are higher than in the general population, making this population at particular risk for co-occurrence of depressive symptoms and drinking. Though research has shown that depressive symptoms precede alcohol use and problems in non-clinical populations, it is unclear what mechanisms contribute to this relationship. Further exploration into how this relationship occurs could inform and improve intervention of depression and alcohol abuse on college campuses. This study sought to (1) assess three potential mediators (i.e., need for affect, distress tolerance, emotion regulation) to the …

Sense Of Belonging, Emotion Regulation, Perceived Social Support And Mental Health Among College Students, Sara Bock Davis

Psychology Theses & Dissertations

Perceived social support (PSS) is linked to a range of beneficial effects, but the factors that influence the effectiveness of PSS are less well understood. In their Relational Regulation Theory (RRT), Lakey and Orehek (2011) emphasize the importance of distinguishing the role of individual factors from relational influences on PSS. This study tested the RRT by examining whether the association of PSS to three mental health outcomes (i.e., aggression, binge eating, depressive symptoms) varies by two individual factors: sense of belonging and emotion regulation. With a non-clinical college sample, a series of hierarchical regressions tested whether sense of belonging and …

Exploring The Relationship Between Depression And Resilience In Survivors Of Childhood Trauma, Marquis A. Norton

Counseling & Human Services Theses & Dissertations

Although experiences of trauma are common, reactions vary due to a host of biopsychosocial and cultural factors that influence the individual reaction to the trauma (Nakai et al., 2015). One such factor is resiliency, the capability to adapt in adverse environmental circumstances (Basim & Cetin, 2011). This study used hierarchical multiple regression to examine the relationships between childhood trauma, recent experiences of depression, and resilience in adult university students. This study also examined the possible moderating effects on depression by resilience. Participants completed the Childhood Trauma Questionnaire, Connor-Davidson Resilience scale, and PROMIS Depression survey. Small significant relationships were found for …

Unconditional Government Cash Transfer In Support Of Orphaned And Vulnerable Adolescents In Western Kenya: Is There An Association With Psychological Wellbeing?, Sylvia Shangani, Don Operario, Becky Genberg, Kipruto Kirwa, Miriam Midoun, Lukoye Atwoli, David Ayuku, Omar Galárraga, Paula Braitstein

Community & Environmental Health Faculty Publications

Background

Orphaned and vulnerable adolescents (OVA) in sub-Saharan Africa are at greater risk for adverse psychological outcomes compared with their non-OVA counterparts. Social interventions that provide cash transfers (CTs) have been shown to improve health outcomes among young people, but little is known about their impact on the psychological wellbeing of OVA.

Objective

Among OVA in western Kenya, we assessed the association between living in a household that received monthly unconditional government CTs and psychological wellbeing.

Methods

We examined the likelihood of depression, anxiety, post-traumatic stress symptoms (PTSS) and positive future outlook among 655 OVA aged between 10 and 18 …