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An Educational Program About Living With Depression, Ngozi Gloria Okoro Jan 2017

An Educational Program About Living With Depression, Ngozi Gloria Okoro

Walden Dissertations and Doctoral Studies

Depression is a common and disabling mental illness, but the loneliness, isolation, and poor quality of life associated with depression may improve with treatment. Depressive patients adhere to their treatment and experience better outcomes when their family members are involved with their treatment. At the project mental health facility, patients with depression had the highest non-compliance rate to treatment and no educational program existed for their families. This observation led to the current practice-focused question which examined how an evidenced-based educational program can be developed for family members or caregivers of patients diagnosed with depression. The purpose of this project …


Hassles Of African Americans With Type 2 Diabetes, Sharon H. Murff Jan 2017

Hassles Of African Americans With Type 2 Diabetes, Sharon H. Murff

Walden Dissertations and Doctoral Studies

There has been a steady increase in the incidence of diabetes in the United States. The purpose of this study was to determine whether there was a difference in the daily hassles of African American adults with a self-reported diagnosis of type 2 diabetes compared to those of African American adults without a self-reported diagnosis of type 2 diabetes. The theoretical underpinning for this quantitative, descriptive study was the cognitive appraisal theory (CAT), but the concept of stress and the effects stress has on the body was the broad framework that connected all the variables. The CAT was used to …


The Relationship Between Depressive Symptoms And Levels Of Lifestyle Activity Among Community-Dwelling Older Adults, Michael D. Gatson Jan 2017

The Relationship Between Depressive Symptoms And Levels Of Lifestyle Activity Among Community-Dwelling Older Adults, Michael D. Gatson

Walden Dissertations and Doctoral Studies

Identifying depressive symptoms in community-dwelling elders has been problematic, due to a lack of resources and training for health clinicians. Previous researchers have indicated that older adults who engage in physical activities can prevent, or mitigate depression, but no model has included this variable in conjunction with factors such as lifestyle or sociodemographic characteristics. In this study, a predictive design was used with a regression analysis. The purpose of this quantitative study was to investigate the relationship between depressive symptoms and the different factors identified in the literature as significant contributors to its prevalence among older community-dwelling adults. Erikson's theory …


Discrimination, Coming-Out, And Self-Esteem As Predictors Of Depression And Anxiety In The Lesbian Community, Adrien Purvis Jan 2017

Discrimination, Coming-Out, And Self-Esteem As Predictors Of Depression And Anxiety In The Lesbian Community, Adrien Purvis

Walden Dissertations and Doctoral Studies

Mixed findings in the research on mental health issues in the lesbian community have resulted in conflicting conclusions as to whether the prevalence rate of generalized anxiety disorders and depression in the lesbian population differs from that of non-lesbians. The variability of findings may be due to factors such as discrimination, coming-out, and self-esteem. Using the minority stress model a framework, the purpose of this quantitative survey study was to examine whether perceptions of discrimination, coming-out, and self-esteem levels predict lesbians' anxiety and depression. Participants anonymously completed online measures of the Outness Inventory, the Schedule of Sexually Discriminatory Events, the …


Symptom Changes In Children And Adolescents With Internalizing Conditions During Treatment, Rachel Samantha Bertelson Jan 2017

Symptom Changes In Children And Adolescents With Internalizing Conditions During Treatment, Rachel Samantha Bertelson

Walden Dissertations and Doctoral Studies

Mental health conditions, such as internalizing disorders, in children and adolescents have been attributed to higher than expected levels of high school dropouts, juvenile crimes, and suicide. Previous research studies provide limited information on factors influencing treatment success for children and adolescents diagnosed with internalizing disorders. This study utilized a nonequivalent comparison group design gathered from an archived data set from a sample of children and adolescents (N = 215) who participated in an intensive outpatient managed mental health care treatment program. Self-report data were retrieved from previous responses to the Children's Depression Inventory and Revised Children's Manifest Anxiety Scale …


Diabetes Self-Management Problems Of Older, Low-Income African American Women, Pearlean Day Day Jan 2017

Diabetes Self-Management Problems Of Older, Low-Income African American Women, Pearlean Day Day

Walden Dissertations and Doctoral Studies

Type 2 diabetes disproportionately affects low-income African American women, age 50 years and older: 30% to 40% of this population has this chronic disease. Two significant factors affecting poor diabetes practice adherence are food insecurity and depression; another is obesity. The purpose of this quantitative correlational study was to determine if either food insecurity or depression significantly affect Type 2 diabetes self-management practices; and/or if food insecurity significantly influences practice adherence indirectly, through the mediator of depression, while controlling for obesity. The research questions were aligned with the theoretical pathways posited in Matthews's reserve capacity model (RCM) and used the …


Development Of A Quality Improvement Initiative To Screen For Postpartum Depression, Renee Traube Jan 2017

Development Of A Quality Improvement Initiative To Screen For Postpartum Depression, Renee Traube

Walden Dissertations and Doctoral Studies

Postpartum depression (PPD) is a mood disorder affecting approximately 20% of women within 6 months of delivery. Untreated PPD diminishes a woman's functioning and may result in short and long-term consequences for her infant. Screening with evidence-based tools can identify prenatal and postpartum women at risk for PPD, ensure early treatment, and limit adverse maternal and infant effects. Using Rosswurm and Larrabee's evidence-based practice model, a multidisciplinary team of 7 key stakeholders, including directors and a nurse from the departments of OB/GYN, Pediatrics, and Primary Care, a psychiatrist specializing in women's health, and a member of nursing leadership, formed to …


Treating Adult Women With Depression Through Videoconferencing, Irina Demidova Jan 2017

Treating Adult Women With Depression Through Videoconferencing, Irina Demidova

Walden Dissertations and Doctoral Studies

The occurrence of depression in the United States is steadily increasing. In every age group, women have a higher rate of depression than men, and U.S. women between the ages of 40 and 59 have a depression rate of 12%. Adult women living in rural areas experience physical and/or psychological impairment and lack access to mental health treatment. The purpose of this quantitative nonexperimental study was to examine participants' preferences for treatment delivery method based on patient perceptions of the clinical experience, patient satisfaction, and therapeutic bond. The working alliance theory provided the theoretical foundation. Data collection included survey responses …


Attribution Style And Depressive Symptoms Among African American Women, Pamela Mischell Robinson Jan 2017

Attribution Style And Depressive Symptoms Among African American Women, Pamela Mischell Robinson

Walden Dissertations and Doctoral Studies

Homelessness is a major social problem in the United States and this nation has the largest number of homeless women. Minority women appear to be more affected than other individuals. Specifically, they are more vulnerable, impoverished, and disenfranchised than all other groups in the nation. These factors affect their emotional well-being and ability to move toward and achieve sustainability. Particularly, African-American women are disproportionately represented in the homeless population, yet they have not been adequately examined in research studies and there are minimal empirical studies that focus on homeless African-American women. Beck's cognitive behavioral therapy (CBT) and Weiner's attribution theory …


Substance Abuse And Depression: Exploring Changes In Symptomology In Minority Subgroups, Ruth Michel Jan 2017

Substance Abuse And Depression: Exploring Changes In Symptomology In Minority Subgroups, Ruth Michel

Walden Dissertations and Doctoral Studies

While a comorbid relationship between substance abuse and depression in Caucasian adults has been widely documented, comorbid substance abuse and depression in minorities remains unexplored, leaving a gap in knowledge concerning the treatment of these comorbid disorders in the fastest growing population in the United States. Cognitive behavior theory posits that specific stressors increase the likelihood of substance abuse. These factors may include structural discrimination experienced by minorities. This quantitative, pretest-posttest archival study examined the effects of a substance abuse treatment program in reducing comorbid depressive symptoms among 317 participants from 3 minority subgroups and a comparison nonminority group enrolled …


Assessment Of Anxiety And Depression Among Breast Cancer Patients Undergoing Treatment In Ghana, Kofi Adesi Kyei Jan 2017

Assessment Of Anxiety And Depression Among Breast Cancer Patients Undergoing Treatment In Ghana, Kofi Adesi Kyei

Walden Dissertations and Doctoral Studies

Breast cancer patients undergoing radiotherapy often experience severe levels of anxiety and depression. There is a gap in the research literature from Africa, particularly from Ghana, with few studies focusing on the assessment of anxiety and depression among breast cancer patients undergoing radiation treatment. A better understanding was essential to promote efforts to help breast cancer patients cope with their diagnosis and treatment and increase their overall quality of life. This mixed method study examined breast cancer patients in Ghana undergoing radiotherapy and their responses related to anxiety and depression through a concurrent triangulation involving an interview with selected professional …