Digital Commons Network^™

Msw Portfolio, Olivia Calvi

Graduate Student Portfolios, Professional Papers, and Capstone Projects

No abstract provided.

Increasing Occupational Engagement In Adults With Anxiety And Depression Through Martial Arts, Alfred Franklin, Keisa Boykin

Summer 2024 OTD Capstone Symposium

This poster is for a capstone project that developed a martial arts program for adults with anxiety and depression to increase occupational engagement in these individuals.

The Role Of Depression On The Ability To Achieve Smoking Abstinence​, Arian Mohammadyar, Maher Karam-Hage, George Kypriotakis, Jason D. Robinson, Jennifer A. Minnix, Diane Beneventi, Janice A. Blalock, Paul M. Cinciripini

Supporting Tobacco-Related Ongoing Education and Research (STRONGER)

We investigated how depression affects smoking abstinence among cancer patients who participated in MD Anderson Cancer Center's Tobacco Research and Treatment Program (TRTP), assessing outcomes three months post-enrollment. We also compared the likelihood of abstaining from smoking while accounting for nicotine dependence measured by the Fagerström Test for Cigarette Dependence (FTCD). The findings aimed to guide clinical practices in optimizing treatment of tobacco use disorder (TUD) to improve abstinence rates. Integrating comprehensive treatments for depression alongside standard TUD treatment holds promise for improving overall abstinence outcomes.

Nurse Suicide: Examining Depression And Anxiety In Critical Care Settings, Arianna Bernardine Barata

Nursing | Student Research Posters

Nurses play a critical role in healthcare, yet the demanding work environment often exposes them to stressors, leading to the development of depression and anxiety. According to the National Library of Medicine (NLM) (2021), 50.8% of nurses have stress, 74% have anxiety, 70.8% have depression, and 79.1% have at least one of them. Burnout, understaffing, COVID fatigue, alarm fatigue, patient ratios, and disrupted sleep patterns are some of the stressors nurses contend with in every shift. While some nurses may cope and overcome these challenges, many face more severe issues, such as suicide. Nurse suicide is an issue that has …

Preparatory Program For Women During Pregnancy/Postpartum And Transitioning Back To Work Or School, Bria Runnels, Rebecca King

Spring 2024 Virtual OTD Capstone Symposium

Despite the importance of maternal health during the prenatal, postnatal, and parenting stages, there is a lack of research on the role of occupational therapists (OTs) in addressing the occupational challenges faced by women during this transitional phase. This dissertation aims to develop a program that raises awareness of the role of occupational therapy in maternal health and promotes occupational therapists as part of an interdisciplinary team within the scope of maternal health care. By adapting co-occupation for mothers, occupational therapists can play an important role in individualizing occupations for enhanced transitioning and overall quality of life. The study highlights …

Occupational Therapy For People With Dementia Who Have Occupational Performance Challenges Due To Depression, Ally Frazier, Steven M. Gerardi

Spring 2024 Virtual OTD Capstone Symposium

Individuals with dementia experience a multitude of barriers and challenges that impact their daily engagement throughout the environment. In addition, although the pandemic has concluded, noxious effects are still influencing people's lives. Residential care facilities have noticed continual acts of isolation that are presenting as barriers in mental health. Depression has known to be a common comorbidity in the ailment of dementia. Occupational therapy (OT) practitioners have the unique and valuable role in working with this population to target beyond the biomechanical aspects of a resident. Identifying barriers for mastery in leisure pursuits throughout someone’s day is crucial. When residents …

Let’S Move! Benefits Of Exercise Compared To Ssris (Escitalopram) For The Management Of Depression: Research From 2020 And Beyond, Brianna Droessler-Aschliman

Physician Assistant Scholarly Project Posters

• Purpose: Determine the effectiveness of exercise as either monotherapy or in combination with SSRIs (selective serotonin reuptake inhibitors) for the management of major depressive disorder.

• Studies gathered for this review came from the following databases: PubMed, SpringerLink, Academic Search Ultimate, Academic Search Complete, and CINAHL.

• Review of current research that was completed between the years 2020-2023 that consisted of either clinical trials, RCTs, or meta-analysis. • Upon completion of the literature review: exercise is equivocal to SSRIs as a treatment option. While this is a significant finding, the benefits of exercises are more consistent in those that …

Comparing Long-Term Outcomes Of Two Collaborative Care Approaches For People With Depression, Reach Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

People with depression usually get treatment in healthcare settings, such as clinics. In communities with few resources, people may also get help in community settings such as social services agencies or churches. Collaborative care brings together healthcare and community programs to help people with depression.

Comparing Two Ways To Treat Serious Worry Among Older Adults From Underserved, Racial Or Ethnic Minority Communities, Reach Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

Compared with other older adults, those with serious worry are more likely to have poor physical health, and often have depression, sleep problems, and trouble thinking clearly.

Is A Patient Navigation Program More Helpful Than A Referral Program For Reducing Depression And Improving Quality Of Life Among Women Living In Neighborhoods With Few Resources?, Reach Dissemination Committee, Maine, Usa

REACH: Research Evidence-to-Action for Community Health

The research team compared two programs designed to help women with feelings of depression who live in neighborhoods with few resources. Both programs lasted four months.

Improving Depression Screening In Primary Care By Implementing A Systematic Annual Screening Protocol: A Quality Improvement Initiative, Trang Nguyen, Ian Whitaker, Danny Tran, Aidan Lum Kong, Nan Crossley

South Atlantic Division GME Research Day 2024

No abstract provided.

Reminiscence Therapy For Prevention Of Post-Stroke Anxiety And Depression In Adults, Carly Porter

Master of Science in Physician Assistant Studies Capstone Presentations (Center City)

Introduction

Anxiety and depression are prevalent after a stroke.^1,2 Peer support is a non-pharmacologic intervention utilized to manage post-stroke anxiety and depression with inconsistent results.³ Reminiscence therapy is an intervention that has been studied in the dementia population but is a relatively new intervention for the stroke population and has the potential to impact the psychological care provided to stroke patients.⁴

An Occupation Based Program: Supporting Mothers Through Pregnancy And Postpartum, Precious Barnett, Monica Watford, La'shandra Russell

Summer 2023 Virtual OTD Capstone Symposium

This capstone project aimed to discover the effects of occupational therapy services with women who may experience or who are at risk for postpartum depression. Supporting Mothers Through Pregnancy and Postpartum is the developed capstone program. This program included occupation-based activities and resources to encourage occupational participation and engagement. This program used an integrative approach to support the participants of this project. This poster presentation includes background information regarding this population, the methods used to develop the program, program topic themes and goals, and links to view the program’s deliverables.

Nurse's Notes, 2013, V13 N2, Advocate Aurora Health

Historical Documents - Combined

Advocate Christ Medical Center and Hope Children's Hospital, Oak Lawn, IL: Internal publication written by nurses for a nursing audience. This issue highlights an update to a DNV survey, award recognitions, and recent conferences. The contact hour education section is on a pharmacological approach to depression.

Covid-19 And Depression And Anxiety Screening In Primary Care, Elizabeth Bernier, Abrey Feliccia, Leah Wood, Kate Herlihy, Kristen A. Woodberry

Costas T. Lambrew Research Retreat 2023

Introduction:

• The COVID-19 pandemic had a severe effect on mental health, heightening the prevalence and severity of anxiety and depression amongst the general population in rural and non-rural areas, particularly youth.

• Most reports draw from available data from mental health referrals, hospitalizations, suicides, and other incident data

• There is limited longitudinal information from general population samples using standardized mental health assessments.

Phq -9 Utilization In The Primary Care Setting, Michael Armstrong, Ramisa Rahman, Ceferino Cruz Iv, Afsha Rais Kaisani

North Texas GME Research Forum 2023

INTRODUCTION: The Patient Health Questionnaire-9 (PHQ-9) is a tool used to help diagnose depression and assess a patient’s response to treatment. Quality metric (QM) 371 is a measure of PHQ-9 utilization in patients with depression, and Medical City Family Medicine tracks QM 371 in order to improve the quality of care provided to our patients. This project sought to assess utilization of the PHQ-9 in our clinical practice. At the time of this QI project’s inception, QM 371 was reporting at 0%.

METHODS: Our intervention was to give an educational presentation regarding depression, the PHQ-9, as well as how to …

The Effects Of School-Based Art Therapy On Depressed Adolescents, Jasmine Nicolas

Nursing | Student Research Posters

Depression in adolescents is associated with deficient behavioral and health outcomes (Fletcher, 2019). Art therapy has been shown to be effective in treating mental health condition such as depression. A student’s academic success heavily depends on treating their depression. Community health nurses can play a vital role in advocating for adequate mental health support to improve a student’s overall well-being and academic success. The literature review contains six articles on the prevalence and impact of depression among adolescents, art therapy as an intervention for improving psychological outcomes and resilience among adolescents, and experiences of adolescent clients in art therapy within …

Suffocation, Alyssa Phillips

HCOM 434: Creative Publishing and Critical Storytelling, Spring 2023

This piece is about mental illness, and how it can leave you feeling constantly suffocated. Every day is a struggle when living with a mental illness, and it can feel as though your whole being is consumed by it. It has power over you, and it drains you to a point where you eventually surrender to its control. I chose to use a mimic octopus to represent it due to the unsettling size of the creature and its limbs, as well as its threatening patterns. This piece speaks of my own experience with uncertainty, when I had began to really …

The Effectiveness Of The Gut-Brain-Axis Versus Ssri For Treatment And Management Of Depression, Jenni Hetletved

Physician Assistant Scholarly Project Posters

Major Depressive Disorder (MDD) is a crippling condition that affects millions of people worldwide. Serotonin reuptake inhibitors (SSRIs) are the staple treatment adjunct to psychotherapy. Recently, the connection between gut health, specifically the gut brain axis, has been researched to look at the connection between gut microbiota and its effect on depressive symptoms. This meta-analysis evaluates the connection between gut microbiota and depression as well as the effectiveness of SSRI therapy on depression. Results show a significant change in gut microbiota with short term change to a Mediterranean diet (MD) compared to a Western diet (WD). This change in gut …

Cognitive Behavior Therapy Versus Internet Cognitive Behavior Therapy In Adults With Anxiety Or Depression, Heather Greenwood

Physician Assistant Scholarly Project Posters

According to the American Psychiatric Association, the prevalence of anxiety and depression in adults in their lifetime are nearly 30% and 16.6% respectively. The combination of pharmacotherapy and psychotherapy interventions (including talk therapy or cognitive behavior therapy (CBT)) are considered best practice, but in recent years there has been an increase in the popularity of applications and web-based services categorized as “internet cognitive behavior therapy”, or ICBT. The question proposed is, are these services as good for patient outcomes as traditional in-person CBT? A literature review was performed using electronic medical database PubMed with key word searches for cognitive behavior …

Perimenopausal Depression Screening And Treatment Efficacy Between Antidepressants And/Or Hormone Replacement Therapy, Mandy Stenehjem

Physician Assistant Scholarly Project Posters

During perimenopause, women are at increased risk of depression due to complex and multifactorial factors, such as HPA axis dysregulation and fluctuations in hormones, like estradiol. Antidepressants are currently used to treat depression, but hormone replacement therapy may also have comparable antidepressant effects based on hormonal mechanisms. Perimenopausal depression is a unique subtype of depression and needs to be routinely screened by OBGYNs and primary care providers. The literature review found mixed results on the efficacy of HRT, antidepressants, and a combination of both; all treatments have shown promising benefits and specific screening may be needed to tailor treatment.

What I Need: Self Care At The Unit Level, Jessica A. Tindal

Nursing Posters

Purpose:

Self-care is individualized and best done when awarded on a small scale.

Goals:

For all employees of the ICU to:

• Feel valued outside of work
• Be recognized for taking care of themselves
• Participate in positive discussions
• Be rewarded for work life balance
• Be reminded of self-care
• Not feel alone with their thoughts
• Pause and reflect
• Help others, spouses, kids, etc.

Future plans include:

• Seasonal questions of things to see, places to explore
• Recipe sharing
• Hobby experts
• Focusing on staffs' interests

Examining The Self-Reported Ace Scores And Anxiety Levels In Student Teachers: An Action Based Pilot Study, Alicia K. Green

2023 Projects

This mixed-methods pilot study examined Adverse Childhood Experiences (ACEs) and anxiety in student teachers. Data were collected electronically using the ACE questionnaire, Depression, Anxiety, and Stress Scale-21 (DASS21), and six open-ended questions. Results indicate that participants report anxiety and ACEs. This study implies further research is needed on student teachers.

People With Aphasia Rehabilitation: Post-Stroke Depression Considerations​, Allison Frey

2023 SLP Posters

The aim of this poster is to provide speech-language pathologists an overview of the development of post-stroke depression (PSD) in individuals with aphasia and its impact on rehabilitation outcomes. Information provided regarding the underlying causes for development of PSD for people with aphasia (PWA) that aids referring for appropriate screening and assessment. PSD treatment considerations and outcomes for PWA will also be discussed. Given the high prevalence of people with aphasia developing PSD, adults with aphasia are 7.408 times more likely to exhibit PSD symptoms when compared to adults without aphasia (Zanella et al., 2022). In closing, it is important …

Histamine H3 Receptor Antagonism Mitigates Food-Hypersensitivity-Associated Depressive Behavior And Neuropathology In A Mouse Model Of Cow’S Milk Allergy, Danielle Germundson-Hermanson

Biomedical Sciences Posters and Presentations

Background Histamine is best known for causing allergy symptoms, but it also regulates blood-brain barrier permeability1 and oligodendrocyte differentiation2. Thus, brain histamine levels are tightly controlled.

Previous Findings We demonstrated that histamine and histamine H3 receptor (H3R) levels were elevated in a mouse model of cow’s milk allergy (CMA) in association with intracranial mast cell activation, depression-like behaviors, and cortical demyelination3,4.

Gaps in Knowledge In humans, food allergies are often associated with neuropsychiatric disorders5-7, but the involvement of allergy induced histamine in triggering behavioral changes is unclear.

Hypothesis Repeated allergen consumption can lead to central histaminergic dysfunction through H3R, ultimately …

Depression Screening And Suicide Risk Assessment In Older Patients, Faith Robinson

Family Medicine Clerkship Student Projects

Older adults are at an increased risk of depression, but they are often undiagnosed and untreated. Depression is also a significant predictor of suicide in older Americans, who have among the highest rates of suicide of all age groups in the United States. Most older adults seek treatment in primary care settings and are less likely to use emergency interventions, so knowing how to screen for depression and suicide risk is crucial for primary care. Unfortunately, primary care providers, while being first-line for identifying depression, accurately recognize less than half of patients with depression. This pamphlet is aimed at increasing …

Cortical Demyelination And Depression-Like Behavior Are Associated With Histaminergic Dysregulation In A Mouse Model Of Peripheral Inflammation, Danielle Germundson-Hermanson

Biomedical Sciences Posters and Presentations

▪ Demyelinating diseases of the central nervous system are increasing in prevalence world-wide1,2 and manifest as motor, behavioral, and/or cognitive defects3 . The etiology and pathophysiology of demyelinating diseases remain unclear.

▪ We have previously observed cortical demyelination in our mouse model of non-anaphylactic cow’s milk allergy4 . The demyelination was associated with depression-like behaviors and region-specific increases in brain histamine and H3 receptor (H3R) levels4,5 .

❖ The brain’s central histaminergic system is tightly controlled and regulates many behaviors. Additionally, signaling through H3R plays a crucial role in oligodendrocyte differentiation, and thus, demyelination and remyelination6 .

▪ We hypothesized …

Multifactorial Depression In A Peripartum Patient, Subsequent Suicide Attempt, Treatment, And Recovery, Connor Farnham, Patricia Westmoreland, Ryan Spilman, Natasha Fazel, Daniel Grine

Continental, MidAmerica, & Mountain Divisions GME Research Day 2023

No abstract provided.

Risk Factors For Depression Progression In Parkinson's Disease: A Retrospective Cohort Study, David Kosoy, James Cassuto, Gregory Kurgansky

East Florida Division GME Research Day 2023

Introduction: Depression is a common non-motor symptom in Parkinson's disease (PD) with a significant impact on quality of life and overall prognosis. Despite the availability of effective treatments, many PD patients with depression do not receive timely diagnosis and appropriate intervention. This study aimed to identify risk factors for depression progression in PD to inform clinical practice and future research.

Methods: We conducted a retrospective cohort study of PD patients using registry data from the Parkinson's Progression Markers Initiative (PPMI) dataset. The primary outcome was depression progression, defined as a 2-point or greater increase in the MDS-UPRDS depression score within …

The Treatment Of Depression In Alzheimer's Disease Using Neuromodulation: A Literature Review, Aaron Marbn, Shane Ragland, Thalia Adrian, Clara Alvarez Villalba, Samuel Neuhut

East Florida Division GME Research Day 2023

Please see supplemental content for full abstract with references.

INTRODUCTION: An estimated 44 million individuals live with Alzheimer's Dementia globally, a number expected to triple by 2050.1 Depression is a commonly observed comorbidity in individuals with Alzheimer's disease. Traditional antidepressant medications often pose challenges due to their side effects and limited efficacy in this population. As a result, alternative therapeutic approaches are being explored, with Transcranial Magnetic Stimulation (TMS) emerging as a promising intervention for treating depression in Alzheimer's patients. TMS is a non-invasive brain stimulation technique that utilizes magnetic fields to modulate neural activity in targeted brain regions …