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The Adaptation To Head And Neck Cancer In The Veteran Population, Diane Marie Sobecki-Ryniak

Wayne State University Dissertations

ABSTRACT

ADAPTATION TO HEAD AND NECK CANCER IN THE VETERAN POPULATION: A PILOT STUDY

By

DIANE SOBECKI-RYNIAK

December 2018

Advisor: Dr. Margaret Campbell

Major: Nursing

Degree: Doctor of Philosophy

Post-traumatic stress disorder in the head and neck cancer veteran population may present a challenge to adaptation during diagnosis and treatment of illness. The evaluation of post traumatic stress disorder, anxiety, depression and quality of life were examined and correlated against symptom occurrence and triggering of post traumatic symptoms across experiences. A significant correlation between PTSD-C and PTSD-S was found (r = 0.91, p = 0.001); there was a non-significant correlation …

The Moderating Effects Of Protective And Risk Factors On Outcomes For Behavioral Smoking Cessation Treatment, Holly Reid

Wayne State University Dissertations

The rate of cigarette smoking is three-fold higher among adults living with Human Immunodeficiency Virus (HIV)/Autoimmune Deficiency Syndrome (AIDS) than in the general population (Centers for Disease Control and Prevention, 2015). Relative to non-smoking HIV-positive adults, HIV-positive cigarette smokers have even higher mortality rates, more physical health problems, greater tobacco-related health disparities, lower quality of life, and more barriers to treatment. These barriers are often interrelated with the significantly higher rate of trauma and violence exposure reported in both cigarette smokers and persons living with HIV/AIDS (PLWHA; CDC). Violence exposure not only predicts emotional distress and substance use, but also …

Process Group Vs. Skills Group Modalities In The Treatment Of Individuals Diagnosed With Major Depressive Disorder, Kirk David Duncan

Wayne State University Dissertations

ABSTRACT

PROCESS GROUP

VS.

SKILLS GROUP MODALITIES

IN THE TREATMENT OF INDIVIDUALS DIAGNOSED WITH MAJOR

DEPRESSIVE DISORDER

by

KIRK DAVID DUNCAN

August 2014

Advisor: Dr. George Parris

Major: Counseling

Degree: Doctor of Philosophy

The goal of this study was to evaluate the impact of a process group vs. a cognitive behavioral skills group modality on depression while investigating the effects of facilitator bond on outcomes. Analysis of covariance (ANCOVA) was conducted on the BDI-II posttest scores, and pretest scores served as the covariate and the group membership as the independent variable. When observing Figure 1 there was a visual desired …

Trauma Exposure, Posttraumatic Stress, And Depression In A Community Sample Of First-Time Mothers, Mickey Sperlich

Wayne State University Dissertations

The adverse effects of posttraumatic stress and depression have separately been well-documented in the perinatal mental health literature. However, few studies have considered the comorbidity between trauma, posttraumatic stress and depression. This dissertation study brings attention to this comorbidity and explores implications of recent changes to diagnostic criteria for posttraumatic stress disorder related to the ability to predict postpartum depression and impairments in mother/infant bonding. Following a conceptual framework which outlines the effects of violence and trauma on adverse childbearing outcomes, hypotheses were that many women with depression in pregnancy would endorse trauma and would be at risk for subthreshold …

Vascular Depression: An Early Indicator Of Decline, Daniel Lee Paulson

Wayne State University Dissertations

Women over the age of 80 represent a rapidly growing demographic group. While older women live longer than men, they do so with more years of disability and frailty. The emergence of geriatric disorders such as vascular disease, depression, frailty and cognitive decline in the aging US population place additional strain and expense on the already over-burdened public health care system. Meanwhile, integrated models of care are associated with preserved functional independence, reduced medical costs, and greater satisfaction for both health care providers and patients. Implementation of integrated care demands process-models of disease that contextualize symptoms within broader patterns of …

Depression Symptoms In Early Childhood Teachers: Do Personality, Social Support, And School Climate Play A Role?, Jessica Mclaughlin

Wayne State University Dissertations

Depression among early childhood teachers has received little attention within the United States. For the present study, early childhood teachers were asked to participate in an online survey to investigate the rate of high depression symptoms among teachers, and whether personality, social support, and school climate are related to teachers' depression symptoms. Results showed that 32% of early childhood teachers in the sample were high in depression symptoms, which is significantly higher than rates of depression in the general population. Lower levels of neuroticism and higher levels of extroversion were related to fewer depression symptoms. Perceived social support from an …

The Influence Of Gender And Aging On The Neural Circuitry Supporing Facial Emotion Processing In Adults With Major Depressive Disorder, Emily Briceno

Wayne State University Dissertations

Major Depressive Disorder (MDD) is associated with decrements in facial emotion processing (FEP). Previous studies investigating the neural substrates of these decrements have often reported hyperactivity of emotion processing circuitry. Neural circuitry supporting FEP has been shown to be different between healthy men and women, and between young and elder adults. However, no prior studies have investigated how gender and aging affect emotion processing circuitry in individuals with MDD. The present study aimed to investigate the influence of gender and aging on emotion processing circuitry in MDD. One hundred-ten adults, grouped into subgroups according to MDD status, gender, and age …

The Role Of Employment Status, Work Disruption, Leisure, And Resources In The Mental Health Of Demenita Caregiving Daughters, Lisa Jones Ficker

Wayne State University Dissertations

Employment has been consistently identified as a role strain among dementia caregivers. This study sought to examine the patterns and context of employment and work disruption among dementia caregiving daughters and learn the extent to which work disruption influences mental health through hypothesized reductions in financial resources and leisure activities. This study was a cross-sectional design that extracted data of 486 daughter caregivers from a dataset that gathered information from Caucasian, African American, and Latina dementia caregivers at six research sites across the nation.

Results indicated that caregiving daughters who were employed reported the lowest number of depressive symptoms and …