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Utilizing A Structured Music Therapy Program For Adolescents With Anxiety And Depression, Amy Haagen

West Chester University Doctoral Projects

Anxiety and depression are two of the most common mental health issues that affect children and adolescents. It has been noted that twenty percent of adolescents will have a depressive episode or be affected by anxiety by the time they are 18 years old. Mental health issues affecting children and adolescents majorly impact all aspects of their lives, most notably academic success, behavior, growth, and development (Porter et al., 2017). Current treatments for mental disorders, including depression and anxiety, include pharmacological and psychotherapeutic treatments. In the adolescent population, there are conflicting opinions on the use of antidepressants due to risks …

Associations Between Diabetes-Specific Psychological Flexibility, Family Conflict, Parental Distress And Adherence In Adolescents With Type 1 Diabetes, Rebecca I. Laquaglia

Graduate Theses, Dissertations, and Problem Reports

Background: Type 1 diabetes (T1D) is a chronic disease that impacts the lives of millions of children and adolescents in the United States. Adherence to diabetes medical regimens is often challenging, particularly among adolescents. Based on previous research, diabetes-specific psychological flexibility, or the ability of an individual with T1D to psychologically adjust to, accept, and commit action to manage their diagnosis, may improve adherence in youth with T1D. Factors such as diabetes-specific family conflict (i.e., conflict within parent-child dyads that is specifically related to T1D management) and diabetes-specific parental distress (i.e., emotional distress experienced by a parent or caregiver as …

Effects Of Comprehensive Sex Education On Unplanned Pregnancy Rates And Sti Occurrences Among Chinese American Adolescents, Onsheng Seto

Nursing | Senior Theses

Sexually transmitted diseases/infections (STIs) and unplanned pregnancies is a continuing health concern among adolescents. They are more likely to engage in risky behaviors that increase the likelihood for STIs and unplanned pregnancies which emphasizes the need for comprehensive sex education (CSE). This research proposal strives to determine if CSE is an effective tool in reducing cases of STIs and unplanned pregnancies, specifically in Chinese American adolescents. The literature review identified CSE successfully decreasing STIs and unplanned pregnancies in youths. However, limited research correlates the relationship between CSE and Chinese American adolescents. In addition, few studies take cultural influences into account …

Enhancing Athletic Participation: Continuous Glucose Monitoring For Pediatric Type 1 Diabetes Athletes, Danielle Santiago

Nursing | Senior Theses

The difficulties that children and teenagers with Type 1 Diabetes Mellitus (T1DM) encounter are discussed in this thesis, with a focus on how fear of hypoglycemia (FOH) and actual hypoglycemia associated with this chronic illness affects their ability to engage in physical activities, especially organized sports. A common challenge for children diagnosed with T1DM is meeting the daily recommendation of 60 minutes of daily moderate to vigorous physical activity. The purpose of the proposed study is to evaluate if participation in structured exercise (physical education classes and after-school sports) increases among school-aged children who wear continuous glucose monitors (CGM) when …

Promoting Parental Comfort To Facilitate Conversations On Adolescent Sexual Health And Behaviors, Angelina Jolie Banes, Lauren Liddell

Nursing | Senior Theses

This thesis proposal will investigate the impact of a comprehensive digital sexual health education program on the comfort levels of parents and teens when discussing sensitive topics such as pregnancy and sexually transmitted infections (STIs). The research is guided by Orem’s Self-Care Deficit Nursing Theory, which emphasizes the need to assess and address individuals’ self-care deficits, including the ability to engage in safe and informed sexual behaviors. The research design is a quantitative, quasi-experimental study with a one-group pre and post-test design. The sample consists of 50 parents and 50 teens from Marin County, who will participate in an online …

Self-Efficacy And Parental Miscarried Helping In Adherence And Transition Readiness Among Adolescents And Young Adults With Epilepsy, Kirby-Estar G. Laguerre

Graduate Theses, Dissertations, and Problem Reports

Background: Given the complex regimen associated with epilepsy, ensuring that adolescents and young adults (AYAs) adhere to their medications, and are ready to transition from pediatric to adult care, is crucial to optimizing their health outcomes. Several social and ecological factors such as self-efficacy and parental miscarried helping can strengthen or weaken an adolescent’s medication adherence and readiness to shift from pediatric to adult care. Intending to contribute to informing and improving clinical care, this study sought to understand the relationships between self-efficacy, parental miscarried helping, medication adherence, and transition readiness. Methods: Using a cross-sectional observational design, 46 AYAs with …

Incorporation Of Nutrition Education With Medication Injection To Sustain Weight Loss, Julia Calvelo

Nursing | Senior Theses

Background: Obesity is a widespread occurrence linked to comorbidities. Weight loss and maintenance is crucial to sustain existing health conditions and reduce risk of chronic diseases.

Lack of maintained weight loss is associated with poor education on nutrition, diet, and physical activity literacy. Objective: The purpose of this quantitative experimental study is to determine the efficacy of nutrition education among medication injection to sustain weight loss throughout treatment. It aims to promote comprehension of the aspects of nutrition, dietary habits, and physical education to not only sustain weight loss, but to understand the significance of how these elements contribute to …

It Takes A Village: Impact Of Lgbtq+ Community On The Relationship Between Parenting Stress, Parent Mental Health, And Child Adjustment, Kevin Mcaweeney

Theses and Dissertations--Psychology

While LGBTQ+ parented families are largely the same as their cis-het parent counterparts, they still experience unique factors exclusive to them. One such factor is access to the LGBTQ+ community. While research has emphasized the importance of community within the family system, the role the LGBTQ+ community can play for LGBTQ+ parented families is largely unexplored. Additionally, LGBTQ+ research examining parents of adolescents is similarly lacking. Utilizing a sample of LGBTQ+ parents with adolescent children, and informed by ecological systems theory, self-determination theory, and the parenting stress model, I examine the influence parent’s sense of LGBTQ+ community has on the …

Development Of A Measure Assessing Adolescent Aggression: The Aggressive Behavior Risk Assessment- Adolescent- Parent Report (Abra-A-Pr), Katherine Fallon

Electronic Theses and Dissertations

Although parent-report scales for general behavioral difficulties and aggression (e.g., verbal and physical aggression) exist, there are currently no measures assessing sexual behaviors in this context. Commonly, parent-report measures provide a few items relevant to behavioral aggression, and items encompassing sexually aggressive behaviors are frequently vague and non-specific in the actions being committed by the adolescent. The primary purpose of this project was to develop a comprehensive and multifaceted parent-report measure for aggressive behavior in adolescents. Three separate studies were conducted to evaluate the psychometric properties of the measure. Exploratory (EFA) and confirmatory factor analysis (CFA) were used to investigate …

Oral Health Inequalities In Adolescents And Young Adults In Ontario, Maria Rahman

Electronic Thesis and Dissertation Repository

Oral health is consistently linked to physiological, psychological, and social aspects of well-being in adolescents and young adults. In this thesis, I aimed to examine the social determinants of oral health and dental care utilization. First, I conducted a scoping review of the literature, demonstrated the multifaceted nature of oral health and its connections to broader social and economic factors. Then, I conducted a cross-sectional analysis of the Canadian Community Health Survey which showed a social gradient in oral health and dental care utilization among adolescents and young adults in Ontario. When stratified by age, there was a protective association …

Under Pressure: A Daily Diary Study Of Online Social Influence And Youth Substance Use, Anna Dmitriyevna Ziencina

Open Access Theses & Dissertations

Alcohol and marijuana are widely used by youths across the U.S. [Substance Abuse and Mental Health Services Administration (SAMHSA), 2023], and youthsâ?? use of such substances comes with a myriad of consequences (e.g., increased risk for long-term substance abuse; Griffin et al., 2019). Social influence is one process through which youths may develop positive attitudes towards substance use (Steinberg & Monahan, 2007), but there is a dearth of research on how such influence operates within the online environment. The present study sought to examine associations between daily social media use and youthsâ?? daily attitudes towards alcohol and marijuana useâ??as well …

From Vapor To Vice: Unraveling The Links Between Vaping And Traditional Substance Abuse Among Youth, Ayana Powell

Capstone Experience

ABSTRACT:

Objective: To evaluate whether vaping or using e-cigarettes is associated with the use of traditional substances, such as cigarettes, alcohol, and marijuana.

Methods: Using data from the Monitoring the Future surveys, a multivariable logistic regression model was performed, and prevalent odds ratio were calculated to evaluate the association between vaping and traditional substances.

Results: Vaping use among U.S. adolescents and teenagers was found to be an associated with use of traditional substances (cigarette use [OR]= 6.36 [CI]= 4.84, 8.38; alcohol use [OR]=5.80 [CI]= 5.28, 6.38; and marijuana use [OR]= 7.77 [CI]= 6.95, 8.70).

Conclusion: This study will assist …

Traditional And Emerging Modifiable Lifestyle Risk Behaviors For Non-Communicable Diseases In A Sample Of Hispanic/Latino American Adolescents Living In The U.S.-Mexico Border Region, Silvia Salinas Lopez

Open Access Theses & Dissertations

Background: Non-communicable diseases (NCDs) pose a significant global health threat, with modifiable lifestyle risk behaviors (mLRBs) contributing substantially to their onset. This study examined traditional and emerging mLRBs and their distribution on cross-sectional health outcomes among Hispanic/Latino in-school adolescents living on the U.S.-Mexico border. Methods: This secondary data analysis used information from the cross-sectional 2019 El Paso YHBS obtained through online surveys. The secondary data analyzed the prevalence, clustering, and co-occurrence of mLRBs of 539 Hispanic/Latino high school students. Results were compared to mLRBs findings corresponding to Hispanic/Latino adolescents who participated in the national and state 2019 CDC YRBSS. An …

Cameroonian Teachers’ Perspectives Of School-Based Reproductive Health And Safety Education: A Qualitative Study, Sandra Nambangi Bume

Culminating Projects in Education Administration and Leadership

This research examines teachers’ perspectives of school-based sexuality/reproductive health education more fully than has ever been done in the field of education in Southern Cameroons and attempts at breaking the silence on a topic still greatly considered taboo in Cameroon. School-based sexuality education is a subject that aims to educate, enlighten, and “equip children and young people with knowledge, skills, attitudes, and values that will empower them to: realize their health, well-being, and dignity; develop respectful social and sexual relationships; consider how the choices affect their well-being and that of others, and understand and ensure the protection of their rights …

Awareness Of Mental Health Among Adolescents, Gloria Ortiz-Wilson

Capstone Projects and Master's Theses

The focal point of this capstone project is to bring mental health awareness to the adolescent community in Soledad, California. With the numbers rising in the likelihood of adolescents developing a mental health disorder, it is extremely important for adolescents to know the different types of mental health disorders and the signs of these disorders (Abrams, 2023). Between 20-30% of adolescents have a form of depression, 37% have anxiety disorders, and there has been a 16% increase of suicide in youth 12 and older (Valdez et al., 2022).

Because of adolescents’ increasing risk for mental health issues, there is a …

Social Media Effects On Adolescent Social Skills And Mental Health, Precious Kol

Capstone Projects and Master's Theses

This capstone project focuses on young adolescents’ use of social networking sites. As technology continues to grow and progress, its influence on adolescents grows and progresses along with it. Social networking sites provide adolescents with the opportunity to present their individuality to the digital world and the opportunity to connect and communicate with their peers. On the other hand, these sites also present vulnerabilities such as exposure to strangers, predators, and potential bullies. Due to the related psychological development, mental health and perspective of self issues with adolescents on these sites, it is important for parents to teach them how …

Informing Adolescents From Latino Immigrant Families About The Effects Of Their Family Responsibilities, Roxanna Emigdio Hernandez

Capstone Projects and Master's Theses

This capstone project focuses on the different types of responsibilities that Latino immigrant families give to their adolescents and the effects it may have on them. Children play an active role in many immigrant families because of cultural traditions and immigration challenges (Fuligni & Telzer, 2012). Adolescents of immigrant parents are often involved in responsibilities such as caring for their younger siblings and cousins, cleaning, cooking, and translating for family members. Adolescents are given these duties because their parents often work multiple jobs and long hours to provide for their families. It is also important to note how difficult a …

Identifying Trauma Related Predictors Of Dissociation In Maltreated Youth, Amanda L. Mraz

UNLV Theses, Dissertations, Professional Papers, and Capstones

Maltreated youth who experience traumatic dissociation are at an increased risk for various psychopathological difficulties. Much is still unknown about the machinations behind experiences of dissociation post-trauma. This study aimed to identify variables that place maltreated youth at risk for experiencing traumatic dissociation (e.g., dissociative amnesia, absorption and imaginative involvement, passive influence, depersonalization and derealization, and total adolescent dissociative experiences symptoms (A-DES)). Investigatory variables included demographic (e.g., age, gender, and racial identity), cognitive (e.g., resiliency and posttraumatic cognitions), and psychological (e.g., posttraumatic stress disorder symptoms (PTSD) and anxiety) factors. Classification and regression tree (CART) analysis was utilized to observe the …

Improving The Social Emotional Recognition And Regulation For Special Education Adolescents, Isabella Lopez

Capstone Projects and Master's Theses

The focal topic for this project is emotional learning in high school students in special education programs. Social emotional learning is focused on emotions, recognizing emotions, and expression of emotions in connection to interacting with others. This is important in any stage of development because it creates the foundation of children’s future social interactions and how they deal with emotions in adulthood. Students with special needs sometimes lack the ability to recognize their own intense emotions and enact appropriate ways to express them. For these students, it can be difficult to process and express emotions in a social setting, like …

The Knowledge And Attitude Regarding Pubertal Changes Among Adolescent Males In Urban Karachi, Pakistan, Sabah Muhammad Nazim

Theses & Dissertations

Background: Adolescence (the period between childhood and adulthood) is characterised by significant changes in bodily functions, along with psychological and cognitive growth. The unanticipated changes in that phase (especially related to sexuality) can cause adolescents embarrassment and distress, thus impacting their well-being and development.
Purpose: The study aimed to evaluate the level of knowledge and attitudes among male adolescents residing in urban Karachi, Pakistan, specifically concerning pubertal changes and health. The primary focus was to gather information about how well these adolescents understand the physical and emotional transformations associated with puberty and their overall awareness and attitude towards pubertal health …

Comparison Of Physical Activity Levels Among School-Age Adolescents In The Rural And Urban Areas Of District Swat Kpk, Pakistan- An Analytical Cross-Sectional Study, Imran Uddin

Theses & Dissertations

Background: Obesity and overweight represent significant global public health concerns. Young adolescents are in particular increasingly experiencing obesity and overweight due to their sedentary lifestyles, excessive electronic media use, and lack of physical activity (PA). This trend is linked to the development of non-communicable diseases in later life. Moreover, data regarding the lack of PA is available in Pakistan, but a gap exists in the comparative analysis of physical activity levels between rural and urban adolescents. Rural and urban areas exhibit distinctions in both geographical settings and technological advancements, potentially influencing the PA levels of their respective inhabitants.
Purpose: The …

Implementation Of Equine Therapy Into Treatment Programming For Adolescents With Substance Use Disorders, Gabrielle Rayfield

Dissertations, Theses, and Projects

Substance use disorders affect all populations. Adolescents are at greater risk of a substance use disorder when abuse begins at a young age. Over 50% of individuals with mental health diagnoses developed a substance use disorder before the age of 14 (Nebhinani et. al., 2022). [BJA1] Due to the tremendous growth that takes place during adolescence, and the profound impact substance use can have on development, it is imperative to provide early intervention. There are several evidenced-based approaches available in the treatment of adolescent substance use. Equine therapy has growing empirical support and will be the focus of this project. …

Unified Co-Op Art: Empowerment And Collaboration Through Group Art Therapy And A Community Engagement Art Show, Gianna Krovocheck

Expressive Therapies Capstone Theses

This community engagement thesis examines the use of group art therapy to encourage empowerment, collaboration, and peer relations with students in grades 6-12, with and without intellectual disabilities, including autism spectrum disorders (ASD). A literature review was done, examining current theories on empowerment, school-based art therapy, inclusion, and display of art, thus aiding in the formulation of the group purpose. After the 6-week program, completed artwork was showcased in a community wide art show at a local candy store that employs individuals with intellectual disabilities. Using group art therapy and community engagement, participants were able to create relationships, practice social …

Nourishing Family Connections: Exploring The Impact Of Mealtime Dynamics On Child Depressive Symptoms, Kyra (Dee) Bekelja

College of Science and Health Theses and Dissertations

Literature reviews show that the frequency of family meals is associated with increased positive health outcomes in children. Our study looked to find the essential characteristics that family mealtimes should have in order to produce the most beneficial outcomes for children regarding depressive symptomology. One hundred twenty-four children and their parents participated in answering surveys about individual and family health behaviors. We hypothesized that a greater frequency of family meals lowers levels of depression in children, especially if the child enjoys family meals. A moderation analysis was used to assess the moderation effects and relationship with the frequency of family …

Evaluation Of Sensory Room Education To Promote Usage In An Inpatient Psychiatric Setting: A Quality Improvement Project., Breanna M. Coulardot

Doctor of Nursing Practice Papers

Seclusion and restraints are intended to be used as a last resort intervention if a patient presents as harmful to themself or others. However, the use of seclusion and restraints in mental health practice has been questioned for several decades. A 26-year study that researched restraint-related fatalities among children and adolescents in the United States from 1993 to 2018 disclosed 79 deaths (Nunno et al., 2022). Seclusion and restraints also restrict autonomy which can cause retraumatization if a patient was previously neglected or abused (Hammer et al., 2011). Many patients presenting to the project site are survivors of neglect and …

More Than Fiction: Representations Of Youth In Young Adult Dystopian Fantasy Fiction And Its Importance, Daman Mcconnell

University Honors Theses

This article takes on a comparative analysis between Young Adult Dystopian literature like Leigh Bardugo's Six of Crows and Suzanne Collins's The Hunger Games, focusing on how adolescents are represented in the discussion of Dystopian Fiction. Though mainly focusing on Six of Crows, these novels can be considered places where society and the world these characters live in are unforgiving and restrictive, forcing the growth of these adolescents to accelerate toward adulthood. Within Six of Crows lies the representations of antagonists going against the youth as adults with twisted senses of morality. In addition, this article also discusses …

Telehealth Acceptance And Commitment Therapy For Adolescents With Transdiagnostic Health-Related Anxiety: A Randomized Controlled Trial, Julie M. Petersen

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Health-related anxiety is a growing issue to understand how to treat, particularly following the COVID-19 pandemic. Some studies show that a specific type of therapy, acceptance and commitment therapy (ACT), may be beneficial for health anxiety in adults, but this has not yet been tested with adolescents. The present study is a randomized, waitlist-controlled trial of ACT delivered via Zoom for adolescents struggling with health-related anxiety. A total of 30 adolescents (ages 12-17), plus one caretaker each (N = 60), living in Utah and currently struggling with health-related anxiety were enrolled. The majority of caretakers and adolescents were White, non- …

Proactive, Perceptive, And Positive Parenting Of Adolescents: A Proposed Workshop, Marbella Oseguera

Electronic Theses, Projects, and Dissertations

During adolescence, teenagers develop new needs for autonomy, respect, and privacy, but parents can be unaware of adolescents’ developmental changes or struggle with adapting their parenting practices. Unawareness of teens’ needs or unwillingness to restructure the parent-adolescent relationship can lead to misunderstandings, pushback from teens, and increased parent-teen conflict. If parents are unable to resolve conflict appropriately through positive guidance, they are likely to engage in psychological control. Psychological control is a harmful practice that is used to manage adolescents’ behaviors and maintain authority within the parent-teen relationship. Extensive research has demonstrated the negative effects of psychological control on adolescents’ …

The Prevalence Of Diabetes In Juveniles, Tatyana Johnson

Graduate Student Dissertations, Theses, Capstones, and Portfolios

Diabetes mellitus, simply known as diabetes, is a metabolic disorder that impacts how the body makes use of glucose or blood sugar. Glucose is the primary supply of energy for the body’s cells, which is controlled by insulin, a pancreatic hormone. Diabetes results in high blood glucose levels (hyperglycemia), which are caused by either insufficient insulin production by the pancreas or ineffective insulin utilization by the body (Dean & McEntyre, 2004). Although there are several types of diabetes, the two main types are type 1 and type 2. Type 1, also known as juvenile diabetes, is an inflammatory condition in …

An Examination Of The Importance Of Fire Prevention And Safety Education, Lisa J. Eller

Culminating Experience Projects

Research shows that when adolescents are introduced to fire prevention and safety education at an early age, the incidents of adolescent accidental, curiosity, and attention-seeking fires are significantly reduced. However, in most areas throughout the country, practices providing such education have either become very limited and/or discontinued all together. This project aims to explore the benefits of adolescent fire prevention and safety education practices while encouraging the revitalization of and reinstatement of fire safety programs. The project also rallies for an initialization of the community group dynamic for prevention of adolescent fire starting and fire play. Additionally, the project outlines …