Digital Commons Network^™

The Influence Of Intrapartum Interventions On The Development Or Prevention Of Postpartum Mood Disorders, Jamie L. Shelley, Meghan Perrodin

All Electronic Theses and Dissertations

Introduction: Postpartum depression (PPD) is a challenging yet common experience for new mothers worldwide. PPD is impacted by intrapartum interventions, but their effects are not well-defined in the literature. The purpose of this integrative review was to identify intrapartum interventions that increase or mitigate a woman’s risk for postpartum depression. Methods: A literature search was conducted using PubMed, CINAHL, and ScienceDirect for articles published between 2014-2024. Inclusion and exclusion criteria were used to select applicable studies. Search results were uploaded to Covidence systematic review software and used to screen included studies. Throughout the process, the Johns Hopkins Evidence Research Appraisal …

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 …

Interracial Friendships And Symptoms Of Depression And Anxiety Among College-Age Filipino Americans, Jenyse Rojo

Global Public Health | Senior Theses

Background: There is little research on interracial friendships and Filipino American mental health. A previous study found that Filipino Americans are more likely to be depressed and anxious when having 3 or more non-Filipino close friends, and that friendship discord mediated this relationship. Studies that look at Filipino American mental health have also found that there is a relationship between colonial mentality and depression. In this study, we further examine the relationship between depression and anxiety and interracial friendships. We also examine the relationship between colonial mentality and friendship discord.

Methods: This study’s sample is taken in the San Francisco …

Prevalence Of Depression And Suicidal Ideation In First-Generation College Students As Compared To Their Non-First-Generation Peers, Abigail A. Wellings

Graduate Theses, Dissertations, and Problem Reports

First-generation college students face numerous challenges and barriers in academia and related areas that impact their mental health in a manner that their non-first-generation peers may not experience. This population reports higher incidences of stress and distress, depression, and anxiety. However, little is known about the prevalence of suicidal ideation in this population. The current study hypothesized a difference between first-generation students and non-first-generation students on depressive symptoms and suicidal ideation. Participant data was gathered from the Center for Collegiate Mental Health (CCMH) 2015-2016 data set. Primary analyses will be independent samples t-tests and hierarchical linear regression. Results showed a …

The Relationship Between Self-Reported Depressive Symptoms At 3 Timepoints And Infant Sleep Practices At 6-Month Follow-Up In A Population Of Mothers In Santo Domingo, Ecuador, Kassidy Lane

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Abstract

Background

Previous studies have linked maternal depression with poor infant sleep (e.g., waking up at night and infants having trouble settling to sleep). This study examined the relationship between maternal depressive symptoms at three time points and safe infant sleep at 6-month follow-up.

Methods

Data was collected from a randomized clinical trial including 100 women recruited from a health center in Santo Domingo, Ecuador during their third trimester of pregnancy. Log-binomial regression was used to estimate prevalence ratios (PR) and 95% confidence intervals (CI) of safe infant sleeping at 6 months among mothers who reported depressive symptoms at 3 …

Increased Concern Of Suicide Behaviors In The Adolescent Population, Jaime Shareen-Porter Earle

Doctor of Nursing Practice Projects

This quality improvement project focused on addressing the concern for the increase of depression, anxiety, and self-harm behaviors among adolescents, which can lead to suicidal ideation and attempts. Suicide behaviors have increased among adolescents, and research revealed that suicide is the second leading cause of death in this population. An educational PowerPoint was presented to members of the community on suicide behaviors, how to identify the behaviors, and where to get support and resources in the community. Pre- and post-surveys were used to assess the participants' knowledge and confidence levels before and after project implementation. The surveys contained the same …

Introducing Mental Health Resources To Nurse Practitioner Residents, Tiffanie Bailey

Doctor of Nursing Practice Projects

This DNP Project identified the increased need for mental health resources after the COVID-19 pandemic. Studies showed the rate of anxiety, depression, and substance use has also been on the rise since the beginning of the pandemic. As the impact of the COVID-19 pandemic began to devastate the country mentally and physically, it became quickly apparent that additional resources to provide support for those suffering from mental illness were essential. This project aimed to introduce a Mental Health First Aid course within the Residency Program at the Center for Family Guidance. Participants were asked to complete a pre-test indicating their …

Community Educational Session On Identifying The Signs Of Depression And Resources Available, Desiree Young

Doctor of Nursing Practice Projects

The DNP Project was designed to educate the community on identifying the signs of depression and the community resources available to them. The intent of the project was to improve the community’s knowledge of depression symptoms and the community resources available that offer assistance to those dealing with these symptoms. There is a great need for education on depression signs, as many in various communities suffer from untreated depression, which often leads to negative outcomes. The impact of the project implementation was measured by using pre- and post-survey data evaluating the participants' overall knowledge of the signs of depression, stigma …

Integrating Behavioral Health Into Family Medicine: Improving Access To Specialty Care Using A Collaborative Care Model, Christina Stephens

DNP Scholarly Projects

Primary care, an extensive of family medicine remains a key access point for patients entering the healthcare system. Accessing medical care and specialty psychiatric services is limited in rural communities. Patients often find exhaustive wait times, untimely referrals, and reliance on emergency services for crisis management. The primary care provider is able to help their community improve access to behavioral health care by using a collaborative approach. This quality improvement initiative used the framework produced by the AIMS Center at the University of Washington and adopted for use creating an 8-week intensive program in a family medical practice located in …

Examining The Relationship Between Anger At The Self And Attention-Deficit/Hyperactivity Disorder (Adhd) Symptoms, Dina M. Cottone

Theses and Dissertations

The emotion concept of "self-anger" is ill-defined and under-researched. While self-anger bears similarities to traditional anger ("other-anger"), it also retains features of shame and guilt. In addition, self-anger shares ruminative qualities and self-condemning thoughts with depression. As a result, self-anger can become maladaptive at persistent and unhealthy levels. Furthermore, individuals with attention-deficit/hyperactivity disorder (ADHD) may be at an increased risk for dysfunctional self-anger, considering their proneness to increased anger and depressive tendencies compared to non-ADHD counterparts. However, the relationship between ADHD and self-anger has not yet been explored in the literature. The purpose of this study was to examine the …

Integrating Behavioral Health Into Family Medicine: Improving Access To Specialty Care For Medically Underserved Community Using A Collaborative Care Model, Christina M. Stephens

DNP Scholarly Projects

Primary care, an extension of family medicine remains a key access point for patients entering the healthcare system. Accessing specialty psychiatric services can be limited in rural communities due to provider shortages and geographical constraints. Primary care providers can facilitate improved access to behavioral health services by introducing a collaborative approach to the traditional medical model. This quality improvement initiative adopted the collaborative care model originally produced by the University of Washington to treat common mental health conditions in the medical setting (2023). A team consisting of a primary care provider, behavioral health case manager and psychiatric consultant served nine …

The Shape Of Depressive Symptom Change: Comparing Sudden And Gradual Gains In Routine Practice, Blaine Deangelis M.A., M.S.

Selected Full Text Dissertations, 2011-

Sudden gains, or rapid symptom reductions between two consecutive sessions, have been shown to predict better psychotherapy outcomes, especially for depression (e.g., Shalom & Aderka, 2020). However, several gaps remain in the existing literature on sudden gains, including underrepresentation of naturalistic studies and the circularity critique that it is tautological to examine symptom reduction during treatment as a predictor for overall pre to post-treatment symptom improvements. Furthermore, little is known about whether and which extra-therapeutic factors, or factors that exist within a client’s life outside treatment, are associated with sudden gains. To address these gaps, the current study examined the …

Student-Athlete Mental Health: University Of Montana Case Study, Abigail M. Sherwood

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Research suggests that Division I college-student athletes experience higher levels of stress and other behavioral health issues than their non-athlete counterparts, with up to 20% of them suffering from depression (Sudano et al., 2017). Two studies on student athletes’ well-being conducted in 2020, reported that athletes continue to report higher levels of mental health concerns (Johnson, 2022). Since the fall of 2020, rates of mental exhaustion, depression, and anxiety have improved minimally with rates remaining 1.5 to two times higher than reported before the COVID-19 pandemic (Johnson, 2022). Naomi Osaka withdrawing from the French Open in 2021 and Simone Biles …

The Relationship Between Attention-Deficit/Hyperactivity Disorder And Sluggish Cognitive Tempo, Anna Podrasky

PCOM Psychology Dissertations

Sluggish cognitive tempo (SCT) was first described as a syndrome associated with attention-deficit/hyperactivity disorder (ADHD); however, SCT may be a unique construct, independent of the presence of ADHD. Archival data from a specialty outpatient adult ADHD clinic were analyzed to further evaluate the relationship between SCT and ADHD. It was hypothesized that there would not be significant differences between ADHD and SCT on measures of anxiety, depression, neuroticism, and sleep disturbance. Second, it was hypothesized that after controlling for anxiety, depression, neuroticism, and sleep disturbance at level 1 of a hierarchical regression analysis, there would be no additive predictive relationship …

Anxiety And Kinesiophobia In Patients With Cardiovascular Disease: Characterization Of The Population And Symptom Trajectories, William A. Middleton

Graduate College Dissertations and Theses

Background:Psychological difficulties are common surrounding cardiac events and may remain elevated for some time during patient recovery. Evidence suggests that depression, anxiety, and kinesiophobia, or the fear of body movement, may negatively impact patients’ recovery. A comprehensive grasp of these factors and their progression in cardiac patients is currently lacking, despite their significant health implications. Methods: Patients hospitalized for an acute cardiac event were eligible for the study. Participants completed a demographic and psychological questionnaire in hospital. The psychological battery included the 8 item Patient Health Questionnaire-8, the 7 item General Anxiety Disorder-7, and the 17 item Tampa Scale for …

My Secret Struggle: Starving, Purging, And Numbing My Emotions. An Autoethnographic Analysis Of My Lifelong Battle With Anxiety, Depression, And Eating Disorders, Hasmek G. Siwajian

Theses and Dissertations

Adolescent females and young adult women between the ages of 12 and 25 are at a higher risk of engaging in self-destructive and life-threatening behaviors linked to anxiety, depression, and eating disorders when they do not have access to suitable treatment options or coping mechanisms (Garcia et al., 2020). This study highlights the heightened vulnerability of adolescent females and young adult women aged 12 to 25 who engage in self-destructive behaviors associated with anxiety, depression, and eating disorders when adequate treatment options or coping mechanisms are lacking. Through an autoethnographic approach, the researcher delves into her daily struggles and breakthroughs …

Online Perceived Social Support And Its Association With Psychopathology In Rural And Urban Youth, Ellen Alexandra Knowles

Dissertations and Theses

Social support is a fundamental aspect of development throughout adolescence. It has been found to buffer against the negative impacts of stress and provide general benefits to one’s well-being. Youth today are exposed to a range of opportunities for socialization with peers, both in-person and online, including interacting with others through texting, social media, video games, and other digital means. These online interactions have begun to be investigated as accessible methods through which adolescents can connect with others and maintain healthy relationships. Furthermore, digital social networks may be most critical for youth from isolated communities, including those from rural areas. …

Prospective Associations Of Fish Consumption In Cognitive Function And Depressive Symptoms Among Puerto Rican Adults, Johanna Grace Koroma

Honors Theses and Capstones

Johanna Koroma, Anne Bodenrader, and Sherman Bigornia

Objectives

Fish intake has been linked to certain neural benefits, specifically in slowing cognitive decline and attenuating depressive symptoms. However, existing evidence is conflicting and insufficient. The present study aimed to investigate the association of fish consumption with depressive symptoms and cognitive function among Puerto Rican adults.

Methods

Data is acquired from the Boston Puerto Rican Health Study, comprised of 1517 adults residing in the Boston Metro Area. Dietary patterns were evaluated using a validated food frequency questionnaire (FFQ) with follow-up surveys conducted 2 years from baseline. Consumption was organized into quartiles based …

Clinical Practice Guideline For The Management Of Depression In Primary Care, Estrella Catherine Villarreal

Doctor of Nursing Practice (DNP) Scholarly Projects

Abstract

Background: The prevalence of depression poses a significant challenge in primary care, emphasizing the urgent need to address this issue during patient visits. Primary care providers are at the forefront of managing depression, yet they encounter difficulties in screening, diagnosing, assessing, and treating this complex condition. Clinical guidelines serve as valuable tools for primary care providers and practices, offering support in identifying and addressing depression effectively. An evidence-based approach to treating depression in primary care, with a focus on collaborative interventions with behavioral health to enhance depression management for American Indian/Alaskan Native (AI/AN) communities.

Methods: The descriptive analysis was …

Development Of A Novel Measure To Assess For Alcohol Misuse In Older Adults: The Alcohol Misuse Scale For Older Adults (Amsoa), Nathan Jensen

Electronic Theses and Dissertations

Alcohol is the most regularly used intoxicating substance in most geographic locations. Alcohol use in the United States specifically is well over global averages. While alcohol misuse is generally considered to be understood as a problem for younger adults, it is often unrecognized and understudied older adult populations. Currently, there is an absence of a comprehensive tool measuring for developmentally salient behaviors, symptoms, and features of alcohol misuse in older adulthood, which blocks researchers’ ability to measure alcohol misuse well. The purpose of this study is to develop a psychometrically valid and reliable assessment of alcohol misuse for older adult …

Synthetic Neuroactive Steroids Targeting Gaba-A Receptors As A Potential Therapy For Contraceptive-Associated Mood Disorders, Alexandria A. Davis

Scripps Senior Theses

4-10% of women who use hormonal oral contraceptives (HOCs) discontinue use after experiencing symptoms of anxiety, irritability, and depression in the first 3 months of administration. Previous studies have acknowledged a relationship between HOCs and emotional dysregulation but have not identified mechanisms by which HOCs have this effect. As a result, effective treatment options for HOC-induced mood disorders are lacking. Current theories implicate combined-HOCs, particularly those containing ethinyl estradiol and levonorgestrel (EE-LNG), in reducing neuroactive steroid levels. Specifically, HOC users show decreases in allopregnanolone, a positive allosteric modulator associated with neuronal inhibition and emotional regulation. The objective of this study …

Relationship Between Spiritual Struggles And Health Outcomes In Adult Chronic Pain Patient Populations, Brianna Marie Todd

All-Inclusive List of Electronic Theses and Dissertations

Chronic pain affects about one-fifth of the worlds population. Although a biopsychosocial model is often applied, religious and spiritual factors are frequently neglected in the conceptualization of pain and its impact. Prior research has identified how religious and spiritual (R/S) struggles are associated with depression, pain catastrophizing, and pain disability in pain patients. However, few investigations have assessed how struggles affect the relationship between pain and well-being. The present study explored how R/S struggles affect the relationship between pain and well-being when tested as mediators and moderators, while accounting for the effects of age, gender, race, income, education, and religious …

The Role Of Medical Cannabis Use In Pain, Sleep, And Mental Health Outcomes Among Older Adults, Madison H. Maynard

Graduate Thesis and Dissertation 2023-2024

Older adults represent the fastest growing demographic of cannabis users, and they endorse cannabis use for a variety of reasons including modulation of chronic pain, mental health symptoms, and sleep concerns. Despite escalating patterns of use, current evidence leaves questions of efficacy unanswered among these groups of users. Goals of the present study were to examine the role of medicinal cannabis within subjects at the daily level on the interrelated symptoms of depression, anxiety, sleep, and pain. A final sample of 106 medical cannabis users were recruited nationwide, ranging from 55 to 74 years of age (66.67% female, 82.86% white). …

Nutrition Counseling Practices Among Psychologists, Wibecke Stromsnes

University of the Pacific Theses and Dissertations

There is a lack of treatment guidelines for how to address the impact of nutrition on clients’ mental health. Prior research is limited regarding psychologists’ practices of nutrition counseling and has mostly focused on practices of dieticians and medical doctors. The purpose of this study was to examine psychologists’ beliefs and attitudes about nutrition counseling, amount of training and use of nutrition counseling, self-rated knowledge in the use of nutrition counseling and perceived benefits and barriers to using nutrition counseling. Data was collected using an online survey of 76 licensed psychologists’ training in nutrition and use of nutrition counseling. Findings …

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

Nursing | Senior Theses

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 …

Belonging In The Psychic Nowhere: Racial Trauma, Racial Melancholia And Related Mental Health Outcomes Amongst South Asian Immigrants In The Us, Anusha M. Kumar

Dissertations and Theses

South Asian immigrants have experienced a nuanced immigration history in the US while straddling the Black-White racial binary. Despite their growing presence, research on South Asian mental health is relatively limited and often subsumed under the broader category of "Asian Americans," which obscures unique experiences due to the model minority myth and leads to a paucity of targeted studies, particularly in the U.S. Mental health outcomes, specifically depression, self-harm and disordered eating behaviors are prevalent within this community, and are exacerbated after large-scale sociopolitical events due to increased discrimination. Limited studies examine the intersection of racism and mental health outcomes …

Prolonged Grief: The Predictive Value Of Cognitive Distortions, Depression, And Anxiety, Michael Kastelnik

PCOM Psychology Dissertations

Bereavement, the emotional pain of losing a loved one, may lead to significant distress and functional impairment, which can negatively impact the relationships, work, and health of those who grieve. The present study aimed to examine the relationship between cognitive distortions and prolonged grief, depression, and anxiety. It was hypothesized that there would be a significant and positive relationship between prolonged grief, depression, anxiety, and cognitive distortions, as measured by the Prolonged Grief Scale-Revised (PG-13-R), the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder Scale (GAD-7), and the Inventory of Cognitive Distortions (ICD), respectively (Hypothesis 1). It was also …

Building Rural Resilience: A Rural And Farm Youth Safety And Well-Being Curriculum, Kelly Mcfarland

Theses and Dissertations--Community & Leadership Development

Mental health is a growing concern in today’s youth (CDC, 2023). The suicide rates in youth have been on a rise, increasing the need for mental health literacy (CDC, 2023). Mental health is often neglected in people’s lives, especially in rural areas (Boyd et al., 2008). This study answers four research questions: 1) Has the Building Rural Resilience: A Rural and Farm Youth Safety and Well-being Curriculum increased students' knowledge to recognize stress factors among rural communities and farmers? 2) Has the Building Rural Resilience: A Rural and Farm Youth Safety and Well-being Curriculum increased students' knowledge to recognize stress …

Social Gender Norms And Depression In College Students, Derek Deeney

Masters Theses

The primary purpose of this quantitative study was to determine if there was a relationship between the conformity to social gender norms (masculine and feminine) and depression among male and female college students at a mid-sized, four-year public institution in the Midwest. A secondary purpose was to investigate if there was a difference in depression between males and females, and if a there was a difference in conformity to social gender norms (masculine and feminine) between males and females. Understanding the trends in social norm conformity and depression can lead to changes in how faculty and staff in higher education …

The Effects Of Social Media On Mental Health And Well-Being, Connor Printz

CMC Senior Theses

This paper seeks to examine the positive and negative effects of social media on the well-being and mental health of people. The emergence of social media platforms has transformed the landscape of human interaction and communication, revolutionizing the way individuals connect, share information, and engage with the world around them. With the rapidly increasing popularity of platforms such as TikTok, Instagram, Snapchat, Twitter, YouTube, Twitch, and more, people now have unprecedented access to virtual networks, enabling instantaneous communication and global connectivity. While social media and these apps have without a doubt brought about numerous benefits, including enhanced social connectedness, access …