Digital Commons Network^™

The Association Between Depression, Anxiety And Clinical Outcomes For Type 2 Diabetes Mellitus, Elham Heidari

Electronic Theses and Dissertations

Objective: To evaluate the impact of depression and/or anxiety on clinical outcomes of diabetes, including glycosylated hemoglobin (HgA1c), blood glucose, blood pressure, total cholesterol, weight and LDL among patients with incident type 2 diabetes mellitus (T2DM).

Method: A retrospective cohort study utilizing electronic medical record (EMR) data from a primary care physician (PCP) group practice was conducted to identify patients newly diagnosed with T2DM with at least 6 months pre-diagnosis and 12 months post-diagnosis of EMR data using International Classification of Disease 9th edition Clinical Modification (ICD-9-CM) coding. The presence of comorbid depression and anxiety was identified to identify four …

Gender Differences In Co-Rumination Processes In The Friendships Of Late Adolescents: Relations To Depression Vulnerability, Helen J. Day

Electronic Theses and Dissertations

The primary aim of this study was to investigate gender differences in problem content and dyadic problem talk duration as potential contributors to previously documented depressogenic effects of co-rumination in late adolescence. Participants (N = 176 undergraduate students) included pairs of same-gender female (n = 37), same-gender male (n = 15), and cross-gender (n = 36) friends who completed self-report measures assessing individual depressive symptom severity, as well as within-dyad co-rumination habits and friendship quality. Dyads also participated in an observational problem talk task, which asked each dyad member to identify a current personal problem and discuss it with …

Substance Use And Sexual Risk Taking In Emerging Adults With A History Of Bullying Victimization, Daniel Provenzano

Electronic Theses and Dissertations

Bullying victimization has been commonly linked with a range of psychosocial problems. To deal with distress, victims engage in coping behaviours that may be adaptive, maladaptive, or both. However, it may be difficult for youth to cope in ways that are adaptive. Instead, youth may engage in a variety of coping behaviours that are maladaptive. Considering that emerging adulthood often coincides with engaging in substance use and sexual risk taking, some youth may engage in these health risk behaviours as ways to cope with the psychosocial problems associated with bullying victimization. Therefore, the purpose of the current study was to …

A Structural Equation Analysis Of The Relationships Between Ptsd, Depressive Symptoms And Suicidal Ideation : Is General Strain Theory A Viable Framework For Explaining Suicide Risk Among Correctional Staff?, Wm. Clay Johnson

Electronic Theses and Dissertations

There is a large body of evidence, which suggests PTSD is strongly related to increased suicide risk, however, some studies suggest the true nature of their relationship is better explained through the development of depression due to the effects of PTSD. While a majority of the studies examining this relationship focus only on general populations, a growing body research suggests that high-risk occupations such as police, firefighters and correctional staff are developing PTSD at rates as high as 8 to 10 times that of the rate of these general samples. This study, then, aims to fill a small gap in …

Examining The Temporal Directionality Between Teaching Behavior And Affect In High School Students., Bridget Cauley

Electronic Theses and Dissertations

Previous empirical studies demonstrate a cross-sectional association between teaching behaviors and students’ positive and negative affect and depressive symptoms. However, only one study comprised only of middle school students has examined the temporal direction of these associations, meaning the temporal direction of associations for high school students remains unclear. Therefore, this two-wave study with high school students investigated the temporal direction of the associations between teaching behaviors and students’ positive and negative affect. Participating students from one public high school (N = 188; 88.8% White; 69.7% female) completed the Teaching Behavior Questionnaire and the Positive Affect and Negative Affect …

Screening Older Adults For Depression : The Relationship Among Clinical Discipline Training, Barriers, Attitudes, Norms, And Perceived Behavioral Control., Ronald W. Smith

Electronic Theses and Dissertations

Purpose of the Study: The purpose of this study is examine the influence of barriers on clinicians’ decisions to screen for depression in older adults or to refer to other health professionals. A second purpose is to explore how well the Theory of Planned Behavior is supported as a framework for understanding the likelihood of screening for depression and how the variables within the theory interact with barriers to affect clinician behavior. A final purpose is to explore characteristics of depression screening or referral of older adults by several clinical disciplines. Design and Methods: This study featured a …

The Role Of Hardiness In The Relation Between Perceived Daily Discrimination And Depressive Symptoms In Community College Students., Rosamond J. Smith

Electronic Theses and Dissertations

In the current study, perceived daily discrimination (PDD) is conceptualized as a chronic stressor which repeatedly activates a stress response and results in depressive symptoms, per the theory of allostatic load. Psychological hardiness is explored as a potential moderator of the relation between PDD and depressive symptoms, because individuals who repeatedly demonstrate hardiness may be primed for making cognitive reappraisals of potential stressors and/or for mobilizing appropriate coping strategies, thus limiting the body’s repeated stress responses and subsequent depressive symptoms. This cross-sectional survey of a diverse sample of 305 community college students included measures of hardiness (Dispositional Resilience Scale, …

Relations Between Veterans' Coping Strategies And Symptoms Of Ptsd And Depression, Nichole Noel Mazzulo

Electronic Theses and Dissertations

Mental health problems, especially posttraumatic stress disorder (PTSD) and depression are significant concerns for veterans. Coping strategies may compound or alleviate mental health problems. Prior research shows maladaptive coping strategies are used by people with more severe PTSD and depression, while adaptive strategies are used by people who are more resilient. This study investigated how coping strategies contribute to symptoms of PTSD and depression in two samples of veterans: 55 veterans recruited from a Veterans Affairs Medical Center (VAMC) (12 women, 43 men; Mage = 36.58; 43.6% White, 45.5% Black), 71 student veterans enrolled at a university (22 women, 49 …

The Effect Of A Mindfulness Intervention On The Depression Symptoms Of Mothers In Treatment For An Opioid Use Disorder, Karen Alexander

Electronic Theses and Dissertations

BACKGROUND: Mothers in treatment for an opioid use disorder experience a high prevalence of depression which may influence their relationship with their child. In the general population, mindfulness-based parenting intervention has been seen in the literature to have a clear positive effect on maternal depression. No research has been published regarding the effect of mindfulness intervention on maternal depression of women in treatment for an opioid use disorder.

OBJECTIVES: To describe the characteristics of mothers in treatment for opioid use disorder, including depression and adverse childhood experiences, and to evaluate the characteristics associated with participation in a mindfulness intervention. Lastly, …

Experimentally Investigating The Joint Effects Of Physical Activity And Sedentary Behavior On Depression: A Randomized Controlled Trial, Jeremiah Blough

Electronic Theses and Dissertations

Objective: To experimentally examine whether increasing sedentary behavior, among a young adult active population, for one week is still associated with increased depression symptomology even when allowing for a moderate engagement in physical activity (PA). Methods: Participants were confirmed as active via self-report and accelerometry during baseline and randomly assigned to one of three experimental groups. The Sedentary Intervention Group (n=19) reduced steps to less than 5000/day and were not alloto exercise for one-week; the Reduced MVPA (moderate-to-vigorous PA) Group (n=18) reduced steps to less than 5000/day but exercised for 50% of their previously reported vigorous PA for one-week; and …

A Longitudinal Examination Of Eating Disorders And Associated Risk Factors In Division I Student-Athletes, Nicole Court-Menendez

Electronic Theses and Dissertations

CONTEXT: Eating disorders represent a significant concern across multiple populations including collegiate athletes. Risk factors for eating disorders may be amplified in athletes because of internal and external performance and image expectations. Little is known about how these risk factors change over time in collegiate student-athletes.
OBJECTIVE: To longitudinally examine select eating disorder risk factors in National Collegiate Athletic Association (NCAA) Division I student-athletes.
DESIGN: Descriptive longitudinal study.
SETTING: NCAA Division I collegiate athletics.
PARTICIPANTS: Retired Division I collegiate athletes (n=204), ages 18-22, who competed in football, women’s soccer, women’s volleyball, baseball, men’s and women’s track and field, men’s and …

An Exploratory Study Of Session Limited Models Of Therapy Outcomes In An Employee Assistance Program, Ivy C. Donaldson

Electronic Theses and Dissertations

Employee Assistance Programs (EAPs) have grown increasingly popular over recent years. The prevalence of organizations utilizing and investing in EAP services for their employees has grown; however, companies that purchase EAPs are not well-informed as to which session-models are most effective for various diagnoses. The current study is the first to explore treatment outcomes of session-limited models (measured by Therapist Perception of Change, TPC) for diagnoses (anxiety and depression) in an EAP delivery system. Outcomes were measured by TPC ratings including: a) Regressed, b) remained at Baseline, c) Improved, and d) issue was Resolved. Analyses (Chi-Square and =t-test) were used …