Digital Commons Network^™

Exploring The Association Between Depression And Obesity Among Alzheimer's Patients, Stephanie Clugstone

Theses and Dissertations

Alzheimer’s disease (AD) is a neurological disorder that affects elderly individuals, and is becoming an increasing concern among the aging population of the world. Due to the projected increase in incidence of AD, modifiable risk factors such as depression and obesity should be evaluated, as prevention is the only current option. This study aimed to determine the prevalence of obesity and depression among AD patients, and to evaluate the association between depression and obesity. Patients were chosen from a subset of the South Carolina Alzheimer’s disease registry, which included information about weight status and depression, as well as several other …

Action Control And The Relationship Between Anhedonia, Anxiety, And Unconscious Inhibition Of Positive Information, Taban Salem

Theses and Dissertations

Previous research suggests that individuals with difficulty upregulating positive affect exhibit below-chance accuracy when identifying positive words presented outside of awareness, an effect termed subchance perception of positive information (SPPI). Previous findings also suggest that state orientation may underlie the relationship between clinical symptoms such as anxiety and anhedonia and SPPI. The current study addressed methodological limitations of previous research and tested hypotheses that state oriented individuals exhibit SPPI and that state orientation underlies the relationship between clinical symptoms and accuracy in identifying briefly-presented positive words. Results did not support hypotheses. The null findings in this study suggest that the …

Equity Of Social Support And Its Relationship With Depression, Anxiety, And Antiretroviral Medication Adherence Among Seroconcordant Dyads Of Hiv-Positive African Americans And Their Informal Supporters, Angela Roethel Wendorf

Theses and Dissertations

Social support may be an important resource for those coping with stigmatized chronic illnesses, such as HIV/AIDS, as social support may buffer the deleterious impact of HIV-related distress (Derlega, Winstread, Oldfield, & Barbee, 2003; Stutterheim, Bos, Pryor, Brands, Liebregts, & Schaalma, 2011; Ueno & Adams, 2001). Yet little is known about characteristics of social support among HIV-positive patients in relationships with other HIV-positive individuals and whether there is an equivalent perception and provision of support between each patient in the relationship. To examine how equity of support within the dyad may contribute to nuances in social support, mental health outcomes, …

An Examination Of The Relationship Between Levels Of Food Security And Depression, Erica K. Svojse

Theses and Dissertations

Prior research has identified a variety of common correlates between food security and depression but oftentimes the data used in these analyses are not representative of the US or do not consider multiple categorical levels of the focal variables. Using data from the 2009-2010 National Health and Nutrition Examination (NHANES), this study sought to examine the relationship between four levels of food security - full, marginal, low and very low - and depression. The findings indicate low and very low food security are significantly related to an increased risk of depression, while marginal food security is not significantly different from …

Respite Care, Stress, Uplifts, And Depression In Single Mothers Of Children With Autism Spectrum Disorders, Ruthann Grawe Christensen

Theses and Dissertations

Single mothers of children with autism spectrum disorders (ASD) are likely to experience high levels of stress and be at risk for depression. However, respite care can reduce parenting stress and lower psychological distress in parents of children with disabilities. This study focused on single mothers of children with ASD and their reports of stress relative to respite care received. One hundred and twenty-two single mothers completed the Respite Care Instrument, Center for Epidemiological Studies Depression Scale, Hassles and Uplifts Scale, and Caregiver Burden Instrument. Results were mixed. Respite care was positively related to daily uplifts, but not significantly related …

Treatment Outcomes For Mood Disorders With Concurrent Partner Relational Distress: A Comparison By Treatment Modality And Profession, Holly Pack

Theses and Dissertations

Mood disorders are often linked with concurrent partner relational distress. The present study compared the cost effectiveness of treating mood disorder alone versus when the condition is comorbid with partner relational distress. Cigna, a leading health insurance management company in the US, provided outpatient data. Participants included patients with solely a mood disorder diagnosis (n = 72,712) and those with both a mood disorder and a comorbid partner relational distress diagnosis (n = 113, including 69 females and 44 males). These participants were treated in outpatient settings throughout the US. These numbers are surprisingly low considering the extensive literature showing …

The Impact Of Parentification On Depression Moderated By Self-Care: A Multiple Group Analysis By Gender For South Korea And The U.S., Sunnie Giles

Theses and Dissertations

Parentification, the process of role reversal between parent and child, has long-term deleterious consequences. Using 500 men and 501 women, ranging from 18 years to 55 years old, residing in Korea and the U.S., this study examined the relationship of parentification experienced during childhood and depression in adulthood. The moderating impact of gender and self-care was examined in both the Korean and U.S. samples. Multiple-group analysis showed that the relationship between parentification and depression was statistically significant in all groups (U.S., Korean, male, and female), and self-care was negatively linked to depression. However, self-care did not moderate the relationship between …

Women's Experiences Living With Depression, Susan Marie Jarchow

Theses and Dissertations

In the United States, depression affects many Americans at different levels. Depression among women is a major public health problem. According to the National Alliance on Mental Illness), about 1 in 5 women develop depression at some point in their lives, and are nearly twice as likely as men to have depression. Much of the research about depression in women are quantitative studies aimed mostly at collecting epidemiological or survey data that focus on rates of mental illness, while not taking into account the qualitative subjective and contextual illness perspectives of women living with depression.

The purpose of this study …

Dissociable Antidepressant-Like And Abuse-Related Effects Of The Noncompetitive Nmda Receptor Antagonists Ketamine And Mk-801 In Rats., Todd Hillhouse

Theses and Dissertations

The noncompetitive NMDA receptor antagonist ketamine produces rapid and sustained antidepressant effects in patients suffering from major depressive disorder. However, abuse liability is a concern. To further evaluate the relationship between antidepressant-like and abuse-related effects of NMDA receptor antagonists, this study evaluated the effects of ketamine, MK-801, and phencyclidine in male Sprague-Dawley rats responding under two procedures that have been used to assess antidepressant-like effects [differential-reinforcement-of-low-rate (DRL) 72 s schedule of food reinforcement] and abuse-related drug effects [intracranial self-stimulation (ICSS)]. Under DRL 72 s, ketamine produced an antidepressant-like effect by increasing reinforcers, decreasing responses, and producing a rightward shift in …

Frailty And Depression: A Latent Trait Analysis, Matthew Lohman

Theses and Dissertations

Background: Frailty, a state indicating vulnerability to poor health outcomes, is a common condition in later life. However, research and intervention progress is hindered by the current lack of a consensus frailty definition and poor understanding of relationships between frailty and depression. Objectives: The goal of this research is to understand the interrelationships between frailty and depression among older adults. Specifically, this project aims 1) to examine the construct overlap between depression and three definitions of frailty (biological syndrome, medical burdens, and functional domains), 2) to determine the degree to which this overlap varies by age, gender, race/ethnicity and other …

A Longitudinal Study Of The Bidirectional Relations Between Internalizing Symptoms And Peer Victimization In Urban Adolescents, Tess Drazdowski

Theses and Dissertations

The purpose of this study was to examine the bidirectional relations between anxious and depressive symptoms and two forms of peer victimization (i.e., overt and relational) within a sample of 358 predominantly African-American adolescents living in low-income urban areas across four years. Longitudinal path analyses tested progressively complex models for each type of victimization. For both overt and relational victimization the autoregressive model where only previous levels of each construct predicted future levels of the construct was the most parsimonious explanation. The best fitting model for both types of peer victimization suggested that internalizing symptoms helped to further explain future …

The Contribution Of Forced Medical Retirement To Symptoms Of Depression, Anxiety And Stress In Law Enforcement Officers, Kimberley Blackmon

Theses and Dissertations

This research explored whether a statistically significant difference exists between symptoms of depression, anxiety and stress in police officers who were forced into medical retirement as compared to those who retired after years of completed service. The sample population of retired police officers as well as the appropriate testing instruments for these targeted individuals is discussed. In addition, the dissertation addresses how the survey determined the type of retirement they were subjected to (voluntary or involuntary) and any depressive or other psychological symptoms since that retirement. The findings from this study show that a statistically significant difference exists in the …

Resilience In Parkinson’S Disease: An Empirical Examination Of Age-Related Components Of The Construct, Andrea Garroway

Theses and Dissertations

Although Parkinson’s disease (PD) is commonly characterized by motor symptoms and physical limitations, there is growing recognition of nonmotor and mood symptoms associated with the disease as well. There has been limited research exploring how individual coping might affect the relationships between PD symptoms and mental health outcomes. The resilience construct was originally developed within the child literature, and it is often used in conceptualizing how people have adaptive or positive outcomes when facing adversity. Current resilience measures may not adequately assess the construct within an older population, however, given the unique emotion regulation and coping skills seen in late …

Does Growth In Childhood Adhd And Depression Symptoms Predict Binge-Eating During Adolescence, Kathryn Van Eck

Theses and Dissertations

Binge-eating disorder (BED) refers to experiencing a loss of control while eating high quantities of food in a short period of time. A serious public health concern, BED is highly comorbid with other psychological disorders and increases risk for obesity and other health concerns, such as metabolic disorder and diabetes. Little is known about what mental health symptoms contribute to the development of BED for children and adolescents. Research with adults indicates that two strong predictors of binge-eating behavior include impulsivity and depression, and these symptom areas may contribute to BED for youth, as well. In the current study, I …

Follow-Up Evaluation Of Treatment For Anxiety And Depression Provided In A University-Based Primary Care Clinic, Renée M. Grinnell

Theses and Dissertations

Although integrated primary care psychology services are becoming increasingly common, the literature lacks adequate research support for the longitudinal durability of treatment effects following the conclusion of brief primary care interventions. This study served as a follow-up program evaluation of psychological services for depression and anxiety provided at the Medical College of Virginia’s Ambulatory Care Center in Richmond, Virginia. Data were collected on 47 adult primary care patients who received treatment for depression and/or anxiety between six and 18 months prior to the follow-up telephone call. Data were collected on the trajectory of depression scores throughout and following treatment, treatment …

Evaluation Of Psychological Services For Anxiety And Depression Provided In A University-Based Primary Care Clinic, Elizabeth J. Sadock

Theses and Dissertations

Primary care clinics are increasingly integrating psychological services into their service programs, however few studies have used a comparison group to demonstrate the effectiveness of these services. This study evaluated the psychological services provided at the Ambulatory Care Clinic (ACC) at the Virginia Commonwealth University Health System (VCUHS) by comparing changes in 147 patients’ PHQ-9 depression scores and GAD-7 anxiety scores over time to the scores of 139 patients at the Hayes E. Willis Health Center, a comparison clinic with demographically similar patients but no integrated psychological services. Assessment data were collected from participants in the ACC at VCUHS during …