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The Inflammatory Exposome Of Major Depressive Disorder In An Egyptian Sample, Reem Deif

Theses and Dissertations

Major depressive disorder (MDD) has been recognized as a global public health concern affect-ing the lives of 264 million people with increasing prevalence worldwide. Inspired by the expo-somic research, this study aims to investigate the dynamic and complex interplay between dif-ferent demographic, lifestyle, environmental factors and bimolecular factors that are potentially involved in the pathology of MDD in a sample of Egyptian adults living in Cairo. This is in an attempt to acknowledge the biological underpinnings of MDD without underestimating the role of environmental influences. The context of Egypt provides richness to the current study given the national transition from …

Mental Health Effects Of Applied Mental Health Courses Vs. Non-Course Controls On Depressive Symptoms And Psychological Flexibility, Madeline Jane Cope Diopulos

Theses and Dissertations

This study aims to evaluate the effectiveness of an applied mental health course in a university setting in reducing distress and symptoms of depression and increasing levels of psychological flexibility. As university psychological services are unable to meet the need of their students, other methods of treatment must be explored. Participants in the study are comprised of those who chose to enroll in a student development course aimed at increasing psychological flexibility and introducing basic psychoeducation as well as various university students who elected to participate. Depressive symptoms and psychological flexibility were measured pre-, mid-, and twice post-test in both …

Adolescence And Stress: A Longitudinal Examination Of The Role Of Stress On Health Outcomes And The Moderating Role Of Self-Regulation And Social Support, Joshua T. Christensen

Theses and Dissertations

Stress impacts all individuals during each developmental period of their lives. Stress has been linked to various physical and mental health outcomes across the lifespan. However, adolescence may prove to be a unique time to examine stress and its potential effects on various health outcomes, as well as possible mediating or moderating factors. The purpose of this study is to examine the link between stress and body mass index (BMI) percentile while incorporating the potential mediators of anxiety, depression, and externalizing behaviors as well as the moderators of social support and self-regulation. Using a sample of 500 adolescents living in …

Exploration Into The Relationship Between Colitis And Depression: A Potential Role For The Aryl Hydrocarbon Receptor, Kasie Lynn Roark

Theses and Dissertations

Inflammatory Bowel Disease (IBD) is a group of chronic gastrointestinal disorders with unclear etiology comprised of two defined disorders – Crohn’s Disease (CD) and Ulcerative Colitis (UC). IBD leads to chronic pain, socially isolating symptoms, and an overall reduction in patient quality of life. There is currently no cure for IBD. Due to decreased mucous production and weakening of the colonic epithelial lining, gut-microbiota and their metabolites can invade the intestinal lamina propria and circulate systemically, a term known as “leaky gut”. Recent studies show a relationship exists between peripheral inflammation, such as IBD, and depression. The gut-brain axis (GBA) …

Exercise And Mental Health Over The Course Of A Semester, Jamie Alexis Whitney

Theses and Dissertations

Introduction and purpose: Anxiety and depression are two of the most common mental health struggles in the United States each year. There has been promising research noting the positive effects of exercise on lowering symptoms of both anxiety and depression. Anxiety and depression are highly prevalent on college campuses, especially during high stress portions of the semester. The purpose of this study was to observe the changes in mental health over the course of the semester and if exercise level mediated any of these changes in the university population. Methods: Participants scanned a QR code or followed a link to …

The Effects Of The Social Security Amendments Of 1983 On Employment Status, Alcohol Consumption, And Depression, Adam J. Delgenio

Theses and Dissertations

Nearly four decades ago, Congress passed the Social Security Amendments of 1983. The changes were significant, and they pressured people to delay retirement. In this thesis, I use individual-level data from the Annual and Social Economic Supplement of the Current Population Survey and the Health Retirement Study to analyze the effects of the amendments. The amendments affect individuals at the same age, but across different years. Year of birth determines treatment by the amendments. I control for year of birth and age effects in a difference-in-difference model and interact treatment with age to identify the effects of the amendments on …

Did The Psychological Implications Of Covid-19 Influence Employees To Say, “I Quit”, Lori Fay

Theses and Dissertations

This qualitative study explored the forces that influenced employees to quit and how the employee-manager relationship mitigated this. The research centered on employees employed in the retail industry throughout the year 2020. This study aimed to investigate what factors motivated employees to remain committed to their organizations amidst the psychological impacts of COVID-19. The findings of this study suggest that the COVID-19 pandemic has had a significant impact on the mental well-being of individuals, as evidenced by their experiences of anxiety, depression, and emotional fatigue. Understanding the impact of COVID-19 on employee turnover and the influence of the employee-manager relationship …

Family-Based Support As Social Determinants Of Health Protective Factor On Depression Of Parents Of Children With Autism Spectrum Disorder, Bisola E. Duyile

Theses and Dissertations

All parents experience challenges in their caregiving roles (Barańczuk & Pisula, 2020). However, parents raising a child/children with disabilities experience different social barriers (Oliver, 1996) that may also contribute to additional stressors in their caregiving role (Tomeny, 2016). Although these parents, on average, have reported greater symptoms of depression than parents of typically developing children, research shows that parents who reported receiving social support had lower symptoms of depression and stress (Das et al., 2017; Singh et al., 2017). Through the social determinants of health (SDOH) framework (ODPHP, 2022), the present study investigated informal/family-based support and its protective impact on …

The Role Of Social Response To Disclosure In Relgious And Spiritual Coping And Recovery From Sexual Assault, Megan Wolfe

Theses and Dissertations

Many factors can discourage survivors of sexual assault from reporting their assaults. Even those survivors who disclose, their reporting experiences may not leave them feeling empowered or that they have received adequate support to begin the healing process after disclosure. Using a mixed methods approach, we examined the relationship between religious and spiritual coping strategies, the experience of social disclosure, and symptoms of posttraumatic stress disorder (PTSD) and depression using confirmatory factor analysis (CFA) and structural equation modeling (SEM). We further used qualitative data examining the ways that participants used religious/spiritual coping strategies in response to the trauma of sexual …

Intrapersonal And Interpersonal Predictors Of Hope In Adolescents, Megan M. B. Wilson

Theses and Dissertations

Hope is a variable that is defined in research as a positive outlook on one's future and a plan to achieve that future. Hope has been found to be positively correlated with self-esteem, optimism, and life satisfaction, and negatively correlated with suicide ideation and suicidality. However, there is a lack of research on predictors of hope in adolescents. Adolescents compose the age group that could arguably use the goal-oriented and positive outlook that hope provides the most. This study identified predictors of hope (i.e., depression, maternal and paternal support) in adolescents so as to know how society can give adolescents …

Food Insecurity And Depression Among Us Adults: The National Health And Nutrition Examination Survey, Nicole Reeder

Theses and Dissertations

Food insecurity has long been a global challenge associated with negative health outcomes. The spectrum of food insecurity corresponds to a spectrum of negative health outcomes that range from kwashiorkor and marasmus to obesity and chronic disease. The burden of food insecurity is a stressor that additionally negatively effects mental health. In this study, the relationship between food insecurity and mental health was examined using data from the National Health and Nutrition Examination Survey (NHANES). Food insecurity was assessed with the 18-item United States Food Security Survey Module, and participants were classified into one of four categories based on their …

Predictors Of Emotional Health Across Autistic And Non-Autistic Students' First Semester Of College, Erin E. Mckenney

Theses and Dissertations

The prevention and treatment of mental health concerns, including depression, are significant priorities for autistic adults. While several theories have been proposed to explain the high prevalence of depression in autistic populations, little longitudinal research has been done on potential causal mechanisms. Additional research is needed to explore how proposed contributors to depression from general population research -- namely, negative repetitive thinking, lack of social opportunity, and attributional style -- predict and/or moderate the development of depressive symptoms in autistic individuals. The current study investigates these potential predictors' relationship to internalizing symptoms over the course of college students' first semester. …

Huérfanos: A Memoir, Mauricio Garcia

Theses and Dissertations

If you look hard enough, there are stories of children in foster care. Tales of their plight, longing for love, the love of their parents, love from the foster care system, or a foster care family. However, despite their existence, so much is left in the unknown. The story of how this child’s life came into the world, what outcomes transpired for a parent to give up a child, and the journey the child may have to take for closure. Answers to the why. Why was I given up, why was I not sought out, why did my family …

Impact Of Covid-19 Pandemic On Women Interpersonal Violence Survivors, Melissa Fernandez

Theses and Dissertations

Women have a significant risk of experiencing interpersonal violence over the course of their lifetime. There has been some suggestion that this risk has been exacerbated by the isolation experienced during the COVID-19 pandemic. The proposed study will evaluate levels of stress associated with interpersonal violence during the COVID-19 pandemic. Depression, coronavirus anxiety, Posttraumatic symptoms, and COVID-19 stress levels will be evaluated. It is hypothesized that participants who experienced interpersonal violence (childhood abuse, physical assault, unwanted sexual experiences, and/or intimate partner violence) will endorse higher levels of COVID-19 stress, Posttraumatic symptoms, depression. These outcomes would be mediated by experiential avoidance. …

The Cognitive Content Specificity Hypothesis In Anxiety And Depression, Krystell Adriana Montalvo

Theses and Dissertations

In this study, we recruited 400 participants through an online platform and obtained measures of social anxiety symptoms, depressive symptoms, dysfunctional attitudes, and irrational thinking. We tested the cognitive content specificity hypothesis which predicts that anxious symptoms will be more highly correlated to irrational and dysfunctional beliefs with anxious cognitive content, and depressive symptoms would be more highly correlated with depressive cognitive content. The results were mixed, but generally showed that depressive cognitive content was more highly correlated to depressive symptoms, especially in the case of the positive association between irrational thoughts about self-depreciation and depressive symptoms.

Labor Union Affiliation And Its Influence On Psychological Well-Being And Depression, Waleed Y. Sami

Theses and Dissertations

The purpose of this quantitative study was to examine the influence labor union affiliation has on psychological well-being and depression. Poverty and income-inequality are large challenges within contemporary American society. Labor unions have historically mitigated income-inequality, promoted solidarity, and decent working conditions. There is growing research on their role as a social determinant of health and mental health. This present study sought to expand this nascent literature base and examine if labor union affiliation influenced psychological well-being (made up of six subscales) and a depression scale through a secondary cross-sectional data analysis, derived from the Wisconsin Longitudinal Study (WLS). A …

Systematic Review Regarding The Use Of Mindfulness-Based Mobile Applications To Reduce Psychological Symptoms And Enhance Well-Being Among General And Clinical Population Adults: Benefits, Limitations And Future Directions, Brian Clawson

Theses and Dissertations

Mindfulness is now utilized throughout Western Society and is part of the growing behavioral health, self-help, and wellness movements. Mobile applications have become increasingly popular for a wide variety of uses related to physical health, mental health, and self-improvement. Therefore, mindfulness-based mobile applications have promise both as stand-alone tools for end-users seeking self-help resources and as clinician-recommended adjunctive tools to enhance the process and outcomes of professional therapy. This systematic review identified, reviewed, and synthesized the findings from studies (n = 29) concerning the impact of mindfulness-based mobile applications on specific aspects of psychological functioning in both the general population …

Interpersonal Psychotherapy For Depressed Adolescents: A Systematic Review Of Quantitative Studies Exploring Effectiveness, Concomitant Findings, And Mediating And Moderating Variables, Luke Rex

Theses and Dissertations

Depression is one of the leading causes of illness and disability among adolescents. According to the National Institute of Mental Health (2022), almost one-fifth of adolescents ages 12 to 17 years in the United States had at least one major depressive episode in 2020, representing 4.1 million people, and over half did not receive any treatment. An interpersonal approach to therapy for adolescents known as Interpersonal Psychotherapy for Depressed Adolescents (IPT-A), developed by Dr. Laura Mufson, has been regarded as having well-established efficacy in treating depressed adolescents. This systematic review of quantitative studies (without meta-analysis) was conducted to (a) examine …

Bonded Or Broken? An Expansion Of Goodman And Gotlib’S Depressive Symptom Transmission Model Extended To Foster Parents And Grandparent Caregivers, Acacia Lopez

Theses and Dissertations

Current literature establishes a relationship between maternal depression and offspring depression. Goodman and Gotlib’s “Developmental Model for Understanding Mechanisms of Transmission” suggests possible mechanisms including attachment. Prior research also demonstrates a link between fathers’ depression and pediatric psychopathology risk, but further research is needed to elucidate the effect of other non-parental caregivers. Children raised by both types of non-parental caregivers are vulnerable to attachment disruptions due to separation from their parental caregivers and the prevalence of children residing with these caregivers is on the rise in recent years. Using the Goodman and Gotlib framework, this study examined the relation between …

The Association Of Antidepressants Use With Healthcare Utilization, Patient-Reported Outcomes, And Alzheimer's Disease And Related Dementias (Adrd) Among Medicare Beneficiaries With Depression, Abdulrahman Abdullah A Alnijadi

Theses and Dissertations

Background: Depression and Alzheimer's Disease and Related Dementias (ADRD) are common among older adults. Currently, depression is recognized as one of the risk factors for ADRD. There is conflicting evidence on the association between depression and ADRD. Inadequate detection, diagnosis, and management of depression appear to pose a significant risk to the quality of life and healthcare utilization among older adults. To date, there are few studies on the impact of depression on self-reported healthcare utilization and self-reported health outcomes among Medicare beneficiaries.

Objectives: The aims of this study were to (1) quantify the association between depression and ADRD, quality …

Mediation Among Depression, Acceptability Of Emotions, Emotional Intensity And Emotional Disclosure, Brandie Vera

Theses and Dissertations

The present study discussed talking about emotions with other people and the important role in emotional recovery (Rimé, 2009). Individuals with depression, however, have been shown to disclose less personal information than individuals without depression (Kahn & Garrison, 2009). Little is known about the roles of acceptance of emotions and emotional intensity in the association between depression symptoms and emotional disclosure. The degree to which one believes their emotions are acceptable and the perceived intensity of emotional events might be mediators of the depression-disclosure relation. The hypotheses of the study include: Depressive symptoms will be negatively associated with emotional disclosure. …

Mhealth For The Treatment Of Depression In Primary Care: A Feasibility Study, Krista Herbert

Theses and Dissertations

The primary aim of this study was to evaluate the feasibility and acceptability of implementing three mobile applications (apps) designed to ameliorate depressive symptoms within primary care. The secondary aim was to examine whether participants utilizing a mobile app would experience reductions in depressive symptoms and improvements in quality of life when compared to a waitlist control condition. Participants (n=3) were recruited from two primary care practices and randomized to: (a) a cognitive-behavioral app, (b) a mindfulness app, (c) a social problem-solving app, or (d) the waitlist control condition. Participants completed measures of depressive symptoms and quality of life at …

The Effect Of Depression, Anxiety, And Stress On Heart Rate Variability During Self-Critical And Self-Compassionate Exercises, Derek C. Bartlett

Theses and Dissertations

The cognitions of individuals who experience symptoms of depression, anxiety, and stress have been well documented, but their physiological reactions have not. The present study examines the physiological reactions of individuals with elevated levels of depression, anxiety, and stress during a self-critical and self-compassionate writing exercise to see if there is a difference in comparison to healthy participants. This study is a secondary analysis of data that was collected from a randomized controlled trial where participants followed a protocol. This protocol consisted of a 5-minute baseline, a 10-minute breathing exercise or nature video, 5-minutes of a self-critical writing exercise, 5-minutes …

"I Understand, Honey": Perceived Spousal Empathy's Moderating Influence On The Links Between Depression And Marital Satisfaction And Marital Satisfaction And Physical Health, F. Javier Celestino

Theses and Dissertations

An adapted version of the Vulnerability-Stress-Adaptation model was used as a theoretical guide for this study, which proposes that adaptive processes exist and can moderate relationships between enduring vulnerabilities and different outcomes. Relationships of interest include the negative link between depression and marital satisfaction and the positive link between marital satisfaction and physical health. An adaptive process of interest is empathy, due to its well-researched positive impact on mental, relational, and physical health. This study examined whether perceived spousal empathy (i.e., the empathy perceived by one spouse coming from their spouse) had any moderating effects on the previously mentioned links. …

The Losses, The Heartbreaks, The Hungers..., Nestor Perez-Moliere

Theses and Dissertations

The Losses, The Heartbreaks, The Hungers… is a photographic body of work in which I engage in a conversation with myself on mental health and self-compassion. I am able to exist with myself within the same frame through the use of compositing techniques that depict a multiplicity of selves. In the work, I dwell in an isolated, psychological space that is constructed through a claustrophobic framing of the camera and black and white film imagery that accentuates the shadows and the light. The interactions with myself are of mixed nature: at times I am abusive to myself, but other times …

The Effect Of Parenting Styles On Depression Among College Students, Manpreet Kaur

Theses and Dissertations

Researchers, during the past few decades have found there to be an association between parenting styles and levels of depression in children, adolescents, and adults. In the current study, the effects of parenting styles on depression among college students was targeted. This current study predicted that: 1. Females will show greater levels of depression than males. 2. Asians will show increased levels of depression. 3. Participants with authoritarian parents will exhibit significantly higher levels of depression as compared to authoritative, permissive, and uninvolved parenting styles. In addition to these, additional exploratory analyses were also conducted. Two hundred eighty-eight college undergraduates …

An Analysis Of Education As A Moderator Of The Relationship Of Discrimination To Depression, Jeavonna M. Coble

Theses and Dissertations

Racism has been observed as a highly prevalent psychosocial stressor across minorities, and consistently associated with depression across racial/ethnic groups. However, existing evidence is unclear on effective buffers of discrimination to depression. Researchers have hypothesized that education may mitigate discrimination’s effects on negative mental health outcomes. Evidence evaluating education as a buffer on the relations of discrimination to depression is limited. The analysis is further complicated as the evidence linking education level to discrimination exposure is also mixed. Although some studies indicate lower education levels are associated with greater perceived racism, many studies indicate an association of higher education with …

The Roles Of Cardiovascular Disease And Depression In The Relationship Between Respiratory Disease And Neuropsychological Functioning In Older Adults, Alexander J. Gordon

Theses and Dissertations

The pathophysiology of severe respiratory diseases, such as asthma and chronic obstructive pulmonary disease (COPD), supports the theory that oxygen deprivation to the brain may impact the brain’s execution of cognitive functions. Imaging studies also suggest that neuroanatomical changes in areas of the brain responsible for cognitive processes may be associated with respiratory diseases. Research in this area has failed to conclude definitively, especially in an older adult population, which is more likely to experience comorbid depression and cardiovascular disease, universally acknowledged predictors of poorer cognitive performance, the extent of the relationship between respiratory illness and cognitive functioning. The current …

The Impact Of Exercise On Adolescents With Depression: A Systematic Review Of The Literature, Matthew P. Kloeris

Theses and Dissertations

The purpose of the present study was to summarize and synthesize the research that pertains to the impact of aerobic exercise on adolescents with depression. This review addressed aerobic exercise as a mental health treatment, such as differences between (a) post-intervention and follow-up response and remission rates; (b) exercise in lieu of psychotherapy or exercise as an adjunct to psychotherapy; and (c) response and remission rates amongst minority gender and racial and ethnic groups. The search results produced a total of 2,122 articles. Of which, eight articles were eligible for the present systematic review. Based on the results, it appears …

The Harm In Seeking Care: Assessing The Relationship Between Healthcare Discrimination And Healthcare Avoidance Behaviors In The Past Year And Since The Start Of The Coronavirus Pandemic In A Transgender And Gender Independent Sample, Kyle L. Mason

Theses and Dissertations

Background: Gender minorities encounter a myriad of barriers to accessing general and gender affirming healthcare. Financial disparities impacting affordability of healthcare costs and insurance-based denials for gender-affirming care are among prominent barriers discussed. Considerations of the prevalence of stigma, discrimination, and erasure of gender minority identities must not be neglected when seeking to understand healthcare accessibility and utilization in this population. Previous researchers have examined gender minority patients’ experiences of discrimination in healthcare settings and delaying care due to fear of discrimination. There is a dearth of knowledge about the relationship between lifetime exposure to varied forms of healthcare discrimination …