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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 …

Stress-Buffering Of Social Support On Depressive Problems: Moderation By Parental Depressive Problems, Erica Marie Szkody

Theses and Dissertations

The impact of parental depressive problems on children’s depressive symptoms has been widely studied. The Stress Buffering Hypothesis states that social support acts as a protective factor between the impacts of stress from negative life events on physical and psychological health. The current study examined the stress buffering hypothesis in terms of the relationship between parental depressive problems and emerging adult depressive problems. The differential buffering strength of both perceived social support and received social support between stress from negative life events and depressive problems were examined along with the moderating effects of parent and emerging adult gender. Neither perceived …

Bidirectional Associations Between Co-Parenting And Adolescent Depressive Symptoms, Jennifer I. Trempala

Honors Capstones

The associations between how parents’ co-parenting influence adolescent’s mental health, and how adolescents’ mental health influences parent’s co-parenting are compared in this study. Participants were parents who had a first-born adolescent about to enter sixth grade and they were currently living in the same household. The participants took questionnaires at three time points, every eight weeks, through Amazon Mechanical Turk (MTurk). This research study focuses on only the first two-time points and questionnaires about co-parenting dimensions (i.e., conflict, triangulation, cooperation) and adolescents’ depressive symptoms. Six linear regressions were run using SPSS 21, and all analyses controlled for the corresponding Time …

The Influence Of Depressive Symptoms On Frn Amplitude: An Eeg Study, Jonathan Burton

USC Aiken Psychology Theses

Background: Individuals diagnosed with depression demonstrate differences in neural activation patterns detectable using electroencephalogram (EEG). One of these differences has been specifically linked with the event-related potential (ERP) component called feedback-related negativity (FRN). In participants diagnosed with depression, the FRN has been shown to have larger amplitudes in response to negative feedback. However, previous research has only specifically looked at the difference of this amplitude between groups, specifically those with and those without a diagnosis of depression. Objective: The goal of the current study was to examine whether a continuous range of depressive symptoms in participants can predict FRN amplitudes, …

The Effects Of Emotion Socialization On Internalizing Behaviors In Young Adults, Cristina Ramirez

Electronic Theses, Projects, and Dissertations

Parents play a significant role in how children learn to express their emotions as well as their child’s overall emotional well-being. The purpose of this study was to examine the impact of positive and negative emotion socialization experiences on internalizing disorders in young adult males and females. One-hundred and forty-two young adults between the ages of 18-28 years from a southwestern university participated in the current study. It was hypothesized that early negative emotion socialization experiences would be related to higher levels of anxiety and depression in young adulthood (and, conversely, early positive emotion socialization experiences would be related to …

Maternal Depression In The United States: A Geographic Comparison Between Geographic Regions And Rurality, Samantha J. Patterson

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Health disparities exist between rural and urban areas but geographic comparisons of mental health are less studied and conclusive. Maternal depression has not been examined by region or rurality in the United States but might be influenced by geographic locations due to the variance of social support and healthcare available in some locations compared to others. The research focuses on (1) whether rurality increases a mother’s risk of experiencing depression and (2) if region impacts a mother’s risk of depression. I used the NESARC-III data that included three general depressive disorders: major depressive episode, major depressive disorder, and dysthymia. Regions …

Peer Relationships, Gut Microbiota, And Health In Emerging Adulthood, Erin Quinn Austin

Psychology Dissertations

Research has consistently shown that chronic stress has negative effects on overall physical and psychological wellbeing across the lifespan. The biological mechanisms through which stress exerts its effects on the body and the mind includes the recently discovered microbiome-gut-brain axis, the bidirectional communication between the brain and the enteric nervous system that is modulated by the microorganisms residing within the gastrointestinal tract. This dissertation examined the impact chronic psychosocial stress (e.g., peer victimization, daily hassles) had on gut diversity and the relative abundance specific bacterial groups in a diverse sample of emerging adults (N = 126, Mean age = 20.07). …

Emotion Differentiation Moderates The Effects Of Rumination On Depression: A Longitudinal Study, Yunjing Liu

Arts & Sciences Electronic Theses and Dissertations

Elevated trait rumination is associated with and predicts the onset of major depressive disorder (MDD), but not all people with elevated trait rumination develop MDD. We hypothesize that certain emotional processes weaken the rumination-depression link, protecting people against increases in depression. In the current prospective longitudinal study, we examined one such process, emotion differentiation—the ability to identify and label specific emotions. Because higher negative emotion differentiation (NED) has been associated with greater psychological well-being and people typically ruminate in the context of negative affect, we predicted that NED, but not positive emotion differentiation (PED), would moderate the rumination-depression association, such …

Understanding And Coping With Possible Depressive Symptoms: An Extension Of The Self-Regulation Model, Melissa N. Mohan

Electronic Thesis and Dissertation Repository

This dissertation used Leventhal’s Self-Regulation Model (SRM) as a theoretical framework to examine how undergraduates make sense of and cope with symptoms often associated with depression. Students completed questionnaires about possible depressive symptoms (not labelled as such); as well as other components of the SRM, including demographics, psychosocial context, current psychopathology, cognitive appraisals and emotional reactions. Previous SRM studies have often focused on how people make sense of depression once symptoms have coalesced into a clearer clinical picture. In contrast, Part 1 of this dissertation focused on an earlier application of the SRM to a range of vague, generally mild …

Vulnerable Narcissism And First-Person Singular Pronoun Use, Hannah L. Dorough

Honors College Theses

Who talks about themselves most frequently? Recent research has explored the top correlates of self-focused language use. Depression and negative emotionality tend to appear as key positive correlates. Surprisingly, narcissism—which is largely known for its trait of self-centeredness—is not a major correlate of self-focused language use. Studies demonstrating this null effect have only measured grandiose narcissism, while entirely neglecting vulnerable narcissism. By using a survey methodology with carefully-selected trait inventories and a language task, the purpose of this study is to fill the gap in the literature—to see whether vulnerable narcissism accounts for talking about oneself, above and beyond the …

The Role Of Migration-Related Stress In Depression Among Haitian Immigrants In Florida: A Mixed Method Sequential Explanatory Approach, Dany Amanda C. Fanfan

USF Tampa Graduate Theses and Dissertations

Recognizing, appropriately treating depression, and meeting the mental health needs of the growing number of Haitian immigrants in the United States (US), continue to pose a challenge because of differences in culture, beliefs, idiom of distress, expression of depression as well as specific stressors associated with the migration process. Previous studies, while limited, document high levels of depression among Haitian migrants, and postulated that migration-related stress (MRS) may play a significant role. Aspects of the migration process, more specifically stressors endured during settlement in the US may negatively precipitate the development of depression.

This study used a mixed method sequential …

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 …

Threat-Related Attentional Bias In Relation To Anxiety And Depressive Symptoms In The General Population: The Potential Role Of Sex Effects, Beril Yaffe

Dissertations, Theses, and Capstone Projects

Heightened sensitivity to relevant environmental stimuli (attentional bias) has been observed in relation to clinical and non-clinical anxiety and depression symptoms. While depression symptoms are associated with sensitivity to disorder and self-relevant words, hypervigilance to threatening stimuli is observed in relation to anxiety symptoms. Furthermore, attentional bias has been shown to play an important role in the development and maintenance of depressive and anxiety disorders. Accordingly, a large body of literature has examined threat-related attentional bias in relation to symptoms of anxiety and depression. However, several methodological inconsistencies exist across studies, including variability in definitions of threat, lack of consideration …

Subthreshold Ptsd And Associated Psycholgical Distress In Trauma Exposed Male And Female Veterans, Matthew A. Southard

Dissertations, Theses, and Capstone Projects

Post-Traumatic Stress Disorder (PTSD) represents the upper end of a stress-response continuum to traumatic events, rather than a discrete pathological syndrome (Ruscio, et al., 2002). Individuals with PTSD report higher levels of anxiety, depression, anger, aggression, and adjustment difficulties compared to non-traumatized individuals (Ginzburg, Ein-Dor, & Soloman, 2009; Thompson et al, 2011; Novaco and Chemtob, 2002; Kotler et al, 2001; Orth & Wieland, 2006). Subthreshold PTSD represents a less severe range on the stress-response continuum and these individuals may experience similar rates of symptoms of anger, aggression, and depression as those with full-PTSD (Jakupcak, et al., 2007; Mylle & Maes, …

Biological Stress Response And Cognitive Vulnerability To Depression In Adolescence, Bridget M. Brush

College of Science and Health Theses and Dissertations

Depression is the leading cause of worldwide disability. Rates of Major Depressive Disorder (MDD) increase exponentially over the adolescent transition, suggesting adolescence represents a key period of risk for the onset of depression. Previous research has associated both biological stress response and cognitive vulnerability with symptoms of depression; however, there is little research examining the joint effects of these two risk factors and symptoms of depression, especially during adolescence. The present study examined the association between symptoms of depression and two established risk factors for depression: cognitive vulnerability, as measured by negative cognitive style, and biological stress response, as measured …

A Randomized Controlled Trial Of A Hatha Yoga Intervention For Smokers, Emily Robin Jeffries

LSU Doctoral Dissertations

Despite well-documented negative effects of smoking, many individuals continue to smoke. Anxiety and depression are associated with poorer cessation outcomes. Three transdiagnostic factors may explain the anxiety/depression-smoking link: anxiety sensitivity (AS), distress tolerance (DT), anhedonia (Anh; Leventhal & Zvolensky, 2015). It therefore follows that changing AS, DT, and Anh could aid cessation efforts. Thus, the current study tested the efficacy of hatha yoga for reducing craving, smoking, AS, and Anh and increasing DT, and whether anxiety/depression moderates these relationships. Participants were 55 community-recruited smokers (62% male, 71% non-Hispanic White, M_age = 28.16) motivated to reduce or quit smoking. We …

An Experimental Investigation Of Causal Explanations For Depression And Willingness To Accept Treatment, Taban Salem

Theses and Dissertations

The present study was aimed at experimentally investigating effects of causal explanations for depression on treatment-seeking behavior and beliefs. Participants at a large Southern university (N = 139; 78% female; average age 19.77) received bogus screening results indicating high depression risk, then viewed an explanation of depression etiology (fixed biological vs. malleable) before receiving a treatment referral (antidepressant vs. psychotherapy). Participants accepted the cover story at face value, but some expressed doubts about the screening task’s ability to properly assess their individual depression. Within the skeptics, those given a fixed biological explanation for depression were relatively unwilling to accept either …

Trajectories Of The Effects Of Sad Mood Induction Procedures (Mips), Jennifer C. P. Gillies

Electronic Thesis and Dissertation Repository

Mood Induction Procedures (MIPs) are used widely in cognitive vulnerability to depression research. Although research supports certain MIPs as effective, little research has validated the assumption that MIP-induced sad moods are sufficiently persistent. This study addressed three questions: How long does an MIP-induced mood last? What are the shapes of the trajectories of the mood effects? Do these trajectories differ by type of MIP? Four-hundred-and-one undergraduate students were randomly assigned to undergo one of three commonly used sad MIPs or a neutral MIP. Mood was repeatedly measured immediately prior to and following the MIP.Results did not support the widely held …

Attitudes Towards Depression And Suicide: An Analysis Of News Coverage And Online Comments On Nigerian News Sites, Oluwamayomikun Lawal

Communication Theses

ABSTRACT

This study investigated the issue of suicide in Nigeria, based on an analysis of online news articles about suicide as well as posts in response to those news articles. The study examined how the articles framed suicide, including stereotypes about suicide, and how often comments reflected common beliefs/attitudes towards suicide. Twenty-four articles and 168 comments were analyzed. Results revealed stereotypes in language and images in the articles, which often deviated from the World Health Organization responsible suicide-reporting guidelines. The articles cited economic hardship and mental illness most often as causes of suicide, but none of the articles provided solutions …

Certainty About The Absence Of Positive Future Events As A Unique Predictor Of Suicidal Ideation Over An 18-Month Period, Christina A. Rombola

Theses and Dissertations

We examined the effects of two components of depressive predictive certainty, Certainty-AP and Certainty-N, on suicidal ideation over an 18-month period. We hypothesized that Certainty-AP would better predict SI than Certainty-N, and that future-event fluency would significantly moderate the Certainty-AP and SI relationship. Results and potential implications are discussed.

Psychotropic Pharmacogenomic Testing: Effects On Provider Prescribing Patterns And Phq-9 Depression Screening Scores In A Rural Michigan Family Practice, Nicole Madalinski

DNP Scholarly Projects

The rate of depression across the United States is on the rise with over 16.2 million people experiencing a depressive episode per year (Siu & and the US Preventive Services Task Force [USPSTF], 2016). Medications to treat depression typically take weeks or months to see clinical improvement (Uphold & Graham, 2013). If the medication is not effective, a dose or medication change may occur, lengthening the time spent in a depressive state. This scholarly project retrospectively analyzed charts at a rural primary care practice that implemented GeneSight® psychotropic pharmacogenomic testing for treatment resistant depression. This project sought to understand if …

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 …

The Role Of Meaning-Making In Posttraumatic Growth Among Eritrean Refugees With Posttraumatic Stress Disorder, Yacob Tewolde Tekie

Doctoral Dissertations

The study examined the moderating role of meaning made, meaning making and social support on the relationship between negative life events and posttraumatic stress disorder (PTSD), anxiety and depression as well as the facilitating role of these moderating variables for posttraumatic growth(PTG). Eritrean refugees (N = 135) who were residing in Europe were recruited. The results showed that post-migration living difficulties significantly related with negative outcomes. In addition, the results showed that social support moderated the relationship between the number of traumatic life events and anxiety symptoms. However, meaning made and social support were not significant moderators on the …

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, …

The Efficacy Of Coaching Interventions Forundergraduates To Increase Positive Coping Behavior: A Quantitative Quasi-Experiment, Anthony Jackson

CUP Ed.D. Dissertations

Across the United States, many administrators on college campuses are attempting to respond to the increased student need for mental health services; however, there is concern about colleges’ ability to meet the demand for mental health services in the long term. Using Folkman and Lazarus’ theory of transactional stress and coping, this quantitative quasi-experimental study attempted to determine if a significant difference in coping existed among participants both taking part and not taking part in a life-coaching program across time and if there was a significant mean difference in coping scores between participants who participated in a life coaching program …

Aligning With Patient-Centered Medical Home Standards: Depression Screening In Women's Health, Charity Galgani

Dissertations

Problem: The Patient Centered Medical Home (PCMH) model of care improves health care quality and patient experience of care, and decreases costs. Depression screening is a requirement for becoming a PCMH. The purpose of this quality initiative was to obtain baseline data to describe depression screening rates among female adult patients receiving women’s health care within a Midwestern public health department seeking PCMH recognition.

Methods: The study utilized a descriptive, observational design and was guided by the Plan-Do-Study-Act framework. A retrospective medical record review was used to assess the rate of depression screening utilizing the PHQ-2 and PHQ-9 tools, and …

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 …