Digital Commons Network^™

Small Individual Loans And Mental Health: A Randomized Controlled Trial Among South African Adults, Lia C. H. Fernald, Rita Hamad, Dean Karlan, Emily J. Ozer, Jonathan Zinman

Dartmouth Scholarship

Background: In the developing world, access to small, individual loans has been variously hailed as a poverty-alleviation tool – in the context of "microcredit" – but has also been criticized as "usury" and harmful to vulnerable borrowers. Prior studies have assessed effects of access to credit on traditional economic outcomes for poor borrowers, but effects on mental health have been largely ignored.

Methods: Applicants who had previously been rejected (n = 257) for a loan (200% annual percentage rate – APR) from a lender in South Africa were randomly assigned to a "second-look" that encouraged loan officers to approve their …

Technologically Assisted Intervention (Tai): Are Clients Satisfied With Online Therapy?, Jennifer A. Morrow

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This study examined the level of satisfaction reported by participants of a technologically assisted intervention study (TAI). TAI is a type of teletherapy done through online, live video conferencing. Satisfaction was examined at three different time points, post therapy, 3-months post therapy, and 6-months post therapy. Analyses examined if there were any changes in reported satisfaction over the three time periods. Participants received cognitive behavioral therapy (CBT) targeted at reducing symptoms of mild to moderately severe depression. A satisfaction measure was developed for this study, and included quantitative and qualitative items which were analyzed to determine participants' level of satisfaction. …

Incorporating Home Demands Into Models Of Job Strain: Findings From The Work, Family & Health Network, Karen Ertel, K. Koenen, L. Berkman

Karen A. Ertel

Objective—To integrate home demands with the Demand-Control-Support model to test if home demands interact with job strain to increase depressive symptoms. Methods—Data were from 431 employees in four extended care facilities. Presence of a child under age 18 in the household signified home demands. The outcome was depressive symptoms based on a shortened version of the Center for Epidemiologic Studies Depression Scale. Results—The association between job strain and depressive symptoms was moderated by social support (SS) and presence of a child in the household (child). There was no association among participants with high SS and no child, but a positive …

Role Of Perceived Partner Responsiveness On Mexican American Males' Pain Severity And Depressive Symptomatology, Carolyn M. Freedman

Electronic Theses and Dissertations

This study examined the role of cultural indicators in moderating the influence of perceived partner responses and relationship satisfaction on pain severity and depressive symptomatology among a sample of 62 married and cohabiting Mexican American men, the majority of whom were first generation Mexican Americans, with chronic back and/or neck pain. The cultural indicators were not found to act as moderators in the analyses that involved pain severity and depressive symptomatology as outcome variables. Nevertheless, this study's findings are an important initial step in understanding the relationship dynamics among an understudied population with chronic pain and raise many important questions …

Anxiety And Depression As Comorbid Factors In Drinking Behaviors Of Undergraduate Students In An Urban Private University, Charles Vohs, Robert Gable, Cynthia Ward, Joseph Barresi, Ronald Martel, Dameian Slocumb

NERA Conference Proceedings 2008

This study examined differences among four drinking behavior groups (non-drinkers, low-risk drinkers, high-risk drinkers, and frequent high-risk drinkers) with respect to anxiety and depression in undergraduate males (n = 457) and females (n = 485). Participants completed a demographic questionnaire, the Alcohol Use Disorders Identification Test, the Beck Anxiety Inventory, and the Beck Depression Inventory. Results indicated significant differences among the groups only with respect to anxiety (F = 6.49, p < .001), and in levels of anxiety (p < .01) between high-risk females and males. Findings imply needed changes in prevention approaches to reduce high-risk drinking.

Factors Associated With Self-Reported Depression In Arab, Chaldean, And African Americans, Hikmet Jamil, Mary Grzybowski, Julie Hakim-Larson, Monty Fakhouri, Jessica Sahutoglu, Radwan Khoury, Haifa Fakhouri

Psychology Publications

Although depression is a chronic illness with high morbidity and personal and economic losses, little is known about depression in immigrants with an Arab or Chaldean ethnic background.

Our primary objective was to determine the overall and ethnicity-specific prevalence of self-reported depression in Arab Americans, Chaldean Americans, and African Americans in the Midwest. The secondary objective was to evaluate the associations between potential risk and protective factors and the presence of self-reported depression.

A total of 3543 adults were recruited from the Arab and Chaldean communities in Metropolitan Detroit. The sample in this study was restricted to those of Arab, …

Enduring Mental Health Morbidity And Social Function Impairment In World Trade Center Rescue, Recovery, And Cleanup Workers: The Psychological Dimension Of An Environmental Health Disaster, Jeanne Mager Stellman, Rebecca P. Smith, Craig L. Katz, Vansh Sharma, Dennis S. Charney, Robin Herbert, Jacqueline Moline, Benjamin J. Luft, Steven Markowitz, Iris Udasin, Denise Harrison, Sherry Baron, Philip J. Landrigan, Stephen M. Levin, Steven Southwick

Publications and Research

Background The World Trade Center (WTC) attacks exposed thousands of workers to hazardous environmental conditions and psychological trauma. In 2002, to assess the health of these workers, Congress directed the National Institute for Occupational Safety and Health to establish the WTC Medical Monitoring and Treatment Program. This program has established a large cohort of WTC rescue, recovery, and cleanup workers. We previously documented extensive pulmonary dysfunction in this cohort related to toxic environmental exposures. Objectives Our objective in this study was to describe mental health outcomes, social function impairment, and psychiatric comorbidity in the WTC worker cohort, as well as …

An Experimental Test Of The Maintenance And Vulnerability Hypothesis Of Depression In Consideration Of The Cognitive Hierarchy., Patrick Pössel, Kerstin Knopf

Faculty Scholarship

According to Beck's cognitive model of depression the activation of dysfunctional beliefs triggers negative automatic thoughts, which can be interpreted as the proximal “cause” for emotional, somatic, and motivational symptoms of depression. This top-down processes of beliefs causing thoughts and furthermore of thoughts causing symptoms can be called “cognitive hierarchy.” Besides these processes there are bottom-up influences as well with dysfunctional beliefs being activated by external and internal events. A differentiation between top-down processes and bottom-up influences can be drawn with the first being seen as causing thoughts and emotions while the latter only activate existing beliefs. To test Beck's …

Racial Differences In Depressive Symptoms Among Older Adults, Emily Green

All Theses

The costs are very high, both emotionally and economically, to those who suffer from depression and those close to them. Depressive symptoms vary among individuals, by gender, between racial and ethnic groups, and by socioeconomic status (SES). Group differences in rates of depression have been noted for decades, especially between African Americans and non-Hispanic whites. The role of race in mental health is still relevant today, and many issues regarding risk factors and differences between racial and ethnic groups remain unanswered. This study examines the differences in rates of depressive symptoms between African Americans and non-Hispanic Whites. Particularly, socioeconomic status …

The Effects Of Depressed Mood On Academic Outcomes In Adolescents And Young Adults, Robert Christopher Jones

USF Tampa Graduate Theses and Dissertations

The following dissertation investigates the relationship between depressed mood and academic performance (measured in terms of grade point average) in U.S. middle and high schools.

Utilizing data from AddHealth, the dissertation establishes Ordinary Least Squares, Two-Stage Least Squares (2SLS), and individual and sibling fixed effect regressions that attempt to control for confounding factors, including student motivation, personality characteristics, and parental inputs that are unobserved but may influence both mental health and achievement.

Study findings indicate that students who report feeling depressed do not perform as well academically as non-depressed students. Additionally, the degree of GPA impact increases with the severity …

Etiological Characterization Of Emergency Department Acute Poisoning, Abdmalek S. Khlifi

USF Tampa Graduate Theses and Dissertations

Poisoning is frequently associated with psychological and physiological co-morbidities that can be assessed in order to improve patients' management and reduce cost. The primary objective of this study is to conduct a review of emergency department (ED) poisonings to characterize its demographics and assess associated co-morbidities. The second objective is to explore correlation between personal history of diseases and poisonings. Predictors for poisonings and its outcomes were investigated and risk factors for suicidal poisoning and how it relates to mental illnesses were explored. Six hundred and forty nine cases admitted to ED between 2004 and 2007 were studied. Results indicate …

Predictors Of Depressive And Anxiety Symptoms Among African American Hiv-Positive Women, Nina Katherine Sublette

Theses and Dissertations (ETD)

This descriptive correlation study had four purposes: describe depressive and anxiety symptom levels in pregnant and non-pregnant African American (AA) HIV-positive women, examine the association between underlying vulnerabilities and depressive symptoms in HIV-positive AA women, determine the association between underlying vulnerabilities and anxiety symptoms in AA HIV-positive women, and determine the predictors of depressive and anxiety symptoms among African American HIV-positive women. A convenience sample of 80 African American HIV-positive women was recruited from university-based obstetrics/-gynecology and infectious disease practices in a large metropolitan city in the Mid-South. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale …

The Inflammatory Consequences Of Stress And Adiposity, Cathy A. Bykowski

USF Tampa Graduate Theses and Dissertations

The inflammatory process is important in protecting the body against the invasion of pathogens, but recent research has suggested that a long-term inflammatory response may lead to chronic diseases (e.g., Black, 2003; Wu, Dorn, Donahue, Sempos, & Trevisan, 2002). Two factors that have been implicated in the inflammatory and disease processes are stress and obesity (Black, 2003). While their individual lines of research continue to grow, few researchers have attempted to integrate these factors into one model to explain their effects on inflammation. This study aimed to replicate previous findings suggesting relationships between stress, obesity and inflammation and test an …

Depression In Parkinson's Disease: Health Risks, Etiology, And Treatment Options, Pasquale G. Frisina, Joan C. Borod, Nancy S. Foldi, Harriet R. Tenenbaum

Publications and Research

Depression is found in about 30%-40% of all patients with Parkinson's disease (PD), but only a small percentage (about 20%) receive treatment. As a consequence, many PD patients suffer with reduced health-related quality of life. To address quality of life in depressed PD patients, we reviewed the literature on the health correlates of depression in PD (eg, cognitive function), etiology of depression in PD, and treatment options (ie, antidepressants, electroconvulsive therapy, and psychotherapy). The current review is unique in its focus on psychosocial aspects, as well as neuropathological factors, of depression in PD. Overall, we conclude that neurochemical (eg, serotonin) …

Food Insecurity And Maternal Depression In Rural, Low-Income Families: A Longitudinal Investigation, Catherine Huddleston-Casas, Richard Charnigo, Leigh Ann Simmons

Nebraska Center for Research on Children, Youth, Families, and Schools: Faculty Publications

Objective: The purpose of the present study was to examine the relationship between household food insecurity and maternal depression in a rural sample to determine whether food insecurity predicted mothers’ depression over time or vice versa.

Design: The study employed a prospective design using three waves of data from ‘Rural Families Speak’, a multi-state study of low-income rural families in the USA. Food insecurity was measured using the Core Food Security Module and depression was measured using the Center for Epidemiologic Studies–Depression Scale. A structural equation model was fit to the data using the AMOS software package.

Setting: Sixteen states …

Diabetes Tipo 2 Y Depresión En Guadalajara, México 2005, Cecilia Colunga-Rodríguez, Javier E. García De Alba, José G. Salazar-Estrada, Mario Angel-González

José G. Salazar Estrada

Objective Determining the prevalence of depression and comparing sociodemographic, metabolic and clinical indicators in depressed and non depressed people suffering from type 2 diabetes. Methods A comparative cross-sectional study was carried out on a sample of 450 people aged over 30 suffering from type 2 diabetes; they had been diagnosed more than one year before and psychopathology had not been determined for them. A modified Zung's scale was applied and a sociodemographic survey carried out. Glucosylated haemoglobin, body mass index (BMI), blood pressure and glycemia in fasting were all evaluated. Diagnostic history and clinical state regarding diabetes were recorded. Results …

Effectiveness Of Problem-Solving Therapy For Older, Primary Care Patients With Depression: Results From The Impact Project, Patricia Arean, Mark Hegel, Steven D. Vannoy, Ming-Yu Fan, Jurgen Unuzter

Steven D Vannoy

Purpose: We compared a primary-care-based psy- chotherapy, that is, problem-solving therapy for primary care (PST-PC), to community-based psycho- therapy in treating late-life major depression and dys- thymia. Design and Methods: The data here are from the IMPACT study, which compared collabora- tive care within a primary care clinic to care as usual in the treatment of 1,801 primary care patients, 60 years of age or older, with major depression or dysthymia. This study is a secondary data analysis (n = 433) of participants who received either PST-PC (by means of collaborative care) or community-based psychotherapy (by means of usual care). …

Relationship Between Believed Causes Of Depression And Social Distance, Samantha Jean Tomsick

ETD Archive

The purpose of the present study was to examine the relationship between causal explanations for depression and the social distance individuals would desire from a depressed person in order to clarify whether changes to existing public awareness campaigns concerning depression might be warranted. The sample used consisted of 223 students attending a university in a large mid-western city. Each participant received a vignette that described an individual suffering from depressive symptoms and also included information regarding whether these symptoms were caused by psychosocial or biological factors. The subjects then completed a survey incorporating questions from the modified version of the …

Religiosity And Successful Aging, Jessica L. York

ETD Archive

There has been an increasing amount of elderly individuals who have avoided the crippling health and physical problems that appear to vex so much of the older adult population. These successful agers have also learned to cope more effectively with both the normative and traumatic stressors they encounter over time. Successful aging has been defined in numerous ways and studied in a variety of contexts. This study set to define successful aging in terms of anxiety, depression, and subjective well-being, while also examining the relationship of successful aging with religiosity. The fundamental goal of this study was to examine the …

Examining The Social And Emotional Impact Of Substance Use On The Users' Family Members, Steven Phillip Beyer

ETD Archive

Alcohol use is a multibillion dollar problem in the United States that has been linked to higher rates of anxiety, depression and maladjustment within families. Most studies examining the impact of alcohol use in these areas focus on individuals within treatment facilities. This study extended that research to examine the effects of social and emotional effects of alcohol use on a greater sample of the population, the family members of alcohol users. This study examined the relationships between family alcohol use and higher rates of depression, anxiety, and maladjustment. The data was expected to follow one of two general patterns. …

Effects Of Father Absence On Adolescent Depression, Sexual Attitudes, And Substance Use, Nicole M. Hurtack

Theses, Dissertations and Capstones

The purpose of the current study was to investigate the relationship between father absence and depression, sexual attitudes, and substance use on adolescents. Data were collected from forty-nine high school students (28 males, 21 females) from ninth to twelfth grade from a private high school in Pennsylvania. The Beck Depression Inventory-II was used to measure levels of depression. A sexual attitudes and substance use, and family demographic survey were also administered. The results of this study provided no support for the hypothesized relationship between adolescent adjustment and father absence. Father absence did not significantly predicted sexual attitudes, depression or substance …

Does Social Problem-Solving Moderate The Relationship Between Physical Functioning And Depression In Als Patients?, Melissa Dillon Horowitz

PCOM Psychology Dissertations

Amyotrophic lateral sclerosis (ALS), commonly known as Lou Gehrig's disease, is a progressive and ultimately fatal neurological disease that interferes with the normative functions of the upper and lower motor neurons in the brain and spinal cord. Depression has been found across disease stages in some ALS patients, but not all. Investigations that examined the association between physical functioning and depression in ALS patients produced mixed findings. To date, the role of social problem solving has not yet been explored in the ALS population. Thus, the current study examined the relationship between social problem solving, physical functioning, and depression in …

Peer Victimization, Depression, And Suicidality In Adolescents, Anat Brunstein Klomek, Frank Marrocco, Marjorie Kleinman, Irvin Sam Schonfeld, Madelyn S. Gould

Publications and Research

The association between specific types of peer victimization with depression, suicidal ideation, and suicide attempts among adolescents was examined. A self-report survey was completed by 2,342 high-school students. Regression analyses indicated that frequent exposure to all types of peer victimization was related to high risk of depression, ideation, and attempts compared to students not victimized. Infrequent victimization was also related to increased risk, particularly among females. The more types of victimization the higher the risk for depression and suicidality among both genders. Specific types of peer victimization are a potential risk factor for adolescent depression and suicidality. It is important …

Treating The Whole Child: Recognizing And Addressing Depression In Children With Physical Disabilities, Kathleen A. Koehn

Occupational Therapy Capstones

The purpose of this scholarly project was to develop a tool that would assist occupational therapy practitioners working with children with physical disabilities in recognizing and addressing symptoms of depression in that population. Ailey (2003) reported that symptoms of depression in children with developmental disabilities are frequently attributed incorrectly to a child's primary diagnosis, rather than depression. Because occupational therapists typically see these children more frequently than primary care physicians, they are in a prime position to assist in the screening and referral processes related to depression.

This project involved a comprehensive review of the literature, including data on the …

A Review Of The Tripartite Model For Understanding The Link Between Anxiety And Depression In Youth, Emily R. Anderson, Debra A. Hope

Department of Psychology: Faculty Publications

Although research from numerous investigations indicates that there is substantial overlap in anxiety and depressive symptoms and comorbid diagnoses in youth, these constructs can be adequately differentiated. Clark and Watson [Clark, L. A. & Watson, D., (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100: 316-336] proposed a tripartite model to account for the symptom overlap and diagnostic comorbidity between anxiety and depression. This tripartite model posits that anxiety and depression share a common component of negative affect, but can be differentiated by low positive affect associated with depression and high …

Is There Something Unique About Marriage? The Relative Impact Of Marital Status, Relationship Quality, And Network Social Support On Ambulatory Blood Pressure And Mental Health, Wendy C. Birmingham, Julianne Holt-Lunstad, Brandon Q. Jones

Faculty Publications

Background Having close social relationships and being married specifically have been reliably associated with health benefits including lower morbidity and mortality. Purpose The purpose of this study was to examine the influence of marital status, relationship quality, and network support on measures of psychological and cardiovascular health. Method We examined ambulatory blood pressure (ABP) among 204 married and 99 single males and females (N=303). Results We found that both marital status and marital quality were important. Married individuals had greater satisfaction with life (SWL) and blood pressure dipping than single individuals. High marital quality was associated with lower ABP, lower …

The Prevalence Of Delinquency In Depressed And Substance Abusing Adolescent Girls, Susan C. Hunt

Antioch University Dissertations & Theses

Research conducted on the role of depression in delinquency among adolescent girls has found that depression can predict delinquency. It has been indicated that research should be conducted on how substance use and abuse play a role in depression and delinquency. Several studies have been conducted on adolescent girls in juvenile delinquent centres and institutions. Few studies have sampled subjects from community-based resources, i.e., street youth clinics, youth programs, or alternative schools. The central goal of the study was to explore delinquency in a group of depressed and substance-abusing adolescent girls in community-based settings including street clinics, youth programs, and …

Early Onset Of Major Depressive Disorder And Its Consequences For Recurrence And Co-Morbidity: Contrasting The Experiences Of Single And Married Mothers, Carolyn S. Coppens

Digitized Theses

The purpose of this study was to determine whether the association of an early onset of major depressive disorder with the risk for recurrence of depression and psychiatric comorbidity is magnified among single mothers in contrast to married mothers. The data for this study were collected as part of a three-wave cohort study of 518 single and 502 married mothers in London, Ontario. The women were interviewed with the Michigan version of the Composite International Diagnostic Inventory. Results indicate that an early onset of depression was significantly associated with recurrence, but only modestly associated with other psychiatric comorbidity. Examined separately …

The Roles Of Nutrition And Psychosocial Stress In A Causal Model Of Maternal Prenatal Depressive Symptoms, Amrita Roy

Digitized Theses

BACKGROUND: Prenatal depression is a significant public health concern. OBJECTIVES: To contextualize the roles of zinc intake, psychosocial stress and baseline sociodemographic factors, as they inter-relate in the development of depressive symptoms, in a cohort of pregnant women from London (ON). HYPOTHESES: 1) Psychosocial stress serves as a partial mediator between baseline sociodemographic factors and zinc intake; 2) Zinc intake serves as a partial mediator between baseline sociodemographic factors and the development of depressive symptoms, and between psychosocial stress and the development of depressive symptoms. METHODS: Data were from the Prenatal Health Project. Regression methods were used. Baron and Kenny …

The Roles Of Nutrition And Psychosocial Stress In A Causal Model Of Maternal Prenatal Depressive Symptoms, Amrita Roy

Digitized Theses

BACKGROUND: Prenatal depression is a significant public health concern. OBJECTIVES: To contextualize the roles of zinc intake, psychosocial stress and baseline sociodemographic factors, as they inter-relate in the development of depressive symptoms, in a cohort of pregnant women from London (ON). HYPOTHESES: 1) Psychosocial stress serves as a partial mediator between baseline sociodemographic factors and zinc intake; 2) Zinc intake serves as a partial mediator between baseline sociodemographic factors and the development of depressive symptoms, and between psychosocial stress and the development of depressive symptoms. METHODS: Data were from the Prenatal Health Project. Regression methods were used. Baron and Kenny …