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 …

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 …

Latina Women In Adams County, Pennsylvania: Access To Mental Health Care For Depression, Alison Lauro

Gettysburg Social Sciences Review

Depression has been identified as major health concern for adults in Adams County. Latinos makeup 6.5% of the population in the county and 13% in Gettysburg, yet Latina women often go undiagnosed or untreated. I created and distributed a survey to Latina women in order to understand what barriers prevent them from accessing mental health services in Adams County. The survey results show that women living in poverty, immigrant women, and undocumented women face greater challenges to accessing mental health because of a lack of health insurance, limited transportation, and language barriers. The Latino Services Task Force of Adams County …

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 …

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 …

Depression Among Chinese Lbc: Understanding Depression In Context Of A Family-Oriented Culture, Lanyan Ding

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Background: Left-Behind Children (LBC) refers to children who are under 18 and must live separately from at least one of their parents for longer than six months because of parents’ labor migration (Zhou & Duan, 2006). The long-term family separation might greatly impair the family environment and increase the risk of developing depression among LBC. This research examined the relationships among family structure (left-behind status), caregiving, and child depression using archival data from the China Family Panel Studies (CFPS) in both cross-sectional and longitudinal analyses.

Methods: In Study 1, multilevel regression analyses investigated how contextual factors (family structure …

Depression And Prostate Cancer: Examining Comorbidity And Male-Specific Symptoms, Simon M Rice, John L Oliffe, Mary T Kelly, Prue Cormie, Suzanne K. Chambers, John S Ogrodniczuk, David Kealy

Research outputs 2014 to 2021

Depression in men with prostate cancer is a significant and complex issue that can challenge clinicians' diagnostic efforts. The objective of the current study was to evaluate prototypic and male-specific depression symptoms and suicidal ideation in men with a diagnosis of prostate cancer relative to those with and without comorbidity. The Patient Health Questionnaire-9 (PHQ-9) and Male Depression Risk Scale-22 (MDRS-22) were completed online along with demographic and background variables by 100 men with a diagnosis of prostate cancer ( n = 54 prostatectomy, n = 33 receiving active treatment). Hierarchical logistic regression was used to examine recent (past 2 …

Examining Symptom Trajectories That Predict Worse Outcomes In Post-Cabg Patients, Ming-Fen Tsai, Shiow-Luan Tsay, Debra K. Moser, Tsuey-Yuan Huang, Feng-Chun Tsai

Nursing Faculty Publications

Background: Coronary artery bypass grafting is one of the most common interventional revascularisation procedures used to treat coronary artery disease worldwide. With a wide variability in postoperative cardiac symptoms, identification of symptom trajectories during the 3-month postoperative recovery period may improve clinicians’ abilities to support symptom recovery.

Aims: To identify distinct trajectories of cardiac symptoms seen over time in a cohort of patients during the 3-month post-coronary artery bypass grafting period, and determine clinical characteristics associated with different symptom trajectories postoperatively.

Methods: A prospective trial used the cardiac symptom survey to determine patient symptoms at baseline prior to surgery, and …

Maternal Postpartum Depression And Father Involvement Across The Transition To Parenthood, Katie Newkirk

Doctoral Dissertations

Maternal postpartum depression is a common complication of childbirth that affects the whole family. Fathers’ greater involvement in childcare can buffer children from the negative effects of mothers’ depression, and aid in mothers’ recovery, so it is important to understand under what conditions fathers become more or less involved when mothers are depressed. Prior research has supported both a compensation hypothesis, whereby fathers compensate for the effects of mothers’ depression on mothers’ parenting by being more involved in parenting, and a spillover hypothesis, whereby mothers’ negative emotionality causes fathers to pull back from family life and be less involved in …

Stressors, Self-Esteem, Social Activities, And Depression: A Sample Of Patients At A Federally Qualified Health Center Who Experienced Homelessness, Joohee Lee, Morgan W. Bradwell, Michelle Brazeal, Timothy A. Rehner, Stephanie T. Mcleod

Faculty Publications

This study examined the relationships between current stressors and depressive symptoms among Federally Qualified Health Center (FQHC) patients who experienced homelessness, with a particular focus on the role of self-esteem and social activities on these relationships. The sample included patients who visited any clinic site of a FQHC in the southern part of Mississippi and qualified for the Health Care for the Homeless (HCH) Program. Assessments included the Patient Health Questionnaire (PHQ-9), the DUKE Health Profile, and a checklist of stressors. Results of the multivariate analysis using structural equation modeling revealed that ambulation difficulties were related to depressive symptoms directly …

The Fight Against Overweight And Obesity Among Adolescents, Jordan Reichel

All Student-Created Educational Resources

The purpose of this handout is to use evidence-based research to educate the adolescents population about the growing problem of overweight and obesity among youth in this age group. This handout describes the criteria for being considered overweight or obese during adolescence. Possible risk factors for adolescent overweight and obesity are identified. The handout discusses the burden of disease and the potential consequences associated with being overweight or obese as an adolescent. Behavior modification strategies for preventing or treating overweight and obesity in adolescent’s are also described.

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 …

Depressive Symptoms Are Associated With More Negative Functional Outcomes Than Anxiety Symptoms In Persons With Multiple Sclerosis, Sascha Gill, Jonathan Santo, Mervin Blair, Sarah Marrow

Psychology Faculty Publications

Depression and anxiety are common among persons with multiple sclerosis (MS), and both negatively affect functional status. However, studies rarely account for overlap in depressive and anxiety symptoms on functional outcomes among people with MS. The authors aimed to examine the differential impact of depression and anxiety, measured by the Anxiety and Depression subscales of the Hospital Anxiety and Depression Scale (HADS-A and HADS-D), on functional outcomes among people with MS. Using a retrospective chart review of 128 people with MS, the authors used exploratory structural equation modeling to examine the relation of HADS-A and HADS-D to functional outcomes, namely …

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.

Prevalence Rates Of Arthritis Among Us Older Adults With Varying Degrees Of Depression: Findings From The 2011 To 2014 National Health And Nutrition Examination Survey, Jessica L. Brooks, Alexander J. Titus, Courtney A. Polenick, Nicole M. Orzechowski, Manney Carrington Reid, Todd A. Mackenzie, Stephen J. Bartels, John A. Batsis

Dartmouth Scholarship

Arthritis and depressive symptoms often interact and negatively influence one another to worsen mental and physical health outcomes. Better characterization of arthritis rates among older adults with different levels of depressive symptoms is an important step toward informing mental health professionals of the need to detect and respond to arthritis and related mental health complications. The primary objective is to determine arthritis rates among US older adults with varying degrees of depression. Using National Health and Nutrition Examination Survey 2011 to 2014 data (N = 4792), we first identified participants aged ≥50 years. Measures screened for depressive symptoms and …

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 …