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A Brief Acceptance And Commitment Therapy Protocol For Depression In An Inpatient Setting: An Effectiveness Study, Lucas Broten

Dissertations

The present study sought to investigate the utility of a brief Acceptance and Commitment Therapy (ACT) protocol for the treatment of depression in an inpatient setting. ACT is a generally promising treatment for a variety of psychological issues. Thirty-nine participants were randomly assigned using and weighted, blocked distribution to either Treatment as Usual (TAU) or individual sessions of ACT in conjunction with treatment as usual (ACT). The study compared re-admission rates between the ACT intervention group and the TAU group at 3 and 6 months. In addition, the study examined the proposed mechanisms of change between groups and depression rates …

Computerized Behavioral Activation Treatment For Major Depressive Disorder And The Effects On Sexual Desire, Anthony G. Bonita

Dissertations

The present study was designed to examine the effects of a computerized behavioral activation treatment program on sexual desire, sexual behavior, and depression symptoms. Seven adults who met criteria for either major depressive disorder or dysthymic disorder were recruited from Kalamazoo, Portage, and surrounding areas in Southwestern Michigan. All participants completed at least five sessions of behavioral activation treatment, and six out of seven participants completed all ten sessions. Symptoms of depression, sexual desire, and sexual behavior were assessed at pretreatment and before each treatment session through a combination of the Beck Depression Inventory – II (BDI-II), the Revised Hamilton …

Racial Microaggressions, Stress, And Depression In African Americans: Test Of A Model, Jessica Ra'chel Roberts

Dissertations

The purpose of this study was to examine the interrelationships between daily hassle stressors (i.e., racial microaggressions and college hassle stress), racial identity, perceived stress, and depression among Black/African American college students. It was hypothesized that perceived stress would partially mediate the relationships between daily hassle stressors and depression. Racial identity was hypothesized to moderate the relationship between racial microaggressions and perceived stress. Data were analyzed from a sample of 142 Black/African American college students from a medium sized university in the Midwest. Utilizing EQS, a path analysis was conducted to test the hypothesized model. Findings from the analysis revealed …

Implementation Of Mental Health Screening In An Adolescent Health Care Clinic, Lisa Colleen Isenberg

Dissertations

The purpose of this project was to increase the awareness of adolescent mental health issues and emphasize the importance of screening for depression and suicidal ideations, to provide clinicians mental health screening tools, and to determine the barriers and challenges involved in performing mental health screenings in practice. This project implemented mental health screenings in an adolescent, urban, walk in health clinic and evaluated the mental health screening and implementation process from the patient and the provider perspectives and determined the resources needed for follow up. This practice evaluation project included a mental health screening on consenting 18-24 year olds, …

Toward A Model For Predicting Depression Among Veterans, Nita Aurora Magee-Cornelius

Dissertations

Major depression, identified as a leading cause of disability in the United States, is often first diagnosed by primary care providers. This disability is associated with increased morbidity, mortality, and a lower quality of life. With approximately one in every three veteran diagnosed with depression and the rate of suicide increasing in the United States military (Department of Veterans Affairs, 2009), the Patient Health Questionnaire-2 items (PHQ-2) can be instrumental in identification and monitoring of depressive symptoms. The purposes of this retrospective study were to determine the prevalence of depression, as measured by the federally mandated PHQ-2 in the VA, …

Risk Perception In Cardiovascular Disease, Michelle Ellen Block

Dissertations

Cardiovascular disease (CVD) remains among the leading causes of death in the United States despite widespread knowledge about risk factors as well as effective primary prevention strategies. Risk perception is a complex phenomenon that plays an important role in how persons view disease and ultimately how they make health behavior choices. This study is supported by the knowledge that few studies have examined how persons perceive cardiovascular risk or the variables thought to contribute to the formation of risk perception.

Purpose: The purpose of this study was to examine how accurately persons perceive personal risk for cardiovascular disease and identify …

Stereotypes And Patient-Provider Communication: Testing The Effects Of Depression, Socioeconomic Status, And Race, Amy N. Kerr

Dissertations

The current project included a pilot and primary study with experimental designs to explore the impact that a patient's race, mental health and socioeconomic status (SES) have on impression formation, affective reactions, and communication with patients. The

medical literature shows that health disparities exist for minorities and individuals with low socioeconomic statuses (Adler & Ostrove, 1999). In addition individuals with severe mental illness receive low quality care for their physical health in comparison to those presenting only a physical illness (Lawrence & Kisely, 2010).

To explore this phenomenon, pilot study participants read one of eight descriptions of a man visiting …