Arts and Humanities Commons^™

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 …

Phenomenology And The Crisis Of Contemporary Psychiatry: Contingency, Naturalism, And Classification, Anthony Vincent Fernandez

USF Tampa Graduate Theses and Dissertations

This dissertation is a contribution to the contemporary field of phenomenological psychopathology, or the phenomenological study of psychiatric disorders. The work proceeds with two major aims. The first is to show how a phenomenological approach can clarify and illuminate the nature of psychopathology—specifically those conditions typically labeled as major depressive disorder and bipolar disorder. The second is to show how engaging with psychopathological conditions can challenge and undermine many phenomenological presuppositions, especially phenomenology’s status as a transcendental philosophy and its corresponding anti-naturalistic outlook.

In the opening chapter, I articulate the three layers of the subject matter of phenomenological research—what I …

Religiosity, Spirituality, And Depressive Symptoms In Older Adults In An Active Living Community, Monica D'Adrianne Solomon

USF Tampa Graduate Theses and Dissertations

The population of older adults in the United States is steadily rising. The Centers for Disease Control and Prevention (CDC) recently released a call to reduce mental distress in older adults. Research shows that mental distress is associated with depressive symptoms, which are significantly related to many chronic medical conditions, functional impairment, suicide, and all-cause mortality. Depression is a major public health concern. There is an interest in gerontology research on the buffering role of engagement against depressive symptoms such as volunteering, social activities, and religion. Certain religious beliefs and behaviors contribute to maintaining or improving mental health and research …

The Strong Black Woman, Depression, And Emotional Eating, Michelle Renee Offutt

USF Tampa Graduate Theses and Dissertations

Abstract

Eighty percent of all black women are overweight or obese which can lead to greatly increased morbidity and mortality, increasing healthcare costs and loss of healthy years of life. While multiple factors may contribute to obesity in black women, the cultural persona of the Strong Black Woman (SBW), an ideology that promotes unflagging toughness and denial of self-needs, may be the basis for behaviors that contribute to steady state obesity in this group. The purpose of this study was to investigate the relationships between the SBW persona, depression, and emotional eating.

Two predominately black churches in Florida were approached …

A Study Of Potential Risk Factors Of Depression Among Latina Breast Cancer Survivors, Claudia Ximena Aguado Loi

USF Tampa Graduate Theses and Dissertations

Women with breast cancer commonly experience depression. However, this condition often goes unrecognized, undertreated, and understudied, especially in ethnic minorities. If left untreated, co-existing depression in women with cancer can complicate cancer treatment, lead to poor treatment adherence for both conditions, and decrease survival. These negative consequences are considerably higher among Latinas. With the growing number of Latinos and diversity within the Latino community, the literature has identified the need to disaggregate Latinos by region of origin. Unfortunately, few studies account for these differences and no study to date has examined risk factors of depression among Latinas diagnosed with breast …

A Systematic Review Of Interventions To Increase Mental Health Service Use, Jennifer Greene

USF Tampa Graduate Theses and Dissertations

Relatively few pre-treatment interventions to increase out-patient mental health (MH) service use have been created and experimentally tested. Therefore, not only is there limited availability of these interventions, it is uncertain whether existing interventions are effective. Moreover, it is unclear which components of the interventions are effective. To address these gaps in knowledge, a systematic review of pre-treatment interventions was conducted, using the Cochrane Review methodology. Three primary outcomes were evaluated: attendance at any type of out-patient MH visit; number of appointments of any type of out-patient MH visit; and/or initiation and adherence to psychotropic medication. PubMed and PsycINFO databases …

The Relationship Between Death Depression And Death Anxiety Among Cancer Patients In Saudi Arabia, Doaa A. Almostadi

USF Tampa Graduate Theses and Dissertations

Abstract

Cancer is one of the main public health problems in the world. People diagnosed with cancer may become depressed and fearful of dying. This causes them to question treatments and sometimes avoid treatment altogether. Cancer may change the person's life and the lives of others around them. The current study focused on the psychosocial impact of impending death for cancer patients in Saudi Arabia. Currently, the relationship between the death anxiety and death depression in persons with cancer in Saudi Arabia is not yet clear. Added to that, little research has been conducted with Muslim cancer patients and their …

Quality Of Life In Adult Obsessive-Compulsive Disorder: The Role Of Moderating And Mediating Variables, Brittany Belle Speisman

USF Tampa Graduate Theses and Dissertations

Background: This study examined the contribution of various aspects of obsessive-compulsive disorder (OCD) on quality of life (QoL) in 102 adults with a principal diagnosis of OCD from an archival database. Method: Participants were assessed for DSM-IV diagnoses by trained clinicians using the Anxiety Disorders Interview Schedule, 4th Edition (ADIS-IV), the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), and an unstructured interview. Further information was attained using the Beck Depression Inventory II (BDI-II), the Obsessive Compulsive Inventory Revised (OCI-R) and the Medical Outcome Study-36 (MOS-36). Results: Results indicated that obsessive-compulsive symptom severity was positively correlated with diminished emotional health, social …

Accuracy Of Educator Nominations In Identifying Students With Elevated Levels Of Anxiety And Depression, Jennifer Cunningham

USF Tampa Graduate Theses and Dissertations

Internalizing disorders, specifically depression and anxiety, affect up to 18% and 33% of youth, respectively (Costello, Egger, & Angold, 2005b). Schools have become a major provider of mental health services to children, primarily in attempts to overcome barriers to receiving community services (Farmer, Burns, Philip, Angold, & Costello, 2003). As such, it is important that schools have effective mechanisms in place to accurately identify students who may be in need of such services. The current study examined the accuracy of one such method, educator nominations (including from both teachers and school-based mental health professionals) in identifying students who self-report elevated …

The Role Of Microvascular Complications In The Relationship Between Glycemic Control And Depressive Symptomatology In Patients With Type 1 Diabetes: A Mediational Study, Laura Lynn Mayhew

USF Tampa Graduate Theses and Dissertations

People with diabetes are at double the risk of developing depression. Depression is associated with increased morbidity and mortality in people with diabetes. Levels of A1c have been linked to microvascular complications (e.g., retinopathy, nephropathy, and neuropathy) as well as depression. The interrelationship between A1c, microvascular complications, and depression has not previously been investigated in a comprehensive model, and a better understanding of the nature of these associations is needed. Preliminary analyses test the assumption that A1c mediates the relationship between group assignment in the Diabetes Control and Complications Trial (DCCT) and microvascular complications. The primary purpose of the study …

Predictors Of Body Dissatisfaction, Eating Disturbance, And Depressive Symptoms In Mothers, Steffanie Sperry

USF Tampa Graduate Theses and Dissertations

Body image, eating disturbance, and depressive symptomatology have been examined extensively in the general population. The assessment of these variables within the postpartum period has also been a target of recent research. Unfortunately, no existing studies have examined the intercorrelations among these factors in mothers of young children, despite increasing media pressure for moms to maintain a slim, pre-pregnancy body. The current study examined predictors of body dissatisfaction, eating disturbance, and depressive symptoms in mothers of children aged 0-5. Simple correlations were followed by a series of linear multiple regressions incorporating sociocultural predictors alongside covariates identified in the extant literature. …

Predictors Of Peer Referral Intentions For Individuals At Risk For Suicide Related Behavior: An Application Of The Theory Of Planned Behavior, Sarah J. Tarquini

USF Tampa Graduate Theses and Dissertations

The role of peer gatekeepers is crucial in connecting individuals at risk for suicide

related behaviors to mental health service providers. However, limited research has

focused on the role of peers as potential helpers for those at-risk. The current study

utilized a mixed experimental and correlational design to examine predictors of female

college students’ referral intentions following hypothetical interactions with peers at-risk

for suicide related behavior. More specifically, the current project examined the utility of

an extended Theory of Planned Behavior (TPB) model of peer-referral intentions. In

addition to the original TPB constructs of attitudes, subjective norms, and perceived

behavioral …

Relationships Between Substance Use, Mental Health Problems, And Involvement In School-Based Extracurricular Activities Among High School Students, Kristelle Malval

USF Tampa Graduate Theses and Dissertations

Substance use during adolescence is associated with numerous undesirable short term and long term consequences. This study examined rates of substance use, as well as rates of elevated anxiety and depressive symptomalogy, among 138 students attending a predominantly Hispanic, low-SES high school. The current study also examined the complex relationships between adolescent substance use, mental health problems, and involvement in school-based extracurricular activities, among this ethnically diverse sample. Results included that a significant proportion of adolescents in the sample fell in the "at-risk" category for a clinical diagnosis of depression and/or anxiety disorder. Further, those students who reported smoking cigarettes …

Correlates Of Attitudes Toward Behavioral Health Services Among Older Primary Care Patients, Nancy Bridger Lynn

USF Tampa Graduate Theses and Dissertations

Research suggests that more than ten percent of older adults experience behavioral health problems (including mental health problems and/or substance abuse). However, very few actually receive care from a behavioral health care provider or even a primary care provider. One major barrier to accessing and receiving care is the feeling of perceived stigma commonly associated with behavioral health problems. The present study examined the relationships among attitudinal variables, feelings of stigma, and behavioral health outcomes over time in an elderly population with the secondary analysis of data collected for a previously implemented research study, the Primary Care Research in Substance …

Psychosocial Outcomes Of Weight Stigma Among College Students, Sabrina Joann Robinson

USF Tampa Graduate Theses and Dissertations

Overweight and obesity are important public health issues in the United States with more than 60% of US adults overweight or obese. The social consequences of being overweight and obese are serious and pervasive. Individuals who are overweight and obese are often the targets of bias and stigma and thus susceptible to negative attitudes. Obesity and weight stigma have been linked to low self-esteem, higher rates of depressive symptoms, body dissatisfaction and poor psychological adjustment. Although weight stigma is a problem in the general population, it is more consequential among adolescents due to mental and physical developmental changes. Therefore college …

Does Goal Generation Vary As A Function Of Depressive Status?, Lindsay Brauer

USF Tampa Graduate Theses and Dissertations

Although many theories attempt to explain the manner in which deficits in goal generation may lead to an episode of Major Depressive Disorder (MDD), few studies have actually described how persons with depression vulnerability generate goals for themselves. The current project used a multi-dimensional approach to examine the types, numbers, and domains in which goals are generated, comparing individuals with MDD with individuals with remitted depression, and never-depressed controls. In addition, we examined possible mechanisms that may mediate the relationship between depressive status and goal generation. Surprisingly, results suggested little group difference in the types of goals or subjective ratings …

Impact Of Seizure-Related Variables And Psychopathology On Health-Related Quality Of Life In Pediatric Epilepsy, Aja M. Meyer

USF Tampa Graduate Theses and Dissertations

Psychopathology typically is a lasting condition that is persistent from childhood to adulthood. Therefore, it is imperative that children with health conditions and comorbid psychiatric disorders are treated for both conditions as they are likely to have a significant negative impact on children's overall health-related quality of life (HRQL). More specifically, it is important to identify the variables that affect HRQL in children with epilepsy. Research has shown that biomedical variables such as seizure severity and frequency have only moderate relationships with HRQL; therefore, additional factors, such as depression and anxiety, must be identified so that they also may be …

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 …

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 …

Community Context And Health Disparities Among Older Adults, Helen M. Zayac

USF Tampa Graduate Theses and Dissertations

African Americans, Hispanics, and other minorities in the U.S. continue to face conditions of residential and educational segregation, lower socioeconomic status, and higher rates of mortality than whites. Better theory-based research that uses community and individual level factors to explain how health disparities are created and perpetuated is needed. The Community Context and Health Disparities Model, which extends the work of Schulz and Northridge (2004) with elements described by Williams and Collins (2001), is described. This framework identifies the pathways by which characteristics of the physical, built, social, economic, and healthcare environments impact health and are mediated by individual traits. …

Depressive Symptomatology, Patient-Provider Communication, And Patient Satisfaction: A Multilevel Analysis, Lorraine Marie Novosel

USF Tampa Graduate Theses and Dissertations

Depression can be a profoundly disabling and costly disorder and is a major public health concern. Despite the efficacy of treatment options, it is often unrecognized, under-diagnosed, and inadequately treated in primary care settings. Research on patient-provider communication supports the connection among the quality of the patient-provider interaction, patient behavior, and health outcomes. The purpose of this study was to systematically examine the impact of patients' depressive symptoms on the patient-provider relationship, patient-provider communication, and patient satisfaction with the primary care office visit. One hundred twenty three patient-provider encounters were audiotaped and coded using the Roter Interaction Analysis System (RIAS). …

Correlates Of Weight In Adolescents: A Path Analysis, Angela T. Sheble

USF Tampa Graduate Theses and Dissertations

This study examined the interrelationships between adolescent weight and several other variables thought to impact weight and obesity: physical activity, depressive symptoms, binge-eating symptoms, dieting, socio-economic status, special education status, gender, and ethnicity. The sample consisted of 251 high school students in rural Florida who completed measures of depression, binge-eating, dieting, and physical activity. Measurement instruments included the Reynolds Adolescent Depression Scale-2nd Edition (RADS-2), the bulimia scale of the Eating Disorder Inventory-2 (EDI-2), the dieting scale of the Dutch Eating Behavior Questionnaire (DEBQ), and a physical activity questionnaire derived from the Youth Risk Behavior Scale for Students (YRBSS). The study …

Hot Flashes In Men With Prostate Cancer: Prevalence, Severity, And Psychosocial Correlates, Erin Winters

USF Tampa Graduate Theses and Dissertations

The present study evaluated the prevalence, severity, and psychosocial correlates of hot flashes in men receiving androgen deprivation therapy for prostate cancer. Seventy-two men completed a detailed packet of questionnaires prior to the initiation of treatment and again three-months later. Results indicated that the extent to which hot flashes interfered with patients' daily functioning significantly contributed to changes in depressive symptoms. Changes in fatigue were found to mediate the relationship between hot-flash related interference and depressive symptomatology, suggesting that increases in fatigue were responsible for the concurrent increases in symptoms of depression. The coping strategy of catastrophizing moderated the relationship …

The Relationship Between Caregiving And Bereavement: A Series Of Three Studies, Allison Burton

USF Tampa Graduate Theses and Dissertations

Spousal bereavement has been consistently demonstrated in the literature to be one of the most highly stressful experiences in an individual’s lifetime. In addition many deaths in the United States are preceded by a period of caregiving, which is also believed to be highly stressful and have a profound impact on bereavement. However the literature has been inconsistent as to the exact nature of the relationship between caregiving and bereavement and there has been some debate as to whether or not positive and negative affect variables are mutually exclusive.

This dissertation sought to further address the issue of the relationship …

The Stress Response, Psychoeducational Interventions And Assisted Reproduction Technology Treatment Outcomes: A Meta-Analytic Review, Karen Rose Mumford

USF Tampa Graduate Theses and Dissertations

The psychological impacts of infertility have been well documented in the literature, providing evidence to support that at least some women who confront infertility are at risk for heightened distress and depressive symptoms. In response to this accumulated evidence, it has been argued that psychoeducational interventions may provide an important component to the treatment of infertility. While several theoretical models postulate the effects of stress on infertility treatment outcomes, results of these investigations have led to conflicting conclusions. However, a synthesis of the accumulated data examining the effects of stress on ART treatment outcomes was nonexistent until the conduct of …

Influence Of Perceived Self-Efficacy On Treatment Outcomes For Aphasia, Allison B. Dunn

USF Tampa Graduate Theses and Dissertations

Perceived self-efficacy has been shown to be an accurate predictor of one's performance capabilities (Zimmerman, 2000). Low levels of perceived self-efficacy have been found to correlate with negative performance outcomes; while high levels of perceived self-efficacy correlate with positive performance outcomes. This construct has also been found to influence an individual's motivation level, goal setting ability, and risk for depression (Resnick, 2002; Phillips & Gully, 1997; Blazer, 2002). Therefore, perceived levels of self-efficacy may predict and influence performance of individuals with aphasia during a treatment program. However, the influence of self-efficacy on treatment for aphasia has not been sufficiently studied. …

Evaluating Anger, Depression, And Anxiety In Aggressive/Homicidal And Depressive/Suicidal Children And Adolescents, Thomas Michael, Brunner

USF Tampa Graduate Theses and Dissertations

The goals of this study were to evaluate anger, depression, and anxiety in children and adolescents with aggressive/homicidal (A/H) and depressive/suicidal (D/S) problems and to compare these clinical groups with each other and a normal control group. The State Trait Anger Expression Inventory for Children and Adolescents (STAXI C/A), the Children's Depression Inventory (CDI), and the Pediatric Anxiety Scale (PANX) were administered to the Clinical (N=114) and Normal (N=353) groups ranging from 9-18 years of age. The Clinical group was comprised of 18 A/H, 87 D/S, and 18 Comorbid children with both problems.

The Clinical group had significantly higher scores …

The Experience Of Loss Of Voice In Adolescent Girls: An Existential-Phenomenological Study, Deborah A. Cihonski

USF Tampa Graduate Theses and Dissertations

The purpose of this study was to examine the meaning of the Loss of Voice experience in adolescent girls using an existential-phenomenological interview approach. An open-ended interview was conducted and participants were asked to "Please think of a specific time when you had something important to say, but did not say it. In as much detail as possible, describe that experience." Each interview was tape-recorded, transcribed by the investigator, and then independently thematized (Jones, 1984) by the author and a doctoral colleague trained in Jones' (1984) analysis method. Interrater reliability of the themes reached 96% agreement for the overall sample. …

Body Image As A Function Of Colorism: Testing A Theoretical Model, Alicia V. Hall

USF Tampa Graduate Theses and Dissertations

A Covariate Structure Model was used to examine a possible relationship between colorism as a component of body image and global psychological functioning in the hypothesized model. Two hundred-fifty-five African-American women were recruited from undergraduate psychology and social work classes to participate in the current study from state and community colleges in the southeastern United States, and from social groups and church organizations. The results indicated that the hypothesized model was not a good fit to the data; therefore, the model was re-evaluated. The results of the analysis of the revised model indicated that the revised model was not plausible. …