Medicine and Health Sciences Commons^™

Incorporation Of Mindfulness Application Use In Doctoral Nurse Anesthesia Curricula For Mitigation Of Stress And Anxiety In Student Registered Nurse Anesthetists, Kerrie Rodgers

Doctor of Nursing Practice Scholarly Projects

The nurse anesthesia specialty is highly stressful, with educational training being no exception. High didactic demands and intensive clinical experiences are placed on student registered nurse anesthetists (SRNAs), increasing stress and anxiety in their personal and professional lives. High levels of psychological distress can lead to inadvertent consequences in students’ mental, emotional, and physical health and can contribute to illness, burnout, substance use, and compromise in patient safety. Some degree of stress is necessary for motivation to succeed and perform at high levels, and encountering stress while enrolled in a doctoral nurse anesthesia program is expected and unavoidable. A search …

The Anatomical Embodiment Of Morning Routines In The Reduction Of Anxiety: An Intervention, Natalie Wright

Expressive Therapies Capstone Theses

The topic under investigation is whether physically embodying a morning routine that was designed through the lens of Laban Bartenieff Movement Analysis (LBMA) will reduce daily symptoms of individuals diagnosed with Generalized Anxiety Disorder.

Since morning routines play a significant part in one’s preparation for the day, I created an individualized LBMA morning routine for a specific client to embody. In addition to the routine, the client documented the process of their anxiety levels on a weekly basis. This client was a white, female, 19-year-old, lesbian college student who was previously diagnosed with Generalized Anxiety Disorder (GAD). The movement analysis …

Pediatric Anxiety Disorders And Their Accommodation In The Classrom, Olivia Hobson

Honors Theses

This project is an exploration of the origins, neurology and impacts of pediatric anxiety disorders, as well as the research-backed best practices for their accomodation within the school classroom setting.

The Impact Of Brief Electronic Guided Mindfulness Meditation On Anxiety Scores, Sierra King

DNP Scholarly Projects

In the United States, anxiety rates are on the rise for the general population (Goodwin et al., 2020a). Prolonged and frequent anxiety can become unprompted and problematic (American Psychiatric Association, 2021). Management of anxiety is crucial for overall wellbeing. Access to treatment and resources for anxiety may be limited in rural geographical locations (Morales et al., n.d.). This DNP project sought to determine whether a brief intervention of electronic guided mindfulness meditation (MM) by Insight Timer is effective in decreasing anxiety in a rural populous. Convenience sampling recruited a final total of 11 rural participants who participated in seven sessions …

A Quality Improvement Project On Anxiety Management Before Ketamine-Assisted Psychotherapy, Kiera Paulo

Doctor of Nursing Practice (DNP) Projects

Background: This Quality Improvement project sought to determine if a brief progressive muscle relaxation (PMR) session could decrease patient anxiety before receiving intramuscular (IM) injections for ketamine-assisted therapy. Problem: The Kerstin Helgason, NP clinic does ketamine-assisted therapy, and many patients express anxiety beforehand, either due to a fear of needles or nerves surrounding the medication treatment. Intervention: This project implemented a brief progressive muscle relaxation therapy for patients with anxiety before receiving their IM injection. Measures: The patient’s anxiety levels were measured before and after the PMR therapy using a five-point Likert scale ranging from none to very severe. Results: …

Anxiety Screening At A Psychiatric Inpatient Facility: A Quality Improvement Project, Irene Akwitti

Doctor of Nursing Practice

Background. Generalized anxiety disorder is characterized by persistent anxiety and uncontrollable worry occurring more days than not for a minimum of 6 months (Patriquin & Mathew, 2017). Presently, anxiety screening and evidence-based practice treatment for adults are suboptimal. It is impossible to overemphasize the importance of early diagnosis and prompt treatment of generalized anxiety disorder in patients. Purpose. The purpose of this quality improvement project was to implement the Generalized Anxiety Disorder-7 (GAD-7) screening tool, a validated, evidence-based instrument, in a psychiatric inpatient facility to improve early detection and treatment of anxiety disorders in patients. Methods. Staff members were educated …

A Post Pandemic Analysis Of Covid-19 And The Impact On Mental Health Of High School Student-Athletes—Today, More Than Ever Minds Matter, Pastora Hernandez Barbee

Ed.D. Dissertations in Practice

The cancellation of sporting opportunities during the COVID-19 pandemic caused many student-athletes to feel deprived of the only outlet they had, which held a significant component of their personal and athletic identities (Grubic et al. 2021). This study aimed to answer the following research question: What are the experiences of high school student-athletes in a Pacific Northwest school district with access and support for holistic wellness in a post-pandemic COVID-19 school environment? The research methodology used was the wellness theory framework (Adams, Bezner, & Steinhardt, 1997). A total of seven student-athletes participated in the study through in-depth interviews. From the …

Links Between Mental Health And Employment Outcomes Among Adults With Autism Spectrum Disorder, Emma Atkinson

Honors Theses

Problem: Mental health outcomes related to Autism Spectrum Disorder (ASD) have been extensively researched, although most research in the area is on children with ASD. Studies on adults with ASD are scarcer. More specifically, studies that analyze the association between mental health and work-life balance (WLB) as well as mental health and job satisfaction (JS) among employed adults with ASD is limited. The purpose of this study was to analyze the association between mental health and WLB among adults with ASD, the association between mental health and perceived JS among adults with ASD, and whether or not ASD severity moderates …

A Multimodal Intervention Treatment Plan For Adults With Generalized Anxiety Disorder In Primary Care, Morgan Cullings

Evidence-Based Practice Project Reports

Generalized anxiety disorder (GAD) is a debilitating psychological condition that affects 3.1% of the American population and is one of the leading causes of disability (Anxiety and Depression Association of America, 2022; Baxter, 2014). The purpose of this evidence-based practice project was to implement a multimodal intervention to decrease GAD symptoms in adults in the primary care setting. The PICOT question that guided this project was: In adults, over the age of 18, who have been diagnosed with generalized anxiety disorder (GAD), does the combination of digital cognitive behavioral therapy (CBT) through a smartphone application, lifestyle modification education, and pharmacotherapy …

The Effects Of Peers For Young Adults On Anxiety And Quality Of Life For Young Adults With Autism Spectrum Disorder, Alysha Cecile Dagg

Electronic Theses and Dissertations

Social skills deficits as well as comorbid anxiety are two characteristics commonly experienced by people with Autism Spectrum Disorder - Level 1 (ASD-1; American Psychiatric Association, 2013). These characteristics are also both contributors to a lower quality of life for young adults (Smith et al., 2019). The current study aimed to identify how the quality of life and anxiety are affected by social skills intervention, specifically the PEERS® for Young Adults program (Laugeson, 2017). PEERS® for Young Adults is an evidence-based social skills intervention intended to support individuals with ASD-1 (Laugeson, 2017). Prior research has demonstrated its success in both …

Assessing The Involvement Of Projections From The Prelimbic Prefrontal Cortex To The Paraventricular Nucleus Of The Thalamus In Cocaine Withdrawal-Induced Anxiety, Clinton Coelho

MUSC Theses and Dissertations

Withdrawal from cocaine induces an immediate and powerful negative affective state which is characterized by feelings of agitation and anxiety in humans and anxiety-like behaviors in rodents. It has been hypothesized that the anxiogenic effects associated with cocaine withdrawal play a major role in continued cocaine use and drive relapse to cocaine seeking. The prelimbic (PL) medial prefrontal cortex is not only involved in the processing and regulation of negative emotions such as anxiety but also mediates relapse to cocaine-seeking. Subcortical hubs of the reward system that receive projections from the PL neurons are known to be dysregulated during different …

When Mental Health Becomes Physical, Piper Fain

Honors Theses

Glaucoma, the presence of elevated intraocular pressure, has been shown to directly correlate to elevated blood pressure levels. Likewise, numerous studies have been conducted on the relationship between elevated blood pressure and anxiety in individuals suffering from both. One might wonder, then, if there is any correlation between glaucoma and anxiety? My thesis expands upon this question utilizing a survey distributed to patients at local optometry clinics.

The International Student Social Experience At A Predominantly White Institution, Arianna Patel

Senior Theses and Projects

Past research has shown widespread disparities in the way domestic students adjust to this transition versus the way international students adjust to the transition of moving into university; especially at predominantly white institutions (PWI) within The United States of America. In many studies, international students have been found to attain elevated levels of anxiety, and experience more difficulty in finding a sense of belonging. Therefore, the present study sought to examine these concerns more carefully. 49 students from all academic years at Trinity College, a PWI, were administered two surveys in order to objectively gauge their levels of anxiety and …

Mental Health In Sports Media, Samuel Ridgley

Communication & Media Studies | Senior Theses

This paper looks at the increasingly popular conversation surrounding mental health in sports. It provides a glimpse into how common the struggle of mental health can be for many high-level athletes while also examining the narrative and expectations that society and the media have created. The paper also provides examples of prominent athletes from a variety of different sports and delves into their personal mental health experiences in the eyes of the media. The goal of this paper is to show the progression and change of how the media portrays mental health amongst athletes in today’s ever-changing world.

Observing The Relationship Between Physical Activity, Overall Health, Anxiety, And Sleep, Brianna Chicas

Honors Undergraduate Theses

College students' mental health has been researched for some time. In particular, the correlation between physical activity and mental health symptoms has been researched. The study examines the relationship between physical activity and anxiety, sleep, and overall health. College undergraduate students at the University of Central Florida took an online survey that measured all of these variables. A Pearson's correlation coefficient was used to assess correlations. Positive correlations were found between anxiety and sleep, anxiety and social desirability, sleep and social desirability, and strength training and vigorous physical activity. Negative correlations were found between overall health and physical activity, overall …

Treatment Of Anxiety By Transcutaneous Vagus Nerve Stimulation: A Retrospective Chart Review, Rhea Gandhi

CMC Senior Theses

Surgical vagus nerve stimulation (VNS) was FDA cleared for depression (2005) and epilepsy. (1997). In the surgical procedure, a pacemaker is implanted below the collarbone (clavicle) and connected to the vagus nerve in the neck. Transcutaneous vagus nerve stimulation (tVNS) is a non-surgical alternative to VNS and there is evidence supporting its effectiveness for several conditions. Advantages include lower cost and fewer adverse side effects.

Anxiety is tied to excess or unopposed sympathetic nervous system activity, while the parasympathetic nervous system, especially the vagus nerve, is relatively underactive. This study aimed to investigate a potential impact of regular tVNS stimulation …

Examining The Association Between Covid-19 And Anxiety In College Students With Varying Personality Traits, Ridha Anjum

Honors Undergraduate Theses

The goal of this thesis was to examine the relationship between personality types (i.e., extraversion and neuroticism) and anxiety levels among college students during the height of the pandemic. Specifically, this study examined whether factors contributed to anxiety and whether differences in anxiety scores differed by personality trait. It was hypothesized that individuals who scored high in both extraversion and neuroticism would report an increase in anxiety during the height of COVID-19 pandemic. Neuroticism is linked to emotional responses to a negative event (e.g., such as COVID), which may play a role on anxiety levels. The level of extraversion that …

Access To Prenatal Care And Mental Health In Pregnant Women During Covid-19: A Systematic Review, Chloe Feezel, Marin Kahoun, Kaija Kunttu

Williams Honors College, Honors Research Projects

COVID-19 affected the world in many ways. Pregnant women were greatly impacted by a change in their access to prenatal care, from in-person care to telehealth methods, and social support being limited by social isolation. Compared with prevalence of anxiety and depression in pregnant women pre-COVID-19, pregnant women during COVID-19 reported higher levels of anxiety and depression symptoms due to the stress of circumstantial changes. The purpose of this systematic review is to review and critically appraise the evidence about access to prenatal care and mental health in pregnant women during the COVID-19 pandemic. The following PICOT formatted question will …

Does The Use Of Mental Health Screenings And Targeted Stress Interventions Improve Mental Health Outcomes In Outpatient Clinic Staff?, Mary Benson

Doctoral Projects

The Perceived Stress Scale (PSS) has been used as a classic stress assessment instrument to evaluate perceived stress across many settings. As stress is the primary phenomenon in this review due to varying stressors, including infectious diseases among healthcare workers, the PSS is the most appropriate scale for evaluating the degree to which a health worker feels stressed. In addition, the PSS is valuable as it encompasses ten items that researchers use to explore how respondents react to stress due to unpredictable events. Thus, this DNP project is based on the postulation that screening with the PSS and applying stress …

A Structural Examination Of The Connection Between The Amygdala And Nucleus Accumbens In Adolescents With Clinical Anxiety, Alyssa Griffith

Biological Sciences Undergraduate Honors Theses

The prominence of anxiety disorders in today’s general population is a major public health concern. Advancing research of the underlying pathophysiology of anxiety disorders can lead to the discovery of effective treatment interventions to treat the mental and physical symptoms of anxiety, and thus improve quality of life. This study aimed to examine two brain areas in the limbic and reward systems, the amygdala and Nucleus Accumbens (NAcc), and the structural white matter connection between them. This neural circuit assigns affective valence to environmental stimuli and motivates behavior to avoid potential harm. This study utilized diffusion Magnetic Resonance Imaging (dMRI) …

Depression, Anxiety, And Stress Severity Impact Social Media Use And Tiktok Addiction, Skylar L. Maguire, Hollie Pellosmaa

Chancellor’s Honors Program Projects

No abstract provided.

An Evaluation Of Mindstrong™ Implementation With Graduate Nursing Students, Angela B. Sabblut

Dissertations

Problem: Nursing graduate students are at increased risk of greater stress, anxiety, and depression (Hoying, 2020; Melnyk et al., 2020). Cognitive Behavioral Therapy is the gold standard in the treatment of anxiety and depression (Hoying et al., 2020; Melnyk et al., 2015; Melnyk et al., 2020). MINDSTRONG™, a CBT-based training program, has been proven in many studies to be effective in helping individuals prevent or cope with these issues (The Ohio State University College of Nursing, 2020).

Methods: This Quality Improvement (QI) project was a descriptive-observational, pre-post design. Sample and setting were nursing graduate students from a Midwestern, middle-sized urban, …

Nursing Anxiety Self-Evaluation And Resiliency Methods, Dianne Deck

Dissertations

Abstract

Introduction: Nurses are stressed due to the demands of their job. This study aims to determine whether MICU nurses at a large Midwestern hospital would have reduced stress and anxiety after a 30-day meditation and exercise intervention.

Design and Methods: A quasi-experimental pre-post pilot study design was adopted. The convenience sample consisted of eight Medicine Intensive Care Unit (MICU) nurses in a large Midwestern urban tertiary medical center. Data collected included demographics, pre- post-Beck Anxiety Inventory Scale (BAIS), pre- and post-Single Item Stress Scale (SISS), and weekly diaries on exercise and meditation.

Results: The pre- post-SISS showed statistical significance …

Social Worker Student’S Anxiety, And Alcohol Consumption During The Covid-19 Pandemic, David Adler

Electronic Theses, Projects, and Dissertations

The COVID-19 pandemic has been extremely impactful on a vast majority of the population, either from losing a possible loved one, or the pandemonium that arose in its wake. The purpose of this study is to better understand how much of an impact the COVID-19 pandemic has had on social worker students’ mental health, specifically, how it has affected their levels of stress, anxiety, and levels of alcohol consumption. This study is significant because the pandemic has had a substantial impact on the mental health of so many individuals, and it is important to research just how large these effects …

Exploring Social Media Usage And Its Effects On College Students' Mental Health: A Mixed-Methods, Intervention Study, Kimanh Le

Health and Kinesiology Theses

Background: Social media can cause detrimental effects to college students’ mental wellbeing. The purpose of this study was to examine UT Tyler students’ social media usage and its effects on mental health such as depression, anxiety, stress, self-esteem, and the fear of missing out (FoMO). The researcher wanted to see if one specific social media site, Instagram, had more deleterious effects compared to other social media platforms and if reducing time usage would help improve mental health.

Methods: A mixed-methods, intervention design was used. An online quantitative survey link, which contained questions about demographics, social media usage, and mental health …

The Effects Of The Transition From Pre-Nursing To Nursing On Mental Health, Andrew J. Davis, Paige R. Mullins, Kimberly A. Sell

Undergraduate Honors Theses

Mental health is an ever-growing crisis among adolescents and young adults, with suicide as second leading cause of death and the number of those negatively affected continually on the rise. Transitions are one of the major stressors prevalent among these age groups, placing individuals at risk for mental health deficits. This quantitative voluntary response comparative study assesses the transitional mental health of pre-nursing students and students in the nursing program at East Tennessee State University. Emailed to all with a declared major of pre-nursing or nursing, this study measured mental health using evidenced based assessment tools. The PHQ-9 for depression …

The Effects Of Covid-19 On Well-Being Of Healthcare Workers, Hannah Meissner

Honors Theses

The development of the new coronavirus disease, COVID-19, led to the spread of turmoil across the United States and further around the globe. With the virus creating uncertainty among the population, the evidence began to demonstrate that individuals could have devastating health effects, including death. Healthcare workers are among those who were on the frontlines in order to care for the infected, ultimately increasing their own chances of acquiring the virus and putting their health at risk. These workers have experienced a direct impact due to this exposure in the form of isolation, anxiety, depression, suicide, and sleep disturbances. With …

The Anxiety, Depression, And Perceived Stress Levels Of Hospice Care Personnel In Georgia, Emily Bauman

Honors College Theses

Working in hospice comes with a variety of unique tasks and stressors that other jobs typically do not require. While this workplace stress can act as a catalyst, too much can be threatening to an individual’s mental state and life in general. Moreover, anxiety and depression can be detrimental to an individual’s life and career. Research has shown positive correlations between stress, anxiety, and depression. The purpose of this study is to use quantitative measures to examine the anxiety, depression, and perceived stress levels of hospice care professionals in Georgia. 12 hospice care workers were quantitatively surveyed regarding their perceived …

Eco Yoga Therapy For Mental Health Related To The Covid-19 Pandemic, Karyn Stein

LMU/LLS Theses and Dissertations

Recently the magnitude of the mental health crisis due to the COVID-19 pandemic has been emerging. Reports of anxiety or depression related to COVID-19 have been on the rise globally. Individuals have been living in a perpetual state of the unknown for over two years. Fear of the virus, sickness of oneself or family/friends and social isolation have taken a toll. According to the WHO, anxiety and depression have gone up 25% in the last year (2022). The effects of a rising mental health crisis will be drastic on top of the deaths and sickness related to COVID-19. While governments …

Sars-Cov-2 And Its Impact On Emergency Medicine, Abby Fowler

Theses, Dissertations and Capstones

The SARS-CoV-2 (COVID-19) pandemic impacted hospitals and healthcare workers throughout the world. This research sought to determine how the pandemic affected the mental health of healthcare workers in critical care, primarily because of hospitals’ focus on finances instead of healthcare workers’ mental well-being. This research included extensive literature review as well as a semi-structured interview with an emergency medicine physician in Ashland, KY, who worked before the COVID-19 pandemic and during the COVID-19 pandemic. It was hypothesized that as hospitals attempted to focus primarily on recovering financial losses incurred from the pandemic, the mental health of clinicians fell through the …