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Articles 1 - 30 of 441
Full-Text Articles in Psychiatry and Psychology
Expressive Therapies And Resiliency – Resistance In Mental Health: A Literature Review, Gabrielle Lopez
Expressive Therapies And Resiliency – Resistance In Mental Health: A Literature Review, Gabrielle Lopez
Expressive Therapies Capstone Theses
This review evaluates the current literature on psychological resistance amongst human service professionals experiencing burnout and the effect of Expressive Arts interventions on resiliency. Concepts include identifying the main symptoms, risk factors, causes, and treatments for burnout in education faculty, medical staff, and clinicians. Qualitative, quantitative, and meta-analysis studies are included to identify the most prevalent intervention frameworks for reducing stress including Arts-Based and Mindfulness-compassion based techniques. The effectiveness of Arts-based tools on strengthening identity, self-esteem, emotional regulation, and meaning-making in combating burnout is presented. Based on analysis of the literature, the author proposes a three-step intervention framework for utilizing …
Implementation Of A Standardized Suicide Screening Process In A University Student Health Clinic: A Quality Improvement Project, Addie Grace Strong, Kathryn Dambrino, R. David Phillippi, Linda Wofford
Implementation Of A Standardized Suicide Screening Process In A University Student Health Clinic: A Quality Improvement Project, Addie Grace Strong, Kathryn Dambrino, R. David Phillippi, Linda Wofford
DNP Scholarly Projects
Background: Suicide is a leading cause of death among college age students, prompting the need for evidence-based screening tools like the Columbia Suicide Severity Rating Scale (C-SSRS) to enable early detection and timely intervention. Inconsistencies in suicide screening may pose a risk of missed intervention opportunities. This Doctor of Nursing Practice project specifically aimed to improve the quality and consistency of suicide screening in a university student health clinic by implementing the C-SSRS tool into the clinic workflow during mental health appointments. Methods: Employing a quality improvement framework, this scholarly project followed the Institute for Healthcare Improvement Model for Improvement …
Music As A Coping Mechanism: Clinical Implications Of How College Students Utilize Music To Cope With Anxiety, Depression, And Daily Stressors, Karly Pikel
Senior Theses
Many college students face stress, anxiety, and/or depression in their daily lives which they cope with in their own ways. Listening to music or playing an instrument are particularly powerful forms of coping that can have a plethora of positive effects on an individual. The purpose of this study was to conduct a survey amongst the University of South Carolina student body to determine how they utilize music to cope in their daily lives. Of 847 respondents, almost all of them reported experiencing some extent of anxiety and/or stress and listening to music to help them cope. Respondents agreed that …
An Evidence-Based Approach For Decreasing Burnout In Health Care Workers, Leonor T. Salalila
An Evidence-Based Approach For Decreasing Burnout In Health Care Workers, Leonor T. Salalila
Student Scholarly Projects
Practice Problem: Health care worker (HCW) burnout is a pervasive phenomenon within the healthcare industry, affecting professionals across various disciplines. Emotional exhaustion is a prominent feature, leading to feelings of being emotionally drained, overwhelmed, and unable to cope effectively with the demands of the job. Additionally, burnout often results in a significant lack of motivation among HCWs, who may struggle to find meaning and purpose in their work, exacerbating feelings of frustration and disillusionment. Consequences extend beyond individual well-being, impacting healthcare organizations with reduced work efficacy, low productivity, increased absenteeism, and high turnover rates. Addressing burnout requires a multifaceted approach, …
Psilocybin With Acceptance And Commitment Therapy (Act) For The Treatment Of Social Anxiety Disorder (Sad), Aspen E. Allred
Psilocybin With Acceptance And Commitment Therapy (Act) For The Treatment Of Social Anxiety Disorder (Sad), Aspen E. Allred
University Honors Theses
Social Anxiety Disorder (SAD) is a debilitating mental health condition characterized by an overwhelming fear and anxiety of social rejection that can lead to chronic patterns of social behavioral avoidance. Despite the existence of traditional efficacious treatments, a significant number of individuals either do not respond to treatment or experience a recurrence of symptoms over extended periods, spanning 10-12 years. Acceptance and Commitment Therapy (ACT), a form of acceptance-based behavioral therapy considered part of the "third wave" of cognitive behavioral therapies, has shown promising results in early studies, comparable to those of Cognitive Behavioral Therapy (CBT) that is considered the …
Increasing Medication Adherence In Patients With Bipolar Disorder Using Mobile App Reminder, Emmaculate Ndifor
Increasing Medication Adherence In Patients With Bipolar Disorder Using Mobile App Reminder, Emmaculate Ndifor
Doctors of Nursing Practice (DNP) Final Projects, 2020-current
Background: Bipolar disorder (BD) is the fifth leading course of disability in the world, contributing to many co-morbid conditions and complications. Non-adherence to medication is prevalent in patients with BD. The aim of the project was to use an evidence-based technological intervention to enhance medication adherence in BD patients between 18- 65 years old at an outpatient behavioral health clinic.
Methods: Baseline assessment included a pre Morisky Medication Adherence (MMAS-4) questionnaire. The development of an intervention to improve medication adherence was based on Johnson’s (2002) Medication Adherence Model (MAM).
Interventions: Participants downloaded the Medisafe app, registered medications and set …
Experiences Of Black American Millennials: A Qualitative Study Of Internalized And Externalized Coping In The Face Of Racial Trauma, Natalia Angelique Giles
Experiences Of Black American Millennials: A Qualitative Study Of Internalized And Externalized Coping In The Face Of Racial Trauma, Natalia Angelique Giles
Doctoral Dissertations
The experiences Black Americans have faced when standing against racial trauma have impacted the Black community for generations. Though previous generations faced overt styles of racism throughout the eras of slavery and Jim Crow, the invalidation and discrimination have remained consistent within the experiences of the Black American millennial (BAM) generation. Current experiences BAMs face are a combination of both overt and covert styles of racism, which increase mental exhaustion, reduce motivation, and leave the individual psychologically defenseless. The purpose of this qualitative study was to examine the experiences of BAMs in the face of racial trauma. This qualitative research …
Implementing A Systematic Depression Screening In The Primary Care Setting, Cassandra Moore
Implementing A Systematic Depression Screening In The Primary Care Setting, Cassandra Moore
Doctoral Projects
The Advanced Practice Nurse is responsible for providing quality care and treatment for the whole person. 3 John 1:2 KJV states, “I wish above all things that you may prosper and be in health, even as your soul prospers” (King James Bible, 2023, para. 2). To prosper and be in health refers to a holistic approach in which the mind, body, and spirit of an individual is considered. Mental health care is an integral part of the holistic health approach.
Mental illness affects approximately one in five adults (52.9 million) in the United States alone (National Institute of Mental Health …
Anxiety Screening At A Psychiatric Inpatient Facility: A Quality Improvement Project, Irene Akwitti
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 …
Studying The Impact Of Hyperlipidemia Monitoring Tools On Referral Rates In Patients Taking Antipsychotics, Jasmyn S. Allen
Studying The Impact Of Hyperlipidemia Monitoring Tools On Referral Rates In Patients Taking Antipsychotics, Jasmyn S. Allen
Doctoral Projects
The purpose of this DNP project is to determine how well an evaluation tool may be used to track hyperlipidemia in patients using antipsychotic medicines who are between the ages of 20 and 50. Elevated lipid contents in the bloodstream, or hyperlipidemia, increase the danger of heart-related illnesses. Antipsychotic drugs, frequently administered for mental health disorders and dyslipidemia, have been connected. The goal is to ascertain whether utilizing an evaluation tool raises the three-month referral rates for hyperlipidemia to primary care (Dayabandara et al., 2017). The foundation of the research is found in several articles collected from different websites. According …
Making Mindfulness More Accessible: A Practical Guide To Trauma-Informed Mindfulness, Leslie Formby
Making Mindfulness More Accessible: A Practical Guide To Trauma-Informed Mindfulness, Leslie Formby
Mindfulness Studies Theses
Mindfulness is currently embedded in a growing understanding of how trauma permeates and adversely impacts peoples’ physical and psychological well-being. Increased awareness of the prevalence of trauma and its harmful effects has led to renewed interest in mindfulness to help manage the challenges generated by the detrimental effects of trauma.
These effects may draw people to mindfulness and, in turn, may make the benefits of mindfulness out of reach. Mindfulness methods and practice adaptations have been found to help trauma survivors experience the benefits of what the Buddha taught. As a support for those engaging in mindfulness and meditation, this …
Expressive Arts Therapy To Support Positive Experiences Of Embodiment Among Rural Lgbtq+ Adults: A Literature Review, Ann Stromgren
Expressive Arts Therapy To Support Positive Experiences Of Embodiment Among Rural Lgbtq+ Adults: A Literature Review, Ann Stromgren
Expressive Therapies Capstone Theses
This paper investigates the use of expressive arts therapy to support LGBTQ+ adult clients in rural communities. Caring professionals in rural areas often lack training on how to work with LGBTQ+ clients, and best practices for clinical mental health counseling with rural LGBTQ+ clients have yet to be defined. Some evidence suggests that using “metronormative” best practices with rural clients may be irrelevant or cause harm (Giano et al., 2020). Although some recommendations exist for using expressive therapies with LGBTQ+ clients, they are rarely evidence-based, as very few empirical studies exist evaluating the effectiveness of expressive therapy interventions with LGBTQ+ …
Overcoming The Inner Critic: The Therapeutic Use Of Self-Portraits With Older Adults, Brenda Echeverry
Overcoming The Inner Critic: The Therapeutic Use Of Self-Portraits With Older Adults, Brenda Echeverry
Expressive Therapies Capstone Theses
Older adults are a growing and vulnerable population who experience discriminatory practices that impact their access to equitable housing, employment, and healthcare which was made even more obvious during the Coronavirus pandemic in the United States. A community engagement project was developed and facilitated by the writer to support older adults with the psychological effects of surviving the pandemic. This project also helped to increase accessibility to expressive arts therapy in the writer’s local community. Expressive arts therapy is an effective and accessible method to support mental health and wellness for people of all ages. Engagement with the arts helps …
Antidepressants Versus Placebo For Generalized Anxiety Disorder: A Systematic Review And Meta-Analysis, Katarina Kopcalic
Antidepressants Versus Placebo For Generalized Anxiety Disorder: A Systematic Review And Meta-Analysis, Katarina Kopcalic
Electronic Thesis and Dissertation Repository
Objectives: To assess the efficacy and acceptability of antidepressants compared to placebo among adults with a primary diagnosis of generalized anxiety disorder (GAD). Methods: Five electronic databases and 2 trial registries were searched to identify studies for inclusion. The risk of bias version 1 tool was used to assess the risk of bias. A random-effects meta-analysis was conducted using RevMan web. Results were presented using forest plots. Results: 38 studies (12,570 participants) were included. Very low-quality evidence showed a benefit for antidepressants over placebo in the rate of treatment response (RR, 1.39: 95% CI: 1.27, 1.52) and no differences in …
Incorporating Poi As A Therapeutic Modality For Preschool Aged Children In The Care Clinic, Danielle Zirkle
Incorporating Poi As A Therapeutic Modality For Preschool Aged Children In The Care Clinic, Danielle Zirkle
Department of Occupational Therapy Entry-Level Capstone Projects
No abstract provided.
Investigating The Longitudinal Relationship Between Social Motivation And Depression In Autistic Adults, Robyn H. Himelstein
Investigating The Longitudinal Relationship Between Social Motivation And Depression In Autistic Adults, Robyn H. Himelstein
Theses and Dissertations
Autism affects individuals across the lifespan, yet there tends to be limited research and services for autistic adults. This is especially concerning given that autistic adults have high mental health needs, with depression being one of the most common and clinically significant co-occurring conditions. We explored the longitudinal relationships between social motivation, social access (i.e., having opportunities for meaningful social interactions), loneliness, and depression in N=303 autistic adults ages 18-65. Participants completed online surveys about social behavior and wellbeing three times over 3–4 months. We hypothesized that an interaction between higher social motivation and lower social access at Time 1 …
Hippocampal Volume And The Detection Of Mild Cognitive Impairment In An Older Adult Population: Assessing Performance On Cognitive Screeners Administered In-Person And Electronically, Kristen Fabrizi
Dissertations
The present study investigated how performance on in-person and electronic neuropsychological assessment measures predicted subcortical hippocampal volume and cognitive decline consistent with mild cognitive impairment. It was hypothesized that the Montreal Cognitive Assessment would display better predictive strength than the Cogstate Brief Battery when evaluating subcortical hippocampal volume measured via structural magnetic resonance imaging. It was further hypothesized that the Montreal Cognitive Assessment would be more sensitive to predicting group membership to the diagnostic classification of mild cognitive impairment compared to the Cogstate Brief Battery. The sample included 445 older adult participants selected from the Alzheimer’s Disease Neuroimaging Initiative 3. …
On-Campus Mental Health Service Use Among College Students With Autism: A Case Study Applying The Andersen Behavioral Model Of Health Services Use, Estella C. Lilyquist
On-Campus Mental Health Service Use Among College Students With Autism: A Case Study Applying The Andersen Behavioral Model Of Health Services Use, Estella C. Lilyquist
Electronic Theses and Dissertations
The unique set of impairments and limitations presented by students with autism spectrum disorder (ASD) make the accessing of campus-based nonacademic resources more difficult and complicated than their typically developed peers. Each year, the rate of students entering college with disabilities continues to grow, but their mental well-being is relatively poor. The purpose of this qualitative case study was to apply the conceptual framework of the Andersen behavioral model of health services use (ABMHSU) to the experiences of college students with ASD to understand and predict their utilization of campus-provided mental health resources. The participants were seven college students with …
Reconceptualizing The Interaction Between Adhd Symptoms And Environmental Context, Oliver G. Mcfadden
Reconceptualizing The Interaction Between Adhd Symptoms And Environmental Context, Oliver G. Mcfadden
University Honors Theses
Difficult questions regarding etiology, prevalence, and individual treatment allude to the heterogenous and complex neurocognitive profile ADHD. Current understandings do not point to there being any yet-undiscovered, succinct set of features for the condition that will answer these questions. ADHD in fact has a heterogeneous etiology and neurocognitive profile, suffers from both overdiagnosis and underdiagnosis, and a variety of styles of treatment are conceivable to address this. Sociocultural factors have crucially guided the direction of ADHD pathology and medicalization and are woven into institutional environments. These extant problems have eluded ADHD research, and the debate over the construction and validity …
Evidence-Based Practices And Self-Efficacy: A Quantitative Study Of Mental Health Counselors Treating Clients With Substance Use Disorder, Carl Bastien
Dissertations
Substance use disorder affects a substantial number of individuals in the United States. The specific problem of this research is that it was not known to what extent their use of evidence-based practices is driven by their sense of self-efficacy. The purpose of this quantitative correlational research was to examine to what extent the use of evidence-based practices covary with a sense of self-efficacy for mental health counselors treating individuals diagnosed with a substance use disorder. The study population was 121 mental health counselors who specialized in substance use disorder treatment who completed a digital survey. The study findings did …
Using Drama Therapy To Foster Peer Support Among Nurse Leaders, Chyela Rowe
Using Drama Therapy To Foster Peer Support Among Nurse Leaders, Chyela Rowe
Expressive Therapies Dissertations
This study explored the use of drama therapy to support the social-emotional experiences of nurse leaders at a mid-sized regional hospital system in the Southeastern United States. Nurse leaders have experienced profound changes to their work environments in recent years and burnout has been at an all-time high among healthcare workers globally. Organizational supports for nurses and nurse leaders are both inadequate to meet the needs and under-resourced. The research questions explored 1) whether the drama therapy peer support initiative improved outcomes and 2) whether there was a significant relationship between measures, and 3) what nurse leaders described as facilitators …
Dance/Movement Therapy Used As An Intervention To Heal Racial Trauma Within The Black Community: A Literature Review, Jennifer Noboise
Dance/Movement Therapy Used As An Intervention To Heal Racial Trauma Within The Black Community: A Literature Review, Jennifer Noboise
Expressive Therapies Capstone Theses
The history of dance within the black community has served an important role while living through a racist and discriminatory society. Dance has been used to express anger, grief, and joy during hardships and moments of rejoicing from the black experience. African American people have endured years of trauma and abuse from oppressive systems. Research has been conducted to demonstrate that dance/movement therapy has been effective in treating those who have experienced a form of trauma since the trauma is stored in the body. Examining trauma symptoms such as anxiety, depression, and substance use, the research found these symptoms diminished …
Postpartum Depression: Healing Through Archetypes And The Expressive Arts Therapies, Macushla Roulleau
Postpartum Depression: Healing Through Archetypes And The Expressive Arts Therapies, Macushla Roulleau
Expressive Therapies Capstone Theses
This thesis is a literature review investigating treating postpartum depression through the expressive arts therapies and feminine archetypes. The expressive arts therapies explored for treatment are dance, music, art, and drama. Meditation, mindfulness, and writing are also included. The importance of expressive arts therapies in treating postpartum depression is of interest now because of the increasing number of mothers who experience postpartum depression who are looking for alternatives to treatment beyond, or complementing, traditional talk therapy and medication. A search for literature on treating postpartum depression with expressive arts therapies and archetypes was conducted on-line using the Lesley University database. …
Therapeutic Gardening For Addiction Recovery, Hugo A. Rivera Lopez
Therapeutic Gardening For Addiction Recovery, Hugo A. Rivera Lopez
Master's Projects and Capstones
Problem: The use of evidence-based alternative forms of therapy like horticulture therapy and therapeutic gardening is underutilized in substance use recovery programs in the United States. As the country continues to struggle with addiction, it is important that recovery programs look to and incorporate these alternative therapies into official curricula. Currently, 46.3 million individuals living in the United States are living with a substance use disorder (U.S Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration, 2022).
Context: The intervention was implemented at an all-male substance use treatment facility in San Jose, CA that houses up …
Eco-Interoception: What Plants, Fungi And Protista Have Taught My Body, Sara Riley Dotterer
Eco-Interoception: What Plants, Fungi And Protista Have Taught My Body, Sara Riley Dotterer
Art Theses and Dissertations
To me, ecology is the relational, full-body awareness that I am made up of and deeply connected to everything around me; and for better or worse, this is reciprocal. I form ecotones, an ecological transitional zone between two ecosystems, with the world around me. I use this ecotonal lens to blur binaries and dissolve boundaries between me and the world “outside my body.” During my Masters of Fine Arts at Southern Methodist University, I have continuously explored and represented the lives of various more-than-human species outside of my body, including plants, fungi and protista through an ecotonal lens. Although these …
Reasons For Stigma Surrounding Emotional Support Animals And How It Can Be Addressed, Natalie Helms
Reasons For Stigma Surrounding Emotional Support Animals And How It Can Be Addressed, Natalie Helms
Honors Theses
Multiple factors that influence how emotional support animals (ESAs) are perceived will be investigated in this study, including how the stigma surrounding mental illness has the potential to affect how a person views using ESAs as a treatment for anxiety.
A Multimodal Intervention Treatment Plan For Adults With Generalized Anxiety Disorder In Primary Care, Morgan Cullings
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 …
Enacting Stories: Discovering Parallels Of Narrative And Expressive Therapies, A Literature Review, Zoe Reddig
Enacting Stories: Discovering Parallels Of Narrative And Expressive Therapies, A Literature Review, Zoe Reddig
Expressive Therapies Capstone Theses
This literature review will analyze the use of narrative therapy (NT) techniques, dance/movement therapy (DMT) techniques, and expressive therapy (ET) techniques in an effort to distinguish where theoretical parallels exist between these methods of counsel. Narrative therapy is a postmodern framework of counseling that assists clients in resisting damaging stories that have been embedded through bioecological systems of exposure throughout development. Narrative therapy structures its philosophy through processes of externalization and deconstruction, and encourages the process of reframing or re-authoring one’s personal self-narrative. At their core, DMT and ET already utilize components of foundational NT practices, through processes of enactment, …
Transcendence: Exploring The Connections Between Transgender/Gender Non-Conforming Identities And Experiences Of Nature Through Art, Mc Jackson
Undergraduate Theses
“Transcendence: Exploring the connections between transgender/gender non-conforming identities and experiences of nature through art” is the written portion of a creative thesis revolving around an immersive art installation and short film. Transcendence, the installation, was created to promote connection by exploring the overlap between transgender and gender non-conforming (GNC) experiences and experiences of nature. Part of this installation is a short film of interviews conducted with transgender and GNC individuals about nature, their gender experiences, and the transcendent nature of the two. The written thesis analyzes existing literature on nature as a restorative, therapeutic, spiritual setting, offers insight into …
Improving Depression Screening Completion Rates For Medicare Patients In A Primary Care Setting, Kenneth J. Haluska
Improving Depression Screening Completion Rates For Medicare Patients In A Primary Care Setting, Kenneth J. Haluska
Evidence-Based Practice Project Reports
The United States Preventative Services Task Force recommends screening the general adult population for depression (Siu et al., 2016). Despite increasing clinical practice guidelines recommending depression screening, only 40-50% of depressed older adults are recognized and treated (Phoh et al., 2017). The purpose of this evidence-based practice (EBP) project was to implement a medical assistant (MA) depression screening protocol, using the PHQ-9 and staff education, to improve depression screening completion rates in Medicare patients in a primary care setting. An exhaustive literature search of eight databases yielded 14 pieces of evidence that made recommendations for best practice. The evidence was …