Psychiatry and Psychology Commons^™

Identifying Barriers To Mental Health Services Utilization For Black Youth In The United States: A Qualitative Study, Emily Stein, Matthew Hutnyan, Neely Myers

SMU Journal of Undergraduate Research

Mental health in Black communities and racial/ethnic disparities in mental health service utilization remain growing concerns. Evidence suggests that psychotic disorders may be more prevalent among Black individuals than white individuals and the Black community faces barriers to care that can negatively influence outcomes. To better understand these barriers, we interviewed mental healthcare providers (n = 11) and Black young adults with first-person experience of psychosis (n = 13) about the experiences of minority young adults with mental health treatment. We analyzed interview transcripts and, consistent with constructivist grounded theory methods, identified iterative patterns across individuals about barriers to care. …

Skin Stories And Family Feelings: The Contradictions Of Skin Picking In Mother And Daughter, Katrina Jacinto

Crossings: Swarthmore Undergraduate Feminist Research Journal

Skin picking, otherwise known as dermatillomania, is considered to be a medical disorder by the DSM-5. However, the embodied experiences of skin picking in myself and my mother do not align with the neat definitions offered by psychiatry. Through autoethnographic material and an ethnographic interview with my mother, I argue that skin picking is a bodily technique that is pathologized through stigma. In particular, I suggest that skin picking reveals the body as a polyvalent entity, in which the same features and practices take on different meanings in different bodies. This frames the discrepancies between mine, and my mother's, experiences. …

The Impact Of Psychiatric Labels And Sexual Orientation On Attitudes Toward People With Pedophilic Attractions, Gabriel Traub

Senior Projects Spring 2023

This study explores whether framing pedophilic attractions as a mental disorder and/or manipulating the sexual orientation of these attractions impacts attitudes toward people with pedophilic attractions (PPA). This study used an experimental 2 (Pathological Language vs. Non-Pathological Language) by 2 (Heterosexual vs. Homosexual) between-subjects design, in which online participants read a vignette describing a fictional subject’s pedophilic attractions. Both independent variables were manipulated within the vignette, in that the subject’s attractions were either given a pathological or non-pathological explanation, and were either heterosexual or homosexual. To assess stigmatizing attitudes, participants reported their affective responses, agreement with beliefs/stereotypes about the individual, …

Illness Stigma, Social Connectedness, And Health In People Living With Chronic Illness: A Structural Equation Model, Abigail Brooke Crawford

UNF Graduate Theses and Dissertations

The complexity of chronic or unexplained conditions may lead to potential stigma for those suffering long-term symptoms as they do not follow the expected pattern of recovery following diagnosis and treatment. Experiencing such illness-related stigma has potential for leading to a belongingness identity of detachment with implications for health across physical, social, and psychological dimensions. This study aimed to examine the relationship between stigma, social connection, mental health, physical health, and social functioning in a group of 231 participants with ongoing symptoms of chronic illness through structural equation modeling. The fit indices all suggest that the model reasonably fits the …

The Influence Of Integrated Behavioral Health Primary Care Setting On The Utilization Of Mental Health Services And Depression Treatment Response Among Men, Tendai Masiriri

Dissertations

The 2010-2013 National Health Interview Survey showed that nearly 9% of men had daily feelings of anxiety or depression, yet less than 41% sought help for their symptoms (Blumberg et al., 2016). Men are more reluctant than women to seek help (Angst et al., 2002; Brownhill et al., 2005). The failure to seek help among men is associated with multiple factors related to stigma and gender, yet male suicide rates are approximately 3-5 times higher than their female counterparts. However, they have a higher likelihood of seeking help from a medical provider rather than a mental health provider. If men …

The Impact Of Hiv-Related Stigma On The Racial/Ethnic Disparities Across The Hiv Care Continuum Among Adults Living With Hiv In Florida, Derrick James Forney

FIU Electronic Theses and Dissertations

Background: Florida currently has one of the highest rates of new HIV infections in the U.S. As of 2019, Black and Hispanic HIV-positive individuals in Florida were significantly less likely to receive HIV care, remain in care, and achieve viral suppression than white HIV-positive individuals. Several studies have linked HIV-related stigma to poor outcomes among people living with HIV (PLWH). This study examined the impact of distinct HIV-related stigma subtypes on linkage to care, retention in care, and viral suppression among PLWH in Florida and if these associations differed across race/ethnicity.

Methods: Data from the 2015-2017 Florida Medical Monitoring Project …

Ptsd Perceptions In U.S. Military Members And Their Families: A Qualitative Study, Jennifer L. Thomson

Psychology Educator Scholarship

Post-traumatic stress disorder (PTSD) is a chronic and debilitating disorder characterized by hypervigilance and recurrent, intrusive memories of the traumatic event. Estimates for lifetime prevalence of PTSD diagnoses for United States military personnel vary widely from 10% to more than 30%. The current study aimed to investigate the attitudes and beliefs regarding PTSD and its diagnosis and treatment within U.S. military service members and their families. An online survey was administered to current and former members of the U.S. military and members of their immediate families. The results revealed low levels of mental health stigma and positive attitudes toward treatment …

Mental Health Challenges Among Ethnic Minorities College Students, Fiorella G. Valles, Ruben Gonzalez

Electronic Theses, Projects, and Dissertations

This research study explored the challenges of mental health-seeking services of college students of color in the San Bernardino area. College students of different ethnicities have unique needs and challenges that contrast with the general student population. Previous research stated that students of color deal with a greater number of unmet mental health needs and indicates a connection between mental health and attaining a college degree (Arria et al., 2013). To increase the utilization of mental health amongst students of color, this study aimed to identify the influencing factors that prevented students from help-seeking. The research design of this research …

“He’S Not Marrying My Daughter”: Stigma Against People In Recovery From Substance Use Disorder, Austin Mcneill Brown

Population Health Research Brief Series

Substance use disorders are among the most stigmatized health conditions in the U.S. This research brief examines how the language we use to describe people with substance use disorders impact how they are perceived and how willing we are to accept them into our social and professional circles.

Narrative Medicine: Perspectives On Opioid Maintenance, Noorin Damji

Family Medicine Clerkship Student Projects

People who experience opioid addiction often feel marginalized by healthcare workers, or stigmatized by the medical system. Additionally, there are not enough medical providers to meet the needs of people who struggle with opioid addiction. These factors create barriers that prevent the medical establishment from effectively meeting the needs of people who experience addiction. This project compiles rich perspectives of patients on opioid maintenance treatment to share with medical students and providers to foster greater empathy for these patients, and positive attitudes toward managing substance use disorder among future medical providers.

The Effects Of A Dementia Simulation Experience On Attitudes Towards People With Dementia, Micah Huckabee

Health, Human Performance and Recreation Undergraduate Honors Theses

Introduction: The neurodegenerative effects of dementia resulting in cognitive and behavioral impairments is plausibly one of the reasons for a societal stigma towards individuals with dementia. Societal stigmas are associated with decreased life satisfaction, depressive symptoms, and decreased psychological well-being for stigmatized individuals. In an effort to improve attitudes towards individuals with dementia, this study utilized a dementia simulation to measure attitudinal changes after a dementia simulation. Methods: There were 33 participants in this study (13 male and 20 female) between the ages of 18 and 25. Participants completed a Dementia Attitudes Scale (DAS) survey, and then they dressed in …

Mental Health Stigma In College Students By Academic Major, Kristen Miller

Mahurin Honors College Capstone Experience/Thesis Projects

Stigma is best defined as the disapproval and shame felt by people who display characteristics not widely accepted in society. Although mental illness has become more prevalent in society through advocacy and awareness campaigns, it fails to be accepted and often individuals may feel shame that prevents them from seeking help (Dyrbye, Eacker, Durning, Brazeau, Moutier, Massie, S., et al, 2015; Givens & Tjia, 2002). Physicians in particular have been shown to have decreased help-seeking behaviors for psychological issues due to fear of professional repercussions (Dyrbye et al., 2015). Physicians also show increased levels of stress, anxiety, depression, and elevated …

Unmet Expectations In Healthcare Settings: Experiences Of Transgender And Gender Diverse Adults In The Central Great Plains, Heather Meyer

Trans Collaborations Academic Papers

Transgender and gender diverse (TGD) individuals face a long-term, multi-faceted process if they choose to begin a gender affirmation journey. Decisions to go on hormone therapy and/or have a surgical procedure necessitate the TGD individual to set up an appointment with a healthcare provider. However, when TGD patients interact with healthcare practitioners, problems can arise. This article documents and categorizes the types of unmet expectations that are common in the TGD patient-healthcare provider social dynamic in the Central Great Plains of the United States. Utilizing a community-based participatory research model, qualitative in-depth interviews were conducted with 27 TGD individuals about …

"Born Out Of Fear": A Grounded Theory Study Of The Stigma Of Bipolar Disorder For New Mothers, Walker Ladd Ph.D.

The Qualitative Report

Childbirth is an established trigger for the onset of bipolar disorders (BD) in the postpartum period, causing significant pathology and disability. Research has shown that the stigma of mental illness for new mothers is a powerful obstacle to care, preventing women from accessing critical treatment and social support. However, the majority of research has examined the relationship between the stigma and postpartum depression, leaving a gap in knowledge regarding stigma and postpartum bipolar disorder. The problem addressed in this grounded theory study was the lack of knowledge regarding the stigma of a diagnosis of bipolar disorder (BD) in the first …

Effects Of Mental Health Campaigns, Susan Schott

Senior Honors Projects, 2010-2019

This project examines the effects of a mental health campaign on college students. This is important to research because universities and colleges alike need to understand the effects that campaigns about mental health on campus can have on students. I researched this by conducting an online experimental study on a sample of 511 students at a university in the Mid-Atlantic region. Qualtrics randomly assigned the participants into two groups, where one group viewed an experimental campaign and the other a control ad. The participants were measured using a post- test questionnaire which tested their self-perceptions of anxiety and level of …

Decreasing Stigma Against Depression In Chinese International Students, Elizabeth Trader

Mahurin Honors College Capstone Experience/Thesis Projects

Higher levels of stress and a shift in support systems during the transition to another culture can put international students at risk for mood disorders like depression. Previous research supports there is also a higher level of depression stigma within Eastern cultures in comparison to Western cultures (Rao, Feinglass, & Corrigan, 2007). This may account for the strikingly low numbers from the Chinese population that seek and maintain professional counseling services while studying in the U.S. (Yakushko, Davidson, & Sandford-Martens, 2008). The present study sought to determine whether two self-produced Chinese videos regarding information about stigma, symptoms, and treatment of …

The Social Progression Of Post -Traumatic Stress Disorder: Post Vietnam And September 11th Attacks, Ellie Mcdonald

Capstone Projects and Master's Theses

The Social Progression of Post-Traumatic Stress Disorder Post-Vietnam and September 11^th Attacks is an examination on the infrastructure of the U.S. Department of Veterans Affairs’and of the Department of Defense’s lack of clarity and misinformation of the challenges and effects of mental illness within military ranks. Post-traumatic stress disorder (PTSD) made the Diagnostic Statistical Manual (DSM) after Vietnam. Since then, PTSD has been reevaluate numerous times, to properly define it. This research is a comparative analysis of the misconceptions of PTSD as experienced by Vietnam veterans and the first responders of the September 11^th tragedy. My research charts …

Mental Health 101: Teaching Students And Campus Leaders How To Help Those In Crisis, Megan B. Kuhnly

Senior Honors Projects

One in four Americans ages 18 and older live with a diagnosable mental health disorder. Due to this high prevalence it is very likely that everyone will encounter someone dealing with a mental health crisis in his or her lifetime. Many college students will experience a crisis during their four years of study due to the high levels of stress and psychological triggers. However, we are often not taught how to help these individuals and the resources available are not well advertised. This lack of education and awareness leads to many students being forced to suffer alone and their mental …

Understanding Increasing College Anxiety: The Need For Anxiety Awareness Campaigns, Taylor Mosher

Journalism

The following study investigates national trends toward increasing anxiety among the college student demographic with particular attention paid to the ways in which public awareness campaigns may be implemented as a method for reducing stigma, increasing awareness of anxiety conditions, and connecting students to critical resources.

In order to improve understanding surrounding student anxiety, the following research was conducted in two parts. First, secondary national research was conducted analyzing relevant literature surrounding anxiety trends among college students, the response of universities across the nation, and potential methods by which to relieve student anxiety. Following the conclusion of this research, primary …

A Study Of Media Portrayal Of Schizophrenics To Understand How Stigma Associated With Schizophrenia May Be Reversed, Rainielle M. Cua

Undergraduate Research Posters

The news media are one of the most influential sources of information regarding mental illness. Media coverage on schizophrenia, one of the most stigmatized mental illnesses, tends to be negative, focusing on high risks of violence, failure, and unpredictability. Such perceptions may cause a detrimental impact on the mentally ill and cause them to internalize a stigmatizing stereotype and hinder the public’s understanding of mental illness. I studied how media portrayal in newspaper coverage of schizophrenics has evolved to discover how nonfiction media representation has affected people’s perceptions and attitudes towards schizophrenics and to propose an implementable solution to reduce …

Stigmatizing Attitudes Towards Men And Women Combat Veterans With Combat Related Ptsd, Heather L. Caldwell

Electronic Theses & Dissertations

Veterans with PTSD experience stigma and discrimination. The extent to which women combat veterans with PTSD may experience stigma and discrimination has yet to be investigated. This is critical given the increasing number of women veterans exposed to combat and combat trauma. Level of familiarity may affect stigmatizing beliefs. Gender may also affect stigmatizing beliefs. To assess this, 126 undergraduate students (men, n = 69) were randomly assigned to view videos of a man or woman veteran describing combat experience and their PTSD symptoms. Participants completed questionnaires assessing PTSD symptoms, level of familiarity with veterans, and stigmatizing attitudes toward the …

Diminished Quality Of Life Among Women Affected By Ebola, Jessi Hanson, Alexis Decosimo, Megan Quinn

Journal of Social, Behavioral, and Health Sciences

This article analyzes data collected from Liberian women afflicted by the Ebola virus disease, survivors of the virus and noninfected persons living in Ebola-affected homes. This research is one of the first statistical analyses examining factors diminishing quality of life: negative experiences, stigma, and psychosocial symptoms among females affected by the virus after the outbreak. The research presents a thorough literature review, including research related to other infectious diseases like HIV/AIDS, to inform the gap in studies on Ebola’s effects on quality of life. Women who are Ebola virus disease survivors demonstrate significant differences in stigma and psychosocial stress when …

Burnout And Depression: Label-Related Stigma, Help-Seeking, And Syndrome Overlap, Renzo Bianchi, Jay Verkuilen, Romain Brisson, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

We investigated whether burnout and depression differed in terms of public stigma and help-seeking attitudes and behaviors. Secondarily, we examined the overlap of burnout and depressive symptoms. A total of 1046 French schoolteachers responded to an Internet survey in November–December 2015. The survey included measures of public stigma, help-seeking attitudes and behaviors, burnout and depressive symptoms, self-rated health, neuroticism, extraversion, history of anxiety or depressive disorder, social desirability, and socio-demographic variables. The burnout label appeared to be less stigmatizing than the depression label. In either case, however, fewer than 1% of the participants exhibited …

The Epidemic Of Mental And Neurological Health, Mohsyn I. Malik

Psychology Publications

This paper composes an image of modern mental and neurological health issues and looks to draw links to the current epidemic based on research and studies found online the internet and off-line. The goal is to examine what may be the underlying problem for a lot of these increases in mental health issues and neurodegenerative diseases and what are some promising clinical and sociocultural advances that may help. It explores problems such as the negative impact of the pharmaceutical giants, the increase in apathy in the work place and the general stigma towards mental disease. Through current research, the use …

Have You Hugged A Soldier Today? Veterans Struggle With Invisible Wounds Of War From Vietnam To Afghanistan, Gabe Mora

History Theses

the misinformation about Post-traumatic stress disorder (PTSD) in American society has lead to the stigmatization and discrimination of veterans since the war in Vietnam. PTSD was not a formal diagnosis until 1980, resulting in negative public perception of veterans suffering with this mental illness. Even today as research and information about the disorder has become increasingly available to the public, veterans of the Iraq and Afghanistan wars are facing the same discrimination's as the veterans of Vietnam during their transitions back to civilian life.

The Effect Of Gender Role And Males' Attitudes Toward Receiving Mental Health Therapy, Christina H. Thomas

Graduate Theses

The purpose of this research study was to build upon previous research pertaining to gender role and young adult male attitudes towards receiving mental health therapy. An additional purpose of the study was to explore the relationship between media exposure and attitude toward mental health therapy. The first hypothesis was that there would be a positive correlation between gender role scores and attitudes with the BEM Sex- Role Inventory (BSRI) and with scores on attitudes with the Attitudes Towards Seeking Professional Psychological Help Scale (ATSPPHS) in young adult males. The second hypothesis was that young adult males who watched a …

Psychological Care For Persons Of Diverse Religions: A Collaborative Continuum, Glen Milstein, Anne Marie Yali

Publications and Research

The purpose of this paper is to describe to psychologists and other clinicians a continuum of mental health care for persons of diverse religions. The continuum delineates boundaries between clinical care provided by mental health professionals and religious care provided by clergy, as well as describes pathways of collaboration across these boundaries. A prevention science based model of Clergy Outreach and Professional Engagement (COPE) is offered to guide this collaboration. The model describes a continuum that moves from the care already present in religious communities, through professional clinical care provided in response to dysfunction and returns persons to their own …