Social and Behavioral Sciences Commons^™

Opioid Use And Borderline Personality Disorder Features: Implications For Postpartum Maternal Self-Efficacy, Andrea Gorrondona

Doctoral Dissertations

The current study sought to understand and explore the experiences of pregnant individuals who use opioids as previous research has mainly focused on identifying potential negative implications (Ryan, Marsh, Testa, & Louderman, 2006; Choi & Ryan, 2007; Grella, Needell, Shi, & Hser, 2009; de Bernabe et al., 2004). The initial sample included 178 total participants recruited from a high-risk pregnancy clinic during their pregnancy. Borderline features, approximation of borderline personality disorder (BPD) diagnosis (determined using a cutoff score of self-reported features, Kurt & Morey, 2001), opioid use status in pregnancy, and postpartum opioid use status were evaluated as potential predictors …

Anxiety Severity And Prescription Medication Utilization In First-Time Medical Marijuana Users, Karen L. Dugosh, Megan M. Short, Paulina Syracuse, Thomas R. Mccalmont, Michelle R. Lent

PCOM Scholarly Papers

Background

Anxiety and post-traumatic stress disorder (PTSD) are qualifying psychiatric conditions for medical marijuana (MM) treatment in Pennsylvania. This study examined baseline prevalence and changes in prescription anxiety medication use three months following MM treatment initiation among individuals with these qualifying conditions.

Methods

The study sample was comprised of 108 adults with anxiety or PTSD as a referring condition; they were enrolled in a longitudinal study evaluating biopsychosocial outcomes in new MM patients. Consenting participants completed an assessment battery at baseline and Month 3 (n = 94, 87 % follow-up rate) that included a measure of anxiety severity and …

A Mixed-Methods Exploration Of Emergency Service Use In Autistic Youth And Young Adults, Rebecca S. Bradley

Graduate Theses and Dissertations

Autistic youth are at an increased risk for needing emergency services as compared to neurotypical peers. In fact, approximately 20% of autistic youth will interact with police by the age of 21, and rates of emergency department visits are 30 – 70% higher among autistic individuals than neurotypical peers. While research has begun to explore the nature of emergency service use in this group, researchers have not yet assessed important individual-, family-, and community-level factors that may be associated with these encounters. This study aimed to address this gap in the field by 1) characterizing families of autistic children who …

Cerebrospinal Fluid Biomarkers Not Associated With Neurologic Compromise Among Mild Cognitively Impaired Reverters With Parkinson's Disease, Cameron Ryczek

Electronic Theses, Projects, and Dissertations

Parkinson's Disease (PD) is a neurodegenerative disease characterized by motor (e.g. tremors) and non-motor symptoms (e.g. cognitive impairment). PD patients' change in cognitive functioning can be observed using the following classifications: cognitively intact, mild cognitive impairment (MCI), or dementia (PDD). MCI has many subtypes, one of which is MCI reversion which is defined as those with MCI at one time point reverting to cognitively intact later. While there is limited research into the utility of MCI reversion and its relationship with cerebrospinal fluid (CSF) biomarkers in PD, this study will begin to elucidate this relationship. To this end, data from …

Nonmedical Stimulant Use In An Undergraduate College Student Sample: Demographics, Academics, Stress, And Other Substance Use, Ashley Skye Vanover, Meredith K. Ginley, Shelby Whalan

Undergraduate Honors Theses

Nonmedical use of prescription stimuluants (NMUS) can cause adverse outcomes for college students including academic impediments, such as a lowered GPA, and polyuse of illicit substances (Garcia et al., 2021; Holt & McCarthy, 2019; Norman & Ford, 2018). The current study investigated the demographics, academics, stress, and polysubstance use between students who endorsed NMUS and those who did not in an undergraduate college population sample at a large public university in the Southeast. The sample consisted of 429 undergraduate students who completed online measures of demographics, perceived stress, stressful life events, and substance use. Overall, 3.4% of the sample reported …

Knowledge, Attitudes, And Readiness For Integrated Behavioral Health Services Among Primary Care Providers In East Tennessee, Baylee Rose

Undergraduate Honors Theses

Introduction: Individuals in rural areas tend to face unique barriers to accessing mental health care. One possible solution to make mental health services more accessible could be to integrate behavioral healthcare providers into primary care practices. However, the successful integration of behavioral health services into rural primary care is likely reliant on the knowledge, attitudes, and readiness of the primary care practice to initiate the process of integration. The current study aims to describe knowledge, attitudes, and readiness to adopt integrated behavioral health services among primary care providers in rural South-Central Appalachia and to examine how providers’ knowledge and attitudes …

A 21 Year Meta Analysis Of The Effectiveness Of Trauma-Sensitive Schools Initiatives, Megan Ann Blanton

<strong> Theses and Dissertations </strong>

Childhood exposure to adversity is prevalent, with most individuals in the United States having experienced at least one adverse event in childhood (Child and Adolescent Health Measurement Initiative, 2019; Merrick et al., 2018). Low dosages of childhood adversity experienced within the context of a safe and caring home environment can promote the development of healthy coping skills that prepare children for future adversity. However, childhood adversity that is intense, chronic, or complex can result in a toxic stress response that leads to the development of mental illness, physical health concerns, cognitive deficits, academic performance deficits, and in severe cases, premature …

Connections Between Polyvictimization, Daily Stress, Emotion Regulation, And Mental Health Symptoms: An Ecological Momentary Assessment Study., Zoe L. Bridges-Curry

Electronic Theses and Dissertations

Background and Objectives: Individuals who experience polyvictimization, or victimization across multiple life contexts, evidence particularly severe outcomes across a range of mental health diagnoses. Preliminary evidence suggests that emotion regulation difficulties and stress sensitization effects may help explain observed links between trauma exposure and mental health symptoms. However, the use of between-subjects designs to address within-subjects processes – a common approach across this literature – can result in erroneous interpretation of findings. Moreover, widespread reliance on retrospective trait measures of emotion regulation, daily stressors, and mental health symptoms have limited insight into the ways that these processes unfold in daily …

The Effect Of Parent-Child Relationships On Healthcare Utilization Among Children With Chronic Medical Health Concerns, Karina Guerra-Guzman

Theses and Dissertations

Parents of children with chronic health complaints are more likely to utilize healthcare services for their child, and are prone to experiencing increased stress and anxiety related to their child’s compromised health status. As these parents navigate managing their child’s health and integrating parenting behaviors, they are dealt with unique stressors that are likely to impact their parenting styles, anxiety, and use of healthcare services. However, most studies that have examined HCU in the context of parent-child relationships have neglected children with chronic health concerns (CHCs). This study examined the relationship between parenting styles across parents of children with a …

Can Affective Symptomology Predict Somatic Complaints In Symptom Checklists?, Catherine E. Scales

Psychological Science Undergraduate Honors Theses

Introduction: Persistent and medically unexplained somatic symptoms are widespread and pose significant burden to the healthcare system as patients often overuse consultation services when seeking a diagnosis for their symptoms. In turn, this can lead to misdiagnosis and unnecessary treatment. Since somatic symptoms are commonly associated with affective disorders but are not always associated with any specific medical diagnoses, identifying accessible methods of better guiding diagnostic tendencies for clinicians should be a priority.

Methods: Participants (N = 114, Mean age = 18.9) were undergraduate students recruited from the University of Arkansas with no prescreening requirements. Linear regression analyses were utilized …

Examining Nonadherence To Family Values And Anxiety In College Latinas, Veronica Paola Ramirez

Theses and Dissertations

Due to the rapidly growing rate of the Latinx population, mental health professionals must concentrate on finding the best treatments for this population. The group of interest for this study is young Latinas in college with anxiety symptoms. There is some research on how anxiety levels are influenced by one important factor: non-adherence to family values, however, it is important to understand what may direct this relationship. What makes this research study different is that we attempted to use family conflict as a mediator in the relationship. Furthermore, we attempted to see if levels of autonomy and emotion dysregulation …

An Exploration Of Symptom Severity And Suicidal Ideation Within A Sex Addiction Sample, Emily A. Cordova

Master's Theses

Currently sex addiction is not recognized as a mental disorder in the DSM-5-TR, yet it continues to negatively affect a significant number of people annually. The following study aimed to explore the relationships between sex addiction, attachment styles, and suicide-related behavior, and other psychopathology related symptoms as measured by the MMPI-3. Using data from the MMPI-3, the Sexual Dependency Inventory-4^th Edition, the Sexual Addiction Screening Test-Revised, and the Experiences in Close Relationships Scale-Revised, this study explored the relationship between attachment style and sex addiction symptoms, suicidality, and sex addiction severity in a sample of 222 men seeking treatment for …

Does What Doesn’T Kill You Make You Stronger? Examining The Effects Of Resilience And Functional Outcomes On Post-Traumatic Growth In Adults With Acquired Disability, Dominique Renee Ghirardi M.S.

Theses and Dissertations

Disabilities acquired in adulthood are often unexpected and disruptive because a loss of functioning can affect one’s ability to maintain employment, pursue their interests, and participate in social activity without assistance or accommodation. This is especially true for those who experience a life-altering injury or develop a chronic health condition between the ages of 18 and 64, as they likely have not planned for the financial and social adjustments that life with a disability involves. However, factors such as post-traumatic growth can reveal the extent to which someone experiences personal growth and improvement in the wake of a traumatic and …

Emotion Regulation Flexibility: Investigating Perseverative Thinking As A Novel Context, Beatris Garcia

Arts & Sciences Electronic Theses and Dissertations

Emotion regulation (ER) flexibility is a rapidly evolving field within affective science. Current advances have identified context sensitivity as a leading method for measuring ER flexibility, largely focusing on affectivity and situational control as markers of context. In this study, we propose an innovative approach to expand the list of contextual features tied to ER flexibility by using a framework based on Perseverative Thinking (PT). We examined seven PT dimensions, including pleasantness, repetitiveness, self-focus, other-focus, certainty, controllability, and temporal orientation, along with six ER strategies: reappraisal, acceptance, problem solving, expressive suppression, distraction, and cognitive avoidance. Once a day over the …

Bisexuality, Biphobia, And Its Effects On Sexual Identity, Religious Identity And Mental Health: Examining Clinical Implications, Diana Ramirez

Dissertations

Bisexuality is a sexual orientation, sometimes known as “bi,” that includes sexuality in which certain people are attracted to more than one sex and gender. Bisexuality differs from other sexual- and gender-nonconforming experiences (McInnis et al., 2022). According to Ross et al. (2018), bisexuality is frequently described as an invisible sexual orientation, and only in the last 20 years has research on biphobia and bisexuality increased (McInnis et al., 2022). Experiences unique to bisexuality include bisexual invisibility from a societal level (Dyar et al., 2015), bisexuals are more prone to experience sexual orientation instability (Bostwick et al., 2014), and bisexual …

Linguistic Impact On The Use Of The Reliable Digit Span For Performance Validity In A Sample Of English-Spanish Bilingual Adults, Amy Polinsky

Student Theses

Performance validity tests (PVTs) are used alongside neuropsychological assessments to help detect suspect effort. One of the most widely used PVTs, the Reliable Digit Span (RDS), and its latest version, the RDS-revised (RDS-R), have been widely accepted as valid and reliable within the general population. However, as the United States becomes increasingly globalized, questions arise regarding the validity of language-based tests such as the RDS and RDS-R amongst English-Spanish bilingual populations. This study used a within-subject design with 28 bilingual undergraduate students, testing them on the Digit Span (the test that RDS results are based on) in both English and …

Awareness With Paralysis And Symptoms Of Post-Traumatic Stress Disorder Among Mechanically Ventilated Emergency Department Survivors (Ed-Awareness-2 Trial): Study Protocol For A Pragmatic, Multicenter, Stepped Wedge Cluster Randomized Trial., Brian M Fuller, Brian E Driver, Michael B. Roberts, Christa A Schorr, Kathryn Thompson, Brett Faine, Julianne Yeary, Nicholas M Mohr, Ryan D Pappal, Robert J Stephens, Yan Yan, Nicholas J Johnson, Brian W Roberts

PCOM Scholarly Papers

BACKGROUND: Awareness with paralysis (AWP) is memory recall during neuromuscular blockade (NMB) and can cause significant psychological harm. Decades of effort and rigorous trials have been conducted to prevent AWP in the operating room, where prevalence is 0.1-0.2%. By contrast, AWP in mechanically ventilated emergency department (ED) patients is common, with estimated prevalence of 3.3-7.4% among survivors given NMB. Longer-acting NMB use is a critical risk for AWP, and we have shown an association between ED rocuronium use and increased AWP prevalence. As NMB are given to more than 90% of ED patients during tracheal intubation, this trial provides a …

Attitudes Of Graduate Students Towards Integrating Religion And Spirituality In Therapy, Miranda Lynn Crawford

Walden Dissertations and Doctoral Studies

No abstract provided.

The Role Of Self-Talk In Regulating Public Speaking Anxiety In Ethnically Diverse Young Adults In Canada, Clare Denise Russell Hinch

Electronic Theses and Dissertations

Public speaking is a commonly required skill within academic and workplace settings, and the ability to confidently and effectively communicate orally in group contexts is highly valued. However, public speaking is uncomfortable for many individuals, often associated with behavioural, cognitive, and physiological manifestations of anxiety. This discomfort may be even greater in individuals who are required to speak in a language in which they do not feel adequately proficient. Given the importance of oral communication skills within academic, workplace, and community settings, it is imperative that individuals are able to effectively regulate this anxiety response. One way in which an …

Underlying Mechanisms Of Generalized Anxiety Disorder In An Experimental Fear-Conditioning Paradigm, Melissa Hartnell

Theses and Graduate Projects

The purpose of this study was to examine the potential underlying mechanisms of generalized anxiety disorder (GAD) including fear generalization, maladaptive avoidance, and intolerance of uncertainty (IU) in a sample of adults with GAD, as compared to healthy controls in the context of a lab-based fear conditioning paradigm. The current study utilized data from the University of Minnesota ANGST Laboratory’s Danger Zone – Research Domain Criteria (DZ-RDoC) neuroimaging study. Participants consisted of 40 individuals ranging from ages 18-60, with 19 meeting criteria for GAD (M age = 30.57, SD = 11.70) and 21 healthy controls (M age = …

The Fear-Avoidance Model And Persistent Post-Concussion Symptoms In University Students, Michael Broggi

Doctoral Dissertations

Ten to 20% of individuals who sustain a concussion continue to experience symptoms outside the typical window of recovery. Pre-morbid and post-injury anxiety are risk-factors for persistent post-concussion symptoms (PCS). However, mechanisms linking anxiety and persistent PCS are unclear. The fear-avoidance model of disability could add clarity to associations between anxiety and persistent PCS. This study examined if factors of the fear-avoidance model (e.g., catastrophic thinking, fear of symptoms, anxiety sensitivity) would mediate the association between persistent PCS and maladaptive coping responses (e.g., avoidance, limiting activities) following concussion. To achieve this aim, university students (N = 43) with resolved …

A Latent Profile Analysis Of Four Characteristics Of Intimate Partner Violence And Associations With Posttraumatic Stress Symptoms, Ana Uribe

Masters Theses

Intimate partner violence (IPV) is a prevalent potentially traumatic experience that increases risk for posttraumatic stress symptoms (PTSS). However, there is still considerable heterogeneity in PTSS among women exposed to IPV. Research on IPV has examined the ways in which different characteristics of IPV exposure have separately related to risk for PTSS, specifically the type (physical, psychological, economic, sexual), frequency (number of incidents), severity (minor, severe), and mode of violence (in-person, online). However, it may be important to examine how the integration of these characteristics of IPV differ across ���������������������� ���� ������ ���� ������������ �������������������� �������������� ���������� The current study …

Professional And Personal Humility In Relation To Between-Therapist Differences In Effectiveness, Heather Muir

Doctoral Dissertations

Objective: Research demonstrates that mental health clinicians vary in their general effectiveness—the “between-therapist effect.” Thus, it is important to identify determinants of such differences in order to understand and cultivate the therapist characteristics or actions that reliably foster better patient outcomes. To date, several of such variables have emerged empirically. For example, therapists who exhibit higher versus lower levels of professional self-doubt (PSD; a critical questioning of one’s skills as a clinician) have been shown to achieve better interpersonal outcomes with their average patient. Although arguably counterintuitive, the beneficial influence of PSD may make sense if, instead of simply reflecting …

U.S. Military Veterans Transition To Two Midwest Universities: Post-Traumatic Stress Disorder, Moral Injury, And Academic Outcomes, Malychanh T. Bartlett

Dissertations

Abstract

Objective: To examine the association between posttraumatic stress disorder (PTSD) and moral injury (MI) and the extrinsic factors of the degree of negative patterns of healthy behaviors and negative experiences in an academic setting, the moderating effects of social support on PTSD and MI symptomatology, and the perception of academic success and positive perception of academic experience. Additionally, to examine the mediating effect of intrinsic factors (perceived academic experience) on academic outcomes objectively and subjectively.

Background: Student veterans as non-traditional students face challenges transitioning to the academic environment. Some have underlying mental and psychological complications of PTSD and MI, …

The Impact Of Cognitive Reserve On Baseline Neuropsychological Functioning Of Older Adults Without Dementia, Jarod Joshi

Electronic Theses and Dissertations

Background: For decades, a key question that has been posed by the cognitive aging literature is how do we preserve our cognitive abilities throughout the lifespan? This thesis examined the influence of cognitive reserve (CR) on different domains of cognitive functioning in a sample of older adults with varying levels of cognitive functioning, ranging from normal cognitive aging to mild cognitive impairment. To date, little research has used latent variable modelling to examine the potential relationships between cognitive reserve and cognition in older adults without dementia. Objectives: To examine the (1) cumulative and (2) independent effects of three well-established proxies …

The Effectiveness Of Computerized Neurofeedback As An Accompanying Or Alternative Therapeutic Intervention For Pharmacological Treatment In Improving Attention And Other Symptoms For Children With Attention Deficit Hyperactivity Disorder (Adhd), Eqbal Z. Darandari Phd, Nouf F. Alsultan

International Journal for Research in Education

This study aimed to investigate the effectiveness of a treatment program using computerized neuro-feedback in improving attention for children with attention deficit hyperactivity disorder (ADHD). To achieve the aim of the study, the computerized neurofeedback program was applied to (56) children diagnosed with (ADHD), aged between (7-11) years. They were distributed into four groups: the first group was subjected to combined intervention (neurofeedback & pharmacological treatment), the second group was subjected to (neurofeedback only), while the third group was exposed to the intervention using (pharmacological treatment only), and the fourth group was (not exposed to any intervention). Test of Variables …

Examining The Evidence Base For Burnout, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Burnout has elicited growing interest among occupational health specialists in recent decades. Since 2019, the World Health Organization has characterized burnout as a syndrome resulting from chronic, unmanageable workplace stress. According to the ICD-11, three symptoms define the entity: feelings of exhaustion, increased mental distance from one’s job, and a sense of ineffectiveness at work, all of which correspond to the structure of the Maslach Burnout Inventory. The ICD-11 includes burnout among the factors that influence health status. This paper calls into question that conceptualization based on a number of lines of evidence. The evidence includes the following: burnout was …

Maladaptive Daydreaming And Social Anxiety: Prevalence And The Mediating Role Of Emotional Regulation, Riffa Fathima Abuthahir

Theses

Previous studies have generated mixed evidence regarding the magnitude of the prevalence of Maladaptive Daydreaming (MD). In addition, although previous studies have identified an association between Maladaptive Daydreaming (MD) and Social Anxiety (SA), literature is sparse in exploring the underlying factors such as emotional regulation difficulties that might mediate this relationship. The current study attempted to investigate the prevalence of MD and self-perceived levels of Social Anxiety (SA) among undergraduate students in the United Arab Emirates (UAE). It also attempted to explore whether difficulties in regulating emotions mediate the relationship between MD and self-perceived levels SA. A cross-sectional design with …

Exploring The Relationship And Impact Of Islamic Religious Coping On The Meaning Made Following The Loss Of A Loved One, Yara Ihab Am Ali

Theses

Coping after a loss of a loved one can play out differently for different individuals. The existing literature examines coping with loss and bereavement, but it is often with specific types of loss, and usually with western populations or religions. This paper examines the impact of Islamic religious coping onto the meaning made (integration of stressful event) following the loss of a loved one to death, in a diverse ethnic background sample population of various Muslims who have experienced loss in the past 5 years. The study focuses specifically on positive religious coping, and whether it would have a positive …

Chaotically-Disengaged Family Functioning And Depressive Symptoms In Muslim University Students: The Mediating Effect Of Psychological Flexibility And Self-Compassion, Sabina Ioana Varga

Theses

Depression is one of the most prevalent mental health issues among university students. Growing evidence suggests an association between impaired family functioning and increased depressive symptoms. However, there is a gap in the literature with regards to the factors that mediate this relationship. Psychological flexibility and self-compassion are two factors that have been previously linked to both family functioning and depressive symptoms. The present study aims to investigate the mediation role of psychological flexibility and self-compassion on the association between chaotically-disengaged family functioning and depressive symptoms in Muslim university students. Whilst previous studies have been conducted in this topic area …