Social and Behavioral Sciences Commons^™

Telehealth: A Rising Intervention For Latina Mothers Experiencing Prenatal And Postpartum Depression, Britney Gutierrez

Nursing | Student Research Posters

Abstract: Background: Postpartum depression (PPD) is high among Latina women but often goes unrecognized and untreated. Recognition and management of PPD in this population is crucial as PPD contributes to negative health effects on the mother and infant. Purpose: This research aims to look into telehealth to improve screening methods and treatment for Latina mothers through a Spanish mobile health application that will provide screening and education on PPD. Method: This mixed-method quality improvement study will include 300 participants from an OB-GYN and Pediatrics community clinic, > 18 years old, of Hispanic/Latino ethnicity, Spanish speaking, currently pregnant, or had a child …

Toward A Better Criminal Legal System: Improving Prisons, Prosecution, And Criminal Defense, David A. Harris, Created And Presented Jointly By Students From State Correctional Institution - Greene, Waynesburg, Pa, And University Of Pittsburgh School Of Law, Chief Editor: David A. Harris

Articles

During the Fall 2023 semester, 15 law (Outside) students from the University of Pittsburgh School of Law and 13 incarcerated (Inside) students from the State Correctional Institution – Greene, in Waynesburg, Pennsylvania, took a full semester class together called Issues in Criminal Justice and Law. The class, occurring each week at the prison, utilized the Inside-Out Prison Exchange pedagogy, and was facilitated by Professor David Harris. Subjects include the purposes of prison, addressing crime, the criminal legal system and race, and issues surrounding victims and survivors of crime. The course culminated in a Group Project; under the heading “improving the …

Telehealth: A Rising Intervention For Latina Mothers Experiencing Prenatal And Postpartum Depression, Britney Gutierrez

Nursing | Senior Theses

Background: Postpartum depression (PPD) is high among Latina women but often goes unrecognized and untreated. Recognition and management of PPD in this population is crucial as PPD contributes to negative health effects on the mother and infant. Purpose: This research aims to look into telehealth to improve screening methods and treatment for Latina mothers through a Spanish mobile health application that will provide screening and education on PPD. Method: This mixed-method quality improvement study will include 300 participants from an OB-GYN and Pediatrics community clinic, > 18 years old, of Hispanic/Latino ethnicity, Spanish speaking, currently pregnant, or had a child within …

Studying Borderline Personality Disorder And Childhood Trauma: Exploring Clinicians’ Lived Experiences And Attitudes Toward Treating Bpd Individuals, Tracy F. Coggins

Doctoral Dissertations and Projects

A recurring theme in research on borderline personality disorder (BPD) and childhood trauma was the stigma associated with a BPD diagnosis often resulting in barriers to recovery processes and challenges to treatment for this population. The purpose of this transcendental phenomenological study focused on the lived experience of licensed clinicians who work with BPD clients, with the aim to find common themes experienced by clinicians regarding clinicians’ BPD clients, what successes and challenges experienced by clinicians led to their attitudes and perspectives toward treating BPD clients, and what perspectives clinicians have regarding what resources (education, training, etc.) are available in …

Equity And Access To Care: Barriers To Diagnostic And Treatment Services For Black Families Of Autistic Youth, Harlee Onovbiona

Graduate Theses and Dissertations

Numerous barriers to diagnostic and treatment access are present for families concerned their child might have autism spectrum disorder (ASD; e.g., long waitlists, limited specialized providers). However, Black families of autistic youth may experience additional racial barriers (e.g.., racial microaggressions, perceived stigma) due to the intersectionality of their child's disorder and their identity as Black Americans, a group that is systematically minoritized in the United States. Despite the importance of early identification and intervention, little research has documented how these barriers to treatment participation may impact perceived treatment effectiveness, treatment satisfaction, and stress among Black families of autistic youth. This …

Taijiquan In The Prevention Of Symptoms Of Parkinson’S Disease – A Comparative Analysis Of Research Results, Malgorzata Kawa, Mateusz Kajnat, Krzysztof Klukowski

Baltic Journal of Health and Physical Activity

The primary symptom in Parkinson’s disease (PD) is a progressive disorder of motor functions. Despite constant pharmacological treatment, the patient’s daily functioning ability diminishes, leading to deterioration in the quality of life. Clinical and experimental studies show that systematic use of physical exercise delays the build-up of motor impairments in Parkinson’s disease by prolonging patients’ functional independence and thereby improving their quality of life. Systematic physical activity, such as resistance, balance, and stretching exercises (elements of aerobics, Nordic walking, dance, tai chi, or the use of Taijiquan martial arts), is considered as possibly useful therapy in symptomatic treatment of PD. …

Understanding Service Gaps And Support Opportunities In The Treatment Of Childhood Anxiety, Chelsey R. Masson

Electronic Thesis and Dissertation Repository

Globally, anxiety disorders represent the most prevalent mental health disorders in children and youth (Polanczyk et al., 2015), with an increasing number of individuals perceiving the need for professional help (Georgiades et al., 2019). It is unclear, however, where families are seeking help from, what barriers families are facing, and what services are being provided for effective management of symptoms. Two methods were used to investigate possible treatment support models; a questionnaire identified patterns in parental help-seeking behaviours and outlined perceived barriers to professional help, while a scoping review examined key components of parent/caregiver treatment models. Findings showed that parents …

Exploring The Role Of Core Positive Selves With Men Convicted Of Child Sexual Offenses: A Character Strengths Initiative, Tiffany A. Miner

Individual, Family, and Community Education ETDs

The aim of this study was to help men convicted of child sexual offenses learn to recognize and engage their character strengths over 12 months. Participants were six men convicted of contact and noncontact (internet) child sexual offenses. All participants were members of a community-based reintegration group for registered citizens. In the first weeks of the study, participants received the Values in Action Inventory of Strengths survey. The survey, containing 240 questions—10 items for each of the 24 character strengths outlined—helped participants identify their top character strengths. The study explored (a) how the men could use their character strengths to …

Exploring Differential Effects Of Therapeutic Alliance Across Treatment Therapies, Alexandra T. Tonigan

Individual, Family, and Community Education ETDs

Effects of therapeutic alliance has been widely studied for depression, anxiety, and interpersonal problems and been found to have small to moderate positive outcomes. Consistent findings are lacking, however, regarding the relationship between therapeutic alliance, treatment therapy, and client characteristics, in alcohol use disorder (AUD) treatment.

The current paper utilizes data from Project MATCH to assess the differential effects of therapeutic alliance on 12-month alcohol abstinence across clients receiving Cognitive Behavioral Therapy (CBT), Motivational Enhancement Therapy (MET), and Twelve Step Facilitation (TSF) treatment. Moreover, higher order interactions were explored to determine whether such effects differed across client characteristics. This research …

Examining The Efficacy Of A School-Based Mental Health Program In Iowa, Karen A. Rodriguez

Walden Dissertations and Doctoral Studies

Evidence shows that treating mental health issues positively impacts academic and other life outcomes for students. However, there remains a gap in knowledge specific to academic outcomes and to rural school districts. It is important for mental health providers, educators, and third-party payers to gain an understanding of how treating mental health in the school setting affects student performance. The purpose of this quantitative study, which had contribution analysis as its theoretical framework, was to examine the academic and behavioral outcomes of participating in a school-based mental health (SBMH) program in rural school districts in Iowa. The specific focus was …

Adding Acceptance And Commitment Therapy To Exposure And Response Prevention For Obsessive-Compulsive Disorder: A Randomized Controlled Trial, Michael P. Twohig, Jonathan S. Abramowitz, Brooke M. Smith, Laura E. Fabricant, Ryan J. Jacoby, Kate L. Morrison, Ellen J. Bluett, Lillian Reuman, Shannon M. Blakey, Thomas Ledermann

Psychology Faculty Publications

The objective of this study was to test whether treatment acceptability, exposure engagement, and completion rates could be increased by integrating acceptance and commitment therapy (ACT) with traditional exposure and response prevention (ERP). 58 adults (68% female) diagnosed with obsessive-compulsive disorder (OCD; M age = 27, 80% white) engaged in a multisite randomized controlled trial of 16 individual twice-weekly sessions of either ERP or ACT + ERP. Assessors unaware of treatment condition administered assessments of OCD, depression, psychological flexibility, and obsessional beliefs at pretreatment, posttreatment, and six-month follow-up. Treatment acceptability, credibility/expectancy, and exposure engagement were also assessed. Exposure engagement was …

Utilizing A School-Based Treatment To Address Socially Anxious Elementary School Students, Mckell Nelson

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Despite the availability of promising clinic-based programs, youth exhibiting socially anxious behaviors rarely receive the treatment they may need. Those that do get treatment, often do so in the school setting. Thus, the demand for effective interventions to address those needs in the school-setting is growing. The present study investigated the effects of a modified CBT intervention, delivered in the school setting, on positive peer interactions and self-rating social anxiety. Results showed that the treatment package provided an increase in positive peer interactions across all four participants, as well as a decrease in self-rated anxiety behaviors.

Therapeutic Effects Of Prolonged Cannabidiol Treatment On Psychological Symptoms And Cognitive Function In Regular Cannabis Users: A Pragmatic Open-Label Clinical Trial, Nadia Solowij, Samantha J. Broyd, Camilla Beale, Julie-Anne Prick, Lisa-Marie Greenwood, Hendrika H. Van Hell, Chao Suo, Peter Galettis, Nagesh B. Pai, Shanlin Fu, Rodney J. Croft, Jennifer H. Martin, Murat Yucel

Faculty of Social Sciences - Papers (Archive)

Chronic cannabis use has been associated with impaired cognition and elevated psychological symptoms, particularly psychotic-like experiences.

Prolonged Cannabidiol Treatment Effects On Hippocampal Subfield Volumes In Current Cannabis Users, Camilla Beale, Samantha J. Broyd, Yann Chye, Mark M. Schira, Peter Galettis, Jennifer H. Martin, Murat Yucel, Nadia Solowij

Faculty of Social Sciences - Papers (Archive)

No abstract provided.

Perceived Stigma And Social Support In Treatment For Pharmaceutical Opioid Dependence, Sasha Cooper, Gabrielle Campbell, Briony K. Larance, Bridin Murnion, Suzanne Nielsen

Faculty of Social Sciences - Papers (Archive)

Introduction and Aims The dramatic increase in pharmaceutical opioid (PO) use in high‐income countries is a growing public health concern. Stigma and social support are important as they may influence treatment uptake and outcomes, yet few studies exist regarding perceived stigma and social support among people with PO dependence. The aims of the study are to: (i) compare characteristics of those with PO dependence from iatrogenic and non‐iatrogenic causes; (ii) document perceived stigma and its correlates in people in treatment for PO dependence; and (iii) examine correlates of social support in people in treatment for PO dependence. Design and Methods …

An Exploration Of Values Among Consumers Seeking Treatment For Borderline Personality Disorder, Simone Mohi, Frank P. Deane, Anne Bailey, Dianne M. Mooney-Reh, Danielle L. Ciaglia

Faculty of Social Sciences - Papers (Archive)

Background

Consumer feedback identifies a new challenge in the treatment of borderline personality disorder (BPD) is to address the discrepancy between clinical treatment targets and the more personally meaningful goals people are seeking in treatment. This highlights the need to increase clarification of people’s values and link these to therapy goals. The current study explores ways in which individuals with BPD identify with values across key life domains.

Methods

At initial assessment 106 consumer participants attending an outpatient clinic for the treatment of BPD completed the Personal Values Questionnaire by Blackledge and colleagues. This 90-item measure asks participants to respond …

Opioid Agonist Treatment For Patients With Dependence On Prescription Opioids, Suzanne Nielsen, Briony K. Larance, Nicholas Lintzeris

Faculty of Social Sciences - Papers (Archive)

Clinical Question Are different opioid agonist treatments (eg, methadone vs buprenorphine) associated with differences in efficacy for treating prescription opioid dependence, and is long-term maintenance of opioid agonist treatment associated with differences in efficacy compared with opioid taper or psychological treatments alone? Bottom Line For patients who are dependent on prescription opioids, long-term maintenance of opioid agonists is associated with less prescription opioid use and better adherence to medication and psychological therapies for opioid dependence compared with opioid taper or psychological treatments alone. Methadone maintenance was not associated with differences in therapeutic efficacy compared with buprenorphine maintenance treatment. Evidence quality …

Cognitive And Psychological Flexibility After A Traumatic Brain Injury And The Implications For Treatment In Acceptance-Based Therapies: A Conceptual Review, Diane L. Whiting, Frank P. Deane, Grahame K. Simpson, Hamish J. Mcleod, Joseph Ciarrochi

Faculty of Social Sciences - Papers (Archive)

2015 Taylor & Francis This paper provides a selective review of cognitive and psychological flexibility in the context of treatment for psychological distress after traumatic brain injury, with a focus on acceptance-based therapies. Cognitive flexibility is a component of executive function that is referred to mostly in the context of neuropsychological research and practice. Psychological flexibility, from a clinical psychology perspective, is linked to health and well-being and is an identified treatment outcome for therapies such as acceptance and commitment therapy (ACT). There are a number of overlaps between the constructs. They both manifest in the ability to change behaviour …

Non Medical Prescription Drug Use In Rural Communities And Social Work, Izetta Mounice Briggs-Bolling

Walden Dissertations and Doctoral Studies

This study explored the roles and responsibilities of social workers providing services to nonmedical prescription drug users (NMPDU). Researchers have indicated NMPDU disproportionately affects people living in rural communities. The overarching research question sought to explore the concerns of social workers when providing services to patients coping with NMPDU in the rural community of Ulster County, New York. The intention was to examine systemic challenges facing rural social workers when attempting to decrease morbidity risks and increase the health of Ulster County residents. A total of 7 social workers participated in 3 focus groups to explore their ideas for defining, …

Alprazolam Use And Related Harm Among Opioid Substitution Treatment Clients - 12 Months Follow Up After Regulatory Rescheduling, Rachel M. Deacon, Suzanne Nielsen, Stefanie Leung, Gonzalo Rivas, Tim Cubitt, Lauren A. Monds, Nadine Ezard, Briony K. Larance, Nicholas Lintzeris

Faculty of Social Sciences - Papers (Archive)

Background Alprazolam, has been associated with disproportionate harms compared to other benzodiazepines, especially among people in opioid substitution treatment (OST). We examine the effect of the rescheduling of alprazolam in Australia, from Schedule 4 to Schedule 8 in February 2014 amongst a high-risk population of clients in OST. Methods OST participants who reported recent (last month) alprazolam use were recruited from three Sydney clinics. Participants (n = 57) were interviewed immediately prior to rescheduling and again three months and 12 months after rescheduling. We examined self-reported patterns of drug use, drug availability, mental and physical health. A linear mixed models …

Opioid Agonist Treatment For Pharmaceutical Opioid Dependent People (Review), Suzanne Nielsen, Briony K. Larance, Louisa Degenhardt, Linda Gowing, Chyanne Kehler, Nicholas Lintzeris

Faculty of Social Sciences - Papers (Archive)

Background There are increasing concerns regarding pharmaceutical opioid harms including overdose and dependence, with an associated increase in treatment demand. People dependent on pharmaceutical opioids appear to differ in important ways from people who use heroin, yet most opioid agonist treatment research has been conducted in people who use heroin. Objectives To assess the effects of maintenance agonist pharmacotherapy for the treatment of pharmaceutical opioid dependence. Search methods The search included the Cochrane Drugs and Alcohol Group's Specialised Register of Trials; the Cochrane Central Register of Controlled Trials (CENTRAL, 2015, Issue 5); PubMed (January 1966 to May 2015); EMBASE (Ovid) …

Length Of Stay As A Predictor Of Reliable Change In Psychological Recovery And Well Being Following Residential Substance Abuse Treatment, Brie Turner, Frank P. Deane

Faculty of Social Sciences - Papers (Archive)

Purpose Longer length of stay (LOS) in residential drug and alcohol treatment has been associated with more favourable outcomes, but the optimal duration has yet to be determined for reliable change indices. Optimal durations are likely a function of participant and problem characteristics. The current study aims to determine whether LOS in a residential therapeutic drug and alcohol treatment community independently predicts reliable change across a range of psychological recovery and well being measures.. Design/methodology/approach Three hundred and eighty clients from Australian Salvation Army residential drug and alcohol treatment facilities were assessed at intake and three months post-discharge using the …

Adesão Ao Tratamento Nas Perturbações Psiquiátricas: O Impacto Das Atitudes E Das Crenças Em Profissionais De Serviços De Psiquiatria E Saúde Mental Em Portugal. Parte I: Aspetos Conceptuais E Metodológicos, Ana Cardoso, Mitchell K. Byrne, Miguel Xavier

Faculty of Social Sciences - Papers (Archive)

Introduction Among the chronic health diseases are psychiatric disorders and it is well established that within this population there is a particularly high prevalence of non‐adherence to treatment. Methods Narrative review, of relevant literature. Results The majority of the research has focused primarily on the factors related to the patient that interfere with treatment adherence. However, there are studies that seem to indicate that the responsibility for increasing adherence is more related with the health professional than the patient. Conclusions Through the identification of factors associated with clinicians, we enable the development strategies to increase skills in mental health professionals …

An Organisational Change Intervention For Increasing The Delivery Of Smoking Cessation Support In Addiction Treatment Centres: Study Protocol For A Randomized Controlled Trial, Billie Bonevski, Ashleigh Guillaumier, Anthony Shakeshaft, Michael P. Farrell, Flora Tzelepis, Scott Walsberger, Catherine A. D'Este, Christine L. Paul, Adrian Dunlop, Andrew Searles, Peter James Kelly, Rae Fry, Robert Stirling, Carrie Fowlie, Eliza Skelton

Faculty of Social Sciences - Papers (Archive)

Background: The provision of smoking cessation support in Australian drug and alcohol treatment services is sub-optimal. This study examines the cost-effectiveness of an organisational change intervention to reduce smoking amongst clients attending drug and alcohol treatment services. Methods/design: A cluster-randomised controlled trial will be conducted with drug and alcohol treatment centres as the unit of randomisation. Biochemically verified (carbon monoxide by breath analysis) client 7-day-point prevalence of smoking cessation at 6 weeks will be the primary outcome measure. The study will be conducted in 33 drug and alcohol treatment services in four mainland states and territories of Australia: New South …

Cancer Treatment During Martha Mcmillan's Time (1913), Taylor L. Stephens

Martha McMillan Research Papers

No abstract provided.

Factors Associated With The Development Of Depression In Chronic Non-Cancer Pain Patients Following The Onset Of Opioid Treatment For Pain, Kimberley Smith, Richard P. Mattick, Raimondo Bruno, Suzanne Nielsen, Milton Cohen, Gabrielle Campbell, Briony K. Larance, Michael P. Farrell, Louisa Degenhardt

Faculty of Social Sciences - Papers (Archive)

Background and aims Pharmaceutical opioid prescription rates are increasing globally, however knowledge of their long-term effects on mental health, in particular depression remains limited. This study aimed to identify factors associated with the onset of depression post-opioid use that differ to factors associated with depression post-pain. Method Participants (N=1 418) were a national sample prescribed opioids for chronic non-cancer pain. Age at onset of depression, pain and commencement of opioid medications were collected via structured interview. Results Six in 10 (61%) reported lifetime depression; of those, almost half developed depression after pain and after they started opioid medications (48%). Variables …

Healthy Recovery: An Opportunity To Address Smoking, Diet And Physical Activity As Part Of Alcohol And Other Substance Abuse Treatment, Peter James Kelly

Faculty of Social Sciences - Papers (Archive)

Abstract of a workshop at the ADDICTION 2015: the Australian & New Zealand Addiction Conference, Gold Coast, Australia, 20-22 May.

Study Protocol: A Stepped Wedge Cluster Randomised Controlled Trial Of A Healthy Lifestyle Intervention For People Attending Residential Substance Abuse Treatment, Peter James Kelly, Amanda Baker, Frank P. Deane, Robin Callister, Clare E. Collins, Christopher Oldmeadow, John R. Attia, Camilla Townsend, Isabella Ingram, Gerard Byrne, Carol Keane

Faculty of Social Sciences - Papers (Archive)

Background: Cardiovascular disease and cancer are leading causes of mortality for people with a history of alcohol or other substance use disorders. These chronic diseases share the same four primary behavioural risk factors i.e. excessive alcohol use, smoking, low intake of fruit and vegetables and physical inactivity. In addition to addressing problematic alcohol use, there is the potential for substance abuse treatment services to also address these other behaviours. Healthy Recovery is an 8-session group-based intervention that targets these multiple behavioural health risk factors and was developed specifically for people attending substance abuse treatment. This protocol describes a Cancer Institute …

N-Acetyl Cysteine In The Treatment Of Obsessive Compulsive And Related Disorders: A Systematic Review, Georgina Oliver, Olivia Dean, David A. Camfield, Scott Blair-West, Chee Ng, Michael Berk, Jerome Sarris

Faculty of Social Sciences - Papers (Archive)

Objective Obsessive compulsive and related disorders are a collection of debilitating psychiatric disorders in which the role of glutamate dysfunction in the underpinning neurobiology is becoming well established. N-acetyl cysteine (NAC) is a glutamate modulator with promising therapeutic effect. This paper presents a systematic review of clinical trials and case reports exploring the use of NAC for these disorders. A further objective was to detail the methodology of current clinical trials being conducted in the area. Methods PubMed, Web of Science and Cochrane Library Database were searched for human clinical trials or case reports investigating NAC in the treatment of …

Process Group Vs. Skills Group Modalities In The Treatment Of Individuals Diagnosed With Major Depressive Disorder, Kirk David Duncan

Wayne State University Dissertations

ABSTRACT

PROCESS GROUP

VS.

SKILLS GROUP MODALITIES

IN THE TREATMENT OF INDIVIDUALS DIAGNOSED WITH MAJOR

DEPRESSIVE DISORDER

by

KIRK DAVID DUNCAN

August 2014

Advisor: Dr. George Parris

Major: Counseling

Degree: Doctor of Philosophy

The goal of this study was to evaluate the impact of a process group vs. a cognitive behavioral skills group modality on depression while investigating the effects of facilitator bond on outcomes. Analysis of covariance (ANCOVA) was conducted on the BDI-II posttest scores, and pretest scores served as the covariate and the group membership as the independent variable. When observing Figure 1 there was a visual desired …