Social and Behavioral Sciences Commons^™

Behavioral Health Crisis Intervention For Emergency Department Patients Pending Psychiatric Hospitalization, Colten Wayne Larsen

Doctor of Psychology (PsyD)

Emergency departments (EDs) are often the first access point to services for suicidal patients (Miller et al., 2017) and assessment of risk. Suicide has become the second-most common cause of death for Americans, yet those at the most risk often have limited access to appropriate care. In addition, suicidal patients spend more time in the ED than those with other presenting problems. Compounding the problem is these patients who have the longest length of stay are medically stabilized but don’t receive treatment interventions related to their presenting problem. Together, these findings indicate a need for accessible intervention in the ED. …

Racial And Ethnic Differences In Adverse Childhood Experiences And Health Outcomes In Adulthood, Sallie Mack

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Adverse childhood experiences (ACEs) have been linked to many negative physical and mental health disorders in adulthood. Many individuals in the United States have ACEs, and rates are higher among people of color. Less is known about how to prevent these physical and mental health disorders and symptoms for individuals with ACEs. Five different factors may help in intervening on the negative effects of ACEs. These include: mental wellness, healthy relationships, physical activity, sleep and nutrition (Burke Harris, 2018). This study investigated how these factors influence health in adulthood for individuals with ACEs. The current researcher used data from the …

Developmental Predictors Of Adolescent Mental Health Stigma And A Cluster Randomized Controlled Trial Of "Ending The Silence" In New York City, Joseph S. Deluca

Dissertations, Theses, and Capstone Projects

This study explored predictors of mental health stigma among adolescents and the effectiveness of a school-based mental health stigma reduction and health promotion program, “Ending the Silence” (ETS), developed by the National Alliance on Mental Illness. Youth mental health service use is impacted by many factors, but concern about stigma and low mental health knowledge have been consistently identified as leading barriers to help-seeking. Beyond education and contact program components, existing research on how to design a successful adolescent stigma reduction intervention has been inconclusive. A diverse sample of 206 high school students in New York City participated in the …

A General Education Course Designed To Cultivate College Student Well-Being, Jessica C. Davis

Dissertations, 2020-current

Mental health issues appear to be on the rise across our world, especially within the college student population. Considerable data suggests that today’s students have lower rates of well-being and healthy psychological functioning and higher rates of distress, fragility, and clinically significant mental health problems than seen in previous generations. These findings have led some scholars to define this trend as a college mental health crisis. The purpose of this study was to respond to this crisis via the development and administration of a well-being general education course conceptually grounded in Henriques’ Unified Framework of psychology and psychotherapy (see, Henriques, …

Minority Stress, Social Support, And Mental Health Among Lgbqp+ Religious Disaffiliates, Kate Jablonski

Doctoral Dissertations

The present study investigated the association between four minority stress processes (victimization, internalized heterosexism, rejection sensitivity, and disclosure of sexual orientation identity) and symptoms of depression and anxiety among lesbian, gay, bisexual, queer, pansexual, or otherwise non-heterosexual (LGBQP+) disaffiliates from non-affirming religions, and whether social support mediated these relationships. A nonexperimental, cross-sectional, correlational design was used. Participants were recruited through Reddit, a popular social-networking site, and completed an online survey that assessed experiences of minority stress, perceptions of social support, and symptoms of depression and anxiety. Participants were 161 non-religious, US-born, cisgender, LGBQP+ Reddit-users who identified as having disaffiliated from …

Coping Self-Efficacy As A Potential Moderator Of The Relationship Between Sexual Orientation And Negative Mental Health Outcomes, James M. Macchia

Psychology Theses & Dissertations

Sexual minority individuals (i.e., those who identify as a sexual orientation other than heterosexual) have consistently been linked to an increased risk of negative mental health outcomes. The process of coping can impact the content and severity of said outcomes, and one’s ability to cope is often predicted by the concept known as coping self-efficacy (i.e., one’s belief in his or her ability to cope). This study aimed to assess the effects of sexual orientation, coping self-efficacy, and their interactions on mental health by looking at different aspects of coping self-efficacy as potential moderating variables. Self-perceptions of coping skills were …

Examining The Effects Of Aspects Of Resiliency And Vulnerability On The Relationship Between Experiencing Microaggressions And Mental Health Among Persons Of Color, Amanda K. Blume

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Ethnic minorities experience discrimination frequently, especially a subtle form of discrimination called microaggressions-which are linked with poorer mental health. This study examined protective factors against microaggressions. In this study, responding to microaggressions actively (as opposed to ignoring the situation) was linked with better mental health. When use of active coping strategies was low, microaggressions were associated with lower self-esteem and higher depression and anxiety. Alternatively, when use of active coping styles was high, microaggressions were associated with higher self-esteem and less depression, anxiety, and drug use. Responding to microaggressions is a disengaged way (such as attempting to ignore or avoid …

Cultural And Contextual Influences On Mental Health, Stigma, And Substance Use Among Mena U.S. College Students, Molly Mechammil

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The aim of this dissertation was to investigate whether certain cultural and contextual factors influence Middle Eastern/North African (MENA) college students' mental health, alcohol/marijuana use, and experiences with mental health stigma and help seeking. Research with MENA college students is very limited, which leaves mental health providers with limited information on how to best support MENAs. MENAs report high rates of discrimination, and other research shows that many they may use religion as a way to cope with stressors such as discrimination. I examined whether religious coping might buffer the effects of discrimination on mental health outcomes. I also considered …

Student-Athlete Success: An Examination Of Parenting, Grit, Academic Success, And Mental Health Outcomes, Jackson Howard

Dissertations

Factors such as poor adjustment, substance misuse, and mental health concerns have been found to be detrimental to college student success. Considering this, researchers have focused on investigating protective factors, which may enhance performance in higher education. Specifically, non-cognitive traits, such as grit, or an ability to maintain determination and passion for long-term goals in the face of adversity, and positive parenting strategies, such as psychological autonomy granting, have been tied to positive outcomes for college students in higher education. Conversely, overparenting behaviors and negative outcomes, such as burnout, have been found to be damaging to student success. Student-athletes are …

An Exploration Of Social Networking Use And Mental Health In Transgender, Gender Non-Conforming, Gender Non-Binary, And Gender Fluid Persons, Jennifer Trimpey

Doctoral Dissertations

Social networking sites (SNS) allow for rapid information sharing in online spaces. Research in the general public suggests that extended SNS use corresponds with poor mental health outcomes such as depression and anxiety. Research regarding SNS use in LGBT populations seems to promote interpersonal connectedness. While such studies tend to include gender non-conforming persons (GNC), this group often represents a minimal proportion of participants. This study sought to explore SNS and mental health in persons identifying as GNC. A grounded theory approach was used to analyze the data to develop a substantive theory regarding SNS and mental health in this …

Incorporating Physical Activity In Mental Health Intervention Service Delivery: School Psychologists’ Perspectives, Scott Greenspan

Doctoral Dissertations

Epidemiological data posits that youth in the United States (US) experience significant mental health concerns. Approximately 10% of youth meet criteria for Attention Deficit Hyperactivity Disorder (ADHD) diagnoses (Danielson, Bitsko, Ghandour, Holbrook, & Blumberg, 2018) and approximately 7% of youth have a behavioral conduct problem or anxiety (Ghandour et al., 2018). Literature continues to suggest that physical activity is a viable modality in supporting the mental health of youth (e.g., Ahn & Fedewa, 2011; Annesi, 2005; Biddle et al., 2018). While it is recommended that youth achieve one hour of physical activity daily (Physical Activity Guidelines Advisory Committee [PAGC], 2018), …

Exploration Of Drive For Leanness In Relation To Drives For Thinness And Muscularity, As Well As Their Concurrent Associations With Health-Related Outcomes, Brittany Lang

USF Tampa Graduate Theses and Dissertations

Drive for leanness, the motivation to build lean muscle,as well as obtain low enough body fat content for this muscle to be seen, is a nascent drive construct compared to the more established drives for thinness and muscularity. What little research has been done on drive for leanness has suggested that drive for leanness is more sex neutral, as well as potentially more adaptive,than the other drive variables. However, there is debate regarding the factor structure of drive for leanness, or more specifically,whether drive for leanness is its own unique construct or if it is better described as an amalgamation …

Critically And Creatively Engaging With Trauma-Informed Mental Health Research And Treatment Of Lgbtqia+ Communities As Expressive Arts Therapists: A Literature Review, Kelli Lavallee

Expressive Therapies Capstone Theses

Expressive Arts Therapists are uniquely situated as both artists and mental health counselors working in psychological pedagogy rooted in systems of oppression. Given the arts-based approaches to the therapeutic relationship, it can be unethical to offer these approaches without acknowledgement of the ways in which the arts intersect with social justice, and justice is only viable if practitioners critically review the clinical mental health education they are consuming from the institutions they learn in, specifically trauma-informed mental health research assimilation and treatment approaches for Expressive Arts Therapists in training, practice, and education. A review of the literature in this paper …

An Examination Of Child And Youth Mental Health Service Urgency In Ontario, Valbona Semovski

Electronic Thesis and Dissertation Repository

Ontario’s capacity to treat children and adolescents in mental health crisis is outweighed by the number and needs of individuals requiring treatment. A lack of standardized assessments for prioritizing individuals has contributed to long wait times for treatment and a paucity of information to help prioritize those requiring urgent services. This study examined whether sector (e.g., school, hospital), sex, age, legal guardianship, interpersonal and school conflict, intellectual disability and comorbid health conditions predicted greater mental health service urgency in 61,448 children (ages 4 to 18 years) assessed using the interRAI Child and Youth Mental Health Screener. Additionally, differences in mental …

The Effect Of Communication Medium On Mental Health Outcomes, Brooke Emily Lyon

Communication Studies

This study examined which form of mental health treatment was considered to be most appealing if an individual is seeking help for a mental health related concern. Furthermore, it detected which communication media was perceived to make people feel the most comfortable, bring the most benefits to mental health, and was the easiest to access when it comes to mental health treatment. This study utilized a posttest-only experimental design to manipulate the different images of communication media that participants saw during the context of a hypothetical therapy session (face-to-face, group, or digital application). Following the experiment, differences amongst groups were …

The Impact Of Social Media On Mental Health: A Mixed-Methods Research Of Service Providers’ Awareness, Sarah Nichole Koehler, Bobbie Rose Parrell

Electronic Theses, Projects, and Dissertations

The relationship between heavy use of social media and an increase in mental health disorders has long been established. However, there is a gap in the literature regarding mental health practitioners/providers’ responses to this issue. This mixed-methods research embraced two theoretical perspectives—Ecological Model and Generalist Intervention Model—toward determining the extent to which mental health practitioners/providers assess for the impact of heightened use of social media on mental health. Qualitative and quantitative data were collected from 95 mental health practitioners (N = 95) via Qualtrics.

Non-parametric tests and descriptive statistics showed that prior training, agency’s values, and credentials impact mental health …

Exploration Of Physician Attitudes About Self-Care And Personal Mental Health: Possible Barriers To Physician Well Being, Candich Farrar

Dissertations

The present study was designed to examine physicians’ mental health, attitudes, and behaviors toward self-care and the utilization of mental health services. As the medical field can be very demanding and exhausting, it is believed that many physicians suffer from mental illnesses such as anxiety and depression. However, it was theorized that many physicians do not engage in adequate self-care regimes or seek support and suppress their symptoms, which may further exacerbate their illnesses. A thorough literature review was performed to explore the following: possible barriers to physicians seeking mental health services to address high rates of mental illnesses, physicians …

Using Short Message Services (Sms) To Reduce No-Show Rates An Evidence-Based Practice Project, Matthew Rocklage

Doctor of Nursing Practice Final Manuscripts

Abstract

Background: No-shows (NS) are correlated with reduced treatment efficacy, increased financial burden on medical institutions, and early treatment termination for therapy. NS occur for a variety of reasons and appointment compliance within outpatient mental health clinics has a wide variance with clinics reporting no-shows ranging from 15% to 50%. This section of the project is a continuation started by an earlier USD DNP student Fernando Serrano, in which the projects aims were expanded beyond the participation of nurse practitioners only to now include marriage family therapists (MFT), psychologists and medical residents, and to address the NS rates clinic-wide. One …

Sexual Victimization, Mental Health, And Protective Factors Among Women With Multiple Marginalized Statuses, Gabriela López

Psychology ETDs

Intersectionality (Crenshaw, 1989) and minority stress (Meyer, 2003) frameworks were used as theoretical foundations to examine associations among sexual minority status (e.g., lesbian and bisexual) and race/ethnicity (e.g., White, Black, Latinx), adult sexual victimization and revictimization, mental health symptoms (i.e., depression, anxiety, posttraumatic stress disorder symptoms), and protective factors (i.e., religiosity, spirituality, social support). Participants were 673 women who identified as lesbian/mostly lesbian or bisexual who completed wave 3 of the Chicago Health and Life Experiences of Women (CHLEW) survey. Participants were racially and ethnically diverse, with slightly more women identifying as White (37.4%, n = 261), than Black (36.0%, …

The Relationship Between Extracurricular Activities And The Well-Being Of Undergraduate Students, Angelica C. Galluzzo

Undergraduate Honours Theses

Extracurricular involvement is a large part of the undergraduate student experience. Mental health can be affected when students are both mandated and encouraged to meet certain requirements, whether they are for an academic program or for experience and well-being. The current study was designed to analyze the relationship between extracurricular participation and well-being. The sample included 70 undergraduate students from the University of Western Ontario. Several hypotheses were proposed based on the type of extracurricular activity and well-being measure. The findings supported two out of the five hypotheses advanced, but also produced several other noteworthy findings. The most significant variable …

Estimating Predictors Of Mental Well-Being Through Analysis Of Children’S Drawings: The Case Of Syrian Refugees, Stephanie Smith

Master's Theses

There are currently over 65 million individuals that have been forcibly displaced globally. The cumulative trauma that comes from the refugee experience and exposure to violence has proven to have long-term negative psychological outcomes and thus negative impacts on human capital in the long run. Given that over 50% percent of the global refugee population are children, the ability to efficiently and accurately assess their mental well-being is of critical importance. Using data from over 2000 refugee children in Jordan, I use machine learning techniques to find key predictors of psychological distress, PTSD, and exposure to violence found in children’s …

Sources Of Anxiety In Emerging Adult Relationships: A Qualitative Analysis, Kayla Gay

Honors Projects

Anxiety is a fairly common experience for individuals, but when this anxiety is extreme or prolonged, it can have detrimental effects both emotionally and physically. Previous research has shown that romantic relationships can have both positive and negative impacts on the mental health and levels of anxiety for individuals and that a number of stressors can create anxiety between romantic partners. The aim of this study was to examine the causes and sources of anxiety experienced by emerging adults specifically within their romantic relationships. A sample of six respondents from the Toledo Adolescent Relationship Study (TARS) who had the highest …

Zentangles For Mental Health Awareness, Rachel Immel

Honors Projects

The world is starting to see the rise of a stress related epidemic. Finding time to balance the struggles of everyday life, like academics, finances, careers and relationships, while also maintaining personal mental health is becoming increasingly difficult. This is what prompted me to use my project as an opportunity to help people relieve stress and create a community through the use of art, especially during a time where social interaction has been severely limited due to COVID-19.

My project is a series of live-streamed Zentangle art classes I hosted personally that were open to the public through Zoom. Zentangle …

The Effectiveness Of Implementing A Collaborative Mental Health Approach On Quality Of Life For Individuals Of Low Socioeconomic Status, Tyler Z. Tooley

MSU Graduate Theses

The ultimate purpose of this study is to provide insight and education to mental health clinicians, politicians and the general public of the numerous effects poverty has on mental health, in addition to the most beneficial ways to combat those insidious effects. The specific barriers met by individuals of low socioeconomic status severely affect psychological and physical health, as well as social and environmental relationships, which therefore diminish overall quality of life. The aim of this study is to examine the effectiveness of implementing a collaborative mental health approach for low income individuals on length of engagement in services and …

Trying To Save The Game(R): Understanding The Meaning-Making Process Of Youtube Subscribers Surrounding Mental Health And Video Game Vlogging, Maria Mickles

Theses/Capstones/Creative Projects

Through technological innovation and the rise of digital media platforms, many young adults are afforded the opportunity to spend their lives on the Internet. Not only is a large amount of time spent on the Internet by most people, but young adults are making media sharing-platforms, specifically YouTube, part of their daily lives (Westenberg, 2016, p. 8). YouTube allows content creators to produce videos that not only attract audiences of different ages and geographic location, but, too, create an intimate bond between creator and subscriber, allowing each party to communicate and engage in content related activities through the comments section …

Importance Of Mental Health Awareness In Schools, Alexandra Elliott

Capstone Projects and Master's Theses

We all have different experiences and beliefs that shape our perspectives and impact our mental health. The concept of mental health exists in Western civilization but is absent in others, so it is important to be sensitive when discussing the terminology of mental health by itself. There is ample evidence of a disproportionate amount of mental health issues among people living in low-income areas due to lack of resources in these communities. In fact, mental health resources are disproportionately accessible to white, affluent individuals in Western civilization. This senior capstone research project is intended to find ways to reach new …

Achieving Positive Mental Health And Academic Achievement For Students With Behavioral And Emotional Issues In Elementary School, Reynalda Fuentes

Capstone Projects and Master's Theses

Elementary students, their peers, and teachers today are being affected by emotional and behavioral issues that some students struggle with at school. In order to understand why it is affecting their academic achievement and mental health, this report answers the following research questions to investigate how these problems affect schools, classrooms, and teachers, as well as what appears to be contributing factors to this problem, and what are some of the solutions. In review of the literature on preventions and interventions placed at elementary schools the research shows that frameworks such as The Multi-tiered System of Supports, and the incorporation …

Neighborhoods And Mental Health: Understanding The Social, Environmental And Structural Factors To Better Support Our Youth And Communities, Meghan Murtagh

Community Engagement Student Work

The social, structural and environmental characteristics of neighborhoods can have a significant impact on the social, emotional, behavioral and cognitive development of children and adolescents. The Center for Disease Control reports every 1 out of 5 children (22%) living below 100% of the federal poverty level have a mental, behavioral and/or developmental disorder (CDC, 2019). Through the utilization of ecological frameworks and a “place” based framework called The Social Determinates of Health, research was conducted to examine the link between neighborhoods and health outcomes in children and adolescents. These findings were then shared through a workshop with the target audience …

Attitudes And Beliefs Of Christian Denominations Toward Mental Health, Javier Velez

Dissertations

This empirical study assessed common attitudes and beliefs toward mental health services in the varying denominations of Christian churches. Specifically, the objective of this study was to identify the effects of Christian denomination on attitudes toward seeking mental health treatment and to identify whether there are racial and age differences that also impact those attitudes within the church. The study sought to answer the following questions: (a) What is the difference in attitudes and beliefs between different races toward mental health services in the church among Christians? (b) Is there an age difference in attitudes and beliefs toward mental health …

Mental Health Help-Seeking In Adolescence: An Exploration Of Variables Associated With Help-Seeking Intent In Schools, Sam Allouche

LSU Master's Theses

Internalizing disorders (including anxiety and depressive disorders) affect up to one third of adolescents ages 13-18. Although these disorders are associated with impairments in psychological, academic, social, and family domains, they are often left untreated. Schools have great potential to address this service-underutilization gap by identifying those students at risk for internalizing problems through mental health screening tools and by providing treatment at no cost for students. However, at the secondary level, school personnel partly expect high school students to initiate support for themselves. The present study advances research by exploring the variables related to adolescent mental health help-seeking intentions …