The College Experience: Exploring The Relationship Between Sleep, Executive Function, And Alcohol Use, Evelyn R. Conner

Chancellor’s Honors Program Projects

No abstract provided.

Examining The Association Between Psychotropic Medication And Suicidal Desire And Risk, Brittney L. Assavedo

Master's Theses

The primary aim of this study was to examine the relationship between components of suicidal desire and psychotropic medication. Specifically, the usage of psychotropic medication, the usage of specific classes of psychotropic medications and the amount of psychotropic medication utilized and differences in feelings of perceived burdensomeness, thwarted belongingness and overall suicide risk were examined. The present study utilized pre-collected data consisting of 225 patients with substance use disorder undergoing residential treatment for substance dependence. It was posited that individuals utilizing psychotropic medications would exhibit higher mean levels of thwarted belongingness, perceived burdensomeness, and suicide risk relative to individuals not …

Community-Based Memory Screening Intervention And Memory Knowledge In Older Adults, Tessa S. Lundquist

Doctoral Dissertations

As the United States’ population ages, there is a growing need for older adults to screen for age-related memory problems. Four theoretically-derived psychosocial factors are predictive of dementia screening intention: perceived benefits, perceived susceptibility, self-efficacy, and knowledge about aging memory. The current study preliminarily tested whether these factors could be increased with a community-based, educational memory screening intervention. Educational presentations were offered at community senior centers and data on psychosocial factors and willingness to screen were collected pre- and post-presentation from 32 older adult participants (age M = 78.69, SD = 7.12). Perceived benefits and self-efficacy significantly increased from pre- …

The Sixties Scoop Among Aboriginal Veterans: A Critical Narrative Study, Munira Abdulwasi

Electronic Thesis and Dissertation Repository

This study explored the experience of Aboriginal Veterans adopted and/or fostered during the Sixties Scoop using critical narrative inquiry. The objectives were to: 1) understand the lived experience of Aboriginal veterans adopted and/or fostered during the Sixties Scoop, 2) explore any health needs expressed by Aboriginal veterans adopted and/or fostered during the Sixties Scoop, and 3) provide recommendations for the implementation of health services and programs to assist this group of Aboriginal veterans with their health needs. Eight individual interviews were conducted with participants in Kitchener-Waterloo, London, Ottawa, Winnipeg, and Vancouver. All interviews were audio-taped, transcribed verbatim, and analyzed using …

Beliefs About Causes Of Obesity: A Comparison Of Australian Doctors, Psychologists And Community Members, Peta Stapleton

Peta B. Stapleton

The current study aimed to investigate differences in beliefs about causes of obesity between Australian doctors, psychologists and a community sample. Forty-one doctors, 66 psychologists and 98 community members completed questionnaires regarding beliefs about causes to obesity, including measures of obesity stigma. The results showed a consistent pattern of beliefs across groups, with all three groups having strong beliefs about behavioural and psychological causes to obesity. Further, results showed that the three groups did not have particularly strong or weak antifat attitudes and although they did not have overly favourable attitudes towards obese people, their attitudes were not highly negative. …

Resilience Attributes Among University Students: A Comparative Study Of Psychological Distress, Sleep Disturbances And Mindfulness, Cher J. Mcgillivray, Aileen M. Pidgeon

Aileen M. Pidgeon

Australian university students report experiencing higher levels of psychological distress compared to other Australians, and are at increased risk of developing mental health problems. Psychological distress has been connected with poor academic performance, higher attrition rates and sleep disturbances. A protective factor associated with sleep-related self-regulation is mindfulness. Mindfulness based programs have shown benefits in stress reduction and resilience. Resilience is considered a protective factor that interacts with stressors to reduce the likelihood of negative outcomes. Resilience is also associated with positive social and personal well-being together with enhanced mental health and adjustment to university life. The current study examines …

Should'a Put A Ring On It: Investigating Adult Attachment, Relationship Status, Anxiety, Mindfulness, And Resilience In Romantic Relationships, Aileen M. Pidgeon, Alexandra Giufre

Aileen M. Pidgeon

This study aimed to investigate the predictive ability of relationship status, anxiety, mindfulness, and resilience in relation to the two orthogonal dimensions of adult attachment: attachment anxiety and attachment avoidance. 156 participants completed measures assessing relationship status, adult attachment, anxiety, mindfulness and resilience. The results showed that resilience and the relationship status of single significantly predicted attachment anxiety, whereas anxiety and being either single or divorced significantly predicted attachment avoidance. A significant mediating role of resilience in the prediction of attachment anxiety from being single was also observed. The main implications of this study provided preliminary support for the significant …

Evaluating Sexual Assault Prevention Training Programs For College Women, Eliza S. Mcmanus

Dissertations

Sexual victimization is a frequent and concerning problem for college women. It is estimated that college women are three times more likely to experience sexual assault than women in the general population. Additionally, women with a history of unwanted sexual experiences are at greater risk for future sexual victimization than women without such histories. For these reasons, the examination of college-based sexual assault prevention programs is important given the high rates of unwanted sexual experiences and subsequent negative mental health consequences. Furthermore, the lack of effective skills-based sexual assault prevention programs on college campuses is an important issue to address. …

Explicit And Inferred Motives For Nonsuicidal Self-Injurious Acts And Urges In Borderline And Avoidant Personality Disorders, Avigal Snir, Eshkol Rafaeli, Reuma Gadassi, Kathy R. Berenson, Geraldine Downey

Psychology Faculty Publications

Nonsuicidal self-injury (NSSI) is a perplexing phenomenon that may have differing motives. The present study used experience sampling methods (ESM) which inquired explicitly about the motives for NSSI, but also enabled a temporal examination of the antecedents/consequences of NSSI; these allow us to infer other motives which were not explicitly endorsed. Adults (n = 152, aged 18–65) with borderline personality disorder (BPD), avoidant personality disorder (APD), or no psychopathology participated in a 3-week computerized diary study. We examined 5 classes of explicit motives for engaging in NSSI, finding support primarily for internally directed rather than interpersonally directed ones. We then …

Negative Cognitive Style, Rumination, And Negative Emotionality As Mediators Of The Antidepressive Effects Of Physical Activity Among Young Adults, Kara Pegram

Clinical Psychology Dissertations

Abstract

This study assessed whether three potential cognitive and affective mechanisms mediated the relationship between physical activity and depressive symptoms. Participants were 143 young adults between the ages of 18 and 29 (M = 19.29, SD = 1.65); the majority of participants were female (72%) and Caucasian (69.9%). Participants were followed across eight weeks and completed measures of trait and state rumination, negative emotionality, cognitive style, depressive symptoms, and physical activity. A mediated model was proposed hypothesizing negative association between physical activity and depression mediated by less rumination, negative emotionality, and cognitive style. Hypotheses were examined cross-sectionally and prospectively. …

Are Women Higher In Anxiety Than Men? United States Surveys, 2003‐2013, Rabale Hasan

Honors Scholar Theses

A large proportion of the U.S. population suffers from anxiety and related mental illnesses. An in-depth analysis needs to examine all possible factors that may explain why anxiety is on an upward trend and why women are more likely than men to present with anxiety. This study examined the anxiety in five cross-sectional United States surveys (Total N=19,630) taken in 2003, 2006, 2009, 2011, and 2013. Predictors such as demographics (e.g., race, age, gender), medical conditions, behavioral choices (e.g., BMI, exercise, sleep), and psychosocial stressors were investigated. Linear regression and logistic regression analyses were used to examine trends. Anxiety is …

Psychosocial Correlates Of Perceived Stress And Depressive Symptoms Among Help-Seeking Hispanic Smokers, Monica Webb Hooper Phd

Journal of Health Disparities Research and Practice

Objectives: Research has demonstrated robust associations between perceived stress, depressive symptoms, and cigarette smoking. The extent to which these findings from the general population generalize to Hispanic smokers is unknown. The present study examined (a) correlates of perceived stress and depressive symptoms among help-seeking Hispanic smokers and (b) whether maladaptive coping and social support were related to stress and depressive symptoms. Design: Hispanic smokers (N=123) enrolled in an RCT completed demographic and smoking history, perceived stress, depressive symptoms, perceived social support, and maladaptive coping measures. Results: Bivariate associations indicated that perceived stress was positively correlated with depressive symptoms …

Burnout: Absence Of Binding Diagnostic Criteria Hampers Prevalence Estimates, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Comments on an article by Jef Adriaenssens et al. (see record 2015-00662-015). In a recent review paper, Adriaenssens et al. concluded that about 26% of emergency nurses (EN) suffer from burnout and described their results as alarming. While commentators applaud Adriaenssens et al. efforts to provide a clearer picture of ill-health in EN, they thought that these authors' conclusions were weakened by a fundamental fact, namely, the absence of consensual, clinically valid diagnostic criteria for burnout. Trying to determine the prevalence of a condition that has no binding diagnostic criteria is problematic. Indeed, depending on how researchers decide to …

Burnout-Depression Overlap: A Review, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Whether burnout is a form of depression or a distinct phenomenon is an object of controversy. The aim of the present article was to provide an up-to-date review of the literature dedicated to the question of burnout–depression overlap. A systematic literature search was carried out in PubMed, PsycINFO, and IngentaConnect. A total of 92 studies were identified as informing the issue of burnout–depression overlap. The current state of the art suggests that the distinction between burnout and depression is conceptually fragile. It is notably unclear how the state of burnout (i.e., the end stage …

Burnout Does Not Help Predict Depression In French Schoolteachers, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Objectives: Burnout has been viewed as a phase in the development of depression. However, supportive research is scarce. We examined whether burnout predicted depression among French school teachers.

Methods: We conducted a 2-wave, 21-month study involving 627 teachers (73% female) working in French primary and secondary schools. Burnout was assessed with the Maslach Burnout Inventory and depression with the 9-item depression module of the Patient Health Questionnaire (PHQ-9). The PHQ-9 grades depressive symptom severity and provides a provisional diagnosis of major depression. Depression was treated both as a continuous and categorical variable using linear and logistic regression analyses. We controlled …

Interpersonal Rejection Sensitivity Predicts Burnout: A Prospective Study, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

We examined whether interpersonal rejection sensitivity (IRS)—the hallmark of atypical depression – prospectively predicted burnout, controlling for baseline symptoms, history of depressive disorders, antidepressant intake, gender, age, and length of employment (mean between-assessment duration: 21 months; n = 578; 74% female). IRS was related to a 119% increased risk of burnout at follow-up. Three of four burned out participants reported to be affected by IRS, or 2.5 times the rate observed in participants with no (or subthreshold) burnout symptoms. Our study highlights a dispositional factor in burnout’s etiology also known to be a key component of atypical depression’s etiology. The …

Predicting Antidepressant Treatment Without Controlling For Depression Is Ill-Advised, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

All in all, the link observed by Madsen et al. (2015) between burnout and antidepressant intake may well conceal an expected relationship between depression and antidepressant intake. The impossibility of ruling out this reasonable alternative hypothesis renders the study inconclusive. We recommend that future research on (psychotherapeutic or pharmacologic) treatments for burnout incorporate measures of depression in order to facilitate research advance on burnout's characterization and burnout-depression overlap.

Is Burnout Separable From Depression In Cluster Analysis? A Longitudinal Study, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Purpose: Whether burnout and depression represent distinct pathologies is unclear. The aim of this study was to examine whether burnout and depressive symptoms manifest themselves separately from each other or are so closely intertwined as to reflect the same phenomenon.

Methods: A two-wave longitudinal study involving 627 French schoolteachers (73 % female) was conducted. Burnout was assessed with the Maslach Burnout Inventory and depression with the 9-item depression module of the Patient Health Questionnaire.

Results: Burnout and depressive symptoms clustered both at baseline and follow-up. Cluster membership at time 1 (T1) predicted cases of burnout and depression at time 2 …

Is It Time To Consider The "Burnout Syndrome" A Distinct Illness?, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

The "burnout syndrome" has been defined as a combination of emotional exhaustion, depersonalization, and reduced personal accomplishment caused by chronic occupational stress. Although there has been increasing medical interest in burnout over the last decades, it is argued in this paper that the syndrome cannot be elevated to the status of diagnostic category, based on (1) an analysis of the genesis of the burnout construct, (2) a review of the latest literature on burnout-depression overlap, (3) a questioning of the three-dimensional structure of the burnout syndrome, and (4) a critical examination of the notion that burnout is singularized by its …

Compassion Development In Higher Education, Roxanne Rashedi, Thomas G. Plante, Erin S. Callister

Psychology

Many schools of psychology and religious studies intend to promote the cultivation of compassion. Compassion is currently an integral area of study in psychology, religious studies, and higher education, specifically in faith-based higher education. While secular universities in the United States strive to generate disciplinary-based knowledge through scholarship, their ability to promote students' use of the information they are learning to create positive social change has typically lagged. Conscious of the magnitude of today's global issues and dissatisfied with the current disparity between the world's reality and university curricula, scholars have begun to re-imagine the role of higher education in …

The Anxiolytic Effects Of Self-Selected Music Among Primary Care Patients, Jennifer West-Gavin

PCOM Psychology Dissertations

The primary care setting is commonly referred to as the first line of medical treatment sought for health related services. Anxiety is one of the most frequently encountered mental health issues in primary care. The purpose of this study was to examine the level of state anxiety experienced among primary care patients, attending for routine and nonroutine appointments; its further purpose was to examine if self-selected relaxing music accounts for the greatest reductions in state anxiety among primary care patients, as compared with investigator-selected (classical) music, audio commercials, or no music. Patients included a primarily underserved primary care population between …

The Influence Of Normative Feedback On Stigma Of Mental Health, Carly A. Taylor

Honors Theses

The National Alliance on Mental Illness (NAMI; 2012) reports that the greatest barrier preventing college students from seeking help for a mental illness is stigma. Previous research has yet to develop an effective stigma reduction intervention targeting college students.Therefore, the purpose of the following research was to examine whether the administration of personalized normative feedback (PNF) could reduce personal stigma and correct the perception that others stigmatize mental illness. It was hypothesized that participants at baseline would expect others to hold more stigmatizing views compared to themselves. In order to correct this misperception and reduce stigma, half of the participants …

Engaging Youth In Bullying Prevention Through Community-Based Participatory Research, Jen Gibson, Paul D. Flaspohler, Vanessa Watts

Faculty Scholarship

Few studies that engage youth in community-based participatory research (CBPR) focus on issues of safety/violence, include elementary school-aged youth, or quantitatively assess outcomes of the CBPR process. This article expands understanding of CBPR with youth by describing and evaluating the outcomes of a project that engaged fifth-grade students at 3 schools in bullying-focused CBPR. Results suggest that the project was associated with decreases in fear of bullying and increases in peer and teacher intervention to stop bullying. We conclude with implications for the engagement of elementary school-aged youth in CBPR to address bullying and other youth issues.

School Mental Health Early Interventions And Academic Outcomes For At-Risk High School Students: A Review Of The Research, Aidyn L. Iachini, Elizabeth Levine Brown, Annahita Ball, Jen Gibson, Steven E. Lize

Faculty Scholarship

The current educational policy context in the United States necessitates that school-based programs prioritize students’ academic outcomes. This review examined the quantitative research on school mental health (SMH) early interventions and academic outcomes for at risk high school students. Seven articles met the inclusion criteria for this review. All articles were examined according to study design and demographics, early intervention characteristics, and outcomes. Of the studies included, most were conducted in urban settings, involved the implementation of group-based early intervention strategies, and monitored GPA as a distal academic outcome. Counselors were frequent implementers of these early interventions. A meta-analysis found …

Evaluating An Abbreviated Version Of The Paths Curriculum Implemented By School Mental Health Clinicians, Jen Gibson, Shelby Werner, Andrew Sweeny

Faculty Scholarship

When evidence-based prevention programs are implemented in schools, adaptations are common. It is important to understand which adaptations can be made while maintaining positive outcomes for students. This preliminary study evaluated an abbreviated version of the Promoting Alternative Thinking Strategies (PATHS) Curriculum implemented by school-based mental health clinicians in preschool/kindergarten classrooms. Results suggest that students (N = 80) demonstrated increases in emotional understanding and prosocial behavior. Children with low initial levels of problem behavior demonstrated large and continual increases in prosocial behavior over the entire course of the intervention, whereas children with high initial levels of problem behavior only demonstrated …

The Role Of Heart Rate Variability In The Treatment Of Migraines, Thomas M. Ledoux

Antioch University Full-Text Dissertations & Theses

This dissertation assessed the role of heart rate variability (HRV) in the treatment of migraine headaches. The extent of this relationship was measured through a 12-session HRV biofeedback protocol to increase HRV and decrease migraine frequency through resonance frequency breathing (RFB) training. This project used a single-case design methodology to analyze phase changes in physiological variables with a specific focus on changes in HRV and migraine symptoms from baseline to completion of the biofeedback protocol. The prevalence of migraine headaches is discussed, the history of biofeedback as an intervention for migraine is reviewed, and the rationale for the relationship between …

Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune

Antioch University Full-Text Dissertations & Theses

Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …

Distinguishing Among Within-Person Variability: Affective Intra-Individual Variability, Affective Psychological Flexibility, And Health In A National Us Sample, Jaime Hardy

Theses and Dissertations--Psychology

Affective intra-individual variability (IIV) and affective psychological flexibility (PF) are both types of within-person variability. Affective IIV is defined as the range of emotions experienced by an individual assessed at multiple time points. PF is defined as the ability to vary one’s responses in a contextually dependent manner in order to appropriately meet situational demands. Currently, there are no comparisons between affective IIV and PF demonstrating how these constructs might be uniquely different from each other. The current study proposed to examine affective IIV and PF in order to establish discriminant and convergent validity, and stability data for each construct. …

The Role Of Psychology In Integrated Primary Care For Complex Patients: Effects On Mental Health, Utilization Of Medical Services, And Physiological Markers Of Health, Danielle C. Worthington

Theses and Dissertations

This study served as an initial evaluation of integrated psychology services within a clinic designed to serve uninsured patients with complex medical concerns and high utilization histories at the Medical College of Virginia in Richmond, Virginia. The current study evaluates patient outcomes, and more specifically, it further quantifies and describes the role that psychologists play in the primary care setting and their impact on utilization of medical care and in improved health outcomes. Additionally, the study evaluates psychologists’ success at treating mental and behavioral health conditions within the primary care model. The present study demonstrates that patients with complex medical …