Social Work Commons^™

Differences In Resilience And Mental Health Symptoms Among Us First Responders With Secure And Insecure Attachment, Donna Schuman, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Kathryn Shahan, Katelyn Jetelina

Faculty Publications

Objective: This observational study aimed to determine whether attachment style predicted first responders' mental health and resilience. Method: Data were from a treatment-seeking sample of first responders (N = 237). Each participant completed six assessments measuring attachment, resilience, generalized anxiety, depression, suicidality, and posttraumatic stress disorder. Results: On the attachment assessment, 25.3%were categorized as secure, 19.0%as dismissive, 25.3% as preoccupied, and 30.4% as fearfully attached. As predicted, securely attached participants had the lowest scores for generalized anxiety, depression, suicidality, and posttraumatic stress disorder and the highest scores on the resiliency measure, followed by dismissive, preoccupied, and fearfully …

Affective Depression Mediates Ptsd To Suicide In A Sample Of Treatment-Seeking First Responders, James Whitworth, Jeanine Galusha, Jose Carbajal, Warren Ponder, Donna Schuman

Faculty Publications

Objective: The aim of this study was to examine the associations of comorbid

posttraumatic stress disorder (PTSD), affective or somatic depression, and

suicide among first responders (FRs). Method: We used baseline data from

FRs (N = 232) who sought services at a nonprofit mental health agency specializing

in treating trauma exposed FRs. We conducted two PROCESS simple

mediation models with PTSD as the predictor, affective depression and somatic

depression as the mediators, and suicidality as the dependent variable.

Results: Affective depression significantly mediated the relationship between

PTSD and suicidality, whereas somatic depression did not. The direct effect …

Validation Of The Pcl-5, Phq-9, And Gad-7 In A Sample Of Veterans, Aazi Ahmadi, Warren Ponder, Jose Carbajal, Donna Schuman, James Whitworth, R Andrew Yockey, Jeanine Galusha

Faculty Publications

Objective: Veterans can present at nongovernment (Department of Defense, Department of Veterans Affairs) mental health agencies with complex symptom constellations that frequently include posttraumatic stress disorder, depression, and generalized anxiety. To date, no veteran study has validated these measures on a treatment-seeking sample of veterans outside the DoD and VA. Methods: We used a treatment-seeking sample of veterans (N = 493) to validate measures that assess these constructs (PTSD Checklist 5, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7). Results: The seven-factor posttraumatic stress disorder hybrid configuration was the best fit. The best fitting model of the depression …

The Impact Of Implicit Bias On The Overdiagnosis Of Schizophrenia, Ace Ogbebor

Electronic Theses, Projects, and Dissertations

According to the American Psychiatric Association (2017), Black Americans are more likely to be diagnosed with schizophrenia and less likely to be diagnosed with a mood disorder in compassion to their White counterparts presenting with the same symptoms. To address mechanisms of implicit bias and the implications for mental health practice, it is imperative to investigate the diagnostic process of students who will enter the field of mental health.

According to the Council on Social Work Education, 80% of MSW graduates work in positions providing micro-level direct service to individuals, families, and groups (CSWE, 2019). Moreover, 80% of MSW graduates …

Social Workers' Perspectives Of Depression In Baby Boomers Born Between 1946 And 1955, Karen Cohen

Walden Dissertations and Doctoral Studies

AbstractAs the leading-edge baby boomer (L-E boomer) cohort continues to age, demands of mental health services in treating diagnosed depression in this cohort are increasing. Licensed clinical social workers (LCSWs) are the most likely social workers to provide services to L-E boomers diagnosed with depression. LCSWs were the chosen participants for this generic qualitative study to gain knowledge of their perspectives of working with L-E boomers diagnosed with depression. Grounded in generational theory, this study used a generic qualitative approach allowing for nonrestrictive measures for capturing the data. NVIVO assisted in coding the data and identification of common themes, words, …

The Use Of Technology For Mental Wellbeing In The Era Of Covid-19, Adam Fakhri

Family Medicine Clerkship Student Projects

Prevalence of mental health issues has increased during the time of COVID-19. There are many contributing factors to consider, the main one reported has been social isolation due to quarantine precautions. Members of the community have spent extended periods of time at home and away from their loved ones during this pandemic. Many patients have reported many life events occurring including deaths in the family without the ability to even mourn with their family members. This has taken a toll on the community, especially in Vergennes where this small tight knit community that has relied on its tight social bonds …

What’S In A Name? How The Language Of Mental Health Diagnoses Affects The Ability To Heal, Elizabeth Marston, Samuel Marion

National Youth Advocacy and Resilience Conference

When a person receives a mental health diagnosis, they are often started down a path of receiving help, but also of receiving stigma. This presentation will discuss how language around a diagnosis can affect a child’s sense of self as well as either help or hurt a student’s ability to manage and heal.

Mental Health Disparities For Latino Immigrants & Its Impact On Psychological Well-Being, Ana Do Rosario Sousa

Counseling Psychology | Master's Theses

In the present study, the researcher sought to examine the factors associated with Latino immigrants and the barriers/challenges that are faced in mental health. The main question that the researcher focuses on in the present study is: What are some of the mental health challenges for Latino immigrants & how do these disparities further impact psychological well-being? Furthermore, the research focuses on highlighting the variables that are increasingly damaging to the minority population of Latinos in the United States. These variables include lack of health insurance, stigma, acculturation issues, legal issues, and biopsychosocial factors, such as socioeconomic class. In multiple …

Social Work Trauma Interventions: Dialectical Behavioral Therapy, Kassie Baumann

Senior Honors Theses

According to Lynne Weilart (2013), in her article on the reasons why people seek out therapy, trauma is the number one reason people attend counseling. Many different trauma-informed approaches are designed specifically to address the consequences of trauma and to facilitate healing. Some of these approaches are as follows: Cognitive Behavioral Therapy (CBT); Dialectical Behavioral Therapy (DBT);Mentalization Based Therapy (MBT); Trauma Systems Therapy (TST); Trauma Assessment Pathway (TAP); and Attachment, Self-Regulation, and Competency (ARC) (de Arellano, Danielson, Ko, & Sprauge, 2008). The effectiveness of each trauma intervention will be examined. DBT is one of these trauma interventions that is growing …

Psychological Abuse In Romantic Relationships And Associated Mental Health Outcomes, Jessica J. Peatee

Graduate Student Theses, Dissertations, & Professional Papers

Many researchers hypothesize that experiencing psychological abuse in a romantic relationship may be more common than experiencing other forms of intimate partner violence (IPV) because psychological abuse often co-occurs with the presence of physical violence in a relationship and may be likely to occur on its own (Follingstad & Rogers, 2014; Hennings & Klesges, 2003). Some data have linked the experience of psychological abuse in a romantic partnership with mental health outcomes such as depression, anxiety, and somatization (Rogers & Follingstad, 2014). Although, few empirical studies have examined the unique experiences of individuals who have endured psychological abuse alone (without …

Some Secrets Should Be Shared: Implementing An Evidence-Based Suicide Prevention Program, Meghan W. Diamon

National Youth Advocacy and Resilience Conference

Youth suicide is a preventable tragedy that can occur when children's mental health needs are unmet. Participants will discuss published research on risk factors for youth suicide, how to implement an evidence-based prevention program, and how to tackle common obstacles encountered. Participants will be prepared to mobilize school staff, parents, and community members to address the critical issues of depression awareness and suicide prevention.

Cumulative Sexual Victimization And Mental Health Outcomes Among Incarcerated Women, Jennifer Hartsfield, Susan F. Sharp, Sonya Conner

Dignity: A Journal of Analysis of Exploitation and Violence

This research explores the relationship between three different types of self-reported sexual victimization and subsequent mental health problems in a sample of incarcerated women. Previous literature establishes a link between victimization histories and poor mental health outcomes. This study focuses on sexual victimization experienced as a child, as an adolescent and as an adult, both individually and cumulatively, in relation to entering prison with a mental health diagnosis as well as reporting current depressive symptoms while incarcerated. Each type of victimization is significantly related to both prior mental health diagnosis and current depression in prison. Furthermore, there is an additive …

Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway

Antioch University Full-Text Dissertations & Theses

Young adults between 18 and 24 years of age with mental illness are significantly less likely to receive mental health services than adults in older age groups.Nationally, higher rates of depression, substance abuse, and psychiatric issues are reported in this age group.A therapeutic model referred to as young adult transition programs has emerged to better address the unique developmental challenges found in this age group.This study examined 317 critical incidents that supported or hindered young adults in a therapeutic transition program.The research design used a combination of an instrumental case study and critical incident technique (CIT).Using interviews and the Outcome …

Suicide Attempts From Adolescence Into Young Adulthood: A System Dynamics Perspective For Intervention And Prevention, Saras Yu Chung

Arts & Sciences Electronic Theses and Dissertations

Though the reduction of suicide-related deaths has been a national priority for over a decade (U.S. Department of Health and Human Services, 2001) and over $22 million per year (National Institutes of Health, 2015) have been invested to prevent suicide, rates of suicide have not declined (CDC, 2012). In fact, for some groups of adolescents, these rates seem to be on the ride (Wasserman, Cheng, & Jiang, 2005). The ineffectiveness in reducing deaths by suicide despite increased funding and coordinated efforts suggests the need for a new perspective on examining why and how adolescents begin to desire and attempt suicide …

Some Secrets Should Be Shared: Implementing An Evidence-Based Suicide Prevention Program, Meghan W. Diamon

National Youth Advocacy and Resilience Conference

Youth suicide prevention is critical in schools and local communities. Participants will discuss published research on risk factors for youth suicide, how to implement an evidence-based prevention program, and how to tackle common obstacles encountered. Participants will be prepared to mobilize school staff, parents, and community members to address the critical issues of depression awareness and suicide prevention.

The Emotional Impact On Elderly Spouses Who Placed Their Loved Ones In Long-Term, Barbara Hunt

Walden Dissertations and Doctoral Studies

Aging may bring mental and/or physical decline. There may come a point when a loved

one needs long-term care in a nursing home. The purpose of this phenomenological study

was to examine the community dwelling spouses' emotional state. A study was

conducted with 10 individuals (5 men and 5 women) who had a spouse in long-term

nursing care. Inclusion criteria was to be at least 65-years old, have been married at least

30 years, and reside alone in his or her own home. The social emotional selectivity theory

and the construct of boundary ambiguity were applied to view the epoch. …

Improving Depression Care For Older Home Health Patients, Sarah R. Schirmer

DNP Projects

Rates of depression in older home healthcare (HH) patients are highly prevalent. Although depression in this population is associated with increased rates of re-hospitalization, falls, and suicides, it is frequently under diagnosed and under treated. This Capstone Report examined this problem through three interrelated manuscripts. The first manuscript explored the problem through a review of the literature. This review determined that while there are many barriers to adequate depression care, programs that train clinicians to screen for depression and connect patients to depression care encourage adequate evaluation and treatment and can result in clinically significant changes in depression scores. This …

Testosterone, Dominance, And Depression In Recently Married Couples, Gabriela I. Quiñones-Torres

Masters Theses

Dominance refers to the wide set of behaviors individuals engage in with the intention of achieving or maintaining social status. Considering the relevance of these behaviors in the dynamics of close relationships, this study examined relations among testosterone, dominance, and the emotional health of a total of 225 opposite sex newlywed couples. An original measure of dominance was developed that accounted for both positive and negative manifestations, as well as situational and dispositional qualities of these status-promoting behaviors. Structural equation analyses revealed that dominance behaviors predict depression for both wives and husbands, and that positive and negative aspects of dominance …

The Impact Of Exposure To Domestic Violence On Developmental Trajectories Of Depressive Symptoms And Antisocial Behavior Across The Transition To Adulthood, Aely Park

Legacy Theses & Dissertations (2009 - 2024)

Principal Aims:

Cognitive And Psychodynamic Mechanisms Of Change In Treated And Untreated Depression, Daniel Coleman, Diane Cole, Leslie Wuest

Faculty Publications - College of Social Work

Two patient-level mechanisms of change, defenses, and cognition were tested over 3 time points in 65 depressed adults, approximately half receiving treatment. Early changes in automatic thoughts and immature defenses were associated with symptom change from time-one to time-three. The directionality of early automatic thought change predicting symptom change was partially supported, but immature defense change occurs simultaneously with, or after, symptom change. Given the convergent evidence of cognitive change as a mediator of depression reduction, all depression therapies should consider how they address depressive cognition. To build a more complete understanding of how to ameliorate depression, future studies should …

Depression In Korean Immigrant Women, Darin Lee Rorrer

Theses Digitization Project

This study found that the depression levels of Korean immigrant women in the U.S are affected by their education and/or income levels, often stemming from their inability to successfully navigate in the American culture.

Depression And Coping Among Hmong Refugees, May Vang

Theses Digitization Project

The purpose of study was to explore depression among Hmong refugees and the ways they use their coping skills to deal with stressful life events.

Comparative Analysis Of Depression In Homeless Populations, Tsudoi Suzuki

Theses Digitization Project

The purpose of this project was to find out whether or not there were specific factors that made homeless people depressed. Finding depression factors will help to establish strategies and programs that would prevent homeless people from being depressed. The current study tested the hypothesis that basic needs and education are needed to help in factoring depression.

Short-Term Versus Long-Term Group Work With Female Survivors Of Childhood Sexual Abuse: A Brief Meta-Analytic Review, Tanya L. De Jong, Kevin M. Gorey

Social Work Publications

This meta-analytic review synthesizes the findings of seven published independent studies dealing with group work with female survivors of childhood sexual abuse, and compares the effectiveness of short-term versus long-term methods. Across-study summative findings were: (1) generally, group work has large beneficial effects upon female survivors' affect and self-esteem-three-quarters of the group participants improve; (2) no extant empirical evidence supports the differential effectiveness of either short-term or long-term groups; and (3) only one study to date has reported the size of long-term methods' clinical effect. In short, the question of the differential effectiveness of short- versus long-term group work with …

Group Work As Interventive Modality With The Older Depressed Client: A Meta-Analytic Review, Kevin M. Gorey, Arthur G. Cryns

Social Work Publications

This review analyzes a total of 19 empirical studies dealing with the effectiveness of group work intervention with depressed older clients (65 years and older). Multiple analyses of all outcome data reported allowed for the following summative, empirically derived inferences: (1) overall, group work was found to account for 42% positive change in client affective states; however, most of this improvement (87%) appears to be attributable to nonspecific interventive variables, i.e., factors outside the control and intent of the group worker; (2) group work is optimally effective for clients who live alone and are moderately to severely depressed; (3) client …