Psychiatric and Mental Health Commons^™

Understanding The Experiences Of Young Adults Receiving Community-Based Eating Disorder Care, Hali Sitarz

Walden Dissertations and Doctoral Studies

AbstractIn Ontario, Canada, eating disorder care is predominately delivered through nurse practitioner-led community outreach programs; however, there is a paucity of evidence informing the role of nurses in terms of outpatient treatment, community-based care, and young adult patient experiences. With high rates of morbidity and mortality, it is imperative to establish an evidence-informed approach to eating disorder treatment and ensure that care is patient-centered. This interpretive phenomenological study explored the experiences of young adults receiving community-based treatment in Ontario. Reigel, Stromberg & Jaarsma’s Middle Range Theory of Self-Care in Chronic Illness was used as an orientating framework. Seven young adults, …

Mental Health Professional Perceptions Of Barriers To Fidelity For Empirically- Supported Treatments, Chris Streidl

Walden Dissertations and Doctoral Studies

It is estimated that one in five adults in the United State of America experience mental illness in a given year. When mental health organizations implement empirically-supported treatments but fail to maintain them, it can result in individuals not being provided the services that they need. The purpose of this study was to identify perceived barriers to maintaining fidelity for empirically-supported mental health treatments. The study utilized a quantitative cross-sectional correlational research design (N = 154) and the Perception of Barriers Scale (PBS) was developed to measure perceived barriers to maintaining fidelity for empirically-supported treatments. Bandura’s social cognitive theory as …

Evaluating Interpersonal Problems In Anorexia Nervosa Through The Lens Of Polyvagal Theory, Marika Morelan

CMC Senior Theses

Eating disorders are an increasingly prevalent issue, especially among young women. While they aren’t a new phenomenon, they are historically under-researched, and remain widely misunderstood. Without understanding the causes underlying these disorders or the mechanisms working to maintain them, treating them successfully has proved to be incredibly difficult. This is especially the case with Anorexia Nervosa. Out of the six eating disorders in the DSM-5, it has the lowest treatment success rate and an alarmingly high relapse rate. Treating the disorder through weight restoration and the extinction of compensatory behaviors alone does not fully resolve the disordered pathology; interpersonal problems …

Addressing Adolescent And Young Adult Mental Health During The Covid-19 Pandemic, Megan Boyer

Family Medicine Clerkship Student Projects

This quality improvement project at South Burlington Family Medicine aimed to investigate the mental health of individuals ages 13-25 in our practice during the COVID-19 pandemic. Eligible patients received a PHQ-9 questionnaire with two additional questions related to COVID-19. Recommendations for future interventions to serve this population were made based on these preliminary findings, with the goal of doing a full PDSA cycle in the near future.

Coaching Women On The Impact Of Alcohol Intake On Mental Well-Being: A Systematic Literature Review, Amy Maloney

All Graduate Theses, Dissertations, and Other Capstone Projects

Alcohol intake among women has increased in recent years. Women’s bodies metabolize alcohol differently when compared to men and are at increased risk for adverse effects, both physically and mentally. The purpose of this systematic literature review is to explore the evidence related to the impact of coaching in primary care on drinking behaviors and over-all well-being of women. Four databases including PsycInfo, Academic Search Premier, CINAHL Plus with full text, and Gender Studies Database were searched using a variety of key words. Studies were included if they focused on female alcohol use and abuse, interventions specific to female alcohol …

Assessing A Two-Hit Model Of Schizophrenia: Prenatal Choline Deficiency And Induced Hypofunction Of Nmda Receptors In Male And Female Long Evans Rats, Samuel Gray, Samuel W. Gray

Honors Theses

Choline is an essential dietary nutrient essential to the development and function of the central nervous system. Prenatal choline deficiency alters hippocampal development as well as acetylcholine metabolism, leading to cognitive impairments and attentional and sensory processing deficits into adulthood. MK-801 is an NMDA receptor antagonist frequently used in rodent models of neuropsychiatric conditions, particularly schizophrenia. Acutely and sub- chronically, it causes hyperlocomotion and social withdrawal. One primary goal of the present study were to investigate prenatal choline deficiency induces a biological vulnerability to the motor deficits, anhedonia, and social impairment precipitated by low-dose sub-chronic MK-801 administration in adulthood. Another …

The Efficacy Of Yoga As An Adjunctive Therapy To Standard Multidisciplinary Care In The Treatment Of Female Patients Presenting With Cognitive Eating Disorder Symptoms, Cassidy Nagle

Capstone Showcase

Introduction: Current treatment of patients exhibiting cognitive eating disorder symptoms is standard multidisciplinary care (SMDC) involving behavioral therapy, medical management and dietetics. Because these symptoms often persist or relapse despite treatment, research has begun to explore adjunctive therapies like yoga for this population. This review will explore seven studies in order to analyze the effect of yoga (I) on cognitive eating disorder symptoms (O) in teenage and adult females (P) when added to SMDC compared to symptom reduction with SMDC alone (C).

Methods: A literature search was conducted in PubMed, Academic Search Ultimate and Google Scholar starting November 2018. Seven …

The Correlation Between Maternal Postpartum Depression And Child Psychopathology, T'Keyah I. Vaughan

Theses and Dissertations

Background: Postpartum depression (PPD) is a phenomenon that affects nearly 10-15% of pregnancies in the US. It is characterized by depressed mood or anhedonia and lasting for more than 2 weeks. PPD changes how moms interact with family members and child-rearing behavior. Depression is a phenomenon that is also known to affect the psychopathology of children. However, the specifics of how postpartum depression impacts children remains controversial. Many studies do not control for major depressive disorder which makes it difficult to disentangle the impact depression has within the first year of life. Furthermore, other PPD risk factors may be confounding …

The Efficacy Of Ketamine In Adult Patients With Obsessive Compulsive Disorder With Symptoms Refractory To Standard Of Care Treatment., Brooke Thornton

Capstone Showcase

First line pharmacologic treatments for adult patients with Obsessive Compulsive Disorder (OCD) involve selective serotonin/norepinephrine reuptake inhibitors (SSRI/SNRIs). These drug classes often fail to deliver timely relief of symptoms as well as maintain longevity of symptom recurrence. This research analyzed the use of ketamine in adult patients suffering with OCD for the purposes of more efficacious management of symptoms. Although ketamine demonstrated a timelier relief of symptoms in some small clinical studies, its effects were ultimately unable to be sustained long term. Additionally, a wide range of adverse effects including dissociation, and rebound symptoms were observed. As a result, large …

The Substantiality Of The Neuroplasticity Hypothesis Of Major Depressive Disorder: The Prospective Use Of Ketamine-Like Drugs As Antidepressants, Roma Kankaria

Auctus: The Journal of Undergraduate Research and Creative Scholarship

Abstract

Major depressive disorder (MDD) affects approximately 17.3 million adults in the United States each year. For more than 50 years, the serotonin hypothesis of MDD, which hypothesizes that a deficiency of monoaminergic neurotransmitters results in depression, has been the foundation for neuropsychological research. However, studies reveal that only an estimated 50% of MDD patients respond to traditional, biogenic-amine-based antidepressants (ADs), like selective serotonin reuptake inhibitors (SSRIs). Research has noted that the neuroplasticity hypothesis, which posits that weakened excitatory synaptic transmission results in depression, offers an alternative mechanism by which ketamine-like drugs lacking the abuse liability and psychoactive effects of …

A Phenomenological Inquiry Into The Client Experience Of The Psychotherapy Relationship, Mark D. Knutzen

Antioch University Full-Text Dissertations & Theses

Meta-analyses have indicated that there are likely common factors across varied treatment modalities that account for the effectiveness of psychotherapy. Research has attempted to identify therapist and treatment relationship components that correlate with effective mental health treatment. Yet, there is a paucity of research directly addressing the qualitative experience of the relationship between psychotherapists and their clients.

Eight adult psychotherapy clients were interviewed regarding their experience of the psychotherapy relationship with their mental health therapist. The interviews were analyzed through the use of Interpretative Phenomenological Analysis (IPA). Seven themes emerged. Three themes related to the formation, and overall foundation of …

Coping Skills For Daily Life: Cost-Effective Strategies To Prevent And Address Mental Health Disorders, Shae Ian Rowlandson

Family Medicine Clerkship Student Projects

Mental health disorders, along with their associated cost and negative outcomes, have continued to persist in Vermont and have become one of the largest, growing challenges to public health in the United States. Unfortunately, Vermont does not appear to have enough resources or providers to optimally address it. Concurrently, coping strategies of minimal cost that have the potential to prevent or address mental health disorders may often be underutilized or misconstrued by the population. A pamphlet providing information on evidenced, cost-effective coping strategies was designed and distributed to providers and patients to enable patients with the skills to help themselves …

Prevalence Of Eating Problems And Related Factors In Professional Female Models Above 18 Years Old In Bangkok, Worada Elstow

Chulalongkorn University Theses and Dissertations (Chula ETD)

The purpose of this cross-sectional descriptive study was to study the prevalence of eating problems in professional models and to study the related factors that contribute to eating problems in professional models above 18 years old in bangkok. The data was collected in 109 female models in Bangkok. Self-report questionnaires include general background questionnaire created by the researcher to ascertain personal and occupational information along with the use of the Thai Eating Attitude Test 40 (EAT-40), The Thai Body Image Dissatisfaction Scale, and The Thai Hospital Anxiety and Depression Scale (HADS). Statistical analysis of Chi-square and Fisher's Exact tests were …

Association Between Pm2.5 Concentrations And Hospitalization Cases For Schizophrenia And Mood Disorders In Ho Chi Minh City, Vietnam From 2019 To 2020, Do Thi Hoai Thuong

Chulalongkorn University Theses and Dissertations (Chula ETD)

The evidence for adverse effects of ambient particulate matter pollution on mental and behavioral disorders (MBDs) is limited. Until now, few epidemiological studies have focused on this field, especially in developing countries. With the changes in concentrations and sources of air pollution over the past decade in Vietnam lead to high levels of air pollutants, especially particulate matters including PM2.5. Therefore, it is worthwhile to investigate the acute effects of outdoor air pollution on MBDs. However, no Vietnamese study has looked into the short-term effect of PM2.5 on hospitalization for MBDs. To examine the association between PM2.5 and the cases …

College Coaches’ Experiences, Knowledge And Attitudes To Support Student-Athlete Mental Health, Cathy Rahill

Graduate College Dissertations and Theses

The purpose of this study was to develop a better understanding of college coaches’ experiences with student-athlete mental health concerns, knowledge to address these concerns, and dispositions and attitudes toward student-athlete mental health. Although student-athlete mental health has been the subject of previous research, this is the first study to ask college coaches their perspectives on the topic. Data for the study were collected using a Web-based survey with a sample of college athletic coaches who coach male and female student athletes at Division I athletic programs in the Northeastern United States. The study’s findings confirm coaches’ concern and care …

Hear Me Roar, Abigail R. Seethoff

Graduate Student Theses, Dissertations, & Professional Papers

Hear Me Roar, a compilation of personal essays interspersed with short forms, grapples with the nuances of compliance versus autonomy in the context of the male gaze, beauty standards, and pop culture. The collection also explores what it means to treasure something—another person, an object—and how to express and deepen that affection.

Well-Being, Discrimination, And Self-Management Among Racialized Lgbq+ Newcomers Living In Waterloo Region, Ontario, Emily Cox

Theses and Dissertations (Comprehensive)

Racism and homo/biphobia may negatively impact the well-being of racialized LGBTQ+ newcomers. While current research focuses predominantly on negative aspects of well-being (e.g., distress, exclusion), research on resilience and positive aspects of well-being (e.g., positive affect) is limited. Although self-management strategies (i.e., activities and attitudes to improve one’s well-being) could be a key factor in promoting well-being, previous research has not addressed how racialized LGBTQ+ newcomers use self-management strategies. Further, there is limited research about the role service providers (e.g., settlement services, mental and physical health services) play in supporting these strategies. In this study, eight racialized LGBQ+ newcomers and …

Personalized Detection Of Anxiety Provoking News Events Using Semantic Network Analysis, Jacquelyn Cheun Phd, Luay Dajani, Quentin B. Thomas

SMU Data Science Review

In the age of hyper-connectivity, 24/7 news cycles, and instant news alerts via social media, mental health researchers don't have a way to automatically detect news content which is associated with triggering anxiety or depression in mental health patients. Using the Associated Press news wire, a semantic network was built with 1,056 news articles containing over 500,000 connections across multiple topics to provide a personalized algorithm which detects problematic news content for a given reader. We make use of Semantic Network Analysis to surface the relationship between news article text and anxiety in readers who struggle with mental health disorders. …

The Symbolism Of Play Behavior In Child-Centered Play Therapy, Kaitlin Andrewjeski

UNLV Theses, Dissertations, Professional Papers, and Capstones

Child-Centered Play Therapy (CCPT) is an evidence-based approach for mental health treatment with children. CCPT is based on the belief that play is a child’s natural language and so the therapist is required to make inferences of themes through observations of free play; however, there is no standard process by which themes are identified. The purpose of the current study is to gain detailed descriptions of play behavior in order to describe how themes emerge and how they are displayed in child-centered treatment. The themes were then used to describe the progression through the typical stages of child-centered play therapy. …

Metaphors We Think By, Aldis H. Petriceks

Journal of Wellness

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