The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell

Electronic Theses and Dissertations

There is an established bidirectional relation between substance use and traumatic brain injuries (TBIs). Despite the high rate of prescribing opioids for pain management following a TBI and the epidemic of opioid use disorder (OUD) in the United States, scarce research has specifically analyzed the association between TBI and OUD. In a series of three interrelated manuscripts, the present study will first examine the prevalence and features of TBIs among persons seeking treatment for OUD. Next, the present study will evaluate the association between TBI and indicators of risky health behaviors and OUD severity, including the risk of overdose and …

The Association Between Uncertainty, Reproductive Distress, And Avoidance In Assigned Female At Birth Adolescent And Young Adult (Aya-F) Cancer Survivors, Devon Ann Pons

Doctoral Dissertations

Family building and fertility is a complex component of survivorship for assigned female at birth Adolescent and Young Adult’s (AYA-F’s), often accompanied by a mix of cognitive uncertainty, emotional uncertainty, reproductive distress, and avoidance. These psychological components present in survivorship for AYA-F’s can impact coping, identity development, and individualized care plans throughout survivorship. This novel examination of data from a cross sectional study shed light on the associations between reproductive distress, uncertainty, and avoidance and how they are experienced differently by various subgroups within the sample.

Results demonstrate that reproductive distress fully mediated the association between emotional uncertainty and avoidance, …

Student-Athlete Mental Health: University Of Montana Case Study, Abigail M. Sherwood

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Research suggests that Division I college-student athletes experience higher levels of stress and other behavioral health issues than their non-athlete counterparts, with up to 20% of them suffering from depression (Sudano et al., 2017). Two studies on student athletes’ well-being conducted in 2020, reported that athletes continue to report higher levels of mental health concerns (Johnson, 2022). Since the fall of 2020, rates of mental exhaustion, depression, and anxiety have improved minimally with rates remaining 1.5 to two times higher than reported before the COVID-19 pandemic (Johnson, 2022). Naomi Osaka withdrawing from the French Open in 2021 and Simone Biles …

Repeated Treatment With 5-Ht1a And 5-Ht1b Receptor Agonists: Evidence Of Tolerance And Behavioral Sensitization, Jordan Taylor

Electronic Theses, Projects, and Dissertations

Serotonin has been found to regulate several cognitive and physiological functions, and its role in depression and other neuropsychiatric disorders has been a focus of research. More specifically, a wealth of research regarding serotonin focuses on serotonergic medications in the treatment of neuropsychiatric disorders, such as depression and anxiety, and stimulates the 5-HT_1A and 5-HT_1B receptors. Within the last decade, there has been an increase in prescriptions of psychotropic medication for children, however, the efficacy and adverse effects of these drugs have not been evaluated in younger populations. While antidepressants reduce symptoms of depression in adults, they are …

Prevalence Of Anxiety In College And University Students: An Umbrella Review, Gabriel Xing Da Tan, Xun Ci Soh, Andree Hartanto, Adalia Yin Hui Goh, Nadyanna M. Majeed

Research Collection School of Social Sciences

The pervasiveness of anxiety has been increasing progressively over the years, becoming one of the most critical concerns among colleges and universities. With implications extending towards poorer academic performance and overall student mental health, there is an urgent need to address this growing concern. As such, we conducted an umbrella review of systematic reviews and meta-analyses to summarize data in the literature on the overall prevalence of anxiety among college and university students. Moreover, this umbrella review also considered the impact of the COVID-19 pandemic and assessed potential moderators through distinct subgroup analyses. A systematic search was carried out across …

Evaluating The Rates Of Opioid Overdose By County In Middle Tn, Khanh Nguyen, Isha Kapoor, Sarah West

Science University Research Symposium (SURS)

Opioid misuse presents a well-documented and substantial threat to human health, with potentially life-threatening issues. Improved access to healthcare and increased social support are believed to contribute to better health outcomes for individuals in higher socioeconomic classes (McMaughan et al. , 2020). Conversely, individuals in lower socioeconomic classes may experience poorer health and engage in more hazardous occupations (Ravesteijn et al. , 2013). These disparities are thought to be linked to factors such as limited access to quality healthcare and greater exposure to non-prescription opioid drugs among those in lower socioeconomic classes. Data was obtained from mySidewalk. Specific variables of …

The Ritual Of Therapeutic Artmaking In Long-Term Care, Melinda Heinz Dr., Elissa Wenthe, Alexis Schramel

International Journal of Lifelong Learning in Art Education

The transition to long-term care settings can be difficult for residents and feelings of loneliness, depression, and anxiety are not uncommon in these environments. However, participating in therapeutic artmaking rituals creates opportunities for residents to process their feelings, experience states of flow and mindfulness, engage with others, and focus on their own psychological growth. In long-term care, the physical needs of residents are often prioritized, but psychosocial needs also require attention. For this project, therapeutic artmaking rituals were created at a long-term care facility in three levels of care over 12 months. Older adults engaged with clay, paint, raw fiber, …

The Case For Patient-Reported Pleasure, Preston Long, Tanja Stamm

Patient Experience Journal

Pleasure is a cornerstone of human behavior. Its lack of consideration in the medical sciences has been to the detriment of all patients. The process of including pleasure as a medical outcome has multiple beginnings. A health-related pleasure scale must be developed for clinical purposes and original research must be conducted to establish the added value of measuring pleasure. Treatment comparisons, prediction models for recovery, side-effect investigations, and more may benefit from the collection of patient-reported pleasure. Furthermore, simply inquiring about a patient’s pleasure may serve as a positive intervention by giving them permission to discuss more than the illness …

Examining The Evidence Base For Burnout, Renzo Bianchi, Irvin Sam Schonfeld

Publications and Research

Burnout has elicited growing interest among occupational health specialists in recent decades. Since 2019, the World Health Organization has characterized burnout as a syndrome resulting from chronic, unmanageable workplace stress. According to the ICD-11, three symptoms define the entity: feelings of exhaustion, increased mental distance from one’s job, and a sense of ineffectiveness at work, all of which correspond to the structure of the Maslach Burnout Inventory. The ICD-11 includes burnout among the factors that influence health status. This paper calls into question that conceptualization based on a number of lines of evidence. The evidence includes the following: burnout was …

Understanding The Work Demands, Resources, And Barriers To Achieving Optimal Well-Being In Immigrant Workers, Amira Marquez Moreno, Kristen J. Black

River Cities Industrial and Organizational Psychology Conference

According to recent reports of immigrants working in poor conditions worldwide, the International Committee of Health (ICOH, 2021) has declared the immediate need to create scientific evidence to encourage a preventive culture in occupational health for migrant workers. In 2019, 470,125 immigrants lived in Tennessee, of which 43% are Latino, and Spanish the most common language (76%). The present study aims to identify the work-demands, resources, and barriers to achieve optimal well-being in immigrant workers with a sample recruited from Chattanooga and the surrounding area. Participants will be recruited through convenience and snowball sampling with the inclusion criteria of being …

Outbreak Communication: Exploring The Relationships Between Health Information Seeking Behaviors, Vested Interests, And Covid-19 Knowledge In U.S. Midwest Populations, Alicia Mason, Josh Compton, Elizabeth Spencer, Kaitlin Barnett

Faculty Submissions

On February 15, 2020, the World Health Organization (WHO) Director, General Tedros Adhanom Ghebreyesus, stated at a Munich Security Conference, “We’re not just fighting an epidemic; we’re fighting an infodemic,” (Zarocostas, 2020, p. 676). The term ‘infodemic’ refers to the onslaught of both accurate and inaccurate health information surrounding the COVID-19 pandemic. The concept of an ‘infodemic’ was quickly integrated into mass media, popular culture (i.e., documentaries, podcasts), and eventually scholarly literature. In response to COVID-19, health communication scholars have centered on understanding specific messaging strategies such as the use of fear appeals (Stolow et al., 2020), nature of advertising …

One Size Doesn’T Fit All: Attitudes Towards Work Modify The Relation Between Parental Leave Length And Postpartum Depression, Christine Y. Chang, Sabrina R. Liu, Laura M. Glynn

Psychology Faculty Articles and Research

The present study aimed to investigate the relationship between parental leave length and maternal depressive symptoms at six- and twelve-months postpartum and whether this relation was influenced by women’s attitudes towards leave, whether leave was paid or unpaid, and the reason they returned to work. The sample included 115 working women recruited during pregnancy as part of a larger longitudinal study. Analyses revealed that maternal attitudes toward leave influenced the association between leave length and depressive symptoms. Specifically, longer leaves were associated with increased depressive symptoms for women who missed their previous activities at work. Furthermore, women who missed work …

Self Determination Theory And Health Behavior Interventions, Anna T. Simpson

The Cardinal Edge

Physical and mental health contribute to a person’s overall sense of well-being. People generally want to live happy and healthy lives, so they make decisions that will increase their well-being. Many factors contribute to our health, but health behavior is something we can modify. Health behavior interventions aim to promote healthy choices and a sense of well-being in patients. Interventions have a theoretical basis that influences the design of the intervention. Public health interventions have used self-determination theory (SDT) and its components to guide interventions that promote health behavior change in various populations. This paper will seek to understand the …

Illness Intrusiveness And Psychosocial Adjustment Among Older Adults With Multimorbidity, Irina Mindlis

Dissertations, Theses, and Capstone Projects

Given the high prevalence of multimorbidity (MM) among older adults and the exponential growth of the older adult U.S. population, identifying factors that can lessen depressive symptoms and improve quality of life (QOL) in this population is timely and important. While it is well established that MM is associated with greater depressive symptoms and poorer QOL (Li et al., 2016; Makovski et al., 2019; Marengoni et al., 2011; Read et al., 2017), the mechanisms underlying these relationships remain understudied. The illness intrusiveness model (Devins et al., 1984) proposes that stressors posed by diseases (disease-related factors) and their treatments (treatment-related factors) …

Parallel Processes Of Posttraumatic Stress And Metabolic Dysfunction: Long-Term Costs Of Trauma On The Psychological And Physical Health Of 9/11 Survivors, Shane W. Adams

Dissertations, Theses, and Capstone Projects

Metabolic conditions (MetC) have been associated with posttraumatic stress disorder (PTSD) symptoms and may be critical indicators of the systemic physical sequelae of traumatic stress. Parallel process latent growth modeling wasapplied to longitudinal data collected from 35,788 9/11 survivors and used to model PTSD symptoms and MetC to determine how the development and course of one affect the other. A unidirectional relationship was found in which the intercept of PTSD symptoms predicted the slope of MetC. Hyperarousal (ß=.172) and emotional numbing (ß=.171) PTSD symptoms demonstrated the strongest association with the growth of MetC over and above …

Apoe Risk Disclosure: A Review Of Positive And Negative Outcome, Stacey Rowcliffe

Dissertations

Two of this century’s most significant healthcare challenges are Alzheimer’s disease and mild cognitive impairment, with 40 million people suffering from the diseases. In fact, a conservative estimate projects that both conditions will double every 20 years until 2050. Alzheimer’s disease involves memory impairment, disorientation, confusion, and various problematic behaviors. Presently, no prevention method or cure has been discovered for Alzheimer’s. Mild cognitive impairment typically includes problems with memory, language, thinking, and judgment beyond those typical of one’s age. Usually, these symptoms do not interfere with daily activities but do not improve and have been linked with a risk of …

Empowering Students As Leaders Of Behavior Change: An Experiential-Learning Project, Zachary Zenko, Alexis Fuston, Jafrā D. Thomas

Educational Practices in Kinesiology

The purpose of this resource is to allow university educators to implement an experiential-learning project in which students act as leaders of behavior change. Specifically, kinesiology students are paired with “clients” to engage with outside of the classroom and tasked with helping the clients achieve their physical activity goals. This semester-long behavior change project can be used in classes delivered in online, in-person, or hybrid formats. It is estimated that two hours are required for initial project instructions and set-up, with about 12 additional hours throughout the semester for continuous instruction, review, discussion, and presentation. Students are expected to benefit …

Mental Health And Experiences Of Pregnancy Among Black Women And Birthing People With Type 1 Diabetes (T1d), Madeleine E. Marcus

Doctoral Dissertations

This dissertation explored the potential effects of intersections of oppression (i.e., anti-Black racism, diabetes discrimination, and sexism) on mental health and pregnancy experiences among Black women and birthing people with Type 1 diabetes (T1D). Previous studies about pregnancy and T1D have included mainly white, cisgender women. Three participants qualified for inclusion in the present study and participated in semi-structured interviews, which the researcher analyzed using an interpretative phenomenological analysis (IPA) framework. Participants described feeling uncertain about whether aspects of their pregnancy experiences were related to obstetric and/or medical racism. Similarly, participants sometimes seemed uncertain about how racism may affect their …

An Exploration Of Queer Women's Relationship With The Body And Physical Activity, Jade A. Bailey

Electronic Thesis and Dissertation Repository

Traditional physical activity contexts are male-dominated, cis-heteronormative, and perpetuate Western beauty standards. Research has identified that queer women experience the lowest rates of physical activity participation, compared to other LGBTQ+ groups. The present study investigated the relationship between queer women’s (N = 70) body image, physical activity behaviour, and experiences. Participants completed one virtual focus group and four themes were identified: The Queer Women’s Body is Political; (in)Visibility of Sexual and Gender Identity in Physical Activity; Hypervigilance to Maintain Safety and Reduce Perpetuating Gender-Based Violence; and Desire for Spaces that Foster Safety, Belonging, and Connection. Findings revealed that queer …

Recentering Psych Stats, Lynette Bikos

Faculty Open Access Books

To center a variable in regression means to set its value at zero and interpret all other values in relation to this reference point. Regarding race and gender, researchers often center male and White at zero. Further, it is typical that research vignettes in statistics textbooks are similarly seated in a White, Western (frequently U.S.), heteronormative, framework. ReCentering Psych Stats seeks provide statistics training for psychology students (undergraduate, graduate, and post-doctoral) in a socially and culturally responsive way. All lessons use the open-source statistics program, R (and its associated packages). Each lesson includes a chapter and screencasted lesson, features a …