Digital Commons Network^™

Heightened Risk: Childhood Trauma And Anticipatory Grief Exacerbate The Impact Of Loneliness On Depressive Symptoms And Lps-Stimulated Cytokines In Dementia Caregivers, Kelly N. Brice, Jensine Paoletti-Hatcher, E Lydia Wu-Chung, Vincent D. Lai, Daniel L. Argueta, Michelle A. Chen, Itee Mahant, Bryan T. Denny, Charles Green, Luis D. Medina, Multiple Additional Authors

Psychology Faculty Publications and Presentations

Dementia spousal caregivers are at a disproportionate risk for adverse mental and physical health outcomes. Loneliness is associated with depressive symptoms and proinflammatory cytokine production among caregivers. Additionally, childhood trauma, anticipatory grief, and poor sleep quality are all associated with enhanced stress reactivity. This study used a cross-sectional design to investigate whether loneliness is associated with proinflammatory cytokine production and depressive symptoms in caregivers, and whether these relationships are strongest among caregivers who report high levels of childhood trauma, high amounts of anticipatory grief, or poor sleep quality. A sample of 111 dementia spousal caregivers provided blood samples and completed …

“There Is Nothing”—Exploring Diagnostic And Service Access For Autistic Individuals In Uruguay: A Qualitative Study, Maria Montenegro, Gabriela Garrido, Leyla Feize, Liza Talavera-Garza, Bianca T. Villalobos, Cecilia Montiel-Nava

Psychological Science Faculty Publications

Due to the higher autism research presence of higher-income countries, the known social and cultural experiences of families raising a child with autism are centered on their realities. This narrative overlooks the experiences of many families who do not fit this archetype, such as those residing in low- and middle-income countries, who are particularly challenged by the limited availability of trained professionals and barriers to accessing diagnosis and evidence-based treatments. That is the case in Latin American countries, such as Uruguay, where the present project transpires. By utilizing a Theory of Change framework, specifically developed to be used in low- …

The Potential Mediating Role Of Perfectionistic Self-Presentation In The Relationship Between Other Stigma, Self-Stigma, And Attitudes Towards Mental Health Help-Seeking In Asian Americans, Trevor E. Taone

Clinical Psychology Dissertations

The importance of understanding why individuals decided to engage in mental health care cannot be overstated. This importance is further highlighted in the need to examine the different factors that may help researchers and clinicians to obtain more insight into why populations with a higher demand for mental health services, such as Asian Americans, possess negative attitudes toward seeking mental health care. Stigma has been identified as a significant barrier that influences these attitudes towards help-seeking. Other stigma and self-stigma, in particular, play an important role in understanding why individuals may possess negative views about mental health care help-seeking. With …

Psycho-Analysis Will Not Save Us: Reflections On The Gen Z Mental Health Crisis, Victor Dubitans

Middle Voices

Generation Z (born between 1997 – 2012) is characterized as having both unprecedented mental health awareness and unprecedented mental distress. An apparent contradiction with troubling implications for the mental health field: Either the response to the mounting crisis has been insufficient or the field forms part of the problem. Taking seriously Wilks’ (2023) criticism of “therapeutic overreach” of the contemporary mental health field in the lives and development of youth, this paper attempts a selfanalysis and moral inventory about the field’s potential complicity in the crisis and in the history of hysteria. Lacan’s writings on the “analyst’s discourse” are considered …

Electro Transcranial Magnetic Stimulation (Etms) Effects On Pharmacoresistent Sleep Disorders Using A Quantitative Electroencephalogram (Qeeg), Sarah Diane Dean

Doctoral Dissertations and Projects

The following quantitative correlational study investigated the effects of eTMS on individuals with pharmacoresistant sleep disorders using a qEEG. This research measures the dimensions of anxiety, depression and quality of life (QoL) as it relates to untreated secondary diagnosis. Additionally, this research examines the activity level of the dorsolateral prefrontal cortex in relation to eTMS treatments. It was found that correlation with anxiety (rs = -.466, p < .001), depression (rs = -0.556, p < 0.001), quality of life (rs = -.436, p < .001), and sleep disturbances (rs = -0.452, p < 0.001), have a statistically significant negative correlation with dlPFC activity level. Finally, it was found that eTMS does have a statistically significant relationship with sleep disturbances as well as anxiety, depression and general quality of life (U (195) = 4647, p = .971). This is important to the field of neuroscience as it provided a more precise form of individualized neuromodulation through the use of a uncommon type of transcranial magnetic stimulation.

Burnout Among Adjunct Faculty: A Quantitative Study, Christopher D. Sclafani

Doctoral Dissertations and Projects

Adjunct faculty, who are employed on a contractual, as-needed basis, comprise nearly 70% of the higher education workforce in the United States. Despite their essential role, they often face challenges that may impact their well-being and organizational commitment. This quantitative, non-experimental study examined the relationships between workload, course format, compensation, institutional support, and burnout among adjunct faculty. Data was collected from 85 adjunct faculty members across the United States using an online survey. Guided by the Job Demands-Resources (JD-R) Theory and Social Exchange Theory (SET), multiple regression analyses were conducted to explore the predictive effects of workload, compensation, and institutional …

The Call (And Aftermath) Of The Void: Understanding Suicide Loss And Bereavement Processes Amongst Student Populaces, Saraha K. Brawner

Doctoral Dissertations and Projects

Each year, over 800,000 people die via lethal self-harm, leaving behind millions of survivors to navigate qualitatively unique manifestations of grief. Despite the profound psychosocial and psychopathological effects associated with suicide loss, research addressing these experiences remains extremely limited. This quantitative survey study examined the relationship between suicide loss and grief-related distress among students, focusing on sociodemographic, psychosocial, and psychopathological factors influencing bereavement over time. It also explored how the individual learned about the suicide and expanded upon 1st, 2nd, and 3rd-degree relationships. Forty-one participants recruited from universities and mental health organizations across the United States completed a loss summary/death …

Family Poison: A Phenomenological Study Of The Role Of Toxic Parental Influence On Romantic Relationships, Kimberly Eichelberger-Searcy

Doctoral Dissertations and Projects

This phenomenological study sought to describe the lived experiences of adult survivors of toxic parents across the United States. The assumption was that toxic parental influence impacts romantic relationships. The following research questions framed this study: “How do adult survivors of toxic parents describe their experiences growing up with a toxic parent in the United States? How do adult survivors describe the effects of growing up with a toxic parent?” and “How do adult survivors of toxic parents describe the impact of their childhood experiences on their intimate/romantic relationships?”. The two theoretical frameworks guiding this study were Bowlby’s attachment theory, …

International Space Station Deorbit: A Qualitative Study On Aerospace Employees Perceptions Of Their Job During Decommission, Jesse Hudson

Walden Dissertations and Doctoral Studies

The decommissioning of the International Space Station (ISS) represents a significant organizational transition. Despite parallels with previous National Aeronautics and Space Administration program closures, research has not fully examined the human impact of such mission-driven disruptions. Employees face uncertainties regarding job roles, the relevance of specialized skills, and the future within a rapidly commercializing space sector. The purpose of this qualitative phenomenological study was to explore how aerospace employees perceive and navigate the psychological and professional challenges associated with the ISS decommissioning. Bridges’ transition model and affective events theory grounded this study. The participants were 12 current aerospace employees who …

Assessing The Relationship Of Cultural Values, And Neighborhood Factors In Prenatal Depression Amongst Mexican Women, Esmeralda Lezama Ruiz

Master's Theses (2009 -)

Maternal depression during the perinatal period is a debilitating illness which negatively influences maternal health, child development and family functioning. The rate of maternal depression in Mexican-American mothers is substantially higher than non-Hispanic white populations. Some work has linked maternal depression in the US Mexican population to cultural factors and neighborhood dynamics, but these factors are only beginning to be addressed in perinatal mental health. This study investigates the independent and interactive roles of cultural values and neighborhood factors in predicting perinatal maternal depressive symptoms in women of Mexican descent. The study recruited pregnant women (N= 261) of Mexican descent …

The Role Of Neuroscience In Mental Health Management Within The Adhd Population, Kadi Rae Smith

University Honors Theses

Neuroscience-based educational interventions play a role in the management of Attention Deficit Hyperactive Disorder (ADHD), including the regulation of ADHD-correlated depression and anxiety. Existing research shows that elevated rates of depression correspond to anxiety within the ADHD community; approximately 8.83% of the global population. Social ostracization and isolation are established contributors to depression and anxiety which are commonly comorbid with ADHD. The need exists for further investigation of the beneficial impact that an accurate, biological understanding of how the brain works has on the mental health of the ADHD population, and by extension their families, education systems, and medical industries. …

Beyond The Genome: The Racialized Exposome, Flourishing, And Stress Biology In African Americans, A Non-Exhaustive Review, Enye Washington

University Honors Theses

Racial health disparities remain an enduring challenge in the United States, disproportionately impacting African American communities through higher rates of chronic disease and premature mortality. This non-exhaustive literature explores how the racialized exposome - a term denoting the totality of social, environmental, and structural stressors rooted in systemic racism - biologically embeds itself via stress-responsive pathways. Specifically, it examines the interaction between racial stress, flourishing, and key biological markers, including allostatic load and telomere length, considering the gut-brain axis. The review highlights robust evidence that chronic exposure to racial discrimination and structural adversity contributes to multisystem dysregulation and accelerated cellular …

Exploring The Differences Of Gender On Physician Burnout And Perceptions Of Work Environment, Holly C. Adams

Doctoral Dissertations and Projects

Physician burnout is a growing public health crisis, threatening care quality, patient safety, and workforce sustainability. Research suggests gender may influence burnout levels and perceptions of the work environment. This quantitative, cross-sectional study examined gender differences in physician burnout and workplace perceptions among U.S. physicians that impact burnout. A total of 170 licensed physicians completed an online survey using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS (MP)) and the Areas of Worklife Survey (AWS). MANOVA results indicated a significant multivariate effect of gender on burnout. Follow-up ANOVA testing revealed that gender was significantly related to emotional exhaustion and personal accomplishment. …

A Combined Cognitive Behavioral Therapy And Social Skill Intervention For Autistic Youth With Symptoms Of Anxiety, Ashley Dreiss

USF Tampa Graduate Theses and Dissertations

Anxiety is one of the most prevalent co-occurring diagnoses in autistic youth, often exacerbating challenges in social functioning and quality of friendships. While social skills interventions and Cognitive Behavioral Therapy (CBT) have demonstrated efficacy in addressing these difficulties separately, limited research has examined the integration of these approaches within an individualized format, while including measures of self-report and generalization of skills. This study investigates the development, implementation, and efficacy of a combined CBT/social skill intervention for autistic youth with symptoms of anxiety. Utilizing a single-case multiple baseline design, the study evaluates outcomes across levels of anxiety symptoms and social competence …

Creative Climates: The Impact Of Different Environmental Exposure On Group And Individual Creativity, Michael P. Hopkins

USF Tampa Graduate Theses and Dissertations

This thesis examined the influence of indoor versus outdoor environmental exposure and individual versus group participation on verbal creativity performance. Guided primarily by Attention Restoration Theory (ART; Kaplan & Kaplan, 1989), it was predicted that outdoor natural settings would enhance creativity through restorative cognitive processes. Additionally, it was hypothesized that groups would outperform individuals due to the cognitive advantages of collective induction and information pooling. Participants (N = 256) completed verbal creativity tasks—Remote Associates Task (RAT; convergent creativity) and Alternate Uses Task (AUT; divergent creativity)—following a 30-minute exposure period in either an indoor student center or outdoor botanical garden setting, …

Exploring Age And Employee Experience Among Healthcare Workers Post-Covid-19 Pandemic, Sheila-Celestine Bonner

Doctoral Dissertations and Projects

This study focused on the well-being of healthcare employees and their experience following COVID-19. The pandemic has negatively affected adults over the age of 50 in the United States and limited their ability to return to work. Older adults who have returned to work have faced challenges with discrimination, lack of work, stress, and other factors. A survey of 59 adult healthcare workers, 21 years and older, was conducted to determine whether there is a relation between age and perceptions of organizational support during the pandemic including work factors such as stress, job satisfaction, and age discrimination. A non-experimental research …

Sense Of Belonging In The Workplace: Development And Validation Of A Scale, Campbell C. Dunson

Doctoral Dissertations and Projects

In this dissertation, I describe the development and validation of the Sense of Belonging in the Workplace Scale (SBWS). A comprehensive, multidisciplinary review of the belonging construct revealed five key components of a sense of belonging in the workplace: (1) accepted/liked, (2) known/understood, (3) purpose/status, (4) respected/voice, and (5) safety/trust. Scale validation began with a review of 40 initial items by a panel of 12 subject matter experts (SMEs). The items were then revised, and a pilot study involving 67 participants was conducted to test these 40 items through exploratory factor analysis and construct validation. The top-performing 25 items were …

Olfactory Training: Reclaiming Our Wellbeing, Nathan Smetzer

Doctoral Dissertations and Projects

The connection between the sense of smell and memory offers a promising avenue for enhancing cognitive, emotional, and mental health, thereby contributing to overall wellbeing. This research explores how olfactory stimuli relate to memory and emotion, aiming to expand understanding of the effects of scent-based interventions on mental health. Utilizing a 12-week longitudinal phenomenological approach with experimental components, the study engaged seven participants in a regimen of olfactory training twice daily. Participants used essential oils—citrus, cloves, eucalyptus, and rose—applied to cotton and kept in sealed containers, along with a pen and daily planner. Data were gathered through recurring qualitative interviews …

Strengthening Communication Between Staff And Health Providers In A Mental Health Setting, Michael Tricoli

Doctoral Dissertations and Projects

Communication between nursing staff and providers is essential for supporting optimum patient outcomes. Each component of the communication process needs to be clearly defined to create an environment of safety for both patients and caregivers. The SBAR (situation, background, assessment, recommendation) is a nurse-driven protocol that is widely used as a communication and documentation template in health care organizations. This format is currently not being used effectively on the mental health units where the evidence-based project was implemented. Recognizing and reiterating the value of SBAR as a communication tool is necessary when communication deficits are noted. The purpose and scope …

العزلة الاجتماعية وعلاقتها بالأفكار اللاعقلانية لدى طلبة المدارس, Feras Qurit'e Al-Jobour, Ali Abdullah Al-Hourani

Journal of the Association of Arab Universities for Research in Higher Education مجلة اتحاد الجامعات العربية للبحوث في التعليم العالي

هدفت الدّراسة إلى الكشف عن مستوى كل من العزلة الاجتماعية والأفكار اللاعقلانية، والعلاقة بينهما لدى طلبة المدارس. اعتمدت الدراسة على المنهج الوصفي الارتباطي، وتكوّنت عيّنة الدّراسة من (831) طالباً وطالبة (476 طالباً و 355 طالبة)، تم اختيارهم بالطّريقة المُتيسرة في الفصل الدراسي الثاني للعام الدراسي (2023/2022)م. ولتحقيق أهداف الدراسة؛ جرى استخدام مقياس العزلة الاجتماعية ومقياس الأفكار اللاعقلانية اللذين أعدا لغايات هذه الدراسة، بعد التحقق من صدقهما وثباتهما. أظهرت نتائج الدراسة أن مستوى كل من العزلة الاجتماعية والأفكار اللاعقلانية جاء متوسطاً، وأن هناك علاقة ارتباطية موجبة دالة إحصائياً بينهما. كما أظهرت النتائج أيضاً عدم وجود فروق دالة إحصائياً في مستوى كل …

Storytelling In Reappraisal: How Narratives Can Change Emotion, Makabe Aberle

Undergraduate Theses, Capstones, and Recitals

Emotion regulation strategies, including cognitive reappraisal, are essential for maintaining psychological well-being. While prior work has demonstrated the effectiveness of reappraisal and begun to dig into different specific aspects such as the goals and structure of reappraisals, little is known about how the narrative quality of generated reappraisals impacts their success. The present, preregistered study investigated whether the quality of reappraisal narratives is associated with decreases in negative emotion following reappraisal. Participants across two studies (N = 342) wrote about a recent stressor and then reappraised the event by writing a redemption narrative. Narratives were rated for qualities such as …

Collaboration Across The Silos: Consultation As A Means For Integrating Services For Twice-Exceptional Learners, Kimberly Bowers Yoshino

Electronic Theses and Dissertations

Twice-exceptional (2e) learners are underserved in American schools. As students who demonstrate both giftedness and disabilities, 2e learners maintain profiles that warrant tailored educational services across special and gifted education programs. Yet, these programs are considered institutionally mutually exclusive as legal mandates create de facto isolation — the antithesis of what is recommended for the students’ optimal development. School psychologists have been identified as professionals critically positioned to support 2e learners because of their specialized skill set, namely in consultation. However, little is known about their consultative practices with the educators who serve 2e learners or how they traverse school …

Young Adults’ Metaperceptions Of Their Childhood Caregivers’ Appraisals And Young Adulthood Mental Health, Cassandra Svelnys

Electronic Theses and Dissertations

Early experiences and relationships have enduring impacts on the development of self and later mental health and wellbeing. In social relationships and interactions, the developing individual is continuously assessing how they view themself, how they view the other person, and how they believe the other person views them. Metaperceptions represent the latter construct: how an individual thinks another person perceives them. Childhood self-esteem, parent-child attachment, and metaperceptions are foundational constructs for the developing individual, yet metaperceptions have not previously been tested as a predictor for adulthood mental health while also accounting for childhood self-esteem and parent-child attachment. This study introduced …

The Relationship Of Organizational Democracy And Psychological Safety On Organizational Citizenship Behaviors, Thomas William Rice

College of Science and Health Theses and Dissertations

This study examines the relationship between organizational democracy and organizational citizenship behaviors through the mediating effect of psychological safety. This study contributes to the organizational democracy literature in the introduction of psychological safety as a mediator through the lens of social exchange theory. An online survey was completed by 245 participants who self-reported as being full-time, English-speaking employees in the United States. The survey was composed of a demographic section and different measures of organizational democracy (i.e., perceived organizational participation and democracy questionnaire, organizational democracy scale), psychological safety, and organizational citizenship behaviors. Utilizing mediated regression analysis, results indicated that psychological …

Mental Healthcare For Us: Examining Awareness Of, Barriers To, And Recommendations For Mental Healthcare Among Immigrant-Origin Chinese American Adolescents, Mengxue (Fiona) Sun

College of Science and Health Theses and Dissertations

Background. Ethnic minority adolescents face elevated mental health challenges and encounter significant barriers to accessing mental healthcare compared to their non-Hispanic White counterparts. Despite these challenges, limited research has explored culturally responsive mental healthcare for adolescents from specific Asian American communities, and even fewer studies have actively incorporated adolescents' perspectives to inform treatment and policy. This study aimed to examine the experiences of immigrant-origin Chinese American adolescents with mental health and mental healthcare.

Method. Ten immigrant-origin Chinese American adolescents, aged 14 to 17, were recruited through community organizations and participated in semi-structured individual interviews. Open-ended questions focused on …

Effect Of Ipv On Latino Children's Perspectives Of Fatherhood, Elizabeth Berks

University Honors Theses

Intimate partner violence (IPV) can be found in many cultures throughout the world, with varying levels of acceptability, victimization, and perpetration. Approximately one in five couples report experiencing at least one instance of IPV in a given year. Women are victims of IPV more frequently than men, and experience more severe injuries. 20% of women report a lifetime history of physical IPV victimization by their current or past partners. Further, women are also ten times more likely to be killed due to IPV than men are. Presently, empirical research literature surrounding the dynamics and impacts of IPV is heavily focused …

Stigma, Shame, And Narcissism: A Literature Review, Alex Gaither

University Honors Theses

This thesis is a literature review of 12 peer reviewed journal articles accessible through the Portland State University library database on the relationship between stigma, shame, and Narcissistic Personality Disorder (NPD). This thesis discusses ideas brought up in these articles regarding the classification and conceptualization of NPD as a disorder, the role that shame plays in the pathology of NPD, the ways that shame is addressed through treatment, and public and practitioner held bias resulting from the stigmatization of the disorder. New and upcoming ways of conceptualizing the disorder are also briefly discussed as there has been a push to …

Changing Minds, Changing Modes: Optimizing Public Perception Strategies For Urban Cycling Through Behavior Change Theory, Brandon Barnhart

University Honors Theses

This thesis addresses the recent decline in bicycle mode share in cities like Portland, Oregon, despite decades of investment in cycling infrastructure. While the "build it, and they will come" approach succeeded through the early 2000s, it no longer meets targets for bicycle use or broader goals related to sustainability, congestion, health, and safety. A new approach is needed that effectively rebuilds the cultural and behavioral components of cycling. This research asks: What role can behavior change theory play in increasing the effectiveness of public perception campaigns to promote urban cycling? Using a qualitative methodology, this study draws on behavior …

The Intersection Of Education And Empowerment: How Comprehensive Sex Education Equips Adolescents To Navigate Complex Relational Dynamics, Joleigh Wood

University Honors Theses

This thesis examines the impact of comprehensive sex education (CSE) on adolescents' understanding of consent, personal boundaries, and relational competence. Drawing upon social learning theory, intersectionality, and relational-cultural theory, the study employs a multidisciplinary framework to analyze how CSE functions as both an instructional practice and a sociocultural intervention. Utilizing an integrative thematic review of empirical studies, policy analyses, and national curriculum standards, the research evaluates the extent to which CSE promotes emotional literacy, fosters ethical relationship skills, and addresses structural inequities in educational access. Findings indicate that well-implemented, inclusive CSE contributes to healthier developmental outcomes by enhancing students' emotional …

Gi, Pain, Anxiety, And Mood Symptoms Among Youth With Fapds, Helen Bedree

College of Science and Health Theses and Dissertations

Pediatric functional abdominal pain disorders (FAPDs) frequently persist into adulthood, thus developmental considerations are critical for monitoring symptom presentation and tailoring treatments. In addition to core symptoms, such as pain and gastrointestinal symptoms, mood and anxiety symptoms often co-occur as well as negative impacts on functioning and quality of life. The current study took a developmental approach to assess core pain, gastrointestinal, anxiety, and mood symptoms among youth with FAPDs (N = 105), as well as agreement across youth and their caregivers on these key symptoms. Developmental stages included early childhood, middle childhood, adolescence, and emerging adulthood. A cluster …