Digital Commons Network^™

A Qualitative Exploration Of The Attitudes And Perceptions Of Female Immigrants Of Chinese Descent Regarding Access To Mental Health Services, Ming Wai Myra Kan

Doctoral Dissertations

This qualitative study used Interpretative Phenomenological Analysis to explore the lived experiences and meaning-making of Chinese immigrants’ attitudes and perceptions of mental disorders and mental health-seeking behaviors in the US. This study also explored the cultural and structural barriers to mental health services in the US. A total of six participants were interviewed in this study, and the interviews were conducted in English and Cantonese. Eligible participants identified as being of Chinese descent who immigrated to the US from Hong Kong or Mainland China and were over the age of 18. IPA analysis revealed seven themes: Cultural Identity, Post-Migration Adjustment …

Associations Between Sexual And Gender Minority Stress Exposure And Schizophrenia-Like Experiences In The South, Lillian A. Hammer

Dissertations

Background: Negative experiences related to one’s minority identity serve as stressors contributing to mental health concerns for those identifying as a sexual and/or gender minority (SGM). SGM groups have greater severity of some mental health symptoms than non-SGM individuals, yet it is poorly understood whether these findings extend to schizophrenia-like experiences (SLEs). SLEs are associated with significant distress and may indicate risk for the development of schizophrenia-spectrum disorders. Associations between exposure to minority stress and SLEs are underexplored. This study aimed to fill this gap by assessing whether exposure to SGM-related minority stress was related to SLEs using ecological …

Association Between Anxiety And Rrbs In Autistic Youth: Role Of Ethnicity, Catherine Rita Callaci

Loma Linda University Electronic Theses, Dissertations & Projects

Autistic youth are at elevated risk for developing co-occurring anxiety symptoms (Zaboski & Storch, 2018), which are shown to be related to restricted, repetitive behaviors (RRBs; Rogers et al., 2012). Despite similar rates of autism in Latinx as in non-Latinx White youth, limited research has been conducted in the Latinx population. Participants were autistic youth and youth with developmental delays (DD; N = 199, Mage = 4.98 years, Latinx = 66.3%, Male = 66.3%) from two larger randomized controlled trials investigating parenting stress. Child anxiety was measured via the Spence Anxiety Scales total anxiety T-scores. RRBs were measured via Repetitive …

Development Of A Multidimensional Psychometric Scale For Assessing Vulnerability In Human Behavior, Jibran Rasheed Khan, Sumaira Mustufa Qureshi, Farhan Ahmed Siddiqui, Syed Asim Ali

Makara Human Behavior Studies in Asia

Human behavior is a persistent and primary cybersecurity vulnerability. However, existing psychometric tools for assessing these factors are often fragmented, focusing on isolated aspects such as knowledge, compliance intentions, or organizational context, and lack a unifying theoretical framework. To address this gap, this study developed and pilot-tested the Cyber-behavioral Index, a novel multidimensional instrument to holistically assess human behavior. The scale operationalizes the CBS framework, comprising five latent dimensions: attitude and habits, perception and belief, social influence, digital influence, and trust in technology. Following a rigorous development process including expert review (n = 3) and cognitive pretesting (n = 10), …

Familismo: Exploring A Culturally Sensitive Correlation Between Parentification And Relationship Satisfaction Amongst First Generation Mexican-American Adults Through An Attachment Theory Lens, Ana K. Perez

Dissertations

Parentification refers to the role reversal of children who take on adult responsibility to care for family members. This role is often filled by Mexican-American children as a result of immigration and assimilation. This study explored the relationship between parentification and adult romantic relationship satisfaction among first-generation Mexican-American adults, with particular attention to the moderating roles of attachment styles and perceived unfairness. While earlier research has linked parentification to mental health challenges, few studies have examined its long-term impact on intimate relationships, including relationship satisfaction and experiences of intimate partner violence. A total of 132 participants completed an online survey …

The Effect Of Resilience: Exploring The Link Between Depression And Cognitive Performance In A Memory Disorder Clinic Population, Amanda Capriglione

Theses and Dissertations

Introduction: Research has consistently shown that depressive symptoms are associated with cognitive impairments, namely in memory, attention, and executive functioning (for a review, see Rock et al., 2014), particularly in individuals with mild cognitive impairment (MCI). As MCI is often a precursor to dementia, understanding and addressing modifiable factors that influence this trajectory is essential for prevention and intervention efforts. Resilience, defined as the capacity to adapt positively to adversity, has been identified as a potential protective factor against age-related cognitive decline. Prior studies (e.g., Laird et al., 2019b; Miller et al., 2023) suggest that resilience buffers against the cognitive …

Childhood Emotional Maltreatment And Its Associations With Internalizing And Externalizing Symptoms In Emerging Adults, Amira C. Wallace

Undergraduate Theses and Capstone Projects

This study examines how childhood emotional maltreatment influences mental health symptoms among college students aged 18 to 25, specifically exploring its association with increased prevalence and severity of depression, anxiety, hyperactivity, and aggression symptoms in emerging adulthood. The relationship between childhood emotional maltreatment and internalizing and/or externalizing mental health symptoms will be assessed using questionnaires. This study aims to provide recommendations for the development of supportive and inclusive academic environments that facilitate informed conversations and interventions regarding childhood maltreatment. Findings could provide valuable information about students with histories of childhood maltreatment to academic institutions, which could in turn be used …

Evaluating Suicidal Ideation Measures: A Comparative Review Of Characteristics And Accessibility, Eliza Hope Laves

Psychology Doctoral Specialization Projects

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Measures of suicidal ideation have been included within both research and clinical settings to help medical and mental health professionals alike address and prevent suicide related deaths, especially since the rise of suicide as one of the leading causes of death in the United States. However, many people across different …

Shadow Garments: Costume Creation For Integrating Alienated Parts Of The Self, Mega M. Galvin

Art Therapy | Master's Theses

This study explores costume creation as a narrative-based intervention for integrating "shadow" parts, or aspects of the self that are repressed or alienated due to shame, trauma, or social pressure. Grounded in Jungian analytic psychology, narrative therapy, and expressive arts theory, the research addresses the limitations of traditional talk therapy in accessing somatic memory and proposes costume making as a pathway for externalization and re-authorship. Using a qualitative, participatory study inspired by Pat B. Allen’s Open Studio Process, four adult participants engaged in a three-session workshop to design, construct, and wear costumes representing their identified shadow aspects. Data was collected …

The Impact Of Mindfulness-Based Relapse Prevention In Rolling-Admission Format On Mental Health Outcomes Of Adults In Residential Treatment For Opioid Use Disorder, Alice Laughlin

West Chester University Graduate Theses, Dissertations, and Final Projects

Opioid use disorder is associated with serious psychological, social, and public health consequences. Co-occurring mental health difficulties further complicate recovery, underscoring the need for interventions that address psychological well-being alongside substance use. This study examined the impact of Mindfulness-Based Relapse Prevention adapted for rolling admission (MBRP-RA) on trait mindfulness, global mental health, and abstinence self-efficacy among adults in residential treatment for opioid use disorder. Participants were randomly assigned to adjunctive MBRP-RA plus treatment as usual (MBRP+TAU) or treatment as usual (TAU) only. Two-way mixed analyses of variance indicated significant treatment condition × time point interactions for trait mindfulness and global …

The Benefits Of Mindfulness And Nondual Awareness In Tibetan Mind-Body Practices, Michael E. Szczechowski

West Chester University Graduate Theses, Dissertations, and Final Projects

There is abundant research on the various benefits of different mindfulness-based interventions (MBIs) in both clinical and non-clinical populations, but research investigating variables related to the beneficial effects on wellness often linked to mindfulness has been limited to investigating a select few MBIs such as Mindfulness-Based Stress Reduction (MBSR). Additionally, little research exists currently on non-dual awareness (NDA) (Hanley et al., 2018). In many traditions from which mindfulness practices are derived, NDA is conceptualized as an experience in which one achieves a transient state of profound awareness, often through meditation practice. Although NDA is often seen as a powerful and …

Breaking The Silence: Investigating The Impact Of Stigma On Help-Seeking Behaviors Among Adults With A History Of Adverse Childhood Experiences In Ghana, Deborah Amoako-Atta

West Chester University Graduate Theses, Dissertations, and Final Projects

In Ghana, cultural beliefs often silence open discussion about mental health. Many view emotional struggles as spiritual weakness, leading to stigma and avoidance of care. For adults who experienced Adverse Childhood Experiences (ACEs), this silence can worsen the long-term impact of trauma. While Western research links stigma to reduced help-seeking and shows that trauma knowledge can promote openness, little is known about how these relationships function within Ghana’s cultural context. This cross-sectional study examined how stigma and trauma knowledge influence help-seeking behaviors among 103 Ghanaian adults (ages 19-62, M = 30.0; 49% women) with childhood adversity histories. Participants completed anonymous …

The Moderating Role Of Perceived Resource Abundance In The Links Between Self-Compassion, Self-Coldness, Coping Strategies, And Mental Health, Evan E. Ozmat

Electronic Theses & Dissertations (2024 - present)

Undergraduate students increasingly present to college counseling centers with pre-existing mental health concerns, including depression and suicidal ideation, emphasizing the urgent need for effective interventions and a deeper understanding of contributing factors. Self-compassion—responding kindly to oneself amid suffering—and its theorized counterpart, self-coldness—characterized by self-judgment and isolation—have emerged as key constructs influencing mental health. The two-factor model of self-compassion, grounded in Gilbert’s (2005a) Theory of Social Mentalities (TSM), posits that self-compassion and self-coldness are distinct unipolar continua shaped by evolved safeness and threat-defense systems that regulate social behaviors and mental health outcomes. The present study examines the mediating role of prosocial …

Evaluating Measurement Models Of Problematization: Connections With Identity Empowerment And Community Connectedness, Angel Long

College of Graduate Studies: Theses & Dissertations

Consistent with Liberation theory, problematization is the process of creating critical reflection, a means by which critical consciousness occurs. It is a method for understanding issues faced by oppressed populations, while centering the perspective of these populations. Within Liberation spaces, problematization is critical for fostering critical consciousness, disrupting oppression, and promoting strength. However, problematization is a theoretical concept frame from narrative responses and lived experiences of marginalized individuals. There are few resources highlighting depictions of problematizing/critical consciousness and cultural strengths captured by measures of BIPOC community functioning. Therefore, there is a need to empirically evaluate major tenets of the concept …

Medical Distrust And Willingness To Engage In Mental Healthcare: The Moderating Roles Of Mental Health Literacy And Stigma Among Rural Populations, Alex Cudd

College of Graduate Studies: Theses & Dissertations

Healthcare and mental healthcare disparities among rural communities in the United States remain a persistent and growing public health concern, driven by both structural barriers and sociocultural factors that continue to compromise rural community members’ utilization of healthcare services. Though structural barriers to rural healthcare are well-documented, there are continued gaps in the literature related to the understanding of sociocultural mechanisms contributing to these disparities. The present study investigated the influence of medical distrust, mental health literacy, and perceived public stigma on attitudes toward seeking professional psychological help among rural adults living within the United States. A sample of 240 …

Self-Reflecting On 30 Years Of Liberational Praxis: A Pluri-Epistemic Journey Embracing The Relational Indigenous Research Paradigm To Expand The Emancipatory Aims Of The Psychology Of Liberation., Adriana Fernand Salazar Ms

Theses and Dissertations (Comprehensive)

This thesis asks how embracing Relational Epistemology, through accountable Pluri-Epistemic Dialogue, expands the Emancipatory aims of the Psychology of Liberation and deepens Liberational Praxis. Grounded in thirty years of Liberational Praxis, it brings the Psychology of Liberation into accountable encounter with Indigenous and Postcolonial Relational Epistemologies, without claiming Indigenous identity, authority, ceremony, or ownership. Within this situated encounter, Pensar Bonito (Tidy Thinking) illuminates movements from Martín-Baró’s Historical Memory toward Territorial and Ancestral Memory, from Freirean Dialogue toward walking the Word, from Fals Borda’s sentipensante toward Body-Nature and Body-Us, and from decolonial critique toward practices of Care and Subversion. Through a …

The Power Of The Mind: Exploring The Perceived Benefits Of Spiritual Meditation For Children's Loss And Grief, Shefali Bhalla

Theses and Dissertations (Comprehensive)

Grief and loss can significantly affect children’s emotional, cognitive, and social development, yet many existing interventions remain difficult to access due to stigma, cost, and limited cultural fit. Meditation has shown promise as a low-cost and adaptable strategy for supporting emotional regulation, but little is known about how children themselves perceive its usefulness in grief-related contexts. The present study explored children’s beliefs about the usefulness of spiritual meditation as a coping strategy across grief, interpersonal conflict, and positive emotional vignettes. Fourteen children between the ages of 8 and 13 participated in individual Zoom sessions in which they listened to three …

The Impact Of A Play-Based Nature Camp On Self-Regulation In School-Age Children, Margaret Berkemeyer

Doctoral Dissertations

This study is a program evaluation with a mixed-methods design that evaluated the effectiveness of Y Rangers, a summer camp offered by the YMCA of San Francisco, in increasing the self-regulation abilities of school-age children. A total of 18 caregivers completed the quantitative portion of this study that included pre/post-test analyses of self-regulation measures. There were no statistically significant changes between pre and post assessments of self-regulation. A subset of seven caregivers and three Y Rangers counselors participated in interviews, the transcripts of which were analyzed using interpretive phenomenological analysis. Caregivers experienced Y Rangers as a unique opportunity for their …

The Relationship Between Acculturative Stress, Body Dissatisfaction, And Disordered Eating Behavior Among Latina Women In The United States, Emily Lillian Johnson

Doctoral Dissertations

The majority of research on body dissatisfaction and disordered eating behaviors focuses predominantly on the experiences of white women, neglecting the significant impact of acculturative stress on these issues, especially among understudied groups like Latina women. The present study seeks to address the gap in the literature by obtaining data that explores the extent to which acculturative stress, body dissatisfaction, and disordered eating behavior have a relationships. Additionally, it investigates the roles of cultural values and ethnic identification in protecting against body dissatisfaction and disordered eating behavior within this population. To determine whether acculturative stress is predictive of body dissatisfaction …

Perceptions, Attitudes, And Experiences Of Persons Who Work In Forensic Mental Health Systems, Abigail Wiser

Electronic Theses and Dissertations

The forensic mental health system serves clients with dual needs —serious mental health concerns like psychosis and suicidality, and management of risk. Experiences and perceptions of professional and direct care staff may impact daily and therapeutic interactions and client success. These experiences may be marked by stigma, such as beliefs about what led to hospitalization, treatability of mental health concerns, and intentionality of behavior. Understanding this stigma, as well as the role of vicarious trauma, workplace burnout, and other relevant individual factors, may help us understand staff experiences and guide training, thus improving client care. 146 staff members across three …

Ring Ring Goes The Telephone, Answer That Email: The Immediacy Of Information Communication Technologies And Their Effects On Employee Well-Being, Concepcion Rodriguez

Electronic Theses, Projects, and Dissertations

Rapid technological advances have resulted in information communication technologies (ICTs) with revolutionary capabilities, allowing employees easy access to the workplace without the impediments of time or space. Initial inception of ICTs in the workplace were expected to increase autonomy (Heller, 1989), but the ability to be reachable at any time proved disadvantageous to employee well-being by creating a culture in which immediate responses were expected and precipitating the psychological phenomenon of workplace telepressure, an overwhelming preoccupation and urge experienced by workers to respond to work-related messages (Barber & Santuzzi, 2015; Mazmanian et al., 2013). The current study centered on exploring …

The Downstream Effect Of Gender Bias On Academic Performance And Career Aspirations Amongst Female Students In Stem Via Gender-Professional Identity Integration (G-Pii), Chi-Ying Cheng, Shuna Shiann Khoo, Shih-Fen Cheng, Yeow Leong Lee, Vandana Ramachandra Rao

Research Collection School of Social Sciences

Background Gender imbalance in STEM, characterized by a significant underrepresentation of women, remains a significant challenge. Although gender bias is a well-known contributor to women’s attrition from STEM, the psychological mechanisms linking gender bias to departure are less well understood. Our research investigates early antecedents of attrition and the psychological processes that precede leaving the STEM pathway in tertiary education. Drawing upon identity integration research, we propose that perceived gender bias exerts undermines female STEM students’ academic performance and career aspirations by reducing their Gender-Professional Identity Integration (G-PII), a construct that captures individual differences in the perceived compatibility between a …

Depression, Psychological Distress, And Coping Strategies Among African Migrants In Australia: A Cross-Sectional Web-Based Study, Uchechukwu Levi Osuagwu, Lillian Mwanri, Edith N. Botchway-Commey, David Chisanga, Agness Tembo, Nnaemeka Meribe, Kathomi Gatwiri, Obed Adonteng-Kissi, Kerrie P. Doyle, Frank Darkwa Baffour, Ahmed A. Moustafa

Research outputs 2022 to 2026

Background: African migrants constitute a significant proportion of the Australian population. While migration and resettlement offer opportunities, the associated stressors may adversely affect the mental health and well-being of African migrants. This study explored, for the first time, the prevalence of depression and psychological distress among African migrants in Australia and the relationship between coping mechanisms and mental health outcomes. Methods: A web-based cross-sectional survey of adult African migrants in Australia was conducted between February and May 2022. Participants (N = 167) who did not have a refugee status who resided in Australia for at least 12 months were recruited …

Evolving Ai Integration In Complex Medical Decision-Making And Multidisciplinary Transplant Care: A Systematic Review Of Human-Ai Collaboration, Rachel L. Dzieran, Cihan H. Dagli, Robert J. Marley

Engineering Management and Systems Engineering Faculty Research & Creative Works

Purpose of Review: Artificial intelligence (AI) in healthcare has evolved dramatically from early expert systems, which were initially considered replacements for clinical judgment, to today's collaborative frameworks that aim to augment physician decision-making. This evolution is particularly crucial in domains such as transplant surgery, where decisions carry irreversible consequences and require the integration of complex, often ambiguous data. Drawing on peer-reviewed literature from 2019 to 2025, we conducted a systematic review that analyzed key elements distinguishing successful human-AI partnerships from those that fail. Recent Findings: The ideal balance incorporates human expertise into AI systems through weighted integration approaches, rather than …

We All Read: Adapting An Early Literacy Program For Children With Developmental Differences And Their Families, Rachel Podl

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Children with developmental differences face elevated risk for early literacy delays, while their caregivers experience significant difficulty accessing appropriate and supportive resources. This paper describes an adaptation of WeRead, an existing story-time and psychoeducation program through the University of Denver's Baby S.T.E.P.S. Lab, for children ages 0–7 with developmental differences and their caregivers. The program integrated a neurodiversity-affirming read-aloud, a strengths-based art activity, movement and music, caregiver psychoeducation on visual schedules, and collaboration with four community partners. The event drew approximately 65 attendees. A post-program survey, though limited by few responses, indicated that caregivers valued the program's accessibility, community partnerships, …

The End Of Unmeasured Exploitation: How A.S.M., C.A.S., And S.I.A. Challenge Digital Attention Capitalism, Delante Clark

Graduate Scholarship and Creative Works

Digital attention capitalism generates value through the capture and monetization of human attention, yet it has historically lacked standardized mechanisms for measuring attention-related harm. This paper argues that the Attention Safeguard Models (A.S.M.), Cognitive Attentional Standards (C.A.S.), and Sociological Impact Assessment (S.I.A.) collectively challenge this system by introducing an integrated framework for classifying, measuring, and evaluating digital attention harm and its societal consequences. C.A.S. provides standardized measurement of digital attention harm, A.S.M. identifies and classifies patterns of attentional disruption and manipulation, and S.I.A. evaluates broader impacts on institutions, communities, civic engagement, education, social cohesion, and inequality. Together, these systems transform …

Differences In Sustained Attentional Engagement With Emotional Targets In Individuals Reporting High And Low Worry, Jinu J. Mathew

Clinical Psychology Dissertations

Attention bias towards emotionally salient or threatening information has been well documented across various populations, and it has been thought to contribute to the development and maintenance of anxiety. While previous research has identified early-stage attentional differences in individuals reporting elevated anxiety symptoms, less is known about how worry might impact later-stage processes involving sustained attentional engagement and visual working memory. The present study examined behavioral and electrophysiological indices of attentional processing during a modified visual search task in individuals reporting high compared to low levels of worry. Sixty-eight participants were recruited and classified into high and low worry groups …

High School Teachers' Experiences Working With Latino Immigrant Students Who Have Experienced Trauma, Collette Marie Jiménez Serra

Walden Dissertations and Doctoral Studies

Latino immigrant students in U.S. public high schools are disproportionately exposed to trauma related to migration experiences, family separation, poverty, and acculturative stress, yet many teachers report feeling underprepared to address students’ trauma-related needs in culturally responsive ways. Limited research has examined high school teachers’ lived experiences implementing trauma-informed practices with Latino immigrant students, particularly from teachers’ own perspectives. The purpose of this transcendental phenomenological study was to explore high school teachers’ lived experiences implementing trauma-informed practices with Latino immigrant students, including their perceptions of preparedness and the factors influencing implementation. Guided by principles of trauma-informed care (TIC) and relational-cultural …

Eating Disorders & Meat Consumption: A Meta-Analytic Review, Urska Dobersek, Laurel Standiford-Reyes, Tyler Robinson, Alex Antony Edwin, Sarah Siebers

Midwest Social Sciences Journal

In this meta-analytic review, we examined the current evidence on eating disorders in relation to meat consumption and meat abstention. We systematically searched six online databases in December 2025 for primary research on eating disorder-related variables in meat consumers and meat abstainers. Fifty-one studies with 55,984 participants (n_{meat consumers} = 44,282, n_{meat abstainers} = 9,751) met the inclusion/exclusion criteria. The outcomes were eating disorders and orthorexia nervosa. Meat consumption was associated with lower eating disorder (g = 0.20, 95% CI [0.08, 0.32], p = .001) and orthorexia nervosa symptomology (g = 0.47, 95% CI [0.33, …

Subjective Time Estimation In Rats: Seconds To Minutes, Alissa Christensen

Holster Scholar Projects

Time estimation is important for survival. Importantly, time estimation is subjective, influenced by a variety of factors.

We used a temporal bisection task (Church & Deluty, 1977) to determine the degree to which a rat “feels” a stimulus is long/short in reference to predetermined anchor durations.

Animals were first trained to respond differently to a short (3s) and long (6s) duration light-cue. This was followed by intermediate duration probes (averaging 4.5s). Most animals treated the intermediate intervals as long. The function varied, some showing a more linear response while others a step function.

The second phase examines longer time estimation, …