Digital Commons Network^™

Digital Learning And Healing: Impacts Of Ai In Art Therapy, Cassandra E. Buffington-Bates

Journal of Human Services: Training, Research, and Practice

Art therapy, a creative approach to mental and emotional healing, is evolving with digital technologies to improve accessibility and care. This paper explores how artificial intelligence (AI) enhances art therapy by fostering emotional intelligence, collaboration, and personalized interventions. It highlights AI’s potential to support therapy while addressing challenges like empathy, data privacy, and training gaps. Through a literature review, the study offers insights into integrating AI with human-centered practices, providing innovative solutions for emotional and cognitive well-being.

The Role Of Prelimbic Projections To The Rostromedial Tegmnetal Nucleus In Cue Discrimination, Emma Lane Carlson

Theses and Dissertations

Maladaptive decision-making, such as persistent reward seeking despite negative consequences, is a hallmark of substance use disorder (SUD) and related psychiatric conditions. These behaviors are thought to arise from impairments in aversive learning and disrupted neural signaling that normally supports behavioral inhibition. The prelimbic cortex (PL) plays a critical role in encoding cue–outcome associations and exerting top-down control over behavior, while the rostromedial tegmental nucleus (RMTg) serves as a GABAergic inhibitor of midbrain dopamine neurons in response to aversive stimuli. Although both structures have been implicated in reward and avoidance processes, little is known about how direct PL-RMTg projections contribute …

Hungry Minds: Analyzing The Impact Of Food Insecurity And Food Assistance Programs On Neurocognitive Development And Childhood Mental Health, Kayla A. Davenport

Senior Theses

Introduction: Food insecurity affects millions of children in the United States and is increasingly recognized as a significant risk factor for poor nutritional intake and adverse health outcomes. However, less is known about how the experience of food insecurity disrupts healthy development and well-being, particularly among American youth. This thesis had two aims: (1) to examine the relationship between household food insecurity and children’s neurocognitive and mental health outcomes and (2) to evaluate how major food assistance programs address, or fail to address, these developmental risks.

Methods: This thesis uses a mixed-methods approach, integrating a narrative literature review, a cross-sectional …

Is It Enough? Investigating The Effectiveness Of Adhd Accommodations For College Students, Sreekavya Mekala

Senior Theses

This study explores the effectiveness of accommodations given by the University of South Carolina (USC) for students diagnosed with attention-deficit/hyperactivity disorder (ADHD). A total of 435 students completed a survey divided into three groups: those diagnosed with ADHD (n = 74), those not diagnosed but familiar with someone with ADHD (n = 321), and those not diagnosed and unfamiliar with ADHD (n = 40). Results showed that while most students with ADHD were aware of accommodations, far fewer used them, and many reported inconsistent faculty understanding and hesitation due to stigma. Students familiar with ADHD viewed accommodations as generally fair …

Investigating Driver Perceptions Of Semi-Autonomous Vehicle Sensing And Response Characteristics, Molly Mersinger

Doctoral Dissertations and Master's Theses

As semi-autonomous vehicle (SAV) technologies become increasingly integrated into modern transportation, understanding how the public perceives their capabilities is essential for ensuring safe and effective human-automation interaction. This study examined drivers’ perceptions of SAV detection and discernment abilities across 28 driving conditions and how those perceptions related to expected vehicle behaviors in 17 corresponding scenarios. Exploratory and confirmatory factor analyses identified three perceptual dimensions: Traffic Infrastructure and Vehicle Recognition, Dynamic Roadway Hazards and Vulnerable Road Users, and Human Interaction and Contextual Cues. Moderate overlap between the first two dimensions suggested that participants viewed certain structured and dynamic roadway features as …

Assessing The Impact Of Therapeutic Alliance On Client Satisfaction And Unilateral Termination Reasons, Eric Washington

Dissertations

Unilateral termination is a pervasive issue that has persisted since the inception of mental health services. The act of terminating needed services impacts not only on the client but also the provider, community, family, and stakeholders. The therapeutic alliance established during the counseling process is a well-established predictor of outcome in mental health services. The purpose of this study was to examine the relationship between unilateral termination reasons, satisfaction, and working alliance. A total of 390 participants responded to the online survey resulting in the descriptive results of Working Alliance Inventory-12 (M = 3.93, SD = .83), Client Satisfaction Questionnaire-4 …

Too Much Of A Good Thing? Can Students Be Too Behaviorally Engaged, Rosemary Louise Odem

Theses and Dissertations

Student engagement in school is a key determinant of students’ academic success. Student engagement is commonly conceptualized as a meta construct comprised of three dimensions: emotional, cognitive, and behavioral engagement (Fredricks, 2015). Behavioral engagement, the focus of this study, is defined by positive conduct, involvement in learning and academic tasks, and participation in school-related activities (Fredricks et al., 2004). Some researchers have suggested that psychological strengths, like engagement, can be overused and result in maladaptive consequences (Niemiec, 2019; Oishi et al., 2007). This study addressed this notion using archival data from a sample of 422 students from one Southeastern US …

Emotion Regulation, Distress Tolerance, And Experiential Avoidance In Adults With Trichotillomania (Hair-Pulling Disorder) And Excoriation (Skin-Picking) Disorder, Valerie S. Swisher, Emily J. Ricketts, Tara S. Peris, Grant Jones, Erin Dunning, Stephanie Valle, Elizabeth Cavic, Christine Lochner, Dan J. Stein, Darin D. Dougherty, Joseph O'Neill, Douglas W. Woods, Jon E. Grant, John Piacentini, Nancy J. Keuthen

Psychology Faculty Research and Publications

Trichotillomania (TTM) and skin-picking disorder (SPD) are body-focused repetitive behavior disorders (BFRBDs) associated with deficits in emotion regulation, distress tolerance, and experiential avoidance. Their differential relations to TTM, SPD, and their comorbidity, and relative importance in predicting BFRBD outcomes is unclear. Therefore, this study compared these constructs in adults (n = 311) diagnosed with TTM (n = 112), SPD (n = 87), comorbid TTM and SPD (n = 40), and healthy controls (n = 72), and examined their relative importance in association with BFRBD outcomes. Participants completed questionnaires assessing BFRBD severity and impairment, functional disability, emotion regulation, distress tolerance, experiential …

Volumetric Differences Of Thalamic Nuclei Are Associated With Posttrauma Psychopathology, Jacklynn M. Fitzgerald

Psychology Faculty Research and Publications

Background

Previous investigations of whole thalamus and thalamic nuclei volumes in posttrauma psychopathology have been sparse and limited in scope and have yielded inconsistent results. To address this, volumetric estimates of whole thalamus and thalamic nuclei were obtained from structural brain magnetic resonance imaging scans from 2058 participants across 20 worldwide sites in the ENIGMA (Enhancing Neuro Imaging Genetics through Meta Analysis) Posttraumatic Stress Disorder (PTSD) working group.

Methods

Thalamic volumes were compared in trauma-exposed participants with PTSD (n = 238), major depressive disorder (MDD) (n = 184), and comorbid PTSD+MDD (n = 618) and in trauma-exposed …

The Consequences Of Habitual Rumination, Expressive Suppression, And Perceived Stress On Mental And Physical Health Among Older Adults, Eyal Gringart, Rodrigo Becerra, Andrea Smith

Research outputs 2022 to 2026

Background/Objectives: The current study aimed to investigate whether habitual rumination, suppression, and perceived stress predict poor mental and physical health as well as well-being in a group of older adults (aged 50 to 80 years) from a non-clinical community sample. Methods: The current study comprised a cross-sectional survey design with online self-report measures. It was predicted that higher levels of rumination, suppression, and perceived stress would predict lower levels of general health as well as well-being, and heightened levels of depression and anxiety. Results: Findings from the study indicated that both rumination and perceived stress significantly predicted heightened anxiety, heightened …

Exploring Workplace Mental Health And Counseling Needs In Open University Staff: A Mixed-Methods Study, Pathanin Sangaroon, Oranuch Kanjanaprakorn, Araya Prasertchai, Worrawit Nakpan

Journal of Health Research

Background: Workplace mental health is a growing concern in higher education, especially in open and distance learning (ODL) settings, where staff face unique stressors. This study examines the mental health and counseling needs of academic and support staff at Sukhothai Thammathirat Open University (STOU), Thailand, using a biopsychosocial lens.

Methods: An explanatory sequential mixed-methods design was used. In the quantitative phase, 332 staff completed a questionnaire on mental health and biopsychosocial factors. Twelve participants then took part in interviews to explore their experiences and counseling preferences. Quantitative data were analyzed using stepwise regression, and qualitative data through thematic analysis. …

What Kinds Of Experiences And Activities Contribute To College Students' Sense Of Purpose? A Mixed-Methods Study, Katlyn Rochelle Viers

Dissertations and Theses

For many young people, attending college is a core marker of the transition to emerging adulthood. Some students thrive in college while others become lost, confused, or seem to be just marking their time. Some researchers have hypothesized that one thing that can help students take advantage of their college experience is if they are firmly anchored in their own life goals and sense of purpose. The primary goal of this study is to contribute to knowledge about the role of a sense of purpose in college students' development, including not only its potential benefits to their academic functioning and …

From Either-Or To All Together: Integrating Universal And Relativistic Approaches To Belonging And Engagement In The First Year Of Middle School, Kristina Shiann Tucker

Dissertations and Theses

Schools are designed to foster growth and learning while promoting positive educational outcomes for all students. Yet, there is some evidence that the education system is not meeting the needs of all students, nor are achievement outcomes the same for everyone. Some of the identified challenges seem to be developmentally based, whereas others are evident among different demographic subgroups. Developmental differences are apparent in many aspects of academic functioning, such as student motivation and engagement, which peak when students enter school and normatively decline, relatively steadily, throughout students' educational careers. Demographic disparities are even more pronounced, represented, for example, in …

The Lived Experiences Of Mothers Facing Phubbing From Their Adolescent Children, Mye Alexis

Walden Dissertations and Doctoral Studies

Widespread use of technology, particularly smartphones, introduced new challenges involving parent–adolescent attachment. Although existing literature primarily examines parental phubbing of adolescents, there is a significant gap in research exploring the experiences of mothers who are phubbed by their adolescent children. To address this gap, the central research question guiding this study was: What are the lived experiences of mothers who have been phubbed by their adolescent (ages 14-18) children? Grounded in Bowlby’s attachment theory, this phenomenological qualitative study aimed to deepen understanding of the emotional impacts of phubbing on mothers’ emotional wellbeing, emotional bonding, and mother–adolescent attachment. A homogeneous convenience …

Self-Management And Support Needs Of Patients Experiencing Persistent Symptoms Consistent With Hypothyroidism: A Qualitative Study, Marike De Reuver-Schuurman, Esther C. Bakker, Lilian Lechner, Liset Van Dijk

Journal of Patient-Centered Research and Reviews

Purpose: To gain insight into the self-management and support needs of patients experiencing persistent symptoms consistent with hypothyroidism, despite thyroid laboratory values within the normal range.

Methods: A qualitative study using the phenomenological approach was conducted. Semi-structured interviews including 19 patients diagnosed with persistent symptoms consistent with hypothyroidism, despite receiving adequate replacement therapy, were performed. Respondents were recruited using purposive sampling via Schildklier Organisatie Nederland (Dutch Thyroid Organization) (www.schildklier.nl). After transcription and coding, a thematic analysis was performed.

Results: All respondents reported that the persistent symptoms reduced their quality of life. The patients’ main focus was on finding the cause …

Development Of A Career Awareness Board Game Based On Augmented Reality For Generation Z Students, Caraka Putra Bhakti, Difa Ardiyanti, Agus Ria Kumara, Muhammad Alfarizqi Nizamuddin Ghiffari

Buletin Konseling Inovatif

The purpose of this research is to develop an augmented reality-based career awareness board game for Generation Z students. The current development of the era demands that Generation Z have a good career. In reality, currently, there are still many Generation Z students in schools who do not have the skills, competencies, and awareness to have an optimal career. One important thing that Generation Z students need to have is career awareness. Having career awareness will help someone recognise their career needs based on their competencies, talents, and interests. Developing career awareness can be achieved through guidance and counselling services. …

Plastic Makes Perfect: An Analysis Of Plastic Surgery As Rehabilitation In Early To Late 20th Century Prison Populations, Jack West

The Ozark Historical Review

As early as 1910, journalists from around the United States reported on the cause-and- effect relationship between a criminal’s physical appearance, their offenses, and the plastic surgeons willing to help them. These surgeons were interested in changing the physical “causes” of criminality to sever the mental roots of crime, inferiority, and anti-social attitude. This paper examines the use of plastic surgery programs as reform in prison through the lens of popular newspaper and journal articles and argues that public perception and reaction revealed in these articles shaped the prison program’s journey from its underground beginning to its eventual demise.

Paws And Effect: Canine Companionship And Outcomes In The Chronic Health Condition Hypermobile Ehlers-Danlos Syndrome, Kimberley C. Schenke, Joanna Foster, Danielle Stephens-Lewis

People and Animals: The International Journal of Research and Practice

Emerging research suggests canine companions may support the management of health conditions, yet evidence within complex, long-term conditions like hypermobile Ehlers-Danlos Syndrome (hEDS) remains limited. hEDS is a multifaceted condition often associated with social withdrawal. Thus, the current research provided a high-powered investigation into whether the nonjudgmental support of canine companions could improve health and well-being outcomes for individuals with hEDS. An online survey of 401 participants was utilized to compare differences in health and well-being among individuals with hEDS who have a canine companion to those who do not. Results revealed that participants with canine companions experienced fewer difficulties …

Effectiveness Of An Adapted Physical Activity Program On Anxiety, Depression, And Self-Esteem On A Heterogenous Sample: A Randomized Controlled Trial, Mathilde Plard, Claire El Jor, Rebecca Shankland, Quentin Hallez

Baltic Journal of Health and Physical Activity

In recent decades, numerous studies have demonstrated the effectiveness of Adapted Physical Activity (APA) interventions in improving the mental health of individuals. However, a limitation of these studies is their predominant focus on homogeneous groups, characterized by similar diseases or disorders and characteristics. Thus, effects associated with these groups may largely account for the observed benefits, rather than the physical activity itself. This study aimed to investigate the impact of an eight-week APA intervention on anxiety, depression, and self-esteem in a heterogeneous group of participants with diverse health conditions and ages. Participants were randomly assigned to either an experimental group …

Prospective Associations Among Loneliness And Health For Servicemembers: Perceived Helplessness And Negative Coping Appraisal As Explanatory Mechanisms, Sarah N. Arpin, Cynthia D. Mohr, Todd Bodner, Leslie B. Hammer, James D. Lee

Psychology Faculty Publications and Presentations

Links between loneliness and health are robust, though evidence for associations with alcohol use is mixed. Previous research has supported perceived stress as a predictor of alcohol use and as a pathway through which loneliness impacts health over time. Yet findings are primarily limited to civilian samples, and less is known about how loneliness relates to stress and health among service members. The current study explores prospective associations among loneliness, stress, and health (i.e., sleep, alcohol misuse, and psychological distress) within a sample of mostly male service members. We examine two dimensions of perceived stress, perceived helplessness and negative coping …

“Who All Gon Be There”: The Relationship Between Racial Identity, Perceived Social Distance, And Anxiety Among People Of African Descent, Veronica R. Mixon

All ETDs from UAB

Mental health disparities among people of African descent are an important public health issue within the US. During COVID, between 2020 and 2021, anxiety symptoms among African American adults increased, which led to an overall increase in anxiety and depression rates (Vahratian et al., 2021; CDC, 2023). Despite this increase, only 39% of African Americans who experience mental health difficulties, receive treatment. The pandemic made it difficult for people to come together and there were heightened experiences of racial distress due to the events surrounding George Floyd. Prior research has shown that experiences of racism, isolation, and cultural disconnection have …

Qualitative Evaluation Of Eeg Neurofeedback For Anxiety In Adults, Leah M. Jones

Doctoral Dissertations and Projects

Anxiety is one of the most prevalent mental health disorders globally, yet many treatment options are inaccessible, ineffective for some, or lack long-term efficacy. One treatment for with substantial research support is neurofeedback, though it remains categorized as an experimental treatment and is underutilized in clinical practice. The qualitative phenomenological study explored the lived experiences of adults who received neurofeedback treatment for anxiety. The purpose was to understand participants’ perceptions of neurofeedback’s efficacy and the interactive effects of neurofeedback and psychotherapy. Data were collected from two Oregon clinics that offer Neurofeedback and from students at Liberty University. An open-ended survey …

Adverse Childhood Experiences: How They Shape Employees' Perceptions, Experiences, And Performance In The Workplace, Marcia A. Beasley

Doctoral Dissertations and Projects

The influence of Adverse Childhood Experiences (ACEs) has been well researched, and the lifelong consequences of medical conditions have been documented. Recently, research has linked mental health concerns to ACEs, including depression, anxiety, and health risk behaviors. ACEs occur during important stages of childhood development and can disrupt these stages, leading to children learn maladaptive coping skills. The resultant maladaptive behaviors that are developed as a response to maltreatment may also hinder social relationships in adulthood. Given this, research is lacking on the influence of ACEs on perceptions in the workplace, especially from the employee’s perspective. This qualitative phenomenological study …

Stigma And Attitudes Of Hearing Parents Regarding Sign Language On The Perceived Resilience Of Their Deaf And Hard-Of-Hearing Emerging Adults: A Correlational Study, David Eric Barr

Doctoral Dissertations and Projects

Research studies investigating DHH emerging adults’ resilience are scarce. Current resilience investigations suggest that success in overcoming life challenges depends on the personal resourcing of learned social skills. For the DHH emerging adult, adversity (i.e., stigma and attitudes regarding sign language) fosters hindrance against resilience, which is imperative for one’s successful adaptation to challenging life experiences. The purpose of this quantitative correlational study was to examine stigma and the attitudes of hearing parents, the target population, regarding sign language and its perceived impact on the resilience of their Deaf and hard-of-hearing emerging adults. Data were collected using an online anonymous …

The Complete Leader: Relationships Between Leader Identity, Efficacy, And Psychological Well-Being And The Influence Of Gender And Leadership Level, Michelle I. Benami

Doctoral Dissertations and Projects

Contributing factors to a leader’s psychological well-being and their ability to be fully functional, mature, and self-actualized, are highly under-researched. This study examined the relationship of leader identity and leader efficacy on a leader’s psychological well-being. The study also explored whether a leader’s gender and leadership role level influenced their leader identity, efficacy, and psychological well-being. Participants were 165 working organizational leaders from a variety of industries, ages 19-72 years old with 1-40 years of leadership experience. Data was collected via online self-report survey using the Leader Self-Identity, Leader Efficacy Questionnaire, and Ryff’s Psychological Well-Being scales. Analyses revealed leader identity …

Working With Different Generations In The Post-Covid Remote Workplace: The Millennial Perspective, Rhys Morgan Alexander

Doctoral Dissertations and Projects

Generational theory proposes that generations are inherently different from one another based on the events that occur within their lifetimes at various developmental stages. These differences have been studied in many contexts, including within the work environment. As older generations continue to remain employed, and with the shift to remote work post-COVID 19, this topic remains an important concentration for developmental and organizational researchers. The differences between generations have been found to impact on job satisfaction and general work value priorities to varying degrees. Based on this, a literature review was conducted followed by a phenomenological, interview-based study to explore …

The Relationships Among Childhood Abuse, Neglect, Household Dysfunction, And Adult Anxiety: The Moderating Effect Of A Trusted Adult, Jennifer Marie Cobb

Doctoral Dissertations and Projects

This study investigated the relationships between the three types of adverse childhood experiences (ACEs), (abuse, neglect, and household dysfunction) and adult symptoms of anxiety, according to the Generalized Anxiety Disorder-7 (GAD-7) scale. Beyond examining the bivariate relations of each ACE type with adult anxiety, this study also investigated if having at least one supportive adult in childhood moderated the relationships. The sample consisted of 213 adults recruited online who completed an anonymous survey containing the ACE Questionnaire, the GAD-7, a question regarding the presence of a trusted adult, and demographics. Hierarchical multiple regression tested the relationships of each ACE subtype …

Emotion Behind Casual Sex, Carla Thompson Ranalli

Doctoral Dissertations and Projects

Health institutions have reported that women of middle-age continue to enjoy sexual activity. As such, women who engage in casual sex may or may not have developed emotional attachments to their partners, which may impact sexual gratification. Attachment theory proposes that attachment style is either secure or insecure, such as anxious or avoidant. This study investigated the relationship between insecure attachment style and sexual gratification among women between 40-50 years of age who engaged in casual sex. To answer these questions, the Adult Attachment Scale (AAQ) questionnaire was used to measure anxious and avoidant attachment, the Experience in Close Relationships …

Exploring The Deficiencies Of Business Improvement Programs: A Qualitative Look Into Continuous Improvement, Six Sigma, Eos, And Developing Hybrid Opportunities, Michelle Tucker

Doctoral Dissertations and Projects

This qualitative case study researched the deficiencies of three established business improvement programs: Continuous Improvement, Six Sigma, and Entrepreneurial Operating System (EOS), to discern the possibility of a tailored hybrid improvement program. Utilizing data collected through semi-structured interviews from the experiences of twelve business leaders representing different industries. All of the leaders had five or more years of direct experience with one or more of the business improvement programs. The interviews were recorded, transcribed, and analyzed using open, axial, and selective coding, applying Constructivist Grounded Theory. The analysis found that Continuous Improvement empowered employees and nurtured incremental changes, but it …

Exploring The Relationship Between Perceived E-Working Experience And Autonomy In It Professionals, Sherry Hunt

Doctoral Dissertations and Projects

As remote work reshapes the professional landscape, understanding how e-working conditions influence the need for autonomy, a core component of motivation and well-being, is increasingly important. This quantitative, correlational study explored the relationship between perceived e-working experience and the psychological need for autonomy among 120 U.S.-based information technology (IT) professionals. Participants completed an online survey comprised of the E-Work Life (EWL) Scale (Charalampous et al., 2023; Grant et al., 2019) and two autonomy subscales from the Basic Psychological Needs Satisfaction and Frustration Work Scale (BPNSFWS) (Olafsen et al., 2021). Grounded in self-determination theory (SDT) (Ryan & Deci, 2000, 2017, 2020) …