Digital Commons Network^™

Definition And Classification Of Dystonia, Alberto Albanese, Kailash P Bhatia, Victor S C Fung, Mark Hallett, Joseph Jankovic, Christine Klein, Joachim K Krauss, Anthony E Lang, Jonathan W Mink, Sanjay Pandey, Jan K Teller, Marina A J Tijssen, Marie Vidailhet, H A Jinnah

Faculty, Staff and Students Publications

Dystonia is a movement disorder with varied clinical features and diverse etiologies. Here we present a revision of the 2013 consensus definition and classification of dystonia in light of subsequent publications and experience with its application during the last decade. A panel of movement disorder specialists with expertise in dystonia reviewed the original document and proposed some revision. There was broad consensus to retain the definition of dystonia with only minor clarifications to the wording. Dystonia is defined as a movement disorder characterized by sustained or intermittent abnormal movements, postures, or both. Dystonic movements and postures are typically patterned and …

Sex-Dependent Modulation Of Behavioral Allocation Via Ventral Tegmental Area-Nucleus Accumbens Shell Circuitry, Kristen A. Mclaurin, Jessica M. Illenberger, Hailong Li, Rosemarie M. Booze, Charles F. Mactutus

Faculty Publications

Diagnostic criteria for substance use disorder, cocaine type (i.e., cocaine use disorder), outlined in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders, imply that the disorder arises, at least in part, from the maladaptive allocation of behavior to drug use. To date, however, the neural circuits involved in the allocation of behavior have not been systematically evaluated. Herein, a chemogenetics approach (i.e., designer receptors exclusively activated by designer drugs (DREADDs)) was utilized in combination with a concurrent choice self-administration experimental paradigm to evaluate the role of the mesolimbic neurocircuit in the allocation of behavior. Pharmacological activation …

Adapting A Personalized Normative Feedback Intervention For Graduate Student Drinkers, Faith Shank

Theses and Dissertations

On average, graduate students consume eight drinks per week, meeting criteria for heavy drinking and highlighting the need for a cost-effective intervention. The current study examined the efficacy of personalized normative feedback (PNF) for reducing heavy drinking in graduate students. Study 1 examined the feasibility and acceptability of the intervention content to inform a randomized controlled trial (RCT) of the intervention. Results from qualitative interviews with 13 graduate students who interacted with the intervention content preferred to receive feedback about peers enrolled in the same type of degree program. Study 2 was an RCT using PNF from peers with the …

The Lived Mental Health Experiences Of African American/Black Mothers With An Infant In The Neonatal Intensive Care Unit During Covid-19, Dr. Shewonyui S. Lurker

Walden Dissertations and Doctoral Studies

African American/Black (AA/B) women are more likely than other women in the United States to give birth prematurely. Experiencing premature birth and infant hospitalization in the neonatal intensive care unit (NICU) during the COVID-19 pandemic may have negatively affected AA/B mothers’ mental health and led them to experience elevated rates of increased posttraumatic stress disorders, depression, anxiety, and postpartum depression. The purpose of this study was to understand the lived mental health experiences of AA/B mothers of infants in the NICU during COVID-19. Feminist theory provided a lens for understanding intersectionality in the experiences of AA/B mothers. Semistructured interviews were …

Study Of Religious Experience Using The Introspection Method: Case Of Estonia, Siim Nigulas, Tõnu Lehtsaar

Occasional Papers on Religion in Eastern Europe

This article revisits the method of introspection as a valuable tool for studying religious experience in Estonia, where spirituality is often personal, unaffiliated, and deeply introspective. Drawing on the legacy of the Dorpat school—particularly Karl Girgensohn—it highlights how experimental introspection can illuminate the dimensions of faith. Considering Estonia’s post-Soviet religious individualization, the method offers a culturally fitting and academically rigorous approach. The study argues for the revival and adaptation of introspective techniques to explore the inner dynamics of belief in a secular yet spiritually curious society.

Organizational Citizenship Behavior And Intention To Quit: Mediating Role Of Job Burnout Among Call Center Agents In Metro Manila, Philippines, Redmund Joseph D. Tocle

Social Sciences and Development Review

This research aimed to investigate the relationship between organizational citizenship behavior (OCB) and turnover intention, with the mediation of job burnout among call center agents in Metro Manila. A total of 175 participants were recruited through snowball sampling and responded to an online survey. Descriptive statistics were used to determine the average levels of OCB, job burnout, and turnover intention among respondents. Spearman correlation analysis was performed to examine the relationships between these variables, while mediation analysis using the Med-Mod module in JAMOVI assessed the mediating role of job burnout. Results revealed that job burnout fully mediates the relationship between …

Outcomes Related To College Students' Attachment, Suzanne Vaccaro

Psychology ETDs

Young adults aged 18-25 have the highest prevalence of mental health issues compared to adults over age 25. Mental health outcomes during emerging adulthood may be linked to early childhood variables, such as attachment, grounded in early caregiving, and adverse childhood experiences (ACEs) (Hughes et al., 2017; Waters & Roisman, 2019). The current study examined relationships between the attachment script assessment (ASA), a measure intended to elicit secure base script knowledge, indicative of secure attachment state of mind, ACEs, and mental health outcomes among a diverse sample of college students aged 18 to 25. Although results did not indicate relationships …

A Call For Change: Supporting Children With Tourette Syndrome, Matt Reall

Journal of Nonprofit Innovation

Tourette Syndrome affects 1 in 100 U.S. children but remains widely misunderstood due to stigma, delayed diagnosis, and media misrepresentation. This neurological disorder is characterized by involuntary tics and often co-occurs with ADHD, anxiety, and sleep disorders. Children with Tourette Syndrome face disproportionate challenges in social, academic, and emotional settings—despite having average or above-average intelligence. One-third engage in self-harm, and suicide rates are four times the national average. Peer-education programs like the Tourette Association of America’s Youth Ambassador initiative have shown promise in reducing stigma, but unequal access and weak institutional support limit their impact. This paper calls for early …

Correlates Of School Absenteeism: A Systematic Review Of What We Know And What We Don’T, Samantha C. Maguire

Dissertations - ALL

School absenteeism has been referred to as a hidden educational crisis by the United States Department of Education. National data show that chronic absenteeism has doubled since pre-pandemic rates, increasing from about 16% of school students to nearly 30% during the 2021-22 school year. To understand this widespread issue, I conducted a systematic review of the available literature on potential risk factors or correlates associated with school absenteeism. A total of 106 studies published between 2000 and 2023 were included in this review. Coding was completed by me and advanced research assistants to determine how school absenteeism has been defined …

Stigma Towards Depressive-Like Symptoms Across Academic Disciplines, Audryl Jo Anne B. Opao, Chamique Carthy Gay H. Aguillon, Rubon Eve C. Cruzada, Jana Cassandra M. Ondap

Adventist Human-Subject Researchers Association

This study explores how undergraduate students’ academic specializations influence their perceptions and stigma toward mental illness. It examines the relationship between educational background and attitudes, highlighting differences in understanding and empathy. Findings aim to inform strategies for reducing stigma and promoting mental health awareness across diverse academic fields.

The Importance Of Faith Integration In Student Motivation In Graduate Counseling Program Selection, Timothy J. Evans, Andrew J. Graham, Jim Zapf, Ronnie L. Pace

Journal of Counseling and Psychology

This study examines the role of faith integration in motivating graduate counseling students to select faith-based programs and its impact on their perceived preparedness to integrate faith into counseling practice. Using a quantitative approach, 239 participants from five graduate counseling programs completed a survey exploring their motivations for becoming counselors, reasons for program selection, and perceptions of faith integration in their education. Results revealed that students motivated by spiritual factors, such as pleasing God or influencing others spiritually, were significantly more likely to choose programs emphasizing faith integration and shared spiritual values. Older students placed greater importance on faith integration …

Nature's Medicine? The Associations Of Organized Youth Sport, Unstructured Physical Activity, And Land-Use Recreation With Children's Mental Health, Emotional Control, And Social Well-Being, Natalie Stagnone, Katherine Alexander, Kat V. Adams, Travis Dorsch

Human Development and Family Studies Student Research

Physical activity is well-established as beneficial for children’s physical and mental health, yet limited research has explored how different activity types impact psychosocial outcomes. This is a cross-sectional study that examined associations between youth participation in organized sport, unstructured physical activity, and land-use recreation and their psychosocial health. Survey data were collected from 3246 caregivers of children in the Intermountain West region of the United States. Respondents reported on children’s physical activity engagement and psychosocial outcomes, including mental health, emotional control, and social well-being. All three activity types were significantly associated with improved psychosocial health (p < 0.001). Compared to organized sport, unstructured physical activity and land-use recreation were associated with significantly higher levels of mental health and emotional control (p_adj < 0.001), although with a small effect size (η^{2 …}

Innovative Partnerships To Expand School-Based Health Capacity In Rural Communities, Robyn Thomas Pitts, Amy K. Mcdiarmid

DU Rural Summit Conference Proceedings

Our nation's youth are in dire need of increased access to high-quality school-based mental health (SBMH) services. In Colorado’s rural areas, the school psychologist-to-student ratio is 1:2,128— over four times the recommended level. Our team secured $4M in federal and state funding to implement an innovative partnership strategy for strengthening rural SBMH capacity. We describe how innovative partnerships enabled us to overcome systemic barriers to training future school psychologists as they live, work, and learn in rural settings. Our culturally sustaining approach to program design, implementation, and evaluation leverages family-school-community partnerships to expand rural SBMH capacity.

Investigating The Relationship Between Social Media Usage, Perceived Stress, Depression And Spirituality, Jeffrey Leyland King

Doctoral Dissertations and Projects

The rapid rise in social media usage (SMU) in the past two decades correlates with a sharp rise in depression (Dep) and self-harm in emerging adults. Many studies have focused on the aspects of diminished well-being, self-harm and suicide, and a possible association between daily spiritual experiences (DSE) and Dep, although there is a paucity of research on DSE to moderate the association. This study was guided by three theories; need-to-belong, social comparison, and cognitive dissonance. The present quantitative study aimed to explore the significance of the association between SMU, perceived stress (PS), and Dep moderated by DSE in emerging …

The Relationship Between Hope, Religiosity, And Meaning In Life In Adults Who Experienced Relational Loss, Elyse Hope Linder

Doctoral Dissertations and Projects

Relationship loss from death or living loss significantly impacts almost every human being at some point in life. Extensive research has examined the constructs of hope, religiosity, meaning in life, and grieving. Researchers have identified the contributions of these constructs in helping individuals understand and make sense of relational loss. However, limited, if any, literature exists on the relationships between all the constructs, particularly with an interdisciplinary view of hope. This present study examined these relationships and the moderating effect of hope and religiosity in adults who have experienced significant relationship loss within the past six years. Data was collected …

Finding Strength In The Broken Places: Examining The Influence Of Aces On The Mother/Daughter Relationship, Taressa R. Copeland

Doctoral Dissertations and Projects

Daughters raised by mothers who experienced childhood adversity may be ill-equipped for motherhood themselves due to the mother’s guilt and societal stigma associated with the adversity and the impact on lived experiences. Current studies fail to consider the bidirectional influence of adverse childhood experiences (ACEs) on the mother-daughter relationship. Community stakeholders such as healthcare providers must find a way to support the mother-daughter relationship by providing a safe platform to share and understand experiences as well as identify opportunities for resilience. Resources are also necessary to raise awareness and support mental health. This study used a qualitative phenomenological approach to …

To Use Or Not To Use Exclusionary Discipline In Early Childhood Education? A Phenomenological Analysis Of Pre-Kindergarten Teachers In Alabama, Christal C. Coker

Doctoral Dissertations and Projects

This qualitative phenomenological study was conducted to examine the lived experiences of pre- kindergarten teachers in Alabama regarding their use of and restraint from using exclusionary discipline. The study aimed to find outcomes that could potentially improve social contexts in Alabama's preschools by creating more equitable learning environments. The problem addressed by the study is that the lived experience of preschool teachers regarding their use of and restraint from using exclusionary discipline when students misbehave at school remains to be discovered. A purposive sampling strategy was employed to recruit seven preschool teachers licensed in Alabama for a one-on-one semi-structured Zoom …

Restoring Hope: The Health Support Team Efforts In Maui, Chanel Aguilar

Doctor of Psychology (PsyD)

The 2023 Maui fires were one of the most fatal natural disasters the country has experienced in its history. Lāhainā and other surrounding areas were significantly impacted by the fires, resulting in millions of dollars in damage and causing significant harm to the people of Maui, both physically and emotionally. The current study evaluates the health support team (HST), a psychological disaster-recovery training curriculum, on three areas: its effectiveness in

increasing participants’ perceived competency and level of confidence, its association with post- traumatic growth, and participants’ feedback about the training. A mixed methods approach was

used to collect data, including …

The Digital Battlefield: Safeguarding Military Drones Against Cyberattacks, Jason Ashong, Arun Venkitanarayanan, Benjamin Yankson

Military Cyber Affairs

The Internet of Battlefield Things (IoBT) is an advanced network of interconnected devices that significantly enhance military operations through real-time data exchange and situational awareness. While IoBT offers tactical advantages like improved surveillance, reconnaissance, and operational effectiveness, it also introduces substantial cybersecurity risks. Adversaries can exploit vulnerabilities within these networks, potentially compromising mission integrity and national security. This research examines the cybersecurity measures of commercial drone controllers and their correlation with military devices. It aims to enhance future vulnerability assessments with advanced tools and approaches to better secure critical military operations. The study highlights the need for robust security architectures …

Using Blockchain Technology To Help Secure America's Defense Critical Infrastructure, Vimal Buck, Aerin Krebs, Brynn Hillard, Jakob Gerha, Joseph Lutma, Srikar Maduposu, Ted Allen

Military Cyber Affairs

Critical water infrastructure in the United States faces increasing cybersecurity threats from state-sponsored actors, with potentially devastating consequences for national security, economic stability, and public health. (Cybersecurity and Infrastructure Security Agency, 2025). This infrastructure supports defense critical assets and is actively being targeted by various state-sponsored hacking groups, which poses a major concern for civilians and military alike. K. Herath (personal communication, February 24, 2025) reported being aware of two attacks on Ohio water systems during his tenure as Cybersecurity Strategic Advisor to Ohio Governor Mike DeWine.

Water is essential to everyday life and defense and presents as a high-value …

Understanding Russia’S Cyber Policies, Strategies, And Doctrines, Bryan Hancock, Hanh Nguyen, Olga Karpoyan, Ekzhin Ear, Shouhuai Xu

Military Cyber Affairs

This study analyzes the strengths and weaknesses of Russia’s cyber policies, strategies, and doctrines through a systematic set of attributes, leading to key insights: (i) Russia has proactively adapted its cyber policies, strategies, and doctrines to its evolving environment; (ii) Russia actively conducts cognitive warfare, but remains equally vulnerable to it; and (iii) Russia’s cyber posture faces significant challenges, including a limited technological base, shortage of skilled personnel, and restrictive approach to information control, all of which undermine the effectiveness of its strategies. These insights offer valuable implications for US Cyber Command and the Department of Defense.

Clinical Inferential Process, Bady Quintar, Kayleigh White

Archives of Assessment Psychology

Previous studies related to psychological assessments focused largely on the various psychological assessment instruments used by professional psychologists to evaluate factors including personality functioning, intellectual abilities, attitudes and other behavioral activities. Recently, the seminal contributions of David Rapaport have influenced positively many of his colleagues and immediate followers to consider psychological assessments from a psychodynamic perspective; namely to realize that the examinee’s responses are influenced by the quality of the interpersonal assessment relationship. Consequently, guided by the psychodynamic point of view psychological assessment must be examinee-centered rather than test-centered.

Alternate Form Reliability Of Nine Possible Four-Subtest Combinations Of The Cognitive Proficiency Index For The Wechsler Adult Intelligence Scale-Iv (Wais-Iv) In A Clinical Sample, Joseph J. Ryan, David S. Kreiner, Charles Golden, Gordon Teichner, Samuel T. Gontkovsky

Archives of Assessment Psychology

Performance on the core working memory (Digit Span + Arithmetic) and processing speed (Coding + Symbol Search) subtests of the WAIS-IV is summarized by the Cognitive Proficiency Index (CPI). If a working memory subtest is spoiled, Letter-Number Sequencing is substituted. An invalidated processing speed subtest is replaced by Cancellation. These tasks are supplementary. The core and supplementary subtests yield nine four-subtest composites. Using the standardization sample, Campbell, Rossini, and Johnson (2022) demonstrated that all CPI tetrads had excellent alternate form reliability. In the present study, a clinical sample (n = 90) produced equally high reliabilities. Four of the new …

Lived Experiences Of Black African Non-Denominational Pastor’S Perceptions, Attitudes, And Beliefs Of Mental Health, And Their Referral Practice In The United States, Esther Paul

Walden Dissertations and Doctoral Studies

The high frequency of mental health issues within the Black African Christians communities and the insufficient use of mental health resources, was the driving forces for this study. This qualitative study aimed to explore the attitudes, beliefs, and lived experiences of non-denominational Black African pastors on mental health and identified potential barriers to mental health care and create culturally appropriate solutions by investigating their experiences. The theoretical basis of this study was centered on Goffman’s social stigma theory, which was created by Erwin Goffman, the social identity theory (SIT), and the role identity theory, the latter which served as the …

Predictive Study Of The Relationship Between Self-Care And Professional Quality Of Life Among Licensed Counselors Impacted By Covid-19, Maria G. Billings

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic has created unprecedented challenges for mental health professionals, significantly increasing burnout and secondary traumatic stress while reducing available resources and limiting opportunities for compassion satisfaction. The purpose of this cross-sectional, quantitative survey study was to determine whether self-care engagement predicts levels of burnout, secondary traumatic stress, and compassion satisfaction among counselors. Grounded in Stamm’s theoretical framework on compassion satisfaction and compassion fatigue, the Self-Care Assessment Worksheet (SCAW) was used to measure self-care engagement, and the Professional Quality of Life Scale (ProQOL-V) was used to assess burnout, secondary traumatic stress, and compassion satisfaction. The sample included 59 licensed …

Which Adolescents Benefit Most From Positive Psychology Interventions: Examining The Common Factors Of Therapeutic Change, Nicolette Bauermeister

USF Tampa Graduate Theses and Dissertations

The literature has found positive psychology interventions to be effective at improving the subjective well-being of youth (Tejada-Gallardo et al., 2020). Further research is needed to identify variables such as common factors of change that could be contributing to whether youth report improved outcomes after participating in a positive psychology intervention. This study examined common factors of therapeutic change as predictors for outcomes such as positive affect, negative affect, and life satisfaction, which are components of subjective well-being. This dissertation aimed to fill the gap in the literature regarding common factors of change as predictors of outcomes in school-based positive …

Gatekeeper Training As A Form Of Suicide Prevention: An Evaluation Of Applied Suicide Intervention Skills Training (Asist), Sarah E. Pardue-Bourgeois

LSU Doctoral Dissertations

Applied Suicide Intervention Skills Training (ASIST) is the most widely used gatekeeper training (McAuliffe & Perry, 2007) and the literature examining its effects shows strong support for self-reported changes in attitudes and knowledge regarding suicide, and confidence to intervene with a person with thoughts of suicide (Gould et al., 2013; Shannonhouse et al., 2017a; Shannonhouse et al., 2017b; Shannonhouse et al., 2019). However, no research currently exists that investigates whether individuals trained in ASIST can provide the suicide-specific intervention skills post-training. Thus, the current study sought to extend the current literature by broadly investigating the following aims. Study aims investigated …

Respite Care Services And The Experiences Of Unpaid Adult Child Alzheimer’S Caregivers, Juanita Serena Elliott

Walden Dissertations and Doctoral Studies

Primary unpaid family caregivers of Alzheimer’s care recipients endure physical fatigue, emotional stress, psychological pressures, and health issues that could hinder their capacity to deliver consistent care. Respite care services can help reduce caregiver burden and enhance health outcomes; therefore, examining and evaluating their effectiveness is beneficial in meeting the needs of primary unpaid family caregivers. This study was conducted to address a lack of information in the literature and to evaluate the efficacy of respite care services for primary unpaid family caregivers of Alzheimer’s care recipients in Alaska and their caregivers’ awareness of and motivation to utilize these services …

Exploring Predictors Of Treatment Response To Glp-1 Receptor Agonists For Smoking Cessation, Luba Yammine, Constanza De Dios, Robert Suchting, Charles E Green, David A Nielsen, Consuelo Walss-Bass, Joy M Schmitz

Faculty, Staff and Student Publications

Introduction: Understanding predictors of smoking cessation medication efficacy facilitates the ability to enhance treatment effectiveness. In our pilot trial, exenatide, a glucagon-like peptide-1 receptor agonist, adjunct to nicotine patch improved smoking abstinence compared to nicotine patch alone. This secondary analysis explores potential baseline characteristics associated with differential treatment response to exenatide.

Aims and methods: The parent trial randomized (1:1) 84 smokers with prediabetes and/or overweight to once-weekly placebo or exenatide, 2 mg, subcutaneously. All participants received nicotine patch (21 mg) and brief smoking cessation counseling, with biologically confirmed 7-day point prevalence abstinence at week 6 (end-of-treatment) deemed the primary outcome. …

Board # 271: Nsf Iuse 2315777: Training Engineering Students To Be Better Learners: A Course-Integrated Approach, Huihui Qi, C. Pilegard, Minju Kim, Saharnaz Baghdadchi, Curt Schurgers, Alex M. Phan, Marko Lubarda

Psychology Faculty Articles and Research

Learning is a lifelong process exercised within and beyond the classroom, and a vital skill in almost all technical professions. Engineers, in particular, are impacted by rapidly evolving technologies and practices that require continuous learning and adaptation long after their training and the initial transition into their professional careers. However, despite the critical role of learning in their academic success and profession, engineering students experience academically rigorous and challenging courses with minimal emphasis or conscious focus on learning strategies that power effective learning. Often-used learning strategies such as rereading, highlighting, repetition, and memorization are intuitive for many students, yet do …