Digital Commons Network^™

Prevalence And Associated Factors Of Mental And Substance Use Problems Among Adults In Kenya: A Community-Based Cross-Sectional Study, Patrick Nzivo Mwangala, Anita Kerubo, Millicent Makandi, Rachel Odhiambo, Amina Abubakar

Institute for Human Development, East Africa

Data on the burden and determinants of mental and substance use problems among women in urban and rural informal settlements in Kenya is sparse, thus limiting preventive and treatment efforts in these areas. To bridge the gap, we (a) determined the prevalence of depressive, anxiety and post-traumatic stress disorder (PTSD) symptoms and alcohol and drug use problems among women compared to their spouses and (b) examined the correlates of these outcomes. Data collection for this cross-sectional survey was conducted in 2022 in Mombasa, Kwale and Nairobi counties in Kenya. A total of 1528 adults (1048 women) took part. The 9-Item …

Perceived Adherence-Related Barriers For Youth Living With Hiv In The Southern United States, Kate Weaver, Sarah J. Miller, Sayward Harrison

Faculty Publications

Objective: Youth are at high risk for HIV, accounting for 19% of new diagnoses in the United States (US) in 2021. Highly effective HIV treatment is available in the form of antiretroviral therapy (ART), which enables individuals with HIV to achieve viral suppression. However, youth living with HIV (YLHIV) have poorer ART adherence and lower rates of viral suppression than adults. This study aimed to explore the perspectives of YLHIV and their HIV care providers on barriers and facilitators to ART adherence for YLHIV in the southern US. Methods: Semi-structured qualitative interviews were conducted with YLHIV (n = 16) …

Mechanisms Of Interventions Targeting Modifiable Factors For Dementia Risk Reduction, Anna Matton, Ruth Stephen, Makrina Daniilidou, Mariagnese Barbera, Vilma Alanko, Marcel Ballin, Jamie Ford, Katri Hemiö, Jenni Lehtisalo, Chinedu Momoh

Brain and Mind Institute

The global prevalence of dementia is increasing. With no widely available and accessible treatments to halt or reverse the progression of dementia, exploring preventative strategies is critical. Lifestyle-based interventions show promise in preventing or delaying dementia onset. However, understanding the complex and multifactorial mechanisms underlying dementia, and how interventions target these pathways, is essential for developing personalized and effective strategies. In this review, we examined the current evidence of the mediating pathways in dementia risk reduction. We focused on mechanisms investigated in single-domain interventions on physical exercise, cognitive training, diet, metabolic/cardiovascular or psycho-social risk factors in line with those combined …

Culturally Responsive Intimate Partner Violence (Ipv) Service Needs Among African Immigrant Women: Examining The Impact Of Cultural Norms And Psychosocial Barriers On Safety Perceptions And Help-Seeking Behaviors, Titilayo Ogunbambi

Dissertations

Intimate Partner Violence (IPV) remains a pervasive public health and social justice issue globally, with African immigrant women in the United States facing compounded challenges as they navigate cultural, structural, and systemic barriers, including migration-related vulnerabilities and attachment to cultural values that shape their decisions and experiences. Although formal IPV services exist, they often fail to address the lived realities and culturally specific needs of this population, leading to underutilization and barriers in seeking help. This qualitative study examines how cultural norms, psychosocial barriers, and systemic inequities influence safety perceptions and help-seeking behaviors among African immigrant women survivors of IPV. …

The Neurobehavioral Consequences Of Prenatal Opioid Exposure On The Play Behavior Of Juvenile Rats, Rebecca S. Smart

Dissertations, Theses, and Capstone Projects

Prenatal opioid exposure has increased as a consequence of both increased Opioid Use Disorder (OUD) and prescription use for treatment of pain and OUD. However, human studies on prenatal opioid exposure are complicated by several confounding variables and thus, use of an animal model can lessen these confounds. Illicit use of opioids produces fluctuating blood levels whereas prescribed use of opioids results in stabilized blood levels of opioids. Our first study sought to determine if different methods of opioid administration, resulting in differing blood levels of opioids, would impact social play, a developmentally important behavior that is modulated by the …

Using Industry-Level Characteristics To Assess The Degree To Which Interventions Engage An Employee Population, Haley C. Trust, Brett Amazon, Anthony Puline, Evan Sassenberger, Kristin Horan

The Kennesaw Journal of Undergraduate Research

Participation is an essential component in workplace health and safety programs or interventions. While those who conduct interventions often report participation rates among the overall organization, it could be useful to compare participants to industry statistics, given that health and safety risks can diverge widely among industries. Research students from Kennesaw State University analyzed a sample of published papers that focus on occupational health psychology interventions. This narrative review analyzed existing studies to look for similarities or dissimilarities between a sample of intervention participants and employees of their industry as a whole. The students considered demographic, socioeconomic, job-related, and health-related …

From Idea To Action: Defining And Measuring Voice Implementation, Ann E. Schlotzhauer, Mark G. Ehrhart

Psychological Science Faculty Research & Creative Works

Despite increasing interest in the topic, research on managerial responses to voice is underdeveloped. In this article, we differentiate voice implementation from voice appreciation to add much-needed nuance to our understanding of how voice targets respond to voice behavior. We define voice implementation as the extent to which a voice target undertakes voluntary effort with the goal of enacting a suggestion from a voicer, including attempting to put a suggestion into action and/or advocating for the idea to those with the power to enact the suggestion. A 5-item scale based on this definition demonstrated strong content validity, construct validity, and …

Baseline Predictors Of Responders To Auricular Point Acupressure In Chronic Low Back Pain, Nada Lukkahatai, Wanqi Chen, Jennifer Kawi, Hulin Wu, Claudia M Campbell, Johannes Thrul, Xinran Huang, Paul Christo, Constance M Johnson

Faculty, Staff and Student Publications

Background: Chronic low back pain (cLBP) is a major cause of disability, with varied patient responses to treatments. Auricular point acupressure (APA) has shown potential as a non-pharmacological intervention, but individual responses may differ significantly.

Objective: This study aimed to determine the predictability of baseline characteristics, including functional disability, symptom severity, and treatment expectancy, on clinically significant responses to APA in reducing pain and improving function.

Methods: A secondary analysis was performed using data from a randomized controlled trial with 263 cLBP patients. Participants were randomly assigned to targeted APA (T-APA), non-targeted APA (NT-APA), or to a control group. APA …

“You Can Rise Back Up Again”: Using Photovoice To Understand Healing From Intimate Partner Violence Among Lgbtq+ Racial-Ethnic Minority College Students, Stephanie Lim

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Intimate partner violence (IPV) is a longstanding public health crisis that has been linked to deleterious mental and physical health issues and negative academic outcomes among college students. Further, IPV disproportionately affects LGBTQ+ individuals and certain racial-ethnic minority students. Campus services are not adequately meeting the needs of these survivors and these efforts would be better informed by centering students disproportionately affected by IPV. Guided by intersectionality and minority stress theories, the current photovoice study examined the strengths that fostered healing and the challenges that LGBTQ+ racial-ethnic minority survivors faced in their recovery journeys. Participants were eight LGBTQ+ racial-ethnic minority …

Chatgpt Or Human Mentors? Student Perceptions Of Technology Acceptance And Use And The Future Of Mentorship In Higher Education, Jimin Lee, Alena G. Esposito

Psychology

GAI technologies are increasingly recognized as mentor-like resources in higher education. While these tools offer academic guidance and personalized feedback, little is known about how students perceive and evaluate AI-generated mentorship. This study investigated how Prior ChatGPT Use, primary mentor identity, mentorship effectiveness, and technology acceptance predict students’ response identification and evaluations of AI- versus human-generated responses. College students (N = 127) completed a survey in which they identified the source of masked responses across different domains and rated each response on helpfulness, caring, and likelihood to reach out again. Binary logistic regression models revealed that Prior ChatGPT Use predicted …

Ecological Grief Among Farmers And Pastoralists In Ethiopia And Kenya, Syed Shabab Wahid, Christine Musyimi, Benjamin Oestericher, Linda Khakali, Lauren Carruth, Emily Mendenhall, Edna Bosire

Brain and Mind Institute

Climate change is a major cause of mental distress worldwide. In many ways, climate change has become a chronic disaster, while in other ways each acute event can accumulate and present challenges within and between communities. A growing body of evidence indicates that a changing climate can precipitate a cluster of negative affective states scholars call “ecological grief.” Ecological grief reflects psychological responses to climate changes and destruction of nature, species, culturally significant or sacred spaces. Until now, ecological grief has been conceptualized as a psychological response connected primarily to the destruction of the natural environment, and has not fully …

Diagnosis By Algorithm: The Transformative Impact Of Social Media–Driven Adhd Self-Diagnosis For Women Over 30 And The Proposal Of Neurotype Strain Theory, Rebecca Lynn Sevin

Dissertations

This dissertation explores the phenomenon of adult women who self-diagnosed Attention Deficit Hyperactivity Disorder (ADHD) through content encountered on social media platforms. Drawing on interpretive phenomenological analysis of ten in-depth interviews, the study investigates the emotional, cognitive, and institutional dimensions of this self-diagnosis process. Participants, all over the age of 30, reported that social media played a transformative role in helping them recognize ADHD traits in themselves. Rather than being misinformed or seeking shortcuts, participants engaged thoughtfully with ADHD-related content, valuing lived experience itself as a meaningful source of recognition and reflection. Their engagement was not primarily with educational materials …

Feasibility And Effectiveness Of A Mindfulness Stress Reduction Intervention, Diana Guadalupe Marin

Loma Linda University Electronic Theses, Dissertations & Projects

Health disparities in low-resource communities lead to poor physical and mental health outcomes. To reduce health disparities, the United States has looked to global health initiative and is starting to rely on lay health workers more consistently as a promising and sustainable force. Community Health Worker (CHWs) work alongside the local health care system to connect vulnerable populations to needed care. However, the demand of their role puts CHWs at risk for stress, burnout, and vicarious trauma. Mindfulness-Based Stress Reduction (MBSR) is a stress reduction intervention that has been empirically supported to reduce stress and burnout in numerous populations. To …

Religiosity And Mental Distress In U.S. Healthcare Workers During Covid-19, Jasmine Logan

Loma Linda University Electronic Theses, Dissertations & Projects

A major impact of the COVID-19 pandemic is the global increased rates of mental distress and decreased levels of resilience in healthcare workers. The development of quick, effective interventions for healthcare workers are all the more needed to maintain job performance and increase well-being. Associations between religion and health have been clearly established, and evidence suggests religious coping as an effective strategy for mental wellbeing. The current study investigated whether religious coping could predict levels of mental distress and resilience in a U.S. cohort of healthcare workers. The sample consisted of 137 healthcare workers from a large healthcare institution who …

The Correlation Between Depression And Gendered Racism Among Black Women, Charmagne M. King

Dissertations

Black women face unique challenges related to intersecting racial and gender-based discrimination, often referred to as gendered racism. Previous research has indicated this form of oppression may significantly affect mental health, particularly depression. However, few studies have examined how gendered racism interacts with racial identity and demographic factors (e.g., age, marital status, geographical location) to predict depressive symptoms. Using a sample of 164 self-identified Black women, this study investigated the correlational relationship between gendered racism and depression among Black women and examined how gendered racism, racial identity, and key covariates (age, marital status, and geographical location) predict depressive symptomatology. The …

Navigating Emotional Transitions: A Study Of Self-Perception And Emotion In Bio-Childfree Women Entering A Blended Family, Janine Cednick

Dissertations

The transition to a blended family is an emotional and psychological adjustment for bio-childfree individuals. The present qualitative study investigated how self-concept and emotional adjustment of bio-childfree stepmothers change when they become members of their new family. With a phenomenological approach, semi-structured interviews were conducted with 12 female participants who were bio-childfree, in a committed relationship with a partner with children, and had cohabited for one year or more. The study aimed to find out how these women cope in their new role, their emotional adjustment to their transition, and the influences that impact their well-being. Thematic analysis of interviews …

Effective And Empowering Psychotherapy For Black Women: A Culturally Adapted Proposed Model, Kaylla A. Jackson

Dissertations

Black women in the United States are a minoritized group that has experienced oppression and suffering explicitly targeting their intersectional and minority identities. The intensity and frequency of stressors result in a negative impact on Black women that prompts a need to cope. Rather than relying on professional mental health care, many Black women rely on their religious and spiritual communities and other cultural and historical methods to cope with stressors. As a field and profession, clinical psychology has been overwhelmingly dominated by White individuals. The profession has a rich history of developing and perpetuating oppressive systems that have ignored …

An Assessment Of Youth Perceptions Of Youth Employment Initiatives And Attachment To Community As Determinants Of Migration Decisions Among The Youth In Keta Municipality Of Ghana, Fortune S. Zaglago

Dissertations

Youth migration from rural to urban areas in Ghana, particularly to cities like Accra, Tema, Kumasi, and Takoradi continues to rise, despite ongoing efforts to improve youth employability and reduce urban influx. This study examined the extent to which youth attachment to community and participation in employment initiatives predict migration intentions. Guided by the network, sense of community, neoclassical, and empowerment theories, the research employed a mixed-method correlational design. Data was collected from 249 participants, including 109 youth employment initiative participants, 126 non-participants, and 10 agency staff through surveys, as well as interviews with 4 heads of agencies. Quantitative data …

Bridging The Gap: Exploring The Intersection Of Formal Mental Health Services And Informal Social Supports In Bipoc Communities, Patrice D. Patton-Campbell

Dissertations

Despite growing awareness of mental health disparities, BIPOC (Black, Indigenous, and People of Color) communities continue to face significant barriers in accessing culturally responsive mental health care. This dissertation explores the intersection between formal mental health services and informal social supports such as family, religious institutions, and community networks to understand which systems are more trusted, accessible, and effective for BIPOC individuals. Grounded in Urban Liberation Psychology and guided by decolonial and culturally responsive care frameworks, this qualitative study draws from focus groups and interviews with 33 participants, including both community members and service providers from the Chicagoland area and …

Traditional Institutions As Change Agents: Understanding Cultural Norms And Practices Promoting Gender-Based Violence In Nigerian Communities, Titilayo Ogunbambi

Dissertations

Traditional institutions in Nigerian communities hold a strong cultural foundation and significantly influence cultural norms and practices. Due to the increasing need for effective community-based approaches in addressing social and health problems on a global scale, we explore the attitudes and behaviors of traditional institutions as custodians of cultural customs and norms related to gender-based violence (GBV) and examine their potential role in ensuring community safety. By addressing harmful gendered norms and practices, traditional institutions could become key agents of change, promoting meaningful social transformations. This study explores the dynamics cultural norms and practices play in community safety, emphasizing the …

The Premature Loss Of The Black Male And Its Implications On The Black Family System And Community: A Proposed 12-Step Grief Support Group Model, Alicia Smith

Dissertations

Premature deaths, ages 15–44, and loss of Black males through homicide, along with suicide and systemic violence, and incarceration, create lifelong emotional and psychological trauma for those who remain behind in Black family settings and society. U.S. social injustices against Black communities and multigenerational losses and racial harm create specific population-based challenges, such as questioning care, lack of accessibility to competent resources, and Black identity issues, which traditional grief recovery programs struggle to help adequately. Even though approaches such as cognitive-behavioral therapy, complicated grief treatment, present-centered therapy, trauma-focused therapy, including eye movement desensitization and reprocessing (EMDR) therapy, and forgiveness therapy …

Breaking Out Of Burnout: Leveraging Informal Learning To Encourage Needs Satisfaction To Reduce Employee Burnout, Kaitlin Busse

Dissertations, Theses, and Capstone Projects

Given its negative effects on employees and organizations, burnout is seen as a crucial concern in the workplace. To combat burnout, researchers and organizations have explored some individual-level strategies to manage work-related stress effectively. An overlooked employee-driven strategy is informal learning within the workplace. While existing research has focused on learning outside work hours for stress recovery, the current study examined whether informal learning at work is a beneficial proactive behavior for employees to help alleviate stress in real-time, and thus, potentially reducing burnout. Specifically, the current research was interested in whether employees’ psychological needs at work would be satisfied …

Seeing And Sanctioning Structural Unfairness, Grace Flores-Robles

Dissertations, Theses, and Capstone Projects

People tend to explain wrongdoing as the result of a bad actor or bad system. In five studies (including U.S. online convenience samples, and one U.S. census-matched sample), we tested whether the way people understand unfairness affects how they sanction it. In Study 1 (N = 370), people interpreted unfair offers in an economic game mostly as the result of a bad actor (vs. unfair rules), which predicted costly punishment of individuals (vs. changing unfair rules). In Studies 2 (N = 500) and 3, (N = 470, census-matched on age, gender, and ethnicity in the U.S), we …

Seen And Heard: A Visual Testimony Of Purity Culture Using Qualitative Photovoice Methodology, Amanda Brown

Dissertations

Purity culture, rooted in Christian teachings, has profoundly shaped individuals’ identities, relationships, and perceptions of sexuality, gender, and faith. While popular culture is talking about the effects of purity culture, scholarly literature is lacking. This study employed photovoice methodology to center the voices of those who grew up in purity culture, using photography and personal narratives to explore its long-term effects. The study focused on how individuals who have experienced purity culture articulate and visualize their stories, revealing nuanced insights across seven thematic domains: gender expectations, romantic relationships, faith, mental health, identity formation, sex and sexuality, and healing and …

The Role Of Stigma In Help-Seeking Strategies Among African Migrants In Australia: A Qualitative Study, Agness Tembo, Kathomi Gatwiri, Obed Adonteng-Kissi, Nnaemeka Meribe, Lillian Mwanri, Frank Darkwa Baffour, Edith N. Botchway-Commey, David Chisanga, Ahmed A. Moustafa, Samara Kim, Uchechukwu Levi Osuagwu

Research outputs 2022 to 2026

African migrants living in Western countries often report experiencing high levels of stress, trauma and mental health conditions due to migration-related challenges, including racial discrimination, social exclusion and economic hardships. This mixed-method study that sought to explore to This mixed-method study explored the help-seeking behaviours of Africans in Australia. The quantitative study engaged 167 participants, who completed an online survey, and the qualitative aspect involved an in-depth interview with 12 participants. This paper reports on the qualitative aspect of the study, which was seen as essential to gaining deep, rich insights into the everyday meaning-making processes of how African migrants …

Impacts Of Parent Separation Within Siblings: A Literature Review, Araceli Tello Hernandez

University Honors Theses

Parent-child separation is a growing global issue that impacts millions of families. Although there is research on how an individual child might be impacted by separation from their parents, less is known about siblings. The importance of understanding the individual first and looking at attachment theory and resilience, its role it plays. The study serves to investigate the traumatic events of parent separation through loss whether death, divorce or immigration and seeing the gaps of literature when talking about these topics. This data relies on different literature and different research that shows how a traumatizing event can impact a child's …

Mindfulness As A Buffer Against Death Anxiety: Implications For End-Of-Life Care, Chad Alexander

University Honors Theses

Death anxiety, defined as the distress associated with the awareness of mortality, has profound psychological and cultural impacts. Western societies often respond to death salience through avoidance and medicalization, reinforcing defensive strategies described by Terror Management Theory. This project aimed to investigate whether mindfulness can serve as a buffer against death anxiety. A structured literature review was conducted using PsycINFO, PubMed, the Portland State University Library, and Google Scholar between January 2025 and April 2025. One study found that mindfulness moderated the effects of death anxiety on health-related quality of life in people living with HIV. Two experiments linked mindfulness …

What Is Known About The Psychological Impacts Of Acting, And Where Are The Gaps?, Elizabeth Blaydoe

University Honors Theses

Acting has been a profession since before 400 BCE, and still is to this day through theater, television shows, movies, voice acting, and more. While studies consider the impact of acting on the audience, there are significant gaps of information for the psychological impacts this profession has. This thesis conducts a literature review of topics such as pretend play, role-play, drama therapy, and acting, to examine what is known about the topic, and a thematic analysis of fifteen publicly available interviews with a total of twenty-two actors to investigate what is known of the experience of actors. Six themes highlighted …

More Than Hormones: Psychological Consequences Of The Medicalized Menopausal Experience, Haley Derrickson

University Honors Theses

Menopause, a transitional period that roughly half the population may experience, has a high degree of variability in onset and intensity of symptoms, one of which is depression. It is also a period in which the lives of those transitioning are highly medicalized. This literature review investigates how medicalization has increased since the term was created, and how it impacts perimenopause, menopause, and mental health.

The Impact Of Nicu Death On Bereaved Mothers, Jennie Terranova

University Honors Theses

Infant loss in the United States occurs 5.6 per 1,000 live births. This paper examines risk factors that contribute to neonatal death. Prematurity is a risk factor for NICU admission. A portion of premature babies receiving care in the NICU will die. The stressful nature of the NICU has been studied widely in journals. The impact of NICU death on hospital staff and bereaved parents has been studied less. Mortality studies suggest that bereaved mothers are at a high risk of dying within the first 5 years after their child has died. Despite the frequency of maternal death post-child loss, …