Digital Commons Network^™

Leadership Characteristics Driving Positive Patient Experience Outcomes In Behavioral Healthcare Organizations, Sophia Iovenitti

Walden Dissertations and Doctoral Studies

Patient experience is a key indicator of healthcare quality and performance; however, limited evidence exists regarding the specific leadership characteristics that influence patient experience outcomes in behavioral healthcare. The purpose of this qualitative case study was to explore the leadership characteristics associated with positive patient experience outcomes, examine how leadership behaviors influence patient perceptions, and identify leadership development strategies to enhance patient experience. The study was guided by the Baldrige excellence framework and the Beryl Institute’s definition of patient experience. Data were collected through semi structured interviews with executive and operational leaders and triangulated with organizational artifacts, including aggregated patient …

Seasonal Affective Disorder’S Prevalence And Impact On Organizational Outcomes In The Northeastern United States, Tommaso Bruce Fernandes

Walden Dissertations and Doctoral Studies

Seasonal affective disorder (SAD), a type of depression linked to seasonal changes, primarily affects individuals during fall and winter. More insight was needed on the prevalence of SAD and the role of social support in moderating its impact on organizational outcomes. The purpose of this study was to examine the relationships between SAD and organizational outcomes, including employee well-being, absenteeism, job satisfaction, and productivity, in the Northeastern United States, where SAD symptoms are more prevalent due to environmental factors. Engel’s biopsychosocial model and Cullen’s social support theory provided a theoretical framework for the study. A quantitative cross-sectional design, featuring structured …

The Use Of Breathing Meditation With Bipoc Trauma Survivors, Keerthi Sundaramurthy

Doctoral Dissertations

There is a growing body of evidence supporting the use of mindfulness-based practices to reduce psychological distress. Although interest in mindfulness-based care is growing, studies investigating virtual interventions for BIPOC trauma survivors remain limited. The goal of this study was to evaluate the effects of a breathing meditation intervention on mental health outcomes in a sample of trauma-exposed BIPOC adults, using a randomized post-test only design. Participants in the intervention group were asked to complete a 10-minute box breathing meditation daily for four weeks. Quantitative analyses revealed that those in the intervention group reported significantly lower symptoms of anxiety and …

Navigating Queer Identities In Rural Communities: The Role Of Social Support In Shaping Lgbq+ Adolescents’ Identity Development, Michaela Elaine Pierson

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

Adolescents who identify as lesbian, gay, bisexual, or queer (LGBQ+) develop their identities within complex social contexts. In rural settings, limited access to affirming resources and greater exposure to stigma may further shape identity development. Guided by social ecological and minority stress theories, this study examined whether perceived family and friend support predict identity affirmation and internalized homonegativity among rural LGBQ+ adolescents. Participants included 53 adolescents ages 13 to 18 drawn from a larger dataset. Group differences across demographic variables were examined, and regression analyses were used to evaluate the predictive role of family and friend support. No significant group …

Peer Attachment And Popularity Among Adolescents: The Mediating Role Of Relational Aggression, Katherine S. Fosco, Bailee Hill, Yan Li, Michelle F. Wright

DePaul Discoveries

Popularity during adolescence may pose a challenging social barrier, involving the desire for exclusivity and the need for broader peer connections. This study investigated the longitudinal effects of peer attachment on popularity among adolescents and the mediation process of relational aggression, expecting that peer attachment would be linked to reduced relational aggression, in turn relating to lower popularity at a later time point. The research participants (N = 569) included adolescents between the ages of 11 and 15 in the United States with data collection occurring at three time points. The path from Time 1 peer attachment to Time 2 …

The Primary Care Brief Intervention Competency Assessment Tool (Bi-Cat): Examining Reliability And Validity, Arielle Guillod

Dissertations

Within primary care, the Primary Care Behavioral Health (PCBH) model integrates behavioral health services into medical settings through brief, population‑based interventions delivered by behavioral health consultants (BHCs). Although effective performance in this role requires competencies distinct from traditional mental health practice, few psychometrically sound tools exist to assess clinical skills in primary care. The Brief Intervention Competency Assessment Tool (BICAT) is commonly used for this purpose but lacks published evidence supporting its reliability and validity. This dissertation examined the psychometric properties of the BICAT across two studies. Study 1 evaluated factor structure, internal consistency, and construct validity in a heterogeneous …

Investigating The Links Between Parent Math Anxiety, Parenting Behaviors, And Child Math Achievement And Math Anxiety In Middle Childhood, Kimia Akhavein

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

Existing research indicates that parents’ math anxiety is a robust predictor of children’s math achievement and math anxiety. The current dissertation study moved the literature forward by examining the transmission of parents’ math anxiety to children’s math achievement and math anxiety via autonomy-supportive and controlling parenting behaviors using an observational coding scheme during a homework help task when children were in second grade. The first research aim examined if parents’ autonomy supportive and controlling behaviors mediated the link between parents’ math anxiety and children’s math achievement and math anxiety one year later. The second research aim examined whether parents’ emotion …

Distributed Impressions: How Multiple Minds Come Together To Shape Person Perception, Lindsey J. Tepfer

Dartmouth College Ph.D Dissertations

Moments after perceiving another person, we immediately infer a wealth of information about them. Despite the complexities within our social environments, we distill an incredible magnitude of details available to us into compressed representations of other people’s minds and mannerisms. Yet research has focused largely on mapping isolated stimuli—divorced from its messy context—to the spontaneous impressions they provoke. As a result, there are many unanswered questions about how our judgments are influenced by the rich and noisy social world we inhabit. Here, I’ve leveraged two paradigms to investigate how impression formation and updating may operate when the constraints of the …

Law Enforcement Help-Seeking Behaviors And Organizational Mental Health Supports, Jordan Elizabeth Longendorf

Walden Dissertations and Doctoral Studies

Due to the traumatic and repetitive nature of law enforcement work, mental health support is often needed by officers, but is not consistently sought. Law enforcement leaders need to understand this concern as a leading indicator of workforce well-being, organizational effectiveness, and officers’ willingness to seek needed mental health support. Guided by the conceptual framework of Rickwood and Thomas’s help-seeking behaviors, the purpose of this descriptive phenomenological study was to explore law enforcement officers’ lived experiences of help-seeking behaviors for emotional and mental health issues. Data were collected through six semistructured interviews with current law enforcement officers in four different …

Immigration-Related Sociopolitical Stress, Mental Health, And Tobacco Use Among Mexican American College Students, Seth R. Schwartz, C. Nathan Marti, Liza Talavera-Garza, Caroline E. North, Qingua Yang, Dhiraj Murthy, Srishty Arora, Anna V. Wilkinson, Alexandra Loukas

Psychological Science Faculty Publications

Sociopolitical stress associated with the policies and rhetoric coming from recent U.S. presidential administrations is of particular concern vis-à-vis Hispanic individuals, who have been disproportionately targeted for detention and deportation. Such stress may be associated with symptoms of depression and anxiety, and ultimately with tobacco use. However, there is a paucity of research examining how sociopolitical stress is associated with mental health problems and substance use among Hispanic emerging adults. Accordingly, the present study was designed to examine the extent to which, within a sample of Mexican American college students, sociopolitical stress would be linked with tobacco use indirectly through …

Emophilia: An Integrated Guide For Mental Health Professionals, Joseph H. Preckajlo, Erica Baer, Richard P. Conti

Forensic Scholars Today

Emophilia, the tendency to fall in love quickly and frequently, has emerged as a distinct, nonpathological relationship trait with implications for early-stage romance, sexual health, and relationship stability. This integrated guide synthesizes conceptual, psychometric, motivational, personality, and clinical findings to support assessment and intervention. Emophilia appears to be an approach-oriented, reward-sensitive construct (vs. anxiety-driven attachment needs), shows satisfactory measurement properties, modest associations with personality, and consistent links to rapid bonding, relational churn, and attraction to antisocial traits. We offer practical assessment strategies, pacing and screening interventions, and ethical/cultural considerations, while highlighting research gaps (e.g., longitudinal tests, neurohormonal mechanisms, and mediation …

Psychosocial Characteristics Of Self-Identifying Incels, Joleen Koroluck

Walden Dissertations and Doctoral Studies

Research examining individuals who self-identify as involuntary celibates (incels) has increased in response to concerns surrounding online grievance communities and violence-related rhetoric. Despite growing scholarship, limited research has examined the psychosocial lived experiences of individuals who identify as incels. The purpose of this qualitative study was to explore these experiences and examine factors associated with violent or extremist beliefs within incel-related online communities. Guided by social comparison theory and social identity theory, reflexive thematic analysis was used to examine 90 publicly available forum posts collected from 4Chan, Incel.is, and Looksmaxx. The data were manually coded and analyzed through iterative thematic …

Navigating Leadership With A History Of Parental Incarceration: An Interpretative Phenomenological Analysis Of Nurse Managers’ Professional Relationships And Coaching Receptivity, Demetria Hazlett

Walden Dissertations and Doctoral Studies

Nurse managers play a critical role in healthcare organizations, yet limited research has examined how early-life adversity, such as parental incarceration, influences leadership relationships and development. The purpose of this qualitative phenomenological study, guided by interpretative phenomenological analysis (IPA), was to explore how nurse managers’ lived experiences of parental incarceration made sense of their influenced attachment-related relational patterns, professional relationships, and receptivity to leadership coaching. The attachment theory and Karpman’s Drama Triangle grounded this study. The participants comprised eight nurse managers in six states within the United States. Data were collected through semistructured interviews and analyzed using the IPA analytic …

The Relationship Between Autistic Traits And Depression Among Self-Reporting College-Aged Adults, Tyler Michael Davis

Walden Dissertations and Doctoral Studies

Depression is a prevalent mental health concern among emerging adults, particularly within college populations where academic, social, and developmental stressors are heightened. Autistic traits are increasingly understood as dimensional characteristics that exist across both clinical and non-clinical populations, yet their relationship to depressive symptoms in college-aged adults remains insufficiently understood. The purpose of this quantitative, cross-sectional correlational study was to examine the relationship between self-reported autistic traits and depressive symptoms among non-clinical adults aged 18 to 25. The study was grounded in Beck’s cognitive theory of depression and the diathesis–stress model, which posit that cognitive vulnerabilities interact with environmental stressors …

Maternal Attachment Style As A Moderator Between Maternal Stress And Postpartum Depressive Symptoms, Kristie Lynn Hills

Walden Dissertations and Doctoral Studies

This research aimed to discover if maternal attachment style moderates the association between maternal stress and postpartum depressive symptoms for mothers living in the United States. Previous research has indicated a trend of maternal bonding mediating the association between postpartum depression and maternal stress. In this study, attachment theory was utilized as the foundational theory for understanding whether the link between maternal stress and postpartum depressive symptoms vary as a function of maternal attachment style. This quantitative examination was completed using a multiple regression analytic approach. An online questionnaire measured the three study variables. The target population for this study …

Shame, Resilience, And Disclosure Predictors Of Mental Health Seeking In Male Veterans With Ptsd And Military Sexual Trauma, Neftali Melendez

Walden Dissertations and Doctoral Studies

Male veterans are often the least likely to report military sexual trauma (MST), increasing the experience of shame, fear, fragility, and mental health disorders. The primary goal of this study was to examine the relationship of shame (internal and external), attitudes towards disclosure, and resilience on mental health help-seeking in male veterans who have experienced sexual abuse while in the military. Brown’s theory of shame resilience guided the development of the hypotheses and interpretation of results. Approximately 146 veterans participated in an anonymous online cross-sectional survey using a convenience sampling design and psychometrically validated questionnaires (Mental Help Seeking Attitudes Scale, …

Penilaian Safety Climate Di Area Quarry Pada Pabrik Semen Di Indonesia, Andrizqa Andrizqa, Mufti Wirawan, Raden Ismail Haq, Asep Zaenal Muttaqien, Muhammad Arifin Ramzy Lubis

National Journal of Occupational Health and Safety

Work in the quarry area of the cement industry has a high risk of occupational accidents. Workers' understanding of the safety climate is important to prevent workplace accidents and injuries. This study aimed to assess the safety climate in the quarry area of a cement plant in Indonesia while identifying aspects that still require improvement. This study employed a descriptive quantitative approach using a questionnaire adapted from the Loughborough Safety Climate Assessment Toolkit (LSCAT). The sample consisted of all workers in the quarry area, including 49 permanent workers and 90 contract workers. The results showed that the average safety climate …

Beyond The Cycle: How Menstruation Influences Gender Identity And Well-Being In Binary And Non-Binary Adults, Rin Nguyen

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

Approximately 1.8 billion people worldwide menstruate, including transgender and gender-diverse (TGD) people, yet their experiences remain underrepresented in research. Given that menstruation can affect gender alignment and psychological well-being, understanding its impact on TGD people is critical. Gender congruence, or alignment between one’s gender identity and expression, is a key factor influencing well-being, with research linking it to reduced depression and anxiety. Furthermore, emerging research on gender euphoria, the joy experienced when gender congruence is experienced, suggests it may serve as a protective factor for mental health and well-being. Gender euphoria has been associated with reduced psychological distress and increased …

The Stigma Experiences Of The African American Transgender Individual In Mental Health Settings, Linda Shaw Henley

Walden Dissertations and Doctoral Studies

The intersection of race, gender identity, and systemic marginalization has profound implications for mental health outcomes, particularly among African American transgender individuals. Addressing African American transgender individuals’ stigma experiences in mental health settings is important because transgender individuals have dual minority statuses, wherein racism, stigma, transphobia, and institutional neglect converge, significantly impacting their access to affirming and effective mental health treatment. The purpose of this study was to explore the stigma experiences of the African American transgender individual in mental health settings. The phenomenon of interest in this study was stigma experiences in mental health settings with mental health providers. …

How Young Mothers’ Interpersonal And Emotional Well-Being Impacts Parental Stress And Dating Violence, Jonathan Jin

Theses and Dissertations

This two-part dissertation investigated two distinct, yet interconnected aspects of young mothers’ wellbeing which span individual and interpersonal factors. Study 1 examined how adverse childhood experiences (ACEs) are related to parental stress, and how symptoms of anxiety and depression might mediate this association. Within a sample 255 young mothers with an average age of 22.2 (SD = 2.3), the pooled results of a parallel mediation model across 10 imputed datasets indicated a significant average direct effect of ACEs on parental stress (0.25, p < .01), suggesting that experiencing a history of ACEs was significantly associated with more parental stress. Study 2 examined the relationship between young mothers’ romantic attachment, emotion regulation, and dating violence (DV) victimization. In a different sample of 256 young mothers with an average age of 19.8 years (SD = 1.1), more avoidant (less secure) romantic attachment styles (β = 0.26, SE = 0.1, p < 0.01) and more anxious romantic attachment styles (linear component β = 3.81, SE = 0.9, p < 0.001 and quadratic component β = -2.86, SE = 0.9, p < 0.01) were significantly associated with greater DV victimization. Future research may extend this work by using longitudinal designs to test bidirectional links between interpersonal and emotional wellbeing factors among young mothers.

A Holistic Christian Perspective On Wellness For College Students - A Qualitative Analysis, Shari L. Jurgens, Deb Majewski, Jessica Clevering

Movement and Being: The Journal of the Christian Society for Kinesiology, Leisure and Sports Studies

Aim: This study sought to explore the impact of a Christ-centered, holistic wellness course on college-aged students’ understanding of key wellness principles. The goal was to gain insight into how students comprehend and apply these principles considering their spiritual and personal development.

Background: Wellness education for undergraduate students is both timely and essential, especially within Christian higher education, where nurturing the whole person is a core value. A common misconception is that wellness pertains only to physical and mental health. However, Scripture affirms that human flourishing involves a harmony of body, mind, and spirit. A holistic, biblically informed approach to …

The Virtue Of Hope In Sports Through Spe Salvi And Its Role In Faith, Resilience, And Character Formation In Student-Athletes, Hansson G. Labisig, Arvin D. Eballo

Movement and Being: The Journal of the Christian Society for Kinesiology, Leisure and Sports Studies

Pope Benedict XVI, in Spe Salvi, presents hope as a transformative and redemptive virtue that enables believers to live and suffer differently, rooted in faith in God. He writes, “The one who has hope lives differently.” This study develops a theological-pastoral framework for integrating the virtue of hope into the faith formation of student-athletes within Catholic educational institutions, positioning sport as a genuine locus theologicus for Religious Education and evangelization. Employing the See–Judge–Act methodology, it draws from Spe Salvi, Aquinas’s Summa Theologiae, and the Vatican document Giving the Best of Yourself, in dialogue with C. R. Snyder’s psychological theory …

Collectivist Culture Values And Self-Esteem In Asian Americans With Adhd, Skye Taemi Jieling Sakashita

Doctoral Dissertations

This study is a quantitative correlational analysis that evaluated the relationship between collectivism and self-esteem in Asian American adults diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD). A total of 29 Asian American adults with ADHD participated in this study that included a survey of three scales assessing for collectivism, self-esteem, and ADHD symptoms. The results indicated that the correlation between self-esteem and collectivism in participants was not statistically significant. The correlation between self-esteem and ADHD symptoms was also found to be not statistically significant. However, certain correlational analyses regarding collectivism and ADHD symptoms were found to be statistically significant. Specifically, the results …

An Exploratory Analysis Of Neurocognitive Performance And Posttraumatic Stress Disorder (Ptsd) Among Latinx Asylum Seekers, Elsie A. Arias

Doctoral Dissertations

Asylum seekers are exposed to violence and traumatic events in their home countries at high rates, leading to mental health challenges such as posttraumatic stress disorder (PTSD). PTSD symptoms and comorbidities such as depression and alcohol misuse are associated with impacts to multiple domains of cognitive functioning among populations such as Veterans. However, the neurocognitive performance of Latinx asylum seekers who experience PTSD symptoms are under-documented in the current literature despite its meaningful impact on clinical care engagement and navigation of the legal process. This study utilized an exploratory, quantitative, cross-sectional design to examine whether higher levels of self-reported PTSD, …

Scroll Control: Reducing The Influence Of Social Media Trends On Adolescent Risk-Taking, Camilla Vitola-Franchi

Psychology

Adolescents tend to take more risks than other age groups due to a combination of sensitive reward systems, lower impulse control, and stronger susceptibility to peer influences. These days, many adolescents spend a substantial amount of time on social media, which can further influence their decision-making. Although risk-taking plays an important role in adolescent development, social media can increase exposure to unhealthy and potentially dangerous forms of risk. Dangerous online trends and the addictive nature of social media algorithms contribute to the normalization of risky behavior and expose adolescents to social pressures, leading them to be more likely to take …

I Can’T Fight This Feeling Anymore: Investigating The Influence Of Cognitive Emotion-Related Impulsivity On Behavioral Impulsivity Through The Lens Of Emotion Regulation In Daily Life, Dylan Shelton

Graduate Theses and Dissertations

Emotion-related impulsivity is a transdiagnostic risk factor that is seen across a wide range of psychiatric disorders. Traditionally, emotion-related impulsivity has been studied at the trait level, reflecting that it is something that someone has rather than something that they do. However, recent studies have highlighted the importance of viewing emotion-related impulsivity as a dynamic process that occurs in response to momentary emotional experiences. However, it is less clear about the influence of attentional and evaluative processes on downstream behavioral responses that may be aimed at rapidly regulating emotion. This study aimed to investigate emotion-related impulsivity through the lens of …

Understanding The Experiences Of Faculty Members Who Teach Case Conceptualization, Asianna Harris

Dissertations (1934 -)

Competence in case conceptualization (CC) is a core skill in clinical training. However, many graduate programs lack a structured process for teaching this complex and dynamic clinical skill. While most research focuses on students’ perspectives on learning CC, there is a distinct gap in research on faculty experiences, successful teaching methods, and the assessment of teaching practices. Therefore, this study addressed the gap in extant literature by exploring how doctoral programs’ faculty taught transtheoretical CC and how they evaluated the effectiveness of their instruction. A Consensual Qualitative Research (CQR) design was employed to deeply examine the experiences of 13 faculty …

How Wounded Healer Trainees Develop Self-Awareness Of Their Wounds And Use This Self-Awareness In Clinical Work, Nishi Ravi

Dissertations (1934 -)

The wounded healer, a concept originally introduced by Carl Jung (1951), characterizes individuals who, having undergone personal struggles or ‘wounding,’ feel inclined to alleviate the suffering of others. Extant literature attests to the prevalence of woundedness among counseling professionals and to the potential benefits and risks their wounds pose in clinical practice. Despite its widespread use across the literature, the wounded healer concept has yet to be formally and empirically operationalized, and this study addresses that gap by offering a concrete, empirically grounded definition of the construct. Yet, while wounded healers are increasingly recognized across counseling training contexts, little research …

Coping With Uncertainty In Everyday Situations (Cues©): The U.S. Pilot Study, Sarah Lehman

Dissertations (1934 -)

Autistic youth experience anxiety at an increased rate compared to their neurotypical counterparts. The presence of anxiety often amplifies the social and functional difficulties faced by autistic youth, which can exacerbate poor outcomes. Intolerance of uncertainty (IU), defined as negative beliefs and reactions to unpredictable or ambiguous situations, has been identified as a key factor to the manifestation of anxiety in autistic populations. The current study aimed to replicate the protocol and results from Rodgers et al. (2023) by conducting the first U.S. pilot study examining the feasibility and efficacy of Coping with Uncertainty in Everyday Situations (CUES©); an 8-week …

Examining The Relationship Between Trauma-Informed Safety Drill Practices And School-Level Chronic Absenteeism In Maine Secondary Schools, Tina Nightingale

Dissertations

School safety practices can influence students' perceptions of safety, emotional well-being, and engagement in the educational environment; however, limited research has examined whether trauma-informed safety drill practices are associated with measurable educational outcomes. The purpose of this quantitative, non-experimental, correlational study was to examine the relationship between trauma-informed safety drill practices and school-level chronic absenteeism in Maine middle and high schools. Guided by trauma-informed care, adolescent neurodevelopment, and Protection Motivation Theory, the study investigated whether higher levels of trauma-informed implementation of safety drills, as measured by the Trauma-Informed Safety Drill Practices Index (TISDPI), were associated with lower rates of chronic …