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Accessing Campus Mental Health Services In A Nigerian Southwestern University: Barriers To Academic Success, Caroline Dada

Electronic Theses and Dissertations

Mental health disorders are a significant health concern among higher education institutions in sub-Saharan Africa, including Nigeria. A substantial treatment gap exists in the Nigerian healthcare system, and this gap is further worsened by cultural and religious barriers, which reinforce stigma that discourages students from seeking professional help. This qualitative narrative inquiry explored the barriers students encountered when accessing mental health services at a university in Southwestern Nigeria, to increase service access. Qualitative semistructured interviews were conducted with seven professional mental health providers at a university counseling center between March and April 2025. Inductive thematic analysis was used to identify …

Counselors' Lived Experiences Of Moral Injury: A Social Ecological Perspective, Lisa M. Belknap

Antioch University Dissertations & Theses

This study explores the lived experiences of counselors who encountered moral injury when sociopolitical, institutional, and organizational conditions constrained their ability to practice in alignment with their personal morals, professional values, and the counseling profession’s code of ethics. Participants (N = 15) included licensed counselors who self-identified as having experienced moral injury in response to directives from legitimate authorities that conflicted with professional ethics, social justice commitments, or client welfare. Grounded in social ecological systems theory, this phenomenological study employed a confidential, cross-sectional online survey. Reflexive thematic analysis identified seven themes: (a) Profit Over People, (b) Structural Forces Contributing to …

Beyond The Diagnosis: A Qualitative Exploration Of Men Living With Hiv, David R. Romanelli

Antioch University Dissertations & Theses

This qualitative study explored the lived experiences of men (18+ years old) living with HIV to better understand how they navigate identity, mental health, relationships, and healthcare systems after diagnosis. The method included a qualitative thematic analysis with 10 participants. Eight themes emerged from the data: (1) reactions, reflections, and meaning-making after diagnosis; (2) managing medication, treatment, and co-occurring conditions; (3) stigma, disclosure, and negotiation of identity; (4) substance use, housing instability, and socioeconomic stressors; (5) navigating the changing HIV landscape; (6) experiences with family and intimate relationships; (7) implications for mental health counseling; and (8) the role of community …

Stressful Life Events And Ocd Treatment: A Thematic Analysis Of Patient Perspectives, Emily E. Fenlon

Theses and Dissertations--Psychology

Trauma exposure, including interpersonal violence (IPV), is associated with increased risk and severity of obsessive-compulsive disorder (OCD). Exposure and response prevention (ERP) is the treatment of choice for OCD, yet research suggests a history of trauma and comorbid PTSD may adversely impact treatment outcomes. No studies have yet evaluated patient perspectives on the relationship between trauma, IPV and related sequelae and OCD treatment. The present study applies reflexive thematic analysis to interviews from individuals with a history of IPV who received exposure-based therapy for OCD. Interviews explored the influence of posttraumatic distress, impairment, and psychopathology on the treatment of OCD, …

The Relationship Between Estradiol And Progesterone Concentration Levels, Alcohol Consumption, And Inhibitory Control, Layne Elizabeth Robinson B.S.

Theses and Dissertations--Psychology

Alcohol use is increasing among women, with estimates for binge drinking having risen to levels similar to those seen in men. Despite this trend, sex differences regarding mechanisms of alcohol consumption have seldom been investigated. Our group and others have found evidence to suggest that ovarian sex hormones are associated with alcohol consumption and mechanisms that might be related to alcohol consumption, such as executive function deficits. The current study sought to extend this prior research in a larger sample with higher drinking rates and more rigorous methods, and to explore inhibitory control associations with drinking. Across the two samples …

Next-Day Effects Of Binge Drinking On Inhibitory Control In Laboratory And Naturalistic Settings, Justin Verlinden

Theses and Dissertations--Psychology

Binge drinking occurs at an alarmingly high rate, despite its negative consequences on behavior, health, and cognition. One acute cognitive consequence of binge drinking is the impairment of inhibitory control, or the ability to stop oneself from engaging in maladaptive or inappropriate behaviors. Specifically, during a binge episode, individuals display impaired inhibitory control while completing Go/NoGo or Stop Signal Tasks (SST). This impairment has been shown to be maintained for up to five hours post-drinking, even as breath alcohol concentration (BrAC) approaches zero. Evidence also suggests that binge drinking results in next-day deficits in attention, memory, and psychomotor speed. However, …

Comparing Domain- And Facet-Based Models Of Personality Disorder: Incremental Predictive Validity And Model Fit, Alexandra Hines

Theses and Dissertations--Psychology

Personality disorders (PDs) have historically been conferred using a categorical diagnostic framework (i.e., present versus absent). However, recent research supports a transition toward dimensional models of PDs wherein personality traits are measured along a continuum. Some dimensional models contain personality domains only, whereas other models contain both personality domains and facets of each of those domains. The leading models of each type are the PD model in the eleventh edition of the International Classification of Diseases (ICD-11) and the Alternative Model of Personality Disorders (AMPD) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), respectively. …

A Mixed Method Investigation On The Effects Of Information And Motivation On Self-Regulation Skills And Fruit And Vegetable Consumption, Kristen Buford

Theses and Dissertations--Psychology

Introduction: The purpose of this research study is to understand the interplay between health information and health motivation on eating behaviors in African American emerging adults. Greater knowledge of nutrition is linked to healthier eating outcomes, but the motivations that individuals possess about their ability to improve their health also play a pivotal role. However, the joint effect of such constructs (i.e., information and motivation) on eating behaviors is unknown. Emerging adults are still developing their capacities to exercise their health autonomy, and this developmental period represents an opportunity to intervene before the onset of age-related chronic diseases in middle …

Exploring The Impact Of Pre-Assessment Rapport-Building On Children’S Evaluation Outcomes, Alyssa N. Springstead Knutz

Doctor of Psychology (PsyD)

Psychological assessment with children is vulnerable to inequities that arise from cultural mismatch, situational anxiety, and the interpretive nature of examiner judgement. This pilot study examined whether a brief, standardized pre-assessment sandtray activity could enhance children’s assessment experience and observational richness by supporting rapport prior to testing. Using a within-subjects, counterbalanced crossover design, 10 children (ages 7-10) completed two assessment sessions on separate days: one session included a 20-minute guided sandtray task immediately before testing and one session proceeded directly to testing. Quantitative outcomes included state anxiety (SAI-CH-6), general self-efficacy (GSE), and performance on brief standardized tasks (WJ-IV Math Fluency …

Filipino Teachers’ Grit And Organizational Resilience During The Covid-19 Pandemic, Jyro B. Triviño, Moses G. Manalang

Leadership and Strategy Faculty Publications

This study explores the relationship between employee grit and organizational resilience, focusing on perceptions from Filipino teachers during the COVID-19 pandemic. Utilizing a quantitative survey, data from 108 teaching faculty from a Southern Luzon university were analyzed using Spearman correlation to identify potential associations between these constructs. Findings reveal significant but weak to moderate correlations between dimensions of grit and facets of organizational resilience. Notably, adaptability to situations emerged as the most substantial grit component linked to organizational resilience, indicating its critical role in fostering organizational adaptability and planning strategies during uncertain times. The results suggest that individuals with high …

Exploring What Parents And Their Twice-Exceptional Children Need From The Mental Health System, Mehrnaz Mirhosseini M.S.

Selected Full Text Dissertations, 2011-

Twice-exceptional (2e) students, defined broadly as those with both high cognitive abilities and disabilities, have unique psychological needs. Many 2e students struggle in school and at home, and their abilities and disabilities tend to mask each other, making it more difficult to diagnose twice-exceptionality (Foley-Nipcon et al., 2013). Additionally, no gold-standard interventions have been identified (Foley-Nicpon & Candler, 2018). These factors and the relative obscurity of twice-exceptionalism can leave parents feeling helpless, confused, and isolated when seeking care for their 2e child. There is no research on which mental health interventions parents believe their 2e children need, as well as …

Real Talk: Piloting A Brief Digital Body Image Intervention For College Students, Logan Faith

Research Honors

The present study examines data from 20 participants who were randomly assigned to a brief digital body image intervention and a waitlist control group. The program, Real Talk, incorporated elements from several evidence-based approaches, namely affirming one’s values, making cognitive reappraisals, building body functionality, and self-compassion. The main outcome measures were body appreciation, functionality appreciation, self-kindness, and self-judgment. We hypothesized that Real Talk participants would experience greater increases in positive body image constructs and self-kindness and lower levels of self-judgment as compared to the waitlist control group. Data were analysed using nonparametric analyses due to the small sample size. Mann-Whitney …

The Effects Of Pornography On Romantic Relationships, Jade A. Green

McNair Scholars Research

This study examined the relationship among pornography use, attitudes toward pornography, and romantic relationship outcomes among adults in the United States. The hypotheses are as follows: 1. Pornography use is negatively associated with relationship satisfaction. 2. Positive attitudes toward pornography are negatively associated with relationship satisfaction. 3. Men will report more positive attitudes toward pornography than women, 4. Higher pornography use is associated with being single.  A convenience sample of 165 adults from central Arkansas completed measures assessing pornography use/acceptance and relationship satisfaction. Statistical analyses included a correlation matrix, an independent-samples t-test, and a chi-square analysis. Results showed that pornography …

Brief Therapy Dog Interactions May Increase Self-Efficacy And Lower Perceived Stress And Cortisol In High School Students: A Preliminary Study, Dawn Melzer, Deirdre Yeater, Madison Derubis, Christiana Rose Kohlroser, Barbara J. Pierce

Psychology Faculty Publications

The present study examined changes in high schoolers’ perceived stress, general self-efficacy and cortisol levels after a brief interaction with a certified therapy dog. High school students completed self-report measures of perceived stress and general self-efficacy and provided salivary cortisol samples both before and after a 10-min interaction with a certified therapy dog. Following the interaction, students reported reductions in perceived stress scores, exhibited lower salivary cortisol concentrations and demonstrated increases in self-efficacy scores compared to before the interaction. Although higher self-efficacy scores were observed, general self-efficacy is generally regarded as a stable construct; therefore, these findings may reflect a …

Effects Of Coaching Interventions On Burnout And Mental Health Outcomes Among Collegiate Athletes: A Meta-Analysis, Natalie Mitchell

Cal Poly Humboldt theses and projects

This meta-analysis examined the effects of coaching interventions on burnout and mental health outcomes among collegiate athletes. Following PRISMA guidelines, literature published from 1980 onward was searched across SPORTDiscus, PsycINFO, PsycARTICLES, PubMed/MEDLINE, Web of Science, and ProQuest Theses & Dissertations. Studies were included if they assessed burnout, psychological well-being, or related mental health outcomes in collegiate athletes and investigated a coaching intervention. Twelve interventional studies met the inclusion criteria. Across studies, coaching interventions varied in structure, duration, sport context, and cultural setting, with most emphasizing intrapersonal strategies and emotional or mental health outcomes. Meta-analytic results indicated small, non-significant effects favoring …

The Phenomenon Of Professional Burnout Among Military Chaplains In Ukraine, Artem Makovskyi, Oleg Mateyuk, Oleksandr Bilovskyi, Anton Datskov, Dmytro Oleshko

Occasional Papers on Religion in Eastern Europe

The article presents a comprehensive study of the phenomenon of professional burnout among military chaplains in Ukraine in the context of their personal experience of being in extreme (combat) conditions. The relevance of the problem is due to the prolonged impact of combat operations, high psycho-emotional stress, and the special role of military chaplains in the system of moral and psychological support for Ukraine's security and defense sector. The theoretical and methodological basis of the study was the concept of professional burnout by K. Maslach, the provisions of the person-centered approach, and the theory of personal experience. The empirical study …

Postsecular Coping Mode (Pscm): The Mechanism Of Sacred Meaning Reactivation Under Secular Pressure In Post-Soviet Societies, Aruzhan Akhmetova Aru, Mukhan Issakhan

Occasional Papers on Religion in Eastern Europe

This article introduces the concept of Postsecular Coping Mode (PSCM) to explain the changing psychological dynamics of religiosity in post-Soviet societies. Classical studies of religious coping typically conceptualize religion as a relatively stable strategy or behavioral response. However, under postsecular conditions, religious experience increasingly appears as a context-sensitive, episodically activated meaning-regulation mode. In response, the notion of coping mode is conceptualized as a distinct psychological category analytically differentiated from conventional coping frameworks. The proposed PSCM model describes the selective reactivation of sacred meaning resources under conditions of perceived secular pressure. Its processual architecture unfolds through four stages: (1) the trigger …

Don't Crash Out: The Effects Of Personality And Social Support On Subjective Stress Responses And Heart Rate Variability, Nicholas Kilpatrick

UNF Graduate Theses and Dissertations

The present study examined the relationship between personality traits, physiological stress responses, and subjective stress during a social-evaluative stress task, as well as the potential mediating role of heart rate variability (HRV) and moderating role of imagined social support. Participants completed a laboratory-based modified Trier Social Stress Task while HRV was continuously recorded, and self-reported stress was assessed across task phases. Results indicated that neuroticism and protective self-monitoring were associated with higher levels of subjective stress, while acquisitive self-monitoring was associated with greater reductions in stress following the task. Neuroticism was also associated with greater increases in HRV during the …

Dispositional Correlates Of Mobile Dating Application Users’ Self-Presentation Behaviors, Danielle Rafal

PCOM Psychology Dissertations

Introduction: Mobile dating applications (MDAs) have moved from niche to norm, making connecting with others easier. A problem with MDAs is the accuracy of user self-presentation. Dispositional characteristics such as personality traits, psychological distress, and age may be factors that drive MDA users’ self-presentation behaviors. This study explored whether the extent of discrepancy between deceptive and real self-presentation predicts psychological distress, whether Big Five traits enhance this prediction, and whether age group influenced self-presentation among MDA users.

Method: Using a cross-sectional quantitative survey-based design, 160 MDA users ages 18 and older residing in the United States completed the following measures: …

Examining The Psychosocial Impact Of Having An Adolescent Sibling With A Leukemia Diagnosis, Jordan A. Barczak

PCOM Psychology Dissertations

The current research regarding the impact of having a sibling undergoing cancer treatment is inconsistent and limited in scope. The current study explored the psychosocial effects, including peer relationships, academic outcomes, and overall mood in siblings of children with a cancer diagnosis. This study also explored the interaction patterns between children, their siblings with a leukemia diagnosis, and other members of the family. The participants of this study consisted of five youth from different families with a child or adolescent sibling with a leukemia diagnosis. The participants were recruited via social media and other community outreach avenues. Participants were between …

Increasing The Efficiency Of Screening For Severity Level Of Neurocognitive Impairment In The Corrections Sample: An Exploratory Study, Kelly Denton

PCOM Psychology Dissertations

Acquired brain injury (ABI) is a serious and potentially devastating health condition that can cause several lasting deleterious consequences affecting many domains of life. Difficulties are commonly reported in cognition, emotional, and social functioning, in addition to physical impairment. ABI disproportionally affects different groups, including the corrections population, which is five times more likely than the general population to have an ABI. However, there is limited research on the severity of neurocognitive impairment after an ABI for inmates in a correctional setting. It was hoped that the current study would help clarify the characteristics of ABI that result in different …

Examining Developmental Outcomes And Follow-Up Engagement Among High-Risk Preterm Infants In A Diverse Urban Nicu Program, Madyson Kolbes

PCOM Psychology Dissertations

Preterm infants are at elevated risk for developmental delays across cognitive, language, and motor domains, yet factors associated with engagement in NICU follow-up care remain poorly understood, particularly in diverse, urban populations. This study examined developmental outcomes at initial NICU follow-up and explored factors associated with follow-up completion among high-risk preterm infants. Participants included 174 infants enrolled in a hospital-based NICU follow-up program who completed an initial developmental screening using the Bayley Scales of Infant and Toddler Development, Fourth Edition Screener (Bayley-4 Screener). A subset of 58 infants completed a second screening visit. Binary logistic regression was used to examine …

The Influence Of Parental Attitudes On Perceptions Of Gender Socialization In Their Children, Tareva Cortes

PCOM Psychology Dissertations

Gender socialization begins early in childhood and plays a significant role in shaping children's beliefs, behaviors, and perceptions of themselves and others. Parents serve as primary agents of gender socialization and contribute to children's understanding of gender roles through attitudes, expectations, and reinforcement of gender-related behaviors. The purpose of this quantitative study was to examine parental attitudes regarding traditional gender roles, modern sexism, and children's gender-related behaviors. Participants included 163 parents and legal guardians residing in the United States who had at least one child under the age of 18. Participants completed a demographic questionnaire, the Child Gender Socialization Scale, …

The Caregiving Experience: Comparing Stress And Quality Of Life Among Caregivers Of Children With And Without Autism Spectrum Disorder, Mona Khayal

Antioch University Dissertations & Theses

This comparative cross-sectional study investigated caregiving burden, quality of life, and anxiety among primary caregivers of children with autism spectrum disorder compared to caregivers of typically developing children. Using Bronfenbrenner’s Ecological Systems Theory, 66 caregivers (31 autism, 35 comparison) of children aged 6-18 completed the Zarit Burden Interview-12, WHO Quality of Life-BREF, and GAD-7. According to the results, autism caregivers reported substantially higher burden (M = 31.26 vs. 13.23, d = 2.42) and anxiety (M = 9.13 vs. 4.63, d = 1.04), with 90% exceeding clinical burden thresholds compared to 26% of comparison caregivers. Quality of life was lower across …

Generation Z: Black Male Constructions Of Masculinity And Provider Roles In Heterosexual Marriages, Bentley Stafford Hylton

Antioch University Dissertations & Theses

This study explores how expectations associated with the male provider role identity impact the psychological well-being of Black American Generation Z (“Gen Z”) men. Using a qualitative design, approximately 20 participants were surveyed to examine how efforts to meet provider role expectations influence well-being, as well as how Gen Z Black men construct and define masculinity within contemporary sociocultural contexts. While prior research has examined Black masculinity, limited attention has been given to its intersection with provider role expectations, particularly among emerging adults. Historically, messages about masculinity and marital roles have been transmitted through community institutions, leadership, and cultural narratives; …

More Than Surviving: Brazilian Immigrants' Stories Of Growth And Wellbeing In The United States, Virginia Veronica Lemos

Antioch University Dissertations & Theses

Immigration in the United States is often conceptualized within clinical psychology through deficit-oriented frameworks that emphasize risk, trauma, and psychological distress. While this work is essential for documenting vulnerability and inequity, it offers limited guidance for understanding how immigrants sustain wellbeing and meaning amid ongoing sociopolitical and institutional constraints. Brazilian immigrants represent a large and growing population in the US whose experiences remain comparatively understudied, particularly from strengths-based and interpretive perspectives. To address this gap, this qualitative study explores how Brazilian immigrants make sense of immigration and wellbeing through the narratives they construct about their lives in the US. Grounded …

A Delphi Study Of Ethical Best Practices For Psychedelic Assisted Therapy, Alyssa K. Griskiewicz

Antioch University Dissertations & Theses

The purpose of this Delphi study was to establish areas of ethical consensus regarding psychedelic-assisted therapy (PAT) from the perspectives of an expert panel of practitioners, with attention to issues of equity and access. Participants (N = 29) include individuals with two or more years of experience in one or more of the following domains of psychedelic expertise: clinical/professional practice, scholarly/research contributions, or guided community/ceremonial facilitation. In Round 1, qualitative data were collected through open-ended questions and analyzed using thematic analysis to generate Delphi statements. In Round 2, panelists (N = 24) rated these statements using a Likert-type scale to …

"Why Don't I Talk To A Therapist?": Motivations And Reflections Of Female-Identifying Chinese Immigrants Seeking Psychotherapy For Depression, Qiuyi Wei

Antioch University Dissertations & Theses

This phenomenological study explored the lived experiences of Chinese immigrants and temporary residents struggling with depressive symptoms and their process of seeking and accepting psychotherapy support. The study aimed to describe the factors that motivated participants to enter therapy for depression while also addressing their internal concerns about treatment. Nine female-identified Chinese immigrant adults with such experiences were recruited. Participants’ perceptions of their depressive symptoms and the factors contributing to their decision to seek professional therapy were explored through in-depth, semi-structured qualitative interviews conducted in Mandarin. The interview transcripts were analyzed in Mandarin using interpretative phenomenological analysis, through which four …

Youth And Caregiver Expectations In Pediatric Concussion Recovery And Persisting Symptoms, Molly A. O'Reilly

Antioch University Dissertations & Theses

Concussions present complex diagnostic and treatment challenges, particularly for pediatric patients who may experience persisting symptoms. Psychological mechanisms, including patient expectations and beliefs about recovery and symptoms, play a critical role in shaping outcomes. However, there is limited research exploring these factors in pediatric populations, particularly using qualitative approaches. This study sought to address this gap by employing a qualitative phenomenological design with interpretive phenomenological analysis to examine the recovery expectations of pediatric patients with persisting symptoms following concussion, as well as caregivers’ perspectives. Using the nocebo effect as a conceptual framework, eight pediatric patients and their caregivers participated in …

Criterion Validity Of The Functional Status And Pain Assessment Scale Versus Pain And Length Of Stay In Hospitalized Adults With Scd, Wally R. Smith, Daniel M. Sop, Yue May Zhang, Margaret S. Guy, Rehan Qayyum

Department of Medicine Faculty Publications

Objectives

In prior research we demonstrated face, construct, discriminant, and preliminary convergent validity of the newly developed, 10-item Functional Status Pain Assessment (FSPA) scale (0-50) in adult SCD patients hospitalized with VOC. We aimed in this study to further demonstrate criterion validity of the FSPA.

Methods

This was a prospective observational study of 561 daily functional and pain assessments from 91 hospitalized adults with SCD from January 2018 to June of 2019. Principal Component Analysis (PCA) Partial Least Squares (PLS) models determined the relationship between LOS, pain intensity, and FSPA. A Generalized Linear Model (GLM) to quantified the impact of …