Digital Commons Network^™

Harming To Healing: Exploring Harm Reduction In Non-Suicidal Self-Injury Treatment, Athena Lewin

Scripps Senior Theses

Non-Suicidal Self-Injury (NSSI) is a maladaptive behavior that impacts individuals from all backgrounds, yet existing interventions often neglect harm reduction tactics that may enhance treatment outcomes. This study presents a quasi-experimental design to assess the effectiveness of harm reduction education when combined with a dialectical behavioral therapy (DBT) based and motivational interviewing (MI) based counseling for young women (ages 18-26) who meet the criteria for Non-Suicidal Self-Injury Disorder (NSSID). Participants will be randomly assigned to either a control group receiving only DBT/MI based therapy or an experimental group receiving both the DBT/MI based therapy and harm reduction education, which will …

A Discussion Of Positioning Theory: An Interview With Michael Bamberg And Luk Van Langenhove, Pasi Hirvonen, Michael Bamberg, Luk Van Langenhove, Bo Allesøe Christensen

Psychology

Since 2015 a Positioning Theory conference has been held biannually in either Europe or the US. These conferences have become a significant event for scholars and practitioners interested in the development and application of PT providing thereby a platform for discussing the latest research, sharing insights, and fostering collaborations. In the fourth edition of the conference, organised in Finland in July 2024, Professor Van Langenhove and Professor Bamberg both provided keynotes and Pasi Hirvonen and Bo Allesøe Christensen seized the opportunity of engaging both in an interview discussing their insights, contributions and personal thoughts about PT and its history. © …

How Do Religious Beliefs, Practices, And Experiences Impact Mental Health?, Samantha Coyne, Margo Gregor

Williams Honors College, Honors Research Projects

The following literature review discusses the influence religious practices, beliefs, and experiences impact mental health. The discussion will revolve around three main religions: Catholocism, Judaism, and other denominations of Christianity. Negative and positive influences of religion on mental health were found and discussed.

Talking About Cancer And Tobacco (Tact) Study With Lgbtq Patients And Their Care Providers, William Bowling

Theses and Dissertations--Psychology

Due to multilevel factors, including a high prevalence of tobacco use, the burden of some cancers is disproportionately higher in the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community than the general population. Evidence-based tobacco treatment delivery with high rates of tobacco cessation would be a powerful tool for secondary cancer prevention in the LGBTQ community, yet few studies have explored this issue. The current study aimed to 1) uncover both positive and negative aspects related to the lived experience and treatment of LGBTQ cancer survivors who use tobacco, 2) elucidate barriers and facilitators of tobacco treatment and cessation, and …

Psychotherapy And Changes In Adult Attachment: A Systematic Review, Meghan Kussman

Theses and Dissertations

Attachment insecurity is a transdiagnostic vulnerability factor linked to a wide range of emotional and relational difficulties. Although early attachment patterns tend to be relatively stable, research indicates that attachment orientations can change over time, particularly in response to significant relational or therapeutic experiences. This systematic review examined 39 empirical studies published between 2000 and 2024 to determine whether engagement in psychotherapy is associated with changes in adult attachment security. Eligible studies assessed attachment both pre- and post-treatment using validated self-report measures (e.g., Experiences in Close Relationships Scale; ECR) or interview-based measures (e.g., Adult Attachment Interview; AAI), and reported statistically …

Supports For Mental Well-Being Valued By Healthcare Workers: Qualitative Analysis Of Data From A Canadian Cohort Of Healthcare Workers During The Covid-19 Pandemic, Shannon Marie Ruzycki, Anil Adisesh, Quentin Durand-Moreau, France Labrèche, Tanis Zadunayski, Erica Stroud, Nicola Cherry

Études primaires

A prospective cohort of 4964 HCWs from four Canadian provinces was established early in the COVID-19 pandemic. Participants were invited to comment about workplace mental health supports at three time points. We performed a thematic content analysis of responses from 1738 participants using the Social Support Behaviour Code framework to categorize barriers to support as informational, tangible, emotional, social, or expressing esteem. Themes were synthesized into suggestions for healthcare organizations to prepare for future crises. Formal and informal peer support, workplace mental health supports, and one-on-one counseling were most often mentioned as valued. Analysis suggested that workplace social networks as …

Expériences Vécues Et Perceptions De Personnes Étudiantes Internationales Sur Les Mesures Et Les Services Offerts Par Les Universités Québécoises Pendant La Pandémie De Covid-19 = Experiences And Perceptions Of International Students Regarding Measures And Services Offered By Quebec Universities During The Covid-19 Pandemic, Farrah Bérubé, Jessica Dubé, Jorge Frozzini, Daniel Côté

Études primaires

Cet article fait état d’une partie des résultats d’une recherche menée auprès de personnes étudiantes internationales (PÉI) qui fréquentaient des universités québécoises pendant la pandémie de COVID-19. La recherche portait sur les usages sociaux des technologies de l’information et de la communication (TIC) et sur la qualité de vie des PÉI en période de confinement. Les résultats présentés et discutés dans cet article se rapportent plus spécifiquement aux expériences et perceptions des PÉI sur les mesures et les services offerts par les universités en contexte de confinement. Afin de répondre à cet objectif, des entretiens semi-dirigés, menés auprès de 40 …

Urban Isolation In The Digital Age- Examining The Sociological Impact Of The Digital Divide On Civic Life In U.S. Cities, Delante Clark

Graduate Scholarship and Creative Works

The digital divide remains a persistent barrier to civic participation and social inclusion in urban America, particularly in historically underserved communities. This mixed-methods study investigates how digital lack of access affects civic engagement, social capital, and community cohesion in U.S. cities, with a focus on Chicago’s South Side, Harlem New York, St. Louis, and Orlando. Drawing on quantitative data from recent surveys and qualitative insights from peer-reviewed literature, the research applies four sociological frameworks, Urban Sociology, Social Capital Theory, Critical Race Theory, and Symbolic Interactionism. These were used to examine the structural and interpretive aspects of digital isolation. Findings reveal …

Victim Advocacy For Latina Women: Addressing Barriers Situated In The Scholarly And Public Spheres, Alejandra Aleannie Tavarez

Honors Senior Capstones and Theses

This research will explore how machismo, marianismo, and mental health stigma impact victim advocacy for Latina women. By analyzing existing literature and systemic challenges, this study will advocate for culturally informed solutions that address the legal, social, and psychological barriers Latina survivors face. Through a critical lens, this paper will examine the ways in which existing victim services can be improved and expanded to better serve this underrepresented population.

The Impact Of Ableist Microaggressions On The Supervisory Relationship And The Influence Of Burnout And Self-Efficacy, Berenice Contreras

Theses and Dissertations

Disabled graduate students often report experiences of ableist microaggressions in their training environment, as disability-affirming practices tend to be overlooked in higher education institutions (Kattari et al., 2019; Lund et al., 2020). Ableist microaggressions are verbal, nonverbal, and/or environmental messages that relay derogatory messages toward individuals with disabilities and normalize everyday forms of discrimination enacted toward them (Annamma et al., 2013; Kattari et al., 2019). Studies demonstrate that disabled graduate students in health psychology graduate programs report higher exposure to ableist experiences during pre internship training and supervision compared to other stages of graduate training (Lund et al., 2014; Lund …

Efficacy Of A School-Based Mental Health Intervention Among Zambian Youth: A Cluster-Randomized Controlled Trial, Sherinah Saasa, Kaitlin P. Ward, Cleopas G. Sambo, Paula Barrett, Cheuk Yan Lau

Research outputs 2022 to 2026

While many children in Africa face notable psychological problems, the majority do not receive needed mental health services. The My FRIENDS Youth Program, a universal cognitivebehavioral intervention for anxiety prevention and resilience enhancement, has demonstrated effectiveness across cultures in children and adolescents. This study explores whether the program's effectiveness extends to Zambian children. Participants were 75 children and adolescents (53% female, ages 10-15) attending low-income schools in Zambia. Four schools were randomly assigned to an intervention (n=44) or waitlist control (n=31). The intervention consisted of 10 weekly sessions plus two booster sessions administered in group format. Assessments were conducted at …

Exploring The Barriers To Mental Health Help-Seeking Among African Migrants In Australia: A Qualitative Study, Nnaemeka Meribe, Obed Adonteng-Kissi, Kathomi Gatwiri, Lillian Mwanri, Frank Darkwa Baffour, Agness Tembo, Edith N. Botchway-Commey, David Chisanga, Ahmed A. Moustafa, Kerrie E. Doyle, Uchechukwu Levi Osuagwu

Research outputs 2022 to 2026

Background: The health of African migrants in Australia is a largely under-researched topic despite the steadily increasing size of the population and its uniqueness. In particular, few studies have explored the mental health of African migrants in Australia or their utilization of mental health services.

Aims: This study explored the barriers to mental health help-seeking among first-generation African migrants in Australia.

Methods: In this qualitative study conducted using the hermeneutical phenomenological research approach, the purposive sampling method was used to recruit participants. In-depth interviews with participants were undertaken online via Zoom, Teams, and WhatsApp calls. Interviews were recorded and transcribed …

What Is Success? How Peer Support Workers In Ontario See Addiction & Recovery, Ngaire Rasmussen

Theses and Dissertations (Comprehensive)

The drug crisis in Canada has high mortality rates, especially in remote and rural communities, but there are significant barriers to accessing healthcare to which peer support may represent a partial solution, (Eddie et al., 2019; Englander et al., 2020; The Government of Canada, 2023; Kourgiantakis et al., 2023; Lavalley et al., 2020; Lennox et al., 202; Russell et al., 2021). Research how peer support workers define success in their work with adults experiencing addiction in Ontario, Canada is lacking, but important to understanding the crisis and implementing peer programs. Grounded in Marxist theory, the following exploratory research investigated the …

The Role Of Social Inequality In The “Feminization” Of Borderline Personality Disorder, Jane Goldie Ekhtman

Dissertations and Theses

Borderline personality disorder (BPD) is a severe and prevalent mental illness that is three times more likely to be diagnosed in women than men. BPD research has attempted to explain this gender disparity, with clinician gender bias emerging as a possible factor. Yet, no research to date has examined the role of social status in the overdiagnosis of women with BPD. There is merit in examining BPD through a class lens as low SES is a risk factor for BPD, poverty and income inequality disproportionately affect women, and low status is associated with stereotypical traits of femininity. Additionally, mental health …

Pacific Islander Mental Health: A Literature Review, Shawn I. Dobberfuhl

Modern Psychological Studies

Mental health among Pacific Islanders remains an underexplored area in research. This review aims to synthesize existing research on the mental health status of Pacific Islanders, focusing on mental health risk factors and mental health service utilization. A systematic search across APA PsychInfo spanning from 2015 to 2024 yielded 11 relevant articles, which were subsequently analyzed and synthesized. Findings suggest that Pacific Islanders experience unique stressors, including, racial discrimination, socioeconomic disparities, and cultural stigma surrounding mental health. However, there is a disparity in culturally sensitive assessment tools and interventions tailored specifically to this population. Future research should prioritize phenomenological methods, …

The Long-Term Psychological Effects Of Violent Crime On Victims: A Review Of Evidence And Supportive Interventions, Jayden E. Oleksyn-Lamb

Graduate Theses/Dissertations

This study utilizes anonymous survey data collected from 26 mental health professionals in various regions of Canada to understand which psychological disturbances are the most prevalent among victims of violent crime as well as which psychological interventions are most beneficial for treating violent crime victims. The data revealed that Post-Traumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), anger, guilt, self-blame, and shame are each highly prevalent. Findings also revealed that certain therapeutic methods including Eye Movement Desensitization Reprocessing (EMDR), Supportive Counselling (SC), Progressive Relaxation (PR), Cognitive Reprocessing Therapy (CPT) and Cognitive Restructuring (CR) are associated with …

Culturally Specific Interventions And Indigenous Practices In Correctional And Forensic Settings: A Systematic Review, Jordyne James

Theses and Dissertations

While professional guidelines, legislation and research emphasize the importance of adapting treatment approaches to patient characteristics and culture (American Psychological Association [APA], 2021, 2019; Correctional Service of Canada [CSC], 2013; Canadian Psychological Association [CPA], 2017; Canadian Counseling and Psychotherapy Association [CCPA], 2021), psychological and forensic research and practice related to culturally specific programming lags behind expectations to meet the needs of ethnically diverse clients. Given the continued overrepresentation of minorities within forensic institutions (Aguiar, 2020; Carter & Forsyth, 2007; Hanser & Gomila, 2015; Leguizamo et al., 2018), this systematic review aimed to raise awareness of culturally-specific interventions and Indigenous practices …

Assessment And Treatment Outcomes Of Women Experiencing Miscarriage And Pregnancy Loss: A Systematic Review Of The Literature, Hanieh Fakhrai

Theses and Dissertations

This systematic review examined the assessment tools, mental health outcomes, supportive resources, and intervention strategies related to women experiencing miscarriage and pregnancy loss. Despite affecting 10-20% of recognized pregnancies, the psychological impact of miscarriage is often overlooked in healthcare settings. Following PRISMA guidelines, 18 studies published between 2010-2021 from diverse international contexts were systematically analyzed. Findings revealed significant mental health consequences, including depression (prevalence 31-48.8%), anxiety (2.4-61%), and PTSD symptoms (14.7-43.9%). Risk factors for adverse outcomes included previous mental health conditions, history of infertility, multiple pregnancy losses, and difficulty finding meaning. Women identified helpful, supportive resources, including internet forums, sensitive …

Exploring Western Clinicians’ Treatment Of Cultural Concepts Of Distress, Lisa Y. Chung

Theses and Dissertations

As the rates of diverse ethnic populations and therefore cultural concepts of distress continue to grow in the United States, it becomes critical to learn and understand how western-trained mental health professionals are selecting treatments and implementing them. However, there is a paucity of research on cultural concepts of distress as a whole and much less on the psychotherapy of cultural concepts of distress in the United States. This exploratory study aimed to explore the treatment plan of mental health clinicians in the United States when encountering the Korean cultural concept of distress, hwabyung. Ninety-eight clinicians were recruited from Arkansas, …

The Emotional Burden Of Teaching: Understanding And Addressing Secondary Traumatic Stress In Middle School Teachers, Lisa Marie Lazansky-Roach

Graduate Research Theses & Dissertations

Secondary traumatic stress (STS) has been extensively documented in helping professions such as healthcare and social work, but its impact on teachers, particularly middle school educators in high-need, low-income districts, remains underexplored. This three-manuscript dissertation examines the prevalence, predictors, and support of STS in this population.

The first study uses a quantitative survey to measure STS severity among 6th–8th grade teachers to assess how it relates to demographic characteristics, including age, gender, race/ethnicity, and teaching experience. Results indicate that a substantial proportion of teachers experience moderate to severe STS, with race emerging as a significant predictor. The second study analyzes …

Path Analysis Of Person, Socio-Cognitive, Environmental Factors On International Counseling Students’ Researcher Development, Priyanka Jha

Graduate Research Theses & Dissertations

Counseling and counselor education programs consider researcher development as a core component of professional development, preparing students and scholars to contribute to knowledge and evidence-based practices in the field. Despite this importance, researcher development remains understudied, especially for international graduate students in counseling and counselor education programs. Guided by the Social Cognitive Career Theory framework, this dissertation quantitively examined the impact of person, socio-cognitive, and environmental factors on researcher development for international graduate students. This study was correlational in nature and adopted a cross-sectional survey design. The sample for the current study was 85 international graduate students or recent graduate …

Beyond Borders: Exploring Counselors’ Perceptions Of Multicultural Counseling Competencies Following Cultural Immersion, Kassandra M. Kavanaugh

Graduate Research Theses & Dissertations

Research has revealed that cultural immersion can increase multicultural counseling competencies in counselors-in-training (Barden & Cashwell, 2014; Barden et al., 2015; Choi & Protivnak, 2016; Dietz & Baker, 2019; Gaia, 2015; Wathen & Kleist, 2015). In light of the increasing diversity within the counseling profession and cultural competency continuing education requirements, the examination of cultural immersion as a means of shaping counselors' cultural competence is both justified and imperative. By utilizing interpretive phenomenological analysis, five participants were interviewed to better understand professional counselors’ perceptions of their multicultural counseling competencies following cultural immersion. The results from this study identified five themes, …

Juvenile Arthritis, Body Image, And Disordered Eating: An Exploration Of Experiences, Katelyn Ann Melcher

Graduate Student Theses, Dissertations, & Professional Papers

This qualitative study examined eating and body experiences among youth with juvenile arthritis (JA). JA, an autoimmune condition affecting nearly 300,000 youth in the United States, poses significant challenges including chronic pain, disability, and psychological concerns such as anxiety and depression. Adolescence is a critical developmental time for body image and disordered eating concerns to emerge. However, no qualitative research has explored the interactions of JA, body image, and eating behaviors among youth. Twelve youth with a JA diagnosis participated in a semistructured qualitative interview examining their experiences with JA and their feelings about their bodies and food as they …

Spanking And Children's Approaches To Learning: Estimates From A Longitudinal Matched-Sample Design, Jeehye Kang, Christina M. Rodriguez

Sociology & Criminal Justice Faculty Publications

One form of corporal punishment commonly used in the United States is spanking. Spanking is a well-known risk factor for adverse child development, although its influence on children's approaches to learning (ATL) has been largely overlooked. Existing research is particularly limited in inadequately considering multiple confounds and selection biases in children's exposure to spanking. This study examined the links between spanking and children's ATL, using a matched-group design to strengthen causal estimates among children aged 5 to 7.5 (N = similar to 12,800) from the Early Childhood Longitudinal Study, Kindergarten Class of 2010-2011. Entropy-balanced matching mitigated selection and confounding biases, …

Assessing The Relationship Between Perceived Psychological And Physical Pain In Adults With Orthopedic Pain, Daniel C. Karimi Dehkordi

Honors Undergraduate Theses

Suicide remains a public health concern in the U.S., particularly among individuals experiencing chronic pain and psychological distress. This cross-sectional study investigated the relationship between perceived physical and psychological pain in 41 adults with chronic orthopedic conditions. The relationship between other risk and protective factors and perceived levels of pain distress was also examined. Results showed a significant positive correlation between psychological distress and physical pain (r(39) = 0.388, p < .05) and psychological distress and depressive/anxiety symptoms (r (39) = 0.477, p < .01). Psychological distress was moderately associated with feelings of hopelessness (r (39) = 0.403, p < .01), however, the relationship between physical pain and hopelessness was weak and nonsignificant (r (39) = -0.06, p = .71). Contrary to expectations, emotional support did not buffer the effects of psychological distress (r (39) = 0.07, p = 0.66). Mediational analysis confirmed that emotional support did not influence the relationship between physical pain and psychological distress (Beta (β) = -0.969, p = 0.572; Sobel Z = 0.5598, p = 0.575). Age was not correlated with psychological distress (r (39) = -0.24, p = 0.13) or mental health symptoms (r (39) = -0.05, p = .77). While there was no significant difference across sex, males reported higher mental health symptomatology and psychological distress scores than female counterparts. These findings underscore the direct impact of physical pain on psychological distress and challenge assumptions about the protective role of social support. The study highlights the need for integrated, multidisciplinary interventions targeting both physical and psychological pain to mitigate suicide risk among individuals with chronic orthopedic conditions. Future research should iii explore alternative support mechanisms and resilience-building strategies to address the complex interplay of pain, distress, and suicidality.

Exploring The Use Of Somatic Skills And Techniques In Clinical Supervision, Areka D. Foster

Antioch University Dissertations & Theses

This study explores the lived experiences of clinical supervisors who engage in somatically oriented supervision. Informed by relational-cultural theory and polyvagal theory, the research employs a grounded theory methodology to investigate the potential development of a somatic supervision framework. Eleven participants completed semi-structured interviews and data were analyzed using both thematic analysis and grounded theory techniques. Eleven core themes emerged: (a) conceptualizations of somatic supervision, (b) integration of somatic techniques in supervisory practice, (c) theoretical foundations for somatic supervision, (d) attunement to countertransference, (e) the supervisory relationship, (f) trauma-informed approaches, (g) somatic techniques and practices, (h) initiating and structuring somatic …

Multidimensional Health Outcomes In Lgbtq+ Older Adults In The United States: Individual And Community-Level Protective Factors, Emily P. Lapidus

Theses and Dissertations--Psychology

Despite a lifetime of systematic barriers, LGBTQ+ individuals age into late adulthood, likely due to various protective factors. Guided by the Iridescent Life Course Framework (ILCF; Fredriksen-Goldsen & Muraco, 2019), I analyzed unique protective factors at two levels: (1) individual psychological factors (i.e., resilience, identity management) and (2) community-level factors (i.e., LGBTQ+ community connectedness, social support). Health was operationalized as mental health, physical health, and health-promoting behaviors. The present study accounted for covariates (i.e., financial barriers to healthcare, felt subjective age discrepancy, lifetime discrimination). I hypothesized that both stronger individual and community factors would be associated with better physical and …

Weighted Family History Density Of Substance Use: Influence On Participant Substance Use Onset, Escalation, And Duration, Carleigh A. Litteral

Theses and Dissertations--Psychology

Substance use disorders impose a staggering toll on the United States (U.S.), straining healthcare systems, destabilizing communities, and profoundly impacting both individuals and families. Approximately one in six Americans aged 12 and older had a past-year substance use disorder in 2022 (Key Substance Use, 2022), and nearly one-third of adults experience a substance use disorder in their lifetime (Wu, 2010), contributing to an economic burden exceeding $400 billion annually (National Drug Threat Assessment, 2011). Family history of substance use disorders is a key predictor of vulnerability, with individuals who have affected relatives being 2–8 times more …

Exploring Stress, Fatigue, Burnout, And Resilience Among Healthcare Personnel In Southeast Asia: A Scoping Review, Kelsey Trulik, Vijaya Arun Kumar, Wendy Wu, Muralidhar Varma, Mauli M. Patel, Kajol Manglani, Trini A. Mathew

Global Health Research Collaborative

This study aims to compare methods used to measure burnout, fatigue, stress, and resilience, as well as resilience-building interventions among healthcare personnel (HCP) in Southeast Asia. Even before COVID-19, HCP faced high levels of burnout and stress, exacerbated by the pandemic. Identifying effective resilience-building strategies is essential to supporting a healthier workforce. Studies published from January 2016 to December 2021 focusing on burnout, stress, fatigue, and resilience in HCP in Southeast Asia. A comprehensive literature search of seven databases (Jan 2016-Dec 2021), using terms related to resilience, HCP, and Southeastern Asian countries identified relevant English-language studies. COVIDENCE software was used …

Effects Of Teacher Reinforcements On Student Outcomes In Adapted Physical Education: A Systematic Review, Juliana Jamison-Espinoza

Cal Poly Humboldt theses and projects

This systematic review examined the effectiveness of various reinforcement strategies on student outcomes in adapted physical education (APE) settings for individuals with disabilities. A comprehensive literature search spanning from 1979 to 2024 across six databases identified 18 studies meeting inclusion criteria, involving 140 participants aged 3–22 with diverse physical and cognitive disabilities. Reinforcement strategies evaluated included token economies, verbal praise, tangible rewards, and alternative techniques such as video modeling and peer-mediated interventions. Outcomes measured were categorized into affective states, behavioral improvements, and cognitive gains. Results showed mixed effectiveness across studies: while 7 of the 18 studies reported significant improvements in …