Digital Commons Network^™

The Impact Of Linguistic Discrimination On The Mental Health Of International College Students: A Systematic Review Protocol Design, Isabella G. Hausladen, Chinarah D. Winston, Maria Kondaurova, Lidiya Grote

The Cardinal Edge

The analysis of education data from the National Foundation for American Policy demonstrates that between 50% and 82% of the full-time graduate students in STEM fields at United States universities are international students who provide a wide range of expertise, knowledge, and skills needed to participate in the STEM workforce (National Foundation for American Policy, 2017). One of the challenges international college students face is self-perceived linguistic discrimination, defined as a person’s individual experience of feeling unfairly treated due to their accent, proficiency, or choice of language. The objective of this study is to develop a protocol for a systematic …

Hallucinogens For Mood And Anxiety Disorders: A Critical Review Of Psychedelic-Assisted Therapies, Georgia Chlebek

The Cardinal Edge

In quite a few people worldwide, there are several mental disorders that prevent the brain from operating in the “proper” way, depression, anxiety, and post-traumatic stress disorder (PTSD) being among the most common. Luckily, there are several medications that are produced and used to treat these disorders, but some medications are hard to access, and others simply don’t help the patient. Firstly, these medications take time to study and prove safe for public use, though in some cases time is not readily available. In other cases, these medications are going through shortages and becoming increasingly difficult for patients to access …

Obesity And Suicide Behavior In Young Latina Adults Of Mexican Heritage: The Mediating Influences Of Sleep Problems, Health Problems, And Dissatisfaction With Personal Appearance, Joseph D. Hovey, Liza Talavera-Garza, Glenn Gray, Isabella A. Cruz, Nadeen Salhadar, Monica E. Ochoa

Psychological Science Faculty Publications

Although research findings have indicated that obesity is associated with suicide behavior, especially in females, scant research has examined mediators in this relationship. Moreover, although suicides have increased in young Latina adults in the United States, no published studies have examined obesity and suicide risk in young Latina adults. The present study thus examined the relationship of obesity to suicide behavior in young Latina adults and assessed sleep problems, health problems, and dissatisfaction with personal appearance as possible mediators. Participants were 401 female students of Mexican heritage from South Texas who completed the National College Health Assessment II, from which …

Embodied Transcendence: Psychedelics And The Evolution Of Moral Abstraction, Emanuel Jas

Journal of Conscious Evolution

This paper explores the role of psychedelics in the context of evolutionary brain development and the conceptual capacity for moral realism. Drawing on theories from evolutionary anthropology, neuroscience, and moral philosophy, the first part provides a brief overview of human evolution and brain expansion. From here, recent empirical data from the neurosciences is assessed on the effect psychedelics have on the brain, along with speculations on the role of psychedelics in our hominoid evolutionary history—specifically, the capacity for phenomenologically rich, conscious, subjective experiences that are incredibly vivid and real. This imaginative capacity for transcendence and disembodiment could enable the realization …

Lost In Translation? Bilingual Readability In Healthcare Forms, Darin Challacombe, Elizabeth Mcelhiney

SACAD: Scholarly Activities

Health information achieves impact only when it is accessible and understandable to patients and their caregivers. Challacombe and McElhiney (2025), in Advances in Health Information Science and Practice, reported results from three studies analyzing the readability of patient-facing forms from the 150 highest-ranked hospitals in the United States. Their findings revealed the average readability of these forms exceeded the recommended 8th-grade reading level, indicating patients may not have fully understood their privacy rights or the specific documents requested.

This follow-up study extends the previous research by evaluating Spanish-language versions of these forms. Preliminary results suggest many translated documents are written …

Determining The Minimal Clinically Important Difference Of The 40-Item Smell Identification Test In People With Cystic Fibrosis, Eugene Oh, Jessa E. Miller, Michelle J. Lee, Anna Zemke, David Baraghoshi, Matthew J. Strand, Jeremiah A. Alt, Todd E. Bodner, Michael Chang, Naweed I. Chowdhury, Multiple Additional Authors

Psychology Faculty Publications and Presentations

Background: Chronic rhinosinusitis(CRS) and olfactory dysfunction (OD) are highly prevalent among people with cystic fibrosis (PwCF) and negatively impact quality of life. The 40-item Smell Identification Test (SIT) is widely used to assess psychophysical olfaction, but a CF-specific minimal clinically important difference (MCID) has not been established. This study aimed to determine the SIT MCID in PwCF treated with elexacaftor/tezacaftor/ivacaftor (ETI) and/or endoscopic sinus surgery (ESS). Methods: Data from three prospective, multi-institutional observational studies were pooled. Participants were ≥12 years old with confirmed CF and CRS who completed SIT at baseline and ≥1 follow-up (3, 6, 9, 12, or 24 …

Prevalence Of Contact Child Sexual Abuse Victimization In The Us: Perpetration Types And Cohort Differences, Luciana C. Assini-Meytin, Rebecca L. Fix, Yi Sun, David Finkelhor, Elizabeth J. Letourneau, Keith Kaufman, Ben Mathews

Psychology Faculty Publications and Presentations

We investigated the prevalence of contact child sexual abuse (CSA) victimization in the US by comparing perpetration types in two adult cohorts. Participants included a nationally representative sample of adults aged 18–22 (n = 3,174) and 32–36 (n = 3,237). We used weighted proportions to obtain prevalences, Rao-Scott χ2 tests to assess for differences between cohorts. Analyses were also stratified by gender. The overall prevalence was 21.7% and similar between the two cohorts; 9.7% reported abuse by adults and 16.9% by youth under age 18. Most said that offenses were perpetrated by people known to them. CSA perpetration by youth …

Emotional And Psychological Well-Being In Early Postmenopausal Women: A Phenomenological Study, Marjorie F. Leon

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study was to explore how early postmenopausal women experience and navigate emotional and psychological well-being during the postmenopausal transition. Although menopause has been widely examined as a biological process, women’s lived emotional and psychosocial experiences during the early postmenopausal period remain underexplored in psychological research. Conceptually informed by Engel’s biopsychosocial model, this study examined how biological, psychological, and social factors intersect in shaping resilience, identity, and coping during this transitional life stage. Thirteen women within 5 years of menopause onset participated in semi structured interviews. Data were analyzed using Braun and Clarke’s six-phase reflexive …

Insecure Attachment Predicts Poor Sexual Communication Among Emerging Adults, Carson T. O'Leary

Pursuit - The Journal of Undergraduate Research at The University of Tennessee

Sexual communication significantly predicts sexual satisfaction within adult romantic relationships (Byers, 2011). Further, research has demonstrated that relationship satisfaction and relationship outcomes are positively influenced by sexual satisfaction (Anderson, 2012). Research regarding interest in promoting long-term romantic relationships should target sexuality-related concerns in romantic partners. Sexuality research grounded in attachment theory has provided promising results. Attachment theory hypothesizes that individuals develop an attachment style based on early life experiences with their caregiver(s). These styles strongly predict how individuals respond to loved ones, including romantic partners (Bell & Ainsworth, 2023). Research also suggests insecurely attached individuals struggle with effective communication in …

The Lived Experiences Of Individuals With Intellectual And Developmental Disabilities (Idd) On Work Success Within Organizations In North Carolina: A Phenomenological Study, Yvonne D. Wright

Doctoral Dissertations and Projects

Individuals with intellectual and developmental disabilities (IDD) continue to experience substantially lower employment rates than individuals without disabilities. The purpose of this qualitative phenomenological study is to explore the lived experiences of individuals with IDD with regard to their work success within organizations in North Carolina. This study is guided by the Self-Determination Theory (SDT and the Social Model of Disability Theory (SMDT). This study also explores the perspectives and roles of the caregivers in supporting inclusion and work success for this population. Semi-structured interviews were used to collect data from nine individuals with IDD and seven caregivers. The thematic …

The Benefits Of A Holistic Biblical Approach To Adolescent Substance Use Treatment And Prevention, Amberlin D. Salas

Doctoral Dissertations and Projects

Adolescent addiction is increasingly problematic in the United States, including substance use and other addictive behaviors that carry a risk of continued adult addiction if not resolved effectively. Current treatment models are primarily limited to meeting the mental, emotional, and physical needs, but have gaps in treating areas such as spirituality and healthy parental relationships. From a biblical standpoint, Christian principles are relevant to all areas of need in the addicted individual, and considering a holistic biblical approach to address all areas of life could fill the gaps left by conventional addiction interventions. To understand the possible implications of a …

Exploring The Lived Experiences Of Unfaithful Partners: Perceptions Of Forgiveness And Commitment To Rebuilding Trust After Infidelity, Ana De La Cruz Arciniega

Doctoral Dissertations and Projects

Infidelity has significant emotional and relational consequences; however, limited research has examined the lived experiences of unfaithful partners, particularly their perceptions of forgiveness and commitment to rebuilding trust. This phenomenological study described the lived experiences of unfaithful partners and explored how they understood forgiveness and engaged in trust-rebuilding efforts following infidelity. Thirteen participants (seven males and six females), aged 30 to 65, who had engaged in emotional, physical, virtual, or paid sexual affairs were recruited through social media, private therapeutic practices, affair recovery programs, and church networks. Participants completed individual 45-minute semi-structured interviews conducted via Zoom. Interviews were transcribed, member-checked, …

The Psychometric Use Of Word Embeddings, Thomas Benjamin Lyle Wasden

Doctoral Dissertations and Projects

This quantitative study examined the feasibility of categorizing individuals by English-language competency using word embeddings derived from language samples obtained from these individuals and by viewing word embeddings as a psycholinguistic construct. Word embeddings have been shown to be a versatile tool for performing a large number of important natural language processing (NLP) tasks, as well as a plausible model for some processes in the human mind, including processes within the domain of psycholinguistics. This research seeks to build upon previous research by showing that word embeddings may shed light on the underlying neural representation of semantic entities being acquired …

Cultural Influences On Mental Health Help-Seeking: A Comparative Study Of Haiti And The United States, Luther-King Jean-Baptiste

Doctoral Dissertations and Projects

Mental health stigma and help-seeking behaviors vary across cultural contexts and are shaped by shared beliefs, values, and social expectations. This qualitative study examined how cultural meaning systems influenced mental health help-seeking behaviors in Haiti and the United States. Using surveys and semi-structured interviews, data were collected from 30 participants (15 from each country) who reported a history of psychological distress or mental health challenges. Findings indicated that help-seeking behaviors were not determined solely by symptom severity but were embedded within cultural, relational, spiritual, and structural frameworks. In Haiti, help-seeking was largely collective and shaped by family validation, community norms, …

The Impact Of Covid-19 On Women Caregivers Of The Sandwich Generation, Keri L. Burns

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to describe female members of the sandwich generation’s experiences as care providers during and post-COVID-19 in Central Florida. At this research stage, female members of the sandwich generation are understood as women in midlife who occupy dual caregiving roles for dependent children and aging parents, and whose lived experiences offer insight into caregiving experiences during a global pandemic. (Steiner & Fletcher, 2017). As life expectancy has increased and financial insecurity has been a concern for all generations, the sandwich generation caregivers, specifically women, have become more focused on providing varying levels of care …

Exploring The Relationships Between Differentiation Of Self, Family Unit Functioning, And Posttraumatic Growth In Adult Female Survivors Of Domestic Minor Sex Trafficking, Samantha Stokesberry

Doctoral Dissertations and Projects

The purpose of this dissertation was to explore the relationships between differentiation of self (DoS), family unit functioning (FUF), and posttraumatic growth (PTG) in adult female domestic minor sex trafficking (DMST) survivors in the United States. A Bowen Family Systems Theory framework was used for the theoretical foundation of this study and the research was explored from a Christian worldview. A sample of 30 adult female DMST survivors between the ages of 25-55 completed an anonymous online survey that included four measures: a demographics form, The Differentiation of Self Inventory – Revised (DSI-R), the Family Unit Functioning Questionnaire (FUF-Q), and …

Candidate Generative Ai Use In Pre‐Hire Employment Assessments: Self‐Reported Incidence And The Impact Of Warnings, Chet Robie, Timothy G. Wingate, Nataliya Baytalskaya, Hilary Butera

Business Faculty Publications

The rapid rise of generative artificial intelligence (GenAI) poses new challenges for the validity and fairness of pre‐hire employment assessments. Across two applied studies using large applicant samples completing a standardized pre‐hire assessment (which includes both cognitive and non‐cognitive components), we examined the self‐reported incidence of GenAI assistance, and the impact of warning statements designed to deter such behavior. In Study 1 (N = 5675), conducted in Q3 2024, fewer than 3% of applicants reported using GenAI, though up to 19% reported using GenAI in combination with algorithmic resources (e.g., search engines). All three warning statements (consequences, educational, and reasoning) …

Perceived Black Maternal Narcissism And Their Daughters’ Delinquency: Chronicles From A Daughter’S Interpretation, Nzinga Cates

Walden Dissertations and Doctoral Studies

This qualitative study examined the intricate dynamics between perceived Black narcissistic mothers and their daughters, particularly regarding potential delinquent behaviors exhibited by the daughters. By utilizing in-depth interviews with seven participants, I sought to uncover the psychological and relational factors contributing to these behaviors’ development. Thematic analysis indicated that daughters of narcissistic mothers often endure emotional neglect, manipulation, and lack of healthy role modeling. This can result in feelings of inadequacy and rebellion. Themes of identity confusion, low self-esteem, and desire for autonomy surfaced as significant contributors to the daughters’ engagement in delinquent activities. The study underscored the importance of …

Public Perception Of Risk In Missing Persons Investigations, Harry Lockett, Stefana Juncu

International Journal of Missing Persons

The current study investigated public perceptions of risk in missing person cases. A total of 271 participants were sequentially presented with five fictional vignettes describing missing individuals. Each case included a baseline description of the disappearance being "out of character" and four of these cases were paired with an additional risk factor: substance abuse, depression, dementia, or repeat missing status. The gender of the missing person was also manipulated between participants. Participants rated each case using both the standard categorical scale (Low/Medium/High) and an Extended Scale ranging from 1 to 7 and were also invited to respond to exploratory items …

‘‘If It Bleeds, Does It Lead?’: Lived Experiences Of Media Engagement For Families Of Missing Persons., Sarah Wayland Professor, Loren O'Keeffe, Syadani Riyad Fatema, Amy-Louise Byrne Dr, Elizabeth Paton

International Journal of Missing Persons

The media plays an important role in a missing persons case. Media is a powerful tool in raising public awareness and support, traversing police investigation, family liaison, and the business of media. This article reports on a focus group of seven people with a long-term missing family member, and two focus group facilitators, one of whom was also the family member of a missing person (n=9). The aim of the study was to better understand how people, who have lived experience of a family member missing, participate in media opportunities, to understand impact. Thematic analysis generated five major themes 1) …

Anhedonia Underlies The Association Between Childhood Unpredictability And Adult Ptsd Symptoms: Evidence From Three Independent Longitudinal Cohorts, Christopher Hunt, Laura M. Glynn, Elysia Poggi Davis, Tallie Z. Baram, Caroline M. Nievergelt, Giovanni Castillo, Christian Cortes, Christine Y. Chang, Dewleen Baker, Victoria B. Risbrough

Psychology Faculty Articles and Research

Background

Unpredictability in the child’s environment has recently emerged as a significant and unique form of early life adversity (ELA). Cross-sectional studies have linked childhood unpredictability with increased post-traumatic stress disorder (PTSD) symptoms in adults; however, no prospective studies have tested the link between childhood unpredictability and PTSD risk in later life, nor what processes, such as increased anhedonia symptoms, might mediate such risk. Here, we leveraged three distinct prospective, longitudinal cohorts to test the hypothesis that unpredictability during childhood contributes to adult PTSD via worsening anhedonia symptoms.

Methods

Participants were male service members (n=314), adult females (n=170), and adolescents …

The Effectiveness Of Mode Deactivation Model Group Counseling In Improving The Emotional Wellness Of Junior High School Students, Ananda Dwi Rahmadanti, Muya Barida, Sri Hartini, Aprilia Setyowati

Buletin Konseling Inovatif

This study was motivated by the low level of emotional wellness among some junior high school students, characterized by difficulties in recognizing, understanding, and managing emotions adaptively, thereby impacting social behavior and learning processes at school. Previous studies have shown that emotion regulation-based interventions are effective in improving adolescents' emotional well-being. However, counseling interventions in schools that specifically target emotional regulation patterns to improve students' emotional wellness are still relatively limited in guidance and counseling services. Therefore, this study aims to examine the effectiveness of group counseling using the Mode Deactivation Counseling (MDC) model in improving the emotional wellness of …

Evaluating The Impact Of A Lend-Based Family Mentorship Program For Pre-Service Professionals, Matthew Bogenschutz, Sarah Lineberry, Jackie Robinson Brock, Flip Grey, Kathryn Flinn

Developmental Disabilities Network Journal

Family-led pre-professional mentoring programs have been shown in past literature to have multiple positive outcomes, including better provider communication, increased sensitivity to the needs and contributions of family members in clinical settings, and better understanding of disability policy contexts among professionals. Yet there have been relatively few examples of exemplary programs that have developed successful models for family mentoring of pre-service professionals. Using qualitative evaluative data from one such program, a component of a Leadership Education in Neurodevelopmental and Related Disabilities (LEND) program, this study shares the experiences of both families and trainees. Common themes shared between these two groups …

Providers’ Social Determinants Of Health, Burnout, And Efficacy Addressing Patients’ Social Determinants Of Health Needs, Erik Klee

Doctor of Psychology (PsyD)

Healthcare provider burnout and the capacity to address patients’ social determinants of health are critical issues in modern medical systems. This study investigated the relationships among providers’ personal social determinants of health (Prov-SDH) needs, burnout, and perceived efficacy in addressing patients’ social determinants of health (Pt-SDH) needs. Using a sample of 149 healthcare professionals, the study examined how individual Prov-SDH factors, professional degree, clinical setting, and years of practice influenced these outcomes. Statistical analyses revealed no significant correlation between providers’ current or lifetime Prov-SDH needs and their reported burnout symptoms or Pt-SDH-related efficacy. However, results indicated that lifetime Prov-SDH needs …

The Phoenix Trauma Response Model (Ptrm): An Integrative And Innovative Approach To Trauma Recovery And Growth, Latesha S. Holloman, Lauren B. Robins, Tammie Willis, Courtney V. Morris

Journal of Human Services Scholarship and Interprofessional Collaboration

Trauma is increasingly understood as a developmentally consequential experience that shapes identity, regulation, and relational functioning across the lifespan. Although trauma-informed care, resilience theory, posttraumatic growth, and narrative approaches have expanded understanding of recovery, few frameworks articulate a structured developmental progression that integrates prevention, intervention, and intergenerational transformation within a unified model. The Phoenix Trauma Response Model (PTRM) addresses this gap by introducing a cyclical, phase-based framework organized around four interrelated processes: Recognition, Reframing, Reclamation, and Replication of Strength. Central to the model is the construct of conversion potential, defined as the structured capacity to translate distress into purposeful …

Diagnostic Trends And Service Enhancements In Deaf Mental Health: A Longitudinal Analysis, Kent Schafer, Steve Hamerdinger, Frank Wu, Rie Sakai Bizmark, Charlene Crump

JADARA

A longitudinal study investigated mental health diagnostic trends and patterns among Deaf and Hearing individuals using a comprehensive dataset from Alabama Department of Mental Health spanning 2004-2024 (Deaf=4,547; Hearing=2,056,188). Chi-square analysis revealed significant proportional differences in diagnoses between the groups. Deaf individuals showed significantly higher proportions of psychotic (12.93% vs. 8.33% Hearing), mood (20.76% vs. 18.84% Hearing), and personality (0.58% vs. 0.43% Hearing) disorders. These findings suggest that increased access to specialized and competent mental health services for individuals who are Deaf, particularly following the increase of staffing patterns for the Office of Deaf Services in 2015,contributed to more accurate …

Handling Item-Level Missing Data In Linear Regression: A Tutorial, Guyin Zhang, Lihan Chen, Dexin Shen

Faculty Publications

With advances in methodology and statistical software, modern methods for handling missing data have become more accessible and straightforward to apply. In psychological studies, researchers often use questionnaires or scales composed of multiple items to measure constructs of interest. As a result, missing values frequently occur at the item level, whereas data analyses are typically conducted at the scale (composite) level. However, properly addressing item-level missing data remains a common challenge for many applied psychologists, including researchers who are otherwise well experienced in handling missing data at the scale level. In this tutorial, we introduce six approaches for handling item-level …

Perspectives Of University Leaders On Adoption And Scaling E Mental Health Support For Students: An Exploratory Analysis, Choongo Mulungu, Esin Nisan Yildirim

Journal of Human Services: Training, Research, and Practice

ABSTRACT

University students face rising mental health challenges, yet adoption of digital support services in higher education remains limited, especially in the Global South. This qualitative study explored perceptions of 18 senior administrators from universities across Africa, Europe, Asia, and North America. Findings revealed a significant implementation gap, with few institutions offering formal platforms. Leaders cited barriers including limited institutional prioritisation, counsellor overload, financial ambiguity, ethical concerns, and absent policy frameworks. Addressing these challenges requires deliberate policy action, equitable resource allocation, and culturally responsive strategies for sustainable integration.

No-Show Characteristics Of Rural Clients With Mental Health Conditions, Christy R. Collins, Jose Carbajal

Journal of Human Services: Training, Research, and Practice

The purpose of this study is to report demographic characteristics and appointment compliance factors associated with no-show appointments in a rural clinical setting in East Texas. Describing these variables will expand the existing literature and offer greater clarity not only on why appointments are missed, but also on who is missing them. Therefore, understanding how sociodemographic variables relate to missed appointments may enhance appointment adherence and improve healthcare outcomes for individuals. This study used cross-sectional archival data specifically collected to examine missed appointments among clients at a rural clinic (N = 134). The results indicate that Hispanic/Latino individuals, clients aged …

Rural Voices On The Opioid Epidemic In Deep East Texas, Jose Carbajal, H. Stephen Cooper

Journal of Human Services: Training, Research, and Practice

Opioid use is a major concern in the United States. Rural communities face even greater difficulties in addressing opioid use and related challenges. An appreciative inquiry was employed to assess the degree to which the opioid crisis has affected the rural region of Deep East Texas and to develop recommendations for a regional action plan. One hundred and eight participants attended eleven conversation cafés across the region. Response analysis revealed eight primary themes and 11 sub-themes. Community awareness and education are crucial in combating the opioid crisis, as some participants were unaware of the prevalence of prescription opioid abuse in …