Digital Commons Network^™

Development And Validation Of The Ipip-Ocean: A Hierarchical Facet-Level Measure Of The Big Five, Caleb Niccum

Graduate Theses/Dissertations

This study focused on developing a mid-range, hierarchical, five-factor, 20-facet personality inventory (the IPIP-OCEAN) composed of 100 items drawn from both the IPIP-NEO-300 and the Abridged Big Five Circumplex. Hierarchical confirmatory factor analysis was used to validate the factor structure. Depression and anxiety, measured with the PHQ-9 and GAD-7, were used to further validate the measure through discriminant and convergent validity by examining whether the domains and facets of the IPIP-OCEAN produced findings consistent with those reported for similar scales in prior depression and anxiety research. Numerous factor analyses were conducted on the IPIP-OCEAN dataset (N = 1,058), and a …

What’S Sleep Got To Do With It? A Mixed Methods Exploration Of The Feasibility, Acceptability, And Initial Outcomes Of Group Cbt For Insomnia In Parkinson’S Disease, Claire M. Williams

Theses and Dissertations

Parkinson’s disease is a progressive neurodegenerative disease that is commonly associated with sleep disturbances, affecting up to 80 percent of individuals with Parkinson’s. Effective and accessible treatments for sleep problems in Parkinson’s disease remain limited. Cognitive Behavioral Therapy for Insomnia (CBTi) is a well-established, non-pharmacological treatment for insomnia but has been minimally studied in Parkinson’s populations. This study evaluated the feasibility, acceptability, and preliminary outcomes of a group-based CBTi intervention adapted for individuals with Parkinson’s disease. Participants engaged in a six-week group intervention that incorporated Parkinson’s-specific adaptations. Preliminary findings indicated that the adapted group CBTi intervention was generally feasible and …

Open Wide: Examining Dental Narratives In The Age Of Tiktok, Steve Jacob

Honors Theses - Providence Campus

Over the past few years, TikTok has emerged as a major conduit for health-related information through its wide array of short, emotionally charged videos that shape public perceptions. Within that broader category, this thesis evaluated dental-related content. Studies have investigated educational dental-related content on platforms such as YouTube and Facebook; however, no literature has explored how TikTok’s unique, narrative-driven content characterizes dentistry. For this study, primary research was conducted via content analysis of recently uploaded dental-related TikTok videos across 10 popular oral health-based hashtags. Results underline the dominance of patient voices, the use of personal experience as a messaging format, …

The Effects Of Anxiety On Adult Athletes And Approaches To Improving Performance And Well-Being, Taylor Glaspie-Walton

Theses and Dissertations

This systematic review examined the complex relationship between anxiety and sports performance in adult athletes, along with exploring effective approaches for enhancing both performance and psychological well-being. Through analysis of 18 studies spanning diverse sports and competitive levels, this research identifies key factors that influence anxiety responses and performance outcomes. Findings revealed that competition level, performance-goal discrepancies, and injury recovery significantly impact anxiety levels, with athletes' interpretations of anxiety symptoms proving more influential than symptom intensity alone. The research demonstrates that mental toughness and self-efficacy function as fundamental psychological resources, though their impact appears to plateau at elite competitive levels. …

Effects Of Differential Stress And Mental Health On Substance Use Among College Students, Avdi S. Avdija, Arif Akgul

Sociology & Criminal Justice Faculty Publications

Substance use among college students is often seen as a coping mechanism for some students who are prone to extreme stress, depression, or anxiety. Multiple forms of stress become the leading factors that push students toward substance use. This study tests the effects of college stressors, depression, and anxiety on substance use among college students. The results are based on the data that were collected using a 101-item questionnaire administered to 302 college students at a public university in the Midwest U.S.A. Using Logistic Regression as the primary data analysis technique, the findings of this study show that social stressors …

Breathe Before The Exam: A Single-Session Yoga Intervention For Anxiety Reduction In Doctoral Ot Students, Bridget Hahn, Lamis Alnatafgi, Amanda Barbour, Samantha Benak, Leah Downey, Emily Servin

Journal of Occupational Therapy Education

First-year occupational therapy doctoral (OTD) students face significant academic stress, yet accessible, evidence-based wellness interventions remain underutilized in graduate occupational therapy education. This study examined the effects of a single pre-exam yoga session on state anxiety and exam performance among first-year OTD students at a Midwestern university. Using the State-Trait Anxiety Inventory, Form Y-1 (STAI-Y1), anxiety was assessed before and after a 60-minute yoga session held immediately prior to a first-term midterm exam. Midterm exam scores were compared to those of a historical control cohort from the preceding academic year; final exam scores were also compared to assess baseline cohort …

Self-Guided Functional Imagery Training To Reduce Anxiety, Jackie Andrade, Stephanie Hartgen-Walker, Caroline Morgan, Ayan, Idil Aytekin, Khadijah Sekoni, Kardelen Sengul, Jonathan Rhodes

School of Psychology

Objectives: Many university students experience high anxiety but have limited access to effective interventions. We evaluated a novel digital intervention for anxiety based on functional imagery training (FIT), designed to help individuals identify the impacts of anxiety, set engagement goals, and strengthen motivation for change. Functional Imagery for Keeping Anxiety low (FIKA) uses speak-aloud tasks, journalling, empathic questions, and personalised guided imagery for a person-centred approach. It builds motivation for engagement goals over safety goals through development and practice of vivid and emotionally laden multisensory imagery. Design: Study 1 used semi-structured interviews and thematic analysis to explore user experiences of …

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 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 …

"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 …

Improving Parental Self-Efficacy In An Integrated Primary Care Setting, Leo Parini

Antioch University Dissertations & Theses

A pediatric mental health crisis in the United States has strained integrated primary care, leaving providers with high volumes of requests for psychotherapy. Low parental self-efficacy (PSE)—reduced caregiver confidence in supporting children's emotional and behavioral needs—may contribute to this demand. This study examined whether a brief, 4-week parent training curriculum informed by Supportive Parenting for Anxious Childhood Emotions (SPACE), targeting child anxiety and obsessive-compulsive disorder (OCD) and delivered by a clinical psychologist within an integrated primary care setting, would increase PSE. Using secondary, de-identified data, PSE was measured before and after the course with the Brief Parental Self-Efficacy Scale; 19 …

Bridging Worlds Of Care: A Qualitative Exploration Of Integrating Non-Western Healing Modalities With Mental Health Counseling, Douglas Valdez

Antioch University Dissertations & Theses

The aim of the study is to explore the experiences of practitioners who treat individuals presenting with depression and anxiety using culturally integrative non-Western healing modalities. Participants included 15 experienced practitioners (minimum five years of practice) who identified as Traditional Chinese Medicine providers (e.g., acupuncturists, herbalists) and/or Curandero/x/as. The approach was qualitative, utilizing open-ended survey responses collected electronically and analyzed with thematic analysis. Results indicated six primary themes: (a) Philosophies in Healing, highlighting culturally grounded conceptualizations of depression and anxiety; (b) Traditional Chinese Medicine Interventions, including acupuncture, botanical, nutritional, manual, and movement-based practices; (c) Curanderismo Pláticas and Integrative Western Healing …

Between Self, Family, And Becoming: Mindfulness And The Transition Experiences Of Latinx Clinical Counseling Graduate Students, Orlando R. Alvarez

Antioch University Dissertations & Theses

Latinx graduate students transitioning into their first semester of clinical counseling master’s programs often navigate substantial challenges as they embark on their academic journeys. While transitions into any new role can be difficult, the changes that accompany the beginning of a graduate program have been associated with increased role and identity strain, anxiety, depression, and feelings of fraudulence and imposterism, negatively impacting student success, performance, and attrition rates (Halladay et al., 2019; Murphy, 2021; Vidic & Cherup, 2019). Although mindfulness practices provide benefits for graduate student wellbeing, there is no current scholarship that has examined how mindfulness practices support Latinx …

The Effects Of Coping Motives On Alcohol Use Consequences, Madisyn E. Feliciano, Samantha Pelfrey

UROP Posters

The purpose of this study was to examine the difference in alcohol use consequences between those who drink to cope with anxiety or depression symptoms and those who do not. Our research aimed to expand on earlier studies by placing emphasis on how coping with anxiety and depression influences alcohol consequences using constructs aligned with DSM-V symptom criteria. Research has consistently shown that those who drink to regulate distressing emotions experience more harmful consequences, making this an imperative area for prevention efforts. It was hypothesized that coping motivated drinking would be associated with an increased amount of alcohol related consequences. …

The Effects Of Music Therapy On Anxiety And Sedation Requirements For Total Knee Arthroplasty Patients Undergoing Regional Anesthesia: An Evidence-Based Practice Pilot Initiative, Kyra Marie Savrese

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Excessive noise in the operating room negatively impacts patient comfort and outcomes, particularly in patients undergoing spinal anesthesia who have the potential for awareness.

Background: Research demonstrates that music therapy is a low-cost, low-risk intervention that reduces perioperative anxiety and sedative requirements. Literature supports the use of music as an adjunct to anesthesia care, especially in orthopedic populations.

Purpose: At J.W. Ruby Memorial Hospital, orthopedic procedures with regional anesthesia expose patients to high noise levels, often leading to increased anxiety, sedation use, and longer recovery times. Addressing this problem aligns with institution goals for safe, patient-centered care.

Methods: Using …

Impact Of Religion On Mental Outcomes Among Racial/Ethnic And Sexual/Gender Minority Individuals, Braden J. Waugh, Michael E. Nielsen

College of Graduate Studies: Theses & Dissertations

Marginalized identities (Adams & Miller, 2022) are associated with elevated risks for negative outcomes (Ching et al., 2018; Kayode et al., 2024). Religion has been found to act as a protective and risk factor. Minority Stress Theory (Meyer, 2003) and Intersectionality Theory (Crenshaw, 1991) are used to examine the relationship between identity status and anxiety, prosocial tendencies (PT), and quality of life (QoL). One hundred fifty-two participants were primed with a religious or neutral stimulus, and then answered measures regarding these outcomes (GAD-7, Spitzer et al., 2006; PBIS, Baumsteiger & Siegel, 2019; WHOQOL-BREF, The Whoqol Group, 1998; IFS, Hammer & …

Emotion Regulation: The Effectiveness Of Reappraisal And Potential Benefit Of Music, Ezra J. Greidinger

College of Graduate Studies: Theses & Dissertations

Literature has supported potential benefits to cognitive reappraisal as a method of emotion regulation, as well as intentional music usage as an enhancer of these effects. It has been suggested that instruction be provided to individuals to use these methods, especially in highly stressed populations (Sakka et al., 2018). However, there has not been an experimental study to follow up on these claims. When instruction is provided, is cognitive reappraisal more effective than naturally developed habits in regulating anxiety, and would music enhance these effects? College students (N = 170) were randomly assigned to three treatment conditions: control, cognitive reappraisal, …

Substitution Of Cannabis For Prescribed Medications In The Management Of Anxiety And Depression Among Midlife Women: A Cross-Sectional Study, Jocelyn Mueller, Jamia Sapp, Jennifer Attonito, Aditya Chakraborty, Karina Villalba

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

Background and Aims

Given the rising prevalence of cannabis use as an alternative strategy for managing mental health symptoms, there is a crucial need to understand the determinants of substitution behavior, particularly among midlife women who may experience distinct psychosocial and clinical profiles. This study examined the predictors of cannabis substitution among midlife women by comparing profiles of women who substituted cannabis for antidepressant medications versus those who substituted for anxiolytic medications.

Methods

A cross-sectional survey of 172 women who reported substituting cannabis for either anxiety or depression medications was conducted. Measures included the PHQ-8, OASIS, AUDIT, and ACEs. Logistic …

Effects Of Mental Health Services On Adolescents’ Mental Health-Related Behavior Problems And Academic Performance, Marsha Bernard

Theses and Dissertations

The problem to be addressed in the research study was that students who are marginalized and racially profiled exhibit behavioral problems in school and lack the resources to understand and manage their emotional behaviors. The purpose of the study was to determine how mental health counselors in schools and in the community can assist marginalized families with adequate mental health services. The study sought an understanding of the underlying causes of disruptive behaviors and miscommunication between students and administrators. Overall, the study revealed that mental health has an impact and plays a critical role in the day-to-day experiences of marginalized …

Multimodal Imaging Markers Of Brain Dysfunction In Minimal Hepatic Encephalopathy: Sleep-Wake Regulation And Metabolic Dysfunction, Hannah Windmill

School of Psychology Theses

Hepatic encephalopathy (HE) is a common complication of chronic liver disease, with minimal hepatic encephalopathy (MHE) characterised by subclinical cognitive dysfunction, mood disturbance, and sleep disruption. MHE remains underdiagnosed due to poor correlation of prevalence with disease severity and absence of a standardised clinical diagnostic tool. This thesis employs a multimodal neuroimaging framework, integrating MR spectroscopy (MRS), diffusion MRI, fMRI, and EEG, to identify sensitive early markers of MHE and examine the confounding influence of sleep on brain-based outcomes.Chapter 4 investigated neuroimaging biomarkers of MHE in a cross-sectional cohort of liver disease patients and healthy controls. Primary outcomes were EEG …

Who Seeks Help? Characteristics Of Doctors Accessing Mental Health Support In England: 4-Year National Review, Rohit Shankar

Peninsula Medical School

BackgroundMental health difficulties affect the well-being of doctors and compromise the delivery of healthcare. However, large-scale data on doctors’ mental health needs are limited.AimsDescribe patterns of self-referrals for mental health support among doctors in England and explore associations with demographic factors, speciality, neurodevelopmental and mental health indicators.MethodObservational study using data from doctors who self-referred for mental health difficulties to a national service in England over a 4-year period. Logistic regression was used to explore associations between speciality and mental health indicators.ResultsOf the 16 815 doctors who self-referred during the study period, 80% were under the age of 49 and 70.6% …

Joint Associations Of Meditation And Physical Activity With Depression And Anxiety Symptoms In Us Adults: Nhis 2022, Yubing Wang

Human Movement Studies & Special Education Faculty Publications

Objectives

Physical activity and meditation may each relate to mental health, but their joint associations in U.S. adults are unclear. We examined the separate and joint associations of any past-year meditation and meeting physical activity (PA) guidelines with depression and anxiety symptoms.

Method

We analyzed data from the 2022 National Health Interview Survey Sample Adult file (n = 24,927). Exposures were meeting PA guidelines, any past-year meditation, and their four-level combination (Neither, PA only, Meditation only, Both). Outcomes were moderate-to-severe depressive and anxiety symptoms (PHQ-8/GAD-7 >= 10). Survey-weighted modified Poisson models estimated prevalence ratios (PRs), with interaction, sensitivity, and post …

Moderators Of Subjective Distress And State Body Image During Open And Blind Weighing, Danielle E. Peters

Electronic Theses & Dissertations (2024 - present)

Objective: Body image disturbances are central to eating disorder (ED) pathology and are often addressed through exposure-based methods, such as open weighing. Open weighing is recommended in evidence-based ED treatments, but many clinicians and patients prefer blind weighing. It may be that pre-treatment patient characteristics may influence how distressed they feel by open and blind weighing. As such, the present study aimed to 1) compare how open and blind weighing impact subjective distress and state body image, and 2) examine whether self-weighing tendencies, body avoidance, body checking, body checking-related beliefs, intolerance of uncertainty, and ED psychopathology moderate the relationship between …

Keefektifan Konseling Kognitif Perilaku Untuk Mengurangi Kecemasan Siswa Dalam Pembelajaran Matematika Secara Daring Sinkronus, Ratna Afiah Awwalu Rohmah, Nur Hidayah, Fitri Wahyuni

Buletin Konseling Inovatif

The Covid-19 pandemic is currently sweeping the world in 2020, forcing it to carry out activities remotely and significantly impacting the world of education. This study aimed to determine the effectiveness of behavioural counseling in reducing the anxiety of junior high school students in synchronous mathematics learning during the new normal period of the Covid-19 pandemic. This research is included in quantitative research with experimental methods, and the research design used is one group pretest and posttest design. The research population was students at a junior high school in Malang, Indonesia, who were selected using a purposive sampling technique. Development …

The Kids Aren’T Alright, Amy B. Levin

Arkansas Law Review

It is not new that students struggle in law school. Research has shown for decades that, while students generally begin law school with healthy well-being, the competitive nature of law school combined with the stress of the Bar and securing post-Bar employment causes increased anxiety, depression, isolation, and related symptoms among students, especially women and underrepresented groups. What is new is the sheer number of law students struggling with serious mental health challenges today—a number that has reached crisis proportions.

This Article is divided into four parts. In Part I, I explore the mental health landscape for high school, college, …

Predictors Of Substance Use Treatment Retention: Secondary Analyses From Project Aspire, Abdulrazzaq Altararwa

The Journal of Purdue Undergraduate Research

No abstract provided.

Effects Of Alcohol Exposure On Recognition Memory And Marble-Burying Tasks In Male And Female Aged Mice, Roma Kamat, Tori Burke

The Journal of Purdue Undergraduate Research

Alcohol consumption in aging humans is a risk factor for cognitive impairment. This experiment assessed the effects of binge-like alcohol drinking in aged mice on memory (using the object recognition memory [ORM] task) and on anxiety-and compulsive-like behavior (using the marble-burying task). Subjects were 8 female and 10 male mice, 14–15 months old, selectively bred for low alcohol preference (LAP). Mice consumed either tap water or a 20% alcohol (v/v) solution in tap water through a drinking in the dark (DID) procedure for 4 consecutive days per week, for 3 consecutive weeks. One and 11 days after DID, mice completed …

Exploring Anxiety And Noticing Within Virtual Reality Nursing Simulation, Janet M. Reed

Sigma Foundation for Nursing Research Grant Reports

The overall objective of this pilot study was to explore how anxiety affects students’ noticing of key information within a virtual reality nursing simulation. The aims of this study were to 1) distinguish simulation anxiety into facilitating and debilitating components by using the Alpert and Haber (1960) Achievement Anxiety Test (AAT) for novel use in VR simulation for undergraduate nursing students; 2) Describe the relationship between debilitating and facilitating anxiety and noticing in VR simulation; and 3) Describe the psychometric properties for the AAT when used to describe anxiety in nursing simulation.

Work-Life Conflict, Anxiety, And Depression In Collegiate Athletic Trainers With Children Under 5, Jordan Helton, Glenn R. Penny, Seth Swary

Student Dissertations

The research problem for this study was that collegiate athletic trainers with children under 5 years old experience significant work-life conflict and negative mental health outcomes. The purpose of this study was to explore how collegiate ATs with young children describe their experiences of work-life conflict and to how these experiences relate to symptoms of anxiety and depression. Guided by interrole conflict theory and work-life conflict theory the study posed two research questions: (1) How do collegiate ATs with children under 5 describe their experiences of work-life conflict? (2) What is the relationship work-life conflict experiences on the symptoms …

Effect Of Spirituality On The Mental Health Of Adults Who Experienced Bullying In Their Childhood, Celiana Rodriguez-Gonzalez

Doctoral Dissertations and Projects

Bullying experiences in childhood have been found to significantly affect mental health in adulthood, particularly through depression and anxiety. Spirituality has been identified as a protective factor for mental health, contributing to quality of life, satisfaction, and purpose. It may also buffer the effects of violence and bullying. This correlational study examined the relationships among childhood bullying, spirituality, and adult mental health in a sample of individuals from Puerto Rico (N=124). Specifically, whether spirituality moderates the relationship between childhood bullying and adult mental health outcomes. Results indicated that childhood bullying was moderately associated with higher levels of anxiety and depression, …