Digital Commons Network^™

Factors In The Relationship Between Rural Cancer Patients And Mental Health, Jordan B. King

Theses and Graduate Projects

Cancer patients frequently experience psychological distress, yet many do not access mental health services, particularly those residing in rural areas. The present study examines what factors contribute to utilization of mental health services and attitudes toward seeking mental health services in rural cancer patients who are actively receiving cancer treatments. Participants (N = 102) completed a paper and pencil survey. A logistic regression was used to examine the relationship between five predictor variables (anxiety, depression, social support, geographic location, and number of barriers) on the outcome variable (utilization of services). The model was statistically significant, X²(4) = …

Digital Danger: A Mixed-Methods And Comparative Analysis Of Cyberstalking Victimization, Kylie E. Mccarthy

Doctoral Works at the University of New Haven

Stalking, and cyberstalking are singular forms of violence, predicated on a victim’s interpretation and perception of events (Campbell & Moore, 2011; Korkodeilou, 2017). With no universal definition, and ambiguity as to which behaviors constitute the crime, understanding remains limited (Maple et al., 2012; Reyns et al., 2012). As technology advances and tech-based harassment rises (Short et al., 2022), it is imperative research examine both the scope of victimization, and the experiences of those victimized. This study analyzed the characteristics and consequences of cyberstalking victimization in a national US sample (n= 73), comparing findings to the 2010-2011 UK Electronic Communication Harassment …

Post Spinal Cord Injury (Sci) Related Depression And Anxiety, Felecia Marshall

Lynchburg Journal of Medical Science

This article aims to examine the prevalence, significant factors, and clinical significance of depression and anxiety in individuals with spinal cord injury (SCI). Depression and anxiety are common after an SCI. These problems are difficult to recover from and, as such, can have a negative impact on a patient’s quality of life. This article stresses the need for early diagnosis and treatment with both cognitive behavioral therapy and pharmacological treatments for those with SCI. Mental health can be improved through this method. A comprehensive search of studies in PubMed was conducted. In 10 peer-reviewed articles, researchers uncovered findings concerning the …

Psychological Impact And Severity Condition During The Coronavirus (Covid-19) Pandemic Among The General Population In Iraq, Kawthar Nassir, Zainab Qasim, Nesif Al-Hemiary, Zahraa Al Nedawi

Iraqi Postgraduate Medical Journal

Background: the COVID-19 pandemic is a global healthcare crisis that impacts multiple body systems and is linked to various psychiatric issues.Objective: this study aims to assess psychological symptoms, sleep disturbances, and insomnia associated with infection by covid-19, examining the severity of these symptoms based on the perceived threat of infection. Patients and Methods: This observational, cross-sectional study of a convenient sample of patients, involved collecting medical data by distributing questionnaires under a psychiatrist’s supervision. The data included demographics, co-morbidities, disease severity, psychological measurements, treatment response, and prognosis. The questionnaires incorporated the Anxiety and Stress Scale, along with the Impact of …

Determination Of The Socio-Emotional Consequences Of Visible Pigmentary Alterations Using Neutrosophic Owa-Topsis, Varna Hernández Junco, Zenia Batista Castro, Regla Cristina Valdés Cabodevilla, Vivian González Aguilar, Leslie Cardet Carballosa

Neutrosophic Sets and Systems

This study addresses the socioemotional consequences of visible pigmentary disorders such as vitiligo and melasma, a problem that profoundly affects individuals' quality of life. The relevance of this research lies in the growing need to understand how these dermatological conditions influence self-esteem, social interactions, and psychological well-being, especially in diverse cultural contexts. Although existing literature has explored these impacts, it lacks approaches that integrate the uncertainty and subjectivity inherent in human experiences. To fill this gap, a PRISMA-based systematic review was conducted, analyzing articles from PubMed, Scielo, and Scopus (2015–2025), and the neutrosophic OWA-TOPSIS method was employed, which combines weighted …

The Consequences Of Habitual Rumination, Expressive Suppression, And Perceived Stress On Mental And Physical Health Among Older Adults, Eyal Gringart, Rodrigo Becerra, Andrea Smith

Research outputs 2022 to 2026

Background/Objectives: The current study aimed to investigate whether habitual rumination, suppression, and perceived stress predict poor mental and physical health as well as well-being in a group of older adults (aged 50 to 80 years) from a non-clinical community sample. Methods: The current study comprised a cross-sectional survey design with online self-report measures. It was predicted that higher levels of rumination, suppression, and perceived stress would predict lower levels of general health as well as well-being, and heightened levels of depression and anxiety. Results: Findings from the study indicated that both rumination and perceived stress significantly predicted heightened anxiety, heightened …

Transdiagnostic Correlates Of Family Accommodation In Anxious Youth, Whitney S Shepherd, Erika S Trent, Orri Smarason, Hannah N Sansone, Daphne M Ayton, Amanda Palo, Abigail E Candelari, Wayne K Goodman, Andrew G Guzick, Eric A Storch

Faculty, Staff and Students Publications

Anxiety disorders are common in children and cause significant impairment. Family accommodation, which refers to behavioral changes that family members make to temporarily alleviate a child’s anxiety, has been linked to child anxiety symptom severity. Although emotional vulnerabilities for anxiety such as emotion dysregulation, anxiety sensitivity, and distress intolerance have been associated with family accommodation, research concerning the relationship between these constructs among anxious youth is limited. We hypothesized that these variables would be uniquely and positively associated with family accommodation and would moderate the relationship between anxiety symptom severity and family accommodation. Treatment-seeking child–parent dyads (N = 90; …

Hubungan Faktor Psikologis Dengan Atrium Fibrilasi: Suatu Tinjauan Kepustakaan, Arina Widya Murni, Annesa Fadella

Jurnal Penyakit Dalam Indonesia

Psychological factors influence the onset of cardiac rhythm and dysrhythmia disorders, including atrial fibrillation (AF), which is defined as uncoordinated atrial activation resulting in ineffective contractions. Psychological factors have a bidirectional relationship with AF, as AF symptoms can lead to a decline in mental health, which in turn negatively affects the clinical course. One explanation for how psychological stress impacts the heart and contributes to AF involves the autonomic nervous system and the hypothalamic-pituitary-adrenal (HPA) axis. Anxiety and depression are common comorbidities in AF. These conditions can be assessed using standardized instruments, such as the Hospital Anxiety and Depression Scale …

Effectiveness Of An Adapted Physical Activity Program On Anxiety, Depression, And Self-Esteem On A Heterogenous Sample: A Randomized Controlled Trial, Mathilde Plard, Claire El Jor, Rebecca Shankland, Quentin Hallez

Baltic Journal of Health and Physical Activity

In recent decades, numerous studies have demonstrated the effectiveness of Adapted Physical Activity (APA) interventions in improving the mental health of individuals. However, a limitation of these studies is their predominant focus on homogeneous groups, characterized by similar diseases or disorders and characteristics. Thus, effects associated with these groups may largely account for the observed benefits, rather than the physical activity itself. This study aimed to investigate the impact of an eight-week APA intervention on anxiety, depression, and self-esteem in a heterogeneous group of participants with diverse health conditions and ages. Participants were randomly assigned to either an experimental group …

The Relationships Among Childhood Abuse, Neglect, Household Dysfunction, And Adult Anxiety: The Moderating Effect Of A Trusted Adult, Jennifer Marie Cobb

Doctoral Dissertations and Projects

This study investigated the relationships between the three types of adverse childhood experiences (ACEs), (abuse, neglect, and household dysfunction) and adult symptoms of anxiety, according to the Generalized Anxiety Disorder-7 (GAD-7) scale. Beyond examining the bivariate relations of each ACE type with adult anxiety, this study also investigated if having at least one supportive adult in childhood moderated the relationships. The sample consisted of 213 adults recruited online who completed an anonymous survey containing the ACE Questionnaire, the GAD-7, a question regarding the presence of a trusted adult, and demographics. Hierarchical multiple regression tested the relationships of each ACE subtype …

Qualitative Evaluation Of Eeg Neurofeedback For Anxiety In Adults, Leah M. Jones

Doctoral Dissertations and Projects

Anxiety is one of the most prevalent mental health disorders globally, yet many treatment options are inaccessible, ineffective for some, or lack long-term efficacy. One treatment for with substantial research support is neurofeedback, though it remains categorized as an experimental treatment and is underutilized in clinical practice. The qualitative phenomenological study explored the lived experiences of adults who received neurofeedback treatment for anxiety. The purpose was to understand participants’ perceptions of neurofeedback’s efficacy and the interactive effects of neurofeedback and psychotherapy. Data were collected from two Oregon clinics that offer Neurofeedback and from students at Liberty University. An open-ended survey …

Associations Between Adhering To 24-Hour Movement Guidelines And Anxiety Among Adolescents Across Intersectional Identities: Kyrbs 2020-2022., Suryeon Ryu, Eun Young Lee, Zan Gao

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Identifying preventive measures for adolescent mental health is a global public health priority, as poor mental health heightens the risk of early death from related issues, including suicide. This study examined the associations between adherence to the 24-Hour Movement Guidelines and anxiety among a nationally representative sample of South Korean adolescents, using an intersectional identity framework.

METHODS: Data from the 2020-2022 Korea Youth Risk Behavior Surveys were analyzed. Adolescents aged 12-17 years were grouped based on adherence to guidelines: none, physical activity (PA), sedentary behavior (SB), sleep, two guideline combinations, and all three. Anxiety was the mental health outcome. …

Athletic Coaches’ Perspective: The Intersection Of Female Collegiate Athletic Involvement, Emotional Health, And Academic Performance, Kimba P. Jackson

Student Theses and Dissertations

This study examined the mental health challenges faced by female Division I collegiate athletes. The problem addressed was the issue of poor psychological health among Division I female collegiate athletes. The pressures faced by this subpopulation can lead to psychological distress, which may manifest as anxiety, depression, and role conflict. Consequently, female athletes encounter unique challenges that can adversely affect their overall well-being and performance in athletics and academics. This research aimed to investigate the influence of collegiate athletic participation on female athletes' mental health, particularly from the perspective of coaches, who play a vital role in shaping their athletes' …

An Open Trial For Transdiagnostic Behavior Therapy For Primary Care (Tbt-Pc) In Veterans With Symptoms Of Depression And Anxiety, Daniel F Gros, Stephanie Hart, Michelle Pompei, Ron Acierno

Faculty, Staff and Student Publications

Transdiagnostic psychotherapies were developed to address multiple diagnostic presentations via a single, easier-to-implement protocol. However, despite advances, these protocols are largely limited to longer formats designed for mental health settings. The present study investigated a version of Transdiagnostic Behavior Therapy (TBT-PC) that was adapted for primary care settings. Forty-one participants with emotional disorders received 6 sessions of TBT-PC, with symptoms of depression and anxiety assessed at baseline, immediate post-treatment, and at 3-month follow-up. Medium treatment effects for symptoms of depression and anxiety were evidenced at post-treatment and sustained at follow-up. Treatment feasibility was supported by excellent attendance, treatment completion, and …

Anxiety And Sleep Disruption Among Icu Patients: A Scoping Review, Hyunji Kim, David Ryamukuru, Talia Brown, Deena Costa

International Nursing Research Congress (INRC)

Background: Anxiety and sleep disruption are common, interrelated symptoms among intensive care unit (ICU) patients.^1,2 These symptoms contribute to psychological distress, which can persist for months and impact the patients' recovery.³ Recent clinical guidelines from the Society of Critical Care Medicine highlighted anxiety as a key risk factor for sleep disruption.⁴ Thus, understanding the interplay of anxiety and sleep disruption and developing effective interventions to mitigate both are essential.

Purpose: This scoping review aimed to identify existing literature that quantitatively examined anxiety and sleep disruption among adult ICU patients.

Methods: Following the scoping review guidelines from the …

Evaluating And Optimizing Just-In-Time Adaptive Interventions In A Digital Mental Health Intervention (Wysa For Chronic Pain) For Middle-Aged And Older Adults With Chronic Pain: Protocol For A Series Of Randomized Trials, Abby L Cheng, Joanna Abraham, Sarah M Hartz, Eric B Laber, J Philip Miller

2020-Current year OA Pubs

BACKGROUND: On a population level, digital mental health interventions effectively reduce depression and anxiety symptoms. However, middle-aged and older adults with chronic pain and coexisting depression or anxiety have not been adequately represented in digital mental health studies.

OBJECTIVE: The goal of this study is to refine an existing mobile, digital mental health intervention (Wysa for Chronic Pain) that addresses symptoms of depression, anxiety, and coexisting chronic pain for the unique challenges and technology use patterns of middle-aged and older adults.

METHODS: Using a mixed methods, human-centered design approach and a series of randomized trials, we will test and iteratively …

Symptoms Of Anxiety And Depression In Mothers Of Children With Autism Spectrum Disorder, Hawra Muhammad Khrebit, Iman Hasan Jadan

Alustath Journal for Human and Social Sciences

The current research aimed the anxiety and depression scale of (HADS, 1983). The scale consisted of (14) paragraphs, and the sample size of the research was (145) mothers of autistic children in Baghdad Governorate, both sides of Karkh and Rusafa

Association Between Climate Change Awareness And Depression & Anxiety: Findings From A U.S. Sample, Stanley Nkemjika, Colvette Brown, Henry Onyeaka, Srikanta Banerjee, Jennifer Oliphant

Department of Psychiatry and Human Behavior Faculty Papers

BACKGROUND: Exploring the connection between climate change awareness and overall well-being is crucial, particularly in how it impacts both the environment and mental health. The mental health consequences of climate change and its awareness have not been thoroughly examined, especially in the U.S. In this study, the relationship between awareness of climate change and depression or anxiety among U.S. adults was explored. Similarly, the role of climate change awareness has not been explored in relation to mental health concerns.

METHODS: Based on the HINTS-6 dataset, a nationally representative, cross-sectional survey conducted by the National Cancer Institute, a variety of statistical …

A Qualitative Exploration Of Child, Caregiver, And Clinician Perspectives On Mental Health In Children With Osteogenesis Imperfecta, Justin H Qian, Andrew D Wiese, Clarissa Gonzalez, Whitney S Shepherd, Hannah Cho, Gianna M Colombo, Julia M Morales, Selena Guo, Kristin M Kostick-Quenet, Dianne Nguyen, Sophie C Schneider, Kara Ayers, Members Of The Bbdc, Marie-Eve Robinson, Chaya N Murali, Brendan Lee, V Reid Sutton, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

Osteogenesis imperfecta (OI) is a heritable connective disorder with clinical manifestations including bone fragility and short stature. Previous research identified psychosocial themes related to mental health among children with OI and their caregivers, such as independence, social isolation, depression, and anxiety. Several studies have also examined clinicians of individuals with OI for their perspectives on mental health among their patients. However, no known studies have compared psychosocial themes among all three participant groups concurrently. This qualitative study examined mood and anxiety, along with risk and protective factors, from perspectives of youths, parents, and clinicians. Semi-structured interviews were conducted, which were …

The Multifaceted Impact Of Mindfulness On Chronic Diseases: A Comprehensive Review Of Its Relationship With Diabetes Mellitus, Hypertension, Insomnia, Obesity, Gastrointestinal Disorders, And Migraine, Mazen Ismael

Journal of Medical Rehabilitation Science

Mindfulness has emerged as a holistic approach that enhances psychological well-being and physiological functioning. This comprehensive review explores the relationship between mindfulness and major chronic conditions, including Diabetes Mellitus (DM), Hypertension (HTN), Insomnia, Obesity, Gastrointestinal Disorders (such as Irritable Bowel Syndrome and Inflammatory Bowel Disease), and Migraine. Evidence suggests that mindfulness-based interventions (MBIs) significantly improve disease management and quality of life across various patient populations. The review highlights recent randomized controlled trials, systematic reviews, and meta-analyses to provide an updated synthesis of the impact of mindfulness on symptom severity, metabolic parameters, inflammatory markers, and behavioral outcomes. Furthermore, the paper discusses …

Drills Or Distress? Understanding The Psychological Effects Of Active Shooter Drills On Adolescents, Jeff R Temple, Elizabeth Baumler, Christian Paige Owen, Leila Wood

Faculty, Staff and Student Publications

Background: We sought to better understand the impact of exposure to active shooter drills (ASDs) on students' perceived stress, including those with disabilities and prior experiences with trauma.

Methods: We used data from a longitudinal study of ethnically diverse students (n = 2,033; 53.5% female) originally recruited in 2018 and followed annually thereafter. In addition to self-reporting on their perceived stress with ASDs, participants responded to questions about adverse childhood experiences, anxiety, suicidal ideation, and disability.

Results: Female students and those with a disability, probable anxiety, and suicidal ideation were more likely to be anxious after an ASD.

Conclusion: While …

The Effectiveness Of A Cognitive Behavioral Counseling Program In Reducing Future Anxiety Among Delinquents At The Girls' Welfare Institution In Riyadh, Haifa Al-Dosari, Yahya Khatatbeh

Jordan Journal of Applied Science-Humanities Series

This study aimed to examine the effectiveness of a cognitive-behavioral counseling-based program in reducing future anxiety among female juvenile delinquents at the Rehabilitation Institution for Females in Riyadh. The participants consisted of 28 female juvenile delinquents, who were randomly divided into two groups: an experimental group of 14 and a control group of 14. To achieve the study objectives, the researchers used the Future Anxiety Scale (2009), developed by Almoshaky, after verifying its psychometric properties, in addition to implementing the cognitive-behavioral program. The study findings indicated that there were statistically significant differences between the mean scores of the experimental and …

Prevalence And Factors Associated With Depression, Anxiety And Post-Traumatic Stress Disorder Among Healthcare Workers From Sub-Saharan Africa: Systematic Review, Ezra Too, Peninah Wachira, Solomon Njenga, Sabina Odero, Eunice Ndirangu, Amina Abubakar

Institute for Human Development, East Africa

Background: Depression, anxiety and post-traumatic stress disorder (PTSD) are prevalent among healthcare workers (HCWs), including those from sub-Saharan Africa (SSA). However, there are limited summary data on the burden and factors associated with these disorders in this region. We conducted this systematic review (registration no. CRD42022349136) to fill this gap.

Aims: The aim of this review was to systematically summarise the available evidence on the prevalence and factors associated with depression, anxiety and PTSD, or their symptoms, among HCWs from SSA.

Method: We searched African Index Medicus, African Journals Online, CINAHL, PsycINFO and PubMed for articles published, from database inception …

Early Phase Testing Of Functional Imagery Training As An Intervention For Anxiety, Jackie Andrade, D. J. Kavanagh, Carly Bowditch, Emily Mackriel, Emily Ravenshill, Amy Sime, Eleanor Trumfield, Jessica Watts, Jon May

School of Psychology

Cognitive models hypothesize a role for motivated behaviour in anxiety disorders, with safety behaviours leading to exaggerated threat appraisals and increased anticipatory anxiety. Based on the Affective Imagery Theory of Motivation, we propose that increasing motivation for engagement behaviours will reduce motivation for safety behaviours through competition for limited capacity cognitive resources supporting motivational imagery. We hypothesise that imagining successful engagement will reduce anxiety directly, and through promoting subsequent engagement. We present preliminary evidence that functional imagery training (FIT), an intervention that develops and teaches motivational imagery, reduces anxiety. FIT was delivered to undergraduates with anxiety in one session lasting …

Prevalence Of Depression, Anxiety, Burden, Burnout, And Stress In Informal Caregivers: An Umbrella Review Of Meta-Analyses, Xun Ci Soh, Andree Hartanto, Naoki Ling, Mayr Reyes, Lester Sim, Nadyanna M. Majeed

Research Collection School of Social Sciences

Informal caregiving is a physically and emotionally taxing role that has a profound impact on caregivers’ emotional and mental well-being. Previous research has examined the mental health of caregivers and found elevated levels of depression, anxiety, burden, burnout, or stress. However, the global rates of the five mental health factors and/or outcomes (i.e., depression, anxiety, burden, burnout, and stress) among caregivers remain largely unclear. Therefore, this umbrella review examines the prevalence of these factors and/or outcomes, including various subgroup factors, such as gender, medical and/or psychological condition of the care recipient, region, and assessment tools. A systematic search was conducted …

An Epidemiological Exploration Of Binge Eating Disorder And Its Emotional Roots Among Youth In Greater Jakarta, Henny Kurniati, Yudha Asy'ari, Tri Amelia Rahmitha Helmi, Tonny Sundjaya

Jurnal Epidemiologi Kesehatan Indonesia

The rising prevalence of mental disorders among youth, including depression, anxiety, stress, and binge eating disorder (BED), has become a major concern in the context of global mental health. BED, as a form of eating disorder, often occurs with psychological conditions such as anxiety and depression, complicating diagnosis and treatment. This study aimed to investigate the prevalence and association between depression, anxiety, stress, and BED among youth in Greater Jakarta. Using a cross-sectional online design, data were collected from 231 participants aged 18-25 years through the Binge Eating Scale (BES) and Depression Anxiety Stress Scale-21 (DASS-21). Statistical analysis involved bivariate …

Social Media And Mental Health According To Generation Z: A Health Belief Model-Based Cross-Sectional Evaluation Of Generation Z Adults’ Attitudes And Perceptions Of Problematic Social Media Use And Its Relationship With Depression And Anxiety, Michael Chad Gann

Doctoral Dissertations and Projects

Purpose: This study aimed to examine Generation Z adults’ attitudes and perceptions of problematic social media use (PSMU) as they relate to mental health problems (depression and anxiety) through the lens of the Mental Health Belief Model.

Methods: A cross-sectional, web-based survey gathered data from a convenience sample (N = 353) of Generation Z adults (age 18-30) after receiving approval from the LU IRB. The previously validated instrument battery included the Bergen Social Media Addiction Scale (BSMAS), the Patient Health Questionaire – 9 (PHQ-9), the Generalized Anxiety Disorder – 7 (GAD-7), and the Greene (2012) MHBM subscales for perceived susceptibility …

Does Spirituality Mediate Or Moderate The Adverse Effects Of Occupational Stressors On Mental Health In Law Enforcement Officers?, Erika D. Keplinger

Doctoral Dissertations and Projects

Law enforcement officers are often exposed to occupational stressors that can negatively affect their mental health and job performance. Spirituality has been thoroughly researched as a restorative method to improve physical and psychological health concerns. There has also been an increase in studies on workplace spirituality. The existing research on workplace spirituality suggests that incorporating spirituality into the workplace increases employee well-being and decreases stress and burnout. Unfortunately, research on police culture often neglects spirituality. There is little research to show how spirituality could mediate or moderate the adverse effects of mental health on law enforcement officers. This quasi-experimental, cross-sectional, …

Investigating The Practice Of A Somatic, Mindful Christian Prayer And Breathing Practice On Public Speaking Anxiety, Robyn L. Middleton

Doctoral Dissertations and Projects

This randomized controlled trial investigated the effectiveness of a mindful Christian prayer practice (The Jesus Prayer) combined with slow diaphragmatic breathing on communication anxiety. Participants (N = 80) included university students and members of the general public aged 18-60 who experience public speaking anxiety. Measurements included self-reported speech anxiety and heart rate variability (assessed via the WellHero app). Repeated measures ANOVAs revealed that the mindful prayer practice had no significant effect on participants' self-reported speech anxiety or RMSSD heart rate variability. A statistical trend of lower Baevsky’s Stress Index (another variable WellHero provided) was observed in the intervention group. This …

Is The Misdiagnosis Of Adhd And The Use Of Ritalin Related To Delinquent Behaviors And Problems With Social Anxiety Disorder In Young Boys?, Michael A. Cooper

Doctoral Dissertations and Projects

Attention-deficit/hyperactivity disorder (ADHD) diagnoses are increasing at a rapid rate. Young boys are known to be very energetic, inattentive, and lack the attention needed to function well in school or other venues, and based on these attributes, they often have a higher rate of diagnosis of ADHD than girls. The purpose of this quantitative, non-experimental, comparative study was to assess the validity of retrospectively examining ADHD misdiagnosis and associated Ritalin use. Specifically, how proposed childhood misdiagnosis of ADHD was related to delinquent behaviors and social anxiety in adolescence and adulthood was examined. Results showed over half of the participants (n …