Digital Commons Network^™

The Efficacy Of Mindfulness, Breathwork, And Neurofeedback: A Holistic Approach To Healing, Cheryl Moore-Whidby

Doctoral Dissertations and Projects

The purpose of this phenomenological study is to explore the holistic impact of mindfulness, breathwork, and neurofeedback on individuals experiencing a range of emotional and physical health conditions, including PTSD, anxiety, depression, chronic pain, cardiovascular symptoms, and other chronic illnesses. This investigation is grounded in multiple theoretical frameworks, including the Polyvagal Theory (Porges, 2009), Cognitive Theory (Beck, 1963), Maslow’s Hierarchy of Needs (Maslow et al., 1943), Mindfulness-Based Stress Reduction (Kabat-Zinn, 1990), and Dialectical Behavior Therapy (Linehan, 1993). A total of 28 participants, approved through IRB review, engaged in 24 sessions across 30 days, divided between in-person and virtual formats. Breathwork …

Personality As A Moderator Of The Relationship Between Casual Sex Behavior And Psychopathology, Dean J. Harris

Theses and Graduate Projects

Prior research has evaluated the impact of casual sex on mental health outcomes; however, there is a lack of research on the possible moderating effects of personality traits on this relationship. Thus, the purpose of this study was to clarify whether personality traits -specifically extraversion and neuroticism- are protective or risk factors for symptoms of anxiety and depression among individuals who engage in casual sexual behaviors, particularly in college-aged individuals. Using a cross-sectional design, 108 participants who met survey criteria completed self-report measures assessing casual sex behavior, the PHQ-9, the GAD-7, the International Big-Five Mini- Markers, and demographic questions. Moderation …

Resilience And Mental Health: Unraveling The Interplay Of Depression, Anxiety, And Stress In First-Generation College Students, Indyah Ferrouillet, Bemsimbom Nkuo, Patrick J. Cooper

Faculty and Staff Publications & Presentations

Research suggests a moderate incidence of depression, anxiety, and especially stress among college students (Ramon-Arbues et al., 2020). It is reasonable to believe that these mental health outcomes might be inversely correlated with resilience, the ability to adapt to new challenges. In this study, we hypothesize an inverse correlation between resilience stress, anxiety, and depression. In other words, college students who feel resilient will experience greater mental health and wellness. Building on previous research that suggests these effects in women only (Ahmed & Julius, 2015), gender differences will be examined. Few studies have attempted to see whether these correlations are …

Executive Functioning And Mental Health In Emerging Adults: Type 1 Diabetes Status As A Moderator, Hannah Margot Mcdaniel

Theses and Dissertations

Emerging adults (ages 18-26) with type 1 diabetes mellitus (T1DM) are especially vulnerable to diabetes management challenges when taking on increased disease responsibility during this critical period of development. They may experience higher cognitive and psychological demands compared to peers. The study examined whether having T1DM moderated the association between executive functioning (EF) and mental health symptoms (i.e., depression, anxiety, stress, and disordered eating) in emerging adults. Exploratory analyses investigated the associations between EF, disease management, and mental health symptoms. Participants were 35 emerging adults with T1DM and 35 healthy controls. Participants completed questionnaire measures of mental health and performance-based …

The Effects Of Forest Bathing On Anxiety In Adults: An Integrative Review, Nancyruth Leibold

General Submissions: Non-Traditional Settings and Methods

The aim of this study is to explore the effects of forest bathing on anxiety levels in adults. An abundance of forest bathing research evidence is present in the literature. There are documented physiological and psychological benefits from walking or spending time in forest nature. Yet, there are still many unanswered questions about the health benefits of forest bathing for humans. In this study, an integrated review of forest bathing specific to the effect on anxiety levels in adults is the focus. A thorough search of six electronic databases (CINAHL, Health and Medical Collection, OVID, Pub Med, Public Health Database, …

Improving Anxiety Screening In Active-Duty Military: Policy Recommendation For Implementing Ham-A Alongside Gad-7, Alex Judkins

Student Scholarly Projects

Practice Problem: Military personnel appear to be at increased risk for mood and stress-related conditions, such as anxiety and depression. These are frequently associated with traumatic brain injury (TBI), yet existing policies and practices may not fully capture this symptom complexity.

PICOT: For healthcare policymakers and providers (P), how does a policy review and recommendation for implementing the HAM-A screening tool for anxiety (I), compared to continued reliance on GAD-7 (C), impact the early identification and policy alignment for somatic and psychic anxiety management among active-duty military personnel (O)?

Evidence: Investigating psychological illnesses and their physiological manifestations in isolation fails …

The Impact Of Cell Phones And Social Media On Social And Emotional Development Of High School Students, Laura Nash

Masters Projects

Studies suggest that social media can have a negative impact on the social and emotional development of adolescents when overused or abused. This paper examines the benefits of social media and several of the adverse effects of problematic social media use. A few of the adverse effects can carry over into the school setting, resulting in students missing valuable instruction time and not being fully engaged in the learning environment. This project proposal is intended to educate parents and school employees about hazards of problematic social media use and the tools that are readily available to monitor the content that …

A Program Evaluation Of The Pet Therapy Program At Norton Children’S Hospital’S Ackerly Child Psychiatric Unit., Michael Brockman, Michael Brockman

Doctor of Nursing Practice Papers

Pet therapy is an increasingly utilized intervention in psychiatric care, particularly among adolescents. Within the inpatient adolescent psychiatric setting, pet therapy has been linked to reduced anxiety, enhanced emotional regulation, and improved patient engagement. At Norton Children’s Hospital’s Ackerly Child Psychiatric Unit, pet therapy sessions are offered weekly but had not been formally evaluated. The absence of structured evaluation raised concerns about sustainability, consistency, and the program’s therapeutic impact. This project aimed to take a deeper look at the program by conducting a program evaluation of the existing pet therapy initiative at the Ackerly Unit. The evaluation focused on identifying …

Examining Parent Accommodation Of Anxiety And Irritability In Preschool-Aged Children., Anna Olczyk

Electronic Theses and Dissertations

Anxiety and irritability are common developmentally normative emotions in early childhood, yet are also related to risk for psychopathology in childhood, adolescence, and adulthood. Parenting behaviors, including parent accommodation, may influence this risk. Parent accommodation is the parent modification of child/family routines and/or avoidance of activities to reduce child distress and has been documented widely in the anxiety literature. Although some research has examined parent accommodation of anxiety in preschool-aged children, most research has investigated accommodation of anxiety in clinical samples of school-aged children. Further, despite high rates of co-occurrence between child anxiety and irritability, research on parent accommodation of …

Peer Functioning And Risk For Co-Occurring Adhd And Anxiety Symptoms In School-Aged Children: A Cross-Sectional And Longitudinal Analysis., Helena F. Alacha

Electronic Theses and Dissertations

Background. Youth with Attention-deficit/hyperactivity disorder (ADHD) often have higher rates of anxiety in comparison to their peers without ADHD. Children with co-occurring ADHD and anxiety exhibit a unique clinical presentation that poses challenges to both assessment and treatment. Consequently, children with comorbid ADHD and anxiety experience increased impairment, and often have poorer long-term outcomes than children with either ADHD or anxiety alone. Preliminary evidence suggests that different psychosocial phenomena commonly experienced by children with ADHD—such as peer functioning—may increase susceptibility to anxiety. Considering that children with ADHD encounter a range of peer difficulties, the present study proposed and evaluated different …

Improving The Screening And Management Process For Mental Health Disorders And Health Risk Behaviors In College-Age Students: A Quality Improvement Project, Brooke L. Styslinger

Doctor of Nursing Practice (DNP) Manuscripts

Establishing a standardized electronic screening process for mental health disorders and health risk behaviors is crucial for early identification and intervention before poor outcomes occur. This quality improvement project addresses a gap in care relating to screening practices in a college health services office which primarily relied on a provider-based interview screening processes in students reporting for care. Pre-implementation data showed providers most often screened for Major Depressive Disorder (MDD), alcohol use, and drug use, with inconsistent screening for Generalized Anxiety Disorder (GAD) or tobacco/vaping use. Follow-up screening form administration was also inconsistent, only given 3.3% of the time for …

Emotional Pathways To Trauma: Racialized Policing And Psychological Distress In Black Adolescent Males, Rochelle S. Parrish

All Theses

Introduction: Black American males, including adolescents, are disproportionately subjected to aggressive policing, often without criminal wrongdoing (Geller et al., 2014; Sewell et al., 2016). These encounters are frequently described as traumatic, marked by fear, loss, and emotional disruption (Smith Lee & Robinson, 2019). Whether direct or vicarious, such experiences can produce lasting psychological effects, particularly among Black boys who face compounded vulnerability from racialized surveillance and community-level trauma (DeVylder et al., 2018; Smith & Patton, 2016). Proactive policing tactics, such as investigatory stops and verbal aggression, have been linked to symptoms consistent with post-traumatic stress disorder (PTSD), including hypervigilance, avoidance, …

Associations Between Mental Health Outcomes And Discrimination And Victimization Among Adult Lgbtq+ Community Members Or Guardians Of Lgbtq+ Children, 2023-2024, Perla Gisel Mercado

Open Access Theses & Dissertations

BACKGROUND: LGBTQ youth face unique challenges and experiences that can significantly impact their mental well-being. Discrimination, stigma, prejudice, and struggle for self-acceptance contribute to increased rates of mental health issues within this population. Almost one in 8 people, or 970 million individuals worldwide, were living with a mental disorder. PURPOSE: Assess the relationship between discrimination and victimization and mental health outcomes among sexual and gender minorities (SGMs) in the Paso del Norte Region. METHODS: Data was collected through a cross-sectional needs assessment survey among adult LGBTQ+ community members or parents/guardians of LGBTQ+ children/youth living in New Mexico or Texas in …

The Moderating Effect Of Dietary Patterns On The Association Of Depression And Anxiety With Cognitive Function, Hilal Salim Said Al Shamsi, Samantha L. Gardener, Hamid R. Sohrabi, Kevin Taddei, Colin L. Masters, Stephanie R. Rainey-Smith, Ralph N. Martins, W. M.A.D.B. Fernando

Research outputs 2022 to 2026

Background and aims: Investigating modifiable risk factors, such as diet, is crucial in understanding their effects on the relationship between Alzheimer's disease (AD)-related cognitive decline and related conditions. This study assesses whether dietary patterns moderate the relationship between symptoms of depression, anxiety, and cognitive function in older adults. Given that biological and psychosocial differences between sexes may influence dietary behaviours, mental health symptoms, and cognitive outcomes, conducting sex-stratified analyses will allow for identification of differential associations. Method: Cross-sectional data from cognitively unimpaired older adults (n = 1174, age ≥60 years) from the Australian Imaging, Biomarkers and Lifestyle (AIBL) study were …

The Role Of Diet In Moderating The Relationship Between Symptoms Of Depression And Brain Amyloid Load, Hilal Salim Said J. Al Shamsi, Samantha L. Gardener, Stephanie R. Rainey-Smith, Hamid R. Sohrabi, Kevin C.M. Taddei, Colin L. Masters, Vincent M. Doré, Christopher L. Rowe, W. M.A.D.Binosha Fernando, Ralph N. Martins

Research outputs 2022 to 2026

Background: Healthy lifestyle factors, including diet, may affect brain amyloid beta (Aβ) load. This study examines dietary patterns as moderators of the relationships among symptoms of depression, anxiety, and brain Aβ load. Method: A cross-sectional study of cognitively unimpaired older adults (n = 524) from the Australian Imaging, Biomarkers, and Lifestyle study assessed dietary patterns, depressive and anxiety symptoms, and brain Aβ load. Moderation and simple slope analyses were conducted. Results: The Dietary Approaches to Stop Hypertension (DASH) diet moderated the relationship between depressive and anxiety symptoms and brain Aβ load. Higher symptoms were associated with greater Aβ load in …

Educating Nurse Practitioners On Music-Based Interventions: An Evidence-Based Project, La’Keshia Henderson

Doctor of Nursing Practice Projects

Background: Arts-based interventions (ABIs) harness the transformative power of art to enhance processes or situations, particularly those related to physiological, emotional, and psychological well-being. There are three types of arts-based interventions: visual, literary, and performing arts. Among these, music therapy, a form of performing arts intervention, has gained recognition as an effective approach for addressing mental health challenges. Music therapy has shown promise in reducing anxiety symptoms, offering a non-invasive and accessible form of support within ABI strategies. Purpose: This project assessed changes in nurse practitioners' knowledge, attitudes, and practices, as well as their intentions to utilize music-based interventions in …

The Impact Of Mindfulness Therapy To Reduce Disruptive Behavior In High School, Wendy Nell Peters

Electronic Theses and Dissertations

The aim of this project was to determine the impact and effectiveness of Gina Biegel’s mindfulness techniques for stressed teens method on adolescent anxiety and the disruptive symptoms that lead to high school adolescents being assigned to detention. This project described a quantitative correlational design research project that investigated a small adolescent sample size, with a goal of decreasing the number of local high school adolescent students who are repeat detention offenders, by implementing Gina Biegel’s mindfulness techniques for stressed teens method on those high school adolescents who were assigned to detention. This was achieved by collecting demographic data from …

Addressing Anxiety And Depression In The Allergy Clinic Through Motivational Interviewing, Brief Cognitive Behavioral Therapy, And Curious Questions, Marylee Verdi, Dominic Candido, Juliette Madan, Jonathan A Bernstein, Don Bukstein, Aikaterini Anagnostou, Matthew Greenhawt, S Shahzad Mustafa, Julie Wang, Anna Nowak-Wegrzyn, Elissa M Abrams, John Oppenheimer, Alexandra E Conway, Andrew A White, Taylor A Doherty, Richard P Morse, Marcus Shaker

Faculty, Staff and Students Publications

Allergic diseases, particularly food allergy, can be associated with significant psychosocial impairment. Allergist-immunologists can provide evidence-based information to correct misperceptions and misunderstandings regarding food allergy that may perpetuate cycles of fear and anxiety. Whereas motivational interviewing can be an empathetic approach to empower patients to actualize health goals, cognitive behavioral therapy (CBT) aims to provide disease-state insight to facilitate an understanding of risk that can transform health beliefs and behaviors. Brief CBT is a clinical approach that can help address ineffective management paradigms through conversations that begin with curious questions. In this review, we discuss evidence supporting implementation of an …

Hospital Experiences And Medical Traumatic Stress In Adults With Spina Bifida, Ellen Fremion, Nora Deibler, Juliana Abel, Monique Ridosh

Faculty, Staff and Students Publications

Purpose

This study examined hospital and emergency department (ED) experiences of adults with spina bifida (SB), medical traumatic stress (MTS) and participant characteristics including anxiety, depression, post-traumatic stress disorder (PTSD) symptoms, and resiliency scores.

Methods

Adults with SB who had a hospital or ED encounter within the last five years were recruited from a medical home clinic and completed a structured interview and validated questionnaires. Narrative inquiry was used and descriptive analyses were conducted. MTS scores were reported per participant characteristics and emotional health questionnaire score counts and percentages.

Results

Twenty-five adults with SB representing 37% of eligible patients were …

Factors Of Anxiety Symptoms Due To Large-Scale Social Restriction Policy During The Covid-19 Pandemic In Indonesia, Indri Hapsari Susilowati, Sudibyo Alimoeso, Susiana Nugraha, Bonardo Prayogo Hasiholan, Magda Sabrina Theofany Simanjuntak, Nur Rachmat Satria

Kesmas

The Indonesian Government took some preventive measures to slow the spread of the COVID-19 virus, including social restrictions and encouraging individuals to stay at home and avoid needless gatherings. This study aimed to identify factors related to anxiety symptoms during large-scale social restrictions. This study employed a cross-sectional design using the snowball technique in an online survey. A total of 788 respondents comprised the target population to detect the smallest effect size (Cohen's dz = .2), with the level of power of 0.8 using G*Power 3.1, specifically targeting adults aged over 18 years. Out of 1,194 people who took part …

The Impact Of Stress Reduction Programs In Reducing Anxiety And Depression In Pregnant Military Spouses With Disabilities, Faith Clemons

Doctoral Dissertations and Projects

Pregnant military spouses with disabilities have high levels of anxiety and depression, as these individuals are more exposed to stress due to various health risks and worries during deployments. Health care experiences of pregnant military spouses who are disabled are explored through interviews and surveys to determine if appropriate services reduce anxiety and depression and help with stress. The study encompasses qualitative design, interviewing with eight participants from the Clarksville, Tennessee area, known for its many military families near Fort Campbell. The study targets evidence-based therapies through theoretical frameworks of attachment, social support and stress and coping theory such as …

Bereavement Experiences Of African American Women In Georgia Ages 30 To 50 As Impacted By Income, Religion, And Career, Doliah Derrelle Snead

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the grief experiences of African American women in the state of Georgia, ages 30 to 50, who have faced the loss of a spouse, parent, sibling, or child. The research questions were: How do African American females describe their experiences with grief resulting from loss in their immediate family? How do African American females describe the grieving process before, during, and after the loss of a loved one? How do African American females describe the coping strategies they used as they moved through their grieving process? How do African American females …

The High Burden Of Depression, Anxiety, And Stress Among University Students In Southern Iraq: A Cross-Sectional Study, Hassan Al-Karagoly, Zahraa Al-Attar, Hjar Al-Asadi, Sajad Al-Lahibi, Russul Al-Fartousi, Teeba Al-Jadry, Menatallah Bali, Baneen Al-Hasnawi, Hanan Al-Aboudi, Zainab Al-Fadliu, Ali Al-Mosawi, Zahraa Al-Aboudi, Qassim Al-Rubaie, Mohsin Al-Samawi, Abdulsalam Halboup

AUIQ Complementary Biological System

University students often face significant academic, social, and environmental pressures, making them particularly vulnerable to psychological distress. Despite this, there is limited evidence regarding the prevalence and associated factors of mental health problems among university students in Iraq. Therefore, this study aimed to assess the prevalence and severity of depression, anxiety, and stress in this population and to examine their associations with sociodemographic characteristics, insomnia, internet use, and physical activity. A cross-sectional study was conducted among Iraqi university students using a structured questionnaire, including the DASS-21, Insomnia Severity Index, and Internet Addiction Test. Descriptive and inferential statistics were used to …

Anxiety's Impact On Autism Spectrum Disorder Symtomology: An Investigation Into The Relationship Between Two Comorbities, Michaela Brown

LSU Doctoral Dissertations

Autism spectrum disorder (ASD) has been found to be frequently comorbid with many medical and psychological disorders, one of which is anxiety disorders. Research has shown that, when anxiety is present within ASD, various areas of the child’s functioning may be impacted, such as ASD symptom severity, emotional regulation skills, adaptability, social skills and daily living skills. The current study aimed to investigate this relationship of anxiety and ASD. First, within a sample of children and adolescents with ASD, the magnitude of the correlation between specific ASD symptoms parent-reported anxiety was compared to determine if certain ASD symptoms were more …

Screening For Depression And Anxiety In Women With Polycystic Ovarian Syndrome, Nicole M. Bondurant

Dissertations

Background: Polycystic Ovarian Syndrome (PCOS) is a multifaceted endocrine disorder that affects up to 20% of women of reproductive age and is associated with an increased prevalence of psychiatric conditions, particularly depression and anxiety. Despite international guidelines recommending routine screening for these mental health conditions in women with PCOS, consistent implementation in clinical practice remains limited.

Methods: This quality improvement (QI) pilot project aimed to address this gap by developing and implementing a standardized screening protocol for depression and anxiety within a suburban concierge OB-GYN clinic specializing in women’s reproductive and sexual health using validated tools—the Patient Health Questionnaire-8 (PHQ-8) …

The Psychological Impact Of Parenting Child Victims Of Trauma, Stephanie Faulkingham

Dissertations

Abstract

Research indicates that non-offending caregivers of traumatized children (NOC) is a population with an elevated risk for increased levels of depression and anxiety and are an underserved population for mental health services. The purpose of this quality improvement project was to determine if screening caregivers of traumatized children using the Patient Health Questionnaire (PHQ-8) and Generalized Anxiety Disorder (GAD-7) improves identification of depression and anxiety. Participants of this investigation were individuals enrolled in the Children’s Advocacy Services of Greater St. Louis’ 12-week parenting group, TASK (Trauma, Assessment, Skills, and Knowledge). Each participant was asked to complete the PHQ-8 and …

The Effects Of A Mindfulness-Based Intervention On Depression And Anxiety In The Long-Covid Population, Rachel Welbel, Elizabeth Rutha, Jeffrey Ording, Douglas Wang, Jana Hirschtick

Journal of Patient-Centered Research and Reviews

Long-COVID is a complicated, post-viral syndrome involving multiple body systems and can present with neuropsychiatric symptoms. Little has been reported about the neuropsychiatric symptoms of long-COVID, and validated treatments do not yet exist. There is prior evidence that mindfulnessbased strategies have been helpful for those with chronic illnesses; shown significant decreases in anxiety, stress, and depression; and enhanced quality of life. In this study, we report on the utility of a mindfulness-based intervention on levels of anxiety and depression in a long-COVID population. Our hospital system founded both a “Covid Recovery Clinic” (CRC) and a “Post-COVID Resilience Program” (PCRP). The …

"Chatgpt Told Me To Say It": Ai Chatbots And Class Participation Apprehension In University Students, Daisuke Akiba

Publications and Research

The growing prevalence of AI chatbots in everyday life has prompted educators to explore their potential applications in promoting student success, including support for classroom engagement and communication. This exploratory study emerged from semester-long observations of class participation apprehensions in an introductory educational psychology course, examining how chatbots might scaffold students toward active and independent classroom contribution. Four students experiencing situational participation anxiety voluntarily participated in a pilot intervention using AI chatbots as virtual peer partners. Following comprehensive training in AI use and prompt design given to the entire class, participants employed systematic consultation frameworks for managing classroom discourse trepidations. …

Body Language In Social Interactions: Patterns Of Nonverbal Behavior, Caleb Roten, Ivelina Naydenova

Journal of Counseling and Psychology

A two-part study was conducted on the qualitative and quantitative aspects of nonverbal behavior to investigate the factors that influence physical movement. The qualitative aspects of nonverbal behavior were investigated by testing the effects of academic anxiety on the amount of body language mirroring produced by a population of collegiate honors students. The honors students were induced with varying levels of academic anxiety based on groups, and were recorded to determine the quality of their movements in relation to stress level. To test the quantitative aspects, a broad range of participants was collected and assessed on their demographic variables, emotional …

Effects Of Meeting Exercise Guidelines On Depression And Anxiety In Multiple Sclerosis – A Systematic Review And Meta-Analysis, Sodiq Fakorede, Joseph Peters, Tanner Murphy, Ethan Truong, Libak Abou

Student Publications

Background: Depression and anxiety are common in multiple sclerosis (MS), significantly affecting quality of life. Previous studies on exercise interventions for mental health in persons with MS (PwMS) have shown mixed results, partly due to inconsistent adherence to the Physical Activity Guidelines for Multiple Sclerosis (PAG-MS).

Objective: This study aimed to evaluate the effects of PAG-MS-compliant exercise on depression and anxiety outcomes in PwMS.

Methods: A systematic search was performed in EMBASE, PsycINFO, Web of Science, SPORTDiscuss, PubMed, Scopus, and CINAHL through October 2024 to identify randomized controlled trials (RCTs). Eligible studies involved adults with MS and focused on exercise …