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A Culturally-Sensitive Model Of The Development Of Child Anxiety., Jenny Marie Petrie

Electronic Theses and Dissertations

Explanatory models significantly enhance the understanding of etiological influences that place children at risk for anxiety, yet little is known about processes that promote resilient outcomes in children. While contextual factors influence risk and protective processes, cultural constructs have not been incorporated into existing models of anxiety and the role of culture remains obscure. The current study proposes a culturally sensitive model for understanding the etiological and mitigating processes underlying anxious symptoms in ethnic minority youth, and preliminarily tests basic components of the proposed model within a non-clinical community sample of 49 African American (AA) parent-child dyads who completed self-report …

Mothers' Views Of Their Children's Anxiety In Autism: A Qualitative Approach, Jessica Mae Palilla

Theses and Dissertations

Children diagnosed with autism spectrum disorders (ASD), which is marked by severe social disabilities, also present with higher rates of anxiety. Understanding the qualitative symptoms that underlie anxiety in ASD may help to better characterize the overlap of ASD and anxiety symptomology and suggest targeted treatment strategies. Twenty mothers with male children diagnosed with high-functioning ASD were interviewed using a follow-up interview to the SCAS parent rating scale, in order to better understand how mothers perceive their child's anxious thoughts, behaviors and cognitions. All interviews were transcribed and thematic analysis was used to analyze the results. Eight themes emerged from …

‘The Thing Is Not Knowing’: Patients' Perspectives On Surveillance Of An Indeterminate Pulmonary Nodule, Renda Soylemez Wiener, Michael K. Gould, Steven Woloshin, Lisa M. Schwartz, Jack Clark

Dartmouth Scholarship

Background: The hundreds of thousands of patients found to have a potentially malignant pulmonary nodule each year are faced with tremendous uncertainty regarding what the nodule is and how it should be evaluated.

Objective: To explore patients' responses to the detection and evaluation of a pulmonary nodule.

Attention Bias And Anxiety In Young Children Exposed To Family Violence, Margaret J. Briggs-Gowan, Seth D. Pollak, Damion Grasso, Joel Voss, Nicholas D. Mian, Elvira Zobel, Kimberly J. Mccarthy, Lauren S. Wakschlag, Daniel S. Pine

Life Sciences Faculty Scholarship

Background—Attention bias towards threat is associated with anxiety in older youth and adults and has been linked with violence exposure. Attention bias may moderate the relationship between violence exposure and anxiety in young children. Capitalizing on measurement advances, the current study examines these relationships at a younger age than previously possible. Methods—Young children (mean age 4.7, ±0.8) from a cross-sectional sample oversampled for violence exposure (N = 218) completed the dot-probe task to assess their attention biases. Observed fear/anxiety was characterized with a novel observational paradigm, the Anxiety Diagnostic Observation Schedule. Mother-reported symptoms were assessed with the Preschool-Age Psychiatric Assessment …

Research Brief: "Receipt Of Employment Services Among Veterans Health Administration Users With Psychiatric Diagnoses", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study found that about four percent (4.2%) of VHA users with psychiatric diagnoses accessed employment services in a given year. VHA patients with a psychiatric diagnosis of schizophrenia had higher odds of accessing employment services relative to VHA users with other psychiatric diagnoses, including PTSD, depression, and other anxiety disorders. In practice, veterans should be aware that receiving VHA employment services should not affect VA benefits and should discuss their medical and financial benefits with benefits advisors and other appropriate advisors. In policy, Policymakers could consider allocating funds to further study the efficacy and effectiveness of various employment services …

Daily Minority Stress And Affect Among Gay And Bisexual Men: A 30-Day Diary Study, Adam I. Eldahan, John E. Pachankis, H. Jonathan Rendina, Ana Ventuneac, Christian Grov, Jeffrey T. Parsons

Publications and Research

Background. This study examined the time-variant association between daily minority stress and daily affect among gay and bisexual men. Tests of time-lagged associations allow for a stronger causal examination of minority stress-affect associations compared with static assessments. Multilevel modeling allows for comparison of associations between minority stress and daily affect when minority stress is modeled as a between-person factor and a within-person time-fluctuating state.

Methods. 371 gay and bisexual men in New York City completed a 30-day daily diary, recording daily experiences of minority stress and positive affect (PA), negative affect (NA), and anxious affect (AA). Multilevel analyses examined …

Perceptions Of Mental Health Among First Year College Students, Kelly N. Mcgowan

Honors Theses

College students are at risk for exposure to, exacerbation, and development of mental health issues. Exposure to and existence of historical stigmas and misconceptions is a portion of the hesitancy for this population to acknowledge symptoms and seek help. This hesitancy is often put in place by the media, in how they portray mental health Anxiety, mood, eating, psychotic, and substance abuse disorders are prevalent in this population. Colonel Campers are known for their involvement and retention at Eastern Kentucky University and are a representation for this at risk population. The participants were surveyed via a mixed quantitative and qualitative …

Making A Great Performance: A Step-By-Step Guide, Diego A. Rocha

Student Publications

This project is meant to synthesize the body of knowledge I gained from my First-Year Seminar and my own research into a practical guide for excellence in performance. In it I address a number of stages and steps necessary for successful performance and various ways of going about those. While it focuses more heavily on the performance of music, due to my background and my intention to become a music educator, much of the text can be used in any field.

Linking Emotional Distress To Unhealthy Sleep Duration: Analysis Of The 2009 National Health Interview Survey, Azizi A. Seixas, Joao V. Nunes, Collins O. Airhihenbuwa, Natasha J. Williams, Seithikurippu Ratnas Pandi-Perumal, Caryl C. James, Girardin Jean-Louis

Publications and Research

Objective The objective of the study was to examine the independent association of emotional distress with unhealthy sleep duration (defined as <7 or >8 hours). Methods Data from the 2009 National Health Interview Survey (NHIS), a cross-sectional household survey, were analyzed to investigate the associations of emotional distress with unhealthy sleep durations, adjusting for sociodemographic factors, health risks, and chronic diseases through hierarchical multiple logistic regression analysis. Participants A total of 27,731 participants (age range 18–85 years) from the NHIS 2009 dataset were interviewed. Measures Unhealthy sleep duration is defined as sleep duration <7 or >8 hours, whereas healthy sleep is defined as sleep …

Remediation Of Childhood Math Anxiety And Associated Neural Circuits Through Cognitive Tutoring, Kaustubh Supekar, Teresa Iuculano, Lang Chen, Vinod Menon

Psychology

Math anxiety is a negative emotional reaction that is characterized by feelings of stress and anxiety in situations involving mathematical problem solving. High math-anxious individuals tend to avoid situations involving mathematics and are less likely to pursue science, technology, engineering, and math-related careers than those with low math anxiety. Math anxiety during childhood, in particular, has adverse long-term consequences for academic and professional success. Identifying cognitive interventions and brain mechanisms by which math anxiety can be ameliorated in children is therefore critical. Here we investigate whether an intensive 8 week one-to-one cognitive tutoring program designed to improve mathematical skills reduces …

A Collective Case Study Of Expectant Father Fears, Robert Grand

Doctoral Dissertations and Projects

This qualitative, collective case study explored how men perceive fears of childbirth and level of preparedness to become fathers. An additional purpose of this study was to explore the perceptions of expectant and new fathers with regard to how the Boot Camp for New Dads (BCND) program helped them to alleviate pregnancy fears and develop preparedness to become a parent. Data collection consisted of semi-structured interviews and focus groups conducted after the participants completed a three-hour boot camp for the BCND program. Additionally, participants completed the Kessler-6, a short questionnaire designed to glean their perspectives of fears after the childbirth. …

Group Cognitive Behavioral Therapy Over Individual Cognitive Behavioral Therapy? A Meta-Analysis Of Effective Treatment Of Anxiety Disorders In Middle Childhood, Emily A. Edwards

Electronic Theses, Projects, and Dissertations

Anxiety is a commonly diagnosed disorder in middle childhood that affects many aspects of the child’s life. Effective treatment is needed so that children are able to experience fewer or no symptoms of anxiety and to manage anxiety. Cognitive behavioral treatment (CBT) is widely used as a treatment for children with anxiety. CBT can either be facilitated in an individual or group format but there are inconsistencies in the literature regarding which modality is most effective. A meta-analysis was conducted to compare the effectiveness of individual CBT (ICBT) and group CBT (GCBT) in treating school-aged children with anxiety disorders. Eligible …

How Fear And Anxiety In Response To Countertransference And Somatic Countertransference Impacted The Clinical Decision-Making Of A Dance/Movement Therapy Intern, Chelsie Batko

Creative Arts Therapies Theses

This artistic inquiry self-study explored how fear and anxiety, in response to countertransference and somatic countertransference, impacted the clinical decision-making process of a dance/movement therapy intern. Primary questions surrounding the research included: How did fear and anxiety, in response to countertransference and somatic countertransference, impact the clinical decision-making of myself as a dance/movement therapy intern? Was what I experienced, as a dance/movement therapy intern, both fear and anxiety? How did I physiologically experience and embody fear and anxiety in response to countertransference and somatic countertransference? Data were collected in the form of journal entries and video recorded movement and were …

Influence Of Maternal Childhood Adversity On The Psycho-Neuroendocrine-Inflammatory Profile During Pregnancy, Karen J. Kotz, Herbert L. Mathews, Linda Witek Janusek

Sigma Foundation for Nursing Research Grant Reports

The purpose of this study was to investigate the relationship among maternal childhood adversity, psychological, and neuroendocrine-immune processes during pregnancy; and to explore the impact of maternal stress on neonatal outcomes (birthweight and gestational age). In addition, the modifying effect of maternal social support was examined.

The Role Of Microrna In Trait And State Anxiety, Magdalena Jurkiewicz

Stony Brook Theses and Dissertations Collection, 2006-2020 (closed to submissions)

In humans and other animals, the amygdala has been shown to play a role in implicit emotional learning and memory, emotional modulation of memory, emotional influences on attention and perception, emotion and social behavior. Amygdala function has also been linked to personality traits and neuropsychiatric conditions, including anxiety disorders. The aim of the present study was to investigate the biological underpinnings of trait anxiety through a study of microRNA-mediated gene regulation, which was accomplished by global profiling of post-mortem human brain tissue from the lateral nucleus of the amygdala (LA). Gene expression in postmortem LA tissue from donors with known …

The Mental Health Of Children And Adolescents : Report On The Second Australian Child And Adolescent Survey Of Mental Health And Wellbeing, David Lawrence, Sarah Johnson, Jennifer Hafekost, Katrina Boterhoven De Haan, Michael Sawyer, John Ainley, Stephen R. Zubrick

Wellbeing

Based on a survey conducted in the homes of over 6,300 families with children and/or adolescents aged 4 to 17 years, this report presents a comprehensive picture of the mental health of young Australians. It documents the prevalence and type of mental health problems, the impact of those problems on families and young people themselves and the role of health and education services in providing assistance. While the primary sources of information were parents and carers, the survey also engaged directly with young people 11 years and older who completed their own survey. This information provides unique insights about aspects …

Learning To Learn And Naming Through Receptive And Expressive Identification, Kelli Perry

Dissertations

Poor or no language skills are typical of most preschool children with autism (American Psychological Association, 2013). Language can be divided into the two components of receptive, or listener, skills and expressive, or speaker, skills. Recommendations for sequencing language instruction vary across the different behavior-analytic instructional models (Lovaas, 1981; Barbara & Rasmussen, 2007; Sundberg & Partington, 1998; Sundberg, 2008). The current study sought to examine those recommendations using young children (three- to four-years-old) with limited vocal repertoires and to explore the acquisition of learning to learn (Harlow, 1949) and naming (Greer & Ross, 2007). This research (1) adds to the …

Intracranial Infusions Of Neurotensin Agonists Produce An Anxiolytic Profile In A Rat Ultrasonic Vocalization Model, Floyd F. Steele Iii

All NMU Master's Theses

Neurotensin (NT) is a peptide neurotransmitter that interacts with brain monoamine neurotransmitter systems. It has been demonstrated that neurotensin type 1 and type 2 receptor agonists influence animal models of psychological disorders and pain regulation, respectively. It has already been shown that the systemic administration of the selective neurotensin type 1 receptor agonist PD149163 can attenuate the number of fear-induced 22-kHz ultrasonic vocalizations (USVs) produced by male Wistar rats. A reduction in the number of 22-kHz USV calls is indicative of an anxiolytic effect. The current study used a USV model to evaluate the effects of PD149163 (0.1, 1.0, and …

The Effect Of Expert Role Modeling On Anxiety/Self-Confidence And Clinical Judgment In Novice Nursing Students, Cathy Lorraine Coram

Dissertations

No abstract provided.

Simulation Anxiety And Learning Styles, Karyl Lujean Yockey

Dissertations

No abstract provided.

Effects Of A Clinician Referral And Exercise Program For Men Who Have Completed Active Treatment For Prostate Cancer: A Multicenter Cluster Randomized Controlled Trial (Engage)., Patricia M. Livingston, Melinda J. Craike, Jo Salmon, Kerry S. Courneya, Cadeyrn J. Gaskin, Steve F. Fraser, Mohammadreza Mohebbi, Suzanne Broadbent, Mari Botti, Bridie Kent, Engage Uro-Oncology Clinicians' Group

School of Nursing and Midwifery

BACKGROUND: The purpose of this study was to determine the efficacy of a clinician referral and exercise program in improving exercise levels and quality of life for men with prostate cancer. METHODS: This was a multicenter cluster randomized controlled trial in Melbourne, Australia comprising 15 clinicians: 8 clinicians were randomized to refer eligible participants (n = 54) to a 12-week exercise program comprising 2 supervised gym sessions and 1 home-based session per week, and 7 clinicians were randomized to follow usual care (n = 93). The primary outcome was self-reported physical activity; the secondary outcomes were quality of life, anxiety, …

The Experience Of Recalling Christian Spiritual Songs On Affect Dysregulation In The Mood And Anxiety Disorders, Nancy J. Cochran

Doctoral Dissertations and Projects

Although existing treatment methods for the mood and anxiety disorders have improved the lives of many who suffer from these conditions, there remains a significant portion of the population for whom these methods are only partially effective or are ineffective entirely. The purpose of the present study was to explore the experiences of a spiritually-integrated music therapy intervention with a nonclinical population during times of affect dysregulation. Ten participants used this intervention over the course of a two-week period and were interviewed regarding their experiences. The results indicated that the participants were impacted in their biological, spiritual, social and psychological …

Ketamine For The Treatment Of Depression In Patients Receiving Hospice Care: A Retrospective Medical Record Review Of Thirty-One Cases., Alana Iglewicz, Katherine Morrison, Richard A. Nelesen, Tingting Zhan, Boris Iglewicz, Nathan Fairman, Jeremy M. Hirst, Scott A. Irwin

Department of Pharmacology and Experimental Therapeutics Faculty Papers

BACKGROUND: Depression is prevalent in patients receiving hospice care. Standard antidepressant medications do not work rapidly enough in this setting. Evidence suggests that ketamine rapidly treats treatment refractory depression in the general population. Ketamine׳s role for treating depression in the hospice population warrants further study.

METHODS: A retrospective medical record review of 31 inpatients receiving hospice care who received ketamine for depression on a clinical basis was conducted. The primary outcome measure was the Clinical Global Impression Scale, which was used retrospectively to rate subjects׳ therapeutic improvement, global improvement, and side effects from ketamine over 21 days. Additionally, time to …

Anxiety And Coping Mechanisms Among Hiv Positive Patients, Sreelekshmi R Ms

Manipal Journal of Nursing and Health Sciences

Introduction: HIV or human immunodeficiency virus infection breaks down body’s immune system. In India HIV infection is associated with stigma and open discrimination.This chronic illness can have much deleterious effect on the patients’ physiological and psychological status. Thus, identification of anxiety and different coping strategies adopted by these patients are of prime importance. Methods: A descriptive survey was carried out to collect data from150 HIV positive patients who were on antiretroviral therapy through simple random sample technique (lottery method); the state anxiety inventory and Dr Kiran Rao’s coping checklist were used for collecting data. Result: Findings of the study showed …

Moderators Of Acculturative Stress And Internalizing Problems In Hispanic/Latino Youth, Ashley N. Marchante

Open Access Theses

In the US, Hispanic/Latino youth are at especially high risk for experiencing anxiety and depression. Acculturative stress is one factor that has been linked to anxiety/depressive symptoms in Hispanic/Latino youth but few studies have explored factors that may influence this relationship. The current study examined (a) the relationship between acculturative stress and anxiety/depressive symptoms within a diverse sample of Hispanic/Latino youth, and (b) risk (age, gender, and parental SES) and protective (family function, friend support, and ethnic identity) factors that may moderate the relationship between acculturative stress and anxiety/depressive symptoms. Participants were 1,466 Hispanic/Latino youth, ages 8-16 years (M=11.85, SD=2.52), …

Assessing Behavioral And Emotional Avoidance In Adolescents: A Psychometric Validation Study, Sarah Michelle Kennedy

Open Access Theses

Avoidance, which may be either behavioral or emotional and is widely thought to be a maladaptive strategy for regulating emotions, is central to diagnostic conceptualizations of anxiety and depressive disorders. Both behavioral and emotional avoidance confer risk for and maintain symptoms of anxiety and depression, and change in avoidance is thought to be an important treatment mechanism. However, few existing measures of avoidance are appropriate for adolescents. The current study utilized exploratory factor analyses of two measures of avoidance in adolescents, employing an exploratory structural equation modeling framework: the Checklist of Avoidance Strategy Engagement for Adolescents (CEASE-A; Fairholme & Ehrenreich, …

Behavioral And Cognitive Changes After Early Postnatal Lesions Of The Rat Mediodorsal Thalamus, Zakaria Ouhaz, Saadua B-M'Hamed, Anna S. Mitchell, Abdeslem Elidrissi, Mohamed Bennis

Publications and Research

Early insults to the thalamus result in functional and/or structural abnormalities in the cerebral cortex. However, differences in behavioral and cognitive changes after early insult are not well characterized. The present study assessed whether early postnatal damage to mediodorsal nucleus of the thalamus (MD), reciprocally interconnected with the prefrontal cortex, causes behavioral and cognitive alterations in young adult rats. Rat pups at postnatal day 4 received bilateral electrolytic lesion of MD, or aMD Sham lesion or were anesthetized controls; on recovery they were returned to their mothers until weaning. Seven weeks later, all rats were tested with the following behavioral …

A Multimethod Assessment Of Emotion Regulation And Associations With Anxiety Symptoms In A Clinical Sample Of School-Age Youth, Emily Laird Bilek

Open Access Dissertations

There is a wealth of research demonstrating the relationship between emotion regulation deficits and anxiety symptoms (Zeman, Shipman & Suveg, 2002; Penza-Clyve & Zeman, 2002; Suveg & Zeman, 2004). However, rigorous investigations incorporating multimethod assessments of emotion regulation are rare (Adrian, Zeman & Viets, 2011; Thompson, 2011a). Participants were 153 children, ages 6-13 (Mage = 9.39, 51.6% male), diagnosed with a clinical anxiety disorder. Analyses indicated significant convergence between parent- and child-report of dysregulation, and between informant and observer-reports of dysregulation. No other convergence was observed. Examinations of divergence across parent- and child-report of youth inhibition, dysregulation and coping indicated …

The Effects Of Injury And Displacement On Typhoon Yolanda Survivors, Crystel N. Chaparro, Alexis L. Mitchell

Electronic Theses, Projects, and Dissertations

This study was conducted with a group Filipino survivors of Typhoon Yolanda. It examines the effects of being injured or displaced as a result of the natural disaster on the effectiveness of a pilot project addressing depression, anxiety and hope. Eight adults (N = 8) completed a series of five workshops along with a pre and post questionnaire. Those that were displaced, exhibited a reduction in depression (24%), a reduction in anxiety (12.8%), and an increase in hope (14.78%) after completing the workshops. Furthermore, the individuals that were injured experienced a reduction in anxiety (22.7%), an increase in depression (28.48%), …

Research Brief: "Alcohol Use And Craving Among Veterans With Mental Health Disorders And Mild Traumatic Brain Injury", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the relation between alcohol craving and mental health disorders among veterans, and how mental health disorders impact alcohol cravings. For policy and practices, the research shows that alcohol cravings and mental health disorders among veterans could be a sign for risk of alcohol use disorder. It also shows that the VA should assess veterans for alcohol use disorder, and also research more ties between mental health disorders and alcohol use. Suggestions for future research include conducting the study in a larger, more representative population, as well as involving families in measuring alcohol use/cravings to ensure less …