Digital Commons Network^™

Screening And Treatment Protocols Used In Nicus Across Minnesota For Perinatal Mood & Anxiety Disorders (Pmads), Rachael Witt

Journal of Justice-Informed Social Work Practice and Research

Parents of infants with prolonged neonatal intensive care unit (NICU) hospitalizations are a population that is overlooked in recommended routine screening for perinatal mood and anxiety disorders (PMADs), yet this population is at greater risk for developing diagnosable mental health disorders. Previous research shows that across the US, PMAD screening and treatment practices vary widely, with many NICUs not providing any routine PMAD screening, psychoeducation, or treatment options to parents. The objective of this study was to explore the current mental health screening and treatment protocols used in NICUs across the state of Minnesota to learn if there are areas …

Subjective Sleep Disruption, Coping, And Anxiety And Related Symptoms In The Perinatal Period: Findings From A Longitudinal Study, Rebecca C Cox, Caroline P Hoyniak, Jack Samuels, Jonathan S Abramowitz, Gerald Nestadt, Eric A Storch, Rashelle Musci, Paul Nestadt, Lauren M Osborne, Mary Kimmel

Faculty, Staff and Students Publications

Study objectives: Anxiety is common during the perinatal period and is associated with adverse maternal and infant outcomes, highlighting a need to identify predictors of perinatal anxiety. Accumulating research implicates sleep disruption in perinatal anxiety and related symptoms, including obsessive-compulsive symptoms. We examined the associations among insomnia symptoms and sleep duration with perinatal anxiety, obsessive beliefs, and obsessive-compulsive symptoms and the moderating role of coping from pregnancy through postpartum.

Methods: A sample of 231 women (agemean = 32.97 ± 4.36 years; 74% white) completed interview and self-report measures of sleep, coping, perinatal anxiety, obsessive beliefs, and obsessive-compulsive symptoms in early …

Depression And Anxiety In Pulmonary Hypertension Associated With Congenital Heart Disease: Pathophysiology And Clinical Implications Of The Heart–Brain Axis, Nicodemus N. Triatmojo, Valerinna Y.S. Putri

Journal of the Saudi Heart Association

Pulmonary hypertension associated with congenital heart disease or PH-CHD is an increasingly prevalent disorder in modern cardiology. It is characterized by progressive pulmonary vascular remodeling, chronic right ventricular (RV) pressure overload, and abnormal cardiopulmonary hemodynamic. Due to advances in congenital cardiology and treatments for pulmonary hypertension, survival rates have increased. As a result, the focus has switched to long-term functional status and quality of life. Depression and anxiety are currently recognized as prevalent and clinically significant manifestations in PH-CHD; nonetheless, they remain underdiagnosed and undertreated within cardiovascular care frameworks.

More study shows the disease's severity or symptom count cannot explain …

Immigration-Related Sociopolitical Stress, Mental Health, And Tobacco Use Among Mexican American College Students, Seth R. Schwartz, C. Nathan Marti, Liza Talavera-Garza, Caroline E. North, Qingua Yang, Dhiraj Murthy, Srishty Arora, Anna V. Wilkinson, Alexandra Loukas

Psychological Science Faculty Publications

Sociopolitical stress associated with the policies and rhetoric coming from recent U.S. presidential administrations is of particular concern vis-à-vis Hispanic individuals, who have been disproportionately targeted for detention and deportation. Such stress may be associated with symptoms of depression and anxiety, and ultimately with tobacco use. However, there is a paucity of research examining how sociopolitical stress is associated with mental health problems and substance use among Hispanic emerging adults. Accordingly, the present study was designed to examine the extent to which, within a sample of Mexican American college students, sociopolitical stress would be linked with tobacco use indirectly through …

Examining The Moderating Roles Of Religious Coping And Belonging In The Relationship Between Moral Injury, Depression, Anxiety, And Stress Within The Israeli Defense Forces Reservist Soldiers, Rotem Z. Moshe

Electronic Theses and Dissertations 2020 - Present

This study examined the moderating roles of religious coping and belonging in the relationship between moral injury and psychological distress, among Israeli Defense Forces (IDF) reservist soldiers. This study investigated whether religious coping predicted moral injury, depression, anxiety, and stress, and examined whether religious coping and belonging moderated the relationship between moral injury and psychological distress. Exposure to potentially morally injurious events during military service is associated with increased risk for adverse mental health effects, particularly in times of prolonged conflict. Research on protective factors that mitigate these outcomes remains limited. Pointed by religious coping and belongingness frameworks, this study …

Gender Differences In The Prevalence Of Anxiety And Post-Traumatic Stress Disorder And Associated Factors Among Adults In Sub-Saharan Africa: A Systematic Review And Meta-Analysis, Basil Masinza, Amina Abubakar, Joy Mukubuyi, Patrick Mwangala

Institute for Human Development, East Africa

Background: Sex and gender equity in research has a growing focus, but there are gaps in fully integrating it in mental health research, limiting adoption of sex and gender-sensitive interventions. This review adopted a gendered perspective to synthesize prevalence and associated factors contributing to differences in anxiety and PTSD in SSA.

Methodology: Electronic search was conducted in PubMed, PsycINFO, CINAHL, Scopus, Web of Science databases. Empirical studies conducted in SSA, targeting adults >18 years and having gender-disaggregated anxiety and PTSD prevalence and factors were included. Meta-analysis of proportions stratified by sex was done, and narrative synthesis of the …

Mindfulness To Reduce Psychotropic Prescriptions In Home-Based Elderly Patients, Mojisola Akinola Olusegun

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Home-based adults aged 65 years and older receiving care at a community behavioral health center exhibited high psychotropic polypharmacy, with over 80% prescribed two or more psychotropic medications, exceeding The Center for Medicare and Medicaid services (CMS) guidance for safe use. This pattern heightened risks for adverse drug events, functional decline, and avoidable healthcare utilization, while exposing a practice gap characterized by underuse of non-pharmacologic interventions.

Aim of the Project: The Doctor of Nursing Practice (DNP) project aimed to determine whether integrating a structured Mindful Breathing and Meditation (MBM) program into routine services could reduce psychotropic medication burden …

The Moderating Effect Of Dietary Fiber And Protein On The Relationship Between Symptoms Of Depression And Anxiety And Cognitive Decline, Samantha L. Gardener, Hilal Salim Said Al Shamsi, Stephanie R. Rainey-Smith, Hamid R. Sohrabi, Kevin Taddei, Colin L. Masters, Ralph N. Martins, W. M.A.D. Binosha Fernando

Research outputs 2022 to 2026

Introduction: Depression and anxiety often co-occur with Alzheimer's disease, exacerbating the associated cognitive impairment. This study examined moderating effects of dietary protein and fiber intake on relationships between depressive and anxiety symptoms, and cognitive decline.

Methods: Cognitively unimpaired (n = 553; 39.4% male, 70.6 ± 9.6 years) provided baseline fiber and protein intake, and had repeated cognitive testing and symptoms of depression/anxiety measured (baseline and up to eight follow-ups over 144 months). Moderation and simple slope analyses were employed in the cohort as a whole and following stratification by sex.

Results: Fiber intake moderated the relationship between change in depressive …

An Inseverable Link To The Outside: Describing Shifting Food Consumption Patterns And Predicting Food Dysregulation During Covid Lockdown, Andrew F. Baird, Andria D. Timmer, Morgan E. Miller

The Journal of Public and Professional Sociology

This study examines how COVID-19 lockdown shaped household food practices and contributed to food dysregulation, defined as anxiety, stress, indecisiveness or impulsivity surrounding diet. We conducted a mixed-methods community survey of Newport News, Virginia (n ≈ 400), administered shortly after the March–May 2020 lockdown. Open-ended responses revealed widespread disruption of food routines, with participants describing heightened anxiety about shopping, increased meal planning, stress-related snacking, and difficulties maintaining healthy diets. These qualitative themes were systematically mapped to survey items, yielding a composite Food Dysregulation Index and predictors spanning life circumstances, income strain, and food-related behaviors. Regression analyses showed that meal planning …

The Impact Of Modern Police Equipment And Training On Reported Anxiety And Depression Of Police Officers, Matthew Roy Burford

Doctoral Dissertations and Projects

This quantitative study investigated the relationships among law enforcement officers’ access to modern equipment, their confidence in their training, and their reported levels of anxiety and depression. The study also tested whether confidence in training moderated the association between equipment and mental health outcomes. Mental health symptoms were measured using the Beck Depression Inventory (Beck et al., 1961) and the Beck Anxiety Inventory (Beck et al., 1988). Two researchers-developed instruments to assess officers’ perceived adequacy of their equipment and confidence in their training. Participants were recruited from law enforcement agencies across the Dallas–Fort Worth metroplex, and data were collected through …

Understanding The Impact Of Minority Stress On Mental Health Among Racially And Ethnically Diverse Adults: Insights From A Daily Diary Study, Ruba S. Rum

USF Tampa Graduate Theses and Dissertations

Minority stressors are theorized to contribute to mental health disparities for racial and ethnic minority individuals. While prior research links distal (i.e., external) and proximal (i.e., internal) minority stressors to adverse psychological outcomes for racial and ethnic minority groups, most studies have relied on cross-sectional designs that limit understanding of the immediate and short-term effects of minority stressors and potential protective factors in daily life. To address this gap, the present study examined the within-person daily associations between distal (interpersonal and vicarious discrimination, microaggressions) and proximal (internalized stigma, anticipation of rejection, identity management) minority stressors and psychological outcomes. Racial and …

Online Harassment And Mental Health Among Collegiate Student-Athletes: Findings From An Ncaa Division I Conference Survey, M. Courtney Hughes, Michelle K. Demaray, Emily A. Skiba, Sarah E. Warriner

Journal of Issues in Intercollegiate Athletics

Social media is central to college athletics, yet public visibility can expose collegiate student-athletes to online harassment, a risk the NCAA has recently highlighted by documenting sizable volumes of abusive, discriminatory, and betting-related content directed at athletes and officials. This study surveyed 85 NCAA Division I student-athletes from ten universities across the Mid-American Conference and assessed social-media behaviors, online harassment exposure, depression, and anxiety. Most athletes used social media 1–3 hours/day, 78% enabled name-mention alerts, and platforms commonly used included Instagram (98.8%) and X (65.9%). Online harassment was reported via social posts (9.4%), direct messages (4.7%), and texts (3.5%), with …

Examination Of Gastrointestinal Visceral Sensitivity In The Maintenance Of Restrictive Eating Disorders, Kendall N. Poovey

USF Tampa Graduate Theses and Dissertations

Aversive conditioning theories of restrictive eating disorders propose that gastrointestinal (GI) visceral sensitivity (i.e., hypervigilant monitoring and worry about GI sensations) is implicated in the maintenance of restrictive eating disorders (i.e., anorexia nervosa [AN], atypical anorexia nervosa [AAN], and avoidant/restrictive food intake disorder [ARFID]). Specifically, a negative reinforcement process is posited in which disordered eating behaviors (e.g., restriction, purging) help to mitigate or avoid GI-related distress, and are thereby reinforced. However, this theorized process has yet to be tested. For the current study, participants from the University of South Florida and surrounding Tampa community who screened positive for a restrictive …

White Matter Microstructure Of Sensorimotor Projection Fibers In Chronic Low Back Pain, John R. White, Jennifer M.C. Vendemia, Zachary Baty, Sheri Silfies, Stephen A. Coombes

Faculty Publications

Introduction: 

Chronic low back pain (cLBP) is linked to altered cortical sensorimotor structure and function, yet white matter microstructure in sensorimotor projection fibers remains poorly characterized. Objective: To address this gap, we used diffusion MRI to comprehensively characterize sensorimotor projection fibers in 44 patients with cLBP and 41 matched healthy controls.

Methods: 

We estimated an array of microstructural measures, including fractional anisotropy (FA), extracellular free water fraction (FW), free water–corrected FA (fwcFA), and neurite orientation dispersion and density imaging (NODDI) metrics.

Results: 

General linear models identified significantly higher FA and fwcFA and lower orientation dispersion index (ODI) in cLBP vs …

Reducing The Complexity Of The Experimental Design Attenuates Trait-Level Effects In Threat Safety Discrimination Learning, Justin M. Lazzarino

Dissertations, Theses, and Capstone Projects

Trait measures of negative emotionality have sometimes been shown to play a role in shaping threat learning, but findings are mixed. For example, Johnson et al (2023) showed that the inhibitory and prospective subscales of the Intolerance for Uncertainty Scale (IUS) were associated with diminished and enhanced threat-safety discrimination, respectively, during the acquisition phase of a Pavlovian fear conditioning task. This finding was subsequently replicated in an independent sample (Kinney-Petrucha, 2024, unpublished). However, these findings and other trait-level fear acquisition effects have not been consistently observed in the broader fear learning literature. Variation in the complexity of or uncertainty inherent …

Exercise Therapy For Mood Disorders In Retiring/Former Athletes, Christian Antos

Dissertations

This dissertation examined the potential integration of exercise therapy and psychotherapy as a treatment approach for mood-related difficulties experienced by former elite athletes during the transition out of competitive sport. Retirement from athletics is often associated with significant biopsychosocial challenges, including disruptions in identity, healthy routines, social support, and emotional well-being. Existing literature suggests that exercise may serve as an effective adjunctive intervention for improving mood and overall psychological functioning, though limited research has explored its application among retiring athletes within psychotherapeutic contexts. This literature review synthesized current research related to athletic retirement, neurobiological mechanisms associated with physical activity, and …

Facilitators And Barriers That Exist For Patients Receiving Dental Care In Rural Communities, Monse Sandoval Brumbaugh

University Honors Theses

Rising healthcare costs and limited access to care have exacerbated the shortage of healthcare providers. Although multiple factors contribute to a clinician’s preference for practicing in rural areas, the imbalance created leads to rural communities with significantly reduced access to essential services, particularly dental care. The disparity between urban and rural healthcare is a well-documented global problem, but it remains a pressing issue in the United States, particularly in Oregon. The Full Time Equivalents (FTE) count of full-time practicing dentists in rural regions is significantly lower than in urban areas. Statewide, there are about 0.48 dentists per 1,000 residents. However, …

Perinatal Mental Health Screening And Care Among Those With Pregnancy Complications, Alison N Goulding, Terri L Fletcher, Emily S Miller

Faculty, Staff and Students Publications

Perinatal mental health conditions are common and, without effective treatment, can contribute to adverse maternal and child outcomes. In the United States, mental health conditions are a leading cause of maternal morbidity and mortality, contributing to over 20% of pregnancy-related deaths. This expert review aims to assess current literature and provide recommendations regarding mental health care in high-risk patients who experience pregnancy complications. Individuals experiencing pregnancy complications are at increased risk for perinatal mental health conditions, including depression, anxiety, and post-traumatic stress disorder, as compared to those with uncomplicated pregnancies. Despite this increased disease burden, there is limited research on …

The Impact Of Translated Phq-9 And Gad-7 Scales On Treatment Recommendations In An Adult Vietnamese Population: A 3-Month Primary Care Evaluation, Vivienne Bui

Doctor of Nursing Practice Final Manuscripts

Depression and anxiety are prevalent yet underdiagnosed in limited-English-proficient (LEP) populations due to language barriers, cultural stigma, and provider bias. Vietnamese-speaking patients are particularly vulnerable to under-recognition in primary care. This quality improvement project evaluated whether implementing Vietnamese-translated Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) tools would improve mental health diagnosis and referral rates. Guided by the Johns Hopkins Evidence-Based Practice Model, a pre–post design was conducted at a San Diego clinic from March 26 to June 26, 2025. Vietnamese-speaking adults (≥18 years) completed translated PHQ-9 and GAD-7 forms during intake. Providers used scores in conjunction with clinical …

Addressing Triggers Of Anxiety And Depression In A Mental Health Setting, Jacqueline Elos Wahito Kabukuru

Group: Samford University Moffett & Sanders School of Nursing

In order to improve coping capacity and clinical decision-making. This project evaluated the use of the 15-item Coping Adaptation Processing Scale (CAPS-15) alongside RAM’s four adaptive modes (physiological, self-concept, role function, interdependence) to assess coping responses to stressors and support individualized care planning in a mental health counseling setting.

Patient Treatment Compliance And Adherence In Monoplace Versus Multiplace Hyperbaric Oxygen Therapy Chambers, Prashan Gunasekera, Gaurav Narula, Ritika Saxena, Dawn Wankowski, Sarah Riutta, Laurie Gesell

Aurora GME

No abstract provided.

Comparison Of Patient Treatment Compliance And Adherence In Monoplace Versus Multiplace Hyperbaric Oxygen Therapy Chambers, Prashan Gunasekera Md, Gaurav Narula Md, Ritika Saxena Mph, Dawn Wankowski Ms, Sarah Riutta Phd, Laurie Gesell Md, Facep, Fuhm

Scientific Day

Background/Significance:

Hyperbaric oxygen therapy (HBOT) requires substantial patient commitment, often 20–40+ outpatient sessions, and premature discontinuation along with missed treatments are associated with poorer wound healing and limb salvage outcomes. Psychological and social determinants of health (SDOH) including anxiety, claustrophobia, and social connectedness, may influence adherence. Multiplace chambers allow peer interaction and continuous staff support that may mitigate anxiety, whereas monoplace chambers may increase perceived isolation. Limited data exists comparing treatment completion between chamber types.

Purpose:

To compare treatment compliance between monoplace and multiplace HBOT chambers and explore associations between adherence metrics in an outpatient hyperbaric program.

Methods:

A retrospective …

A Correlational Study Of Work-Related Factors On Private School Teachers’ Stress And Anxiety, Anna E. Guilliams

Doctoral Dissertations and Projects

The purpose of this correlational predictive study is to examine the factors of class size, hours worked during the week, and hours given to plan a week and determine if there is a predictive nature between these factors and perceived stress and anxiety in private school teachers. Determining the root causes of the rising rates of teacher stress is imperative to the future of the education system because teacher stress has a direct relationship to attrition, job satisfaction, teacher physical health, and job performance. A group of 115 private school teachers from a southern state participated in online surveys to …

The Role Of Faith In Coping With Mental Health Challenges In Late Life: A Phenomenological Study Of Religious Experience In The Aging Population, Krista Kelley

Doctoral Dissertations and Projects

Depression, anxiety, and suicidal ideation are significant concerns among older adults. These conditions are often neglected due to stigma, atypical symptom presentation, and medical comorbidities, resulting in increased healthcare utilization, heightened suicide risk, and emotional dysregulation. Psychosocially, these challenges obstruct a successful resolution of Erikson’s final stage, ego integrity versus despair, leading to dissatisfaction, regret, and reduced well-being. Although previous research has suggested a link between religious engagement and improved mental health outcomes, few studies have explored older adults’ lived experiences of faith in coping with mental health. This qualitative phenomenological study examined the experiences of 25 older adults regarding …

Psychological Impact Of Career Roles On African American Women: A Qualitative Study On The Long-Term Effects On Behavioral Health Providers' Field, Yolanda Seals-Stewart

Doctoral Dissertations and Projects

There is an untold narrative regarding the levels of stress, anxiety, and depression. This leaves a gap in researchers understanding systemic, cultural, and social factors that shape mental health outcomes in a unique way. There is also a deeper need for exploration of resiliency and coping skills strategies utilized by African American women in the behavioral health field, as well as how behaviors such as discrimination, workplace dynamics, and microaggression impact the overall psyche. By addressing these gaps, a more thorough understanding of the long-term psychological effect can be addressed, and these women can receive support mechanisms and interventions that …

Exploring The Impact Of Cultural Beliefs On Death Anxiety: A Qualitative Study To Inform Healthcare Education And Practices, Sharon Sonnilal

Doctoral Dissertations and Projects

A hermeneutic phenomenological approach framed this qualitative study, examining how cultural beliefs, spiritual traditions, and relational contexts shape death anxiety and meaning-making among adults from diverse backgrounds. Terror Management Theory and Culturally Sensitive Grief Treatment guided the conceptualization of death anxiety as a culturally mediated and relational phenomenon rather than an isolated psychological response. A purposive sample of 13 adults aged 18 and older represented diverse cultural, racial, gender, and spiritual identities. Recruitment occurred via Instagram, and participants completed an open-ended demographic and narrative survey. Participants who provided rich survey narratives received invitations to complete semi-structured Zoom interviews to deepen …

Building Resilience: Empowering Baccalaureate Nursing Students For Enhanced Well-Being And Success, Jessica Imrie Dnp, Emily Nowak Phd, Roxanne Wilson Phd

InnovateHER Meeting 2026

Providing baccalaureate students with resilience-building modules such as stress management, mindfulness, optimism, socialization, and reflection can increase psychological well-being and success through a nursing program. It can also decrease the number of meetings faculty have with students regarding psychological concerns

Cognitive Behavioral Therapy-Based Psychosocial Interventions To Reduce Anxiety After Social Isolation In Adolescent Females, Bailey E. Noble

InnovateHER Meeting 2026

• COVID-19 social isolation linked with higher anxiety risk in adolescents, especially females
• Review examined whether CBT-based psychosocial interventions reduce anxiety after pandemic-related loneliness/social isolation
• Across 6 studies, remote and internet-delivered CBT linked with anxiety improvement 
• Strongest outcomes seen with therapist-assisted CBT
• Common barriers: privacy, motivation, scheduling, and digital access
• Nursing relevance: early screening, referral, and support for treatment participation

Acute And Chronic Oral Administration Of Cannabidiol-Dominant Cannabis Products: Sex- And Formulation-Dependent Effects On Anxiety-Like Behavioral Patterns In Rats, Carlos R. Maestas-Olguin

Psychology ETDs

Interest in the anxiolytic-like effects of cannabidiol (CBD), the non-intoxicating phytocannabinoid found within the genus, Cannabis, has grown significantly in recent years. However, preclinical investigations of CBD’s anxiolytic potential often elect to forgo translationally relevant models that maximize external validity in favor of greater internal and mechanistic validity. As a result, the effects of relatively low dose (< 3mg/kg) oral CBD administration on anxiety-like behaviors are not yet fully characterized. The present studies examined the impact of two orally delivered CBD-dominant cannabis products – a “full-spectrum” formulation derived from the whole plant and a CBD isolate derived from the same chemovar – on innate defensive behaviors exhibited by adult male and female rats in various tests of anxiety. Results indicated that acute and chronic low dose oral CBD administration attenuated anxiety-like behavior in rats, regardless of sex or formulation. These findings extend the growing corpus of literature describing anxiolytic-like effects of CBD.

The Contribution Of Psychophysiological Stress Factors On Muscle Cramp Susceptibility, Lauren D. Levine

UNLV Theses, Dissertations, Professional Papers, and Capstones

Exercise-associated muscle cramps (EAMCs) are painful phenomenon that involves involuntary muscle spasms occurring during physical activity or directly after. 1 The landscape of the research on EAMC etiology has expanded from focusing on a single prevailing cause (e.g., hydration status) to a more holistic approach of how numerous factors contribute to the onset of neuromuscular fatigue, and the significance of each factor in those who suffer from EAMC. Following the multifactorial theory of cramp pathophysiology, this research sought to advance the knowledge of cramp susceptibility by investigating if there is a relationship between common psychophysiological factors like high anxiety, sleep …