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The Effects Of Validating And Invalidating Responses On Self-Reported Levels Of Anxiety, Leila Sachner

Electronic Theses and Dissertations

Given that validation and invalidation have been linked to internal factors contributing to anxiety disorders, it is important to further explore how validation and invalidation are associated with experiences of anxiety. The current study was designed to assess the association between validation/invalidation and anxiety among college students. Significant omnibus regression models emerged revealing that perceived invalidation accounted for 25.7% of the variance in self-reports of physiological anxiety symptoms and 27.6% of the variance in self-reports of generalized anxiety symptoms. A series of mixed-factorial ANOVAs revealed no main effect of experimental condition on emotional responses (anxiety, anger, arousal, valence), indicating that …

Psychometric Properties Of The Gad-7 Among College Students: Reliability, Validity, Factor Structure, And Measurement Invariance, Agnes E. White, Justin E. Karr

Psychology Faculty Publications

The GAD-7 (seven-item Generalized Anxiety Disorder Scale) is a brief, freely available questionnaire measuring anxiety, which is a common mental health problem among college students. The current study examined the psychometric properties of the GAD-7 among undergraduate students from a public midwestern university (n = 582; M = 19.0 +/- 1.0 years old; 79.4% women; 81.6% White) who completed the GAD-7, State-Trait Anxiety Inventory-Trait subscale (STAI-T), and Behavioral Inhibition and Activation Scale-Reward subscale (BIAS-R). The psychometric properties of two GAD-7 models were examined: a one-factor model, equivalent to a single total score, and a two-factor model, including cognitive-emotional and somatic …

A Model For Understanding Anxiety And Practices To Alleviate It As It Relates To Divine Sovereignty And Human Free Will, Patrick K. Prentice

All Electronic Theses and Dissertations

This research focuses on the lack of practices that address emotional anxiety in rural church attendees in Southwestern Iowa caused by the apparent absence of control over situations that require trusting divine sovereignty or human free will. The research theorized that the anxiety of rural church attendees in Southwestern Iowa is caused by inadequate control over adverse situations. As a result, adverse impacts were always considered harmful. However, according to Scripture, what an individual perceives as harmful is always used by God for their good in some manner. Thus, anxiety seems rooted in a desire to avoid perceived harm rather …

The Impact Of Nurse-Led Distraction Techniques On Pain And Anxiety During Cancer Treatment In Pediatric Oncology Patients: Examining Virtual Reality And Play Therapy, Alexis Abalos

Nursing | Student Research Posters

Children undergoing cancer treatment often experience pain and anxiety during procedures such as port access or peripheral catheterization. Nurse-led distraction techniques, including virtual reality and play therapy, have emerged as promising non-pharmacologic interventions to reduce pain and anxiety in pediatric oncology patients. Existing data from primary and secondary research articles reveal the effectiveness of virtual reality and play therapy on reducing pain, anxiety, and psychosocial distress in pediatric oncology patients receiving cancer treatment. This study proposes a quasi-experimental design involving 90 pediatric oncology patients aged 6–12 years diagnosed with leukemia. Participants will be placed in a nurse-led VR distraction, play …

Optimizing Electronic Health Record Capability To Provide Mindfulness Education To Oncology Patients Experiencing Anxiety, Cynthia Arcieri

DNP Scholarly Projects

Background: The impact of a cancer diagnosis is significant. In 2020, the Centers for Disease Control (CDC) reported over 1.6 million new cases of cancer (National Institutes of Health, 2023). Non-traditional approaches to supporting patients should be considered in providing high-quality cancer care. Mindfulness can help reduce stress reactions and may be beneficial for individuals with anxiety (Vinci et al., 2019). To best support patient care in the landscape of mobile health (mHeatlh) technology, it is essential to adopt best practices that promote patient engagement and empowerment.

Purpose: This quality improvement project aimed to provide oncology patients with a cognitive …

Reducing Stress Related To Injection Therapy: A Zen Bundle Approach, Valoree Bowen

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Background: Needle fear and stress are common barriers preventing adults from seeking necessary medical treatments, including intramuscular (IM) injection therapy. Research highlights the need for evidence-based interventions to mitigate this fear and improve patient experience.

Objective: This evidence-based pilot project included a Zen Bundle—an intervention incorporating shared decision-making, aromatherapy, and distraction—to evaluate the impact on stress reduction and patient satisfaction in a retail vitamin shop in North Texas.

Methods: The project utilized a pre-and post-intervention design over eight weeks. Participants completed pre-surveys assessing stress levels using a Visual Analog Scale before choosing an intervention (aromatherapy, distraction, or both) during IM …

A Demographic Description Of Children And Adolescents With Concomitant Autism And Anxiety Along With A Comparison Of Receipt Of Psychological Services, Elizabeth Salt, Amanda T. Wiggins, David N. Toupin, Emma Parks, Chizimuzo Okoli, Mary Kay Rayens

Biostatistics Faculty Publications

Objective:(1) Evaluate differences in demographic distributions between those with autism alone and those with autism concomitant with anxiety and (2) assess demographic factors associated with receipt of psychological therapy in patients with autism.Methods:Using deidentified health care claims data, we extracted all encounters among children with the International Classification of Diseases-10-CM for Autism Spectrum Disorder (F84) and flagged those with concomitant anxiety (F41.9). Extracted data included age, sex, race, ethnicity, insurance status, and Rural-Urban Continuum Codes. Current procedural terminology codes for psychological services were extracted. Data were analyzed using Mann-Whitney U tests, χ² tests of association, and logistic regression.Results:Demographic differences …

Resilience And Its Effects On Psychological Well Being During The Covid-19 Pandemic, Taylor Reinsel

Honors Theses

Stressors and trauma in life are unavoidable. However, the way we respond and adapt to them can be within our control. This response differs from person to person, but there are factors that can influence the likelihood of an individual rebounding from a crisis, as well as factors that can put them at a higher risk of developing mental illness. One of the main factors that influences Psychological Well Being is the presence of Resilience.

The main goal of this study was to examine how factors of Resilience relate to Psychological Well Being and COVID-19 Well Being during the COVID-19 …

Emotion Processing In Adolescents With Epilepsy And Healthy Controls Using Multi-Modal Neuroimaging, Frances Kathryn E. King

Bioengineering Dissertations - Archive

Epilepsy is increasingly recognized as a disorder not only of seizures but also of widespread network dysfunction, impacting cognitive and emotional processing. One critical cognitive process affected in epilepsy is emotional conflict processing, which relies on the interplay of multiple brain networks. However, the spatiotemporal dynamics of emotional conflict processing in epilepsy, particularly in adolescents, have remained poorly understood. This dissertation investigated the neural mechanisms underlying emotional conflict processing in typically developing adolescents and adolescents with epilepsy using magnetoencephalography (MEG). The first study elucidated the spatiotemporal profile of emotional conflict processing in 24 typically developing adolescents using magnetoencephalography (MEG). Cluster-based …

The Rise And Fall Of Religion: An Agent-Based Model Of Secularisation, Security And Prosociality, Ivan Puga-Gonzalez, F. Leron Shults, Ross Gore, Konrad Talmont-Kaminski

Center for Secure and Intelligent Critical Systems (CSICS) Publications

The relationship between religion, society, and individual behaviour has been a subject of extensive inquiry, drawing upon a rich collection of historical and contemporary perspectives. The scientific study of religion at the social level has often found its roots in the foundational work of Durkheim (Durkheim, 1912), who posited that religion serves as a catalyst for social order and the promotion of prosocial behaviour. At the same time, Malinowski’s observations regarding the connection between ritual and anxiety have led to a number of lines of inquiry that have come to extend to other aspects of religion. Yet, taken together, these …

A Quantitative Study Comparing The Effects Of Physical And Digital Mandala Coloring On Anxiety In High School Students, Amy Bainton

Art Therapy | Master's Theses

Through the frameworks of Solution-Focused School Counseling (SFSC) and art therapy, this quantitative research paper compared the potential effects of using a physical versus a digital mandala coloring page with high school students experiencing test anxiety before a final exam. Participants took part in one of two experimental tasks before taking their exam, where they either used colored pencils to color a preset mandala or used a cellphone-based website to color in a mandala digitally. Participants completed a brief pretest-posttest State-Trait Anxiety Inventory (STAI) and answered an independent questionnaire to further understand their experience after artmaking. Data results were analyzed …

Sensory Processing And Anxiety In Bipolar Disorder, Lyric Arvizu

Graduate Theses/Dissertations

Past research suggests that individuals with bipolar disorder often experience differences in sensory gating and sensory processing, and similar patterns have been observed in anxiety disorders. Given that anxiety is highly comorbid with bipolar disorder, the present study examined how these conditions relate to self-reported sensory processing differences. A total of 132 participants (88 female), including 43 with bipolar disorder, were included in the final sample. Anxiety symptomatology was measured via the State-Trait Anxiety Inventory (STAI) Form Y. Sensory processing questionnaires included the Sensory Gating Inventory (SGI) and the Adult Sensory Processing Scale (ASPS). Correlations, t-tests, a multivariate analysis of …

Social Determinants Of Mental Health Outcomes, Ariana Fein

Honors Theses

Mental health disorders, particularly anxiety and depression, are a growing global concern with profound consequences on individuals' well-being and societal functioning. The burden of these disorders is not only psychological but also economic, affecting quality of life. Mental health outcomes are heavily influenced by a range of social determinants, such as financial status, education, and access to healthcare. While extensive research has focused on WEIRD (Western, Educated, Industrialized, Rich, Democratic) countries, there remains a significant gap in understanding how these determinants affect mental health in low-resource settings or non-WEIRD countries. This study aimed to address this gap by exploring the …

Anxiety And Self-Esteem In Adolescents And Young Adults Undergoing Bariatric Surgery, Julia Nikolajuk

PCOM Psychology Dissertations

Bariatric surgery, a medical procedure that alters an individual’s digestive system, has gained popularity in the last several years as a weight loss method. After this surgery, many individuals report improvements with their quality of life as they lose weight, change unhealthy eating patterns, experience a decrease in symptoms of depression, and gain a strong sense of self-esteem. However, research has found increased rates of depressive symptoms and patterns of disordered eating associated with obesity and bariatric surgery, but little research exists regarding anxiety and bariatric surgery with adolescents and young adults. The purpose of this study was to clarify …

Predictors Of Anxiety And Depression In Dental Students - A Nationwide Study, Margaret Xiaojiao Yang

PCOM Psychology Dissertations

Student mental health is a growing concern in higher education, particularly within rigorous clinical training programs. This study estimated the prevalence of anxiety and depression among U.S. dental students and examined associations with resilience and perceived institutional and faculty support. A cross-sectional survey was administered to more than 1,100 full-time students at over 30 accredited dental schools. The instrument collected demographics, the Brief Resilience Scale (BRS), the Generalized Anxiety Disorder–7 (GAD-7), the Patient Health Questionnaire–9 (PHQ-9), and four items assessing perceived support. Among respondents who completed the GAD-7 (n = 965), 43% scored ≥ 8, indicating probable generalized anxiety disorder. …

Exercise Interventions For Anxiety In Adolescents: The Mediating Role Of Anxiety Sensitivity And Self-Efficacy, Kendra Teraoka

Scripps Senior Theses

Although there is promising evidence suggesting that exercise can be an effective method for reducing anxiety, the research examining the underlying processes through which exercise relates to anxiety, especially among adolescents, is limited. The following study seeks to uncover whether 1) exercise has a significant direct impact on anxiety symptoms, 2) anxiety sensitivity mediates the relationship between exercise and anxiety, and 3) self-efficacy also mediates the relationship between exercise and anxiety. A sample of 103 high school students aged 15-17 years old will be assessed on measures of anxiety sensitivity, self-efficacy, and anxiety symptoms before and after the implementation of …

A Survival Horror Video Game's Impact On Visual Attention, Alicia D. Sprague

Honors Undergraduate Theses

The current study’s main research question was whether playing a survival horror video game increases the visual selective attention of a player. This project examined how visual attention and anxiety levels differ after playing a survival horror video game and whether an individual’s gaming preferences affect these concepts. The research consisted of the preliminary evaluation of participants’ visual attention abilities and anxiety levels through psychological tasks. Participants then played Resident Evil 4: Chainsaw Demo, the selected survival horror video game for this study. After playing the demo, participants repeated the previous psychological tasks, and their results were assessed. Results …

Comparative Efficacy Of Hallucinogens In Treating Mood Disorders Through A Meta-Analysis Of Symptom Reduction, Dosage, And Duration, John Marco D.F. Muniz

Honors Undergraduate Theses

Background: Hallucinogens including psilocybin, lysergic acid diethylamide (LSD), ketamine, N,N-dimethyltryptamine (DMT) (as ayahuasca), have re-emerged as potential rapid-acting treatments for mood disorders. We conducted a meta-analysis of placebo-controlled trials evaluating their efficacy in depression and anxiety disorders. Methods: A systematic review identified 12 trials (Total ≈ 670) meeting inclusion criteria (randomized, placebo-controlled). Data on Cohen’s d and Hedges’ g effect sizes for depression- and anxiety-related outcomes were extracted. We computed pooled effect sizes (weighted by sample size and inverse variance), performed subgroup analyses by drug, diagnosis, follow-up duration, and outcome measure type, and assessed heterogeneity (I², Q …

The Effects Of School-Based Menstruation Education Programs On Anxiety And Self-Efficacy In Adolescent Girls: A Systematic Review, Hannah C. Hart

Honors Undergraduate Theses

A significant global knowledge gap exists for adolescent girls regarding what constitutes a healthy menstrual cycle, proper menstrual hygiene practices, and the implications of reproductive maturity that is ushered in by menarche. This limited understanding can lead to poor health outcomes and the development of negative sentiments and beliefs surrounding the normal experience of menstruation.

This systematic review aims to comprehensively investigate the current state of research regarding the effects of school-based, formal menstruation education programs on adolescent girls, particularly the effects on anxiety and self-efficacy related to the management of menstruation. Furthermore, this work aims to take a stance …

Body Dysmorphic Disorder Presenting As Alopecia Anxiety: A Case Report, Henry Lim, Paige Loux, Arianne Felicitas, Marshall Hall, Christian Scheufele, Garrett Furth, Michael Carletti, Stephen Weis

North Texas Research Forum 2025

Background: Body dysmorphic disorder (BDD) involves a preoccupation with a nonexistent or insignificant physical defect that causes clinically significant distress and impacts a patient's daily functioning. We present a case of a patient with body dysmorphia that manifested as anxiety about hair loss. Case Information: A 48-year-old otherwise healthy female presented to the dermatology clinic with the chief complaint of 8 months of hair loss. She had been seen previously by 2 other dermatologists. She brought 28 pages of paperwork to her first appointment detailing previous work-up, including four separate skin punch biopsies consistent with androgenetic, non-cicatricial (non-scarring) alopecia. Other …

The Impact Of Nutrition On Depressive And Anxiety Symptoms In Adults, Joseph P. Galabit

Graduate Research Projects

No abstract provided.

Hypnosis: An Evidenced Based Treatment, Gregory P. Brown

Psychiatry & Behavioral Health Faculty Research

Review of meta analyses and systemic review level studies of hypnosis in the treatment of anxiety, burnout, and depression.

Navigating The Nexus Of Food Insecurity, Anxiety, And Depression In The Face Of Climate Change: A Longitudinal Study In Rural Kenya, Michael Goodman, Lauren Raimer-Goodman, Heidi M Hagen Mcpherson, Dawit Woldu, Shreela Sharma, Ryan Ramphul, Fridah Mukiri, Agnes Maigallo

Faculty, Staff and Student Publications

Objective: This study aims to address critical gaps in understanding the bidirectional relationships between food insecurity, anxiety, and depression in Meru County, Kenya. By employing a cross-lagged panel analysis, we seek to clarify these temporal dynamics, contributing to the design of targeted interventions that integrate food security and mental health in the context of climate change.

Methods: A cross-lagged panel analysis was conducted using data from 362 adult participants in a community-based empowerment program (2023) in Meru County, Kenya. Participants completed self-report measures of food insecurity, anxiety, and depression at two time points, 11 weeks apart.

Results: Food insecurity (T1) …

Maternal And Child Anxiety Symptoms: A Longitudinal Examination Of Parent-Related Indirect Pathways During Covid-19, Karamveer Kaur

Graduate Research Theses & Dissertations

The present study contributes to the current literature by examining specific parenting pathways (i.e., maternal hostility, overreactivity, laxness, warmth) that may be contributing to the transmission risk of anxiety symptoms from parent to child. Additionally, understanding these pathways during a context of high stress created by the COVID-19 pandemic may be particularly informative. Further, additional analysis explored the reverse direction, examining how child anxiety symptoms might influence parenting behaviors, providing a view of the bidirectional relationship between parent and child anxiety within the context of high stress. The survey data for this study were collected from a longitudinal study titled …

Anxiety And Adaptive Functioning In Young Adults: The Moderating Role Of Psychological Flexibility, Makenzie L. Kennedy, Jeffrey E. Cassisi

Honors Undergraduate Theses

Anxiety is highly prevalent among emerging adults and is associated with impairments in academic, social, and daily functioning. While previous research has documented strong associations between anxiety and adaptive functioning, the present study uniquely tested psychological flexibility as a potential moderator that may foster resilience and adaptive coping.

Undergraduate students (N = 522) from the University of Central Florida completed measures of anxiety (PROMIS-A, GAD-7, STAI-S), adaptive functioning (WHODAS 2.0), and psychological flexibility (COMPACT-23). Confirmatory factor analyses supported distinct but correlated latent constructs of anxiety and adaptive functioning. Due to poor subscale intercorrelations, the COMPACT-23 total score was modeled as …

The Relationship Between Mindfulness, Emotion Regulation, And Anxiety Levels Among College Students In Saudi Arabia, Tahani Aljuaid

Dissertations

Problem

Anxiety is one of the most common psychological issues affecting youth globally and is particularly prevalent among Saudi adolescents and college students. Studies in Saudi Arabia have reported anxiety rates ranging from 48.9% to 66.2% among adolescents and high levels of generalized anxiety among university students, especially females (Aldosary et al., 2023; Alhabeeb et al., 2023). Poor emotion regulation has been identified as a key factor associated with anxiety and other mental health difficulties. In recent years, mindfulness has gained attention as a protective factor that promotes better emotion regulation and reduces anxiety symptoms. Despite this growing recognition, there …

Exposure Therapy Consortium: Outcomes Of The Proof-Of-Principle Study, Jasper A J Smits, Jonathan S Abramowitz, Rebecca A Anderson, Joanna J Arch, Daniel Badeja, Snir Barzilay, Amanda N Belanger, Thomas Borchert, Emma Bryant, Alane S Burger, Laura J Dixon, Christina D Dutcher, Hayley E Fitzgerald, Bronwyn M Graham, Anke Haberkamp, Stefan G Hofmann, Jürgen Hoyer, Jonathan D Huppert, David Johnson, Baraa Q Kabha, Alex Kirk, Jürgen Margraf, Peter M Mcevoy, Bryan Mcspadden, Jill Newby, Michael W Otto, Santiago Papini, E Marie Parsons, Andre Pittig, Roxana Pittig, Winfried Rief, Svenja Schaumburg, Kiara R Timpano, Lena Waltemate, Andre Wannemüller, Cornelia Weise, Exposure Therapy Consortium

Faculty, Staff and Student Publications

Background: This paper reports on the outcomes of a proof-of-principle study for the Exposure Therapy Consortium, a global network of researchers and clinicians who work to improve the effectiveness and uptake of exposure therapy. The study aimed to test the feasibility of the consortium's big-team science approach and test the hypothesis that adding post-exposure processing focused on enhancing threat reappraisal would enhance the efficacy of a one-session large-group interoceptive exposure therapy protocol for reducing anxiety sensitivity.

Methods: The study involved a multi-site cluster-randomized controlled trial comparing exposure with post-processing (ENHANCED), exposure without post-processing (STANDARD), and a stress management intervention (CONTROL) …

The Effects Of Anxiety On Rock Climbing Performance In A Competition Setting, Jackson W. Miller

Cal Poly Humboldt theses and projects

The purpose of this study was to examine how anxiety affects rock climbing performance in a simulated competition setting. Anxiety is known to influence motor performance in athletic environments, often impairing fine motor coordination, decision-making, and movement efficiency. This research aimed to explore whether elevated competitive pressure would alter climb time, move count, and total mistakes made during bouldering performance. Fifteen intermediate climbers (V5 level) were recruited and completed three separate trials of the same route under varying conditions: (1) a control climb, (2) a self-competition trial where participants attempted to beat their own baseline time, and (3) a head-to-head …

Exploring Undergraduate Students’ Use Of Mental Health Applications: A Phenomenological Study, Chelsea D. Fullilove

Electronic Theses and Dissertations 2020 - Present

This phenomenological dissertation explored undergraduate students' lived experiences of using mental health mobile apps, AI, and other technology to manage mental health symptoms. The research focused on exploring three research questions: (a) perceptions of app effectiveness, usability, and features; (b) barriers and integration into mental health care routines; and (c) influences of privacy, peer influence, cultural backgrounds, and personal beliefs on app use.

Data were collected via purposive sampling through semi-structured interviews (N=12), each consisting of 15 open-ended questions, with students using a mental health app to improve their mental health. The interpretive data analysis was conducted by …

A Multilevel Framework For The Promotion Of Maternal Mental Health And Well-Being During The Perinatal Period, Jenn A. Leiferman, Jessica Walls Wilson, Charlotte V. Farewell, Chelsea Walker-Mao, James F. Paulson

Psychology Faculty Publications

Background: Depression and anxiety are prevalent in the perinatal period and may contribute to adverse maternal and child health outcomes. A focus on multilevel protective factors may be effective in promoting well-being and increasing quality of life (QOL) in the perinatal period while simultaneously reducing or preventing depression and anxiety symptoms. We tested a conceptual model that posits specific personal, social, and community factors affecting depression, anxiety, and QOL among pregnant and postpartum individuals.

Methods: Four hundred and thirty-eight pregnant or postpartum individuals completed a 121-item cross-sectional survey composed of validated tools that assessed multilevel protective factors, health behaviors, and …