Digital Commons Network^™

The Effects Of Controlled Breathing And Physical Postures On Anxiety And Stress In Mental Health Patients, Kristen Killingsworth

DNP Research Projects

Objective: Anxiety and stress are debilitating disorders that have been on the rise in recent years following the COVID-19 pandemic. Medication alone has not been shown to be successful in mitigating the disorders, necessitating research into other alternatives for anxiety and stress management. The purpose of this project was to assess if a single complementary and alternative medicine (CAM) relaxation session had an impact on stress and anxiety levels. Method: A comprehensive literature review was conducted to identify strategies for reducing stress and anxiety. Guided by the Holistic Care Model of Self-Regulation, the nurse-led CAM relaxation session was developed. The …

Nutrition Counseling Practices Among Psychologists, Wibecke Stromsnes

University of the Pacific Theses and Dissertations

There is a lack of treatment guidelines for how to address the impact of nutrition on clients’ mental health. Prior research is limited regarding psychologists’ practices of nutrition counseling and has mostly focused on practices of dieticians and medical doctors. The purpose of this study was to examine psychologists’ beliefs and attitudes about nutrition counseling, amount of training and use of nutrition counseling, self-rated knowledge in the use of nutrition counseling and perceived benefits and barriers to using nutrition counseling. Data was collected using an online survey of 76 licensed psychologists’ training in nutrition and use of nutrition counseling. Findings …

The Effects Of Yoga On Anxiety And Sleep Quality Levels Among College Students, Larisa Lucas Mullins

DNP Projects

Background: College students have poor sleep quality due to a newfound sense of freedom, exposure to new influences, or poor sleep hygiene (Dinis & Barganca, 2018). Specifically, evidence supports a correlation between sleep latency in onset or lack of nighttime sleep and increased anxiety (Dinis & Barganca, 2018). Yoga has been shown to decrease anxiety, stress symptoms, and depression (Mullen et al., 2021). Teaching yoga techniques and encouraging routine yoga practice to college students may improve sleep quality and decrease anxiety.

Purpose: This project's purpose was to evaluate the effect of yoga education and videos on sleep quality and …

Flora And The Cloud Maker: Exploring Burnout Through Animation, Tiffany Marin

Graduate Thesis and Dissertation post-2024

Flora and The Cloud Maker is a two-dimensional (2D) animated short film inspired by my personal experiences as a graduate student learning to balance work-life demands. Pursuing higher education has generated many unanticipated challenges. One of these challenges includes experiencing the state of psychological exhaustion, or “burnout”. Flora and The Cloud Maker’s purpose is to show that burnout is common, and recovery is possible. Many graduate students struggle with work-life balance, burnout, and anxiety in their daily lives. Through strong use of color theory and charming visuals, Flora and The Cloud Maker demonstrates that though the road to higher education …

The Mental Health Of Southeast Asian American Lgbtqia+ Adults, Phetsamone P. Phoummavong

Dissertations and Theses

The current study examines the prevalence of and relationship between mental health outcomes (depressive symptoms, anxiety) and adverse childhood experiences (ACEs) among a sample of Southeast Asian Americans (age: M = 26.6, SD = 4.0) who self-identified as sexual and gender minorities (e.g., gay, lesbian, bisexual, nonbinary, transgender, queer/questioning, intersex, asexual and plus [LGBTQIA+]) (n = 41). Our national online survey was co-developed with a partnering community-based organization (CBO), Mekong NYC, and was disseminated through Southeast Asian American and/or LGBTQIA+ serving CBOs, university-affiliated organizations, and relevant affinity groups.

Results indicate that participants in our sample who identified as female, …

Effect Of Handheld Finger-Grip Relaxation Technique On Post-Neurosurgery Patients’ Pain And Anxiety, Marwa Abdo

Nursing

Introduction: Post-neurosurgery patients often experience pain and anxiety. Handheld finger-grip relaxation helps the body, mind, and spirit to achieve relaxation. Objective: This study investigated the effect of a handheld finger-grip relaxation technique on pain and anxiety in postneurosurgery patients. Method: A quasi-experimental study of 160 patients was randomly assigned to either the intervention group (received the handheld finger-grip relaxation technique) or the control group (received standard care). The intervention group received the handheld finger-grip relaxation technique for 15 min twice daily for 3 days. The control group received standard care. Pain and anxiety were assessed using a visual analog scale …

Mental Health Impacts Of Covid-19 On U.S. Young Adults: A Thematic Analysis Of Depression, Anxiety, And Ptsd Experiences, Carol Meza, Viridiana Ortiz, Pedro Hernandez

School of Social Work Faculty Publications

This study explores the yet-to-be-fully-realized effects of the COVID-19 pandemic on mental health, particularly focusing on young adults between the ages of 18-39 years of age living in the United States during the COVID-19 pandemic. Employing a thematic content analysis, the study seeks to deepen our understanding of the impact of this novel virus on mental well-being, filling a gap in limited existing research. The theoretical framework in this study is the Disaster Response Cycle or the Disaster Response and Recovery Cycle, and it outlines the different phases that individuals and communities may experience during and after a disaster. The …

Healing From Toxic Perfectionism, Debra Theobald Mcclendon

BYU Studies

Perfect is the enemy of good.” This phrase is derived from a French proverb, yet it is most often attributed to the famous French writer Voltaire. It observes that those striving for perfection are their own worst enemies.1 Indeed, perfectionism is overly demanding of those who struggle with it. With its irrational and impossible demands, perfectionism can cause anxiety, create high levels of distress that inhibit learning and performance, damage relationships, and diminish the quality of life for otherwise highly competent and dedicated individuals. Perfectionism can be the main problem that leads someone to seek therapeutic services from a mental …

Frozen By Worry And Fatigue? A Mixed Methods Approach To Understanding The Lived Experiences Of Freezing Of Gait, Sarah M. Ghose

Theses and Dissertations

This study utilized a mixed methods emergent, phenomenological approach to (1) understanding the lived experience of freezing of gait for individuals diagnosed with Parkinson’s Disease and (2) determining the role of anxiety and sleep in freezing of gait outcomes. Participants included 13 adults diagnosed with Parkinson’s Disease (N=14 for qualitative data, N=13 for quantitative data; 23.1% female-identifying, 76.9% male-identifying) who were predominantly white (92.3%) with an average age of 69 years (SD = 6.73 years). Data collection consisted of semi-structured interviews, self-report measures, actigraphic sleep data, and salivary alpha amylase biomarker collection. Results are organized into …

Feasibility Of Using Somatosensory Input On Pediatric Patients Receiving Dental Treatment, Liara D. Vinson

Theses and Dissertations

Purpose: The aim of this randomized, cross-over designed feasibility study is to evaluate patient anxiety, patient cooperation, and patient acceptance of a vibrating weighted vest used during the restorative treatment compared to when no device is used.

Methods: Children aged 5 to 15 years, needing at least two appointments for restorative treatment requiring local anesthesia under basic behavior guidance techniques were recruited. Patients were randomly allocated to wearing a vibrating weighted vest at one of the appointments. At both appointments, behavior was evaluated using Frankl scores and anxiety was evaluated at the beginning and at the end of …

Witnessing Bullying And Internalizing Symptoms: The Influence Of Peer Relationships, Matthew Geisler

Graduate Research Theses & Dissertations

Bullying is a common problem in schools and has been associated with many different negative outcomes for students. While there has been considerable research examining students who are directly involved in bullying scenarios such as the bullies and victims themselves, less is known about the other students who witness bullying events at school. Bullying scenarios become more common at a similar time where peer relationships become more important in the daily lives of students as they begin to spend more time interacting with their peers. Positive peer relationships have been associated with positive outcomes for students and thus may serve …

Race-Based Stressors And Racial Trauma: The Moderating Role Of Parental Racial Socialization, Jessica S. Philip

Graduate Research Theses & Dissertations

Experiences of race-based stressors are linked with worse psychological outcomes for racial/ethnic minority individuals (e.g., Ferdinand et al., 2015). The way in which parents talk to their children about race (i.e., racial/ethnic socialization; RES) may exacerbate or buffer against the strength of this link (e.g., Keum & Ahn, 2021). Therefore, the present study examined the links between race-based stressors, RES, and psychological outcomes (i.e., depression, anxiety, stress, racial trauma) across multiple racial/ethnic minority groups. The present study also explored the different RES messages as potential moderators for the link between race-based stressors and outcomes, as well as differences in these …

An Exploration Of Anxiety And Depressive Symptoms Among Sexual And Gender Minority Young Adults Visiting A Drop-In Center For Youth Experiencing Homelessness, Lourence Misedah-Robinson, Laura Witte, Elizabeth Henneke, Madonna Land, Vanessa Schick

Faculty, Staff and Student Publications

Background: Research suggests that marginalized young adults, particularly sexual and gender minorities (SGM), face distinctive healthcare transition challenges. SGM often navigate a complex intersection of identities, experiences, and stressors that can contribute to mental health disparities. However, they often lack access to appropriate support and resources tailored to their needs, which can result in increased psychological distress. Drop-in centers are effective mental health interventions for marginalized communities. Therefore, we conducted a study to explore the healthcare access experiences and mental health outcomes of young adult SGM compared to their non-SGM counterparts.

Methods: We surveyed 151 young adults aged 18-25 who …

Introducing Mental Health Resources To Nurse Practitioner Residents, Tiffanie Bailey

Doctor of Nursing Practice Projects

This DNP Project identified the increased need for mental health resources after the COVID-19 pandemic. Studies showed the rate of anxiety, depression, and substance use has also been on the rise since the beginning of the pandemic. As the impact of the COVID-19 pandemic began to devastate the country mentally and physically, it became quickly apparent that additional resources to provide support for those suffering from mental illness were essential. This project aimed to introduce a Mental Health First Aid course within the Residency Program at the Center for Family Guidance. Participants were asked to complete a pre-test indicating their …

Increased Concern Of Suicide Behaviors In The Adolescent Population, Jaime Shareen-Porter Earle

Doctor of Nursing Practice Projects

This quality improvement project focused on addressing the concern for the increase of depression, anxiety, and self-harm behaviors among adolescents, which can lead to suicidal ideation and attempts. Suicide behaviors have increased among adolescents, and research revealed that suicide is the second leading cause of death in this population. An educational PowerPoint was presented to members of the community on suicide behaviors, how to identify the behaviors, and where to get support and resources in the community. Pre- and post-surveys were used to assess the participants' knowledge and confidence levels before and after project implementation. The surveys contained the same …

Associations Between Fatigue Impact And Physical And Neurobehavioural Factors: An Exploration In People With Progressive Multiple Sclerosis, L Connolly, S Chatfield, J Freeman, A Salter, Mp Amato, G Brichetto, J Chataway, Nd Chiaravalloti, G Cutter, J Deluca, U Dalgas, R Farrell, P Feys, M Filippi, M Inglese, C Meza, Nb Moore, Rw Motl, Ma Rocca, Bm Sandroff, A Feinstein

School of Health Professions

Background: Fatigue is common in people with multiple sclerosis (MS). Understanding the relationship between fatigue, physical and neurobehavioural factors is important to inform future research and practice. Few studies explore this explicitly in people with progressive MS (pwPMS). Objective: To explore relationships between self-reported fatigue, physical and neurobehavioural measures in a large, international progressive MS sample of cognitively impaired people recruited to the CogEx trial. Methods: Baseline assessments of fatigue (Modified Fatigue Impact Scale; MFIS), aerobic capacity (VO _2peak), time in moderate-vigorous physical activity (MVPA; accelerometery over seven-days), walking performance (6-minute walk test; 6MWT), self-reported walking difficulty (MS Walking …

Online Perceived Social Support And Its Association With Psychopathology In Rural And Urban Youth, Ellen Alexandra Knowles

Dissertations and Theses

Social support is a fundamental aspect of development throughout adolescence. It has been found to buffer against the negative impacts of stress and provide general benefits to one’s well-being. Youth today are exposed to a range of opportunities for socialization with peers, both in-person and online, including interacting with others through texting, social media, video games, and other digital means. These online interactions have begun to be investigated as accessible methods through which adolescents can connect with others and maintain healthy relationships. Furthermore, digital social networks may be most critical for youth from isolated communities, including those from rural areas. …

Developing An Occupation-Based Complex Intervention For Living Well With Anxiety In Parkinson's (Obtain-Pd), Christopher Lovegrove

School of Health Professions Theses

Background: Parkinson’s is the UK's second most common neurodegenerative condition, affecting approximately 175,000 people. Current anxiolytic medications are ineffective in treating anxiety in Parkinson’s. The most promising behavioural interventions have inconclusive and mixed results. Occupational therapy is effective at promoting participation in activities of daily living and is recommended in national guidelines. An evidence-based occupational therapy intervention for living well with anxiety in Parkinson’s does not exist.Aim: To design a new occupation-based complex intervention for living well with anxiety in Parkinson’s (OBtAIN-PD) in co-production with people with Parkinson’s (PWPs), care partners, and occupational therapists.Methods: A scoping review, conducted in line …

The Impact Of Psychological Strengths On Veteran Populations' Mental Health Trajectories During The Covid-19 Pandemic, Amanda Mccleery, Jonathan K Wynn, Derek M Novacek, Eric A Reavis, Damla Senturk, Catherine A Sugar, Jack Tsai, Michael F Green

Faculty, Staff and Student Publications

Purpose: Mental health trajectories during the COVID-19 pandemic have been examined in Veterans with tenuous social connections, i.e., those with recent homelessness (RHV) or a psychotic disorder (PSY), and in control Veterans (CTL). We test potential moderating effects on these trajectories by psychological factors that may help individuals weather the socio-emotional challenges associated with the pandemic (i.e., 'psychological strengths').

Methods: We assessed 81 PSY, 76 RHV, and 74 CTL over 5 periods between 05/2020 and 07/2021. Mental health outcomes (i.e., symptoms of depression, anxiety, contamination concerns, loneliness) were assessed at each period, and psychological strengths (i.e., a composite score based …

Determinants Of Medical Cannabis Use For The Treatment Of Anxiety: A Qualitative Study, Catherine Blasi

PCOM Psychology Dissertations

Anxiety is a disorder characterized by feelings of tension, excessive fear, and physiological changes. Specific classes of anxiety disorders have been recognized, including social anxiety disorder, generalized anxiety disorder, agoraphobia, specific phobia, panic disorder, and separation anxiety disorder. Cannabis is the most commonly used federal substance in the U.S. In recent years, medical cannabis has been increasingly utilized as a treatment option following approval in many U.S. states. At present, no literature addresses explicitly why individuals with anxiety choose to utilize medical cannabis as a treatment option instead of other longstanding treatment options, including psychotherapy and medication. Therefore, the purpose …

From Measurement To Performance: Psychometric Validity And Psychological Predictors Of Reserve Officer Training Corps Cadets’ Performance On The Army Combat Fitness Test, Ari Joseph Sapinsley

Graduate Theses, Dissertations, and Problem Reports (ETD)

Understanding the psychological and physical readiness of future military leaders is crucial for improving recruitment and retention. The U.S. Army faces increasing obesity rates and declining physical fitness among recruits, reducing the pool of eligible candidates and raising costs. The Reserve Officer Training Corps (ROTC), which commissions 59% of officers, has higher attrition rates than other sources, underscoring the need to identify psychological predictors of performance. This dissertation examines the psychometric properties of psychological instruments used to assess ROTC cadets and their relationship with Army Combat Fitness Test (ACFT) performance. Two research questions were explored: (1) What are the psychometric …

The Effect Of Presenting Concerns On Providers’ Assessment Of Patients' Suicide Risk, Alexandria Brunkow

Electronic Theses & Dissertations (2024 - present)

Objective: Suicide is the 10^th leading cause of death in the U.S. with nearly 50,000 people per year dying by suicide. Public health approaches to suicide prevention focus on screening people in primary and mental health care settings and offering treatment to those who screen positive. Research shows that mental health providers may not recognize risk factors for suicide and miss opportunities to screen patients who may be at risk. Providers’ mental representations of suicide risk may be influencing their perception of patient risk and contributing to low screening rates. This study used an experimental vignette case design to …

Utilisation Of Simulation-Based Learning To Decrease Student Anxiety And Increase Readiness For Clinical Placements For Speech-Language Pathology Students, Teresa Petrich, Brennen Mills, Abigail Lewis, Sara Hansen, Emily Brogan, Natalie Ciccone

Research outputs 2022 to 2026

Purpose: To investigate the use of two versions of a simulation-based learning experience (SBLE) to decrease speech-language pathology (SLP) students’ anxiety and increase their confidence and sense of preparedness for clinical placements. Method: Two cohorts of third-year SLP students (n = 33) participated in a mixed-methods study with each cohort completing one version of the SBLE. Participants completed pre- and post-program quantitative ratings of anxiety, confidence, and preparedness for clinical placements and participated in focus groups. Three clinical educators also provided qualitative data in debriefs and interviews. Result: Significant decreases in student ratings of anxiety, and increases in confidence and …

Lifetime Adversity Predicts Depression, Anxiety, And Cognitive Impairment In A Nationally Representative Sample Of Older Adults In The United States, Sangnam Ahn, Seonghoon Kim, Hongmei Zhang, Aram Dobalian, George Slavich

Research Collection School Of Economics

Objective: Although life stress and adversity have emerged as risk factors for mental health problems and cognitive impairment among older adults, prior studies on this topic have been cross-sectional and based on relatively homogeneous samples. To address these issues, we examined prospective associations between lifetime adversity and symptoms of depression, anxiety, and cognitive impairment in a nationally representative, longitudinal sample of older adults in the U.S. Method: We analyzed data from the Health and Retirement Study (1992-2016). The sample included 3,496 individuals (59.9% female), aged ≥64 years old (M age=76.0 ±7.6 years). We used the individual-level panel data and ordinary …

Relationship Between Spiritual Struggles And Health Outcomes In Adult Chronic Pain Patient Populations, Brianna Marie Todd

All-Inclusive List of Electronic Theses and Dissertations

Chronic pain affects about one-fifth of the worlds population. Although a biopsychosocial model is often applied, religious and spiritual factors are frequently neglected in the conceptualization of pain and its impact. Prior research has identified how religious and spiritual (R/S) struggles are associated with depression, pain catastrophizing, and pain disability in pain patients. However, few investigations have assessed how struggles affect the relationship between pain and well-being. The present study explored how R/S struggles affect the relationship between pain and well-being when tested as mediators and moderators, while accounting for the effects of age, gender, race, income, education, and religious …

Stepped-Care Cognitive Behavioral Therapy In Children On The Autism Spectrum With Co-Occurring Anxiety, Eric A Storch, Sophie C Schneider, Sean M Olsen, Ana C Ramirez, Leandra N Berry, Robin P Goin-Kochel, Morgan Mcneel, Abigail E Candelari, Andrew G Guzick, Sandra L Cepeda, Saira Weinzimmer, Robert G Voigt, Troy Quast, Wayne K Goodman, Alison Salloum

Faculty, Staff and Students Publications

This trial examined stepped-care cognitive-behavioral treatment (CBT) among 96 autistic youth with co-occurring anxiety. Step 1 included an open trial of parent-led, therapist-guided bibliotherapy. Step 2 was family-based CBT for those who did not respond to Step 1 or maintenance for those who did. Eighteen participants (28%) who completed Step 1 responded. Responders reported significantly lower pre-treatment anxiety, internalizing symptoms, and functional impairment than non-responders. After Steps 1 and 2, 80% of completers (55% intent-to-treat) were responders. Anxiety, impairment, and ASD-related impairments significantly improved. Youth in maintenance experienced faster improvement through post-treatment, though there were no group differences at 3-month-follow-up. …

Emotion Regulation Moderates The Prospective Association Between Ern And Anxiety In Early Adolescence: An Age-Specific Moderation Of Cognitive Reappraisal But Not Expressive Suppression, Jaron Xe Yung Tan

Biological Sciences

The increasing prevalence of anxiety problems during adolescence underscores the importance of a better understanding of the development of anxiety. While past research has highlighted a link between error responsivity, indexed by error-related negativity (ERN), and youth anxiety, the role of emotion regulation in the ERN-anxiety relationship remains unclear. We conducted a two-wave study with 115 healthy nine-12-year-olds, and found that expressive suppression (ES), an important emotion regulatory strategy, moderates the ERN-anxiety association. A larger T1 ERN predicted heightened T2 anxiety symptoms in those with higher ES. Interestingly, the moderating effect of cognitive reappraisal (CR), another important emotion regulatory strategy, …

Hepatocellular Carcinoma Surveillance May Be Associated With Potential Psychological Harms In Patients With Cirrhosis, Manasa Narasimman, Ruben Hernaez, Vanessa Cerda, Minjae Lee, Anubha Sood, Sruthi Yekkaluri, Aisha Khan, Lisa Quirk, Yan Liu, Jennifer R Kramer, Simon Craddock Lee, Caitlin C Murphy, Jasmin A Tiro, Amit G Singal

Faculty, Staff and Students Publications

Background and aims: The value of HCC surveillance is determined by the balance between benefits and harms; however, no studies have enumerated psychological harms.

Approach and results: We fielded surveys measuring psychological harms to patients with cirrhosis in a multicenter randomized trial of HCC surveillance outreach. All patients with positive or indeterminate surveillance results and matched patients with negative results were invited to complete surveys measuring (1) depression through the Patient Health Questionnaire-ninth version, (2) anxiety through State-Trait Anxiety Inventory, (3) HCC-specific worry through Psychological Consequences Questionnaire, and (4) decisional regret. Patients were classified into 4 groups: true positive (TP), …

The Why, When, Where, How, And So What Of So-Called Rapidly Acting Antidepressants, Alan F Schatzberg, Sanjay J Mathew

Staff and Researcher Publications

Developing antidepressants that are not only more effective but are rapidly acting is the Holy Grail for psychiatry. We review multiple issues that arise in determining rapid responses in antidepressant trials. The current status of purportedly rapid acting agents is first reviewed. Then, a number of key questions/issues are addressed: Is there a unifying definition for rapid response across studies? Should rapid response criteria be based on required measurable effects on overall improvement? On specific symptoms such as psychomotor retardation, depressed mood, or anhedonia? In associated symptoms such as anxiety or insomnia? When should onset be considered rapid-by Day 3? …

Associations Of Chronic Pain With Psychosocial Outcomes After Traumatic Brain Injury: A Nidilrr And Va Tbi Model Systems Collaborative Project, Robin Hanks, Jessica M Ketchum, Mackenzie Peckham, Mitch Sevigny, Angelle M Sander, Aaron M Martin, Stephanie Agtarap, Cynthia L Beaulieu, Librada Callender, Flora M Hammond, Jean Lengenfelder, Amanda R Rabinowitz, William C Walker, Jeanne M Hoffman, Cynthia Harrison-Felix, Risa Nakase-Richardson

Faculty, Staff and Students Publications

OBJECTIVE: To examine the differences in participation, life satisfaction, and psychosocial outcomes among individuals with traumatic brain injury (TBI) endorsing current, past, or no chronic pain.

SETTING: Community.

PARTICIPANTS: Three thousand eight hundred four TBI Model Systems participants 1 to 30 years of age postinjury classified into 1 of 3 groups based on their pain experience: current pain, past pain, no pain completed a Pain Survey at their usual follow-up appointment which on average was approximately 8 years postinjury.

DESIGN: Multisite, cross-sectional observational cohort study.

MAIN OUTCOME MEASURES: Sociodemographic and injury characteristics and psychosocial outcomes (ie, satisfaction with life, depression, …