Digital Commons Network^™

Excessive Exercise And Its Relationship To Social Appearance Anxiety And Difficulties In Emotional Regulation, Ciaran D. Brown, Hannah Fitterman-Harris Dr

The Cardinal Edge

Background: Excessive exercise is characterized as an eating pathology symptom, often described as an addiction, with typical symptoms of addiction observed such as increased tolerance (i.e., more exercise needed for the same effects), continuation despite acknowledged negative effects, social withdrawal, and withdrawal symptoms when the behavior is discontinued. Our research sought to further understand this phenomenon by exploring its relationship with other characteristics common to eating disorder patients. One such characteristic chosen for this project was Social Appearance anxiety, which is described as a fear or excessive worry about the way you appear to other people, including fears of positive …

Acute Ethanol Modulates Synaptic Inhibition In The Basolateral Amygdala Via Rapid Nlrp3 Inflammasome Activation And Regulates Anxiety-Like Behavior In Rats, Soumyabrata Munshi, Lucas Albrechet-Souza, Raoni Conceição Dos-Santos, Claire E. Stelly, Maria E. Secci, Nicholas W. Gilpin, Jeffrey G. Tasker

School of Graduate Studies Faculty Publications

Chronic alcohol exposure leads to a neuroinflammatory response involving activation of the nucleotide-binding oligomerization domain-like receptor protein 3 (NLRP3) inflammasome and pro-inflammatory cytokine production. Acute ethanol (EtOH) exposure activates GABAergic synapses in the central and basolateral amygdala (BLA) ex vivo, but whether this rapid modulation of synaptic inhibition is due to an acute inflammatory response and alters anxiety-like behavior in male and female animals is not known. Here, we tested the hypotheses that acute EtOH facilitates inhibitory synaptic transmission in the BLA by activating the NLRP3 inflammasome-dependent acute inflammatory response, that the alcohol-induced increase in inhibition is cell type- and …

Returning To School After Covid-19: Relationships Between Parental Stress And Resilience With Children’S Mental Health Behaviors, Christa P. Stanley

Doctoral Dissertations and Projects

During the COVID-19 lockdowns, experts predicted an increase of children’s mental health issues. However, not all children showed symptoms after lockdowns lifted. The study’s purpose was to examine parental stress and resilience during COVID-19 lockdowns and their relationship to children’s behaviors, specifically anxiety and aggression after lockdown. Participants included 61 parents of children currently aged 7-11 who did not have mental health disorders before COVID lockdowns. Most parents were white, non-Hispanic within middle to high income ranges. The quantitative study used a correlational design. Parents were recruited through school websites and social media sites which linked them to a 122-question …

The Dosing Of Mobile-Based Just-In-Time Adaptive Self-Management Prompts For Caregivers: Preliminary Findings From A Pilot Microrandomized Study, Jitao Wang, Zhenke Wu, Sung Won Choi, Srijan Sen, Xinghui Yan, Jennifer A Miner, Angelle M Sander, Angela K Lyden, Jonathan P Troost, Noelle E Carlozzi

Faculty, Staff and Students Publications

BACKGROUND: Caregivers of people with chronic illnesses often face negative stress-related health outcomes and are unavailable for traditional face-to-face interventions due to the intensity and constraints of their caregiver role. Just-in-time adaptive interventions (JITAIs) have emerged as a design framework that is particularly suited for interventional mobile health studies that deliver in-the-moment prompts that aim to promote healthy behavioral and psychological changes while minimizing user burden and expense. While JITAIs have the potential to improve caregivers' health-related quality of life (HRQOL), their effectiveness for caregivers remains poorly understood.

OBJECTIVE: The primary objective of this study is to evaluate the dose-response …

Predictors Of Pharmacy Students' Attitudes About The Therapeutic Use Of Psilocybin, Nm Mahmudul Alam Bhuiya, Robin J. Jacobs, Karina Wang, Yiqun Sun, Brenda Nava, Luke Sampiere, Akhila Yerubandi, Joshua Caballero

HPD Articles

Background Psilocybin has been studied for its potential therapeutic benefits, particularly for the treatment of psychiatric disorders such as anxiety, depression, and obsessive-compulsive disorder. While more research is needed as psilocybin-assisted therapy becomes more prevalent, future pharmacists will probably be involved at some level. At present, pharmacists receive minimal training on psilocybin, and little is known about their attitudes toward its use for medical purposes. Findings from recent clinical studies have attempted to establish the safety and medical efficacy of psilocybin, leading to an increased interest in therapeutic psilocybin use in the United States. This study aimed to assess if …

Auricular Acupressure Effectively Reduces Labor Anxiety In Primigravidae By Increasing Β-Endorphin Levels, Setiawandari Setiawandari, Koosnadi Saputra, Yuni Khoirul Waroh, Setiana Andarwulan

Folia Medica Indonesiana

Highlights: 1. Auricular acupressure at the Shenmen point is effective in reducing anxiety. 2. Auricular acupressure is more practical than body acupressure since it does not interfere with expectant mothers' mobilization. 3. As a non-pharmacological method, auricular acupressure is cost-effective, efficient, and effective in overcoming maternal anxiety during labor Abstract Anxiety is a common psychological symptom in expectant mothers, particularly among primigravidae during labor. There is a link between excessive anxiety and prolonged labor. One of the options to manage anxiety is the use of non-pharmacological methods. Numerous studies have investigated the effectiveness of auricular acupressure to treat anxiety, but …

The Difficulty In The Diagnosis And Management Of Antidepressant Discontinuation Syndrome, Sidney Charm D. Reyes

School of Medicine Publications

Background: Antidepressant discontinuation syndrome (ADS) is a condition that occurs in about 20% of patients following the abrupt reduction/stoppage of any antidepressant medication that has been taken continuously for at least one month.

Case Presentation: We present a 36-year-old Hispanic woman who initially presented for evaluation of flu-like symptoms (subjective fever, rhinorrhea) and worsening body aches, trouble sleeping, and headaches for the past three days. She also reported recent exposure to a sick co-worker. Rapid flu, strep, and COVID tests came back negative. Pt was diagnosed with a viral URI and was discharged with counseling on supportive treatment. The patient …

A Thought Is Just A Thought: A Buddhist Guide To Ocd, Naomi Matlow

Mindfulness Studies Theses

Evidence-based studies have shown that individuals can significantly recover from Obsessive-Compulsive Disorder through the Cognitive Behavioural Therapies of Exposure and Response Prevention (ERP) and Acceptance and Commitment Therapy (ACT). However once the affliction is no longer categorized as a disorder in accordance with the diagnostic criteria, the process of thought, and often intrusive thought, remains. The OCD cycle of "thought to anxiety to compulsion” stems from a desire to reduce the suffering that the initial thought causes. This suffering comes in the form of negative feelings which often lead to compulsive behavior. The Buddhist path lays out a method for …

Antibiotic-Induced Gut Dysbiosis And Cognitive, Emotional, And Behavioral Changes In Rodents: A Systematic Review And Meta-Analysis, Shivdeep S. Hayer, Soonjo Hwang, Jonathan B. Clayton

Department of Nutrition and Health Sciences: Faculty Publications

There are previous epidemiological studies reporting associations between antibiotic use and psychiatric symptoms. Antibiotic-induced gut dysbiosis and alteration of microbiota-gut-brain axis communication has been proposed to play a role in this association. In this systematic review and meta-analysis, we reviewed published articles that have presented results on changes in cognition, emotion, and behavior in rodents (rats and mice) after antibiotic-induced gut dysbiosis. We searched three databases—PubMed, Web of Science, and SCOPUS to identify such articles using dedicated search strings and extracted data from 48 articles. Increase in anxiety and depression-like behavior was reported in 32.7 and 40.7 percent of the …

Childhood Exposure To Parental Threatening Behaviors And Anxiety In Emerging Adulthood: Indirect Effects Of Perceived Stress, Erika S Trent, Andres G Viana, Elizabeth M Raines, Haley E Conroy Busch, Karina Silva, Eric A Storch, Michael J Zvolensky

Center for Medical Ethics and Health Policy Staff Publications

Background: Although childhood exposure to parental threatening behaviors is associated with elevated anxiety in emerging adulthood, the underlying mechanisms remain unexplored. Perceived stress-a subjective experience comprised of feelings of helplessness (being unable to cope or exert control) and poor self-efficacy (confidence in one's ability to manage stressors)-is one candidate mechanism. The present investigation examined the underlying role of perceived stress in the association between childhood exposure to parental threatening behaviors and anxiety symptom severity in a sample of emerging adults.

Methods: Participants (N = 855; Mage = 18.75 years, SD = 1.05, range 18-24; 70.8% female) were recruited from a …

Assessing The Severity Of Cervical Dystonia: Ask The Doctor Or Ask The Patient?, Adam C Cotton, Laura Scorr, William Mcdonald, Cynthia Comella, Joel S Perlmutter, Christopher G Goetz, Joseph Jankovic, Laura Marsh, Stewart Factor, H A Jinnah

Faculty, Staff and Students Publications

BACKGROUND: Assessing disease severity can be performed using either clinician-rated scales (CRS) or patient-rated outcome (PRO) tools. These two measures frequently demonstrate poor correlations.

OBJECTIVES: To determine if the correlation between a CRS and PRO for motor features of cervical dystonia (CD) improves by accounting for non-motor features.

METHODS: Subjects with CD (N = 209) were evaluated using a CRS (Toronto Western Spasmodic Torticollis Rating Scale, TWSTRS) and a PRO (Cervical Dystonia Impact Profile, CDIP-58).

RESULTS: Linear regression revealed a weak correlation between the two measures, even when considering only the motor subscales of each. The strength of this relationship …

A Qualitative Exploration Of Patient Perspectives On Psychosocial Burdens And Positive Factors In Adults With Osteogenesis Imperfecta, W Conor Rork, Alyssa G Hertz, Andrew D Wiese, Kristin M Kostick, Dianne Nguyen, Sophie C Schneider, Whitney S Shepherd, Hannah Cho, Members Of The Bbdc, Chaya N Murali, Brendan Lee, V Reid Sutton, Eric A Storch

Faculty, Staff and Students Publications

Osteogenesis imperfecta (OI) is a pleiotropic, heritable connective tissue disorder associated with a wide range of health implications, including frequent bone fracture. While progress has been made to understand the spectrum of these physical health implications, the impact of OI on psychosocial well-being, as well as protective factors that buffer against adverse psychosocial outcomes, remain understudied. This present study relies on a qualitative approach to assess patient perspectives on both protective and adverse psychosocial factors specific to OI in 15 adults with varying disease status. Semi-structured interviews were conducted, subsequently coded, and themes extracted. Themes concerning psychosocial burdens (i.e., negative …

Age Differences In Core Symptoms And Symptom Relationships In Patients With Irritable Bowel Syndrome: A Network Analysis, Pei-Lin Yang, Kendra J Kamp, Robert L Burr, Hsin-Yi Jean Tang, Adrian Dobra, Robert J Shulman, Margaret M Heitkemper

Faculty, Staff and Students Publications

INTRODUCTION: Irritable bowel syndrome (IBS) is a common disorder of gut-brain interaction, characterized by symptoms of abdominal pain and changes in bowel habits. It often co-occurs with extraintestinal somatic and psychological symptoms. However, the nature of the interrelationships among these symptoms is unclear. Although previous studies have noted age differences in IBS prevalence and specific symptom severity, it remains unknown whether specific symptoms and symptom relationships may differ by age.

METHODS: Symptom data were collected in 355 adults with IBS (mean age 41.4 years, 86.2% female). Network analysis was used to examine the interrelationships among 28 symptoms and to identify …

Risk Factors Associated With Occupational Stress Among Malaysian Construction Professionals, Nur Syafiqah Fauzan, Nur Alia Farahanin Mohd Tajuddin, Neroshini Thanarejee, Dayana Hazwani Mohd Suadi Nata, Ezrin Hani Sukadarin, Mirta Widia

Makara Journal of Health Research

Background: Construction industries that focus on project-based nature, pressure, and long hours may lead to job-related stress among workers. In many emerging nations, robust economic growth plans generate occupational depression, anxiety, and stress among construction industry personnel. This study aims to determine the relationship between these items and the risk factors (demographic) among Malaysian construction professionals.

Methods: A cross-sectional study was carried out among 173 Malaysian construction professionals. A DASS-21 questionnaire is used to survey eligible respondents.

Results: Findings show that construction professionals have a high level of stress (54.9%), anxiety (48.5%), and depression (37%). Gender is …

The Effects Of Acculturation, Marianismo, And Religiosity On Pregnancy Related Anxiety In Latina Women, Jennifer M. Zanoli

Doctoral Dissertations

There is a dearth of information about pregnancy related anxiety (PRA) in Latina women, yet a growing body of literature demonstrates adverse birth outcomes for mother and infant due to PRA. This study examined the association between acculturation, religiosity, marianismo, parity, and a Latina pregnant woman’s relationship with her healthcare provider with PRA in Latina women aged 18 and above. Acculturation was expected to be the more robust factor amongst the independent variables.

Participants in this study (n = 53) were Hispanic, Chicano, Latino or had a Latin or Spanish heritage, over the age of 18, pregnant at the …

Identity And Coping: Deaf Sign Language Interpreters And Secondary Traumatic Stress, Debra L. Russell, Cathy J. Chovaz, Wayne Nicholson, Margie English, Victoria Paquette

Journal of Interpretation

This article describes the results of a mixed methods study with 47 Deaf sign language interpreters (D-SLIs) and their experiences with secondary traumatic stress (STS). By replicating Daly and Chovaz (2020) research, this study contributes data based on the unique experiences of Canadian and American Deaf interpreters and allows us to contrast the findings to the original study with non-Deaf interpreters (ND-SLIs). The findings reveal that the majority of D-SLIs did not experience clinical levels of STS, compassion satisfaction, anxiety, or burnout. In looking at the results, one-third of the D-SLIs showed comparable levels of STS and compassion satisfaction but …

How Did Latinxs Near The U.S.-Mexico Border Fare During The Covid-19 Pandemic? A Snapshot Of Anxiety, Depression, And Posttraumatic Stress Symptoms, Bianca T. Villalobos, Juventino Hernandez Rodriguez

Psychological Science Faculty Publications

Introduction: The current study documented levels of anxiety, depression, posttraumatic stress, and COVID-19 fears and impacts among Latinxs living near the U.S.-Mexico border during the COVID-19 pandemic.

Methods: Participants of this cross-sectional study were 305 Latinx adults living in the Rio Grande Valley (RGV) who completed an online survey between June and November 2020.

Results: About half of participants scored above the cut-off for anxiety (50.2%; GAD-7 scores ≥10) and depression (48.8%; PHQ-9 scores ≥10), and more than a quarter of participants showed clinical levels of posttraumatic stress (27.3%; PCL-5 scores ≥31). Latinxs reported on average 22 types of negative …

Reminiscence Therapy For Prevention Of Post-Stroke Anxiety And Depression In Adults, Carly Porter

Master of Science in Physician Assistant Studies Capstone Presentations (Center City)

Introduction

Anxiety and depression are prevalent after a stroke.^1,2 Peer support is a non-pharmacologic intervention utilized to manage post-stroke anxiety and depression with inconsistent results.³ Reminiscence therapy is an intervention that has been studied in the dementia population but is a relatively new intervention for the stroke population and has the potential to impact the psychological care provided to stroke patients.⁴

The Association Between Covid-19 Preventive Behaviors And Mental Health Conditions, Elizabeth Wachira, Bhakti Chavan, Carolyn Nganga-Good, Caroline Kingori

Faculty Publications

Our findings highlight that individuals with mental health conditions reported more psychological distress. Specifically, feeling depressed, anxious, lonely, and hopeless were triggered and exacerbated as a result of the pandemic and may have long-term effects on general well-being and productivity. Therefore, our findings have important implications on the need to include mental health promotion as part of pandemic response efforts. This includes developing policies and allocating funding so as to ensure sustainable mental health interventions and support, public and provider education on the importance of screening for mental health issues.

Identifying Associations Between The Family Environment And Anxiety And Depression Among Children Ages 0-17 In The United States, Reagan A. Richardson, Nicole M. Holt

OUR Journal: ODU Undergraduate Research Journal

This study analyzes whether physical, emotional & neurological, family environment, or community-related factors display the strongest association with anxiety and depression among children ages 0-17 in the United States.

Using IBM SPSS v. 27, we conducted a univariate and multivariate logistic regression analysis on data from the 2017 National Survey of Children’s Health (NSCH) with a sample size of 21,599. Our independent variables included 30 questions from the NSCH which were compared to a mental health index score.

Our study shows that about 10.6% of children suffer from either anxiety, depression, or both, and the univariate model found that 19 …

The Impact Of Beliefs About Emotions On Emotion Regulation & Psychological Health, Sarah Brock

Masters Theses & Specialist Projects

This study examined the effects of different beliefs about emotions (controllability vs. control value) on emotion regulation strategies and psychological health, specifically depression. Little research has examined how different types of beliefs about emotions may interact to impact the emotion regulation strategies they implement, whether that be cognitive reappraisal, expressive suppression, or acceptance. Online questionnaires measuring beliefs about emotion controllability, emotion control values (i.e., whether emotions should be controlled), emotion regulation, psychological health, and coping strategies were completed by 164 participants (117 females; 42 males; 4 non-binary). The participants ranged from 18 to 33 years old. The study found evidence …

Anxiety As A Compensatory Factor For Executive Functioning Abilities And Later Adhd Symptoms In Youth With Adhd, Rebecca Slomowitz

Electronic Theses and Dissertations

Higher ADHD symptoms have been associated with reduced executive functioning (EF) performance in children. However, an emerging body of research has suggested that in children with higher ADHD symptoms, higher levels of anxiety symptoms may contribute to buffered executive functioning (EF) performance, termed a compensatory interaction. However, results investigating this hypothesis have been mixed, possibly due to the use of smaller sample sizes, cross-sectional datasets, and infrequent testing of compensatory interaction effects between ADHD and anxiety symptoms. The current study expands upon the previous literature by testing for compensatory interactions between anxiety symptoms and ADHD symptoms (e.g., inattention and hyperactive-impulsive …

Depression, Anxiety, And Estimated Cardiorespiratory Fitness In College Students, Christian Ison

UNLV Theses, Dissertations, Professional Papers, and Capstones

Depression and anxiety disorders are two common mental health conditions worldwide. College students are considered a high-risk population for the development of these conditions. Improved cardiorespiratory fitness (CRF) has been shown to decrease depression and anxiety risk, symptoms, and severity but this relationship and the extent to which improved CRF can reduce these risks has yet to be examined in the college student population. Validated and reliable non-exercise estimated cardiorespiratory fitness (eCRF) algorithms could be used to identify relationships and associations with depression and anxiety severity levels among college students. The purpose of this study was to assess eCRF and …

Psychometric Properties Of The Revised Children’S Anxiety And Depression Scale (Rcads) For Autistic Youth Without Co-Occurring Intellectual Disability, Nasim Khalfe, Amy R. Goetz, Erika S. Trent, Andrew G. Guzick, Orri Smarason, Minjee Kook, Sean Olsen, Ana C. Ramirez, Saira A. Weinzimmer, Leandra Berry

Psychological Science Faculty Publications

Autistic youth often present with comorbid anxiety and depression yet there is a dearth of validated assessment tools. The Revised Children’s Anxiety and Depression Scale (RCADS) assesses internalizing symptoms but there is little psychometric data in autistic youth. Treatment-seeking autistic youth with anxiety or obsessive-compulsive symptoms (N = 74; age 6–14 years), and caregivers, were administered the RCADS-Parent, RCADS-Child, and assessments of internalizing, externalizing symptoms and social impairment indicative of autism. RCADS-Parent and RCADS-Child total anxiety scores demonstrated excellent internal consistency, and the six subscales demonstrated acceptable-to-good internal consistency. The RCADS-Child and Parent total anxiety scores were weakly …

Identifying Clinical Profiles In A Community Sample Of Youth With Selective Mutism, Melanie Rede

UNLV Theses, Dissertations, Professional Papers, and Capstones

Selective mutism (SM) refers to a consistent failure to speak in social situations that have an expectation for speaking, despite fluent speech in other situations (American Psychiatric Association, 2013). Recent researchers describe SM as a heterogeneous disorder not always characterized by anxiety (Driessen et al., 2020). Specifically, some have argued that SM may be better explained as a neurodevelopmental rather than an anxiety disorder (Kearney & Rede, 2021). The aim of the present study was to find unique classes for anxiety, oppositional, and communication difficulties among youth with SM. Participants included 129 caregivers of youth with SM aged 6–14 years …

Racial Disparities In Mental Health Disorders In Youth With Chronic Medical Conditions, Vincent J Gonzalez, Rachel T Kimbro, John C Shabosky, Stefan Kostelyna, Titilope Fasipe, Natalie Villafranco, Katherine E Cutitta, Keila N Lopez

Faculty, Staff and Students Publications

OBJECTIVE: To evaluate the association between race/ethnicity, poverty, and mental health in youth with chronic conditions.

STUDY DESIGN: A cross-sectional comparative study was performed using the records of a tertiary care center from 2011 to 2015.

INCLUSION CRITERIA: children aged 4-17 years with ≥1 hospitalization or emergency department visit. Exclusion criteria were those with arrhythmias or treatment with clonidine/benzodiazepines. The primary outcome variable was diagnosis or medication for anxiety, depression, or attention deficit hyperactivity disorder. The primary predictor variable was diagnosis of cystic fibrosis (CF), sickle cell disease (SCD), or congenital heart disease (CHD).

RESULTS: We identified 112 313 patients, …

Psychometric Properties Of The Revised Children’S Anxiety And Depression Scale (Rcads) For Autistic Youth Without Co-Occurring Intellectual Disability, Nasim Khalfe, Amy R Goetz, Erika S Trent, Andrew G Guzick, Orri Smarason, Minjee Kook, Sean Olsen, Ana C Ramirez, Saira A Weinzimmer, Leandra Berry, Sophie C Schneider, Wayne K Goodman, Eric A Storch

Faculty, Staff and Students Publications

Autistic youth often present with comorbid anxiety and depression yet there is a dearth of validated assessment tools. The Revised Children’s Anxiety and Depression Scale (RCADS) assesses internalizing symptoms but there is little psychometric data in autistic youth. Treatment-seeking autistic youth with anxiety or obsessive-compulsive symptoms (N = 74; age 6–14 years), and caregivers, were administered the RCADS-Parent, RCADS-Child, and assessments of internalizing, externalizing symptoms and social impairment indicative of autism. RCADS-Parent and RCADS-Child total anxiety scores demonstrated excellent internal consistency, and the six subscales demonstrated acceptable-to-good internal consistency. The RCADS-Child and Parent total anxiety scores were weakly correlated, …

Expanding Clinical Knowledge And Awareness To Non-Benzodiazepine Treatments By Providing An Educational Intervention: A Quantitative Study, Alexander Labrador

Doctor of Nursing Practice Scholarly Project

This study examined the effectiveness of an educational intervention for healthcare clinicians to increase knowledge and awareness of non-benzodiazepine treatments for the treatment of anxiety and panic disorders. The target population were healthcare clinicians in a metropolitan area that commonly treat anxiety and panic disorders. Clinicians from different specialties were recruited to participate and evaluated on their knowledge of benzodiazepines on a 3-question pretest survey using a Likert scale. The clinician was then given a 30-minute educational intervention that covered the risks and dangers of benzodiazepines and a review of alternative, non-benzodiazepine treatment options. The clinician then self-evaluated themselves using …

Anxiety, Depression, Loneliness, Spirituality, And Social Support In Older People During The Covid-19 Pandemic, Esti Widiani, Nurul Hidayah, Abdul Hanan

Jurnal Keperawatan Indonesia

The COVID-19 pandemic has resulted in the threat of death. Some older people feel they are not ready to face the end of their lives, so psychosocial problems arise, such as loneliness, anxiety, and depression. This research study aims to explore some psychosocial aspects, namely spirituality, social support, depression, anxiety, and loneliness in the elderly during the pandemic. The research design was cross-sectional. The total sample was 142 people selected using the purposive sampling method. Data collection used various scales to look at spirituality, depression, anxiety, and loneliness. The results showed that median spirituality and social support scores were high. …

An Examination Of Mental Health In Educators, Hannah F. Sanderson

Masters Projects

Research has revealed the significance and importance of mental health and its incorporation into overall well-being. A survey conducted by RAND Corp revealed that one in four teachers has experienced symptoms of depression (Kidger, 2021). Along those same lines, educators have expressed that due to their job and the school climate, they have experienced symptoms of anxiety, depression, and large amounts of stress (Merida et al., 2017). This project explores the various stressors that are felt by educators within their educational institutions and delivers solutions to reduce the symptoms associated with mental illness and improve the school climate. Through surveys …