Digital Commons Network^™

Anxiety And Agitation In Adult Patients Admitted To An Emergency Room During The Covid-19 Pandemic, Doris L. Asombrado

Dissertations

Purpose: The purpose of this retrospective correlational study was to identify the relationship between COVID-19 status and the prevalence of anxiety-agitation with select sociodemographic and clinical characteristics in adults admitted to the ED during the pandemic (03/01/2020 through 12/31/2020).

Background: COVID-19 infections combined with the WHO and CDC recommendations to mitigate spread have had deleterious psychosocial and economic outcomes with the risk of subsequent COVID-19 related mental illness. Studies indicate one in three adults experience anxiety or depression.

Methods: This retrospective correlational study reviewed 2,572 psychiatric admissions from a Southern California ED during the pandemic from March 1, 2020 through …

A Clinical N Of 1 Time Series On The Efficacy Of Internal Family Systems And Christian Inner Healing Prayer With Adult Survivors Of Childhood Trauma, Kharma K. Parker

Doctoral Dissertations and Projects

Internal Family Systems (IFS) is a non-pathologizing psychospiritual therapeutic model in which “all parts are welcome.” Christian Inner Healing Prayer (CIHP) is an intervention that invites an authentic experience with the Divine to address inner wounds. Both methods are touted as beneficial to clients with trauma histories. However, IFS is an evidenced based treatment while only preliminary research on CIHP has been done. Several efforts to create a Christian cultural accommodation of IFS have been authored; two implicitly reference CIHP. None have been researched. This study is an N of 1 time series study of the efficacy of IFS with …

The Benefits Of Art Therapy On Stress And Anxiety Of Oncology Patients During Treatment, Helen Shiepe

Expressive Therapies Capstone Theses

Within the last ten years research on art therapy and its positive impact on oncology patients’ stress and anxiety during treatment has been minimal. Oncology patients whether they are children or adults when diagnosed experience similar reactions due to their diagnosis, treatment, and in some cases end of life care. The current question is whether or not art therapy does have a positive impact on decreasing the stress and anxiety with oncology patients while undergoing treatment. Deane, Fitch & Carmen (2000), discussed art therapy as a healing art that is “intended to integrate physical, emotional, and spiritual care by facilitating …

Bibliotherapy With Children With Neurodiverse Profiles: A Literature Review, Jessica Piltch-Loeb

Expressive Therapies Capstone Theses

Expressive arts therapy interventions are continuing to gain recognition as a means of healing for individuals with a wide range of diagnoses. Bibliotherapy is a particularly under researched modality of the expressive arts, leaving ample opportunity for future research on both reading and writing interventions. While bibliotherapy may not be a widespread subject of study, preliminary research shows that reading and writing therapies can promote emotional well-being for individuals dealing with mental illness. Children with neurodiverse profiles (NP) are more likely to be diagnosed with psychiatric disorders such as depression, anxiety, bipolar disorder, and schizophrenia, than neurotypical children. Although previous …

The Development Of A Dance/Movement Therapy Method For Social Engagement With Adolescents In A Partial Hospital Program, Kayleah Pensalfini

Expressive Therapies Capstone Theses

Mental health can significantly impede navigating the social domain during adolescence. Research has indicated social development of adolescents may be impacted by psychopathology and emotional development, further hindering one’s formation of self. There is also limited research showing the effectiveness of Dance/Movement Therapy (DMT) with the adolescent population. This writer designed and adapted one DMT session for adolescents to understand this topic better. This capstone will present an adaptable method utilizing a DMT intervention with participants between the ages of 13-17 in a Partial Hospital Program (PHP). This project aimed to examine how DMT can support self-identity and the acquisition …

Techniques For Reducing Public Speaking Anxiety In Adult English Learners, Andy Mardesich

Master's Projects and Capstones

Making presentations to a group is a complex skill that takes time to develop, and it can be intimidating and anxiety inducing. Using mindset theory and feedback from interviews with community college teachers, this teacher's guide, Techniques for Reducing Public Speaking Anxiety in Adult English Learners, discusses approaches for reducing anxiety in an adult ESOL/EFL speaking classroom. It discusses the importance of providing a safe and comfortable environment to practice and manage anxiety, building good support structures, providing clear rubrics and student roles, and offering plenty of opportunities for interaction through purposeful communication. This guide holds significance for students, teachers, …

Equity And Inclusion For Gender Diverse Middle School Students, Xiaoyan Nadler

Education | Master's Theses

About a third of teenagers experience an anxiety disorder, with steadily increasing numbers (McCarthy, 2019). LGBTQ+ students have a history of being a group without a voice because the dominant gender classification was a binary male or female model. They have seldom dared to express and identify their real selves. According to Lewis (2020), this form of oppression could make them feel unwelcome, overlooked, and unsafe, eventually creating tremendous anxiety. This qualitative research focused on understanding what creates an inclusive and safe learning environment for all students, including students who identify as LGBTQ+. Interviews were conducted with students, parents, and …

Mental Health Among D1 Female College Athletes: Prevalance And Links To Athletic And Academic Performance, Mary Goebel

Honors Theses

Background. NCAA Division I female student-athletes are underrepresented in mental health research; existing research among female athletes tends to focus only on disordered eating and body appearance. This study aims to 1) describe the prevalence of mental health issues (i.e., anxiety, depression, and stress) among female Division I college athletes, and 2) assess the association between mental health issues and the student-athlete experience (i.e., athletic and academic performance).

Methods. This was a quantitative, cross-sectional study that used a self-administered online survey. The participants were NCAA Division I female student-athletes, mainly from the University of Mississippi. Demographics and sample characteristics were …

Associations Between Tiktok Use, Mental Health, And Body Image Among College Students, Alexz Carpenter

Honors Theses

Background. Social media use continues to increase globally, and there is a large field of research examining the relationships between social media use with anxiety, depression, and body image. College-aged students are particularly vulnerable to these associations because they are at a unique developmental point of their life. College-aged students also use social media more frequently than almost any other age group, which may put them at increased risk for negative mental health and body image outcomes related to their social media use. TikTok is a relatively new social media app that has exponentially risen in popularity, especially among younger …

Analyzing The Unique Role Of Repetitive Negative Thinking On Insomnia In College Students, Lara Fair

Honors Theses

Repetitive negative thinking is a transdiagnostic construct that conceptually covers worry and rumination, which are strongly associated with anxiety and depression. Worry is typically future oriented, whereas rumination is past oriented. RNT has been posited as a causal and maintaining factor for multiple disorders, including generalized anxiety disorder, depression, and insomnia. The current study aimed to further understand the contribution of RNT in insomnia symptoms, after controlling for anxiety and depression. A self-report battery measuring anxiety, depression, RNT and insomnia was administered to 101 college students. In this sample, 52% of participants endorsed clinical levels of insomnia. Bivariate correlations found …

The Associations Between Adolescent Motives For Social Media Use With Body Dysmorphia, Eating Disorder, And Anxiety And Depression Symptoms, Kaylan Melvin

Honors Theses

Adolescents spend a large amount of time on social media sites. This is notable, as adolescence is a crucial time for body image development. Additionally, recent findings suggest that using image-oriented social media sites, such as Facebook and Instagram, is associated with more body dissatisfaction and disordered eating. Among previous studies, certain social media motivations have been found to have an association with poor body satisfaction and well-being in adolescents. To our knowledge, no studies have directly examined the association between social media motivations and eating disorder, body dysmorphic disorder, and anxiety and depression symptoms in adolescents. The current study …

A Study Of First-Generation College Students At The University Of Mississippi, Brady Suttles

Honors Theses

First-generation college students (FGCS) are a distinct sub-population within higher education. In comparison to their peers, FGCS report increased levels of anxiety, depression, and stress along with lower levels of social support and academic attainment. Considering the unique context and history of the University of Mississippi (UM), it is crucial to understand the specific needs of FGCS enrolled at UM. The aims of this study were to: 1) assess the associations between FGCS status and mental health and academic achievement, and 2) determine whether sense of belonging moderates these associations.

First-generation college students had higher mean levels of depression symptoms …

School Counselors Treating Anxiety In Public School Settings: A Group Manual, Sarah Dyann Voss

Dissertations, Theses, and Projects

As anxiety becomes more prevalent in children and adolescents, the demand for mental health resources has also increased. School counselors are highly trained mental health professionals who could be one of the answers to help close the gap of the demand for mental health resources. This review aims to analyze the benefits and effectiveness of school counselors treating anxiety in public school settings by utilizing small group interventions. Most public school settings have school counselors available for students, which is an opportunity for school counselors to provide mental health services. Several research studies have been conducted on this topic, showing …

The Effects Of Cognitive Behavioral Therapy On Adolescent Anxiety: A Training For School Staff And Administration, Michael Millard

Dissertations, Theses, and Projects

Adolescent anxiety is an issue that continues to negatively affect many students. The following literature review and training material have been corroborated to provide school staff members with a basic understanding of cognitive behavioral therapy (CBT) and its effectiveness in a school counseling setting with anxious adolescents. The training may also be relevant for parents, guardians, and other school counselors. The material provides data about the problem of anxiety, different CBT modalities, and considerations for school staff. The training also provides an opportunity for school counselors and other staff members to communicate and acknowledge barriers that are often inherent between …

Effects Of A Virtual Voice-Based Coach Delivering Problem-Solving Treatment On Emotional Distress And Brain Function: A Pilot Rct In Depression And Anxiety, Thomas Kannampallil, Et Al.

2020-Current year OA Pubs

Consumer-based voice assistants have the ability to deliver evidence-based treatment, but their therapeutic potential is largely unknown. In a pilot trial of a virtual voice-based coach, Lumen, delivering problem-solving treatment, adults with mild-to-moderate depression and/or anxiety were randomized to the Lumen intervention (n = 42) or waitlist control (n = 21). The main outcomes included changes in neural measures of emotional reactivity and cognitive control, and Hospital Anxiety and Depression Scale [HADS] symptom scores over 16 weeks. Participants were 37.8 years (SD = 12.4), 68% women, 25% Black, 24% Latino, and 11% Asian. Activation of the right dlPFC (neural region …

The Influence Of Nutrition On The Gut Microbiota And Psychiatric Disorders: A Review, Megha Bhagavan, Francis Jenney

Research Day

The symbiotic harboring of gut microorganisms within the gastrointestinal tract has a profound influence on host physiology, well-being, and disease pathology. More specifically, the gut bacteria are able to interact with dietary components from foods chosen by the host and consequently relay their beneficial or precarious effects locally and systemically. The gut bacteria have the capacity to maintain a healthy gut microbiome or perpetuate intestinal imbalance, known as gut dysbiosis. Gut dysbiosis has both local effects in gastrointestinal pathologies, such as intestinal bowel syndrome (IBS) and intestinal bowel disorder (IBD), as well as systemic pathologies, such as type II diabetes, …

Links Between Mental Health And Employment Outcomes Among Adults With Autism Spectrum Disorder, Emma Atkinson

Honors Theses

Problem: Mental health outcomes related to Autism Spectrum Disorder (ASD) have been extensively researched, although most research in the area is on children with ASD. Studies on adults with ASD are scarcer. More specifically, studies that analyze the association between mental health and work-life balance (WLB) as well as mental health and job satisfaction (JS) among employed adults with ASD is limited. The purpose of this study was to analyze the association between mental health and WLB among adults with ASD, the association between mental health and perceived JS among adults with ASD, and whether or not ASD severity moderates …

A Multimodal Intervention Treatment Plan For Adults With Generalized Anxiety Disorder In Primary Care, Morgan Cullings

Evidence-Based Practice Project Reports

Generalized anxiety disorder (GAD) is a debilitating psychological condition that affects 3.1% of the American population and is one of the leading causes of disability (Anxiety and Depression Association of America, 2022; Baxter, 2014). The purpose of this evidence-based practice project was to implement a multimodal intervention to decrease GAD symptoms in adults in the primary care setting. The PICOT question that guided this project was: In adults, over the age of 18, who have been diagnosed with generalized anxiety disorder (GAD), does the combination of digital cognitive behavioral therapy (CBT) through a smartphone application, lifestyle modification education, and pharmacotherapy …

The Facilitative Role Of Workplace Anxiety In Increasing Motivation And Preparation Fueled By Self-Regulation, James Hayes

Student Works

As anxiety in the workplace continues to affect a substantial percentage of employees, an understanding of the facilitative aspects of anxiety may become increasingly relevant (American Psychological Association, 2009, as cited in Cheng & McCarthy, 2018). Anxiety in the workplace is generally disadvantageous, but significant evidence supports the idea that anxiety may benefit employees in various ways (Chandra et al., 2020). Notably, anxious feelings may spark increased motivation within employees, unlocking a greater focus on future goals (Spielberger, 1985, as cited in Cheng & McCarthy, 2018). In pursuit of these goals, anxious employees may find a greater capacity for self-regulation, …

Cbt Technology Implementation With Pediatric And Adolescent Populations, Tracey W. Kreipe, Heath Gage, Sandra Obiebi

Doctor of Nursing Practice Projects

Abstract

Digital therapy is a growing healthcare intervention improving limited access to specialty care for specific populations and geographic areas. Cognitive Behavioral Therapy (CBT) applications focus on treating anxiety and depression and assist pediatric and adolescent patients in learning behavioral techniques as they wait for 3-6 months or longer to see a mental health provider. Such delays are attributed to the national shortage of mental health practitioners and the further scarcity of fewer psychiatric providers in rural areas, causing the potential for adverse patient outcomes. The setting for this 8-week quality improvement project was a pediatric care clinic that sees …

Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton

Graduate Dissertations and Theses

The purpose of this study was to examine the relationship between crime victimization, age at the time of victimization, psychological health, and resilience. Past research has shown that crime victimization has been linked to higher levels of depression and suicidal ideation, anxiety, posttraumatic stress disorder (PTSD), and eating disorders, and that those who experience a traumatic event as a child are influenced more negatively than those who experience trauma as an adult. Additionally, resilience has been shown to mediate the influence that trauma has on an individual. Undergraduate students, graduate students, and faculty and staff were surveyed to determine their …

Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton

Graduate Dissertations and Theses

The purpose of this study was to examine the relationship between crime victimization, age at the time of victimization, psychological health, and resilience. Past research has shown that crime victimization has been linked to higher levels of depression and suicidal ideation, anxiety, posttraumatic stress disorder (PTSD), and eating disorders, and that those who experience a traumatic event as a child are influenced more negatively than those who experience trauma as an adult. Additionally, resilience has been shown to mediate the influence that trauma has on an individual. Undergraduate students, graduate students, and faculty and staff were surveyed to determine their …

Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton

Undergraduate Theses and Capstone Projects

The purpose of this study was to examine the relationship between crime victimization, age at the time of victimization, psychological health, and resilience. Past research has shown that crime victimization has been linked to higher levels of depression and suicidal ideation, anxiety, posttraumatic stress disorder (PTSD), and eating disorders, and that those who experience a traumatic event as a child are influenced more negatively than those who experience trauma as an adult. Additionally, resilience has been shown to mediate the influence that trauma has on an individual. Undergraduate students, graduate students, and faculty and staff were surveyed to determine their …

The Mediation Of Mental Health Between Adverse Childhood Experiences And Risky Sexual Behavior, Kayla Marie Mandrigues, Julia Claire Dodd, Stacey Lynne Williams

Undergraduate Honors Theses

Risky sexual behaviors (RSB) have the potential to negatively impact individuals by increasing the risk of mental health issues, sexually transmitted infections (STIs), and unwanted pregnancies. Adverse childhood experiences (ACEs) and mental health disorders, such as anxiety, PTSD, and depression, have been known to increase RSB. The purpose of this study was to see if these mental health disorders mediate the relationship between ACEs and RSB. Participants (n = 342, mean age = 32) were recruited through social media to complete an online questionnaire. While history of ACEs significantly predicted engagement in RSB as well as all three of the …

Psychometric Evaluation Of Phq–9 And Gad–7 Among Community Health Volunteers And Nurses/Midwives In Kenya Following A Nation-Wide Telephonic Survey, Sabina Odero, Paul Mwangi, Rachel Odhiambo, Brenda Nzioka, Constance Shumba, Eunice Ndirangu, Amina Abubakar

Institute for Human Development, East Africa

Background: Nurses/midwives and Community Health Volunteers (CHVs) are exposed to chronic stressors putting them at risk of developing mental health problems. This has been exacerbated by the COVID-19 pandemic. There is limited empirical evidence of the burden of mental health problems among health care workers partly due to the lack of adequately standardized and validated measures for use among health care workers in Sub-Saharan Africa. This study aimed to perform the psychometric evaluation of the PHQ-9 and GAD-7 administered to nurses/midwives and CHVs across 47 counties in Kenya.

Methods: Between June and November 2021, a national survey on mental well-being …

The Contribution Of Self-Compassion To Anxiety And Mood In Daily Life, Yamini Pant

Honors Scholar Theses

Self-compassion, the act of being kind and understanding towards oneself, has been shown to have positive impacts on mental health. Depression and anxiety are both common mental health disorders that can interfere with an individual’s ability to function in daily life. Several studies have shown that self-compassion correlates with depression and anxiety at a cross-sectional level and across longer periods of time (e.g., several months). In the present study, we examined the fluctuations and the directionality of self-compassion, depression, and anxiety on a day-to-day basis over the span of a week. We also examined the ways that worry and rumination …

Pilot Study: The Effect Of Individual Versus Group Animal-Assisted Therapy On Undergraduate Student Anxiety, Jessica Hanson, Hannah Tucker

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Purpose: The purpose of this study was to evaluate the relationship of Animal-Assisted Therapy (AAT) on undergraduate student test anxiety; comparing an individual AAT session to a group AAT session. AAT may be a solution for decreasing anxiety for undergraduate students. The study adds empirical knowledge to the field of AAT and student anxiety coping methods. The study question was: What is the effect of one-on-one and group Animal-Assisted Therapy sessions on undergraduate student anxiety?

Methods: This study used a convenience sample randomly assigned to either a group of 3 to 5 students (n=9) or an individual AAT session (n=10) …

Understanding The Role Of Emotion Regulation Tendencies In The Momentary Associations Between Negative Affect And Eating Disorder Behaviors., Coby D. Banet

College of Arts & Sciences Senior Theses

Background: Eating disorders (EDs) are becoming increasingly commonplace and are associated with a broad array of dangerous medical complications. Further, EDs frequently present alongside comorbid psychiatric disorders (e.g., depressive and anxiety-related disorders), which are known to both predict ED severity and reduce treatment efficacy. While diagnostic categorization persists, Fairburn et al.’s (1993) transdiagnostic model suggests EDs may be more closely related and maintained through core, shared symptoms. To assess ED maintenance, momentary triggers such as negative affect (NA) are becoming increasingly centralized. The present study examines the roles of depressive symptoms and worry in predicting and moderating the relationships among …

Leveraging Simulation To Understand Nursing Student Learning In Technologically Complex Environment, Deborah Rojas

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction The adoption of simulation technologies in schools of nursing has increased significantly over the last 5 years. Results regarding the use of simulation technology have been positive. The use of simulation technologies has been developed to include complex nursing situations that resemble real clinical settings. Research has demonstrated that memory recall is better in an environment that is the same or similar to the environment in which the learning took place (Krokos et al., 2018). For this reason, educators have used simulation technologies to create realistic environments where students can learn. However, learning outcomes in simulations are affected by …

Sleep Quality In Undergraduate Students: Examining The Role Of Class Rank And Related Individual Differences, Lauren Yocum, Lauren Yocum

Honors College Theses

College students are likely to experience stress due to increased responsibilities, more demanding coursework, and maintaining a balance between academics and social life. Indeed, college students are at risk for experiencing clinically-significant depressive and anxiety symptoms, as well as sleep disturbances, likely as a result of these challenges. Although the relationship between these affective variables and college stressors are well-documented, less attention has been given to the factors that may help promote better sleep, with the majority of research documenting the intrinsic bidirectional nature of mood and sleep (e.g., lack of sleep leads to worse mood which further exacerbates sleep …