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The Effects Of Anxiety On Adult Athletes And Approaches To Improving Performance And Well-Being, Taylor Glaspie-Walton

Theses and Dissertations

This systematic review examined the complex relationship between anxiety and sports performance in adult athletes, along with exploring effective approaches for enhancing both performance and psychological well-being. Through analysis of 18 studies spanning diverse sports and competitive levels, this research identifies key factors that influence anxiety responses and performance outcomes. Findings revealed that competition level, performance-goal discrepancies, and injury recovery significantly impact anxiety levels, with athletes' interpretations of anxiety symptoms proving more influential than symptom intensity alone. The research demonstrates that mental toughness and self-efficacy function as fundamental psychological resources, though their impact appears to plateau at elite competitive levels. …

Enhancing Self-Acceptance And Reducing Anxiety Through Tree Ring Self-Portraits In Art Therapy: A Mixed-Methods Study, Stacey Kamp

Art Therapy | Doctoral Dissertations

This mixed-methods dissertation examined the therapeutic potential of the Tree Ring Self-Portrait, a novel art therapy intervention designed to enhance self-acceptance and reduce anxiety through symbol-based, life-phase self-portraiture grounded in narrative meaning-making and image-based processing (White & Epston, 1990; Moon, 2010; Hinz, 2020). Adults who self-identified with anxiety-related concerns were recruited through community and clinical referral sources and completed a standardized three-session intervention involving reflective mapping of life phases, a watercolor-based concentric-ring self-portrait process, and a guided review of the completed artwork with semi-structured interviews. The final sample (n = 20; ages 22–74) included participants with varied engagement in psychotherapy …

The Impact Of Long Covid On Mental Health, Marzena Podkalicka

PCOM Psychology Dissertations

Since the emergence of the novel coronavirus, a significant portion of the global population has transitioned from acute infection to Long COVID, a multisystemic condition characterized by persistent symptoms lasting 4 weeks or longer. This study investigated the psychological impact of Long COVID, to explore rates of anxiety, depression, post-traumatic stress disorder (PTSD), and quality of life in people with Long COVID compared to those without it. A quantitative survey-based design was employed with a sample of 310 adults (Aged 18 to 90; M = 48.2). Participants completed validated instruments, including the Long COVID Questionnaire, Short Form Health Survey, General …

Improving Depression And Anxiety Reassessment In Patients With Type 2 Diabetes In Telehealth Obesity Care, Alyshia M. Casella

DNP Scholarly Projects

Background. Depression and anxiety are common among adults with type 2 diabetes and obesity, yet one-time intake screening may not identify symptoms that emerge or change during treatment. Local Problem. Within a telehealth obesity care program, PHQ-9 and GAD-7 screening occurred at intake, but no standardized reassessment process existed. Methods. A single Plan-Do-Study-Act cycle evaluated electronic PHQ-9 and GAD-7 reassessment among adults with type 2 diabetes and obesity. The primary outcome was reassessment completion, with a prespecified feasibility target of at least 20%. Paired symptom changes, clinical and safety triggers, and follow-up were also evaluated. Intervention. A one-time electronic reassessment …

Joint Associations Of Meditation And Physical Activity With Depression And Anxiety Symptoms In Us Adults: Nhis 2022, Yubing Wang

Human Movement Studies & Special Education Faculty Publications

Objectives

Physical activity and meditation may each relate to mental health, but their joint associations in U.S. adults are unclear. We examined the separate and joint associations of any past-year meditation and meeting physical activity (PA) guidelines with depression and anxiety symptoms.

Method

We analyzed data from the 2022 National Health Interview Survey Sample Adult file (n = 24,927). Exposures were meeting PA guidelines, any past-year meditation, and their four-level combination (Neither, PA only, Meditation only, Both). Outcomes were moderate-to-severe depressive and anxiety symptoms (PHQ-8/GAD-7 >= 10). Survey-weighted modified Poisson models estimated prevalence ratios (PRs), with interaction, sensitivity, and post …

Applied Psychophysiology: Evaluating The Feasibility Of A Digital Breathing Tool, Jessica Pavelka

PCOM Psychology Dissertations

Mental health in the United States is a growing public health concern, with one in five adults living with a diagnosed mental health disorder. The prevalence of mental health concerns among adults in the U.S. has not changed significantly from 2021 to 2024 (Reinert et al., 2025). This study examined how mental health providers can leverage technology to support symptom reduction for their patients during and beyond treatment. Biofeedback has demonstrated lasting health benefits, is cost-effective, and holds promise for novel interventions for conditions such as generalized anxiety disorder and panic disorder. This pilot study evaluated the feasibility, usability, engagement, …

The Effects Of Music Therapy On Anxiety And Sedation Requirements For Total Knee Arthroplasty Patients Undergoing Regional Anesthesia: An Evidence-Based Practice Pilot Initiative, Kyra Marie Savrese

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Excessive noise in the operating room negatively impacts patient comfort and outcomes, particularly in patients undergoing spinal anesthesia who have the potential for awareness.

Background: Research demonstrates that music therapy is a low-cost, low-risk intervention that reduces perioperative anxiety and sedative requirements. Literature supports the use of music as an adjunct to anesthesia care, especially in orthopedic populations.

Purpose: At J.W. Ruby Memorial Hospital, orthopedic procedures with regional anesthesia expose patients to high noise levels, often leading to increased anxiety, sedation use, and longer recovery times. Addressing this problem aligns with institution goals for safe, patient-centered care.

Methods: Using …

Socioeconomic Stressors And Their Association With Anxiety And Depression In Undergraduate And Graduate Students, Shreyaashri Selvakumar

Honors Undergraduate Theses

Socioeconomic status (SES) is a social determinant of mental health that may influence the prevalence of anxiety and depression in undergraduate and graduate students. Students from lower socioeconomic backgrounds often encounter financial, academic, and social stressors, which may contribute to poorer mental health outcomes. This study investigates the association between SES-related factors and symptoms of anxiety and depression in undergraduate and graduate students. Data were collected from a large national survey of students in various degree programs and included measures of financial circumstances, food and housing insecurity, access to mental health services, and other demographic variables. Symptoms of depression and …

Evaluating The Comparison Of Different Body Locations For Data Collection Using Galvanic Skin Response Of Forensic Chemistry Students When In Lecture And Laboratory Environments, Elisa Guerrero

Honors Undergraduate Theses

Anxiety is the response that humans can have when exposed to a stimulus. It can be caused by a multitude of factors, such as psychological, biological, or physiological stimuli. Anxiety can be presented as a state or as a trait in a person. Trait anxiety is typically seen as a more stable personality trait, whereas state anxiety is a more intense temporary emotional state. In our study, anxiety was regarded as a more state-like characteristic. A galvanic skin response (GSR) Shimmer3+ device can measure skin electro-conductance changes following stimulation. In a situation where a participant is experiencing anxiety, levels of …

What’S Sleep Got To Do With It? A Mixed Methods Exploration Of The Feasibility, Acceptability, And Initial Outcomes Of Group Cbt For Insomnia In Parkinson’S Disease, Claire M. Williams

Theses and Dissertations

Parkinson’s disease is a progressive neurodegenerative disease that is commonly associated with sleep disturbances, affecting up to 80 percent of individuals with Parkinson’s. Effective and accessible treatments for sleep problems in Parkinson’s disease remain limited. Cognitive Behavioral Therapy for Insomnia (CBTi) is a well-established, non-pharmacological treatment for insomnia but has been minimally studied in Parkinson’s populations. This study evaluated the feasibility, acceptability, and preliminary outcomes of a group-based CBTi intervention adapted for individuals with Parkinson’s disease. Participants engaged in a six-week group intervention that incorporated Parkinson’s-specific adaptations. Preliminary findings indicated that the adapted group CBTi intervention was generally feasible and …

Self-Guided Functional Imagery Training To Reduce Anxiety, Jackie Andrade, Stephanie Hartgen-Walker, Caroline Morgan, Ayan, Idil Aytekin, Khadijah Sekoni, Kardelen Sengul, Jonathan Rhodes

School of Psychology

Objectives: Many university students experience high anxiety but have limited access to effective interventions. We evaluated a novel digital intervention for anxiety based on functional imagery training (FIT), designed to help individuals identify the impacts of anxiety, set engagement goals, and strengthen motivation for change. Functional Imagery for Keeping Anxiety low (FIKA) uses speak-aloud tasks, journalling, empathic questions, and personalised guided imagery for a person-centred approach. It builds motivation for engagement goals over safety goals through development and practice of vivid and emotionally laden multisensory imagery. Design: Study 1 used semi-structured interviews and thematic analysis to explore user experiences of …

Just A Slip: Cognitive Distortions Associated With Lapse And Relapse In Recovery, Matthew Karr

PCOM Psychology Dissertations

Substance use rates in the United States continue to rise despite low treatment utilization. Research has indicated the function of distorted patterns of thinking that can influence the relapse process. This study aimed to examine the relationships between relapse patterns, length of abstinence, and endorsed rates of cognitive distortions on the Cognitive Distortions Scale (CDS). This study sought participants 18 years or older with a history of problematic substance use and substance use treatment within the past 2 years. Participants were recruited through social media sites. Proposed statistical analyses included Pearson’s product-moment correlation, analysis of variance (ANOVA), and multivariate analysis …

Open Wide: Examining Dental Narratives In The Age Of Tiktok, Steve Jacob

Honors Theses - Providence Campus

Over the past few years, TikTok has emerged as a major conduit for health-related information through its wide array of short, emotionally charged videos that shape public perceptions. Within that broader category, this thesis evaluated dental-related content. Studies have investigated educational dental-related content on platforms such as YouTube and Facebook; however, no literature has explored how TikTok’s unique, narrative-driven content characterizes dentistry. For this study, primary research was conducted via content analysis of recently uploaded dental-related TikTok videos across 10 popular oral health-based hashtags. Results underline the dominance of patient voices, the use of personal experience as a messaging format, …

Effects Of Differential Stress And Mental Health On Substance Use Among College Students, Avdi S. Avdija, Arif Akgul

Sociology & Criminal Justice Faculty Publications

Substance use among college students is often seen as a coping mechanism for some students who are prone to extreme stress, depression, or anxiety. Multiple forms of stress become the leading factors that push students toward substance use. This study tests the effects of college stressors, depression, and anxiety on substance use among college students. The results are based on the data that were collected using a 101-item questionnaire administered to 302 college students at a public university in the Midwest U.S.A. Using Logistic Regression as the primary data analysis technique, the findings of this study show that social stressors …

Effects Of Coaching Interventions On Burnout And Mental Health Outcomes Among Collegiate Athletes: A Meta-Analysis, Natalie Mitchell

Cal Poly Humboldt theses and projects

This meta-analysis examined the effects of coaching interventions on burnout and mental health outcomes among collegiate athletes. Following PRISMA guidelines, literature published from 1980 onward was searched across SPORTDiscus, PsycINFO, PsycARTICLES, PubMed/MEDLINE, Web of Science, and ProQuest Theses & Dissertations. Studies were included if they assessed burnout, psychological well-being, or related mental health outcomes in collegiate athletes and investigated a coaching intervention. Twelve interventional studies met the inclusion criteria. Across studies, coaching interventions varied in structure, duration, sport context, and cultural setting, with most emphasizing intrapersonal strategies and emotional or mental health outcomes. Meta-analytic results indicated small, non-significant effects favoring …

Moderators Of Subjective Distress And State Body Image During Open And Blind Weighing, Danielle E. Peters

Electronic Theses & Dissertations (2024 - present)

Objective: Body image disturbances are central to eating disorder (ED) pathology and are often addressed through exposure-based methods, such as open weighing. Open weighing is recommended in evidence-based ED treatments, but many clinicians and patients prefer blind weighing. It may be that pre-treatment patient characteristics may influence how distressed they feel by open and blind weighing. As such, the present study aimed to 1) compare how open and blind weighing impact subjective distress and state body image, and 2) examine whether self-weighing tendencies, body avoidance, body checking, body checking-related beliefs, intolerance of uncertainty, and ED psychopathology moderate the relationship between …

The Caregiving Experience: Comparing Stress And Quality Of Life Among Caregivers Of Children With And Without Autism Spectrum Disorder, Mona Khayal

Antioch University Dissertations & Theses

This comparative cross-sectional study investigated caregiving burden, quality of life, and anxiety among primary caregivers of children with autism spectrum disorder compared to caregivers of typically developing children. Using Bronfenbrenner’s Ecological Systems Theory, 66 caregivers (31 autism, 35 comparison) of children aged 6-18 completed the Zarit Burden Interview-12, WHO Quality of Life-BREF, and GAD-7. According to the results, autism caregivers reported substantially higher burden (M = 31.26 vs. 13.23, d = 2.42) and anxiety (M = 9.13 vs. 4.63, d = 1.04), with 90% exceeding clinical burden thresholds compared to 26% of comparison caregivers. Quality of life was lower across …

"Why Don't I Talk To A Therapist?": Motivations And Reflections Of Female-Identifying Chinese Immigrants Seeking Psychotherapy For Depression, Qiuyi Wei

Antioch University Dissertations & Theses

This phenomenological study explored the lived experiences of Chinese immigrants and temporary residents struggling with depressive symptoms and their process of seeking and accepting psychotherapy support. The study aimed to describe the factors that motivated participants to enter therapy for depression while also addressing their internal concerns about treatment. Nine female-identified Chinese immigrant adults with such experiences were recruited. Participants’ perceptions of their depressive symptoms and the factors contributing to their decision to seek professional therapy were explored through in-depth, semi-structured qualitative interviews conducted in Mandarin. The interview transcripts were analyzed in Mandarin using interpretative phenomenological analysis, through which four …

Improving Parental Self-Efficacy In An Integrated Primary Care Setting, Leo Parini

Antioch University Dissertations & Theses

A pediatric mental health crisis in the United States has strained integrated primary care, leaving providers with high volumes of requests for psychotherapy. Low parental self-efficacy (PSE)—reduced caregiver confidence in supporting children's emotional and behavioral needs—may contribute to this demand. This study examined whether a brief, 4-week parent training curriculum informed by Supportive Parenting for Anxious Childhood Emotions (SPACE), targeting child anxiety and obsessive-compulsive disorder (OCD) and delivered by a clinical psychologist within an integrated primary care setting, would increase PSE. Using secondary, de-identified data, PSE was measured before and after the course with the Brief Parental Self-Efficacy Scale; 19 …

Bridging Worlds Of Care: A Qualitative Exploration Of Integrating Non-Western Healing Modalities With Mental Health Counseling, Douglas Valdez

Antioch University Dissertations & Theses

The aim of the study is to explore the experiences of practitioners who treat individuals presenting with depression and anxiety using culturally integrative non-Western healing modalities. Participants included 15 experienced practitioners (minimum five years of practice) who identified as Traditional Chinese Medicine providers (e.g., acupuncturists, herbalists) and/or Curandero/x/as. The approach was qualitative, utilizing open-ended survey responses collected electronically and analyzed with thematic analysis. Results indicated six primary themes: (a) Philosophies in Healing, highlighting culturally grounded conceptualizations of depression and anxiety; (b) Traditional Chinese Medicine Interventions, including acupuncture, botanical, nutritional, manual, and movement-based practices; (c) Curanderismo Pláticas and Integrative Western Healing …

Between Self, Family, And Becoming: Mindfulness And The Transition Experiences Of Latinx Clinical Counseling Graduate Students, Orlando R. Alvarez

Antioch University Dissertations & Theses

Latinx graduate students transitioning into their first semester of clinical counseling master’s programs often navigate substantial challenges as they embark on their academic journeys. While transitions into any new role can be difficult, the changes that accompany the beginning of a graduate program have been associated with increased role and identity strain, anxiety, depression, and feelings of fraudulence and imposterism, negatively impacting student success, performance, and attrition rates (Halladay et al., 2019; Murphy, 2021; Vidic & Cherup, 2019). Although mindfulness practices provide benefits for graduate student wellbeing, there is no current scholarship that has examined how mindfulness practices support Latinx …

Substitution Of Cannabis For Prescribed Medications In The Management Of Anxiety And Depression Among Midlife Women: A Cross-Sectional Study, Jocelyn Mueller, Jamia Sapp, Jennifer Attonito, Aditya Chakraborty, Karina Villalba

Epidemiology, Biostatistics, & Environmental Health Faculty Publications

Background and Aims

Given the rising prevalence of cannabis use as an alternative strategy for managing mental health symptoms, there is a crucial need to understand the determinants of substitution behavior, particularly among midlife women who may experience distinct psychosocial and clinical profiles. This study examined the predictors of cannabis substitution among midlife women by comparing profiles of women who substituted cannabis for antidepressant medications versus those who substituted for anxiolytic medications.

Methods

A cross-sectional survey of 172 women who reported substituting cannabis for either anxiety or depression medications was conducted. Measures included the PHQ-8, OASIS, AUDIT, and ACEs. Logistic …

Emotion Regulation: The Effectiveness Of Reappraisal And Potential Benefit Of Music, Ezra J. Greidinger

College of Graduate Studies: Theses & Dissertations

Literature has supported potential benefits to cognitive reappraisal as a method of emotion regulation, as well as intentional music usage as an enhancer of these effects. It has been suggested that instruction be provided to individuals to use these methods, especially in highly stressed populations (Sakka et al., 2018). However, there has not been an experimental study to follow up on these claims. When instruction is provided, is cognitive reappraisal more effective than naturally developed habits in regulating anxiety, and would music enhance these effects? College students (N = 170) were randomly assigned to three treatment conditions: control, cognitive reappraisal, …

Financial Stress And Academic Disruption Among U.S. Postsecondary Students: The Mediating Role Of Anxiety, Tania Akter

Journal of Higher Education & Student Affairs

Given the growing mental health challenges among students in the United States, this study examines how financial stress is associated with anxiety and assesses whether anxiety mediates the relationship between financial stress and academic disruption among U.S. postsecondary students. Data from the 2023–2024 Healthy Minds Study were analyzed using survey-weighted linear regression models to assess the association between financial stress and anxiety, and a generalized structural equation model (GSEM) to test whether anxiety mediates the relationship between financial stress and academic disruption. Results showed that financial stress was significantly associated with anxiety. Mediation analysis indicated that anxiety significantly mediated the …

Multimodal Imaging Markers Of Brain Dysfunction In Minimal Hepatic Encephalopathy: Sleep-Wake Regulation And Metabolic Dysfunction, Hannah Windmill

School of Psychology Theses

Hepatic encephalopathy (HE) is a common complication of chronic liver disease, with minimal hepatic encephalopathy (MHE) characterised by subclinical cognitive dysfunction, mood disturbance, and sleep disruption. MHE remains underdiagnosed due to poor correlation of prevalence with disease severity and absence of a standardised clinical diagnostic tool. This thesis employs a multimodal neuroimaging framework, integrating MR spectroscopy (MRS), diffusion MRI, fMRI, and EEG, to identify sensitive early markers of MHE and examine the confounding influence of sleep on brain-based outcomes.Chapter 4 investigated neuroimaging biomarkers of MHE in a cross-sectional cohort of liver disease patients and healthy controls. Primary outcomes were EEG …

Impact Of Religion On Mental Outcomes Among Racial/Ethnic And Sexual/Gender Minority Individuals, Braden J. Waugh, Michael E. Nielsen

College of Graduate Studies: Theses & Dissertations

Marginalized identities (Adams & Miller, 2022) are associated with elevated risks for negative outcomes (Ching et al., 2018; Kayode et al., 2024). Religion has been found to act as a protective and risk factor. Minority Stress Theory (Meyer, 2003) and Intersectionality Theory (Crenshaw, 1991) are used to examine the relationship between identity status and anxiety, prosocial tendencies (PT), and quality of life (QoL). One hundred fifty-two participants were primed with a religious or neutral stimulus, and then answered measures regarding these outcomes (GAD-7, Spitzer et al., 2006; PBIS, Baumsteiger & Siegel, 2019; WHOQOL-BREF, The Whoqol Group, 1998; IFS, Hammer & …

Racial/Ethnic Identity Moderates Changes In Skill Use And Therapeutic Alliance But Not Anxiety Or Depression In The Unified Protocol, Matthew W. Southward, Alex G. Urs, Thomas G. Adams, Shannon Sauer-Zavala

Psychology Faculty Publications

Cognitive-behavioral therapy (CBT) patients with minoritized racial/ethnic backgrounds report similar outcomes as White patients but may report weaker alliances and less frequent CBT skill use. Given its transdiagnostic utility, we tested how racial/ethnic background impacted treatment outcomes, the alliance, and therapy skill use in the Unified Protocol (UP). Participants (N = 70, M_age = 33.7, 67% female, 74% White) with emotional disorders completed six sessions of core UP modules. Participants rated their past-week anxiety, depression, and skill use before each session and the strength of the alliance after each session. We tested whether racial/ethnic background moderated the slopes of …

Effects Of Mental Health Services On Adolescents’ Mental Health-Related Behavior Problems And Academic Performance, Marsha Bernard

Theses and Dissertations

The problem to be addressed in the research study was that students who are marginalized and racially profiled exhibit behavioral problems in school and lack the resources to understand and manage their emotional behaviors. The purpose of the study was to determine how mental health counselors in schools and in the community can assist marginalized families with adequate mental health services. The study sought an understanding of the underlying causes of disruptive behaviors and miscommunication between students and administrators. Overall, the study revealed that mental health has an impact and plays a critical role in the day-to-day experiences of marginalized …

Development And Validation Of The Ipip-Ocean: A Hierarchical Facet-Level Measure Of The Big Five, Caleb Niccum

Graduate Theses/Dissertations

This study focused on developing a mid-range, hierarchical, five-factor, 20-facet personality inventory (the IPIP-OCEAN) composed of 100 items drawn from both the IPIP-NEO-300 and the Abridged Big Five Circumplex. Hierarchical confirmatory factor analysis was used to validate the factor structure. Depression and anxiety, measured with the PHQ-9 and GAD-7, were used to further validate the measure through discriminant and convergent validity by examining whether the domains and facets of the IPIP-OCEAN produced findings consistent with those reported for similar scales in prior depression and anxiety research. Numerous factor analyses were conducted on the IPIP-OCEAN dataset (N = 1,058), and a …

Students’ Perceptions Of The Value And Challenges Of Oral Assessment In An Undergraduate Occupational Therapy Programme, Alexa M. Andrew, Rachel Sayers, Kristy Richards

Journal of Occupational Therapy Education

Oral assessments are used in undergraduate occupational therapy programs to facilitate students’ ability to articulate their professional reasoning in relation to a case scenario. Oral assessments are seen by assessors/lecturers as crucial preparation for fieldwork placement. Oral assessments are known to provoke anxiety among students. The aim of this research was to explore students’ perspectives of the value and challenges of the oral assessment. The method was qualitative and focus groups and individual interviews were used to collect data. Thematic analysis of the transcripts was conducted using a semantic approach. Four themes emerged as a result of the data analysis: …