Digital Commons Network^™

Gi, Pain, Anxiety, And Mood Symptoms Among Youth With Fapds, Helen Bedree

College of Science and Health Theses and Dissertations

Pediatric functional abdominal pain disorders (FAPDs) frequently persist into adulthood, thus developmental considerations are critical for monitoring symptom presentation and tailoring treatments. In addition to core symptoms, such as pain and gastrointestinal symptoms, mood and anxiety symptoms often co-occur as well as negative impacts on functioning and quality of life. The current study took a developmental approach to assess core pain, gastrointestinal, anxiety, and mood symptoms among youth with FAPDs (N = 105), as well as agreement across youth and their caregivers on these key symptoms. Developmental stages included early childhood, middle childhood, adolescence, and emerging adulthood. A cluster …

Understanding And Addressing Mental Health Challenges Of Families Admitted To The Neonatal Intensive Care Unit., Ashley D. Osborne, Daphna Yasova Barbeau, Tiffany Gladdis, Kara Hansen, Tonia Branche, Emily R. Miller, Christine C. Pazandak, Margaret K. Hoge, Michelle Spencer, Diana Montoya-Williams, Ryan Barbeau, Heather Padratzik, Stephen Lassen

Manuscripts, Articles, Book Chapters and Other Papers

This article reviews the psychological distress experienced by NICU families, including anxiety, postpartum depression (PPD), and post-traumatic stress disorder (PTSD), in addition to providing recommendations for clinicians at the individual, institutional, and national level. Currently, mental health screenings, specialized evaluations, and treatment options are not routinely offered to NICU families and are frequently under-utilized when offered. Here we provide expert opinion recommendations to address challenges in supporting universal screening, offering bedside interventions, including trained mental health professionals in care plans, updating neonatology training competencies, and advocating for policies that support the mental health of NICU families. We advocate that mental …

Factors Influencing Medical University Students' Emotions And Infection Prevention Behaviors Amid The Spread Of Covid-19: Analysis From A Social Network Perspective, Jian-Jhou Chen, Peih-Ying Lu

Journal of Medical Education

Background: By adopting a social network perspective, we estimated the impact of the extent of information dissemination and exchange on the emotions and behaviors of medical university students during the COVID-19 epidemic. Methods: Students from a medical university in southern Taiwan were selected through stratified sampling. From October 5 to October 11, 2020, a survey was conducted using a self-developed COVID-19 Response Assessment Scale. A total of 1,162 valid responses were collected. Results: Higher frequencies of information acquisition from social networks or news media and information exchange with others in social networks were associated with higher levels of worries regarding …

Predictors Of Nursing Students' Stress, Anxiety, And Depression During The Covid-19 Pandemic In A Hispanic-Serving University In South Texas: A Cross-Sectional Study, Maria I. Diaz, Eleftherios Gkioulekas, Nancy Nadeau

School of Mathematical & Statistical Sciences Faculty Publications

Background: In nursing education, there have been several studies on the impact of the COVID-19 pandemic on the ability of nursing students to cope while in nursing school.

Purpose statement: The goal of this study is to assess undergraduate nursing students' support mechanisms as predictors of stress, anxiety, and depression during the COVID-19 pandemic within a Hispanic-serving institution in South Texas.

Methods: Across-sectional design was used in this study. An online survey using self-reported questionnaires was used to gather data from an undergraduate nursing student cohort during the Fall 2021 semester. Linear regression was used to identify the predictors of …

Alterations In Gut Microbiome Composition And Increased Inflammatory Markers In Post-Covid-19 Individuals, Tatiana Barichello, Bruno Kluwe-Schiavon, Laura A Borba, Lucas C Pedro, Flávia S Niero, Laísa N Dos Santos, Letícia M Leonardo, Zuleide M Ignácio, Rodrigo Morales, Luciane B Ceretta, Gislaine Z Reus

Faculty, Staff and Student Publications

Dysfunctions in the immune system and alterations in the microbiome composition following SARS-CoV-2 infection contribute to persistent neurological issues observed in long COVID-19 survivors. We hypothesize that alterations in the gut microbiome composition and peripheral inflammatory profile following COVID-19 may play pivotal roles in behavior changes among individuals experiencing long-term illness. This cross-sectional study included a sample of post-COVID-19 and non-COVID-19 subjects. We assessed the presence of psychiatric conditions utilizing standardized diagnostic criteria, Hamilton Rating Scale for Anxiety (HAM-A), Hamilton Rating Scale for Depression (HAM-D), Biological Rhythms in Neuropsychiatry Assessment Interview (BRIAN), and Functional Assessment Short Test (FAST). Plasma samples …

Extending The Psychometric Properties Of The Arabic Rcmas In Jordanian Children Aged 7–16: Considering Gender And Age Invariances, Mohammad A. Al Jabery, Ebenezer Afrifa-Yamoah, Sara Farid Khalaf, Diana H. Arabiat

Research outputs 2022 to 2026

Background: There are diverse gender and age-based differences in levels of anxiety between boys and girls. Establishing the validity of such assessments entails inquiry on the construct validity and measurement invariance of tools. This study examined the psychometric properties of the Arabic version of the Revised Children's Manifest Anxiety Scale (RCMAS) to assess its suitability for measuring child anxiety and its equivalence across genders and ages. Methods: A cross-sectional design was employed to examine the generalizability of the measure's structure. The study was conducted between November 2021 and January 2022. A sample of 178 children (86 boys and 92 girls), …

The Moderating Effects Of Adult Attachment And Emotional Intimacy On The Relationship Between Aces And Mental Health In Social Work Students, Cheryl Lind Nitz

Doctoral Dissertations and Projects

Social work students report significantly more adverse childhood experiences (ACEs) than other majors or the general population. ACEs increase the risk of depression, anxiety, and stress (DAS) and can impact students’ ability to effectively serve future clients. Attachment theory and current research suggest a substantial potential therapeutic impact of secure adult attachments, particularly those with high emotional intimacy (EI), for those with ACEs. This study explored the moderating effect of primary adult attachment (PAA) on the relationship between ACEs and mental health. The Adverse Childhood Experiences (ACE-10) Scale, the State Adult Attachment Measure (SAAM), the Functional Analytic Psychotherapy Intimacy Scale …

Social Media, Religion, And Anxiety: Comparison Of Age Groups, Kaye Eileen Redeker

Doctoral Dissertations and Projects

Social media has become an integral part of daily life for all age groups. The current research is mixed, showing both positive and negative effects from social media on mental health. This study aimed to examine how the duration of social media use compared with anxiety levels, and if religiosity had any effect on social media use and anxiety. It also wanted to determine if there was a correlation between religiosity and social media use, and how social media use and religiosity predicted anxiety. This study filled a gap in research by extending previous studies beyond adolescents and by including …

The Effects Of Crf1 Antagonism On Spatial Navigation And Long-Term Potentiation In The Tgf344-Ad Model Of Alzheimer’S Disease, Nicole C. Reyna

Psychology ETDs

Alzheimer’s disease is characterized by neurobiological deterioration and cognitive impairment that is irreversible. Alzheimer’s disease patients exhibit increased stress system abnormalities including upregulation of the corticotropin releasing factor type 1 receptor (CRF1) and elevated levels of cortisol. People experiencing increased psychological distress in life are more likely to be diagnosed with Alzheimer’s disease and experience faster rates of neurocognitive decline. Therefore, the current dissertation aimed to examine the underlying systems involved in Alzheimer’s disease neuropathology and stress. Administration of the CRF1 antagonist, Antalarmin, reduces AD pathogenesis and anxiety-like behavior in models of Alzheimer’s disease. Thus, the current project used the …

Sense, Drugs, And Rock 'N' Roll: A Critical Review Of Music And Psychedelic Literature, Sophia Harper-Hague

Expressive Therapies Theses

The use of psychedelics has been shown promising efficacy surrounding treatment-resistant mental health diagnoses, as well as improving quality of life for those not suffering from mental health conditions. Additionally, music has been seen as a significant part of psychedelic research, both by music therapists and other allied health professionals alike. This literature review explores the current research surrounding music therapy and psychedelic approaches, as well as the areas in which they intersect. The current review focuses on Post-traumatic Stress Disorder (PTSD), depression, anxiety, and self-concept, delving into the perceptions of both music and psychedelic therapy as emerging treatment options …

Climate Change Anxiety And Hope Both Predict Action: A Moderation Analysis, Yuhan Bi, Grace Hyde, Orei Z. Odents, Kai Okagawa, Cassandra Hoffman, Kimberly A. Barchard

Spectra Undergraduate Research Journal

Climate change is associated with extreme weather events that have devastating effects on communities worldwide. These events disrupt ecosystems, damage infrastructure, and influence physical and mental well-being. Urgent action is needed. Prior studies demonstrate that people are more likely to take action if they feel anxious about climate change and if they feel hopeful they can make a difference. However, we hypothesized that anxiety and hope would interact: that anxiety would only predict action when people felt hopeful. Therefore, we used path analysis to determine if hope moderates the relation between anxiety and action.

In a cross-sectional design, 500 United …

Functional Brain Connectivity Of The Salience Network In Alcohol Use And Anxiety Disorders, Dhruv M Patel, Guillermo F Poblete, Alexandra Castellanos, Ramiro Salas

Staff and Researcher Publications

The interplay between alcohol use disorder (AUD) and anxiety disorders (ANX) is well-documented, yet the underlying neurobiological mechanisms remain elusive. This study aims to elucidate these mechanisms by examining the resting-state functional connectivity (RSFC) within the salience network and to the amygdala, both implicated in alcohol and anxiety disorders. We analyzed data from 264 inpatient participants culled from a wider group of 518 inpatients at The Menninger Clinic in Houston, TX, categorized into four groups (n = 66 each) based on DSM-IV diagnoses: AUD without ANX (AUD), ANX without AUD (ANX), concurrent AUD and ANX (BOTH), and neither (NEITHER). Our …

Pain Dismissal, Anxiety, Depression, And Substance-Use Coping In Emerging Adults With Chronic Pain, Elizabeth Felice Fenelon

College of Science and Health Theses and Dissertations

Twelve percent of emerging adults (EA) experience chronic pain. Having one’s pain dismissed by others, or pain dismissal, is not uncommon and is isolating. There is already an established relationship between pain, anxiety, and depression; furthermore, pain dismissal exacerbates anxiety, depression, and substance-use coping. The current study explores pain dismissal’s relationship to anxiety, depression, and coping with substances. Undergraduate students with chronic pain (N = 227, age M = 19.58, SD = 1.42, range = 18-25) at a Midwestern university reported if they had pain, if their pain had been dismissed, as well as symptoms of anxiety, depression, and substance-use …

Contending With Anxiety In The Elementary Art Classroom, Natalie Petrushonis

Art 895 Research Papers

The focus of this qualitative study is to explore how students are affected by anxiety in the art classroom. The major objective of this research is to explore methods and strategies to support students who suffer from anxiety to prevent it from negatively affecting their art education. The participants of this study will be elementary students within an art classroom who feel anxiety while engaging in artmaking. This case study research will provide insight into approaches that have been utilized to assist students with anxiety in art while observing the effectiveness of these methods with students in an elementary art …

The Impact Of The Mediterranean Diet On Depression: A Narrative Review, Emma Kate Schaaf

Honors Theses

Background. The Western diet has extensive negative ramifications on physical health and emotional well-being. The Mediterranean diet, widely regarded as one of the healthiest eating patterns in the world, may have the ability to improve psychological conditions. This study aims to examine existing research from randomized control trials (RCTs) on the association between depression prevalence and the Mediterranean diet.

Methods. The following review was conducted using PRISMA guidelines and the Google Scholar and PsycInfo databases. The criteria for inclusion were that studies: 1) were randomized control trials (RCTs) examining the Mediterranean diet; 2) included samples of adults (i.e., > 18 years …

The Power Of Parental Responses: Emotional Invalidation And Its Association With Adolescent And Emerging Adult Anxiety And Emotion Regulation Across Genders, Ashlynn Payne

Honors Theses

Adolescence and emerging adulthood are critical developmental periods marked by increased vulnerability to psychological distress, particularly anxiety and difficulties in emotion regulation. One factor that may contribute to this vulnerability is parental emotional invalidation. Although prior research has linked parental invalidation to adverse emotional outcomes, few studies have examined how these associations differ by caregiver and child gender. The current study evaluated how maternal and paternal emotional invalidation interacted with gender to influence anxiety symptoms and emotion regulation difficulties among 45 adolescents and emerging adults (n = 9 boys, 36 girls) between the ages of 13 and 22 years (M …

Empathy And Psychological Outcomes In Informal Caregivers Of Community-Dwelling Older Adults: A Systematic Review And Meta-Analysis, Meng Huo, Thi Vu, Tomiko Yoneda, Jingkai Wei, Bruce Abbott, Joan K Monin

Faculty, Staff and Student Publications

Objectives: Scholars have increasingly recognized the crucial role that empathy plays as informal caregivers provide unpaid care to their older family and friends (i.e., care recipients). Yet, the existing literature exhibits substantial variability in study approaches and results, which limits the extent to which this literature can inform interventions intended to benefit informal caregivers. We sought to address this critical gap by synthesizing research that examined how caregivers' and care recipients' empathy were associated with caregivers' psychological health.

Methods: We conducted a literature search using PubMed, PsycInfo, CINAHL (Cumulative Index to Nursing and Allied Health Literature), EMBASE, and Scopus databases …

How Adverse Childhood Trauma Affects Coping Behaviors And Anxiety In College Students During Covid-19: A Neurobiological Perspective, Harshita Yepuri, Amanda Gilmore, Laura Carruth, Ruschelle Leone

Research Day

The Coronavirus disease (COVID-19) pandemic has uprooted college students from the traditional college environment and placed additional stressors on them, yet its effects are still emerging. In the present study, 329 college students (Mage=19.74, SDage= 1.96) completed measures of generalized anxiety, behavioral coping, and adverse childhood experiences between July 2020 and March 2021 of the COVID-19 pandemic. It is hypothesized that more adverse childhood experiences would be associated with more maladaptive behavioral coping strategies. In addition, less adaptive coping strategies would be positively associated with more anxiety among college students. Results indicated that negative coping behaviors were associated with more …

Development Of Evidence-Based Clinical Practice Guidelines For Pediatric Preoperative Anxiety, Whitney R. Stant

Doctor of Nursing Practice Scholarly Projects

Preoperative anxiety is a problem that occurs frequently in pediatric patients. Preoperative anxiety creates physical and psychological changes that impact a child’s surgical experience. Pediatric patients who experience preoperative anxiety may also experience prolonged postoperative care, long-term psychological complications, and increased postoperative pain. Sedating medications are often administered to prevent and treat preoperative anxiety. Commonly, midazolam is administered intranasally to prevent preoperative anxiety. Midazolam increases the risk of cognitive impairment and respiratory depression. Dexmedetomidine is an effective alternative to midazolam. Dexmedetomidine is a highly selective alpha-2 agonist and provides arousable sedation without respiratory depression. Dexmedetomidine is safe and effective at …

Harmonic Healing: Exploring Music As A Therapeutic Resource, Kalilah B. Chears, Mary Lynn Doherty

Honors Capstones

Mental health concerns among college students are increasing, especially in the post-Covid pandemic era. These issues could negatively affect students’ academic, social, and emotional well-being. Additionally, research illustrates that there are accessibility challenges for students who seek traditional counseling resources; campuses are struggling to meet this rising demand. The authors’ background in music ensembles inspired an exploration of music as an informal therapeutic resource. This literature review investigates one main question: How can an alternative mental health resource such as music serve college students experiencing barriers to traditional mental health resources? Findings suggest that music-based resources can alleviate some common …

A Storm Within: Anti-Nmda Receptor Encephalitis Mimicking Anxiety In A Young Woman, Izma Khaliq, Omar Sami Abdelhai, Angela Ishaq, Emmanuel Meram, Anointing Onuoha, Ahmed Jabri, William Dillon

Conference Presentation Abstracts

Case Description: A 21-year-old female with a history of asthma presented to the emergency department (ED) with restlessness, anxiety, and loss of appetite shortly after returning from a trip to France, where she and her boyfriend ended their relationship. Her initial evaluation, including unremarkable laboratory results, led to the attribution of her symptoms to anxiety from life stressors. She was treated with supportive measures in the ED and prescribed Xanax by her primary care physician at follow-up. Six days later, the patient returned to the ED with hallucinations and panic attacks. Again, laboratory results were unremarkable, and she was diagnosed …

Grey’S Anatomy College Of Medicine: How Modern Medical Dramas Have Contributed To Patient Healthcare Anxiety, Haylee R. Tilley

Butler Journal of Undergraduate Research

Having run for nearly 20 seasons averaging over 37 million viewers, it is no surprise that Grey’s Anatomy has been a captivating medical melodrama, one that has sustained popularity in an ever-changing society during its nearly two decades in production. Modern medical dramas have sparked popularity because of their captivating themes of suffering and healing: the modern happy ending or, in this case, cure. With a comprehensible mix of medical jargon and lighthearted drama, audiences around the globe are claiming an MD-level proficiency due to their dedication and engagement in this Shonda Rhimes award-winning series. The increase in patients made …

Anxiety Among Sexual Minoritized Subgroups: An Investigation Into The Disproportionately High Rates Of Social Anxiety Among Emerging Identity Populations, Veronica Kruschel

Psychology Honors Projects

Sexual minoritized individuals report higher rates of social anxiety than the general population, and research suggests that those belonging to emerging sexual identities are particularly vulnerable. The few existing interventions targeting anxiety in sexual minoritized populations tend to ignore subgroup differences, so the present study proposes an adaptation of an existing CBT-based intervention tailored to pansexual individuals. In addition, existing research offers contradictory findings about emerging identity individuals’ experiences of social anxiety, notably regarding specific subgroup differences. Therefore, in the present study, a survey was conducted to measure social anxiety among sexual minoritized populations. Findings suggest that emerging identity sexual …

Postpartum Depression And Anxiety Between First-Time And Multiparous Mothers Of Infants In The Nicu, Jennifer L. Diaz-Miranda

2025 Spring Honors Capstone Projects - Archive

Postpartum depression (PPD) and anxiety are significant concerns for mothers with infants in neonatal intensive care units (NICUs); yet the role of parity in shaping these experiences remains underexplored. This cross-sectional secondary analysis examined data from 82 NICU mothers (62 adults, 20 adolescents) using the Edinburgh Postnatal Depression Scale and anxiety subscale. Findings revealed that primiparas and adolescents exhibited higher depression scores and multiparas and adolescents were more likely to experience anxiety symptoms. Parity, however, was not found to be a significant factor capable of predicting PPD or anxiety but results highlight the importance of early screening, personalized mental health …

The Value Of Home: The Covid-19 Pandemic’S Influence On Living Space, Mental Well-Being, And Design Adaptability, Grace E. Woodall

2025 Spring Honors Capstone Projects - Archive

Grace Woodall, Architecture

Title: The Value of Home: The COVID-19 Pandemic’s Influence on Living Spaces, Mental Well-Being, and Design Adaptability

Faculty Mentor: Marisa Gomez Nordyke

The COVID-19 pandemic redefined how people worked, learned, socialized, and lived. This study examines how American young adults’ perceptions of home evolved during and after the isolating lockdowns. This work addressed how the COVID-19 experience altered home’s value in young adults, the spatial, mental, and experiential challenges of confined spaces during the lockdowns, and the architectural elements that responded to these shifts. By analyzing post-pandemic housing trends, a literature review of architecture, psychology, home design, …

Resiliency Training For Music Therapy Students During Fieldwork Experiences, Crystal Weaver

Dissertations

All music therapy undergraduate and equivalency students in the United States must complete 1,200 hours of fieldwork experience to obtain degree conferment from an accredited and approved higher education program (American Music Therapy Association, 2023b, p. 1). While engaging in fieldwork had several benefits for music therapy students, such as the opportunity to build practical experience and refine skills, the experience also involved several challenges (Forinash, 2019; Tien & Trang, 2020). A challenge not yet thoroughly examined by faculty and staff within higher education music therapy programs was student mental health. To date, researchers had not examined the prevalence of …

Depression, Anxiety, And Suicide Among Adolescents: Sex Differences And Future Perspectives, Giovana V.R. Toro, Paula Arias, Alejandro De La Torre-Luque, Jonathan B. Singer, Natalia Lagunas

Social Work: School of Social Work Faculty Publications and Other Works

Depression and anxiety are two disorders that significantly increase the risk of suicidal behavior. The disparity between females and males in the prevalence of these disorders becomes more pronounced from adolescence onwards. Specifically, risk factors associated with suicidal behavior in adolescent females are often linked to anxiety and depression, whereas in males, these behaviors are more frequently associated with other types of disorders, such as disruptive behavior. Furthermore, there are notable sex differences in the efficacy and acceptance of treatments aimed at preventing suicidal behavior. This review examines the sex differences in the relationship between depression, anxiety disorders, and suicidal …

Mental Health Impact Of Student Loan Debt On College Students, Melissa Diaz

Electronic Theses, Projects, and Dissertations

This is a proposed study regarding student loan debt and mental health. This study would impact social work practice and education by understanding the mental health status of those continuing to pay off student loan debt. Student loan debt has become an enormous issue in the United States, with the average student carrying $37,000 in debt. Students are impacted financially and emotionally, and their overall well-being is compromised because higher education has become unaffordable for many without the assistance of student loans. Students need to understand the short and long-term implications of student loan debt, such as mental health issues …

Step To Freedom : A Lament And Grieving Redemption Experience, Anitta K. Tilly

ATS Dissertations

No abstract provided.

Maternal Dysbiosis Produces Long-Lasting Behavioral Changes In Offspring, Jacob Hudobenko, Claudia M Di Gesù, Patrick R Mooz, Joseph Petrosino, Nagireddy Putluri, Bhanu P Ganesh, Kristen Rebeles, Frank W Blixt, Venugopal R Venna, Louise D Mccullough

Faculty, Staff and Student Publications

Advanced maternal age (AMA) is defined as a pregnancy in a woman older than 35 years of age. AMA increases the risk for both maternal and neonatal complications, including miscarriage and stillbirth. AMA has also been linked to neurodevelopmental and neuropsychiatric disorders in the offspring. Recent studies have found that age-associated compositional shifts in the gut microbiota contribute to altered microbial metabolism and enhanced inflammation in the host. We investigated the specific contribution of the maternal microbiome on pregnancy outcomes and offspring behavior by recolonizing young female mice with aged female microbiome prior to pregnancy. We discovered that pre-pregnancy colonization …