The Effects Of School-Based Menstruation Education Programs On Anxiety And Self-Efficacy In Adolescent Girls: A Systematic Review, Hannah C. Hart

Honors Undergraduate Theses

A significant global knowledge gap exists for adolescent girls regarding what constitutes a healthy menstrual cycle, proper menstrual hygiene practices, and the implications of reproductive maturity that is ushered in by menarche. This limited understanding can lead to poor health outcomes and the development of negative sentiments and beliefs surrounding the normal experience of menstruation.

This systematic review aims to comprehensively investigate the current state of research regarding the effects of school-based, formal menstruation education programs on adolescent girls, particularly the effects on anxiety and self-efficacy related to the management of menstruation. Furthermore, this work aims to take a stance …

A Survival Horror Video Game's Impact On Visual Attention, Alicia D. Sprague

Honors Undergraduate Theses

The current study’s main research question was whether playing a survival horror video game increases the visual selective attention of a player. This project examined how visual attention and anxiety levels differ after playing a survival horror video game and whether an individual’s gaming preferences affect these concepts. The research consisted of the preliminary evaluation of participants’ visual attention abilities and anxiety levels through psychological tasks. Participants then played Resident Evil 4: Chainsaw Demo, the selected survival horror video game for this study. After playing the demo, participants repeated the previous psychological tasks, and their results were assessed. Results …

Comparative Efficacy Of Hallucinogens In Treating Mood Disorders Through A Meta-Analysis Of Symptom Reduction, Dosage, And Duration, John Marco D.F. Muniz

Honors Undergraduate Theses

Background: Hallucinogens including psilocybin, lysergic acid diethylamide (LSD), ketamine, N,N-dimethyltryptamine (DMT) (as ayahuasca), have re-emerged as potential rapid-acting treatments for mood disorders. We conducted a meta-analysis of placebo-controlled trials evaluating their efficacy in depression and anxiety disorders. Methods: A systematic review identified 12 trials (Total ≈ 670) meeting inclusion criteria (randomized, placebo-controlled). Data on Cohen’s d and Hedges’ g effect sizes for depression- and anxiety-related outcomes were extracted. We computed pooled effect sizes (weighted by sample size and inverse variance), performed subgroup analyses by drug, diagnosis, follow-up duration, and outcome measure type, and assessed heterogeneity (I², Q …

Disentangling The Association Between Cognitive Flexibility And Anxiety In Autistic Youth: Real-World Flexibility Versus Performance-Based Task Switching, Farah Mahmud, Erin Kang, Rachel G. Mcdonald, Drew Wallace, Carrie Masia Warner

Department of Psychology Faculty Scholarship and Creative Works

Introduction: Anxiety symptoms are highly prevalent among autistic youth yet remain under-recognized and undertreated, in part, due to a limited conceptual understanding of autistic cognition. Emerging evidence suggests that autistic differences in cognitive flexibility (CF) may be associated with a greater likelihood of developing and maintaining anxiety symptoms, relative to non-autistic youth. However, further work is needed to elucidate mechanisms of anxiety vulnerability that could inform potential targets for anxiety treatment in autistic youth. The current study aims to examine the associations between CF and anxiety in this population. Given the complexity of CF as a multifaceted construct, we used …

Self-Directed Behavior Reflects Social Stress In Captive Asian Elephants, Sofia Vilela, Peini Chen, So Murakami, Yusuke Tanabe, Shinya Yamamoto

Faculty, Staff and Students Publications

Self-directed behaviors (SDBs), such as scratching, self-grooming, and body shaking, have been widely used as indicators of anxiety and social stress in non-human primates. However, research focused on SDB outside the primate range is still in infancy. Expanding this topic to other species can support animal welfare assessments and enhance comparative social studies. This study investigates whether SDB levels can reflect the social stress experienced in Asian elephants (Elephas maximus). Using all-occurrences and focal sampling on four captive individuals, we compared post-conflict SDB levels in victims to their baseline levels. Furthermore, changes in group composition during the study …

Body Dysmorphic Disorder Presenting As Alopecia Anxiety: A Case Report, Henry Lim, Paige Loux, Arianne Felicitas, Marshall Hall, Christian Scheufele, Garrett Furth, Michael Carletti, Stephen Weis

North Texas Research Forum 2025

Background: Body dysmorphic disorder (BDD) involves a preoccupation with a nonexistent or insignificant physical defect that causes clinically significant distress and impacts a patient's daily functioning. We present a case of a patient with body dysmorphia that manifested as anxiety about hair loss. Case Information: A 48-year-old otherwise healthy female presented to the dermatology clinic with the chief complaint of 8 months of hair loss. She had been seen previously by 2 other dermatologists. She brought 28 pages of paperwork to her first appointment detailing previous work-up, including four separate skin punch biopsies consistent with androgenetic, non-cicatricial (non-scarring) alopecia. Other …

The Impact Of Nutrition On Depressive And Anxiety Symptoms In Adults, Joseph P. Galabit

Graduate Research Projects

No abstract provided.

Navigating The Nexus Of Food Insecurity, Anxiety, And Depression In The Face Of Climate Change: A Longitudinal Study In Rural Kenya, Michael Goodman, Lauren Raimer-Goodman, Heidi M Hagen Mcpherson, Dawit Woldu, Shreela Sharma, Ryan Ramphul, Fridah Mukiri, Agnes Maigallo

Faculty, Staff and Student Publications

Objective: This study aims to address critical gaps in understanding the bidirectional relationships between food insecurity, anxiety, and depression in Meru County, Kenya. By employing a cross-lagged panel analysis, we seek to clarify these temporal dynamics, contributing to the design of targeted interventions that integrate food security and mental health in the context of climate change.

Methods: A cross-lagged panel analysis was conducted using data from 362 adult participants in a community-based empowerment program (2023) in Meru County, Kenya. Participants completed self-report measures of food insecurity, anxiety, and depression at two time points, 11 weeks apart.

Results: Food insecurity (T1) …

Maternal And Child Anxiety Symptoms: A Longitudinal Examination Of Parent-Related Indirect Pathways During Covid-19, Karamveer Kaur

Graduate Research Theses & Dissertations

The present study contributes to the current literature by examining specific parenting pathways (i.e., maternal hostility, overreactivity, laxness, warmth) that may be contributing to the transmission risk of anxiety symptoms from parent to child. Additionally, understanding these pathways during a context of high stress created by the COVID-19 pandemic may be particularly informative. Further, additional analysis explored the reverse direction, examining how child anxiety symptoms might influence parenting behaviors, providing a view of the bidirectional relationship between parent and child anxiety within the context of high stress. The survey data for this study were collected from a longitudinal study titled …

The Relationship Between Mindfulness, Emotion Regulation, And Anxiety Levels Among College Students In Saudi Arabia, Tahani Aljuaid

Dissertations

Problem

Anxiety is one of the most common psychological issues affecting youth globally and is particularly prevalent among Saudi adolescents and college students. Studies in Saudi Arabia have reported anxiety rates ranging from 48.9% to 66.2% among adolescents and high levels of generalized anxiety among university students, especially females (Aldosary et al., 2023; Alhabeeb et al., 2023). Poor emotion regulation has been identified as a key factor associated with anxiety and other mental health difficulties. In recent years, mindfulness has gained attention as a protective factor that promotes better emotion regulation and reduces anxiety symptoms. Despite this growing recognition, there …

A Multilevel Framework For The Promotion Of Maternal Mental Health And Well-Being During The Perinatal Period, Jenn A. Leiferman, Jessica Walls Wilson, Charlotte V. Farewell, Chelsea Walker-Mao, James F. Paulson

Psychology Faculty Publications

Background: Depression and anxiety are prevalent in the perinatal period and may contribute to adverse maternal and child health outcomes. A focus on multilevel protective factors may be effective in promoting well-being and increasing quality of life (QOL) in the perinatal period while simultaneously reducing or preventing depression and anxiety symptoms. We tested a conceptual model that posits specific personal, social, and community factors affecting depression, anxiety, and QOL among pregnant and postpartum individuals.

Methods: Four hundred and thirty-eight pregnant or postpartum individuals completed a 121-item cross-sectional survey composed of validated tools that assessed multilevel protective factors, health behaviors, and …

Exposure Therapy Consortium: Outcomes Of The Proof-Of-Principle Study, Jasper A J Smits, Jonathan S Abramowitz, Rebecca A Anderson, Joanna J Arch, Daniel Badeja, Snir Barzilay, Amanda N Belanger, Thomas Borchert, Emma Bryant, Alane S Burger, Laura J Dixon, Christina D Dutcher, Hayley E Fitzgerald, Bronwyn M Graham, Anke Haberkamp, Stefan G Hofmann, Jürgen Hoyer, Jonathan D Huppert, David Johnson, Baraa Q Kabha, Alex Kirk, Jürgen Margraf, Peter M Mcevoy, Bryan Mcspadden, Jill Newby, Michael W Otto, Santiago Papini, E Marie Parsons, Andre Pittig, Roxana Pittig, Winfried Rief, Svenja Schaumburg, Kiara R Timpano, Lena Waltemate, Andre Wannemüller, Cornelia Weise, Exposure Therapy Consortium

Faculty, Staff and Student Publications

Background: This paper reports on the outcomes of a proof-of-principle study for the Exposure Therapy Consortium, a global network of researchers and clinicians who work to improve the effectiveness and uptake of exposure therapy. The study aimed to test the feasibility of the consortium's big-team science approach and test the hypothesis that adding post-exposure processing focused on enhancing threat reappraisal would enhance the efficacy of a one-session large-group interoceptive exposure therapy protocol for reducing anxiety sensitivity.

Methods: The study involved a multi-site cluster-randomized controlled trial comparing exposure with post-processing (ENHANCED), exposure without post-processing (STANDARD), and a stress management intervention (CONTROL) …

Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker

Antioch University Dissertations & Theses

Research investigating the bicultural and mental health experiences of Filipino Americans, the third largest Asian American group in the United States, are consistently overlooked, with second-generation Filipino Americans (SGFAs) facing greater risk of adverse mental health outcomes. This quantitative study addresses a critical gap in research by examining the relationship between bicultural stress and mental well-being among SGFAs living in the United States. Using a cross-sectional survey design, a multivariate regression analysis examined the relationship between bicultural stress and four mental health constructs (as measured by depression, anxiety, stress, and self-esteem) among 302 SGFA participants. Results from this study strongly …

The Intermediate And Remote Effects Of Acute Juvenile Stress Upon Auditory Fear Learning, Recognition Memory, And Anxiety Measures In A Rodent Model Of Ptsd, Laura J. Baron

Electronic Theses & Dissertations (2024 - present)

Abstract

Early-life stress is a risk factor for increased susceptibility to stress- and trauma-related disorders, including Posttraumatic Stress Disorder (PTSD). PTSD is characterized by exposure to trauma that results in exaggerated and extinction-resistant fear responses that persist for over a month. Understanding how the severity of early-life stressors in animal models impacts adult behavior, cognition, and underlying neurobiology could aid in the development of more effective PTSD treatments.

Various early-life stress models, especially in infant rats, have been used to induce stress and assess PTSD like-symptoms. Different stressors impact short- and long-term behavior, with some effects influenced by developmental timing …

The Effects Of A Yoga Intervention On Flexibility And Stress Of High School Students, Paige Mccollum

Cal Poly Humboldt theses and projects

This study examines the effect of a four-week school-based yoga intervention on the flexibility and stress/anxiety levels of high school students. Eighteen freshman students, aged 13-15, participated in two 30-minute yoga sessions per week. Students’ physical flexibility was measured using the sit-and-reach and shoulder stretch tests from the FitnessGram. Stress and anxiety levels were assessed using the SCARED survey and Perceived Stress Scale surveys. Results showed a statistically significant reduction in school avoidance anxiety (p = 0.025) and slight improvements in lower-body flexibility among students with initially low flexibility. Other subscales from the SCARED survey and flexibility testing did not …

Psychometric Properties Of The Gad-7 Among College Students: Reliability, Validity, Factor Structure, And Measurement Invariance, Agnes E. White, Justin E. Karr

Psychology Faculty Publications

The GAD-7 (seven-item Generalized Anxiety Disorder Scale) is a brief, freely available questionnaire measuring anxiety, which is a common mental health problem among college students. The current study examined the psychometric properties of the GAD-7 among undergraduate students from a public midwestern university (n = 582; M = 19.0 +/- 1.0 years old; 79.4% women; 81.6% White) who completed the GAD-7, State-Trait Anxiety Inventory-Trait subscale (STAI-T), and Behavioral Inhibition and Activation Scale-Reward subscale (BIAS-R). The psychometric properties of two GAD-7 models were examined: a one-factor model, equivalent to a single total score, and a two-factor model, including cognitive-emotional and somatic …

The Correlation Between Working From Home And Depression, Anxiety & Stress And The Moderating Effect Of Parenting, Lauren H. Marshall

Murray State Theses and Dissertations

This thesis explores the impact of working from home on depression, anxiety and stress and whether parenting has a moderating role in its impact. The number of individuals working from home increased dramatically because of the pandemic and many individuals continue to work from home despite the absence of government-issued lockdowns and the diminishing threat of the COVID-19 virus. Earlier pre-pandemic research supports several positive work-related outcomes of working from home; however, little consideration has been given to the long-term impact of this major change in the way we work on individual’s mental health. Social isolation, an increase in sedentary …

Investigating The Role Of Motivation In Open-Label Placebo Responses, Joshua Worthington

Cal Poly Humboldt theses and projects

Placebo effects occur when an individual receives an inactive treatment that should be unable to provide therapeutic benefits but still demonstrates meaningful improvements in health. Open-label placebos extend this phenomenon by providing full disclosure to individuals that they are receiving a placebo, as opposed to traditional placebo treatments that utilize deception. The role of expectancy as a mechanism of change in placebo has received some mixed results in open-label placebo studies. To the author’s knowledge, motivation for change has not been examined in open-label placebo. The current study examined the role of motivation as a mechanism of placebo responses. To …

Anxiety And Adaptive Functioning In Young Adults: The Moderating Role Of Psychological Flexibility, Makenzie L. Kennedy, Jeffrey E. Cassisi

Honors Undergraduate Theses

Anxiety is highly prevalent among emerging adults and is associated with impairments in academic, social, and daily functioning. While previous research has documented strong associations between anxiety and adaptive functioning, the present study uniquely tested psychological flexibility as a potential moderator that may foster resilience and adaptive coping.

Undergraduate students (N = 522) from the University of Central Florida completed measures of anxiety (PROMIS-A, GAD-7, STAI-S), adaptive functioning (WHODAS 2.0), and psychological flexibility (COMPACT-23). Confirmatory factor analyses supported distinct but correlated latent constructs of anxiety and adaptive functioning. Due to poor subscale intercorrelations, the COMPACT-23 total score was modeled as …

Optimizing Electronic Health Record Capability To Provide Mindfulness Education To Oncology Patients Experiencing Anxiety, Cynthia Arcieri

DNP Scholarly Projects

Background: The impact of a cancer diagnosis is significant. In 2020, the Centers for Disease Control (CDC) reported over 1.6 million new cases of cancer (National Institutes of Health, 2023). Non-traditional approaches to supporting patients should be considered in providing high-quality cancer care. Mindfulness can help reduce stress reactions and may be beneficial for individuals with anxiety (Vinci et al., 2019). To best support patient care in the landscape of mobile health (mHeatlh) technology, it is essential to adopt best practices that promote patient engagement and empowerment.

Purpose: This quality improvement project aimed to provide oncology patients with a cognitive …

The Effects Of Anxiety On Rock Climbing Performance In A Competition Setting, Jackson W. Miller

Cal Poly Humboldt theses and projects

The purpose of this study was to examine how anxiety affects rock climbing performance in a simulated competition setting. Anxiety is known to influence motor performance in athletic environments, often impairing fine motor coordination, decision-making, and movement efficiency. This research aimed to explore whether elevated competitive pressure would alter climb time, move count, and total mistakes made during bouldering performance. Fifteen intermediate climbers (V5 level) were recruited and completed three separate trials of the same route under varying conditions: (1) a control climb, (2) a self-competition trial where participants attempted to beat their own baseline time, and (3) a head-to-head …

Sensory Processing And Anxiety In Bipolar Disorder, Lyric Arvizu

Graduate Theses/Dissertations

Past research suggests that individuals with bipolar disorder often experience differences in sensory gating and sensory processing, and similar patterns have been observed in anxiety disorders. Given that anxiety is highly comorbid with bipolar disorder, the present study examined how these conditions relate to self-reported sensory processing differences. A total of 132 participants (88 female), including 43 with bipolar disorder, were included in the final sample. Anxiety symptomatology was measured via the State-Trait Anxiety Inventory (STAI) Form Y. Sensory processing questionnaires included the Sensory Gating Inventory (SGI) and the Adult Sensory Processing Scale (ASPS). Correlations, t-tests, a multivariate analysis of …

Efficacy Of A School-Based Mental Health Intervention Among Zambian Youth: A Cluster-Randomized Controlled Trial, Sherinah Saasa, Kaitlin P. Ward, Cleopas G. Sambo, Paula Barrett, Cheuk Yan Lau

Research outputs 2022 to 2026

While many children in Africa face notable psychological problems, the majority do not receive needed mental health services. The My FRIENDS Youth Program, a universal cognitivebehavioral intervention for anxiety prevention and resilience enhancement, has demonstrated effectiveness across cultures in children and adolescents. This study explores whether the program's effectiveness extends to Zambian children. Participants were 75 children and adolescents (53% female, ages 10-15) attending low-income schools in Zambia. Four schools were randomly assigned to an intervention (n=44) or waitlist control (n=31). The intervention consisted of 10 weekly sessions plus two booster sessions administered in group format. Assessments were conducted at …

The Association Between Sleep Quality, Depression, Anxiety, And Job-Related Stress Among Nurses In Saudi Arabia, Romeo Jr Patague Mostoles

Makara Journal of Health Research

Background: This study examined the mediating role of sleep quality in the relationship between depression, anxiety, and job-related stress among nurses in Saudi Arabia.

Methods: Sociodemographic information, Pittsburgh Sleep Quality Index, depression, anxiety, and work-related stress were evaluated in 851 nurses. Structural equation modeling was used to investigate the mediation effect of sleep quality on mental health and job stress in nurses.

Results: High rates of anxiety (65.9% severe, 34.1% moderate), depression (37.2% moderate to severe), and poor sleep (51.4%) were found. Sex, marital status, education, nationality, and smoking status significantly influenced mental health outcomes. For example, …

Assessment Of Examination Anxiety Among Secondary School Students In Selected Private High Schools In Udupi, Kotian Smitha Sanjeeva, Akshara N

Manipal Journal of Nursing and Health Sciences

ABSTRACT :Examination anxiety is considered a situation specific trait which predisposes the students to respond with increasing anxiety to an exam. A Study to Assess the Level of Examination Anxiety among 10th Standard School Students in Selected Private High Schools in Udupi” The sample consisted for this study are 312 high school students of 10th standard of state board and CBSE where 156 boys and girls are selected from private high school. The Descriptive research design was used and samples are selected by using Convenience Non-Random Sampling. The standardized tool was used for assessing the anxiety by using Westside test …

Evaluating The Impact Of A Novel Program To Address Acute Food Insecurity Among Cancer Patients, Elliott M. Sina, Michael Rowe, Gina Mancuso, Gregory Garber, W. Kevin Kelly, Amy E. Leader

Kimmel Cancer Center Faculty Papers

INTRODUCTION: Acute food insecurity (FI) significantly impacts cancer patients' health, exacerbating physical and psychological burdens. While current interventions address chronic FI, acute cases remain undermanaged. Legacy of Hope, a Philadelphia-based non-profit, addresses this gap through its Emergency Patient Support Network (EPSN), offering free bi-weekly groceries to patients facing acute FI.

MATERIALS AND METHODS: The pilot study evaluated EPSN's impact utilizing the Legacy of Hope Acute Food Insecurity (LOHAFI) survey, which was performed at baseline and two weeks post-intervention. The survey combines the Functional Assessment of Cancer Therapy-General (FACT-G7) and questions on food and financial security. Mean scores and frequencies were …

Saudi And American Students’ Motivation And Anxiety In Online Collaborative Learning In The United States, Nawal Alqarni

Electronic Theses and Dissertations

This research study aims to explore motivation and anxiety Saudi and American students in online collaborative learning environments through online courses in U.S. universities and how they relate to their academic performance.

The study utilized a quantitative approach for data collection through an online survey of 99 Saudi students and 39 American students who were enrolled in U.S. universities. The results showed that there was no significant difference in motivation scores between undergraduate Saudi students and their American counterparts. Nor was a significant difference observed in motivation scores between graduate Saudi students and graduate American students. The data also indicated …

The Effectiveness Of Christian Accommodative Mindfulness In Christian Women Of African Descent Who Suffer From Depression And Anxiety, Claudia Isaac Kidd

Doctoral Dissertations and Projects

While existing research has indicated the effectiveness of Christian accommodative mindfulness (CAM) to lower symptoms of depression and anxiety, no CAM studies have focused specifically on Christian women of African descent (CWOAD). The aim of this exploratory, case-series study was to examine the effectiveness of the CAM protocol by addressing the participants’ intervention comparison outcomes time (PICOT) question: Among a clinical sample (N = 3) of CWOAD recruited from the waitlist of a Christian counseling center (P) how effective was the CAM protocol (I) indicated by changes over time (C) in the participants’ scores for (1) depression, (2) anxiety/stress, (3) …

The Emotional, Physical, And Mental Effects Of Physiological Entrainment And Heart Coherence In The Choral Ensemble, Nicole M. Mattfeld

Doctoral Dissertations and Projects

Despite endless studies on the benefits of music related to stress reduction and decreased anxiety, there is more in-depth research in the holistic health realm, which has yet to be applied, especially to music educators. Scientists have made groundbreaking discoveries in the last decade, proving that music can heal the nervous system; and guide one’s body into a state of physical and emotional coherence. This study gathered existing research and applied it through the lens of the choral music educator. Guided by the founders of the HeartMath Institute and additional scientific pioneers, this mixed-method study identified methods of holistic health …

Differing Effects Of Alcohol Use On Epigenetic And Brain Age In Adult Children Of Parents With Alcohol Use Disorder, Jamie L. Scholl, Kami Pearson, Kelene Fercho, Austin J. Van Asselt, Noah A. Kallsen, Erik A. Ehli, Kari N. Potter, Kathleen A. Brown-Rice, Gina L. Forster, Lee A. Baugh

Faculty and Staff Publications

Background: It is known that being the adult child of a parent with an alcohol use disorder (ACoA) can confer a wide variety of increased health and psychological risks, including higher rates of anxiety, depression, and post-traumatic stress disorder symptoms. Additionally, ACoAs are at greater risk of developing alcohol/substance use disorders (AUDs/SUDs) than individuals from families without a history of AUDs.

Methods: ACoA individuals with risky hazardous alcohol use (n = 14) and those not engaged in hazardous use (n = 14) were compared to a group of healthy controls. We examined structural brain differences and applied machine learning algorithms …