Digital Commons Network^™

A Comparison Of Cognitive Impairment In Health Anxiety, Generalized Anxiety Disorder, And Posttraumatic Stress Disorder And The Moderating Role Of Social Connectedness, Kaitlyn B. Schodt

Psychology ETDs

Mood symptomatology often negatively impacts cognitive functioning; however, little is known about how some disorders, like health anxiety, might be unique contributing factors. Social connectedness has been found to protect against cognitive decline, and thus might mitigate some of the mental health-related negative effects on cognitive functioning. The current study aimed to: 1) examine the associations between PTSD, generalized anxiety disorder (GAD), and health anxiety symptomatology and cognitive functioning, and between 2) social connectedness and cognitive functioning, as well as the moderating roles of 3) social connectedness and 4) biological sex and race/ethnicity in the association between mental health symptomatology …

Differences In Students' Self-Esteem, Prosocial Behaviors, Classroom Climate, And Participation In Read To Dogs Programs: A Quantitative Comparative Study, Kimberley Anna Brush

Doctoral Dissertations and Projects

This anonymous quantitative quasi-experimental pre-post-test study was designed to determine differences in students' self-esteem, the performance of prosocial behaviors, and teachers' perceptions of the overall classroom climate after participating in Read to Dogs (RTD) programs in elementary and middle schools in East Central, New Jersey. Students with reading difficulties have higher incidences of low self-esteem and self-concept, depression, and anxiety that result in internalizing and externalizing behaviors that impact the classroom climate for all students socially and academically. Student participants completed the Rosenberg Self-Esteem Scale and the Strengths and Difficulties Questionnaire, and teacher participants completed the grade-appropriate version of the …

Provider Implementation Of Probiotics As An Adjuvant Treatment Modality For Patients With Anxiety And Or Depression In A Primary Care Setting, Sarah Dedmon

Doctoral Dissertations and Projects

The prevalence of anxiety and depression among Americans is growing rapidly. Patients are seeking out traditional treatments as offered by their primary care providers, but also frequently look toward integrative or complementary methods of managing their symptoms. The use of dietary supplements is at an all-time high, yet the U.S. Food and Drug Administration does not regulate these substances for potency and purity or evaluate them using quality standards as it does pharmaceuticals. Most providers lack education regarding the physiological interaction their patients may experience when using these substances and are naïve to their place in primary care medicine. The …

Challenges Faced By Adult Gifted Students Who Have Experienced Traumatic Brain Injury: A Phenomenological Study, Dawn M. Nessler

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the educational experiences of gifted adult students who have experienced traumatic brain injury (TBI). The theory guiding this phenomenological study was Kazimierz Dabrowski's theory of positive disintegration, with a focus on how the tragedy of various natures impacts the development of an individual's identity. This qualitative phenomenological study sought to understand the shared educational experiences of gifted undergraduate students who have experienced a TBI. 12 participants from Strong Minds, Kind Hearts, a Christian counseling and educational office located in Northwest Florida engaged in the study. Stratified sampling was used within the …

Alexithymia Profiles And Depression, Anxiety, And Stress, David A. Preece, Ashish Mehta, Kate Petrova, Pilleriin Sikka, Ethan Pemberton, James J. Gross

Research outputs 2022 to 2026

Background: Alexithymia is a multidimensional trait comprised of difficulties identifying feelings, difficulties describing feelings, and externally orientated thinking. It is regarded as an important risk factor for emotional disorders, but there are presently limited data on each specific facet of alexithymia, or the extent to which deficits in processing negative emotions, positive emotions, or both, are important. In this study, we address these gaps by using the Perth Alexithymia Questionnaire (PAQ) to comprehensively examine the relationships between alexithymia and depression, anxiety, and stress symptoms. Methods: University students (N = 1250) completed the PAQ and the Depression Anxiety Stress Scales-21. Pearson …

Case Report Of A Brief Modular Anxiety Intervention For Integrated Primary Care: Addressing Clinician Feasibility Concerns And Barriers To Using Manualized Treatments, Katherine Buckheit, Robyn L. Shepardson, Luke Mitzel, Risa B. Weisberg, Stephen A. Maisto, Jennifer Funderburk

The Journal of Integrated Primary Care

Individuals with anxiety symptoms commonly present in primary care settings and prefer behavioral health (versus pharmacotherapy) treatment, but behavioral health interventions are underutilized. Primary care behavioral health (PCBH) models, in which embedded behavioral health providers deliver behavioral treatment in primary care, may help address the gap in provision of anxiety treatment. However, evidence-based anxiety treatment options feasible for delivery in primary care are limited, and clinicians often report concerns about using manualized interventions. Recent recommendations by the U.S. Preventative Services Task Force to increase anxiety screening among adults in primary care may result in increased identification of individuals with anxiety …

Towards Addressing Mental Health In Rural Louisiana: Blueberry Supplementation As A Natural Intervention, Katy E. Venable

LSU Doctoral Dissertations

Depression and anxiety are major public health issues; however, there is an unmet need for novel effective and accessible treatments, particularly in rural communities. Blueberries are an unexplored nutraceutical for these conditions due to their excellent nutritional profile, with particularly high levels of polyphenols and anthocyanins and benefits on mood, cognition, and health. Therefore, we conducted a double-blind, randomized pilot study in a rural population. We employed a cross-over design to test the effects of 12 weeks daily ingestion of 24 g of whole freeze-dried blueberry powder versus placebo on symptoms of depression and anxiety in those diagnosed with depression …

How To Persist While On The List, Erin Hockaday

BUHealth

Kidney transplant recipients have the longest wait time and highest depression rates out of all solid organ transplants. Various strategies to help manage depression and anxiety in this patient population have been studied including mindfulness interventions, social support systems, and treatment with antidepressants. Studies have shown that mindfulness interventions lowered depression and anxiety scores in patients from baseline to six months. A strong support system in patients has also been shown to improve patients’ likelihood of receiving a kidney transplant. In addition, treatment with antidepressants improves patients’ overall outcomes without impacting their likelihood of receiving a kidney transplant.

The Hidden Impact Of Sociocultural Determinants In Adolescence, Lauren B. Robins, Nicholas Schmoyer, Atiya Smith, Krystal L. Clemons, Jill Kivikoski

Journal of Human Services Scholarship and Interprofessional Collaboration

This study, guided by the Social Determinants of Health framework and Social Ecological Model, examined how SDOH impact the presence of anxiety during adolescence. This study set out to understand what sociocultural determinants predict anxiety, using the 2018 National Survey of Children’s Health dataset. The analysis included a logistic regression to determine the predictability of SDOH on anxiety in adolescence. The results indicated that various SDOH are significant predictors of anxiety, while also indicating that the absence of adverse SDOH predicts the lack of anxiety. Further, unique findings related to race/ethnicity, age, and gender set the stage for additional research …

An Exploration Of Misophonia In The Literature, Megan E. Singer

Honors Projects

Misophonia is a disorder that elicits an extreme negative reaction to specific auditory and visual stimuli. Triggering stimuli, which are often human produced, provoke an array of symptoms including heightened negative emotions along with autonomic nervous system responses. Despite being a relatively common disorder, misophonia is still inadequately recognized and is often classified under conditions such as obsessive-compulsive disorder and anxiety. No cure for misophonia currently exists, but there are many treatments and coping mechanisms used by people with misophonia to ease their symptoms. This comprehensive review synthesizes current research on misophonia, exploring underlying mechanisms, comorbidities, diagnostic methodologies, and treatment …

Study Of A Pst-Trained Voice-Enabled Artificial Intelligence Counselor For Adults With Emotional Distress (Speac-2): Design And Methods, Corina R Ronneberg, Thomas Kannampallil, Et Al.

2020-Current year OA Pubs

BACKGROUND: Novel and scalable psychotherapies are urgently needed to address the depression and anxiety epidemic. Leveraging artificial intelligence (AI), a voice-based virtual coach named Lumen was developed to deliver problem solving treatment (PST). The first pilot trial showed promising changes in cognitive control measured by functional neuroimaging and improvements in depression and anxiety symptoms.

METHODS: To further validate Lumen in a 3-arm randomized clinical trial, 200 participants with mild-to-moderate depression and/or anxiety will be randomly assigned in a 2:1:1 ratio to receive Lumen-coached PST, human-coached PST as active treatment comparison, or a waitlist control condition where participants can receive Lumen …

Risk Factors For Postpartum Depression And Severe Distress Among Mothers Of Very Preterm Infants At Nicu Discharge., Julie A. Hofheimer, Elisabeth C. Mcgowan, Lynne M. Smith, Samantha Meltzer-Brody, Brian S. Carter, Lynne M. Dansereau, Steven Pastyrnak, Jennifer B. Helderman, Charles R. Neal, Sheri A. Dellagrotta, Thomas Michael D O'Shea, Barry M. Lester

Manuscripts, Articles, Book Chapters and Other Papers

OBJECTIVE:  To identify psychological, medical, and socioenvironmental risk factors for maternal postpartum depression (PPD) and severe psychological distress (SPD) at intensive care nursery discharge among mothers of very preterm infants.

STUDY DESIGN:  We studied 562 self-identified mothers of 641 infants born(NOVI) conducted in nine university-affiliated intensive care nurseries. Enrollment interviews collected socioenvironmental data, depression, and anxiety diagnoses prior to and during the study pregnancy. Standardized medical record reviews ascertained prenatal substance use, maternal and neonatal medical complications. The Edinburgh Postnatal Depression Scale and Brief Symptom Inventory were administered at nursery discharge to screen for PPD and SPD symptoms, respectively.

RESULTS: …

Childhood Maltreatment And Amygdala-Mediated Anxiety And Posttraumatic Stress Following Adult Trauma, Farah Harb, Michael T. Liuzzi, Ashley A. Huggins, E. Kate Webb, Jacklynn M. Fitzgerald, Jessica L. Krukowski, Terri A. Deroon-Cassini, Christine L. Larson

Psychology Faculty Research and Publications

Background

Childhood abuse (physical, emotional, and sexual) is associated with aberrant connectivity of the amygdala, a key threat-processing region. Heightened amygdala activity also predicts adult anxiety and posttraumatic stress disorder (PTSD) symptoms, as do experiences of childhood abuse. The current study explored whether amygdala resting-state functional connectivity may explain the relationship between childhood abuse and anxiety and PTSD symptoms following trauma exposure in adults.

Methods

Two weeks posttrauma, adult trauma survivors (n = 152, mean age [SD] = 32.61 [10.35] years; women = 57.2%) completed the Childhood Trauma Questionnaire and underwent resting-state functional magnetic resonance imaging. PTSD and anxiety …

Sabbath As A Healing Place: Alleviating Anxiety, Worry, And Depression In Gen. Z, Christopher Stephen

Doctor of Ministry (DMin)

"Sabbath as a Healing Place: Alleviating Anxiety, Worry, and Depression in Generation Z" delves into the restorative capacity of Sabbath observance as a mechanism to reduce anxiety, worry, and depression, within Generation Z. Generation Z's unique socio-cultural landscape is characterized by pervasive digital interconnectedness and significant exposure to multiple global crises. Within this context, observance of the Sabbath provides an opportunity to experience a physical and psychological respite. The research aims to explore the potential of Sabbath observance as a mechanism for alleviating anxiety, worry, and depression among individuals in Generation Z. Nine participants within the Generation Z demographic underwent …

Faktor-Faktor Yang Berhubungan Dengan Kualitas Tidur Pasien Dengan Lupus Eritematosus Sistemik, Gestana Andru, Alvina Widhani, Rudi Putranto, Arif Mansjoer, Hamzah Shatri

Jurnal Penyakit Dalam Indonesia

Introduction. Sleep disturbances are often found among Systemic Lupus Erythematosus (SLE) patients. Poor sleep may cause low quality of life. Study about sleep quality among SLE patients and related factors in Indonesia is scarce. This study aimed to know factors related to poor sleep quality among SLE patients.

Methods. This cross-sectional study was conducted among SLE patients at Cipto Mangunkusumo Hospital Jakarta Indonesia. Sleep quality was assessed by Pittsburgh Sleep Quality Index (PSQI), with global PSQI score >5 indicates poor sleep quality. Factors evaluated were symptoms of depression and anxiety by Hospital Anxiety Depression Scale (HADS), pain by Visual …

The Impact Of A 4-Domain Wellness-Initiative Curriculum On Internal Medicine Resident Physicians, Esha Vallabhaneni, Luigi Cubeddu, Ryan Petit, Fernando Poli, Premal Patel, Cynthia Rivera

HCA Healthcare Journal of Medicine

Background

There is a trend toward fostering well-being, or the state of being happy and healthy, within the medical community. Historically, resident physicians have faced high rates of distress during training. A structured well-being curriculum in residency programs may shift residents' mindsets from survival and resilience to one centered on purpose, engagement, and joy.

Methods

An original well-being curriculum was administered to residents in person at a single institution every 5 weeks for approximately 10 well-being workshops, totaling around 20 hours of curriculum exposure during every academic year. The well-being curriculum was divided into 4 domains: cognitive distortions and problematic …

Make It Funny! Developing A Novel Humor-Based Digital Positive Psychology Intervention To Investigate The Influence Of Duchenne Laughter And Mirth On Psychological Distress In Daily Life, Joshua Semko

Electronic Theses and Dissertations

The aim of the present research was to develop a novel digital humor-based PPI (Make it Funny!) to investigate the influence of Duchenne laughter and mirth on psychological distress in daily life. Participants (N = 159; Age_­median­ = 39 years; 47.77% biologically female; 68.15% White) were tasked with completing Make it Funny! or a placebo activity every day for 7 days. Duchenne laughter frequency had a small negative cross-sectional moderation effect on the relationship between the occurrence of stressful events psychological distress (t(79.71) = -2.33, b = -10.89, p = .022). Within participants, Duchenne laughter …

Around The Center, 1998 August/September, Advocate Health - Midwest

Historical Documents - Combined

Illinois Masonic Medical Center, Chicago, IL: Issue of "Around the Center", an employee newsletter. This issue has staffing and departmental updates, patient letters, and a feature on art therapy.

The Relationship Between Therapists' Belief About Exposure-Based Therapies, Anxiety, And Religious Faith: A Quantitative Study, Leslie Marie Gordon

Doctoral Dissertations and Projects

Professional therapists are vital in society, providing mental health care for individuals and families. However, therapists can experience mental health diagnoses as well, which may affect what therapeutic techniques they use with clients. Exposure-based therapies (EBTs) are an effective therapeutic technique for anxiety disorder, yet professional therapists underutilize them. Research demonstrated that religious faith affects the counseling relationship, although no research was identified as exploring the relationship between therapists’ religious faith, personal anxiety level, and belief in using EBTs in their practices. This quantitative, descriptive, correlational study utilized PROCESS Model 1 and sought to fill this gap in the literature. …

The Influence Of Working Memory And Anxiety In Adolescents, Donna M. Ward

Doctoral Dissertations and Projects

Literature supports a reliable link between lower working memory (WM) performance and higher anxiety, and both anxiety and WM are reported as comorbid with neurodevelopmental disorders (NDDs). This study sought to understand to what extent WM deficits and anxiety exists in adolescent NDD and non-NDD groups. Participants (N = 11,400; ages 9-10) were obtained from the Adolescent Brain Cognitive Development (ABCD) study archived dataset, with the approval of the NIMH approval. Participants in the dataset were recruited from 21 sites across the U.S. A Mann-Whitney U test, comparing the NDD (N=2756) and non-NDD (N=8644) groups was statistically significant, noting a …

Decreasing Anxiety During Nursing Skills Evaluation In First-Semester Nursing Students, Terri Davis

Doctor of Nursing Practice Projects

Nursing students experience moderate to severe anxiety related to the rigor of nursing programs. Anxiety often leads to poor performance on exams and skills evaluations. When anxiety is not limited, it can contribute to nursing students being unable to progress in the nursing program and high attrition rates. The National League of Nursing (2021) estimates the attrition rate for nursing students in the United States at 20%. Attrition rates for associate degree programs are even greater and estimated to be around 50% (Kubec, 2017, as cited in Priode et al., 2020). This DNP quality improvement project looks to examine the …

Legal Education And The Threat Response, Jane Mitchell

The Journal of Law Teaching and Learning

Law students struggle with disproportionately high rates of depression, anxiety, addiction, and disconnection. This paper offers a novel explanation for these negative outcomes that thus far has been absent from conversations on the subject: Law schools fuel students’ sense of threat. According to psychology’s well-established cognitive appraisal model, students “appraise” stressful situations as either challenging or threatening. Educational environments appraised as threatening consistently lead to negative outcomes—lower student performance, decreased student engagement, and increased anxiety. Situations appraised as challenging lead to positive outcomes—improved academic performance, increased participation, and better overall health.

Law schools facilitate students’ threat response rather than a …

“Do I Want Math?”: Anxiety Level And Career Interest In Math Of De La Salle University Senior High School Students, Heona Franczesca L. Bautista, Marielle Emily V. De Luna, Pariss Joncie C. Licup, Jannah Raisa S. Pantaran, Czarina Alikah A. Paulino, Gabriel John C. Lazaro

DLSU Senior High School Research Congress

Math anxiety, characterized by feelings of tension or fear when dealing with mathematics, is a prevalent issue among students that can significantly affect their academic performance and career choices. This research aims to understand the effect of math anxiety on students, as treating and reducing anxiety is crucial since it tends to exacerbate over time. The study investigates the effect of math anxiety on the career interests of De La Salle University Senior High School students in mathematics-related fields. A Likert-style survey was administered online among 116 participants to assess anxiety levels. Survey questions were grouped based on math assessments, …

Cognitive And Affective Information Seeking Barriers Affecting First-Year Students At The Tshwane University Of Technology (Tut), Rirhandzu S. Mhinga, Rirhandzu Sharon Mhinga, Madely Du Preez

Library Philosophy and Practice (e-journal)

Abstract

Introduction. Investigates cognitive and affective barriers caused by uncertainty that affect the information seeking and searching behaviour of first-year students registered at the Tshwane University of Technology, Polokwane campus. These students do not have a background of using academic information resources and systems. Kuhlthau’s Information Search Process (ISP) model and the four levels of information needs identified by Taylor guided this study. The research question that shaped this investigation is, how do feelings of uncertainty affect the information seeking behaviour of first year students?

Methods. A phenomenological research approach was employed in the study. Fifteen first-year students were interviewed. …

Validating The Sexual Anxiety Inventory, Allie Smith

Undergraduate Honors Theses

The Sexual Anxiety Inventory (SAI) is a psychometric tool intended to measure sex-related anxiety for individuals in many different relationship stages and irrespective of sexual experience. A sample of 419 participants aged 18 to 76 responded to the items of the SAI as well as measures of generalized anxiety, depression, sexual sensation seeking, sociosexuality, and personality. After factor analysis, five factors were determined to have unique properties while being interpretable. A series of correlational testing between these factors and the measures of anxiety, depression, sexual sensation seeking, and sociosexuality demonstrated the strength of SAI factors as measurement tools. Exploratory correlations …

You, Me, And The Unknown: A Creative Exploration Into The Emotions We Feel About What We Don't Understand, Lena Hall

University Honors Theses

I've always found the concept of fear and anxiety to be incredibly fascinating. As someone who grew up with extreme anxiety, I always wanted to rationalize it and figure out exactly why I felt that way. Anxiety is the inherent fear of the unknown and I wanted to know more about why we fear what we don't understand, or in other cases, why we love it. I conducted a research project on our perceptions of the unknown that resulted in an experimental page layout print publication where I shared the participant's views on the unknown through a visual storytelling medium.

Polygenic Liability For Anxiety In Association With Comorbid Anxiety In Multiple Sclerosis, Kaarina Kowalec, Arvid Harder, Casandra Dolovich, Kathryn C Fitzgerald, Amber Salter, Yi Lu, Charles N Bernstein, James M Bolton, Gary Cutter, John D Fisk, Joel Gelernter, Lesley A Graff, Sara Hägg, Carol A Hitchon, Daniel F Levey, Fred D Lublin, Kyla A Mckay, Scott Patten, Amit Patki, Murray B Stein, Hemant K Tiwari, Jerry S Wolinsky, Ruth A Marrie

Faculty, Staff and Student Publications

OBJECTIVE: Comorbid anxiety occurs often in MS and is associated with disability progression. Polygenic scores offer a possible means of anxiety risk prediction but often have not been validated outside the original discovery population. We aimed to investigate the association between the Generalized Anxiety Disorder 2-item scale polygenic score with anxiety in MS.

METHODS: Using a case-control design, participants from Canadian, UK Biobank, and United States cohorts were grouped into cases (MS/comorbid anxiety) or controls (MS/no anxiety, anxiety/no immune disease or healthy). We used multiple anxiety measures: current symptoms, lifetime interview-diagnosed, and lifetime self-report physician-diagnosed. The polygenic score was computed …

Academic Impact And Quality Of Life Among Otorhinolaryngology Residents During Covid-19 Pandemic In South India, Rakshitha Samanth, Meera N. Khadilkar, Deviprasad Dosemane

Open Access archive

The COVID-19 pandemic has led to a major public health crisis. Residents entered the frontline in triaging and treating COVID-19 patients, working overtime to meet the growing demand. Surgical practice and educational activities were restricted, thus affecting resident training. There was also a great risk to their mental health. Our study aims to assess the academic impact and quality of life including mental health status among year I, year II and year III otorhinolaryngology residents during the pandemic. A cross-sectional study was conducted among postgraduates and junior residents working in otorhinolaryngology departments in institutions across South India in October 2020. …

Pre-Stimulus Anticipation And Unconscious Fear Learning Disparities In Individuals With Varying Levels Of Anxiety, Anastasiya Rumyantseva Kharlamova

Dissertations, Theses, and Capstone Projects

The current study employed a Pavlovian conditioning paradigm to investigate the influence of pre-stimulus unconscious threat anticipation on subsequent fear responses in associative learning. Additionally, we explored the differences in pre-stimulus anticipation among individuals with varying levels of anxiety. Electrodermal response (EDA) was chosen as a primary measure due to its robustness in fear conditioning paradigms. Moreover, the State-Trait Anxiety Inventory (STAI) was utilized to assess anxiety levels in participants. Twenty-seven subjects were recruited to determine if pre-stimulus skin conductance responses (SCR) would exhibit stimulus-specific patterns influenced by implicit cues (L-shaped configurations) that indicated an upcoming face or a house …

The Experiences Of Stigma Amongst Practicing Music Therapists Living With Depression And/Or Anxiety: An Exploratory Qualitative Study, Hally Batterman

Theses & Dissertations

This study explored the experiences of stigma amongst practicing music therapists living with depression and/or anxiety. Three study participants were selected from social media groups through purposive sampling. Participants were board-certified music therapists (MT-BC's) living in the United States. They all had been practicing as full-time music therapists for at least 5 years and had depression and/or anxiety for a minimum of 2 years during practice as an MT-BC. Qualitative data sources included in-depth interviews with participants conducted over Zoom. The results of the study suggest that music therapists' experiences of stigma for their mental illness (MI) had a negative …