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Increasing Patient Access To Mental Health Providers: Improving Depression And Anxiety Outcomes For African American Women Aged 18 Years Old And Older, Twanna Davis-Arnold, Farnaz Trasandes

Doctor of Nursing Practice Final Manuscripts

Increasing patient access to mental health providers: Improving depression and anxiety outcomes for African American women aged 18 years old and older.

Background: Depression and anxiety are growing health problems in the United States. In 2020/2021, there was a 36.4% to 41.5% increase in reported symptoms of depression and anxiety. Evidence has shown that African American women experience disproportionate increased risks and disparities in obtaining mental health care.

Purpose of Project: To improve access to African American or culturally competent mental health providers for adult African American women. Improving access to mental health care will lead to earlier diagnosis …

A Multimodal Approach: Implementing Omm For Spinal Surgery Patients' Pain And Anxiety, Summer Barnes

Doctor of Nursing Practice Final Manuscripts

Introduction: The purpose of this evidence-based practice Doctor of Nursing Practice (DNP) project was to encourage thorough assessment of pain and anxiety prior to spinal surgery in order to identify the need for implementation of additional modalities, such as osteopathic interventions for pain and anxiety management. It is pertinent that as holistic providers we address this populations often missed psychological distress and ineffective pharmacological pain regimens to promote better patient outcomes.

Background: Research says there are approximately 1.62 million instrumented spinal procedures performed annually in the United States. Spinal surgery is not uncommon, and neither is the chronic pain and …

What’S This Feeling? Understanding Elementary Music Performance Anxiety, Nathaniel Scott Estes

Masters Theses

The purpose of this study was a qualitative analysis of how elementary general music teachers adapt their instruction to meet the needs of elementary students with anxiety disorder in Virginia public schools. The phenomenological research design described the meaning of the shared experiences by students with performance anxiety. The participants for this research consist of elementary music teachers in central Virginia. Through a survey, phenomenological information was collected about how elementary music teachers teach students with anxiety disorder. Data was collected through a survey of elementary school music teachers in central Virginia. This qualitative study employed thematic coding to look …

Spiritual Disciplines And Mental Resiliency: The Effectiveness Of Spiritual Coping Mechanisms To Decrease Anxiety And Depression Symptoms, Alysa Lynn Vanderweerd

Doctoral Dissertations and Projects

The outcome of anxiety and depression’s symptomology is an ever-rising global economy cost of 1 trillion U.S. dollars, due to medical costs and loss of productivity, leading researchers and clinicians to search for effective cost saving solutions (Chodavadia et al., 2023). Religion/Spirituality (RS) based cognitive therapy treatments are recognized in alleviating maladaptive behaviors and cognitive distortions, offering comfort to the afflicted, hope and belief that God is available for the seeker (Ramos et al., 2018). Therefore, the researcher conducted an internet-based, self-paced intervention of a mixed methods study of a 40-Day Biblical Worldview Educational Treatment Program of a convenience sample …

Concept Analysis: Undergraduate Nursing Student Clinical Performance Anxiety, Maria Gros

Journal of Interprofessional Practice and Collaboration

Concept Analysis: Undergraduate Nursing Student Clinical Performance Anxiety

Maria Gros, MSN, RN, CEN

Department of Nursing, Nicholls State University

Correspondence to: Maria Gros, MSN, RN, CEN. Department of Nursing, Nicholls State University, 906 East 1^st Street, Thibodaux, Louisiana, 70301. Phone: 985-448-4730. Email: [email protected]

Article type: Original article written in a doctoral course in the Doctorate in Nursing Education at University of West Georgia

Word count: 3023 words

Abstract

Purpose: This paper defines and clarifies clinical performance anxiety (CPA) as it pertains to undergraduate nursing students in the clinical setting. This research also identifies how CPA can be detrimental to …

The Therapeutic Use Of Heavy Music: Challenging Stigmas And Uncovering Interventions, Lenny Schwartz

Expressive Therapies Capstone Theses

The present review of literature aims to explore the therapeutic use of heavier forms of music including heavy metal, metalcore, and hardcore punk in a music therapy context to decrease mental health symptomology. Mental health symptomology explored within this review includes anxiety, depression, post-traumatic stress disorder (PTSD), and traumatic brain injury (TBI) among others. Most literature reviewed revealed institutional and individual stigmatization of heavy music genres; all literature reviewed served to challenge these stigmas. Even researchers who purported a negative bias towards both the general listening and playing of heavy music and the use of heavy music in clinical music …

Exploring The Literature On Art Therapy Interventions In Mitigating The Negative Effects Of Loneliness In College Students, Molly Hoekman

Expressive Therapies Capstone Theses

Experiences of loneliness and social isolation among college students pose a concern for emerging adults’ mental and physical health, as well as greater impacts on university systems across the country. While social isolation and loneliness are subjective experiences, there are a range of factors rooted in developmental psychology and sociocultural theory that influence the rising rates and acuity of loneliness. Attachment theorists posit that secure attachment early in life can impact how individuals make lasting interpersonal connections long after their childhood. Secure and insecure attachment styles combined with the dramatic transition to college for a young adult are influencing factors …

Dancing Through Anxiety: A Dance/Movement Therapy Intervention To Treat Comorbid Anxiety In Youth With Complex Neurodevelopmental Disorders, Sarah Taggart

Expressive Therapies Capstone Theses

Neurodevelopmental disorders are complex disorders that impact many factors of functioning. Many individuals with neurodevelopmental disorders have comorbid anxiety that often goes untreated because clinicians have difficulty recognizing and differentiating symptoms of the disorder from symptoms of anxiety. For this reason, noticing and treating symptoms of anxiety in individuals with neurodevelopmental disorders is important in improving quality of life. This thesis shows the development of a method to treat comorbid anxiety in youth with neurodevelopmental disabilities. Individuals with neurodevelopmental disorders tend to have difficulty expressing emotions verbally. Dance/movement therapy is a psychotherapy specializing in nonverbal communication. Research has shown that …

Exploring Self-Concept And Emotional Regulation Through Music Technology: An Autoethnographic Study And Literature Review, Alejandro Grover

Expressive Therapies Capstone Theses

This autoethnography delves into the transformative potential of creative engagement, particularly through the lens of music technology, in shaping self-concept and emotional regulation. This study will also demonstrate how music technology makes it easy to facilitate hip hop therapy. Drawing on personal experiences and scholarly inquiry, the research explores the intersection of creativity and technology. Central to the study is the examination of various music technologies, including loop stations like the RC-505, digital audio workstations (DAWs) such as Logic Pro X, and Musical Instrument Digital Interface (MIDI) keyboards, as facilitators of creative expression and attunement. The research underscores the overarching …

Parkinson's Disease - Association With Anxiety, Depression, And Sleep Disorders, Isabella J. Boroje

Doctoral Dissertations and Projects

Parkinson’s disease (PD) is a progressive neurological disorder presenting with motor symptoms, such as tremors at rest, bradykinesia, rigidity, and gait instability, and non-motor symptoms, such as anxiety, depression, excessive daytime sleepiness (EDS), and REM Sleep Behavior Disorder (RBD). The purpose of this study was to examine the associations of anxiety, depression, and EDS scores with being Prodromal (PPD) - at risk of developing the disease (PPD), having been diagnosed with PD, or being a Healthy Control (HC) using a multinomial logistic regression model. Additional analysis examined RBD scores and their difference across PPD, PD, and HC cohorts. The study …

The Effects Of Online Learning On Mental Health During A Pandemic, Christina J. Mcrae

Doctoral Dissertations and Projects

This study investigated the effects of online learning on mental health. The focus included six aspects: academic performance, physical activity, social isolation, food insecurity and other stressors, pros and cons, and religion and mental health. Each aspect included advantages and disadvantages that adolescent students experienced. The study included 6th - 12th graders attending a Charter school. The eligibility requirement was that participants participated in online learning during the 2020-2021 school year. Academic performance data was obtained from the school office for students who attended the school during online learning and requested from parents if they attended other schools. Both positive …

An Exploration Into The Effectiveness Of Yoga In Reducing Anxiety In Female Military Personnel, Aubrey C. Berry

Doctoral Dissertations and Projects

Research indicates that female service members remain more anxious than their male counterparts, as these women report facing additional familial and occupational stressors. However, despite this evident incongruence, women in the military also remain less likely to seek mental health treatment for chronic anxiety. Current research indicates that yoga could serve as an efficacious alternative treatment to reduce anxiety, as study conclusions hint at elevated benefit and minimal risk when compared to counseling session attendance. A review of existing research presents several positive features and positive effects of yoga that lead to decreases in anxious mood. However, there is a …

An Investigation Of The Effect Of A Combined Physical Exercise And Counseling As A Therapeutic Approach To Reducing Anxiety Symptoms, Andrea C. Beltran

Doctoral Dissertations and Projects

Mental health issues are on the rise as the increase in emotional, psychological, and social well-being affects how people think, act, or feel toward themselves and others. The topic of physical exercise and mental health services has been researched to show a strong relationship between physical activity and positive mental health outcomes. Anxiety is the most common mental health concern in the United States (Goodwin et al., 2020). This study aims to investigate and quantify the impact and explore the relationships of the combined intervention approach of physical activity and counseling in reducing symptoms of anxiety. This research will utilize …

Childhood Trauma And The Impact On Education, Lakisha Yvetta Davis

Doctoral Dissertations and Projects

This research aims to evaluate the complex relationship between childhood trauma and mental health disorders of bipolar, anxiety, and depression and their impact on education. Childhood trauma and mental health disorders have been on the rise, creating the need to understand their impact on educational outcomes. Thus, the study's purpose is to comprehend the present gaps in comprehending how these elements, childhood trauma, and mental health disorders affect educational outcomes such as grades and attendance rates. Data from 1000 students between the ages of 12 to 18 years from New York City was utilized. The method of analysis used for …

Addressing The Effects Of Special Education Staff Burnout In Behavioral Placement Schools: A Case Study, Katherine Taylor

Doctoral Dissertations and Projects

The purpose of this single instrumental case study was to understand the decreased self-efficacy that leads to burnout for special education staff in a Transitional Unit school in the suburbs of the Rust Belt. The theory guiding this study was Albert Bandura’s self-efficacy theory as it relates to the relationship between special education staff in behavioral placement schools and burnout experienced throughout their tenure due to work demands and interactions from professional and personal relationships. The single instrumental case study was chosen to analyze the lives of staff members at Ohio Vale School and their experiences with burnout. The central …

Barriers To Mental Health Treatment Among U.S. Army Aviation Personnel, Aric James Raus

Doctoral Dissertations and Projects

Safe and effective Army aviation operations require a clear focus from all involved. Yet, after more than two decades of U.S. combat aviation operations, little is known about the barriers experienced by aviators when considering mental health evaluation and treatment. An extensive literature review found no published studies examining mental health treatment hesitance among Army Aviation personnel or the perceived acceptability of self-help treatment options. This study identifies the relationships between age, gender, and aviation career specialty on the self-disclosed instrumental, attitudinal, and stigma-based barriers to care among U.S. Army aviation personnel. Additionally, the research determines relationships between the population’s …

Predicting Personal Growth: An Analysis Of Self-Relevant Approaches, Cole Morse

Honors Theses

Identifying predictors of personal growth–defined as striving to fulfill one’s unique potential–may be important for achieving a life of flourishing (Ryff & Singer, 2008). While existing research demonstrates the link between self-esteem and personal growth, gaps remain in our knowledge of the relationship between other potential self-referential predictors and personal growth (Paradise & Kernis, 2002). The intention of the current study is to not only conceptually replicate the link between positive self-regard (i.e., a positive self-evaluation that is theoretically akin to self-esteem) and personal growth, but to also investigate whether different ways of relating to the self offer unique pathways …

Anxiety Group For Teens Group Manual, Jacob Kinnen

Dissertations, Theses, and Projects

Abstract

Early intervention has been shown to be effective in reducing symptoms of anxiety and improving overall function and life satisfaction. Anxiety disorders are one of the most common disorders among youth (Watson et al., 2014). Through early intervention, adolescents can grow with more confidence and feel less anxious by improving their social skills and overall life satisfaction. This manual examines the impact of anxiety in adolescents and the various practices that have been shown to be effective in treating anxiety disorders. This group manual provides interventions based on evidenced based practices have been found to be effective in treating …

Risks Of Depression, Anxiety, And Suicide In Partners Of Men With Prostate Cancer: A National Cohort Study, Casey Crump, Pär Stattin, James D Brooks, Jan Sundquist, Alexis C Edwards, Kristina Sundquist, Weiva Sieh

Faculty, Staff and Student Publications

BACKGROUND: A diagnosis of prostate cancer (PC) may cause psychosocial distress not only in a man but also in his intimate partner. However, long-term risks of depression, anxiety, or suicide in partners of men with PC are largely unknown.

METHODS: A national cohort study was conducted of 121 530 partners of men diagnosed with PC during 1998-2017 and 1 093 304 population-based controls in Sweden. Major depression, anxiety disorder, and suicide death were ascertained through 2018. Cox regression was used to compute hazard ratios (HRs) while adjusting for sociodemographic factors.

RESULTS: Partners of men with high-risk PC had increased risks …

Dorm Reform: Enhancing Student Well-Being At Kennesaw State University Marietta Campus Through Innovative Design Strategies, Kayla Langston

Bachelor of Architecture Theses - 5th Year

In recent years, there has been a discernible deterioration in the mental well-being of college and university students, as evidenced by an increase in reported levels of anxiety, stress, and depression in these populations, as documented by the National College Health Assessment. This decline has been further exacerbated by the global COVID-19 pandemic, which has intensified feelings of isolation and disrupted traditional support systems. While conventional approaches to addressing these mental health challenges primarily involve counseling services, support groups, and student outreach initiatives, these strategies often overlook a fundamental aspect of students' overall well-being – the quality of their residential …

Mindfulness, Music, & Art: Development Of A Mindfulness Based Expressive Arts Therapy Method For Adults In A Short-Term Psychiatric Hospital Setting, Annabelle Lord-Patey

Expressive Therapies Capstone Theses

Existing literature shows that mindfulness is a modality that promotes human mental wellbeing, as is the use of creative forms of expression such as art and music. There is some emerging evidence that these two modalities are particularly useful when used in conjunction with one another. Utilizing such methods has been found to have notable results in the context of clinical mental health counseling. This kind of research, while promising, remains to be relatively new and there is a significant need for more data to be collected on this topic. To further explore the use of these modalities in clinical …

Assessing The Link Between Stress, Anxiety, And Depression In College Students And Their Academic Major, Intersectionality, Support, And Demographics, Joisy A. Santa

Theses and Dissertations

The present study examined the relationship between academic major, intersectionality, support, and housing as predictors of stress, anxiety, and depression in college students. The subject population was Hunter College students. Results indicated differential effects of the predictor variables as a function of students’ financial situation, gender, race, and peer support.

The Impact Of The News2 On Self-Confidence And Anxiety In Nursing Students, Ashley Barnes

Doctor of Nursing Practice (DNP) Translational and Clinical Research Projects

The purpose of this pre-and post-interventional design study was to determine the impact of the National Early Warning Scale 2 (NEWS2) on self-confidence and anxiety levels of undergraduate Associate of Science in Nursing (ASN) and Bachelor of Science in Nursing (BSN) senior level nursing students during a clinical deterioration simulation. New graduate nurses and experienced nurses report a lack of self-confidence and increased anxiety when caring for a patient experiencing clinical deterioration or decline. Senior level nursing students self-reported their self-confidence and anxiety levels using the Nursing Anxiety & Self-Confidence with Clinical Decision Making (NASC-CDM^Ó ) scale before and …

The Effect Of Covid-19 Pandemic On Sanitation Practices And Anxiety In The General Population, Leah Cliatt, Joanna Petrides

Rowan-Virtua Research Day

Background: Illness anxiety and fear of contracting coronavirus increased considerably during the COVID-19 pandemic. The media, being in lockdown, and cyberchondria had the largest impact on the population’s anxiety surrounding illness. While this kind of reaction to illness is expected during the pandemic, there is limited data on post-pandemic illness anxiety levels in the general population. Patients’ perception of disease impacts medicine at every level; medical professionals need to understand the concerns and fears of their patients in order to treat the post-pandemic patient. We hypothesized that sanitation practices and anxiety surrounding illness have not returned to baseline pre-COVID-19 …

Interactive Distraction Techniques Versus Midazolam In Anxiolysis In Pediatric Patients: A Systematic Review And Meta-Analysis, Uzay Cagatay, Jon Elias, Alexander King

Rowan-Virtua Research Day

Background: Many pediatric patients experience high levels of anxiety prior to undergoing surgery. Midazolam is currently one of the most commonly used sedative drugs in the pediatric preoperative environment. A number of studies have evaluated the use of non-pharmacological methods of relaxing pediatric patients prior to surgery, known as ‘Interactive Distraction’. These techniques involve using various methods of distracting the child from the preoperative anesthetic procedures. Some examples of these methods involve giving the patient an iPad with which they can play video games. There have yet to be any systematic reviews comparing the usage of Midazolam alone against utilizing …

The Efficacy Of Baricitinib As A Treatment Option For Alopecia, In Terms Of Promoting Hair Regrowth And Improving Patient Reported Outcomes, Bhaumik Patel, Abhiram Gollapudi, Samrat Gollapudi, Srinidhi Banala, Brian Joseph Mathew, Prince Patel

Rowan-Virtua Research Day

Background: Alopecia, an autoimmune condition characterized by hair loss, significantly impacts millions globally, often leading to psychological distress such as anxiety and depression. Current treatments are variably effective and frequently associated with adverse effects that restrict long-term use. This study evaluates the efficacy of Baricitinib, a Janus Kinase inhibitor, in treating severe alopecia, focusing on hair regrowth and patient-reported outcomes.

Methods: This research synthesized data from recent publications (2018-2023) including clinical trials, reviews, meta-analyses, and systematic reviews, sourced from databases such as PubMed, Springer, and Elsevier. The inclusion criteria focused on recent studies in English evaluating Baricitinib's effectiveness in severe …

Review Of Psychogenic Nonepileptic Seizures And Patient-Centered Approaches To Care, Rabeel Ahmad, Rebekah Dietrich, Munaza Khan

Rowan-Virtua Research Day

Psychogenic nonepileptic seizures (PNES) are defined as involuntary experiential and behavioral responses to internal or external stimuli. They are behaviors, not associated with pathological alterations in the physiology of the brain. Although some of them mimic syncope, they have historically been regarded to clinically resemble epileptic episodes.

There is a multiplicity of different names for this condition. PNES is the most widely used term, though the term "functional seizures" is increasingly used. Alternatives such as "psychogenic seizures," "dissociative seizures," "psychogenic nonepileptic attacks" (PNEA), and "nonepileptic seizures" are also used.

Social Media Addiction Affecting Mental Health Of College Women, Praneetha Rajkumar, Don D. Shamilov, David F. Lo

Rowan-Virtua Research Day

In our digital society, many teenagers and young adults use the many forms of social media, which are applications that enable users to create, share, and view content. Addiction to sites such as Instagram, TikTok, and Snapchat is a rising concern due to the impact it has on the mental health of young women, particularly those aged 18-25. Addiction can result in spending an unreasonable amount of time on social media, being overly preoccupied with social media content, or having day-to-day activities that revolve around social media usage. Different sources of data were reviewed to understand why mental health concerns …

Biopsychosocial Case Report, David F. Lo, Gaurav Kumar, Don D. Shamilov

Rowan-Virtua Research Day

Ms. R, a 32-year-old Hispanic female, suffers from severe anxiety exacerbated by a car accident and past struggles with depression and substance use. Evaluation reveals hypothyroidism, mild anemia, and GAD as the primary diagnosis. Factors contributing to her condition include genetic predispositions, medical issues, and social stressors. Treatment involves pharmacotherapy, psychotherapy, and monitoring her physiological health. Research on wearable data for GAD severity offers potential insights for her treatment. A holistic approach, considering biological, psychological, and social factors, guides her tailored treatment plan for overall well-being.

Trichotillomania Case Report, Kimberly Kluglein, David F. Lo, Don D. Shamilov

Rowan-Virtua Research Day

Trichotillomania is a psycho-dermatologic disorder involving self-inflicted hair loss through pulling. Often complicated by anxiety and depression. Multifactorial etiology and limited evidence-based treatment options makes management difficult. Treatment approaches include a combination of pharmacotherapy, CBT, HRT, and ACT. Case presentation involves a 24-year-old female, diagnosed with treatment-resistant trichotillomania who achieved remission and hair regrowth through mindset reframing, physical barriers, and community support. Novel approaches focusing on mindset and community support can yield positive outcomes.