Digital Commons Network^™

Oral Contraceptives And Affective Disorders: Neurobiology And Informed Choice, Sophia Mae Drezner

Scripps Senior Theses

Pregnancy prevention and female reproductive freedom have been some of the most contested political issues for decades. Abortion, a fundamental part of women’s healthcare, divides liberals and conservatives on an international scale. The consequences of unintended pregnancy without safe and reliable contraception are widespread, disproportionately impacting women of color, trans and non-binary folks, and poorer communities. The birth control pill is the most common form of oral contraception (OC) globally. Many people with ovaries begin the pill or other hormonal contraceptive (HC) methods as young as 11 years old. Exogenous progesterone and estrogen are known to impact mood, affect, physiology, …

Does Need For Social Support Moderate The Relationship Between Perceived Availability Of Social Support And Depression, Anxiety, And Stress?, Katherine E. Whisenhunt

Masters Theses

This study was designed to determine whether the need for social support moderates the relationship between social support (both perceived and enacted) and depression, anxiety, and stress. The study tested the role of Need for Support in the context of both buffering and direct effect models of the effect of social support on mental health and well-being. If perceived availability of social support (i.e., PASS) had a direct effect on well-being, then a simple moderation was predicted. If a buffering effect was present, then a moderated moderation was predicted. This study also predicted a positive relationship between need for social …

The Effects Of Internet-Based Cognitive Behavioral Therapy For Suicidal Ideation Or Behaviors On Depression, Anxiety, And Hopelessness In Individuals With Suicidal Ideation: Systematic Review And Meta-Analysis Of Individual Participant Data, Lasse B. Sander, Marie Beisemann, Philipp Doebler, Hannah Moon Micklitz, Ad Kerkhof, Pim Cuijpers, Philip Batterham, Alison Calear, Helen Christensen, Eva De Jaegere, Matthias Domhardt, Annette Erlangsen, Ozlem Eylem-Van Bergeijk, Ryan Hill, Charlotte Mühlmann, Marie Österle, Jeremy Pettit, Gwendolyn Portzky, Lena Steubl, Bregje Van Spijker, Joseph Tighe, Aliza Werner-Seidler, Rebekka Büscher

Faculty Publications

Background: Suicide is a global public health problem. Digital interventions are considered a low-threshold treatment option for people with suicidal ideation or behaviors. Internet-based cognitive behavioral therapy (iCBT) targeting suicidal ideation has demonstrated effectiveness in reducing suicidal ideation. However, suicidal ideation often is related to additional mental health problems, which should be addressed for optimal care. Yet, the effects of iCBT on related symptoms, such as depression, anxiety, and hopelessness, remain unclear. Objective: We aimed to analyze whether digital interventions targeting suicidal ideation had an effect on related mental health symptoms (depression, anxiety, and hopelessness). Methods: We systematically searched CENTRAL, …

A Data-Driven Examination Of Apathy And Depressive Symptoms In Dementia With Independent Replication, Miguel Vasconcelos Da Silva, Gerardo Javier Melendez-Torres, Zahinoor Ismail, Ingelin Testad, Clive Ballard, Byron Creese, Michael Weiner, Paul Aisen, Ronald Petersen, Clifford R. Jack, William Jagust, John Q. Trojanowki, Arthur W. Toga, Laurel Beckett, Robert C. Green, Andrew J. Saykin, John Morris, Leslie M. Shaw, Enchi Liu, Tom Montine, Ronald G. Thomas, Michael Donohue, Michael Donohue, Sarah Walter, Devon Gessert, Tamie Sather, Gus Jiminez, Danielle Harvey, Matthew Bernstein, Nick Fox, Paul Thompson, Norbert Schuff, Charles Decarli, Bret Borowski

Clinical Research Faculty Publications

Apathy is one of the most common neuropsychiatric symptoms (NPS) and is associated with poor clinical outcomes. Research that helps define the apathy phenotype is urgently needed, particularly for clinical and biomarker studies. We used latent class analysis (LCA) with two independent cohorts to understand how apathy and depression symptoms co-occur statistically. We further explored the relationship between latent class membership, demographics, and the presence of other NPS. The LCA identified a four-class solution (no symptoms, apathy, depression, and combined apathy/depression), reproducible over both cohorts, providing robust support for an apathy syndrome distinct from depression and confirming that an apathy/depression …

Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge

Walden Dissertations and Doctoral Studies

Despite evidence that antidepressants are more effective at treating major depressive disorder (MDD) symptoms, there is growing evidence that MDD management is still hampered by nonadherence to antidepressant treatment regimens. Researchers have suggested that MDD, if untreated, might lead to MDD-related complications, but other researchers have argued that adherence to antidepressants can lead to these same MDD-related complications. This quantitative cross-sectional study used primary data collected from 298 volunteers to examine the association between MDD-related complications and antidepressant adherence to clarify these diverging opinions. The study’s objective was to provide evidence to accept or reject the premise that antidepressant adherence …

The Lived Experience Of Lung Cancer Patients With Psychological Health And Physical Activity, Donna Leeann Homkes

Walden Dissertations and Doctoral Studies

AbstractPhysical activity (PA) is recognized as a treatment protocol for lung cancer patients that improves physical impairments and reduces symptoms of psychological stress. This qualitative interpretive phenomenological analysis (IPA) study was conducted to explore the lived experience of lung cancer patients and how PA is influenced by anxiety, depression, and fatigue. This study was guided by Bandura’s self-efficacy theory and Engel’s biopsychosocial model. In-depth semi structured interviews were conducted with seven lung cancer participants over Zoom and in person. The data were analyzed using manual hand coding. The analysis revealed themes in patients’ experiences about how PA participation is influenced …

The Grass Is Greener On The Other Screen : A Moderated Mediation Analysis Of Social Media Use, Upward Social Comparison, And Social Support On Depression And Social Satisfaction Among College Students, Phoebe Edgerton Long

Legacy Theses & Dissertations (2009 - 2024)

Over the past decade, levels of depression and levels of social media use have risen considerably among college students in the United States. As such, a growing body of research has examined the relation between social media use and negative mental health outcomes among this population. However, research on the link between social media and depressive symptoms produces mixed and at times contradictory results. One evidenced mechanism is upward social comparison, by which a person perceives a peer to be better off than they are on social media, and subsequently makes negative evaluations about themselves. This study seeks to confirm …

Verbal Barriers To Self-Compassion : The Frequency And Impact Of Frames Of Coordination And Opposition On Indices Of Distress And Well-Being, Shannon B. Underwood

Legacy Theses & Dissertations (2009 - 2024)

Background: Self-compassion has received increased attention as a process of change inevidence-based psychotherapies, owing to its relation with numerous positive health outcomes. Though several practices have been shown to increase self-compassion, our aim here is to evaluate the utility of one particular practice, namely loving-kindness or metta meditation (LKM). Despite evidence supporting biological and psychological benefits of LKM, other research has identified various nonspecific barriers and challenges associated with this practice that are linked with poor response to the practice itself. Relational Frame Theory (RFT) provides a behavioral and contextual perspective that may help clarify for whom LKM would likely …

A Phenomenological Study Of Social Workers' Meaning Of Food, Mood, And Their Readiness To Adopt Dietary Interventions With Clients Who Are Depressed, Ronald Anthony Bunce

Legacy Theses & Dissertations (2009 - 2024)

As incidence of depression rises worldwide and treatment effectiveness remains flat, interest grows in developing novel treatments to improve outcomes for those seeking help for depression. Research on diet, nutrition, and depression suggests that food affects mood. The literature addresses how a certain dietary pattern may be incorporated in clinical treatment as a modifiable risk factor with those presenting with depression, but the voices of social workers are absent. Given that social workers are the largest providers of therapeutic services for those experiencing depression, the field has much to contribute to the development and assessment of new, non-pharmaceutical, treatment protocols. …

Examining The Association Between Childhood Adversity And Later Life Cardiometabolic Diseases, Shreya Shrinivas

Legacy Theses & Dissertations (2009 - 2024)

ACEs stands for Adverse Childhood Experiences, which are traumatic or stressful events that occur in childhood before the age of 18 (Wisner, 2022). These experiences can include physical, emotional, or sexual abuse; neglect; household dysfunction, such as parental separation, domestic violence, substance abuse, or incarceration; or exposure to community violence, racism, or discrimination. Research has shown that individuals who experience ACEs are at a higher risk for developing chronic diseases such as heart disease, diabetes, cancer, and mental health disorders later in life (Felitti, 2002). This is because ACEs can cause toxic stress, which is chronic activation of the stress …

The Effects Of School-Based Art Therapy On Depressed Adolescents, Jasmine Nicolas

Nursing | Senior Theses

Depression in adolescents is associated with deficient behavioral and health outcomes (Fletcher, 2019). Art therapy has been shown to be effective in treating mental health condition such as depression. A student’s academic success heavily depends on treating their depression. Community health nurses can play a vital role in advocating for adequate mental health support to improve a student’s overall well-being and academic success. The literature review contains six articles on the prevalence and impact of depression among adolescents, art therapy as an intervention for improving psychological outcomes and resilience among adolescents, and experiences of adolescent clients in art therapy within …

Plot Twist: Vomiting Is Good! Online Psychoeducational Intervention Among Internet Support Group Users, Jennifer Petell

Electronic Theses and Dissertations

Emetophobia is a specific phobia of vomit (SPOV) characterized by persistent and chronic symptoms with severe impairment across domains. Research on emetophobia is limited, with even fewer studies examining the impact of intervention. Available treatment studies have broadly been examined through behavioral interventions, such as cognitive behavioral therapy (CBT) of which psychoeducation is an important foundational component. The positive role of psychoeducation on symptom reduction has been examined among a variety of psychopathology, including anxiety disorders. However, to date, research has not examined the role of psychoeducation itself (psychoeducational intervention, PI) among specific phobias broadly or emetophobia specifically. Therefore, the …

The Relationship Between Acculturation And Depression With Burmese Refugees, Gunnar Greg Newman

Walden Dissertations and Doctoral Studies

Acculturation and acculturative stress have been linked to depression among immigrants and refugee populations. Asian Americans and Asian American subgroups are underrepresented and have been neglected in research. The purpose of this quantitative study was to measure the relationship between acculturation and depression with length of time in the United States and acculturative stress as mediating variables among the understudied Asian American subgroup, Burmese refugees resettled in the United States. Unidimensional and bidimensional models of acculturation form the theoretical framework for this study. Three instruments, the Suinn-Lew Asian Self Identity Acculturation scale, the Riverside Acculturation Stress Inventory, and the Beck …

Perinatal Depression And Implementation Of The “Thinking Healthy Program” Support Intervention In An Impoverished Setting Of Lima, Peru: Assessment Before And During The Covid-19 Pandemic, Margot Aguilar, Carmen Contreras, Giuseppe Raviola, Alejandra Sepúlveda, Maricielo Espinoza, Leydi Moran, Lourdes Ramos, Jesús Peinado, Leonid Lecca, Gloria A. Pedersen, Brandon A. Kohrt, Jerome T. Galea

Social Work Faculty Publications

Socios En Salud (SES) implemented the Thinking Healthy program (THP) to support women with perinatal depression before and during the COVID-19 pandemic in Lima Norte. We carried out an analysis of the in-person (5 modules) and remote (1 module) THP intervention. Depression was detected using PHQ-9, and THP sessions were delivered in women with a score (PHQ-9 ≥ 5). Depression was reassessed and pre- and post-scores were compared. In the pre-pandemic cohort, perinatal depression was 25.4% (47/185), 47 women received THP and 27 were reassessed (57.4%), and the PHQ-9 score median decreased from 8 to 2, p < 0.001. In the pandemic cohort, perinatal depression was 47.5% (117/247), 117 women received THP and 89 were reassessed (76.1%), and the PHQ-9 score median decreased from 7 to 2, p < 0.001. THP’s modalities helped to reduce perinatal depression. Pregnant women who received a module remotely also reduced depression.

At The Intersection Of Identity: An Exploration Of Sense Of Belonging And Depression, Kalah Brown

CMC Senior Theses

Belonging is vital to our well-being, health, and identity. At the same time, belongingness is tied so closely to our identity, such that our specific identity may influence the extent to which we feel that we belong, as well as moderating the relationship between belonging and mental health. This present study investigates whether intersectionality, how and if a person is a minority, moderates the relationship between belonging and depression. College students were administered the Beck’s Depression Inventory II and the General Belongingness Scale. They also filled out demographic information to capture their identity and levels of intersectionality. Both belonging and …

Respiratory Sinus Arrhythmia And Depressive Symptoms: Considering The Role Of Cultural Orientation And Fit, Akriti Poudel

CMC Senior Theses

The aim of this study was to examine the relationship between cultural orientation, respiratory sinus arrhythmia (RSA), and depression. Horizontal collectivism (HC) has been shown to be predictive of positive psychological adjustment (Oh, 2022; Schermer et al., 2023), but the extent to which the individual’s level of HC matches with the group is not well understood. RSA has traditionally been conceptualized as a measure of adaptive functioning; (Graziano & Derefinko, 2013; Qu & Leerkes, 2018, Hinnant et al., 2011) however, more recent research has proposed that RSA is better conceptualized as a marker of susceptibility to environmental influences (Sturge-Apple et …

The Relationship Between Body Mass Index And Depression In College Students, Bryn Kable

CMC Senior Theses

College student mental health has seen a serious decline over the last decade (Esaki-Smith, 2022). One factor that has been linked to both physical and mental disorders is obesity. A common way to operationalize weight is through body mass index (BMI) (Ilman et al., 2015). There is evidence that BMI and depression are correlated linearly in that individuals with higher BMIs have higher levels of depression (Badillo et al., 2022; Simon et al., 2008). The exact mechanisms of this relationship are still generally unknown; thus, the goal of this study was to investigate the relationship between BMI and depression in …

Early Screening For Depression In Adults With Diabetes In The Outpatient Setting, Chito A. Ezeobinwa, Dawn Stewart-Brown, Angela M. Toledo

UNF Graduate Theses and Dissertations

Abstract

Diabetes can be an overly complicated chronic illness that not only affects a person's physical health but may additionally affect their mental well-being. Screening for depressive symptoms in individuals with diabetes in an endocrine office may be helpful in the early detection and treatment of depression in people diagnosed with type I and type II diabetes.

Purpose: The purpose of this quality improvement (QI) project was to evaluate if administering the Patient Health Questionnaire 9 (PHQ-9) form to those who have type I or type II diabetes in an endocrinologist's office setting can help detect symptoms of depression …

The Moderating Effect Of Physical Activity On The Relationship Between Bullying And Mental Health Among Sexual And Gender Minority Youth, Sally J. Kirklewski, Ryan J. Watson, Carolyn Lauckner

Behavioral Science Faculty Publications

Background: Sexual and gender minority youth frequently experience bullying, which often contributes to higher depressive symptoms and lower self-esteem. Given that physical activity (PA) can mitigate depressive symptoms and improve self-esteem, we examined the moderating effect of PA on the relationship between bullying and mental health among sexual and gender minority youth.

Methods: Data from the Lesbian, Gay, Bisexual, Transgender, and Queer National Teen Survey (n = 9890) were analyzed. Hierarchical regression analyses examined the influence of history and frequency of being bullied, PA, and the interaction of these variables on depressive symptoms and self-esteem. Simple slopes analyses were used …

Association Between Trauma History And Body Image, Depression, Posttraumatic Stress, And Relationship Satisfaction In Postpartum Women, Kristen Hawk-Purcell

PCOM Psychology Dissertations

The postpartum period can be a time of significant change and transition. Little is known about how a history of trauma may impact functioning during this critical time. English-speaking adult women (age ≥ 18 years, N = 61) who gave birth in the United States in the past year, but not in the last month, were in an intimate relationship, and did not use any assisted reproductive technology to conceive participated in the study. Participants were recruited through social media and online forums related to pregnancy and the postpartum period. They completed a demographic questionnaire, the PTSD Checklist for Diagnostic …

The Impact Of Gender Minority Stress On Eating Pathology And Body Checking Behaviors In Transgender And Non-Binary Adults, Klaudia Bialy

PCOM Psychology Dissertations

Transgender and gender non-binary (TNB) individuals commonly report diminished mental health when compared to cisgender individuals. TNB individuals experience unique stressors due to their gender identity such as gender-based discrimination and victimization, internalized transphobia, and non-affirmation of their gender. Due to these unique stressors, TNB individuals experience elevated rates of psychological distress such as anxiety, depression, and suicidality. Additionally, TNB individuals report body image issues and disordered eating. This study examined if gender minority stress predicts the relationship between body checking behaviors and eating pathology amongst TNB individuals. Simple linear regression models were used to assess the possible impact gender …

Interprofessional Team Collaboration For Routine And Emergent Mental Health Concerns Among Collegiate Student-Athletes: A Case Series From The Association For Athletic Training Education Research Network, Lindsey E. Eberman, Tara A. Armstrong, Elizabeth R. Neil, Jessica L. Kirby, Korrin M. Vanderhoof, Stacy E. Walker

Rehabilitation Sciences Faculty Publications

Collegiate student-athletes experience an increasing number of mental health concerns. To help address these concerns and provide high-quality health care for student-athletes, institutions of higher education are being encouraged to create interprofessional health care teams that are specifically dedicated to managing mental health. We interviewed 3 interprofessional health care teams who collaborate to manage routine and emergency mental health conditions in collegiate student-athletes. Teams represented all 3 National Collegiate Athletics Association (NCAA) divisions and included athletic trainers, clinical psychologists, psychiatrists, dietitians and nutritionists, social workers, nurses, and physician assistants (associates). The interprofessional teams indicated that the existing NCAA recommendations helped …

Characteristics And Predictors Of Family Accommodation In Turkish Individuals With Obsessive-Compulsive Disorder, Tacetti̇n Kuru, Seli̇me Çeli̇k Erden, Veysel Doğan, Kadi̇r Karakuş

Turkish Journal of Medical Sciences

Background/aim: Family accommodation (FA) is associated with disease severity and response to treatment rates in patients with obsessive-compulsive disorder (OCD) and is therefore particularly important in this patient group. This study investigated the structure of FA and associated factors in a Turkish society sample. Materials and methods: The study was carried out with 92 patients diagnosed with OCD for at least 1 year, who applied to Alanya ALKU Training and Research Hospital psychiatry outpatient clinic between February 2021 and March 2022. Sociodemographic data form, Family Accommodation Scale-Patient Form (FAS-PF), Dimensional Obsessive-Compulsive Scale (DOCS), Beck Depression Inventory (BDI), Beck Anxiety Inventory …

Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge

Walden Dissertations and Doctoral Studies

Despite evidence that antidepressants are more effective at treating major depressive disorder (MDD) symptoms, there is growing evidence that MDD management is still hampered by nonadherence to antidepressant treatment regimens. Researchers have suggested that MDD, if untreated, might lead to MDD-related complications, but other researchers have argued that adherence to antidepressants can lead to these same MDD-related complications. This quantitative cross-sectional study used primary data collected from 298 volunteers to examine the association between MDD-related complications and antidepressant adherence to clarify these diverging opinions. The study’s objective was to provide evidence to accept or reject the premise that antidepressant adherence …

Stressors And Depression Among Adolescents With Co-Rumination As A Moderator, Angela Grosso-Burke

Walden Dissertations and Doctoral Studies

Stress, depression, and co-rumination have been a focus of scholars in recent years. Although studies have considered the relationship among stressors, depression, and co-rumination, little is known about the moderating effects of co-rumination. This study aimed to address the gap in the literature by examining moderating effects of co-rumination on relations between stressors and depression, along with further moderating effects of sex, race, and grade. The current study examined mean-level race, sex, and grade differences in the relation among stressors (total, family, peer, physical appearance, sport/physical activity, school) and depressive symptoms in adolescents. Analyses were conducted to determine the relationship …

Alternative Pharmacology: Exploring Ketamine Use For Treatment Resistant Mental Health Disorders, Kiersten L. Ash

Soaring: A Journal of Undergraduate Research

No abstract provided.

The Impact Of Social Connection And Psychological Resilience On Covid-19 Pandemic- Related Mental Health Outcomes, Shelby Lee Powers

Doctor of Psychology (PsyD)

The COVID-19 pandemic has had wide reaching, well-documented impacts on mental health across demographics. Among these impacts are higher rates of depression and anxiety in adults. Several factors have been shown to mitigate the experience of depression and anxiety, including social connection and psychological resilience. The present study examined social connection and psychological resilience as predictors of depression and anxiety on a U.S. adult sample (n = 535) during the COVID-19 pandemic. Participants were recruited using Qualtrics. Results of this study described that over 30% of the variance in anxiety and depression was predicted by a person’s levels of social …

Assessment Of The Triple Reuptake Inhibitor Diclofensine: Effort-Based Decision-Making In A Rodent Model Of Motivational Dysfunction, Sofia Papanikolaou

Holster Scholar Projects

Serotonin-selective reuptake inhibitors (SSRIs) are the most commonly prescribed antidepressant medications. Despite their popularity, they remain relatively ineffective at treating effort-related motivational symptoms of depression such as fatigue and anergia. Increasing research on triple reuptake inhibitors (TRIs) that target three neurotransmitters—dopamine, serotonin, and norepinephrine—has suggested that TRIs could have efficacy in targeting motivational dysfunction due to their dopaminergic effects. Previous research has shown that the dopamine depleting agent tetrabenazine can reliably induce motivational deficits in rats, as evidenced by a shift towards low-effort behavior in effort-based choice tasks, and provide a validated approach to creating a model of motivational dysfunction. …

Evaluation And Management Of Postpartum Depression In South Asian Women, Gujri Chadha

Capstone Showcase

Postpartum depression is a worldwide phenomenon that affects about 10 to 20% of women within the first year of delivery. During the 12 months following delivery, about 85% of mothers experience a mood disturbance2. The importance of evaluating and managing postpartum depression is crucial as untreated postpartum depression can lead to a significant risk of morbidity for the child as well as the mother of the child3. Despite the remarkable prevalence of this diagnosis throughout cultures, the screening process for PPD is routinely missed, and the management is frequently incomplete for various reasons3. This phenomenon is exacerbated in minority populations …

Examining Contributing Factors To Poor Mental Health Among College Students: A Guide To Student Mental Health Resources, Kora Dutton

Williams Honors College, Honors Research Projects

Among college students, poor mental health is an issue that continues to progress. In this literature review, contributing factors to mental health conditions of college students are examined. These factors include financial burden and living standards, violence, substance use, pandemics, and health crises. After the initial onset of a mental illness, the risk for other negative consequences increases. Students with mental illness are less likely to graduate, more likely to develop substance use disorder, and are at an increased risk for other mental health comorbidities and suicide. As poor mental health among college students persists, more accessibility to resources is …