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The Overlooked Care Plan- Nursing Mindset Related To Self-Care: An Integrative Review, Marie Mulford

Doctoral Dissertations and Projects

COVID-19 brought to light many things worldwide. One of the pressing issues was the increased rates of burnout, depression, and suicidal risk among nurses. This called for examining nurses’ work experiences and overall well-being during the Coronavirus pandemic. Furthermore, it was revealed that the nursing mindset regarding self-care was overlooked. This integrative review will inform stakeholders about the “overlooked care plan.” This review will be a call to action built on existing knowledge and facilitate policy for the nursing profession. Building upon nursing science, informative research, and facilitating policy initiatives, this review will serve as a call to action for …

The Effects Of Traumatic Stress & Role Of The Neuropeptide Y System As A Therapeutic In Females, Roxanna J. Nahvi

NYMC Student Theses and Dissertations

The incidence of many stress-elicited disorders is markedly influenced by sex. Women are twice as likely as men to develop posttraumatic stress disorder (PTSD), depression, anxiety disorders, and social impairments following exposure to traumatic stress. However, most of the studies in animal models examining putative therapeutics for stress-triggered impairments, including single prolonged stress (SPS), were performed predominantly with males. Previous studies in males demonstrated that intranasal neuropeptide Y (NPY) can provide therapeutic relief of many SPS-triggered symptoms. Nevertheless, the overwhelming majority of studies found that NPY levels in females in many brain regions are lower than in male rodents. NPY …

Homicidal Ideation And Psychiatric Comorbidities In The Inpatient Adolescents Aged 12–17, Ching-Fang Sun, Zeeshan Mansuri, Chintan Trivedi, Ramu Vadukapuram, Abhishek Reddy

School of Medicine Publications

Objectives: Adolescents with a homicidal tendency is a growing concern in the United States. Studies in the past have showcased the relationship between homicidal ideation (HI) and psychiatric illnesses, but very limited information is available on the adolescent and inpatient population. We aim to evaluate the prevalence of demographic characteristics and psychiatric disorders in adolescents with and without HI.

Materials and methods: Adolescent (age 12–17) population admitted to the hospital with the diagnosis of homicidal ideation was identified from the 2016–2018 National Inpatient Sample Dataset (NISD). Patients without HI were defined as the control group. The prevalence of psychiatric comorbidities …

Resilience And Prenatal Mental Health In Pakistan: A Qualitative Inquiry, Shireen Shehzad, David Arthur, An-Sofie Van Parys, Nicole Letourneau, Gail Wagnild, Shahirose Sadrudin Premji, Nargis Asad, Olivier Degomme

School of Nursing & Midwifery

Background: Women in Pakistan suffer from a high rate of depression. The stress of low-income, illiteracy, exposure to violence and living in a patriarchal society are predisposing vulnerabilities for depression, particularly during and following pregnancy. The resilience of an individual plays a significant role in promoting prenatal mental health, but this has yet to be thoroughly researched. In this article, our objective is to identify the core characteristics of resilience among pregnant women, which will then help us in developing an intervention.
Methods: The exploratory-descriptive study was conducted over 6 months in five different antenatal hospitals in Sindh, Pakistan. A …

Exposure To Unpredictability And Mental Health: Validation Of The Brief Version Of The Questionnaire Of Unpredictability In Childhood (Quic-5) In English And Spanish, Natasha G. Lindert, Megan Y. Maxwell, Sabrina R. Liu, Hal S. Stern, Tallie Z. Baram, Elysia Poggi Davis, Victoria B. Risbrough, Dewleen G. Baker, Caroline M. Nievergelt, Laura M. Glynn

Psychology Faculty Articles and Research

Unpredictability is increasingly recognized as a primary dimension of early life adversity affecting lifespan mental health trajectories; screening for these experiences is therefore vital. The Questionnaire of Unpredictability in Childhood (QUIC) is a 38-item tool that measures unpredictability in childhood in social, emotional and physical domains. The available evidence indicates that exposure to unpredictable experiences measured with the QUIC predicts internalizing symptoms including depression and anxiety. The purpose of the present study was to validate English and Spanish brief versions (QUIC-5) suitable for administration in time-limited settings (e.g., clinical care settings, large-scale epidemiological studies). Five representative items were identified from …

Psychological Experiences During Previous High School Sport Participation Predict College Students’ Current Psychological Health, Jonathan D. Defreese, Amanda Visek, Nikki E. Barczak-Scarboro

Journal of Athlete Development and Experience

Adolescent sport participation has been positively associated with psychological health outcomes. Yet, further research is needed to explore how psychosocial health benefits from sport may be maximized or minimized based on one’s psychological experiences during previous sport participation. The present study examined associations among retrospective psychological experiences of high school sport participation and markers of current college students’ psychosocial health. American college students (N = 300) self-reported retrospective high school sport experiences (i.e., burnout, engagement, and stress) and current psychosocial health outcomes (i.e., social support, depressive symptoms, life satisfaction) via an online interface. Moderated multiple regression analyses showed high …

Sexual Dysfunction And Sexual Distress In Lymphoma Patients: A Mixed Methods Pilot Study, Dorothie S. Durosier Mertilus

USF Tampa Graduate Theses and Dissertations

Lymphoma, especially non-Hodgkin lymphoma (NHL), is among the most common categories of cancer in the United States (National Cancer Institute [NCI], 2019). The survival rate for lymphoma has significantly improved over the last few decades due to advances in therapy. However, despite these advances, lymphoma patients experience many negative consequences of cancer treatment, including sexual dysfunction (NCI, 2021b). The purpose of this mixed methods pilot study was to explore the presence and experiences of sexual dysfunction and related sexual distress in both male and female lymphoma patients during cancer treatment. A concurrent triangulated design was used to: 1) evaluate the …

The Mediating Role Of Mental Health On Academic Performance Among College Women Who Have Experienced Sexual Assault, Ariah Lewis

Honors College Theses

The current study analyzed the mediating role of mental health on academic performance among college women who have experienced sexual assault. The purpose of this research was to acknowledge the impacts that sexual assault experiences may have on the college experience. A total of 241 undergraduate students participated in the study. Participants were college aged, ranging from 18-36 (90.5% female, 59.2% White, 28.1% Black/African American). Participants completed an online survey that evaluated their sexual assault experience, depression, and academic performance. Using Baron and Kenny’s (1986) mediation model, it was found that as participants reported higher instances of sexual assault experience, …

Anxiety, Depression, And Social Connectedness Among The General Population Of Eight Countries During The Covid-19 Pandemic, Di Long, Gouke J. Bonsel, Erica I. Lubetkin, Mathieu F. Janssen, Juanita A. Haagsma

Publications and Research

Background

The COVID-19 pandemic affected the mental health of the general population through multiple pathways. The aim of this study was to examine anxiety, depression, self-confidence, and social connectedness among the general population of eight countries during the COVID-19 pandemic, their underlying factors, and vulnerable groups.

Methods

A web-based survey was administered to persons from the general population of China, Greece, Italy, Netherlands, Russia, Sweden, the United Kingdom, and the United States. The survey included the Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9) and items on self-confidence, social connectedness, and socio-demographics. Data were analyzed with descriptive statistics, exploratory factor …

Risks Of Depression And Suicide After Diagnosis With Heart Failure: A National Cohort Study, Casey Crump, Jan Sundquist, Kenneth S Kendler, Weiva Sieh, Alexis C Edwards, Kristina Sundquist

Faculty, Staff and Student Publications

BACKGROUND: Heart failure (HF) has been associated with psychosocial distress, but other long-term mental health sequelae are unclear.

OBJECTIVES: In this study, the authors sought to determine risks of major depression and suicide, susceptible time periods, and sex-specific differences after HF diagnosis in a large population-based cohort.

METHODS: A national cohort study was conducted of all 154,572 persons diagnosed with HF at ages 18-75 years during 2002-2017 in Sweden and 1,545,720 age- and sex-matched population-based control subjects who were followed up for major depression and suicide ascertained from nationwide inpatient, outpatient, and death records through 2018. Poisson regression was used …

Cognitive Effort Avoidance In Veterans With Suicide Attempt Histories, James M. Bjork, Chelsea S. Rooney, Lisa K. Straub, David M. N. Garavito, Andrew Westbrook

Articles

Suicide attempts (SA) are increasing in the United States, especially in veterans. Discovering individual cognitive features of the subset of suicide ideators who attempt suicide is critical. Cognitive theories attribute SA to facile schema-based negative interpretations of environmental events. Over-general autobiographical memory and facile solutions in problem solving tasks in SA survivors suggest that aversion to expending cognitive effort may be a neurobehavioral marker of SA risk. In veterans receiving care for mood disorder, we compared cognitive effort discounting and evidence-gathering in a beads task between veterans with (SAHx+; n = 26) versus without (SAHx-; n = 22) a history …

Addictive Social Media Use: Examination Of The Psychometric Properties Of The Arabic Bergen Social Media Addiction Scale And The Mediational Role Of Sense Of Control In The Relationship Between Depression And Social Media Addiction, Louis J. Fourie

Theses

The period of COVID-19 has proven to be a turbulent period where extreme psychological trends can be examined due to lockdown procedures, social isolation, and public fear. The use of technology such as social media has increased with research highlighting the harm of overuse. The purpose of the current study is to investigate the psychometric properties of an Arabic translated version of the Bergen Social Media Addiction Scale (BSMAS) to assess for addictive social media use. Secondly, the study further examines the association between depression, social media addiction, and an individual’s sense of control. Specifically, the potential mediational role of …

Factors Associated With Loss Of Motivation And Hesitation To Work Amongst Frontline Health Care Providers During The Covid-19 Pandemic: A Cross-Sectional Survey From A Developing Country, Mehreen Malik, Syeda Tayyaba Rehan, Farheen Malik, Jawad Ahmed, Chaudhary Abdul Fatir, Hassan Ul Hussain, Asiyah Aman, Muhammad Junaid Tahir

Department of Anaesthesia

Background: The COVID-19 took over the world in 2020 and a lockdown has been imposed seeing its fast spread. Frontline health care workers (HCWs) were reported frequently with a lack of motivation, hesitancy and unwillingness to perform their duties during this pandemic. This cross-sectional survey aims to evaluate the factors associated with lack of motivation and increased hesitancy among the frontline HCWs to perform their duties during COVID-19 pandemic.
Materials and methods: A total of 239 HCWs were included in this web-based cross-sectional study, who have worked during the COVID-19 pandemic. The anonymous online questionnaire was sent to all faculty, …

Societal Impact Assessment Of Depression, Mohammed Salah Almazrouei

Theses

Depression is a mental problem characterised by unusual changes in the mood of a person, accompanied by a temporary different emotional response to everyday changes in the phenomena (WHO, 2020). Affected people suffer greatly, hence functioning poorly in the workplace, school, or at home in a family setup. Even though the public is well aware of its existence, there is little going on to combat this condition. Amongst the various stumbling blocks towards achieving an effective approach to address the problem include limited resources and associated well-trained personnel to help the victims.

A mental disorder associated with social stigma and …

Primary Outcomes For Adults Receiving The Unified Protocol After Hurricane Harvey In An Integrated Healthcare Setting, Saira A Weinzimmer, Amy R Goetz, Andrew G Guzick, Lynn M Hana, Sandra L Cepeda, Sophie C Schneider, Sarah M Kennedy, Gifty N Amos Nwankwo, Catherine C Christian, Ashley M Shaw, Alison Salloum, Asim A Shah, Wayne K Goodman, Jill Ehrenreich-May, Eric A Storch

Center for Medical Ethics and Health Policy Staff Publications

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) has demonstrated efficacy for treating anxiety and depression. However, there are limited effectiveness data when conducted in real-world settings with diverse populations, including those with trauma. We evaluated treatment outcomes in a naturalistic, community setting among 279 adults who received UP following Hurricane Harvey. We examined change in overall clinical severity, depression and anxiety symptoms, functional impairment, and baseline outcome predictors (i.e., demographic characteristics, impact from Hurricane Harvey, co-occurrence of depression and anxiety symptoms). Global clinical severity, depression and anxiety symptoms, and functional impairment decreased by end-of-treatment. Participants experienced global …

Inequitable Housing Practices And Youth Internalizing Symptoms: Mediation Via Perceptions Of Neighborhood Cohesion, Richard C. Sadler, Julia W. Felton, Jill A. Rabinowitz, Terrinieka W. Powell, Amanda Latimore, Darius Tandon

Center for Health Policy and Health Services Research Articles

Disordered urban environments negatively impact mental health symptoms and disorders. While many aspects of the built environment have been studied, one influence may come from inequitable, discriminatory housing practices such as redlining, blockbusting, and gentrification. The patterns of disinvestment and reinvestment that follow may be an underlying mechanism predicting poor mental health. In this study, we examine pathways between such practices and internalizing symptoms (i.e., anxiety and depression) among a sample of African American youth in Baltimore, Maryland, considering moderation and mediation pathways including neighborhood social cohesion and sex. In our direct models, the inequitable housing practices were not significant …

A Participant-Level Integrative Data Analysis Of Differential Placebo Response For Suicidal Ideation And Nonsuicidal Depressive Symptoms In Clinical Trials Of Intravenous Racemic Ketamine, Bartholt Bloomfield-Clagett, Elizabeth D Ballard, Deanna K Greenstein, Samuel T Wilkinson, Michael F Grunebaum, James W Murrough, Sanjay J Mathew, Jennifer L Phillips, Maurizio Fava, Gerard Sanacora, Carlos A Zarate

Staff and Researcher Publications

Background: Clinical trials of intravenous (IV) racemic (R,S)-ketamine (hereafter referred to as IV ketamine) have consistently reported rapid and substantial reductions in overall depressive symptoms compared with saline (inactive placebo) or midazolam (active placebo). The evidence for IV ketamine's specific effects on suicidal ideation is less clear, however. This study sought to examine whether differential placebo (saline or midazolam) response to overall depressive symptoms vs suicidal ideation may help explain these divergent findings.

Methods: Data for this participant-level integrative data analysis were drawn from 151 participants across 10 studies, and linear regression was used to examine the relationship between placebo …

Fear Of Covid-19, Anxiety, Depression And Suicide Among Elderly Patients With Chronic Physical Or Mental Diseases, Vasiliki Holeva, Vasiliki Aliki Nikopoulou, Eleni Parlapani, Konstantinos Karkaletsis, Styliani Kokkoni, Dimitrios Nouvakis, Patroklos Theocharis, Ioannis Diakogiannis

Journal of Mind and Medical Sciences

Older age renders individuals vulnerable during public emergency crises. Considering that older adults are a highly heterogeneous and continuously growing demographic subgroup, this study aimed to assess the mental health impact of COVID-19 on two groups of older patients: a group of chronic physical disease and a group of chronic mental disease. A total of 102 patients completed the Fear of COVID-19 Scale, the Generalized Anxiety Disorder scale, the Brief Patient Health Questionnaire (PHQ-9) and several questions regarding demographic characteristics. Suicidality was assessed by the 9th item of the PHQ-9. According to the results, older chronic disease patients showed higher …

Personalizing Repetitive Transcranial Magnetic Stimulation For Precision Depression Treatment Based On Functional Brain Network Controllability And Optimal Control Analysis, Feng Fang, Beata Godlewska, Raymond Y Cho, Sean I Savitz, Sudhakar Selvaraj, Yingchun Zhang

Staff and Researcher Publications

Brain neuromodulation effectively treats neurological diseases and psychiatric disorders such as Depression. However, due to patient heterogeneity, neuromodulation treatment outcomes are often highly variable, requiring patient-specific stimulation protocols throughout the recovery stages to optimize treatment outcomes. Therefore, it is critical to personalize neuromodulation protocol to optimize the patient-specific stimulation targets and parameters by accommodating inherent interpatient variability and intersession alteration during treatments. The study aims to develop a personalized repetitive transcranial magnetic stimulation (rTMS) protocol and evaluate its feasibility in optimizing the treatment efficiency using an existing dataset from an antidepressant experimental imaging study in depression. The personalization of the …

Analysis Of Psychological Symptoms Resulting From The Covid-19 Pandemic, R. M. Abdelrahman, A. F. Alsharif, N. R. Alsalhi

Information Sciences Letters

The present study aimed to investigate the level of severity of some psychological symptoms resulting from the Coronavirus pandemic, among a sample of Ajman University students in the United Arab Emirates, and to verify the differences between students’ demographic variables. The study used the descriptive-analytical approach and a modified DASS-21 scale, by adding the two scales of phobia and mental distraction to the tool. The reliability of the tool was verified for use on the sample in the current study. The most prominent results indicated that the highest psychological symptoms resulting from the Coronavirus pandemic were phobia (1.53 ± 0.98) …

Psychophysiological Effects Of Increasing Awareness Of Nondual Consciousness In Young Adults With Depression And Anxiety, Milena Braticevic

CONSCIOUSNESS: Ideas and Research for the Twenty-First Century

Young adults increasingly suffer from anxiety and depression during the time of transition into adulthood. This research study examined the effects of increasing awareness of nondual consciousness in young adults who were experiencing various levels of anxiety and depression. The methodology was mixed-method and included four 1-hour group-based sessions over 4 weeks. Increasing awareness of nondual consciousness through educational, experiential, and behavioural components resulted in reduction in the average depression score from 19.4 (borderline clinical depression) to 10 (normal), and reduction in the average anxiety score from 12.7 (moderate anxiety) to 6.9 (mild). Participants reported increased mental, emotional, physical, and …

The Relationship Between Chronic Pain And Stress, Anxiety, And Depression In College Students

Journal of Interdisciplinary Undergraduate Research

The purpose of this study was to measure chronic pain levels as they relate to stress, anxiety, and depression in college students. This is a non-experimental, correlational research design, using a survey methodology. Eighty-four participants, over the age of 18, were recruited (men = 33.3%, women = 66.6%) to participate in this study. The participants were asked to complete a questionnaire which was a compilation of the Chronic Pain Grade Questionnaire (CPGQ) (Von Korff et al., 1992), the Perceived Stress Scale (Wickrama et al., 2013), the Beck Anxiety Inventory (BAI) (Beck et al., 1988), the Beck Depression Inventory-II (BDI-II) (Beck …

الإسهام النسبي للتشوهات المعرفية في التنبؤ بتوهم المرض والاكتئاب لدى مرضى Covid-19)) في فلسطين. The Relative Contribution Of Cognitive Distortions In Predicting The Hypochondriasis And Depression Among The (Covid-19) Patients In Palestine, رحاب عارف السعدي, عايد محمد الحموز

Association of Arab Universities Journal for Education and Psychology

هدفت الدراسة الحالية إلى الكشف عن إمكانية التنبؤ بتوهم المرض والاكتئاب من خلال التشوهات المعرفية لدى مرضى (COVID-19) في فلسطين، وكذلك الكشف عن العلاقة بين متوسطات التشوهات المعرفية ومتوسطات توهم المرض، وبين متوسطات التشوهات المعرفية ومتوسطات الاكتئاب لدى مرضى(COVID-19) في فلسطين. تكونت عينة الدراسة من( 190) مريضا̋ من مرضى (COVID-19) تم اختيارهم من خلال التطبيق الالكتروني. أظهرت نتائج الدراسة أنه يمكن التنبؤ بتوهم المرض والاكتئاب من خلال التشوهات المعرفية لدى مرضى (COVID-19) في فلسطين. كما يوجد علاقة إيجابية ذات دلالة إحصائية بين الدرجة الكلية للتشوهات المعرفية وبين متوسطات توهم المرض وبين متوسطات الاكتئاب لدى مرضى(COVID-19) في فلسطين.

The current study …

Symptom Severity Mixity In Older-Age Bipolar Disorder: Analyses From The Global Aging And Geriatric Experiments In Bipolar Disorder Database (Gage-Bd), Farren B.S. Briggs, Martha Sajatovic

Faculty Scholarship

Objective: Some individuals with bipolar disorder (BD) experience manic and depressive symptoms concurrently, but data are limited on symptom mixity in older age bipolar disorder (OABD). Using the Global Aging & Geriatric Experiments in Bipolar Disorder Database, we characterized mixity in OABD and associations with everyday function. Methods: The sample (n = 805), from 12 international studies, included cases with both mania and depression severity ratings at a single timepoint. Four mixity groups were created: asymptomatic (A), mixed (Mix), depressed only (Dep), and manic only (Man). Generalized linear mixed models used mixity group as the predictor variable; cohort was included …

Individual Differences And Neural Correlates Of Emotion Reactivity And Regulation: Potential Intervention Targets In Depression, Ian James Kahrilas

Dissertations

Depression, Electroencephalography, Emotion reactivity, Emotion regulation

Improving Patient Outcomes In Substance Use Disorder Through Behavioral Therapy In Depression Development And Impacts Of Social Determinants Of Health During And After Substance Use Treatment, Jerry Ryan Armstrong, Chyanne Napp

Doctoral Projects

Substance Use Disorder (SUD) is a growing problem in the United States (U.S.) and worldwide and relapse is a common occurrence among those facing SUD. Limited scholarly research has been published addressing evidence-based treatment improvement strategies. This study focused on improving SUD treatment through the incorporation of depression tracking from admission to and discharge from inpatient treatment, as well as the incorporation of social determinants of health education during treatment, with an evaluation of relapse rates 30-days after inpatient treatment discharge. Results indicated a significant improvement in depression scores from admission to discharge. Results also revealed improved knowledge regarding social …

The Impact Of Peer Supportive Accountability On Use Of A Mindfulness App In Depressed College Students: A Mixed Methods Study, Carol Hundert Gonzales

Dissertations

Depression, Mental Health App, Mindfulness, Supportive Accountability

Rumination As A Mediator Of The Association Between Racial Discrimination And Depression Among Black Youth, Donte L Bernard, Colleen A Halliday, Funlola Are, Devin E Banks, Carla Kmett Danielson

Faculty, Staff and Student Publications

BACKGROUND: Racial discrimination constitutes a significant risk factor for depressive symptoms among Black youth. Rumination, a maladaptive self-regulatory stress response, is a notable pathway by which racial discrimination contributes to depressive symptoms among racial/ethnic minority adults. Yet, examinations of the mechanistic nature of rumination in the context of racial discrimination among racial/ethnic minority youth remain limited. The present study investigated rumination as a mediator of the association between racial discrimination and depressive symptoms among Black youth.

METHODS: Data for the current study were drawn from baseline questionnaire responses of community recruited Black pre-and-early adolescents (N = 158, 53% female, M …

Longitudinal Changes In Wellbeing Amongst Breastfeeding Women In Australia And New Zealand During The Covid-19 Pandemic, Vanessa S. Sakalidis, Alethea Rea, Sharon L. Perrella, Jacki Mceachran, Grace Collis, Jennifer Miraudo, Stuart A. Prosser, Lisa Y. Gibson, Desiree Silva, Donna T. Geddes

Research outputs 2022 to 2026

The COVID-19 pandemic has impacted new mothers’ wellbeing and breastfeeding experience. Women have experienced changes in birth and postnatal care and restricted access to their support network. It is unclear how these impacts may have changed over time with shifting rates of infection and policies restricting movement and access to services in Australia and New Zealand. This study investigated the longitudinal effect of the COVID-19 pandemic on breastfeeding and maternal wellbeing in Australia and New Zealand. Mothers (n = 246) completed an online survey every 4 weeks for 6 months that examined feeding methods, maternal mental wellbeing, worries, challenges, and …

An Electrophysiological Examination Of Attentional Biases To Emotional Faces In Depression And Social Anxiety, Nathan M. Hager

Psychology Theses & Dissertations

Cognitive theories have proposed that major depressive disorder (MDD) and social anxiety disorder (SAD) involve attentional biases toward and away from specific environmental stimuli. Research has often examined these biases in response to emotional facial expressions, but evidence of attentional biases is mixed. An event-related potential called the N2pc offers advantages over other measures of attentional bias and may clarify conflicting findings. Studies on the N2pc and social anxiety have found consistent results, but there is little work examining depression. Previous N2pc studies are limited by the types of emotional faces they use and by comparing attention for emotional faces …