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Barriers To Care, Depressive Symptoms, And Moderating Factors Among Patients With Esrd, Amarachukwu O. Nwangwu

Honors Theses

End-Stage Renal Disease (ESRD) is the fifth and final stage of Chronic Kidney Disease (CKD) and has been reported to have the highest prevalence rate in the United States, with about 2,242 cases per million in the total population in 2017 (Johansen et al., 2021). Current studies document a high prevalence of depression among patients with ESRD which may lead to increased mortality (Shirazian et al., 2017). Additionally, barriers in access to care, which may be understood as the barriers that prevent individuals from seeking mental health services, has been linked to increased levels of undertreatment (Clement et al., 2012). …

Does Adhd Strengthen The Relationship Between Depression/Anxiety And Avoidance?, Ryan Wigginton

Honors Theses

Objective: Attention-Deficit/Hyperactivity Disorder (ADHD) is a diagnosis often

comorbid with depression and anxiety-related disorders. Research is also indicative of a relationship between ADHD, depression, anxiety, and avoidance-related behaviors. I hypothesize that the relationship between ADHD and avoidance will be moderated by symptoms of depression and anxiety in neuro-typical college students that have not received a clinical mental health diagnosis. Method: 101 college students at the University of Richmond attended a baseline visit with a research assistant and completed baseline scale measures for symptoms of ADHD, depression, generalized anxiety, and avoidance. I used multiple regression and Hayes’ PROCESS program to analyze …

The Development And Internal Evaluation Of A Predictive Model To Identify For Whom Mindfulness-Based Cognitive Therapy Offers Superior Relapse Prevention For Recurrent Depression Versus Maintenance Antidepressant Medication, Zachary D. Cohen, Robert J. Derubeis, Rachel Hayes, Edward R. Watkins, Glyn Lewis, Richard Byng, Sarah Byford, Catherine Crane, Willem Kuyken, Tim Dalgleish, Susanne Schweizer

Peninsula Medical School

Depression is highly recurrent, even following successful pharmacological and/or psychological intervention. We aimed to develop clinical prediction models to inform adults with recurrent depression choosing between antidepressant medication (ADM) maintenance or switching to mindfulness-based cognitive therapy (MBCT). Using previously published data ( N = 424), we constructed prognostic models using elastic-net regression that combined demographic, clinical, and psychological factors to predict relapse at 24 months under ADM or MBCT. Only the ADM model (discrimination performance: area under the curve [AUC] = .68) predicted relapse better than baseline depression severity (AUC = .54; one-tailed DeLong’s test: z = 2.8, p = …

Light Acupuncture And Five-Element Music Therapy For Nurses' Mental Health And Well-Being During And Post-Covid-19: Protocol For A Randomised Cross-Over Feasibility Study, Carol Chunfeng Wang, Johnny Lo, Rosemary Saunders, Esther Adama, Caroline Bulsara, Christopher Etherton-Beer, Angela Wei Hong Yang

Research outputs 2022 to 2026

INTRODUCTION: Australian nurses have experienced higher levels of anxiety during the COVID-19 pandemic compared with the prepandemic. This may have affected their long-term mental health and intention to stay in the profession resulting in a workforce shortage, which further impacts the health of the public. Management is urgently required to improve nurses' well-being. However, there is limited evidence available. The proposed clinical trial aims to evaluate the feasibility and therapeutic effects of using a combination of light acupuncture and five-element music therapy to improve nurses' mental health and well-being during and post-COVID-19. METHODS AND ANALYSIS: This randomised, single blinding, two-arm …

Determining The Optimal Exercise Intensity Level For Adjunctive Treatment Of Major Depressive Disorder, C James Block

Clinical Research in Practice: The Journal of Team Hippocrates

A clinical decision report using:

Helgadóttir B, Hallgren M, Ekblom Ö, Forsell Y. Training fast or slow? Exercise for depression: A randomized controlled trial. Prev Med. 2016;91:123-131. https://doi.org/10.1016/j.ypmed.2016.08.011

for a patient seeking an exercise regimen to help with depressive symptoms.

Role Of Microbiota In Urban Life's Well-Being, Ayu Okvitawanli

Psychological Research on Urban Society

The human beings have evolved together with microbes and are continuously exposed to diverse microbiota. A healthy gut flora promotes health and affords robust immune system, which is often advertised by probiotic supplements. These probiotics promises to build and restore gut flora health. Researches elucidate that gut bacteria are indispensable for our digestive system, and directly influence our moods, our weight, and our perception of the world. We discuss how urbanization possibly disturbs the symbiosis between microbiota and the human beings which leads to a negative impact on health. This review article summarized the previously reported studies and examines the …

Dnp Final Report: Psychosocial Screening For Oncology Patients, Robyn V. Beard

DNP Final Reports

Background: Patients with cancer often face severe distress related to fear of death, body disfigurement, financial stress, and lack of support system. This distress may lead to physical and emotional symptoms that bring patients to seek care at emergency departments, delay care or make poor health choices, and increase utilization of prescription drugs. With the already over burdened healthcare system, addressing these psychosocial needs is vital to improving patients outcomes as well as improving healthcare expenditure. Purpose: The purpose of this evidence based practice project was to improve perceived quality of life for oncology patients through detailed screening and behavioural …

Demographic Disparities In College Students’ Psychological Adjustment During Covid-19, Anna Marston

Honors Theses

The goal of the present study was to explore psychological adjustment during the COVID-19 pandemic in undergraduate college students. Since March 2020, undergraduates have endured extended lockdowns, quarantines, and social distancing efforts that may affect mental health, especially for historically marginalized groups such as women and people of color. Furthermore, research on coping styles suggests that those who cope with a stressor such as a pandemic in healthy, adaptive ways may be protected against psychological difficulty. In February/March 2021 (Time 1) and again in April/May 2021 (Time 2), college students (N = 277) from two residential liberal arts institutions were …

The Various Nervous System Drugs Commonly Used For Treatment And The Disparities In Availability Of These Drugs In Minority Groups, Iman Haurami

Honors Scholars Collaborative Projects

The nervous system is a complex network in our body that is responsible for actions, reflexes, and even sensations. With the brain being part of the CNS, many common nervous system disorders are due to a defect in the central nervous system and the functions of this organ. These disorders include mental health problems, degenerative diseases, seizures, infections, and other possible genetic diseases. Many of these diseases are common in society and constantly researched. Even though these diseases are common, treatment accessibility and effects on people of minority groups are overlooked compared to the focus on majority groups. For drug …

Prevalence Of Bullying Behaviors Among Students From A National University In The United Arab Emirates: A Cross-Sectional Study, Fatima Al-Darmaki, Haleama Al Sabbah, Dalia Haroun

All Works

This study aims to investigate bullying behaviors among college students at one of the national universities in UAE, and also to examine the psychological characteristics of those who were exposed to, or have experienced bullying. A cross-sectional study was conducted on 839 undergraduate students at one of the national universities in the UAE. Students from all colleges participated in this study and were selected by using stratified random sampling. Participants completed a bullying survey designed for the study, in addition to three psychological measures [i.e., Aggression Questionnaire, Buss and Perry, 1992; The Primary Care Anxiety and Depression, El-Rufaie et al., …

Self-Efficacy & Perception Of Mental Well-Being, Sarah L. Capen-Becerra, Sophie K. Louis, Abigail Danzig, Olimpia Sansone

Psychology Presentations

When young adults have high self-efficacy, they tend to exhibit more resilience to stress and other mental health problems. Additionally, women are reported to experience depression at higher rates than men, which might be explained by potential gender bias in current diagnostic criteria. Our study examined the influence of gender and mental health self-efficacy on depression symptoms as well as the interaction of these two variables on depression outcomes in college aged-students. Participants (N = 58) were tasked to fill out an anonymous Qualtrics survey based on the Gender Inclusive Depression Scale (GIDS; Martin et al. (2013), and an additional …

The Effects Of Covid-19 On Well-Being Of Healthcare Workers, Hannah Meissner

Honors Theses

The development of the new coronavirus disease, COVID-19, led to the spread of turmoil across the United States and further around the globe. With the virus creating uncertainty among the population, the evidence began to demonstrate that individuals could have devastating health effects, including death. Healthcare workers are among those who were on the frontlines in order to care for the infected, ultimately increasing their own chances of acquiring the virus and putting their health at risk. These workers have experienced a direct impact due to this exposure in the form of isolation, anxiety, depression, suicide, and sleep disturbances. With …

Smoking And Opiate Withdrawal Symptoms: The Impact Of Psychosocial Variables Among Individuals Receiving Medication Assisted Treatment For Opioid Detox, Cristina Abarno

LSU Master's Theses

Individuals with opioid use disorder (OUD) endorse high rates of combustible smoking (Zale et al., 2015) which is associated with poorer outcomes (e.g., opioid craving and lower detoxification completion rates) among individuals receiving medication-assisted treatment (MAT; Mannelli, Wu, Peindl, & Gorelick, 2013) and lower smoking cessation rates in smoking cessation treatment (Okoli et al., 2010). The complex pharmacological relationship between opioids and nicotine may help explain these findings (Kohut, 2017), however little is known about psychosocial variables that influence MAT processes among combustible smokers with OUD. The present study sought to expand upon prior work (Mannelli et al., 2013) by …

Vitamin D Status And Its Correlation With Disease Severity Among Patients Presented With Major Depressive Disorders In A Tertiary Health Care Hospital In South India, Thekkuttuparambil A Ajith, Shiny John, S Achu

Pharmacology and Clinical Pharmacy Research

Vitamin D level has a significant inverse correlation with depressive symptoms. The associa- tion of vitamin D level with unipolar or bipolar disorders are inconclusive among Indians. This study was aimed to find the severity of major depressive disorders and their correlation with vitamin D status. A cross-sectional study was conducted among patients (15-65 years old) diagnosed clinically with a major depressive disorder with a known serum 25 (OH) D levels. Mild, moderate, and severe depressive disorders were categorized into groups like vitamin D sufficient (≥75 nmol/L), insufficient (51-74 nmol/L), and deficient (<50 nmol/L). The data were analyzed for correlation. A total of 83 patients (33 males and 50 females) were included. Among the total, only four patients (4.8%) had bipolar disorder, while 79 patients (95.1%) had the unipolar disorder. Three bipolar patients and 68 unipolar patients had 25(OH)D levels below normal. Correlation analysis between the severity of disease and 25(OH)D level found a non-linear negative correlation in males (r= -0.07595, p= 0.7123) and positive correlation in females (r= 0.04234, p= 0.7823). However, correlation of age with 25(OH)D level was positive in males (r= 0.4151, p= 0.035) and negative in females (r= -0.1553, p= 0.3085). A negative correlation was found between the severity of the unipolar disorder and serum 25(OH)D levels in males. Therefore, male patients presented with the unipolar depressive disorder may consider vitamin D supplementation

An Exploratory Analysis Of Stress, Burnout, And Depression In The Iecmh Workforce, Thomas Boyer, Jessica Pooter-Rodriguez Ms., Hannah Winston Ms., Diana Morelen Dr.

Appalachian Student Research Forum

A growing trend in the psychological literature has consistently found a strong association between stress, burnout, and depression, especially in populations who are exposed to a high amount of occupational stress. And, while the relationship between stress and burnout has been distinct and strong, the same cannot be said for burnout and depression. Historically, burnout and depression have shared such a strong conceptual relationship that the literature disagreed as to whether they were truly separate mechanisms. However, while the two constructs do present behavioral similarities the underlying mechanisms which direct their presentation are subtly different. Depression is defined as a …

Improving Coordinated Mental Health Care Through An Enhanced Referral Process: A Quality Improvement Project, Courtney Burleson, Lisa M. Haddad

Appalachian Student Research Forum

As the incidence of major depressive disorders continues to rise, the need for depression screening in primary care is imperative. The objective of this quality improvement (QI) project is to increase depression screening and enhance the current referral process in an urban primary care setting in the southeast United States. To achieve a projected increase in identified depression within the current and future adult patient population, workflow processes have been restructured to incorporate consistent depression screening using the Patient Health Questionnaire-2 (PHQ-2) and -9 (PHQ-9). Revised clerical workflow processes include initiating PHQ-9 questionnaires for all new patients, while clinical workflow …

The Anxiety, Depression, And Perceived Stress Levels Of Hospice Care Personnel In Georgia, Emily Bauman

Honors College Theses

Working in hospice comes with a variety of unique tasks and stressors that other jobs typically do not require. While this workplace stress can act as a catalyst, too much can be threatening to an individual’s mental state and life in general. Moreover, anxiety and depression can be detrimental to an individual’s life and career. Research has shown positive correlations between stress, anxiety, and depression. The purpose of this study is to use quantitative measures to examine the anxiety, depression, and perceived stress levels of hospice care professionals in Georgia. 12 hospice care workers were quantitatively surveyed regarding their perceived …

Maternal Depression Moderated By Family Resources When Children Have Developmental Disabilities., Timothy B. Smith, Terisa P. Gabrielsen

Faculty Publications

Children with developmental disabilities require extensive parental involvement in intervention, but parents with depression may be less able to intervene effectively. We examined prevalence of depression symptoms and predictors among 131 mothers of children with disabilities enrolled in early childhood special education. Participants completed several self-report measures of depression and child and family functioning. Children were directly evaluated using the Battelle Developmental Inventory. One year later, 68 mothers repeated self-report measures. Participants (30%) reported elevated depression symptoms across time. Depression scores were correlated with parental stress and family resources. An interaction between higher maternal depression and higher child functioning with …

The Effect Of Student Lifestyle On Days Depressed, Yulisa Marcos C, Ian Mccauley

Student Scholarship - College of Business

The purpose of our paper is to discover what factors about student lifestyles affect how often students experience symptoms of depression, using anonymous survey results from 96 George Fox students. We will explore if how many days a student is depressed per month might be determined by factors such as the number of hours spent in a week doing schoolwork, working, doing something enjoyable, social media usage and their housing status. We determined that our sample of 96 was representative enough of the George Fox undergraduate student population to be able to use in our regressions. Additionally, we found that …

Examining A Neural Measure Of Attentional Bias To Emotional Faces In Social Anxiety And Depression, Nathan M. Hager, Matt R. Judah, Alicia L. Milam, Hannah C. Hamrick, Catherine R. Glenn

College of Sciences Posters

Cognitive theories suggest that attentional biases may contribute to both social anxiety and depression, such that attention may be biased to focus on or away from certain information (e.g., rejecting or sad images; Clark & McManus, 2002; Lemoult & Gotlib, 2019). Although research is mixed, recent studies using a neural measure called the N2pc (an event-related potential) has indicated attentional biases in social anxiety. However, little N2pc research has examined depression or co-occurring depression and social anxiety.

The current study used electroencephalography to measure the N2pc during a dot-probe task in which images of faces with emotional or neutral expressions …

Use Of A Structured Clinical Interview To Eliminate Unspecified Psychiatric Diagnoses, Gabriela Mimbela

Cohort X

Background: A definitive psychiatric diagnosis can provide significant direction to patient treatment strategies and will facilitate the identification of potential risks and qualification for supportive resources. Psychiatric research programs that were initiated in the 1950s led to the classification framework known as the Diagnostic and Statistical Manual (DSM) of Mental Disorders. These guidelines provide physicians with the information that they need for the appropriate diagnosis of major psychiatric conditions. While the DSM has had a large impact on the practice of psychiatry, there are still no biological markers of these diseases. This has led to the development of diverse assessment …

Independent Investigations Of The Relationships Between Altruistic Behavior And Empathy With Depression, Colton Watson

Honors Theses

Depressive symptoms can influence a variety of individual factors, including altruism and empathy. The nature of that relationship, however, is poorly understood. Cross-sectional studies examining the empathetic and altruistic abilities of people with varying levels of depressive symptoms have produced mixed results, as both the magnitude and direction of any correlations between empathy or altruism and depression are varied. Thus, we aimed to examine the impact of depressive symptoms on self-report measures of altruistic behavior and empathy. Using the Quick Inventory of Depressive Symptoms-Self Report (QIDS-SR) to measure depressive symptoms, the Interpersonal Reactivity Index (IRI) to measure empathy, and the …

Music And Mental Health: Increasing Awareness And Promoting Wellness, Catherine Sarah Black

Senior Theses

“Music for Mental Health: Increasing Awareness and Promoting Wellness” examines how music might raise mental health awareness and act as a coping resource. Specifically, it 1) argues for the connection between music and mental health, 2) presents a case study of select BTS songs that have been useful in promoting mental health, and 3) describes the efforts of Classical Healing Keys, a non-profit organization designed by the author as a proposal to promote mental health through classical music.

Exploring Relationships Between Depression Self-Stigma And Trust In Primary Care Provider On Willingness To Seek Help, Tana Karenke

Dissertations (1934 -)

Depression is a mood disorder characterized by persistent feelings of sadness and/or loss of interest that effects an individual’s ability to carry out day-to-day activities. Depression can diminish one’s social functioning, interpersonal relationships, personal care, and work productivity. Despite the availability of various treatments for depression, roughly 34% of people suffering from depression symptoms do not seek treatment. Significant barriers for seeking help for depression symptoms include the stigma of mental illness and a lack of trust in healthcare providers; however, there is a paucity of research exploring the relationship between mental illness stigma and the role of trust in …

Alaskan Rural Pastors' Lived Experiences With Mental Health Stigma, Josephine Kay Barry

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the lived experiences of rural Alaskan pastors with mental health and mental health stigma both personally and professionally. While there were few studies available to assist with the framework of this research there were some that focused on pastors, depression, burnout and collaboration with counselors in rural areas. A Conceptual Mapping Task (CMT) was used to conduct the interview of five pastors within an isolated Alaskan community. Pastors were asked to describe in detail their lived encounters with mental health stigma and how it impacted them and their congregation. Interviews were …

Does Insomnia Increase The Risk Of Suicide In Hospitalized Patients With Major Depressive Disorder? A Nationwide Inpatient Analysis From 2006 To 2015, Zeeshan Mansuri, Abhishek Reddy, Ramu Vadukapuram, Mounica Thootkur, Chintan Trivedi

School of Medicine Publications

Introduction. nsomnia is an important symptom associated with major depressive disorder (MDD). In addition, it is one of the risk factors for suicide. Studies have shown the relationship be-tween insomnia and suicidal behavior in patients with MDD. However, this association has not been evaluated in a large sample of hospitalized patients.

Objectives. To evaluate the suicidal be-havior in MDD patients with insomnia compared to those without insomnia.

Methods. From the National Inpatient Sample (NIS 2006–2015) database using the ICD-9 code, patients’ data were obtained with the primary diagnosis of MDD and comorbid diagnosis of insomnia disorders (MDD+I). These patients were …

Cultural Adaptation Profiles Among Mexican-Descent Latinxs: Acculturation, Acculturative Stress, And Depression., Mark W. Driscoll, Lucas Torres

Psychology Faculty Research and Publications

Objectives: Person-centered analysis was used to examine profiles of acculturation and acculturative stress among Mexican-descent adults in relation to depression. It was hypothesized that identified profiles would support multiple acculturation styles, that acculturation profiles would differentially relate to acculturative stress dimensions, and that those profiles with greater Latinx acculturation and lower acculturative stress would report less severe depression. Method: Mexican-descent Latinx adults (n = 230) completed self-report measures of Latinx and Anglo acculturation, acculturative stress, and depression symptom severity. Latent profile analysis was used to derive acculturation–acculturative stress profiles. Results: Three distinct profiles emerged. One profile was notable for …

Current Targeted Interventions For Adult Patients With Comorbid Obesity And Depression: An Integrative Review, Meredith Lawson Parnell

Doctoral Dissertations and Projects

Obesity and depression share a bidirectional relationship when they exist as comorbidities in addition to individually posing complex public health challenges. Evidence from recent years suggests that there is a benefit to treating these illnesses with an integrated approach when they co-occur, but no current clinical guideline exists for this approach. The purpose of this integrative review is to synthesize existing literature and report current interventions targeting the management of comorbid obesity and depression in adults. The Whittemore and Knafl methodology for integrative review is the framework used to conduct this synthesis. A systematic search was conducted of nine computerized …

A Transcendental Phenomenological Study Of Mental Health Symptoms And Awareness In The College Student Population, Stephanie Ann (Hare) Wallace

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to understand mental health concerns and the services provided within the college population located at an on-ground campus in the United States. The theories guiding this study were Schlossberg’s transition theory and self-efficacy theory, which play a major role in understanding the concerns and heightened symptoms students faced when transitioning into the college setting. The transcendental phenomenological study focused on gathering data from sophomore students enrolled at Rose College who have recently faced the transition from high school or undergraduate settings. The setting took place virtually due to restrictions and limitations of …

Sadness And Social Media: An Analysis Of The Effects Of Social Media On Depression In Young African American Females, Rosa Lee Sutton

Doctoral Dissertations and Projects

Social media has the propensity to inadvertently cause the vicarious traumatization of its users due to their witnessing violent or distressing content. This current research proposes that African American social media users suffer vicarious traumatization via social media and suffer the effects of direct, historical, racialized trauma. In the past decade, through social media, Black Americans have vividly witnessed videos depicting several high profile, violent deaths at the hands of law enforcement, police brutality, racial violence, civil unrest, the birth of the Black Lives Matter movement, experienced blatant discrimination, engaged in racially divisive discourse, and have witnessed attempts to have …