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Paternal Self-Efficacy: A Parenting Resilience Factor For Fathers With Depression, Mark Herrick Trahan, Kevin Shafer

Faculty Publications

Parental depression has a negative effect on child development including mental and physical health, language and development, and externalizing and internalizing behavior. This quantitative research study examined the relationship between paternal self-efficacy (PSE) and parenting behaviors often associated with paternal depression. Data from the Survey of Contemporary Fathers were used and responses from self-identified fathers (n = 1,156) on paternal involvement, warmth, harsh parenting practices, and parenting self-efficacy were analyzed to assess the association between depression and PSE on fathering behavior. Ordinary least squares regression analysis indicated that depression was associated with harsh parenting and parenting warmth, while parenting self-efficacy …

The Influence Of Stressful Life Events On The Development Of Type 2 Diabetes, Joshua Minks

Dissertations

This study examined the relationship between distress and the development of Type 2 diabetes mellitus (T2DM) in the presence of established risk factors. Distress secondary to mental health disparities, stressful life events, and work conditions has been shown to promote insulin resistance and the development of T2DM.

Subjects (N=79) diagnosed with T2DM within the previous six months were recruited from SSM Health Centers and VA Medical Centers in the greater St. Louis area. They completed the Recent Life Changes Questionnaire, ENRICHD Social Support Instrument, and a demographic survey and analyses were conducted to determine differences between the veteran …

A Phenomenological Exploration: The Black Bile Of Depression, Charles L. Dunlap Ii, M.A.

Counseling and Family Therapy Scholarship Review

The phenomenon of depression manifests itself in many different forms, haunting us with its simultaneously inescapable, diffuse and pervasive presence. The rich thickness of depression is often severely drained and confined within the overall field of psychology, in which this phenomenon is regularly expressed as an all-encompassing, diagnostic label, to limitedly describe an almost endless number of symptomatic permutations. We shall attempt to distill something of depression’s essence in returning to its ancient, etymological, spiritual and metaphysical roots, in order to begin transcending the traditional clinical notion of depression as simply a disease to be cured and suppressed. The relatively …

Evaluating Commonalities Between Different Medically Unexplained Symptoms, Dan Guo, Maria Kleinstäuber, Malcolm Henry Johnson, Frederick Sundram

Psychology Faculty Publications

This commentary presents commonalities in medically unexplained symptoms (MUS) across multiple organ systems, including symptoms, aetiological mechanisms, comorbidity with mental health disorders, symptom burden and impact on quality of life. Further, treatment outcomes and barriers in the clinician–patient relationship, and cross-cultural experiences are highlighted. This discussion is necessary in aiding an improved understanding and management of MUS due to the interconnectedness underlying MUS presentations across the spectrum of medical specialties.

Feeling Green: The Benefits Of Green Space On Urbanites' Mental Health, Kathryn A. Hoagland

Liberal Arts and Engineering Studies

This investigation intends to determine the best methods for incorporating public green space into dense urban areas, for the betterment of residents' mental health. Data from studies showing differences in the prevalence of anxiety and depression in urban and rural areas are discussed alongside data from studies looking at the effect that certain types of green space might have on mental health. While there is no exact consensus on the extent to which nature has positive effects on mental health there is enough of a correlation to argue for the implementation of public green spaces in urban design, in order …

Spiritually Focused Mindfulness Meditation: An Interpretative Phenomenological Analysis Of The Effect Of Spiritually Focused Mindfulness Meditation On Depression With A Clinical Population, Grace Lynn Bellingham

Doctoral Dissertations and Projects

This interpretative phenomenological analysis explored the use of spiritually focused mindfulness meditation for clinical depression. Although antidepressant medication and cognitive behavioral therapy are the leading evidence-based treatments for clinical depression, major depressive disorder is recurrent, and progressive and relapse rates are increasing. Numerous studies examining the use of complementary and alternative medicine therapies, which include the use of meditation to treat depression, have emerged in the literature. In this study, three individuals who met diagnostic criteria for major depressive disorder used spiritually focused mindfulness meditation for three weeks and participated in in-depth interviews to explore their experiences. Findings revealed significant …

Mental Health And Traumatic Brain Injury Survivors: The Relationship Between Self-Esteem, Shame, And Depression To Quality Of Life After Mild And Moderate Traumatic Brain Injury, Lisa Marie Ansell

Doctoral Dissertations and Projects

Self-esteem, shame, and depression are three factors which can impact quality of life. Mental health counseling and perceived satisfaction of mental health services can also have an impact on quality of life. This study focused on the how mild and moderate traumatic brain injury survivors within a small sample population perceived how self-esteem, shame, and depression were predictors of quality of life. Through survey research, an online survey was utilized to solicit responses to questions related to self-esteem, shame, depression, quality of life, counseling services, and counseling service satisfaction among mild and moderate traumatic brain injury survivors who participate in …

The Role Of Social Support In Predicting Depression And Task Overload Among College Students, James M, Duncan, Mallory Lucier-Greer, Anthony J. Ferraro, Kayla Reed-Fitzke

Journal of Human Sciences and Extension

Guided by the Relationships Motivation Theory, this short-term longitudinal study examined associations between social support (i.e., relatedness), depression, and stress in the form of task overload among emerging adult, university students (N = 184 at time one; N = 105 at time two; 69.2% female). Results from a series of path models indicated a significant relationship between decreased perceptions of social support over time and an increase in perceived task overload with significant mediating effects through depressive symptomology. Implications for counseling services as well as intervention and awareness points for university professionals are discussed.

Distinguishing Performance On Tests Of Executive Functions Between Those With Depression And Anxiety, Justn Burgess, J Burgess, Charles J. Golden

Faculty Proceedings, Presentations, Speeches and Lectures

Objective: To see if there are differences in executive functions between those diagnosed with Major Depressive Disorder (MDD) and those with Generalized Anxiety Disorder (GAD).
Participants and Methods: The data were chosen from a de-identified database at a neuropsychological clinic in South Florida. The sample used was adults diagnosed with MDD (n=75) and GAD (n=71) and who had taken the Halstead Category Test, Trail Making Test, Stroop Test, and the Wisconsin Card Sorting Test. Age (M=32.97, SD=11.75), gender (56.7% female), and race (52.7% White) did not differ between groups. IQ did not differ but education did (MDD=13.41 years, SD=2.45; GAD=15.11 …

Migration-Related Stress And Depression Among First Generation Haitian Immigrants In Florida, Dany A. Fanfan

Creating Healthy Work Environments (CHWE)

Through the lens of the stress process model, this study examined the relationship between migration-related stress and depression among 76 first generation Haitian immigrants in Florida, a growing, but underrepresented population with considerable mental health disparities.

The Relationship Between Diet Quality And Depressive Symptoms In Postpartum African American Women, Annabeth Daley, Erin Ferranti

Creating Healthy Work Environments (CHWE)

The purpose of this study is to examine the relationship between diet quality and depressive symptom scores in a socioeconomically diverse sample of African American women.

Assessing The Effect Of Patient To Provider Language Discordance On Depression Screening Utilizing The Patient Health Questionnaire: An Epidemiology Study., Luis A. Murillo, Georgi Alex Grekoff, John C. Sheffield

Reading Hospital Family Medicine Residency

Background: As depression screening becomes a standard in primary care, the question remains of how effective and equitable screening can be implemented to avoid cultural and language-related disparities.

Methods: In this retrospective cohort study, rates of depression screening were compared for 3626 adult patients at a family medicine residency-based health centre in Pennsylvania, USA. The PHQ-2/PHQ-9 modality was verbally administered by nursing staff at the time of patient intake as part of a universal screening initiative. Chi-square analysis was used to determine the univariate associations of performed depression screening with variables of language, ethnicity, gender and number of office visits. …

9/11 Exposure And Parental Monitoring, Heather Zemeck

Theses and Dissertations

This paper investigates the effects of 9/11/01 exposure on parental monitoring, and how depression and anxiety are associated with these effects. This research utilizes data collected from Evacuees, First Responders, and non-exposed Controls. Results revealed moderate 9/11 exposure is associated with increased parental monitoring; while, depression is associated with decreased parental monitoring.

Effect Of Cognitive Bias Modification-Memory On Depressive Symptoms And Autobiographical Memory Bias: Two Independent Studies In High-Ruminating And Dysphoric Samples, Janna N. Vrijsen, J. Dainer-Best, S. M. Witcraft, S. S. Papini, Paula T. Hertel, C. G. Beevers, Eni Sabine Becker, J. A. J. Smits

Psychology Faculty Research

Memory bias is a risk factor for depression. In two independent studies, the efficacy of one CBM-Memory session on negative memory bias and depressive symptoms was tested in vulnerable samples. We compared positive to neutral (control) CBM-Memory trainings in highly-ruminating individuals (N = 101) and individuals with elevated depressive symptoms (N = 100). In both studies, participants studied positive, neutral, and negative Swahili words paired with their translations. In five study–test blocks, they were then prompted to retrieve either only the positive or neutral translations. Immediately following the training and one week later, we tested cued recall of all translations …

Effectiveness Of Religious Cognitive Behavior Therapy For The Treatment Of Clinical Depression In Religious People: A Single-Case Research Design Analysis, Richard Mark Cozart

Doctoral Dissertations and Projects

This study used a single-case research design analysis to investigate the efficacy and effectiveness of the Duke University Center for Spirituality, Theology and Health (Duke Center)’s religious cognitive behavior therapy (RCBT) with four deeply religious Christians reporting moderate to severe depression. Literature suggests that religious individuals prefer interventions that reflect their religiosity and experience at least equal recovery rates compared to the use of conventional cognitive behavior therapy (CBT); however, they may not have access to effective religious treatments in customary religious venues, and there is a lack of understanding of why such individuals respond to religious treatments. The four …

The Influence Of Unpredictable, Fragmented Parental Signals On The Developing Brain, Laura M. Glynn, Tallie Z. Baram

Psychology Faculty Articles and Research

Mental illnesses originate early in life, governed by environmental and genetic factors. Because parents are a dominant source of signals to the developing child, parental signals - beginning with maternal signals in utero - are primary contributors to children’s mental health. Existing literature on maternal signals has focused almost exclusively on their quality and valence (e.g. maternal depression, sensitivity). Here we identify a novel dimension of maternal signals: their patterns and especially their predictability/unpredictability, as an important determinant of children’s neurodevelopment. We find that unpredictable maternal mood and behavior presage risk for child and adolescent psychopathology. In experimental models, fragmented/unpredictable …

Assessing The Effect Of Patient To Provider Language Discordance On Depression Screening Utilizing The Patient Health Questionnaire: An Epidemiology Study., Luis A. Murillo, Georgi Alex Grekoff, John C. Sheffield

Reading Hospital Family Medicine Residency

Background: As depression screening becomes a standard in primary care, the question remains of how effective and equitable screening can be implemented to avoid cultural and language-related disparities.

Methods: In this retrospective cohort study, rates of depression screening were compared for 3626 adult patients at a family medicine residency-based health centre in Pennsylvania, USA. The PHQ-2/PHQ-9 modality was verbally administered by nursing staff at the time of patient intake as part of a universal screening initiative. Chi-square analysis was used to determine the univariate associations of performed depression screening with variables of language, ethnicity, gender and number of office visits. …

Burnout, Depression And Suicide Prevention For Nurses In High-Intensity Settings, April Ritchie

Doctor of Nursing Practice (DNP) Projects

Problem: Burnout in healthcare has been reported as high as 35% for hospital nurses in acute care and occurs at higher rates in high-intensity settings. Burnout can lead to depressive symptoms, which can lead to suicidal ideation in affected healthcare providers and warrants further attention.

Context: Studies indicate that identification and interventions can help improve burnout; therefore, nurses in the emergency department (ED), intensive care unit (ICU), labor and delivery (L&D), and neonatal intensive care unit (NICU) completed education, surveys, and tools to identify and treat the problem.

Interventions: Nurse education on burnout, depression, and suicide was completed, and …

Factors Associated With A Positive Depression Screen After A Miscarriage, Steve Mutiso, Alfred Murage, Abraham Mukaindo

Obstetrics and Gynaecology, East Africa

Introduction: Miscarriages are a common pregnancy complication and positive depression screen after a miscarriage has been shown to be high in our population. Various factors are associated with an increased risk of developing depression after a miscarriage. However, these factors vary across populations studied with no studies existing in our region. We set out to determine the factors associated with a positive depression screen among post-miscarriage women at the Aga Khan University hospital, Nairobi.

Methods: Patients were recruited at the 2 weeks clinic review after a miscarriage in the gynaecological clinics. They were screened using the Edinburgh postnatal depression scale …

Association Between 5-Year Clinical Outcome In Patients With Nonmedically Evacuated Mild Blast Traumatic Brain Injury And Clinical Measures Collected Within 7 Days Postinjury In Combat, Christine L. Mac Donald, Jason Barber, Jana Patterson, Ann M. Johnson, Sureyya Dikmen, Jesse R. Fann, Nancy Temkin

Open Access Publications

Importance: Although previous work has examined clinical outcomes in combat-deployed veterans, questions remain regarding how symptoms evolve or resolve following mild blast traumatic brain injury (TBI) treated in theater and their association with long-term outcomes.

Objective: To characterize 5-year outcome in patients with nonmedically evacuated blast concussion compared with combat-deployed controls and understand what clinical measures collected acutely in theater are associated with 5-year outcome.

Design, Setting, and Participants: A prospective, longitudinal cohort study including 45 service members with mild blast TBI within 7 days of injury (mean 4 days) and 45 combat deployed nonconcussed controls was carried out. Enrollment …

Mental Health Disorders In Dpt Students: Identifying Needs, Support Systems, & Challenges, Jennifer M. Bogardus

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: There is an increase in the incidence and severity of mental health disorders in university students. Doctor of Physical Therapy students are at increased risk due to physiological, environmental, and generational factors. Design: Mixed-Methods, multi-site, descriptive study Participants: Current DPT students (N= 1228 ) completed a survey and DASS-42; 20 students demonstrating moderate severity on the DASS participated in telephone interviews. Methods: Surveys were emailed to 238 DPT program directors with a request to forward to students. Following the survey, a total of 20 interviews were completed. Results: DPT students were found to have higher DASS scores than their …

Recruitment Effort And Costs From A Multi-Center Randomized Controlled Trial For Treating Depression In Type 2 Diabetes, Barbara A. Myers, Yegan Pillay, W. Guyton Hornsby Jr., Jay Shubrook, Chandan Saha, Kieren J. Mather, Karen Fitzpatrick, Mary De Groot

Faculty & Staff Scholarship

Background: Participant recruitment for clinical trials is a significant challenge for the scientific research community. Federal funding agencies have made continuation of funding of clinical trials contingent on meeting recruitment targets. It is incumbent on investigators to carefully set study recruitment timelines and resource needs to meet those goals as required under current funding mechanisms. This paper highlights the cost, labor, and barriers to recruitment for Program ACTVE II, a successful multisite randomized controlled trial of behavioral treatments for depression in adults with type 2 diabetes, conducted in rural and urban settings in three states. Methods: Quantitative and qualitative data …

Just A Chemical Imbalance: Exploring The Absence Of The Social Etiology Of Depression In Common Medical Websites, Zoe Folsom

Conspectus Borealis

In recent decades, depression has received increased attention in the United States. As diagnosed instances of depression rise, and as it has usurped all other conditions in both national and global disability costs, pressure continues to mount to address and mitigate the societal impacts of this seemingly unstoppable disease. While this has taken various forms, from campaigns to destigmatize mental illness to government entities devoting to reducing social costs of depression, the prevailing narrative proves incomplete. Despite a wealth of research supporting a direct link between social factors (such as life satisfaction and relational satisfaction) and instances of clinical depression, …

Endorphins, Endocannabinoids And Runners’ High, Elisheva Winiarz

The Science Journal of the Lander College of Arts and Sciences

Modern science takes at face value the fact that exercise is beneficial for man’s health. In recent years, medical health professionals have begun to harness exercise as a treatment for a broader range of maladies. Since various studies found increased exercise to correlate with higher levels of endorphins, most believed that the endorphins were directly responsible for what the vernacular dubbed “Runner’s High.” Scientists have sought to either augment or wholly disprove the endorphin hypothesis with further studies. Major Depressive Disorder, or MDD, is an affective condition affecting a significant portion of the general population. Aerobic exercise is increasingly being …

The Impact Of Paternal Involvement And United States Stay Length On Latino Youth's Depressive Symptoms, Christine Marie Bishop, Sara Makki Alamdari

Faculty Publications

Latino youth in the United States are more at-risk for depression than youth of other ethnic backgrounds. This manuscript assesses the impacts of sex, age, United States stay length, and whether or not Latino children of immigrants’ fathers live with them on the youth’s depressive symptoms. For this purpose, data of the Children of Immigrants Longitudinal Study was used. Using multiple regression analysis, the relationships among the aforementioned factors were examined among 1305 immigrant youth who were born in Latin America and Caribbean countries. The results of the study indicated that being male, living with one’s father and longer stay …

Provider Suicide, Amy Quinn

Physician Assistant Scholarly Project Posters

The purpose of this research and systematic literature review is to determine the risks factors for, the identification of and repercussions of provider suicide. In this review, databases searched included Pubmed , Cochran Database of Systematic Reviews, PsycInfo , National Institute of Health, Medscape and Google Scholar from September 8, 2018 to January 13, 2019. A variety of key terms were used when searching include suicide, provider suicide, suicide, costs of suicide, physician burnout, physician assistant burnout, nurse burnout, doctor suicide, physician assistant suicide, and nurse practitioner suicide . Works chosen for review were published between 1979 and 2018, as …

Examining Mother And Father (Dis)Agreement Of Youth Mental Health Among Ethnically Diverse Families, Areti Vassilopoulos

Theses and Dissertations

Many children and adolescents in the United States experience externalizing behavior problems identified as attention-deficit/hyperactivity disorder, oppositional defiant disorder, and conduct disorder. These behavior problems cause disruptions in the youth’s socioemotional functioning and academic success. The assignment of a diagnosis from the DSM-5 is often the first step in treatment planning, because many clinics and third-party payers require a diagnosis for authorization of treatment payment. However, research has repeatedly revealed that informants differ in the information they provide regarding youth mental health. While studies have separately examined the association of youth characteristics, parent characteristics, and family characteristics and informant agreement, …

Exercise Compared To Ssris In The Treatment Of Major Depressive Disorder, Tiffany Fletschock

Physician Assistant Scholarly Project Posters

Major Depressive Disorder (MDD) is a common disease seen every day by primary care providers across the United States. According to the Centers for Disease Control and Prevention (CDC, 2018), eight percent of all adults over the age of 20 suffer from depression, and a study by the American Psychological Association found depressive disorders to cost roughly $71 billion annually. Today, psychotherapy is the recommended first-line therapy for treating MDD, but pharmacotherapy is more commonly used. Alternative forms of therapy are also being researched in order to avoid the use of medication while adequately treating the symptoms of MDD. For …

Social Support Satisfaction As A Protective Factor For Postpartum Maternal Distress, Amy-Lynn Elisabeth Anderson

Electronic Theses and Dissertations

Social support has been identified as a protective factor for postpartum maternal distress, a prevalent women's health issue, and most research focuses on the amount of support women receive. However, research in this area has failed to explore whether increasing satisfaction with social support may be a worthwhile approach to alleviating postpartum maternal distress, beyond increasing amounts. There is also little known regarding specific aspects of support, like satisfaction with emotional and instrumental support, that might lead to differences in postpartum distress outcomes. In this prospective, longitudinal study, we hypothesized that greater social support satisfaction will be associated with less …

A Randomized Controlled Trial Of Internet-Delivered Cbt And Attention Bias Modification For Early Intervention Of Depression, R. Mcdermott, David J. A. Dozois

Psychology Publications

Abstract

The conceptualization and empirical knowledge base related to major depression has increased dramatically in recent years. We now have well-developed and validated models of depression from a range of theoretical perspectives. These models have significantly enhanced the development of effective treatments and preventative interventions. Although various prevention programs are available, Web-based protocols can enhance accessibility to evidence-based prevention programs. The current study involved a randomized controlled trial focused on the prevention and treatment of depression in high-risk first- and second-year undergraduate students. Three Internet-delivered preventative programs were compared: cognitive behavioral therapy (CBT; MoodGym), attentional bias modification, and an active …