Digital Commons Network^™

A Process Improvement For Depression Screening And Management In A University Health Clinic, Margaret H. Zoellers

Doctor of Nursing Practice Projects

Research indicates that among college students, there is a high prevalence of depression that is frequently undiagnosed and untreated, placing students at risk of impaired academic performance and suicidal behavior. The purpose of the evidence-based process improvement was: a) establish a depression screening and management protocol in the university health clinic, and b) increase university health clinic providers’ knowledge of evidence-based depression screening and management. Family nurse practitioner providers in the university health clinic (n=6) participated in a depression screening and management education program. Knowledge of evidence-based depression screening and management was measured prior to and after the program. A …

Masculine Traits And Depressive Symptoms In Older And Younger Men And Women, Elizabeth C. Price, Jeffrey J. Gregg, Merideth D. Smith, Amy Fiske

Faculty & Staff Scholarship

Evidence suggests that men who strongly endorse masculine traits display an atypical presentation of depression, including more externalizing symptoms (e.g., anger or substance use), but fewer typical, internalizing symptoms (e.g., depressed mood or crying). This phenomenon has not been adequately explored in older adults or women. The current study used the externalizing subscale of the Masculine Depression Scale in older and younger men and women to detect atypical symptoms. It was predicted that individuals who more strongly endorsed masculine traits would have higher scores on the measure of externalizing symptoms relative to a measure of typical depressive symptoms Center for …

Dimensional Symptom Severity And Global Cognitive Function Predict Subjective Quality Of Life In Patients With Schizophrenia And Healthy Adults, P. Derosse, G. C. Nitzburg, M. Blair, A. K. Malhotra

Journal Articles

No abstract provided.

An Exploratory Study Of Session Limited Models Of Therapy Outcomes In An Employee Assistance Program, Ivy C. Donaldson

Electronic Theses and Dissertations

Employee Assistance Programs (EAPs) have grown increasingly popular over recent years. The prevalence of organizations utilizing and investing in EAP services for their employees has grown; however, companies that purchase EAPs are not well-informed as to which session-models are most effective for various diagnoses. The current study is the first to explore treatment outcomes of session-limited models (measured by Therapist Perception of Change, TPC) for diagnoses (anxiety and depression) in an EAP delivery system. Outcomes were measured by TPC ratings including: a) Regressed, b) remained at Baseline, c) Improved, and d) issue was Resolved. Analyses (Chi-Square and =t-test) were used …

A Semantically Enhanced Approach To Identify Depression-Indicative Symptoms Using Twitter Data, Ankita Saxena

Browse all Theses and Dissertations

According to the World Health Organization, more than 300 million people suffer from Major Depressive Disorder (MDD) worldwide. PHQ-9 is used to screen and diagnose MDD clinically and identify its severity. With the unprecedented growth and enthusiastic acceptance of social media such as Twitter, a large number of people have come to share their feelings and emotions on it openly. Each tweet can indicate a user's opinion, thought or feeling. A tweet can also indicate multiple symptoms related to PHQ-9. Identifying PHQ-9 symptoms indicated by a tweet can provide crucial information about a user regarding his/her depression diagnosis. The current …

The Conceptualization Of Depression Among Filipino Seafarers, Karina Therese G. Fernandez, D Conor Seyle, Evee Kae D. Simon

Psychology Department Faculty Publications

The Center for Epidemiological Studies – Depression (CES-D) scale is a well-validated and frequently used measure for assessing symptoms associated with depression. This scale was developed primarily on the basis of American populations, however, and previous research has suggested that the original factor structure may not be appropriate for all populations. One such population is the Filipino population. This study represents the first study we are aware of to examine the factor structure of the CES-D scale in a sample of Filipino seafarers. Seafaring is considered a high stress and high risk occupation. Based on data collected from 135 Filipino …

Positive Legal Education: Flourishing Law Students And Thriving Law Schools, Debra S. Austin

Sturm College of Law: Faculty Scholarship

The report begins with a call to leadership within each facet of the legal profession, urging a shift from ignoring well-being problems to taking action to create cultural change; argues that legal educators must undertake initiatives in order to innovate and improve legal education and law practice; and proposes a new field of inquiry called Positive Legal Education that leverages research findings from Positive Psychology, neuroscience, and Positive Education to inspire innovation in legal education and curate a culture of well-being in the legal field.

Decreasing Stigma Against Depression In Chinese International Students, Elizabeth Trader

Mahurin Honors College Capstone Experience/Thesis Projects

Higher levels of stress and a shift in support systems during the transition to another culture can put international students at risk for mood disorders like depression. Previous research supports there is also a higher level of depression stigma within Eastern cultures in comparison to Western cultures (Rao, Feinglass, & Corrigan, 2007). This may account for the strikingly low numbers from the Chinese population that seek and maintain professional counseling services while studying in the U.S. (Yakushko, Davidson, & Sandford-Martens, 2008). The present study sought to determine whether two self-produced Chinese videos regarding information about stigma, symptoms, and treatment of …

Food Insecurity, Depression, Disordered Eating Styles, And Body Mass Index Among University Students, Cristal Medina

Graduate Research Theses & Dissertations

Food insecurity is higher among college students than in the general population. Food insecurity can lead to a variety of health outcomes. The present cross-sectional study investigated the relationship between food insecurity and body mass index (BMI), depression, and disordered eating among university students. The study was carried out at eight public universities in the Midwest.

Students at participating universities in the Midwest were recruited electronically. They were asked to complete an online survey which consisted of the U.S. Adult Food Security Scale, the Center for Epidemiological Studies Depression Scale, and the Three Factor Eating Questionnaire. Participants were also asked …

Anxiety And Depression During Childhood And Adolescence: Testing Theoretical Models Of Continuity And Discontinuity, Joseph R. Cohen, Arthur R. Andrews, Megan M. Davis, Karen D. Rudolph

Department of Psychology: Faculty Publications

The present study sought to clarify the trajectory (i.e., continuous vs. discontinuous) and expression (i.e., homotypic vs. heterotypic) of anxiety and depressive symptoms across childhood and adolescence. We utilized a state-of-the-science analytic approach to simultaneously test theoretical models that describe the development of internalizing symptoms in youth. In a sample of 636 children (53% female; M age = 7.04; SD age = 0.35) self-report measures of anxiety and depression were completed annually by youth through their freshman year of high school. For both anxiety and depression, a piecewise growth curve model provided the best fit for the data, with symptoms …

Anxiety And Depression In Spanish-Speaking Latina Cancer Patients Prior To Starting Chemotherapy, Morgan S. Lee, Dinorah Martinez Tyson, Brian D. Gonzalez, Brent J. Small, Suzanne C. Lechner, Michael H. Antoni, Andrea Vinard, Madeline Krause, Cathy Meade, Paul B. Jacobsen

Aging Studies Faculty Publications

Objective: Anxiety and depression can substantially impact the life of a cancer patient, but literature on emotional distress in the Hispanic cancer population is sparse. Additionally, the influence of psychosocial variables including age, acculturation, and spiritual well‐being on emotional distress in this population remains unclear. The purpose of the present report was to assess the prevalence of anxiety and depression in Spanish‐speaking Latina cancer patients preparing to begin chemotherapy and to explore the predictors and correlates of these outcomes.

Methods: Participants were 198 Spanish‐speaking Latina cancer patients who completed measures of anxiety, depression, acculturation, and spiritual well‐being prior to starting …

The Adaptation To Head And Neck Cancer In The Veteran Population, Diane Marie Sobecki-Ryniak

Wayne State University Dissertations

ABSTRACT

ADAPTATION TO HEAD AND NECK CANCER IN THE VETERAN POPULATION: A PILOT STUDY

By

DIANE SOBECKI-RYNIAK

December 2018

Advisor: Dr. Margaret Campbell

Major: Nursing

Degree: Doctor of Philosophy

Post-traumatic stress disorder in the head and neck cancer veteran population may present a challenge to adaptation during diagnosis and treatment of illness. The evaluation of post traumatic stress disorder, anxiety, depression and quality of life were examined and correlated against symptom occurrence and triggering of post traumatic symptoms across experiences. A significant correlation between PTSD-C and PTSD-S was found (r = 0.91, p = 0.001); there was a non-significant correlation …

Mental Health Interventions For Adolescent Cancer Patients, Kelsey A. Faherty

Honors Undergraduate Theses

Background: According to the National Cancer Institute (2017) approximately 15,270 individuals’ ages 0 to 19 years would be diagnosed with cancer in 2017. Although pediatric cancer survival rates continue to rise, there are high rates of anxiety, fear, and depression amongst this population. The purpose of this literature review was to explore mental health interventions for adolescent cancer patients.

Methodology: A total of 165 articles were found in a literature search. Databases used include: CINAHL Plus with Full Text, Cochrane Center Register of Controlled Trials, Cochrane Clinical Answers, MEDLINE, and PsycINFO. As results were further narrowed based on relevance and …

A Machine Learning Exploration Of Human Connectome Data, Katrina Prantzalos

Senior Honors Theses and Projects

The intent of this project is to statistically examine the relationships between psychological traits, demographics, and physiological information provided by various brain scans. The Human Connectome Project dataset includes brain imaging data, demographics, and psychological data, from 1,206 individuals. Using this data, we performed exploratory data analysis, including an investigation of the distinctions in connectome data across participants with anxiety and/or depression as opposed to those without. Our aim was to predict the two mental disorders from given data via machine learning techniques such as Random Forest and Boosted Trees methods. Unfortunately, we were unable to reasonably predict anxiety or …

Anything But Crazy: How American Musical Theatre Can Change Societal Stigmas Against Mental Illnesses, Benjamin Walton

Honors Undergraduate Theses

There is a societal stigma that villainizes or degrades anyone diagnosed or associated with any mental illness. While many different forms of media have attempted to destroy this stigma through psycho-centric narratives, I wanted to argue that musical theatre has the greatest potential as a live entertainment source to deconstruct and reduce the stigma surrounding mental illness. For my research, I theorized that musical theatre can most effectively change societal stigma about mental illness by communicating a clear understanding of the disease through music, and achieving popularity in the public eye longer than other live forms of theatre. I chose …

Understanding The Role Of Religious Comfort And Strain On Depressive Symptoms In An Inpatient Psychiatric Setting, Alexis D. Abernethy, Joesph M. Currier, Charlotte Witvliet, Sarah A. Schnitker, Katharine M. Putman, Lindsey M. Root Luna, Joshua D. Foster, Andrene Spencer, Heather Jones, Karl Vanharn, Janet Carter

Faculty Scholarship

Understanding the role of religion in mental illness has always been complicated as some people turn to religion to cope with their illness, whereas others turn away. The overarching purpose of this study was to draw on quantitative and qualitative information to illuminate ways in which religiousness might be associated with changes in depressive symptomatology in a spiritually integrated inpatient treatment program. This repeated measures mixed method study examined the relations among religious comfort (RC), religious strain (RS), and depression in an inpatient psychiatric sample. Adult inpatients (N=248; Mage = 40.78 years; SD = 18.97) completed measures of RC, RS, …

Transactions Between Thinness Expectancies And Depression In The Prediction Of Adolescent Weight Restricting Behaviors, Anna Marie L. Ortiz

Theses and Dissertations--Psychology

Both the transdiagnostic risk associated with depression and the eating disorder-specific risk associated with expectancies for reinforcement from thinness have been identified as risk factors for the development of weight restricting behaviors. The purpose of this study was to examine if these risk factors transact to further predict risk in youth. Depression, thinness expectancies, and weight restriction were assessed in 1,907 adolescents three times during the transitional period between middle school and high school. We compared three different possible transactional processes. Mediation tests demonstrated that depression in 8th grade predicted an increase in the number of weight restricting behaviors endorsed …

Mindfulness And Multiple Sclerosis, Mandakini Sadhir

Pediatrics Faculty Publications

Multiple sclerosis is a chronic, debilitating autoimmune condition with unknown etiology. It can have significant impact on quality of life and overall sense of wellbeing. It can be associated with poor sleep, fatigue, mental health disorders such as anxiety, depression and affect interpersonal relationships. Impact of mindfulness based interventions in mental health conditions, chronic illness as well as multiple sclerosis in adults has been widely studied. Several studies have concluded that mindfulness based intervention can be beneficial in improving quality of life, mental health and physical symptoms such as fatigue in adult patients with multiple sclerosis. Current literature suggest that …

Prevalence Of Positive Depression Screen Among Post Miscarriage Women- A Cross Sectional Study, Steve Mutiso, Alfred Murage, Abraham Mukaindo

Obstetrics and Gynaecology, East Africa

Background: Miscarriages are a common pregnancy complication affecting about 10–15% of pregnancies. Miscarriages may be associated with a myriad of psychiatric morbidity at various timelines after the event. Depression has been shown to affect about 10–20% of all women following a miscarriage. However, no data exists in the local setting informing on the prevalence of post-miscarriage depression. We set out to determine the prevalence of positive depression screen among women who have experienced a miscarriage at the Aga Khan University hospital, Nairobi.

Methods: The study was cross-sectional in design. Patients who had a miscarriage were recruited at the post-miscarriage clinic …

Interactive Effects Of Family Stability, Emotion Regulation, And Community Violence Exposure On Depressive Symptoms, Rae Drach

Legacy Theses & Dissertations (2009 - 2024)

Family stability is an important contributor to children’s development and adjustment. The current study examines how emotion regulation and community violence exposure may jointly moderate the relationship between family stability and depressive symptoms within youth from a high-risk (e.g., low-income, high crime) community. Participants (N = 49) completed self-report questionnaires assessing their stability of family activities, use of different emotion regulation strategies, exposure to community violence, and experience of depressive symptoms. Results indicated a significant three-way interaction among family stability, emotion regulation, and community violence exposure in accounting for depressive symptoms. Greater family stability generally predicted fewer depressive symptoms; however, …

A Longitudinal Examination Of Eating Disorders And Associated Risk Factors In Division I Student-Athletes, Nicole Court-Menendez

Electronic Theses and Dissertations

CONTEXT: Eating disorders represent a significant concern across multiple populations including collegiate athletes. Risk factors for eating disorders may be amplified in athletes because of internal and external performance and image expectations. Little is known about how these risk factors change over time in collegiate student-athletes.
OBJECTIVE: To longitudinally examine select eating disorder risk factors in National Collegiate Athletic Association (NCAA) Division I student-athletes.
DESIGN: Descriptive longitudinal study.
SETTING: NCAA Division I collegiate athletics.
PARTICIPANTS: Retired Division I collegiate athletes (n=204), ages 18-22, who competed in football, women’s soccer, women’s volleyball, baseball, men’s and women’s track and field, men’s and …

Perceived Social Support And Suicide-Related Depression Symptom Clusters Among Queer College Students, John Kellerman, Daniel Krauss

CMC Senior Theses

LGBTQ+ individuals report disproportionately high rates of depression and suicidal behaviors compared to the general populations, particularly among queer youth. Certain depressive symptoms and symptom clusters, namely hopelessness and self-blame, are predictive of suicidal behavior and outcomes. In contrast, perceived social support may act as a buffer against suicide ideation. The disparity in the rate of queer suicidality may be predicted by higher rates of hopelessness and self-blame, as well as lower rates of perceived social support among depressed queer youth in comparison to depressed non-queer youth. The current study will test this hypothesis using a sample of depressed queer …

Understanding The Role Of Religious Comfort And Strain On Depressive Symptoms In An Inpatient Psychiatric Setting, Alexis D. Abernethy, Joseph M. Currier, Charlotte Vanoyen-Witvliet, Sarah A. Schnitker, Katharine M. Putman, Lindsey M. Root Luna, Joshua D. Foster, Andrene Spencer, Heather Jones, Karl Vanharn, Janet Carter

Faculty Publications

Understanding the role of religion in mental illness has always been complicated as some people turn to religion to cope with their illness, whereas others turn away. The overarching purpose of this study was to draw on quantitative and qualitative information to illuminate ways in which religiousness might be associated with changes in depressive symptomatology in a spiritually integrated inpatient treatment program. This repeated measures mixed method study examined the relations among religious comfort (RC), religious strain (RS), and depression in an inpatient psychiatric sample. Adult inpatients (N=248; Mage = 40.78 years; SD = 18.97) completed measures of RC, RS, …

Experimentally Investigating The Joint Effects Of Physical Activity And Sedentary Behavior On Depression: A Randomized Controlled Trial, Jeremiah Blough

Electronic Theses and Dissertations

Objective: To experimentally examine whether increasing sedentary behavior, among a young adult active population, for one week is still associated with increased depression symptomology even when allowing for a moderate engagement in physical activity (PA). Methods: Participants were confirmed as active via self-report and accelerometry during baseline and randomly assigned to one of three experimental groups. The Sedentary Intervention Group (n=19) reduced steps to less than 5000/day and were not alloto exercise for one-week; the Reduced MVPA (moderate-to-vigorous PA) Group (n=18) reduced steps to less than 5000/day but exercised for 50% of their previously reported vigorous PA for one-week; and …

Influence Of Depression On Treatment And Survival: A Population-Based Study In Patients With Breast Cancer In Kentucky, Feitong Lei

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

This capstone project describes the results of a consultative experience in biostatistics.

Log Kya Kahenge: Psychological Well-Being And Perceived Stigma In The South Asian American Community, Khushboo Jain

Pomona Senior Theses

Current research has independently studied depression, stigma, and coping mechanisms in relation to culture, yet the effects of perceived stigma on the relationship between depression and control coping are heavily understudied. Typically, studies have broadly focused on comparing eastern and western cultures, but have not analyzed how populations with mixed cultural influences experience depression and stigma and further engage in control coping mechanisms. This study thus explores how perceived stigma moderates the relationship between depressive symptoms and control coping mechanisms for South Asian Americans. The study hypothesizes that the level of perceived stigma will moderate the relationship between depression and …

Psychosocial Interventions For Individuals With Infertility, Margaret Bach

All Graduate Theses, Dissertations, and Other Capstone Projects

Over one-fifth of individuals diagnosed with infertility or undergoing infertility treatment show symptoms of depression, anxiety, distress, and relationship discord. Psychosocial interventions are often offered to these individuals. This literature review was conducted to determine if psychosocial interventions have an impact on anxiety, depression, and relationships in individuals with infertility. An electronic search was performed using keywords in relevant search engines. Studies were identified based on their titles and abstracts and then further reviewed for inclusion. Studies were included if they had a sample population of infertile individuals or couples, men and/or women, and where outcomes of psychosocial interventions or …

Reducing Depression And Suicide Ideation Among College Students, Andrew Ritzel

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Suicide rates have been on the rise for the past 30 years; 42,773 Americans dying every year by suicide. Suicide is the tenth leading cause of death among all ages, but the second leading cause of death among Americans ages 15-24. College students traditionally fall within this age group, and are especially at risk for suicide due to stressful life conditions. The University of Kentucky, located centrally within Kentucky in the city of Lexington, is an ideal location for a suicide prevention intervention. Students demonstrated an increased rate of depression compared to the national population (15.13% of students surveyed reported …

Dreamweaver Foundation Impact Study: Fulfilling Lifelong Dreams For Terminally Ill Seniors In Need, Pamela Ashley, Natalie Scarpa

Reports

Dreamweaver Foundation describes their work as “...fulfill(ing) lifelong dreams for terminally ill seniors in need.” This impact study was designed to provide evidence of how the Foundation is making a difference in the lives of the dreamers and their families. This study applied a systematic and objective approach to understanding the impact of the Dreamweaver Foundation by conducting and analyzing interviews with a representative group of dreamers and their families. The richness of their experiences was captured through these interviews and analyzed to identify themes of impact. In order to provide a solid foundation for the interview process, the study …

Sluggish Cognitive Tempo In Latino Youth, Katie Binns Fabius

PCOM Psychology Dissertations

Sluggish Cognitive Tempo (SCT) is observed in some children and may include daydreaming, inconsistent alertness, mental fogginess, confusion, absentmindedness, behaving or thinking slowly, appearing tired even after a full night of sleep, and lacking energy. The symptoms are said to be multidimensional with two domains: cognitive and behavioral. SCT is often associated with Attention Deficit Hyperactivity Disorder (ADHD). High SCT (HSCT) has been shown to impact academic and social functioning and be associated with elevated anxiety and depression symptoms in children. The majority of extant literature focuses primarily on Caucasian children. The primary objective was to examine the prevalence of …