Digital Commons Network^™

Development Of A Quality Improvement Initiative To Screen For Postpartum Depression, Renee Traube

Walden Dissertations and Doctoral Studies

Postpartum depression (PPD) is a mood disorder affecting approximately 20% of women within 6 months of delivery. Untreated PPD diminishes a woman's functioning and may result in short and long-term consequences for her infant. Screening with evidence-based tools can identify prenatal and postpartum women at risk for PPD, ensure early treatment, and limit adverse maternal and infant effects. Using Rosswurm and Larrabee's evidence-based practice model, a multidisciplinary team of 7 key stakeholders, including directors and a nurse from the departments of OB/GYN, Pediatrics, and Primary Care, a psychiatrist specializing in women's health, and a member of nursing leadership, formed to …

Treating Adult Women With Depression Through Videoconferencing, Irina Demidova

Walden Dissertations and Doctoral Studies

The occurrence of depression in the United States is steadily increasing. In every age group, women have a higher rate of depression than men, and U.S. women between the ages of 40 and 59 have a depression rate of 12%. Adult women living in rural areas experience physical and/or psychological impairment and lack access to mental health treatment. The purpose of this quantitative nonexperimental study was to examine participants' preferences for treatment delivery method based on patient perceptions of the clinical experience, patient satisfaction, and therapeutic bond. The working alliance theory provided the theoretical foundation. Data collection included survey responses …

Discrimination, Coming-Out, And Self-Esteem As Predictors Of Depression And Anxiety In The Lesbian Community, Adrien Purvis

Walden Dissertations and Doctoral Studies

Mixed findings in the research on mental health issues in the lesbian community have resulted in conflicting conclusions as to whether the prevalence rate of generalized anxiety disorders and depression in the lesbian population differs from that of non-lesbians. The variability of findings may be due to factors such as discrimination, coming-out, and self-esteem. Using the minority stress model a framework, the purpose of this quantitative survey study was to examine whether perceptions of discrimination, coming-out, and self-esteem levels predict lesbians' anxiety and depression. Participants anonymously completed online measures of the Outness Inventory, the Schedule of Sexually Discriminatory Events, the …

An Educational Program About Living With Depression, Ngozi Gloria Okoro

Walden Dissertations and Doctoral Studies

Depression is a common and disabling mental illness, but the loneliness, isolation, and poor quality of life associated with depression may improve with treatment. Depressive patients adhere to their treatment and experience better outcomes when their family members are involved with their treatment. At the project mental health facility, patients with depression had the highest non-compliance rate to treatment and no educational program existed for their families. This observation led to the current practice-focused question which examined how an evidenced-based educational program can be developed for family members or caregivers of patients diagnosed with depression. The purpose of this project …

Symptom Changes In Children And Adolescents With Internalizing Conditions During Treatment, Rachel Samantha Bertelson

Walden Dissertations and Doctoral Studies

Mental health conditions, such as internalizing disorders, in children and adolescents have been attributed to higher than expected levels of high school dropouts, juvenile crimes, and suicide. Previous research studies provide limited information on factors influencing treatment success for children and adolescents diagnosed with internalizing disorders. This study utilized a nonequivalent comparison group design gathered from an archived data set from a sample of children and adolescents (N = 215) who participated in an intensive outpatient managed mental health care treatment program. Self-report data were retrieved from previous responses to the Children's Depression Inventory and Revised Children's Manifest Anxiety Scale …

Diabetes Self-Management Problems Of Older, Low-Income African American Women, Pearlean Day Day

Walden Dissertations and Doctoral Studies

Type 2 diabetes disproportionately affects low-income African American women, age 50 years and older: 30% to 40% of this population has this chronic disease. Two significant factors affecting poor diabetes practice adherence are food insecurity and depression; another is obesity. The purpose of this quantitative correlational study was to determine if either food insecurity or depression significantly affect Type 2 diabetes self-management practices; and/or if food insecurity significantly influences practice adherence indirectly, through the mediator of depression, while controlling for obesity. The research questions were aligned with the theoretical pathways posited in Matthews's reserve capacity model (RCM) and used the …

Hassles Of African Americans With Type 2 Diabetes, Sharon H. Murff

Walden Dissertations and Doctoral Studies

There has been a steady increase in the incidence of diabetes in the United States. The purpose of this study was to determine whether there was a difference in the daily hassles of African American adults with a self-reported diagnosis of type 2 diabetes compared to those of African American adults without a self-reported diagnosis of type 2 diabetes. The theoretical underpinning for this quantitative, descriptive study was the cognitive appraisal theory (CAT), but the concept of stress and the effects stress has on the body was the broad framework that connected all the variables. The CAT was used to …

The Relationship Between Depressive Symptoms And Levels Of Lifestyle Activity Among Community-Dwelling Older Adults, Michael D. Gatson

Walden Dissertations and Doctoral Studies

Identifying depressive symptoms in community-dwelling elders has been problematic, due to a lack of resources and training for health clinicians. Previous researchers have indicated that older adults who engage in physical activities can prevent, or mitigate depression, but no model has included this variable in conjunction with factors such as lifestyle or sociodemographic characteristics. In this study, a predictive design was used with a regression analysis. The purpose of this quantitative study was to investigate the relationship between depressive symptoms and the different factors identified in the literature as significant contributors to its prevalence among older community-dwelling adults. Erikson's theory …

The Effect Of A Culturally Tailored Web-Based Physical Activity Promotion Program On Asian American Midlife Women’S Depressive Symptoms, Wonshik Chee, Sangmi Kim, Xiaopeng Ji, Sooyoung Park, Eunice Chee, Hsiu-Min Tsai, Eun-Ok Im

Asian/Pacific Island Nursing Journal

The benefits of physical activities on depressive symptoms have increasingly been reported in the literature, but the effect through which a Web-based physical activity promotion program alleviates depressive symptoms is not clearly known, especially among ethnic minority midlife women. The purpose of this pilot randomized control study is to examine the preliminary efficacy of the Web-based physical activity promotion program in enhancing the depressive symptoms of Asian American midlife women through increasing physical activity. This study adopted a randomized repeated measures pretest/posttest control group design. This study consisted of two groups of research participants: 18 in an intervention group and …

Protein Kinase M Zeta-Mediated Ltp Maintenance In The Non-Human Primate Hippocampus: A Role For Stress And Serotonergic Signaling In Affective Processing, Sasha L. Fulton

Theses and Dissertations

Early-Life Stress (ELS) is associated with vulnerability to mood disorder, but it’s not well understood how ELS contributes to deficits in cognitive function. Atypical PKMzeta is critical for LTP maintenance and memory. The current study aims to characterize the ELS phenotype with respect to this key marker of hippocampal LTP.

Mindfulness In Education: A Literary Analysis And Program Proposal, Halle Graham

Honors Theses

The purpose of this work is to understand the potential impact of introducing mindfulness meditation and other contemplative practices to the United States Public Education System. Broken into two main components, the first section of this work is a literary analysis. Relevant studies on mental health in children and adolescents are analyzed in order to understand the state of mental wellbeing among the sample group. Research studies on integrating mindfulness into institutions (public and private schools, children’s summer camps) are also evaluated in order to understand the applications of mindfulness practices in terms of children and adolescents. Overall, the research …

Evidence Based Protocol: Improving Depression Assessments In Primary Care, Katherine E. Hoffhines

Master's Projects

Depression is a destructive condition that can have a profoundly negative impact on quality of life, wellbeing, and health (Thase, Stowell, Berry, Mencia & Blum, 2014). Worldwide, depression is the leading cause of medical disability costing the health care system over $210 billion annually (World Health Organization, 2014; Greenberg, Fournier, Sisitsky, Pike & Kessler, 2015). The World Health Organization (2016) estimates depression affects 350 million people of all ages globally. One and three adults in the U.S. will experience a major depressive episode during their lifetime (Kessler, Petukhova, Sampson, Zaslavsky & Wittchen, 2012; Rubin, Ciechanowski, Egede, Lin & Lustman, 2004). …

Interactions Between Stress-Induced Inflammation, Glycogen Synthase Kinase 3 (Gsk3), And Depression, Yuyan Cheng

Open Access Dissertations

Major depressive disorder is a prevalent disease that is inadequately treated with available interventions, and recovery is difficult, particularly in patients refractory to antidepressant treatments. Studying the learned helplessness depression model in mice, we examined mechanisms regulating its initiation and regulating its reversibility. Stress increases susceptibility to depression in patients and rodent models, and depression is associated with aberrant activation of inflammation. We found multiple inflammatory cytokines were increased in mouse plasma and hippocampus after a paradigm of inescapable foot shock stress that causes learned helplessness. A 24 hr prior pre-conditioning stress accelerated the rate of stress-induced plasma and hippocampal …

An Examination Into The Relationship Between Iron Deficiency And Postpartum Depression, Sara A. Burroughs

Senior Honors Theses

Postpartum depression is recognized as the most common complication of childbearing; however, its etiology remains fairly undetermined. Many different influences have been hypothesized as to what may cause postpartum depression, including changes in levels of various hormones (such as estrogen and progesterone), a decrease in serotonin, low levels of vitamin D, social factors, and iron deficiency. The lack of strong evidence for one specific cause makes it fairly clear that there are many factors that play a role in the development of postpartum depression. Iron deficiency is one issue that is thought to contribute to the development of postpartum depression …

The Effect Of Film Score On Emotion And Self-Talk, Angela Nanette Davis

Open Access Theses

The purpose of this study was to first assess the effect of film score on affect in healthy young adults. Second, the study examined the subsequent effect of mood change on self-talk in relation to a stressor. Participants were 131 University of Miami undergraduate students between the ages of 18 and 24 who were not musicians, recruited from all departments of study, excluding the Frost School of Music. Each participant completed a mood assessment, resulting in both a PASS (positive) and Dysphoria (negative) score, prior to one of three mood induction conditions: negative film score, positive film score, and control. …

Depression Scores In Males And Females With Copd, Cynthia Southers

Nursing Theses and Capstone Projects

The purpose of this study was to determine the effect of participation in a pulmonary rehabilitation (PR) program on depressions scores in persons with COPD and if there is a difference between males and females in depression scores prior to and following participation in a pulmonary rehabilitation program. The literature review supported multiple factors on how participating in a pulmonary rehabilitation program can have a positive effect on depression scores. The study utilized a descriptive design with a retrospective chart review. The quantitative descriptive design identified variables and examined the differences in males and females with COPD using pre- and …

The Effectiveness Of Animal Assisted Activity And Animal Assisted Therapy In Reducing Symptoms Of Depression, Alexis J. Hauser

Counselor Education Capstones

This paper reviews the use of Animal Assisted Activity (AAA) and Animal Assisted Therapy (AAT) to effectively treat individuals experiencing symptoms of depression. This paper discusses the symptoms of depression, the process and techniques of AAA and AAT, and the effectiveness of AAA and AAT in reducing depressive symptoms. It also describes the differences between AAA and AAT and how these techniques can be used individually or in combination with more traditional forms of treatment for depression. An extensive review of literature is provided in this paper with the final section discussing limitations of research and suggestions for future research …

The Effect Of Melatonin Upon Post-Acute Withdrawal Among Males In A Residential Treatment Program (M-Paws): A Randomized, Double-Blind, Placebo Controlled Trial, Corry D. Bondi

Electronic Theses and Dissertations

The study goal was to assess melatonin as an adjuvant treatment along with current pharmaco- and behavioral therapy for 28 days on weekly self-reported severity of anxiety, depression, stress, and sleep complaints as well as how sleep is affecting daily life in a sample of males in recovery from chemical dependency at a single, residential treatment site, Salvation Army Harbor Light Center in Pittsburgh, PA. This study was a single-center, randomized, double-blind, placebo-controlled, parallel group trial of 28 days. Participants were randomized to melatonin (5 mg) or placebo and instructed to administer the intervention nightly at bedtime. Primary self-reported outcome …

Diabetes, Depression And Syndemic Suffering Among African American Patients: The Intersectionality Of Race, Gender And Class, Pamela Lorraine Fox

Social Work Dissertations - Archive

This research study illustrates the overarching syndemic theory, which was used to explain the interconnections of type 2 diabetes, clinical depression, and human suffering among low-income African American outpatients in the southern sector of Dallas TX, USA. The intersections of race, gender, and class were additional variables that were included in this research. Furthermore, this research indicated how poverty, social relationships and other conditions stressed individuals and populations, weakened their natural defenses and caused exposure to disease clusters. I have coined the term D2 S2 to deconstruct the social/syndemic interconnections that interface with diabetes, depression and human suffering. The first …

Behavioral Activation Therapy In Treating Depression, Brian Strauss

Counselor Education Capstones

Depression is a prevalent psychological disorder worldwide, and a search for effective treatments—particularly for clients with minimal accessibility to therapy—has been popularized in the mental health community in the last half-century. Behavioral therapy has become very popular for treating depression, most notably by changing maladaptive behaviors and habits into effective behaviors (Gelder, Marks, & Wolff, 1967). Activation Therapy has come to the forefront of behavioral therapy, making use of activity scheduling, problem solving, selfmonitoring, goal setting, and empowering clients to take charge of their treatment. Through restructuring behaviors, habits, reducing brain activity needed for productive thoughts, and alleviating rumination, Activation …

An Online Mental Health And Wellness Intervention Supplementing Standard Care Of Depression And Anxiety, Brian Ahmedani, Terri Belville-Robertson, Abigail Hirsch, Anthony Jurayj

Center for Health Policy and Health Services Research Articles

Online interventions offer benefits, but often have not been tested in studies. The aim was to study feasibility, acceptability, and preliminary effectiveness of an online intervention supplementing standard care of depression and anxiety. The study was conducted within a large healthcare system. Three primary care and four behavioral health providers recruited 96 participants. Overall, 91% (n=87) agreed to participate, while 43% (n=41) completed registration and 27% (n=26) logged into the intervention multiple times. Participants referred by behavioral health demonstrated greater involvement. Reductions in depression and anxiety were observed. Most providers were satisfied with the intervention. This study supports future research.

Practicing Emotionally Biased Retrieval Affects Mood And Establishes Biased Recall A Week Later, Janna N. Vrijsen, Paula T. Hertel, Eni Sabine Becker

Psychology Faculty Research

Cognitive Bias Modification (CBM) can yield clinically relevant results. Only few studies have directly manipulated memory bias, which is prominent in depression. In a new approach to CBM, we sought to simulate or oppose ruminative processes by training the retrieval of negative or positive words. Participants studied positive and negative word pairs (Swahili cues with Dutch translations). In the positive and negative conditions, each of the three study trials was followed by a cued-recall test of training-congruent translations; a no-practice condition merely studied the pairs. Recall of the translations was tested after the training and after 1 week. Both recall …

Examining The Associations Between Depressive Symptoms, Body Mass Index, And Physical Activity Self-Efficacy In African American Mother-Child Dyads, Y'Esha Vonyae Williams

Theses and Dissertations (ETD)

In recent decades the prevalence of childhood and adult depression and obesity has increased worldwide. Multiple factors influence the onset of both depression and obesity. Individual manifestations of depressive symptomatology and health-related problems associated with obesity vary; however, genetics and environmental and psychological factors have been implicated as correlates. Consequently, both disorders can ultimately interfere with individuals’ activities of daily living and decrease their quality of life. African American women are known to have a higher prevalence of obesity and more severe depressive symptoms in comparison to Caucasian women. Likewise, African American children are more obese and experience many factors …

The Prospective Associations Of Stress, Depression, And Social Support With Smoking Cessation And Relapse Among Low-Income Pregnant Women, April Lasha Nellum

Electronic Theses and Dissertations Archive

Maternal smoking is one of the most preventable causes of adverse birth outcomes and poses substantial health risks for both the mother and child. Evidence suggests that increased stress and depression is associated with smoking behaviors, including smoking cessation and smoking relapse. However, few studies have prospectively examined these associations and no studies have examined neighborhood crime, an important stressor for many low-income women, as a predictor of smoking cessation and relapse among this population. The primary objective of this study was to examine the prospective associations between stress, depression, and pre- and postpartum smoking cessation, and postpartum relapse among …

Experiential Avoidance, Depression, And Satisfaction With Life: The Moderational Role Of Regulatory Emotional Self-Efficacy, James E. Sweeney

Electronic Theses and Dissertations Archive

Experiential Avoidance (a process of not accepting internal experiences and rigidly attempting to alter the form, frequency, or intensity of these experiences) has been related to a variety of negative outcomes, including heightened depression and decreased satisfaction with life. Because of this, factors that may buffer or account for the relationship between experiential avoidance and these outcomes should be examined. Regulatory emotional self-efficacy may be one important factor that moderates the relationship between experiential avoidance and outcomes, yet no studies have examined this possibility. The purpose of this study was to examine whether regulatory emotional self-efficacy and experiential avoidance interacted …

Levels Of Distress Among Women Veterans Attending A Women’S Health Specialty Clinic In The Va Healthcare System, Debbie T. Devine

USF Tampa Graduate Theses and Dissertations

Currently, between 21.9 and 23 million veterans have served in the United States armed forces. Of those, 2 million are women, and of those, only 6.5% use the Veterans Health Administration system. These females often suffer from physical and mental health disorders, and overall impaired quality of life (QOL), rendering their healthcare needs complex. Seeking, and providing care in this specialty area may become overwhelming not only for the women seeking the care, but also for healthcare systems that are unfamiliar with the specific needs of this population.

A retrospective medical records review was completed of 51 female veterans between …

Mind And Body Training To Improve Functioning And Coping With Chronic Pain: A Pilot Study, Olga Valieva, Leah M. Welsh, Betty Amuzu, Niraj Nijhawan, Jessica J.F. Kram

Journal of Patient-Centered Research and Reviews

Background: Patients with chronic pain are often crippled by psychological distress, depression and fear. These patients also can develop altered pain perception, with enhanced brain activity in pain-responsive regions and those associated with anxiety/depression. Exercise and meditation can impact pain-reducing brain areas and positively influence pain characteristics.

Purpose: To alter pain center activity by reducing the activation of the higher brain and deactivation of the lower brain with somatocognitive and meditative practices, with secondary aim of reducing anxiety/depression and improve overall quality of life.

Methods: We conducted a pilot study on mentally competent adult women with stable chronic pain who …

Brooding, Avoidance, And Suppression As Mechanisms Linking Shame-Proneness With Depressive Symptoms, Melissa Rose Hudson

Clinical Psychology Dissertations

Depression is a significant mental health concern. Cognitive-affective models of depression identify that negative emotions and cognitive strategies for responding to negative emotions contribute to the development and maintenance of depressive symptoms. Shame has been identified as a problematic negative emotion and is associated with multiple mental health concerns including depression. Research has begun to examine cognitive emotion regulation strategies individuals use when experiencing shame and how these contribute to depressive symptoms. This study examined three strategies jointly (avoidance, brooding, and suppression) in a three-part prospective design. In a sample of 137 young adults, three hypotheses were tested. Participants ranged …

A Behavioral Economic Analysis Of Obesity Among College Women, Holly Ann Keating

Electronic Theses and Dissertations Archive

Overweight and obesity are particularly saient concerns for adolescents and young adults, the age group with the greatest risk of weight gain each year. The present study examined differences in behavioral economic measures of food reinforcement and delay discounting among normal weight women compared to overweight and obese adult women. Effects of symptoms of depression and ethnicity were also examined. Young adult women were given a variety of questionnaires. The current study hypothesized that overweight and obese women would rate food images as being more pleasant, discount money more steeply, have higher food-related reinforcement, and higher demand for food. Overweight …

Depression’S Connection To Self-Harming Behavior In Adolescents, Michael T. Hendrick

Education Masters

Self-harming behavior amongst adolescents has increased in prevalence throughout America. There is a direct connection between depression and self-harming behaviors in adolescent students. The most common reasons why adolescents participate in self-injury are as a coping mechanism, a means of relief, for the regulation of feelings, self-punishment, attention seeking and sensation seeking. There is often a link between depressive symptoms and negative life events or past trauma. Multiple methods of self-harm are often performed by students and may be carried out several times over the course of many months, the techniques used vary greatly. Schools are one of the most …