Digital Commons Network^™

Is Crocus Sativus L. As Effective As Fluoxetine For The Treatment Of Mild To Moderate Depression In Adults Aged 18-55?, Mobina A. Noory

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this EBM review is to determine whether or not Crocus Sativus L. is as effective as Fluoxetine for the treatment of mild to moderate depression in adults aged 18-55.

Study Design: Systematic review of three English language, double-blind randomized controlled trials published between 2005-2007.

Data Source: Three double-blind randomized controlled trials published in peer-reviewed journals comparing the effectiveness of Crocus Sativus L. vs. Fluoxetine or placebo for the treatment of mild to moderate depression in adults were found using PubMed and Ebscohost.

Outcomes Measured: In all three articles the outcomes measured were improvement in depression symptoms …

Does Black Cohosh Improve Anxiety/Depression Symptoms In Women Who Are Postmenopausal?, Priya Patel

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this systematic review is to determine is Black Cohosh effective for reducing anxiety/depression symptoms in postmenopausal women?

DESIGN: Review of three English language primary randomized controlled studies published from 2005-2009.

DATA SOURCES: Randomized, double blind, placebo-controlled trials comparing Black Cohosh to placebo or hormonal therapies were found using PubMed and Cochrane databases.

OUTCOMES MEASURED: Each of the three trials assessed the efficacy and clinical improvement in anxiety symptoms with the use of Black Cohosh. Studies utilized to measure change in anxiety symptoms included Harrison Anxiety Rating (HAM), Symptom Rating Test (SRT), and Kupperman Test.

RESULTS: Two …

The Psychological Benefits Of Animal Assisted Therapy On Elderly Nursing Home Patients, Sophia M. Elliott

Williams Honors College, Honors Research Projects

This literature review of the benefits of Animal Assisted Therapy (AAT) is centered on four scholarly articles published in major psychological journals discussing the reduction of loneliness, anxiety, depression, and cognitive impairments as well as the increase in well-being and happiness in the elderly nursing- home population. Many time these residents are abandoned by family and experience little- to- no interaction with others due to understaffing at these homes. My goal through this literature review was to bring attention to an alternative form of therapy for these patients. Often patients grow sick from depression and lose their sense of self-worth …

Appraisal Of Caregiving Burden, Expressed Emotion, And Psychological Distress In Families Of People With Dementia: A Systematic Review, Susan L. Sprokay

Theses and Dissertations

Unpaid family caregivers of people with dementia are faced with a variety of physical, emotional and social stressors. A systematic review of the literature was compiled to summarize existing evidence regarding subjective burden, expressed emotion and psychological distress related to this category of caregiving and to build a multinational representation of these individuals that will facilitate in identifying areas of supportive intervention. A synthesis of 44 data sets that included 5,249 participants from 20 countries indicated that the majority of caregivers are experiencing depression and high levels of distress related to their caregiving role, and that a small number of …

Cognition In Emotional Disorders: An Abundance Of Habit And A Dearth Of Control, Paula T. Hertel

Psychology Faculty Research

Emotional and other psychological disorders are categories of experience identified at least in part by the goal of having treatment plans for people in distress. Because the categories exist for such purposes, research efforts are organized to discover distinctions among the categories and between disordered and nondisordered individuals. Many of these distinctions are cognitive. When clinical scientists began experimental studies, the term “cognitive” had been used to refer primarily to conscious thoughts that characterize disorders (see Beck, 1976), but in more recent decades the term signifies an experimental approach framed according to the theories and paradigms of cognitive psychology. In …

Depression And Suicidal Ideation In Undergraduate College Students: Risk Factors And Barriers To Treatment Present Within Universities, Jessica Brinton Roesch

University Honors Theses

Undergraduate college students are a unique at risk population for development of suicidal ideation and depression. Reviews of 36 different university counseling centers indicated an overall increase in risk factors associated with depression and suicidal ideation among college students, including anxiety, eating disorders, fear, substance abuse, alcohol abuse, hostility, and anger (Potter, Silverman, Connorton, & Posner, 2004). Currently, resources provided by university systems to address the increasing prevalence of suicidal ideation and depression symptoms among undergraduate college student population are limited (Potter et al., 2004). The Centers for Disease Control (CDC, 2009) projections predict depression to be the second most …

Migratory Loss And Depression Among Adult Immigrants Of Chinese Descent, Christine Chih-Ting Chang

Dissertations

The immigration process does not only include the life after relocating to a new environment and settling down in the host society but also includes separation from the life before their departure and the negotiation between redeeming and closing their losses. This study was the first attempt to investigate migratory loss among adult immigrants of Chinese descent. The study developed the Migratory Loss Scale and examined the moderation effect of acculturation as well as the moderation effect of the presence of immigration-related meaning on the relationship between migratory loss and depression. The study also examined the mediation effect of the …

Treatment Of Progressive Multiple Sclerosis: What Works, What Does Not, And What Is Needed., Anthony Feinstein, Jenny Freeman, Albert C. Lo

School of Health Professions

Disease-modifying drugs have mostly failed as treatments for progressive multiple sclerosis. Management of the disease therefore solely aims to minimise symptoms and, if possible, improve function. The degree to which this approach is based on empirical data derived from studies of progressive disease or whether treatment decisions are based on what is known about relapsing-remitting disease remains unclear. Symptoms rated as important by patients with multiple sclerosis include balance and mobility impairments, weakness, reduced cardiovascular fitness, ataxia, fatigue, bladder dysfunction, spasticity, pain, cognitive deficits, depression, and pseudobulbar affect; a comprehensive literature search shows a notable paucity of studies devoted solely …

Depression And Psychotherapy For Adults In Long-Term Care Facilities, Jasper Joseph Watts

Walden Dissertations and Doctoral Studies

The purpose of this study was to investigate depression and psychotherapy for adults who are in long-term care facilities. Depression is a serious problem for the elderly in general and for residents of nursing homes in particular. The current study drew on the dynamic stress vulnerability approach to explain how illness occurs in older people, using evidence obtained from the biological, social, and psychological domains with respect to depression. The research question addressed the difference in posttreatment depressive symptoms among 6 types of psychotherapy as measured by the Hamilton rating scale for depression (HRSD)? The 6 therapy techniques were (a) …

The Effects Of Acceptance And Commitment Therapy On Parents Of Children Diagnosed With Autism, Dawn Montgomery

Walden Dissertations and Doctoral Studies

The number of children who display characteristics of autism in the United States has been on the rise. Not only do children diagnosed with autism experience difficulties related to the defining characteristics of autism, but parents of children diagnosed with autism commonly experience negative consequences as well. Parents of a child diagnosed with autism more often report symptoms of depression, stress, and reduced quality of life than their do counterparts with neuro-typical children. These traits have the potential to negatively impact the parents' capacity to assist their child in receiving needed treatment and can limit the ability of the parents …

The Emotional Impact On Elderly Spouses Who Placed Their Loved Ones In Long-Term, Barbara Hunt

Walden Dissertations and Doctoral Studies

Aging may bring mental and/or physical decline. There may come a point when a loved

one needs long-term care in a nursing home. The purpose of this phenomenological study

was to examine the community dwelling spouses' emotional state. A study was

conducted with 10 individuals (5 men and 5 women) who had a spouse in long-term

nursing care. Inclusion criteria was to be at least 65-years old, have been married at least

30 years, and reside alone in his or her own home. The social emotional selectivity theory

and the construct of boundary ambiguity were applied to view the epoch. …

Improving Depression Care For Older Home Health Patients, Sarah R. Schirmer

DNP Projects

Rates of depression in older home healthcare (HH) patients are highly prevalent. Although depression in this population is associated with increased rates of re-hospitalization, falls, and suicides, it is frequently under diagnosed and under treated. This Capstone Report examined this problem through three interrelated manuscripts. The first manuscript explored the problem through a review of the literature. This review determined that while there are many barriers to adequate depression care, programs that train clinicians to screen for depression and connect patients to depression care encourage adequate evaluation and treatment and can result in clinically significant changes in depression scores. This …

Dnp Practice Inquiry Project Report: Depression Screening In Primary Care, Mary Kathleen Stafford

DNP Projects

Depression affects many people worldwide and is a leading cause of disability. National guidelines and recommendations have been created that support screening for depression in the primary care setting, however due to many barriers depression screening is often not performed or documented. This capstone project consists of three manuscripts, which evaluate the lack of depression screening in the primary care setting. The first manuscript is an integrative review of the literature to support depression screening in primary care and to address barriers to depression screening. The second manuscript is a guideline analysis of a national guideline published by the Institute …

Behavioral Health Among Asian American And Pacific Islanders: The Impact Of Acculturation And Receipt Of Behavioral Health Services On Depression And Anxiety, Mari E. Yamamoto

Clinical Psychology Dissertations

Behavioral health models improve access to mental health care by integrating psychology and medicine. While integrated care is supported among the general population, less research focuses on the model with Asian American and Pacific Islanders (AAPIs). AAPIs are low treatment-seeking due to various barriers (e.g., limited English proficiency, stigma, insurance) and acculturation stressors. Using hierarchical linear modeling, this study examined longitudinal depression (PHQ-9) and anxiety (GAD-7) growth trajectories among AAPIs within a behavioral health model and the moderating impact of acculturation and frequency of behavioral health visits. The best fitting model was from a sample who (N = 354; …

A Longitudinal Study Evaluating The Effects Of Interferon-Alpha Therapy On Cognitive And Psychiatric Function In Adults With Chronic Hepatitis C, Marilyn Huckans, Bret Fuller, Viva Wheaton, Sarah Jaehnert, Carilyn Ellis, Michael Kolessar, Daniel Kriz, Jeanne Renee Anderson, Kristin Berggren, Hannah Olavarria, Anna W. Sasaki, Michael Chang, Kenneth D. Flora, Jennifer M. Loftis

Faculty Publications - Doctor of Psychology (PsyD) Program

Objective: To prospectively evaluate for changes in objective cognitive performance (attention, memory, and executive function) and psychiatric symptom severity (depression, anxiety, fatigue, and pain) in patients before, during and after interferon-alpha based therapy (IFN) for chronic hepatitis C virus infection (HCV).

Methods: 33 HCV+ adults were evaluated two months before IFN initiation (baseline), three months into IFN, and six months following IFN termination (IFN+ Group). 31 HCV+ adults who did not undergo IFN therapy were evaluated at baseline and six months later (IFN− Group). At each evaluation, participants completed the Neuropsychological Assessment Battery (NAB) Attention, Memory and Executive Functions Modules, …

Integrating Beck’S Cognitive Model And The Response Style Theory In An Adolescent Sample., Stephanie Winkeljohn Black, Patrick Pössel

Faculty and Staff Scholarship

Depression becomes more prevalent as individuals progress from childhood to adulthood. Thus, empirically supported and popular cognitive vulnerability theories to explain depression in adulthood have begun to be tested in younger age groups, particularly adolescence, a time of significant cognitive development. Beck’s cognitive theory and the response style theory are well known, empirically supported theories of depression. The current, two-wave longitudinal study (N = 462; mean age = 16.01 years; SD = 0.69; 63.9 % female) tested various proposed integrative models of Beck’s cognitive theory and the response style theory, as well as the original theories themselves, to determine if …

Aerobic And Resistance Training Improves Mood State Among Adults Living With Hiv., Jason R. Jaggers, Gregory A. Hand, Wesley D. Dudgeon, Stephanie Burgess, Kenneth D. Phillips, Larry Durstine, Steven N. Blair

Faculty and Staff Scholarship

The purpose of this investigation was to examine the effects of combined aerobic and resistance exercise training among self-reported mood disturbances, perceived stress, frequency of self-reported symptoms, and symptom distress in a sample of HIV+ adults. For this purpose, 49 participants were randomly assigned into an exercise (EX) or control (CON) group. Those in the EX group completed 50 min of supervised aerobic and resistance training at a moderate intensity twice a week for 6 weeks. The CON group reported to the university and engaged in sedentary activities. Data were collected at baseline before randomization and 6 weeks post intervention. …

Internet Use And Depression: The Roles Of Emotional Support And Online Support Groups, Aowen Zhu

All ETDs from UAB

This paper explores the mediating mechanisms between internet use and depression among African Americans and Caribbean Blacks. The hypotheses are that emotional support and online support groups (OSGs) mediate the association between internet use and depression. Data come from the National Survey of American Life conducted between 2001 and 2003 that includes a nationally representative sample of African Americans and Black respondents of Caribbean descent (N=4771). Depression is measured by the Center for Epidemiological Studies-Depression scale with 12 questions. Internet use is measured as frequency of use. Emotional support is measured by a scale of 3 questions. OSGs are measured …

Teacher Perceptions Of Elementary Children's Internalizing Symptoms When Experiencing Parental Wartime Military Deployment, Letitia Henson

Walden Dissertations and Doctoral Studies

Military wartime deployment of parents has a powerful and potentially damaging impact on their young children. As tours lengthen and deployments of military parents become more frequent, the possible negative effects on the children increase proportionally. This quantitative, comparative study evaluated internalizing symptoms among 220 young children who had a parent currently on military deployment and a parent who returned from military deployment compared to a control group of same age peers whose parents were nonmilitary. Using the theoretical frameworks of attachment theory and ambiguous loss theory, the study investigated 3 internalizing symptoms: Anxiety/Depressed, Withdrawn/Depressed behaviors, and Somatic Complaints among …

Acculturation, Psychological Distress, And Smoking In Latinos Living With Hiv/Aids, Jessica Armendariz

Open Access Theses & Dissertations

In the United States smoking cigarettes is the leading cause of preventable death, and smoking is of particular health concern among people living with HIV. Depression has been consistently linked to smoking in the literature, and data indicate that acculturation to the U.S. is associated with increased depression among Latinos.

This study examined if acculturation moderates the impact of depression on smoking behavior among Latinos living with HIV through the mediating effect of social support. The results may extend to the sociopsychological construct of culture. We studied 300 Latinos who live with HIV on the U.S./Mexico border.

Results demonstrated there …

The Moderating Effect Of Resilience Factors On Bully Victimization And Subsequent Psychological Adjustment Problems Among Adolescent Girls, Alexandra Hayley Quinn

Antioch University Dissertations & Theses

Bully victimization is linked to poor psychological adjustment, low self-esteem, and social withdrawal in children and teens. However, little research to date has examined the unique experiences of adolescent girls, the specific contributions of various subtypes of bullying, and the utilization of comprehensive instruments to examine the constructs of psychological adjustment and bully victimization. Further, researchers studying these issues have called for more studies to examine buffering factors that may protect teen girls from the psychological insults associated with peer victimization. This study advances research in the field by utilizing standardized self-report measures to examine the relationship between bully victimization …

Reasons For Living And Self-Reported Suicidal Behavior Among A Sample Of U.S. Army Personnel, Deborah Elaine Willis

Walden Dissertations and Doctoral Studies

Suicidal Behavior in the U.S. Army is a problem that persists despite significant efforts to promote help-seeking behaviors and the investment of millions of dollars to develop resilience-building interventions. Evidence-based literature supports the use of reasons for living as a protective factor against suicidal behavior in clinical and nonclinical samples, yet it has rarely been studied in an active duty (AD) Army population. This study examined the relationship between self-reported reasons for living and self-reported suicidal behavior, to determine if high levels of reasons for living correlated with low risk of suicidal behavior, over and above demographics, depression, stressful life …

Burnout Does Not Help Predict Depression In French Schoolteachers, Renzo Bianchi, Irvin Sam Schonfeld, Eric Laurent

Publications and Research

Objectives: Burnout has been viewed as a phase in the development of depression. However, supportive research is scarce. We examined whether burnout predicted depression among French school teachers.

Methods: We conducted a 2-wave, 21-month study involving 627 teachers (73% female) working in French primary and secondary schools. Burnout was assessed with the Maslach Burnout Inventory and depression with the 9-item depression module of the Patient Health Questionnaire (PHQ-9). The PHQ-9 grades depressive symptom severity and provides a provisional diagnosis of major depression. Depression was treated both as a continuous and categorical variable using linear and logistic regression analyses. We controlled …

Investigating The Role Of Cognitive Biases As A Risk Factor For Depression, Daniel Aaron Dickson

Dissertations

Consistent with the combined cognitive bias hypothesis (Hirsch, Clark, & Mathews, 2006), cognitive biases in attention, memory, and interpretation have been posited as an underlying vulnerability to the maintenance and recurrence of depressive episodes. While research supports the presence of these biases during current depressive episodes, there is limited evidence that these biases persist following the remission of depression symptoms. However, there is some initial data that suggest that these biases persist in remitted depressed individuals, indicating that these biases may serve as a vulnerability factor for subsequent depressive episodes. In addition, there is little research that has evaluated these …

Using Structural Equation Modeling To Understand The Role Of The Family In Pediatric Asthma Contexts, Nour Al Ghriwati

Theses and Dissertations

Family factors have long been associated with the psychosocial adjustment of children with chronic illnesses, such as asthma (Minuchin, 1975; Rapee, 1997). Research indicates that negative family factors may also contribute to child disease severity, via bio-behavioral mechanisms of effect (Wood et al., 2006); however, these pathways have yet to be examined with a comprehensive focus on more positive family factors. This study sought to examine whether factors such as family cohesion, problem solving abilities, and communication influence asthma symptom severity in children via their effects on child depression and anxiety symptoms. Using structural equation modeling, we identified significant indirect …

Trait Hope As A Moderator Of The Effects Of Hassles And Uplifts On Depressive Symtpoms In College Students, Leslie C. Croot

Graduate Student Theses, Dissertations, & Professional Papers

Major Depression is the leading cause of disability in the United States and has been studied for decades. Research suggests that daily hassles may increase the likelihood of depressive symptoms while daily uplifts may help protect against depressive symptoms (Mayberry & Graham, 2001). Snyder's hope theory (Snyder et al., 1991) provides an avenue for understanding how hope can protect against symptoms of depression. Hope, hassles, uplifts, and depressive symptoms were assessed at three time points with one-month intervals in a sample of 186 undergraduate students via self-report measures. Results, analyzed using a Generalized Estimating Equation, were threefold: there was (1) …

Five Facets Of Mindfulness And Psychological Health: Evaluating A Psychological Model Of The Mechanisms Of Mindfulness, David B. Brown, Adrian J. Bravo, Corey R. Roos, Matthew R. Pearson

Psychology Faculty Publications

There has been an increasing focus on determining the psychological mechanisms underlying the broad effects of mindfulness on psychological health. Mindfulness has been posited to be related to the construct of reperceiving or decentering, defined as a shift in perspective associated with decreased attachment to one's thoughts and emotions. Decentering is proposed to be a meta-mechanism that mobilizes four psychological mechanisms (cognitive flexibility, values clarification, self-regulation, and exposure), which in turn are associated with positive health outcomes. Despite preliminary support for this model, extant studies testing this model have not examined distinct facets of mindfulness. The present study used a …

Mindfulness And Emotional Outcomes: Identifying Subgroups Of College Students Using Latent Profile Analysis, Matthew R. Pearson, Adrienne K. Lawless, David B. Brown, Adrian J. Bravo

Psychology Faculty Publications

In non-meditating samples, distinct facets of mindfulness are found to be negatively correlated, preventing the meaningful creation of a total mindfulness score. The present study used person-centered analyses to distinguish subgroups of college students based on their mindfulness scores, which allows the examination of individuals who are high (or low) on all facets of mindfulness. Using the Lo-Mendell-Rubin Adjusted LRT test, we settled on a 4-class solution that included a high mindfulness group (high on all 5 facets, N = 245), low mindfulness group (moderately low on all 5 facets, N = 563), judgmentally observing group (high on observing, but …

Modeling Risk For Child Abuse And Harsh Parenting In Families With Depressed And Substance-Abusing Parents, Michelle L. Kelley, Hannah R. Lawrence, Robert J. Milletich, Brittany F. Hollis, James M. Henson

Psychology Faculty Publications

Children with substance abusing parents are at considerable risk for child maltreatment. The current study applied an actor–partner interdependence model to examine how father only (n=52) and dual couple (n=33) substance use disorder, as well as their depressive symptomology influenced parents’ own (actor effects) and the partner's (partner effects) overreactivity in disciplinary interactions with their children, as well as their risk for child maltreatment. Parents completed the Center for Epidemiologic Studies Depression Scale (CES-D; Radloff, 1977), the overreactivity subscale from the Parenting Scale (Arnold, O’Leary, Wolff, & Acker, 1993), and the Brief Child Abuse Potential Inventory (Ondersma, Chaffin, Mullins, & …

Support After Brain Tumor Means Different Things: Family Caregivers' Experiences Of Support And Relationship Changes, T. Ownsworth, E. Goadby, Suzanne K. Chambers

Research outputs 2014 to 2021

Shorter hospital stays and greater emphasis on outpatient care means that family members have the primary responsibility for supporting a person with brain tumor to manage the physical, cognitive, behavioral, and emotional effects of the illness and its treatment. Given the integral role of family caregivers, it is essential to understand their experience of the impact of brain tumor and their own support needs. Accordingly, this qualitative study aimed to investigate family caregivers' experiences of support and relationship changes in the context of brain tumor. In-depth interviews were conducted with 11 family caregivers (8 spouse/partner, 3 parents) of people with …