Digital Commons Network^™

Killing Them Softly: Neuroscience Reveals How Brain Cells Die From Law School Stress And How Neural Self-Hacking Can Optimize Cognitive Performance, Debra S. Austin

Sturm College of Law: Faculty Scholarship

Law is a cognitive profession, and the legendary stressors in legal education and the practice of law can take a tremendous toll on cognitive capacity. This Article provides a groundbreaking synthesis on the neuroscience of achieving optimal cognitive fitness for all law students, law professors, and lawyers.

Ptsd, Depression, And Substance Abuse Symptoms In Women Exposed To Intimate Partner Abuse, Claire L. Hebenstreit

Electronic Theses and Dissertations

The present study explores relationships among several established correlates of trauma in women exposed to intimate partner abuse (IPA), including PTSD, depression, and dissociation symptoms as well as alcohol use as well as other trauma-related variables, such as social support and violence exposure. Two analysis methods were utilized: variable-oriented methods, which examine relationships between variables, and person-oriented analysis methods, which examine groupings of participants within a larger sample (N = 233). Results of the variable-oriented analyses indicated positive links among depression, PTSD, dissociation, and alcohol use in women exposed to IPA, as well as positive links between the aforementioned …

Mental Health Outcomes Of First Generation College Students: Is Generational Status Associated With Increased Risk For Depression And Anxiety?, James L. Pease

Electronic Theses and Dissertations

The purpose of this study was to investigate whether there were differences in mental health outcomes between first generation college students and non-first generation college students. The sample (n = 6,449) consisted of undergraduate students, aged 18-22, in bachelor's degree programs, and was drawn from 15 colleges and universities throughout the United States. Acculturative stress was used as a theoretical framework for why first generation college students (pioneers) may screen higher in prevalence and severity of mental health outcomes. The particular mental health outcomes examined in this study were the prevalence and severity of depression and anxiety. The results …

Clinical Features Of Depression In Asia: Results Of A Large Prospective, Cross‐Sectional Study, Manit Srisurapanont, Jin Pyo Hong, Tian-Mei Si, Ahmad Hatim Sulaiman, Chia Yih Liu, Pichet Udomratn, Jae Nam Bae, Yiru Fang, Hong Choon Chua, Shen-Ing Liu, Tom George, Dianne Bautista, Edwin Chan, John Rush

Research Publications (2011 to 2015)

Introduction: The objective of this study was to investigate the clinical features of depression in Asian patients. Methods: It was a cross-sectional, observational study of depression in China, Korea, Malaysia, Singapore, Taiwan, and Thailand. Participants were drug-free outpatients with depressed mood and/or anhedonia. Symptoms and clinical features were assessed using the Montgomery–Asberg Depression Rating Scale, Symptoms Checklist 90-Revised (SCL-90-R), and the Fatigue Severity Scale. Other measures included the Medical Outcome Survey 36-Item Short-Form Health Survey (SF-36), the Sheehan Disability Scale,and the Multidimensional Scale of Perceived Social Support (MSPSS). Results: A total of 547 outpatients with major depressive disorder were included …

Vascular Depression: An Early Indicator Of Decline, Daniel Lee Paulson

Wayne State University Dissertations

Women over the age of 80 represent a rapidly growing demographic group. While older women live longer than men, they do so with more years of disability and frailty. The emergence of geriatric disorders such as vascular disease, depression, frailty and cognitive decline in the aging US population place additional strain and expense on the already over-burdened public health care system. Meanwhile, integrated models of care are associated with preserved functional independence, reduced medical costs, and greater satisfaction for both health care providers and patients. Implementation of integrated care demands process-models of disease that contextualize symptoms within broader patterns of …

Exploring The Impact Of Elevated Depressive Symptoms On The Ability Of A Tailored Asthma Intervention To Improve Medication Adherence Among Urban Adolescents With Asthma, Lokesh Guglani, Suzanne L. Havstad, Dennis R. Ownby, Jacquelyn Saltzgaber, Dayna A. Johnson, Christine C. Johnson, Christine Lm Joseph

Wayne State University Associated BioMed Central Scholarship

Abstract

Background

In patients with asthma, medication adherence is a voluntary behavior that can be affected by numerous factors. Depression is an important co-morbidity in adolescents with asthma that may significantly impact their controller medication adherence and other asthma-related outcomes. The modifying effect of depressive symptoms on an asthma intervention’s ability to improve asthma controller medication adherence among urban adolescents with asthma has not yet been reported.

Objective

To assess self-reported symptoms of depression as an effect modifier of the relationship between randomization group and controller medication adherence at 6-month follow-up.

Methods

These analyses use data from a randomized controlled …

A High School Counselor’S Leadership In Providing School-Wide Screenings For Depression And Enhancing Suicide Awareness, Anne Erickson, Nick R. Abel

Scholarship and Professional Work – Education

The prevalence of mental health issues and suicidal thoughts and actions among school-aged children and adolescents is a serious issue. This article examines the scope of the problem nationwide and provides a brief overview of the literature regarding the effectiveness of school-wide screening programs for depression and suicide risk. The authors describe a suicide prevention program that has been implemented by the first author (a high school counselor in Minnesota) that combines classroom guidance, screening, and referrals for outside mental health services. This article includes recommendations for school counselors interested in implementing a school-wide screening and prevention program.

Influence Of Patient Characteristics On Perceived Risks And Willingness To Take A Proposed Anti-Rheumatic Drug, Richard W. Martin, Kelsey Mccallops, Andrew J. Head, Aaron T. Eggebeen

University Faculty Publications and Creative Works

Background: The causes of the underutilization of disease modifying anti-rheumatic drugs (DMARDS) for rheumatoid arthritis (RA) are not fully known, but may in part, relate to individual patient factors including risk perception. Our objective was to identify the determinants of risk perception (RP) in RA patients and predictors of their willingness to take a proposed DMARD (DMARD willingness). Methods. A cross-sectional mail survey of RA patients in a community rheumatology practice. Patients were presented a hypothetical decision scenario where they were asked to consider switching DMARDs. They evaluated how risky the proposed medication was and how likely they would be …

Influence Of Patient Characteristics On Perceived Risks And Willingness To Take A Proposed Anti-Rheumatic Drug, Richard W. Martin, Kelsey Mccallops, Andrew J. Head, Aaron T. Eggebeen

University Faculty Publications and Creative Works

The causes of the underutilization of disease modifying anti-rheumatic drugs (DMARDS) for rheumatoid arthritis (RA) are not fully known, but may in part, relate to individual patient factors including risk perception. Our objective was to identify the determinants of risk perception (RP) in RA patients and predictors of their willingness to take a proposed DMARD (DMARD willingness). Methods. A cross-sectional mail survey of RA patients in a community rheumatology practice. Patients were presented a hypothetical decision scenario where they were asked to consider switching DMARDs. They evaluated how risky the proposed medication was and how likely they would be to …

Depression Symptoms In Early Childhood Teachers: Do Personality, Social Support, And School Climate Play A Role?, Jessica Mclaughlin

Wayne State University Dissertations

Depression among early childhood teachers has received little attention within the United States. For the present study, early childhood teachers were asked to participate in an online survey to investigate the rate of high depression symptoms among teachers, and whether personality, social support, and school climate are related to teachers' depression symptoms. Results showed that 32% of early childhood teachers in the sample were high in depression symptoms, which is significantly higher than rates of depression in the general population. Lower levels of neuroticism and higher levels of extroversion were related to fewer depression symptoms. Perceived social support from an …

The Influence Of Gender And Aging On The Neural Circuitry Supporing Facial Emotion Processing In Adults With Major Depressive Disorder, Emily Briceno

Wayne State University Dissertations

Major Depressive Disorder (MDD) is associated with decrements in facial emotion processing (FEP). Previous studies investigating the neural substrates of these decrements have often reported hyperactivity of emotion processing circuitry. Neural circuitry supporting FEP has been shown to be different between healthy men and women, and between young and elder adults. However, no prior studies have investigated how gender and aging affect emotion processing circuitry in individuals with MDD. The present study aimed to investigate the influence of gender and aging on emotion processing circuitry in MDD. One hundred-ten adults, grouped into subgroups according to MDD status, gender, and age …

The Role Of Self-Esteem, Perceived Social Support, And Coping Strategy In The Escalation Of Depressive Symptomatology During The First Year Of College, Catherine Lee

Master's Theses

The first year of college is a significant life transition that can be a particularly stressful experience, which may lead to the development or exacerbation of depressive symptoms. Due to the considerable negative outcomes that are associated with depressive symptoms across the lifespan, it is important to understand the mechanisms and pathways through which such symptoms arise. This prospective study examines how self-esteem, perceived social support, and coping strategies are associated with the development of depressive symptoms during the transition to college. The findings of this longitudinal study indicate that self-esteem may affect both perceived social support and disengagement coping …

Adult Adhd And The Relationship Between Self-Reported Frequency Of Cognitive Distortions, Anxiety, And Depression, Craig Strohmeier

PCOM Psychology Dissertations

Cognitive-behavioral therapy for adults with ADHD often includes strategies to address cognitive distortions. Although identifying cognitive distortions as part of a causal chain related to disorders such as anxiety and depression has been well studied, limited research has focused on the relationship between ADHD and cognitive distortions. The goal of this study was to determine the nature of the relationship between ADHD, cognitive distortions, anxiety, and depression within a group of adult outpatients from an ADHD treatment center (N = 30). Results indicated that the severity of ADHD symptomatology, identified through a self-report scale, was significantly related to the self-reported …

Exploring Active Video Games (Avgs) As An Intervention Promoting Wellbeing As It Relates To Depression, Dania Berjaoui

Senior Honors Theses and Projects

Depression and anxiety are the two most common forms of mental illness that affect people in the U.S. Great strides have been made over the years in improving the mental health of persons with these and other forms of mental illness. Although newer medications such as SSRls can greatly enhance one's quality of life, there are lifestyle behaviors such as exercise and meaningful engagement in activities that have also purported similar positive outcomes. A challenge for health care providers is how to motivate mental health patients to change their behaviors, especially considering the apathy and passivity, typically associated with the …

Analysis Of Gender Differences In Self-Statements And Mood Disorders, Robert Devore, Mary E. Pritchard

Psychological Sciences Faculty Publications and Presentations

Over 25% of adult Americans suffer from a mental disorder each year, with depression and anxiety being some of the most commonly reported issues. Researchers estimate that between 10% and 50% of adult Americans will suffer from a depressive episode at some point in their life, and cognitive theorists argue that mental states, including disorders, are generated and maintained by personal, subjective beliefs, and that events can only be appropriately labeled by the individual experiencing them. Thus, cognitive theorists suggest a strong link between self-talk (ST) and behavior and note that the automatic use of ST is associated with disordered …

Differences In Psychiatric Symptoms Among Asian Patients With Depression: A Multi-Country Cross-Sectional Study, A.H. Sulaiman, D. Bautista, C.Y. Liu, P. Udomratn, J.N. Bae, Y. Fang, H.C. Chua, S.I. Liu, T. Geogre, E. Chan, S.T. Mei, J.P. Hong, M. Srisurapanont, A.J. Rush

Research Publications (2011 to 2015)

Aim: The aim of this study was to compare the symptomatic and clinical features of depression among five groups of patients with major depressive disorder (MDD) living in China, Korea, Malaysia/Singapore,Taiwan, and Thailand. Methods: Consecutive consenting adults (aged 18– 65) who met DSM-IV criteria for non-psychotic MDD – based on the Mini International Neuropsychiatric Interview – and who were free of psychotropic medication were evaluated in a cross-sectional study.Depressive symptoms were evaluated using the 10-item Montgomery–Asberg Depression Rating Scale(MADRS) and the 13-item depression subscale of the Symptoms Checklist 90-Revised (SCL-90-R). In addition, the 10-item SCL-90-R Anxiety Subscale was completed.ANCOVA were …

Ethnicity, Culture, And Mental Health Among College Students Of Middle Eastern Heritage, Hasti Ashtiani Raveau

Wayne State University Theses

Depression is a significant mental health issue in American college students. However, as is the case for other minority students, this topic has been little studied in students of Middle Eastern background. Stigma and negative attitudes toward seeking mental health services are a big part of Middle Eastern culture, which reduces the chances that this population will seek treatment when they need it. In addition, it is important to study the relationship between ethnic identity and psychological functioning, because ethnic identity could serve as a protective factor against depression in persons of Middle Eastern descent. A strong cultural identity is …

The Role Of Rumination, Negative Affect, And Fitness On Cardiac Rehabilitation Program Outcomes Following A Discrete Cardiac Event, Nathaniel Jay Deyoung

Open Access Dissertations

Individuals with cardiovascular disease are at an increased risk for anxiety, depression, stress, and other negative cognitive processes. Following a cardiovascular event such as a myocardial infarction or open heart surgery, cardiac rehabilitation (CR) can have large physical and psychological benefits. This study investigates the role of depression, anxiety, and rumination on CR outcomes including program completion and fitness improvements. Fifty-one patients with cardiovascular disease who were enrolled in CR were tracked over the course of their treatment. Objective fitness testing was completed prior to and after CR program completion. Self-reported psychological, health, and fitness data were gathered at weeks …

The Role Of World View Changes In The Longitudinal Associations Between Depression And Ptsd Symptoms And Later Sexual Problems, Erin Paige Mason

Wayne State University Theses

Childhood sexual abuse (CSA) is a risk factor for the development of depression and posttraumatic stress disorder (PTSD) symptoms, as well as sexual problems. Additionally, previous research supports a relationship between symptoms of depression and PTSD and sexual problems in both sexually abused and non-abused samples. There has been little attempt, however, to explain the mechanisms responsible for this relationship. The current study proposed that abuse-related changes in world views might be one such mechanism and examined whether world view changes mediate longitudinal associations between depression and PTSD symptoms and sexual problems (sexual concerns, dysfunctional sexual behavior, and risky sexual …

The Impact Of Childhood Residential Stability On Adult Homelessness And Mental Health, Joli Brown

Legacy Theses & Dissertations (2009 - 2024)

Over the last 20 years, homeless families have increased dramatically in the United States. Literature on homelessness has traditionally focused on single men/adults with severe mental illness. Using data collected for a local mental health organization and social service agency providing trauma and case management services to homeless mothers with a history of trauma, my goal is to determine whether group home, foster care stays and episodes of homelessness prior to 18 years of age would increase the likelihood of respondents lifetime number of times homeless, number of traumatic events over one's lifetime and depression 30 days prior to the …

Depressive Symptoms, Neuropsychological Performance, And Cognitive Complaints Among Individuals With Hiv, Andrea Lynn Hobkirk

Legacy Theses & Dissertations (2009 - 2024)

The rates of depression and neuropsychological impairment in HIV-positive populations are considerably higher than the general population. Consistent research suggests that depression is not related to cognitive impairment in HIV, however the majority of these studies were conducted with unidimensional or dichotomous measures of depression, weak methodologies, and small sample sizes. There is limited research suggesting that affective and somatic depressive symptoms alone may be associated with neuropsychological impairment in HIV, possibly through central nervous system dysfunction, yet no study to date has assessed this relation with an adequate sample size and a full neuropsychological battery. In addition, no study …

Exploring The Impact Of Meditation On Attentional Allocation To Emotion, Sychopathology, And Acute Stress, In A Community Sample With Mixed Anxiety And Depression, Nicholas Thomas Van Dam

Legacy Theses & Dissertations (2009 - 2024)

Attempts to define mindfulness in the clinical and psychological sciences have been marred by contradictions, inconsistencies, and controversies. In this wait-list (WL) controlled mindfulness meditation training (MMT) study, the efficacy and potential mechanisms of MMT was tested in a community sample with undiagnosed, but significant, symptoms of anxiety, depression, and stress. In a pre/post design, which also included 3 month follow-up, participants completed self-report measures, participated in a psychosocial stress task (before and after which they completed self-report mood questionnaires and had physiological and salivary neuroendocrine markers collected), and completed an emotional attentional blink paradigm. Compared to WL (n = …

The Association Of Physical Fitness With Psychological Health Outcomes In Soldiers During Army Basic Combat Training, Shannon K. Crowley

Theses and Dissertations

Despite the current need for investigation of factors involved with soldiers' resilience to stressors in the Basic Combat Training (BCT) environment, and evidence in civilian populations that physical training is associated with psychological benefits, little is known about the relationship between physical fitness and psychological adjustment during BCT. Study one of this dissertation involved an extensive literature review of factors related to the relationship between physical fitness and psychological adjustment of soldiers during BCT. Using qualitative focus group methods, study two assessed soldiers' perceptions about their sleep, and consequences of sleep disruption during BCT at Fort Jackson in Columbia, SC. …

Antidepressant Medications And Cognitive Functioning In Major Depressive Disorder, Rachel Kay

Wayne State University Theses

Individuals with Major Depressive Disorder (MDD) frequently experience cognitive decrements in addition to mood impairments. Ironically, antidepressant medications used to treat depression may have adverse effects on cognitive functioning. It is imperative to understand the relative cognitive costs of antidepressants when considering the treatment of MDD patients. Furthermore, observational studies of depression are challenged by problems of systematically confounded variables. Researchers are often faced with difficulties in managing this issue and opt to either ignore the problem, alter their sample, or use inappropriate statistical methods (e.g., Analysis of Covariance) due to a limited understanding of acceptable solutions. It is important …

Does The Use Of Varenicline For Smoking-Cessation Therapy Create Or Increase Depression In Patients Without Existing Depressive Illness?, Brett R. Brown

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not the use of varenicline for smoking-cessation therapy creates or increases depression in patients without existing depressive illness.

STUDY DESIGN: Review of two randomized controlled trials published in 2011 and one observational cohort study published in 2009, all English language.
DATA SOURCES: Two randomized, double-blind, controlled clinical trials comparing varenicline to placebo in smoking cessation, and one observational cohort study comparing varenicline use within subjects. All articles were found using PubMed and EBSCO.

OUTCOMES MEASURED: Changes in depression was evaluated using the MontgomeryÅsberg Depression Rating Scale …

An Exploration Of Comorbid Symptoms And Clinical Correlates Of Clinically Significant Hoarding Symptoms, Brian J. Hall, David F. Tolin, Randy O. Frost, Gail Steketee

Psychology: Faculty Publications

Background Hoarding disorder (HD) is currently being considered for inclusion in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), yet remains poorly understood. Consensus is building that hoarding may constitute a separate disorder, although comorbidity remains high and complicates the diagnostic picture. The purpose of this investigation was to explore patterns of comorbidity among people who engage in hoarding behavior in order to better understand its clinical presentation and phenomenology. Methods Data were collected from a large internet sample (N = 363) of people who self-identified as having hoarding problems, met criteria for clinically significant hoarding, and …

The Effects Of Ketamine On Cognitive Bias In A Stress Vulnerable Chick Strain, Kristen Anne Hymel

Electronic Theses and Dissertations

Cognitive bias is a phenomenon that presents in individuals suffering from anxiety and depression where anxious individuals tend to adopt a more pessimistic interpretation of ambiguous aversive stimuli and depressed individuals tend to adopt both a more pessimistic interpretation of ambiguous aversive stimuli as well as a less optimistic interpretation of ambiguous appetitive stimuli. Such biases have been pharmacologically reversed using anxiolytics and antidepressants. The chick anxiety-depression model has observed more pessimistic-like and less optimistic-like behavior in approach/avoidant runway performance to ambiguous aversive and ambiguous appetitive stimuli, respectively. Further, both types of cognitive biases have been reversed in a White …

Cognitive Distortions As A Mediator Between Early Maladaptive Schema And Hopelessness, Keith Milligan

PCOM Psychology Dissertations

The purpose of the current study was to examine cognitive distortions as a mediator between maladaptive schema and hopelessness. With hopelessness and suicidal behavior so strongly correlated, an examination of hopelessness is critical. It was expected that this study would shed light on the role of distorted thinking as it relates to beliefs shaped from early maladaptive experiences and hopelessness. First, distorted thinking was not found to partially mediate the relationship between early maladaptive schema and hopelessness. This was likely a consequence of multicollinearity due to the use of a very proximal mediator. Second, a linear combination of the cognitive …

Factors Related To Depression In Elderly Monks In Bangkok Metropolis, T Sriwilas, N. Thavichachat

Chulalongkorn Medical Journal

Background : Depression is a significant mental health problem in the elderly. Its impacts are physical, psychological, emotional and social. Depression can also be found in elderly monks. The study of depression and related factors may help decrease depression in elderly monks. Objective : To examine the depression and associated factors among elderly monks in Bangkok Metropolis. Design : A cross – sectional descriptive study. Setting : Buddhist monasteries in Bangkok Metropolis. Materials and Methods : The data were collected from 214 elderly monks in Bangkok Metropolis. They were selected by Multi-stage Cluster Sampling to respond to a questionnaire. The …

Anxiety, Depression, Social Phobia, And Quality Of Life In Turkish Patients With Acne And Their Relationships With The Severity Of Acne, Ahmet Öztürk, Erdem Deveci̇, Erman Bağcioğlu, Fi̇gen Atalay, Zehra Serdar

Turkish Journal of Medical Sciences

To investigate the psychiatric characteristics of acne vulgaris and the effects of the disease on quality of life. Materials and methods: We included 70 acne patients and 50 healthy controls. The Structured Clinical Interview for DSM-IV Axis I Disorders, Hospital Anxiety and Depression Scale, Liebowitz Social Anxiety Scale, Quality of Life Scale Short Form, and Acne Quality of Life Questionnaire were applied. Results: Anxiety and depression scores of the acne patients were significantly higher than those of the control group. In patients with acne, significantly higher levels of social anxiety were detected. Social anxiety levels of severe acne cases were …