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Emotional Health And Weight Gain: A Prospective Study Of Middle-Aged Women, Ann Bahr

Theses and Dissertations

The objective of this study was to investigate the extent to which risk of gaining weight or body fat is affected by emotional health in women. A secondary objective was to determine the influence of age, baseline weight and body fat, physical activity (PA), energy intake, and changes in PA and energy intake, on the relationship between emotional health and gains in weight and body fat. The study was a prospective cohort investigation over 20 months of 256 healthy, non-obese females (age: 35-45 y, BMI < 30 kg/m2). All subjects were assessed for several variables using objective measurements at baseline and again at 20 months. Emotional health was assessed using the General Well-Being Schedule. Body fat percentage was indexed using the Bod Pod. PA was measured objectively using MTI (CSA) accelerometers, and energy intake was measured using weighed, 7-day food records. The results of the study demonstrated that risk of gains in weight and body fat were no greater in depressed women compared to their counterparts. However, 171 (66.8%) subjects demonstrated less than positive (LTP) emotional health at baseline, and 37.4% of these subjects gained weight during the 20-month study. Conversely, 85 (33.2%) subjects had positive emotional health at baseline, but only 23.5% gained weight over the investigational period. With no variables controlled, women with LTP emotional health had 59% greater risk of weight gain over the study period than women with positive emotional health (RR 1.59, 95% CI = 1.04-2.44). Women with LTP emotional health were at no greater risk of gains in body fat percentage than women with positive emotional health (RR 0.96, 95% CI = 0.70-1.33). After adjusting for each potential confounder individually, risk of gaining weight or body fat did not change. However, after adjusting for all of the potential confounders simultaneously, risk of weight gain was weakened (RR 1.43, 95% CI = 0.93-2.21). These results seem to demonstrate that middle-aged women with LTP emotional health may be at increased risk of gaining weight compared to women with positive emotional health.

Responses To Weight Loss Treatment Among Obese Individuals With And Without Bed: A Matched-Study Meta-Analysis, Bruce E. Blaine, J. Rodman

Statistics Faculty/Staff Publications

The moderating influence of binge eating status on obese individuals’ responses to weight loss treatment was evaluated with a meta-analysis of 36 tests of weight loss treatment (n=792) that were matched to control key background variables. After controlling for pre-treatment weight, treatment produced more weight loss in samples of obese non- BED compared with obese BED participants. Weight loss treatment produced large posttreatment reductions in depression in both obese BED and non-BED samples. The results indicate that BED status moderated post-treatment weight loss among people in weight treatment programs. Obese BED (average weight loss= 1.3 kg) samples lost negligible weight …

A Study Of The Effects Of Pet Ownership On Mental Health Among Community-Dwelling Senior Citizens In Northeast Tennessee., E. Marie Southerland

Electronic Theses and Dissertations

This cross-sectional study explored the relationship between pet ownership, attachment, and psychological health among community-dwelling senior citizens and evaluated the impact of the placement of an aquarium into a regional senior center. General health, depression, social support, pet attitudes, pet attachment, pet relationships, and attitudes about the aquarium were assessed among 104 members of a senior center.

Symptoms of depression were identified in 17.3% of the participants. Pets were a significant form of social support and attachment to pet owners. No significant relationship was observed between pet ownership, pet attachment, and psychological health. Positive health effects were reported among participants …

Screening For Postpartum Depression At Well-Baby Visits, Suzanne Mello

Master's Projects

Objective: To assess the prevalence of postpartum depression among mothers who attend first-year well-baby visits. Methods: A convenience sample of 33 women was screened during first year well-baby visits using the Edinburgh Postpartum Depression Scale (EPDS) at three pediatric offices in Northern California. Measures included demographic data, history of depression, tobacco use, strength of support system, breast/bottle feeding, and child's health. EPDS scores were collected to calculate the prevalence of postpartum depression. Results: The EPDS was administered to 33 women at first year well-baby visits. Thirty-two were completed. Sixty-six percent of women had scores < 10 indicating no depression. Thirty-four percent reported scores of>=l 0 during the postpartum year …

Vascular Conditions, Risk Factors And Depression Chronicity In Late-Onset Major Depression, Robert D. Lisota

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Research examining a possible relationship between vascular factors and late-life depression in the elderly has produced both evidence for and against a "vascular depression" hypothesis, which posits that late-life depression may have a vascular or neurological etiology. It was hypothesized that a depressive disorder that is primarily the result of structural changes in the brain due to vascular conditions in late-life may be related to increased depression chronicity. We examined data from the Cache County Study on Memory, Health, and Aging to determine whether support for the concept of vascular risk for depression and increased chronicity were present in an …

Stability Of Negative Self-Structures: A Longitudinal Comparison Of Depressed, Remitted, And Nonpsychiatric Controls., David J A Dozois

Psychology Publications

To be considered a vulnerability marker for depression, a variable should, in addition to demonstrating sensitivity and specificity, also show evidence of temporal stability (i.e., remain present in the absence of depressive symptomatology). Although many cognitive factors are associated with depression, the majority of them appear to be episode rather than vulnerability markers. This study examined cognitive organization of positive and negative interpersonal and achievement content in clinically depressed, remitted, and nonpsychiatric controls. At initial assessment, a sample of 54 clinically depressed individuals and 37 never-depressed controls completed self-report measures of positive and negative automatic thoughts and two cognitive organizational …

Factors Associated With Adherence To Anti-Hypertensive Treatment In Pakistan, Saman K. Hashmi, Maria B. Afridi, Kanza Abbas, Rubina A. Sajwani, Danish Saleheen, Philippe M. Frossard, Mohammad Ishaq, Aisha Ambreen, Usman Ahmad

Medical College Documents

Objectives: Poor adherence is one of the biggest obstacles in therapeutic control of high blood pressure. The objectives of this study were (i) to measure adherence to antihypertensive therapy in a representative sample of the hypertensive Pakistani population and (ii) to investigate the factors associated with adherence in the studied population.
Methods and results: A cross-sectional study was conducted on a simple random sample of 460 patients at the Aga Khan University Hospital (AKUH) and National Institute of Cardiovascular Diseases, Karachi, from September 2005-May 2006. Adherence was assessed using the Morisky Medication Adherence Scale (MMAS), with scores ranging from 0 …

Depression And Coping Among Hmong Refugees, May Vang

Theses Digitization Project

The purpose of study was to explore depression among Hmong refugees and the ways they use their coping skills to deal with stressful life events.

The Mediating Role Of Avoidance Coping Upon The Relationship Between Early Maladaptive Schemas, Anxiety And Depression, Christine Louise French

Theses Digitization Project

This study examined the mediating role of Maladaptive Emotion-focused coping (MEFC) on the relationship between Early Maladaptive Schemas (EMS), anxiety and depression.

Depression Treatment In Hiv-Infected And Uninfected Veterans: Do Treatment Rates Vary By Hiv Status?, Kristen Sueoka

Yale Medicine Thesis Digital Library

Background: Despite a higher prevalence of depression among HIV-infected veterans, previous research has shown that infectious disease (ID) providers report substantially less comfort with depression treatment than do general medicine (GM) providers. We examined whether HIV-infected veterans who are treated by ID providers are less likely to have their depressive symptoms treated compared to uninfected controls managed by GM providers. Methods: We used survey, service utilization, and pharmacy data on veterans from the Veterans Aging Cohort Study (VACS), a prospective cohort study of HIV-infected and age-, race- and site-matched uninfected subjects at 8 Veterans Affairs Healthcare Centers. We used the …

Depression: Relationships To Sleep Paralysis And Other Sleep Disturbances In A Community Sample, Mariana Szklo-Coxe, Terry Young, Laurel Finn, Emmanuel Mignot

Community & Environmental Health Faculty Publications

Sleep disturbances are important correlates of depression, with epidemiologic research heretofore focused on insomnia and sleepiness. This epidemiologic study’s aim was to investigate, in a community sample, depression’s relationships to other sleep disturbances: sleep paralysis (SP), hypnagogic/hypnopompic hallucinations (HH), cataplexy – considered rapid eye movement-related disturbances – and automatic behavior (AB). Although typical of narcolepsy, these disturbances are prevalent, albeit under-studied, in the population. Cross-sectional analyses (1998–2002), based on Wisconsin Sleep Cohort Study population-based data from 866 participants (mean age 54, 53% male), examined: depression (Zung Self-Rating Depression Scale), trait anxiety (Spielberger State-Trait Anxiety Inventory, STAI-T ≥ 75th percentile), and …

Maternal Psychosocial Distress And Breastfeeding And Their Impact On Infant Development, Lauren Heather Switzer

Digitized Theses

The purpose of this study was to examine a hypothesized causal relationship testing whether breastfeeding serves as a mediating pathway variable between maternal psychosocial distress and infant development. A longitudinal prospective study was conducted by telephone interview with 665 mothers and their children. Structured interviews, using standardized measures, were conducted prenatally and again when the children were greater than 24 months old. The hypothesized causal relationship was examined by path analysis, which indicated that, while breastfeeding did not act as a mediator, increased breastfeeding duration was significantly associated with an elevation in infant development score. Findings were similar for both …

Even Fighters Get The Blues, Randy Borum

Mental Health Law & Policy Faculty Publications

No abstract provided.

Community Context And Health Disparities Among Older Adults, Helen M. Zayac

USF Tampa Graduate Theses and Dissertations

African Americans, Hispanics, and other minorities in the U.S. continue to face conditions of residential and educational segregation, lower socioeconomic status, and higher rates of mortality than whites. Better theory-based research that uses community and individual level factors to explain how health disparities are created and perpetuated is needed. The Community Context and Health Disparities Model, which extends the work of Schulz and Northridge (2004) with elements described by Williams and Collins (2001), is described. This framework identifies the pathways by which characteristics of the physical, built, social, economic, and healthcare environments impact health and are mediated by individual traits. …

Anhedonia And Depression: Anticipatory, Consummatory, And Recall Deficits, Kaitlin Hanley

Honors Theses

Current conceptions of anhedonia as a key symptom of depression do not consider the importance of anticipatory, consummatory, and recall deficits involved in anhedonia. Sixty-one depressed and non-depressed, college-student participants provided reports of anticipated pleasure to tasting chocolates, tasted chocolates and rated their experience of pleasure, and provided recalled reports of pleasure to the experience one day later. Results demonstrated a deficit in the ability to anticipate experiencing pleasure for depressed participants when compared to non-depressed controls, however, their reports of consummatory pleasure and recalled pleasure did not differ significantly from non-depressed control participants. This study suggests that actual experiential …

Bullying, Depression, And Suicidality In Adolescents, Anat Brunstein-Klomek, Frank Marrocco, Marjorie Kleinman, Irvin Sam Schonfeld, Madelyn S. Gould

Publications and Research

Objective: To assess the association between bullying behavior and depression, suicidal ideation, and suicide attempts among adolescents. Method: A self-report survey was completed by 9th- through 12th-grade students (n = 2342) in six New York State high schools from 2002 through 2004. Regression analyses were conducted to examine the association between being victimized and bullying others with depression, ideation, and attempts. Results: Approximately 9% of the sample reported being victimized frequently, and 13% reported bullying others frequently. Frequent exposure to victimization or bullying others was related to high risks of depression, ideation, and suicide attempts compared with adolescents not involved …

Analysis Of The Goodwin Sentence Completion Test In The Screening Of Clinical Depression, Karyn L. Goodwin-Tribble

PCOM Psychology Dissertations

The Goodwin Sentence Completion Test (GSCT) was developed as a screening instrument for clinical depression. This instrument, composed of 25 sentence stems, was designed to indicate the level depression and to assess the strength of negative perceptions associated with dimensions of the cognitive triad (self, world, and future). Although the GSCT follows the typical format of most projective sentence completion tests, an objective scoring method was also constructed in order to evaluate more reliably individual results. The tool was administered to 80 adult volunteers ranging in age from 18 to 72 years of age. Volunteers were randomly selected from a …

Peer Victimization, Depression, And Suicidality In Adolescents, Anat Brunstein Klomek, Frank Marrocco, Marjorie Kleinman, Irvin Sam Schonfeld, Madelyn S. Gould

Publications and Research

Objective: To assess the association between bullying behavior and depression, suicidal ideation, and suicide attempts among adolescents. Method: A self-report survey was completed by 9th- through 12th-grade students (n = 2342) in six New York State high schools from 2002 through 2004. Regression analyses were conducted to examine the association between being victimized and bullying others with depression, ideation, and attempts. Results: Approximately 9% of the sample reported being victimized frequently, and 13% reported bullyingothers frequently. Frequent exposure to victimization or bullying others was related to high risks of depression, ideation, and suicide attempts compared …

Measuring Therapist Adherence To A Manual-Based Treatment Tested In A Community Setting: The Pascet Manual Adherence Scale (P-Mas), Alyssa M. Marder

Theses and Dissertations

The goal of the current study was to develop and test a rigorous measure of therapist adherence to a cognitive-behavioral, manual-based treatment for childhood and adolescent depression. This project employed data from the recently completed UCLAYouth Anxiety and Depression Treatment study. This study aimed to advance the literature by devoting the full focus of the project to the development of a manual-based measure that would demonstrate interrater reliability across multiple raters. This study reported on the psychometric development of the PASCET Manual Adherence Scale (PMAS) (e.g. scoring strategy, item development, reliability), a unique measure of therapist adherence that represents the …

Residual Symptoms After Treatment Of Chronic Depression: A Comparison Across Treatment Modalities, Katherine L. Schaefer

Theses and Dissertations

Despite the development of several effective treatments for depression, symptoms often persist in a number of individuals. Unfortunately, these residual symptoms are associated with several negative outcomes, including persistence of depressive illness. Few studies have examined the exact nature of individual residual symptoms across specific treatment modalities, and studies have failed to distinguish between depression courses. The current study expands on previous findings by examining, among a chronically depressed population, differences in individual residual symptoms and clusters between treatment modality (medication, psychotherapy, combination) and treatment response (full response, partial response). Five hundred and nineteen chronically depressed participants completed the study. …

Examining The Cognitive Theory Of Depression Using Descriptive Experience Sampling, Jedidiah D Gunter

UNLV Retrospective Theses & Dissertations

The goal of this study was to examine the experience of depressed and nondepressed individuals, exploring the extent to which the specific constructs identified in Beck's cognitive theory of depression were differentially reflected in the momentary experiences of depressed individuals. This involved recruiting depressed and nondepressed individuals and then assessing their inner experience using both the traditional questionnaire measures developed in accord with Beck's theory and Descriptive Experience Sampling. Depressed participants showed substantial variability in the nature of their inner experience, had less frequent inner speech and more feelings than nondepressed participants. Salient characteristics found in the depressed participants' sampled …

Impact Of Combat Stress On Mental Health Outcomes: Brfss Survey Data 2006, Emily Pedneau

Theses and Dissertations

Objectives: This study sought to determine the relationship between combat experience and mental health outcomes. The study sought to determine whether age was a significant factor in poor mental health outcomes. Methods: Multiple logistic regression (n = 195,048) and multiple linear regression (n = 264,154) were performed on the 2006 Behavioral Risk Factor Surveillance System (BRFSS) survey. Veteran status and a host of demographic and health status questions were analyzed in relation to diagnosis of anxiety or depressive disorder (multiple logistic regression) and to number of days poor mental health (multiple linear regression). Results: Diagnosis of anxiety or depression was …

Posttraumatic Growth Among College Students At A Large Urban University: The Role Of Social Support And Unsupportive Social Interactions, Wendy E. Balliet

Theses and Dissertations

The objective of this study was to investigate the association between both social support and unsupportive interactions and psychological outcomes, in a sample of college students who recently had experienced a stressful event. The research design was cross-sectional, and data were collected from 142 college students. As hypothesized, a significant positive association was found between unsupportive interactions received by participants and depressive symptoms. Contrary to hypotheses, no significant associations were found between unsupportive interactions and positive emotion or posttraumatic growth. Additionally, no significant relationship was evident between received emotional support and the outcome variables. Exploratory analysis revealed that positive reappraisal …

Intrapersonal Grief As A Clinical Entity Distinct From Depression: Does It Exist Among A Medically Ill Parkinson's Disease Population?, Rashelle Brown Hayes

Theses and Dissertations

There has been growing support for the idea that complicated grief symptoms following bereavement are independent of symptoms of depression and anxiety. However, the loss of a loved one is not the only or the most frequent type of loss to be encountered. The onset of an insidious medical illness may trigger a mourning process for the lost function or body part that is posited to also involve feelings of grief. While the risk of depression is high among a medical or rehabilitative population, the impact of grief over functional losses has never been empirically investigated as a contributing factor …

Binge Eating In Ethnically Diverse Obese Adolescents, Clarice K. Gerke

Theses and Dissertations

Rates of pediatric obesity in America are reaching epidemic proportions. Studies using both community and treatment-seeking samples of obese adolescents indicate that a subset engage in binge eating behaviors. This study investigated the prevalence and severity of binge eating behaviors among 86 primarily African American 11 to 17 year old adolescents seeking outpatient treatment for obesity. This study also examined the associations of stressful experiences (specifically, weight-related teasing, trauma, and daily hassles) with binge eating, as well as potential mediators and moderators of these relationships. Twenty-eight percent of the sample reported at least one episode of binge eating in the …

Relation Between Anger And Depression And Predictors Of Anger Among Residents Of Assisted Living Facilities, Masami Tokumo

Seton Hall University Dissertations and Theses (ETDs)

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Acculturation And Depression Among Hispanics: The Moderating Effect Of Intercultural Competence, Lucas Torres, David Rollock

Psychology Faculty Research and Publications

In the present study the authors examined the relative contributions of typical acculturation indicators, general coping, and intercultural competence in predicting depression among 96 Hispanic adults. The results indicated that intercultural competence served to moderate the relationship between acculturation and depression. The combination of high acculturation and high intercultural competence was associated with fewer symptoms. General coping accounted for significant amounts of variance in predicting depression, over and above traditional acculturation variables alone, suggesting that an active problem-solving style was associated with a healthier outcome. The findings are discussed within the context of integrating competence-based variables into psychological conceptualizations of …

Impact Of Pretreatment Levels Of Depression On Treatment Outcome In A United States Air Force Sample, Jon E. Ashton

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this study was to investigate pretreatment level of depression, overall clinical distress, military rank, number of treatment sessions, and gender as predictors of clinical outcome in the treatment of depression within an active duty United States Air Force sample. An archival review of outpatient mental health records within a Life Skills Support Center, located at an Air Force Base within the mountain west region of the United States, produced a sample of 73 records that were reviewed. A stepwise multiple regression analysis indicated that pretreatment level of depression predicted clinical outcome in the treatment of depression within …

Depressive Symptomatology, Patient-Provider Communication, And Patient Satisfaction: A Multilevel Analysis, Lorraine Marie Novosel

USF Tampa Graduate Theses and Dissertations

Depression can be a profoundly disabling and costly disorder and is a major public health concern. Despite the efficacy of treatment options, it is often unrecognized, under-diagnosed, and inadequately treated in primary care settings. Research on patient-provider communication supports the connection among the quality of the patient-provider interaction, patient behavior, and health outcomes. The purpose of this study was to systematically examine the impact of patients' depressive symptoms on the patient-provider relationship, patient-provider communication, and patient satisfaction with the primary care office visit. One hundred twenty three patient-provider encounters were audiotaped and coded using the Roter Interaction Analysis System (RIAS). …

Attitudes Towards Depression And Anxiety, Tiana Hankins

Theses : Honours

The overall aim of the present paper is to review the literature surrounding attitudes towards mental health, with a specific focus on attitudes towards depression and anxiety. This paper discusses the concept of attitudes, their nature and measurement. This is followed by a review of attitudes towards mental health, with a number of studies being examined and their results discussed. Research has found that the general public has negative attitudes towards people with mental illness; however research has also found that these negative attitudes are improving due to an increase in education and awareness surrounding mental health. The two attitude …