Digital Commons Network^™

Global And Risk-Group Stratified Well-Being And Mental Health During The Covid-19 Pandemic In Adults: Results From The International Coh-Fit Study, Marco Solmi, Trevor Thompson, Andrés Estradé, Agorastos Agorastos, Joaquim Radua, Samuele Cortese, Elena Dragioti, Davy Vancampfort, Lau Caspar Thygesen, Harald Aschauer, Monika Schlögelhofer, Elena Aschauer, Andres Schneeberger, Christian G Huber, Gregor Hasler, Philippe Conus, Kim Q Do Cuénod, Roland Von Känel, Gonzalo Arrondo, Paolo Fusar-Poli, Philip Gorwood, Pierre-Michel Llorca, Marie-Odile Krebs, Elisabetta Scanferla, Taishiro Kishimoto, Golam Rabbani, Karolina Skonieczna-Żydecka, Paolo Brambilla, Angela Favaro, Akihiro Takamiya, Leonardo Zoccante, Marco Colizzi, Julie Bourgin, Karol Kamiński, Maryam Moghadasin, Soraya Seedat, Evan Matthews, John Wells, Emilia Vassilopoulou, Ary Gadelha, Kuan-Pin Su, Jun Soo Kwon, Minah Kim, Tae Young Lee, Oleg Papsuev, Denisa Manková, Andrea Boscutti, Cristiano Gerunda, Diego Saccon, Elena Righi, Francesco Monaco, Giovanni Croatto, Guido Cereda, Jacopo Demurtas, Natascia Brondino, Nicola Veronese, Paolo Enrico, Pierluigi Politi, Valentina Ciappolino, Andrea Pfennig, Andreas Bechdolf, Andreas Meyer-Lindenberg, Kai G Kahl, Katharina Domschke, Michael Bauer, Nikolaos Koutsouleris, Sibylle Winter, Stefan Borgwardt, Istvan Bitter, Judit Balazs, Pál Czobor, Zsolt Unoka, Dimitris Mavridis, Konstantinos Tsamakis, Vasilios P Bozikas, Chavit Tunvirachaisakul, Michael Maes, Teerayuth Rungnirundorn, Thitiporn Supasitthumrong, Ariful Haque, Andre R Brunoni, Carlos Gustavo Costardi, Felipe Barreto Schuch, Guilherme Polanczyk, Jhoanne Merlyn Luiz, Lais Fonseca, Luana V Aparicio, Samira S Valvassori, Merete Nordentoft, Per Vendsborg, Sofie Have Hoffmann, Jihed Sehli, Norman Sartorius, Sabina Heuss, Daniel Guinart, Jane Hamilton, John Kane, Jose Rubio, Michael Sand, Ai Koyanagi, Aleix Solanes, Alvaro Andreu-Bernabeu, Antonia San José Cáceres, Celso Arango, Covadonga M Díaz-Caneja, Diego Hidalgo-Mazzei, Eduard Vieta, Javier Gonzalez-Peñas, Lydia Fortea, Mara Parellada, Miquel A Fullana, Norma Verdolini, Eva Andrlíková, Karolina Janků, Mark J Millan, Mihaela Honciuc, Anna Moniuszko-Malinowska, Igor Łoniewski, Jerzy Samochowiec, Łukasz Kiszkiel, Maria Marlicz, Paweł Sowa, Wojciech Marlicz, Georgina Spies, Brendon Stubbs, Joseph Firth, Sarah Sullivan, Asli Enez Darcin, Hatice Aksu, Nesrin Dilbaz, Onur Noyan, Momoko Kitazawa, Shunya Kurokawa, Yuki Tazawa, Alejandro Anselmi, Cecilia Cracco, Ana Inés Machado, Natalia Estrade, Diego De Leo, Jackie Curtis, Michael Berk, Andre F Carvalho, Philip Ward, Scott Teasdale, Simon Rosenbaum, Wolfgang Marx, Adrian Vasile Horodnic, Liviu Oprea, Ovidiu Alexinschi, Petru Ifteni, Serban Turliuc, Tudor Ciuhodaru, Alexandra Bolos, Valentin Matei, Dorien H Nieman, Iris Sommer, Jim Van Os, Therese Van Amelsvoort, Ching-Fang Sun, Ta-Wei Guu, Can Jiao, Jieting Zhang, Jialin Fan, Liye Zou, Xin Yu, Xinli Chi, Philippe De Timary, Ruud Van Winkel, Bernardo Ng, Edilberto Peña De León, Ramon Arellano, Raquel Roman, Thelma Sanchez, Larisa Movina, Pedro Morgado, Sofia Brissos, Oleg Aizberg, Anna Mosina, Damir Krinitski, James Mugisha, Dena Sadeghi-Bahmani, Farshad Sheybani, Masoud Sadeghi, Samira Hadi, Serge Brand, Antonia Errazuriz, Nicolas Crossley, Dragana Ignjatovic Ristic, Carlos López-Jaramillo, Dimitris Efthymiou, Praveenlal Kuttichira, Roy Abraham Kallivayalil, Afzal Javed, Muhammad Iqbal Afridi, Bawo James, Omonefe Joy Seb-Akahomen, Jess Fiedorowicz, Jeff Daskalakis, Lakshmi N Yatham, Lin Yang, Tarek Okasha, Aïcha Dahdouh, Jari Tiihonen, Jae Il Shin, Jinhee Lee, Ahmed Mhalla, Lotfi Gaha, Takoua Brahim, Kuanysh Altynbekov, Nikolay Negay, Saltanat Nurmagambetova, Yasser Abu Jamei, Mark Weiser, Christoph U Correll

Faculty, Staff and Students Publications

International studies measuring wellbeing/multidimensional mental health before/ during the COVID-19 pandemic, including representative samples for >2 years, identifying risk groups and coping strategies are lacking. COH-FIT is an online, international, anonymous survey measuring changes in well-being (WHO-5) and a composite psychopathology P-score, and their associations with COVID-19 deaths/restrictions, 12 a-priori defined risk individual/cumulative factors, and coping strategies during COVID-19 pandemic (26/04/2020-26/06/2022) in 30 languages (representative, weighted non-representative, adults). T-test, χ2, penalized cubic splines, linear regression, correlation analyses were conducted. Analyzing 121,066/142,364 initiated surveys, WHO-5/P-score worsened intra-pandemic by 11.1±21.1/13.2±17.9 points (effect size d=0.50/0.60) (comparable results in representative/weighted non-probability samples). Persons with …

Study Abroad Angst: A Literature Review On The Mental Health Of International Students During Covid-19, Daisuke Akiba, Michael Perrone, Caterina Almendral

Publications and Research

Background: The COVID-19 pandemic presented unique and unprecedented challenges for international students, those studying at institutions of higher education outside of their home countries, due to their distinct circumstances and vulnerabilities. This literature review examines the multifaceted mental health burdens they experienced and highlights the need for targeted support and interventions. Methods: A rigorous search across three databases (i.e., PubMed, PsycINFO, and ERIC) yielded 50 empirical studies for inclusion in this literature review. A six-phase thematic analysis framework was employed to identify and synthesize key themes. Results: Seven prominent themes emerged: (1) academic and professional disruptions; (2) challenges navigating international …

The Affects Of Compassion Fatigue On Inner-City High School Educators: A Qualitative Study, Darren Jordan

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to discover the lived experiences of inner-city high school teachers who suffer from the condition of compassion fatigue. The theory guiding this study is Figley’s Theory of Compassion Fatigue, as it explains how individuals who attempt to assist individuals in stressful situations develop traumatic feelings. The study’s sample consists of 10 participants, all educators with a minimum of 3 years of experience teaching. The study occurs at Big Sky-High School, an inner-city school in Ohio. Data was collected through individual interviews, focus groups, and journal prompts. Data findings discovered the following themes: …

The Mediating Role Of Religious Coping And Psychological Inflexibility In The Relationship Between Perceived Life Stress And Depression In An Arab Muslim Sample, Mariam Kashakesh

Thesis/ Dissertation Defenses

This study examines the association between depression and perceived stress, with a particular focus on the mediating function of psychological rigidity and religious coping strategies in a sample of 18–30-year-old Arab Muslims. Online questionnaires measuring psychological flexibility, perceived stress, depression, religious coping, and demographics were filled out by participants. Higher stress levels were expected to be associated with higher levels of depression (H1), and the study postulated that both negative and positive psychological inflexibility and religious coping would mitigate this association (H2a and H2b, respectively). Significant positive relationships were found between religious coping qualities, depression, and perceived stress. A mediation …

Influence Of Auditory Input On Mood States During A 30-Minute Self-Paced Walk, Maya Caon, Andreas Stamatis, Zacharias Papadakis, Ali Boolani

International Journal of Exercise Science: Conference Proceedings

The therapeutic effects of self-paced walking on mood enhancement are well-documented; yet, existing literature predominantly examines laboratory-based protocols that fail to incorporate auditory stimuli as a potential modulator of mood states. PURPOSE: To investigate the influence of various auditory inputs on mood states during a 30-minute bout of self-paced walking. METHODS: A randomized controlled crossover design was employed (n = 24; 9 males; M_age: 23.04). Participants performed four 30-minute walking bouts around a track while wearing noise-cancelling headphones delivering one of four conditions: positive auditory input, negative auditory input, self-selected music, or silence. Mood states …

Data-Driven Cutoff Selection For The Patient Health Questionnaire-9 Depression Screening Tool, Brooke Levis, Parash Mani Bhandari, Dipika Neupane, Suiqiong Fan, Ying Sun, Chen He, Yin Wu, Ankur Krishnan, Zelalem Negeri, Mahrukh Imran, Danielle B Rice, Kira E Riehm, Marleine Azar, Alexander W Levis, Jill Boruff, Pim Cuijpers, Simon Gilbody, John P A Ioannidis, Lorie A Kloda, Scott B Patten, Roy C Ziegelstein, Daphna Harel, Yemisi Takwoingi, Sarah Markham, Sultan H Alamri, Dagmar Amtmann, Bruce Arroll, Liat Ayalon, Hamid R Baradaran, Anna Beraldi, Charles N Bernstein, Arvin Bhana, Charles H Bombardier, Ryna Imma Buji, Peter Butterworth, Gregory Carter, Marcos H Chagas, Juliana C N Chan, Lai Fong Chan, Dixon Chibanda, Kerrie Clover, Aaron Conway, Yeates Conwell, Federico M Daray, Janneke M De Man-Van Ginkel, Jesse R Fann, Felix H Fischer, Sally Field, Jane R W Fisher, Daniel S S Fung, Bizu Gelaye, Leila Gholizadeh, Felicity Goodyear-Smith, Eric P Green, Catherine G Greeno, Brian J Hall, Liisa Hantsoo, Martin Härter, Leanne Hides, Stevan E Hobfoll, Simone Honikman, Thomas Hyphantis, Masatoshi Inagaki, Maria Iglesias-Gonzalez, Hong Jin Jeon, Nathalie Jetté, Mohammad E Khamseh, Kim M Kiely, Brandon A Kohrt, Yunxin Kwan, Maria Asunción Lara, Holly F Levin-Aspenson, Shen-Ing Liu, Manote Lotrakul, Sonia R Loureiro, Bernd Löwe, Nagendra P Luitel, Crick Lund, Ruth Ann Marrie, Laura Marsh, Brian P Marx, Anthony Mcguire, Sherina Mohd Sidik, Tiago N Munhoz, Kumiko Muramatsu, Juliet E M Nakku, Laura Navarrete, Flávia L Osório, Brian W Pence, Philippe Persoons, Inge Petersen, Angelo Picardi, Stephanie L Pugh, Terence J Quinn, Elmars Rancans, Sujit D Rathod, Katrin Reuter, Alasdair G Rooney, Iná S Santos, Miranda T Schram, Juwita Shaaban, Eileen H Shinn, Abbey Sidebottom, Adam Simning, Lena Spangenberg, Lesley Stafford, Sharon C Sung, Keiko Suzuki, Pei Lin Lynnette Tan, Martin Taylor-Rowan, Thach D Tran, Alyna Turner, Christina M Van Der Feltz-Cornelis, Thandi Van Heyningen, Paul A Vöhringer, Lynne I Wagner, Jian Li Wang, David Watson, Jennifer White, Mary A Whooley, Kirsty Winkley, Karen Wynter, Mitsuhiko Yamada, Qing Zhi Zeng, Yuying Zhang, Brett D Thombs, Andrea Benedetti, Depression Screening Data (Depressd) Phq Group

Faculty, Staff and Students Publications

IMPORTANCE: Test accuracy studies often use small datasets to simultaneously select an optimal cutoff score that maximizes test accuracy and generate accuracy estimates.

OBJECTIVE: To evaluate the degree to which using data-driven methods to simultaneously select an optimal Patient Health Questionnaire-9 (PHQ-9) cutoff score and estimate accuracy yields (1) optimal cutoff scores that differ from the population-level optimal cutoff score and (2) biased accuracy estimates.

DESIGN, SETTING, AND PARTICIPANTS: This study used cross-sectional data from an existing individual participant data meta-analysis (IPDMA) database on PHQ-9 screening accuracy to represent a hypothetical population. Studies in the IPDMA database compared participant PHQ-9 …

The Association Of Overall Dietary Quality On Stress, Anxiety, Depression, And Academic Performance In College Students: A Systematic Review, Jessica Phelan, Richard R. Rosenkranz, Cindy Logan, Mark Haub, Emily Mailey, Armin Ezzati, Sara K. Rosenkranz

Health & Human Performance Faculty Publications

Objective: The objective of this systematic review was to examine current evidence regarding the associations between dietary quality and mental well-being indicators (stress, anxiety, and/or depression) in college students, with a secondary aim of characterizing the relationship between overall dietary quality and academic performance. Methods: Searches were performed, and the PRISMA guidelines were followed for reporting the methods and results. Results: Twelve observational studies were included and reviewed showing high dietary quality was associated with: low stress (four studies), high stress (one study), and no significant association (two studies); low depression (three studies) and no significant association (two studies) and …

The Impact Of Depression And Anxiety On Emotional Facial Recognition, Gracie J. Buck, Mckensey P. Malin, Emma Chacon, Abbey Fies

Science University Research Symposium (SURS)

Anxiety and depression are widespread mental health disorders that elicit prolonged tension, uneasiness, and low moods (U.S. Department of Health and Human Services, 2024; American Psychological Association). These mental health conditions have been known to influence cognitive and perceptual processes (Perin et al., 2022). Multiple studies have found evidence that depression and/or anxiety create a heightened issue of misinterpreting facial and emotional cues (Kang et al., 2019; Monferrer et al., 2023). Notably, People with anxiety have a higher rate of sensitivity and/or error when shown a face with an angry expression (Kang et al., 2019), while people with depression have …

Act With Cf: A Randomized Trial Of Acceptance And Commitment Therapy Vs Supportive Psychotherapy For Adults With Cystic Fibrosis, C. Virginia O'Hayer, Patrick J. Smith, Christopher F. Drescher, Heather Bruschwein, Chelsi N. Nurse, Hallie M. Kushner, Krista Ingle, Michael J. Stephen, Jeffrey B. Hoag

Department of Psychiatry and Human Behavior Faculty Papers

PURPOSE: Psychological distress, including anxiety and depression, is common among adults with CF, associating with poor quality of life, lung function, and healthcare utilization. This 3-year, multi-site, telehealth-delivered randomized trial sought to determine whether Acceptance and Commitment Therapy (ACT with CF) is superior to supportive psychotherapy (SP), in improving psychological functioning for adults with CF.

METHODS: One hundred twenty-four adults with CF and elevated anxiety and/or depressive symptoms were recruited coincident with the first COVID lockdown, from Thomas Jefferson University Hospitals, University of Virginia, Augusta University, Duke University Medical Center, and social media. Participants were randomized to 6 weeks of …

Building Resilience: A Specialty Clinic Tailored To Older Adults At Risk For Violence And Abuse, Melba A Hernandez-Tejada, Deborah M Little, Madeline J Bruce, Sarly Butte, Jason Burnett, Leila Wood, Ron Acierno

Faculty, Staff and Student Publications

Objective: Both structural (e.g., ageism) and personal (e.g., stigma) barriers hinder older adults' access to and engagement with mental health care. These barriers are particularly problematic for those vulnerable to interpersonal violence and abuse (e.g., due to social isolation). This study presents a quality improvement program aimed at older adults who have experienced significant stressful events, particularly elder mistreatment, within a larger trauma specialty clinic. Leveraging home-based telemedicine, the clinic provides evidence-based psychotherapy tailored to the needs of older adults.

Methods: From 2021 through 2023, the authors retrospectively examined treatment initiation, engagement, completion, and clinical outcomes among 231 older adults …

Dispositional Optimism, Sleep, And Trait Affective Mediators: A Latent Variable Approach, Nicole Ruiying Chen, Nadyanna Binte Mohamed Majeed, Adalia Yin Hui Goh, Paye Shin Koh, Jonathan Louis Jie Sheng Chia, Andree Hartanto

Research Collection School of Social Sciences

Dispositional optimism has been shown to be associated with better sleep. However, most existing studies rely on subjective assessments of sleep, which may not align with objective assessments of sleep. Additionally, research investigating the mechanisms underlying the association between optimism and sleep is lacking. Moreover, the confounding role of possible content overlap in measures relevant to the constructs of interest has been neglected. To address these gaps, we utilised latent variable analysis and investigated the mediating role of depression and trait anxiety across two large-scale studies (total N = 2312), with objective sleep measures included in Study 2. In Study …

Challenges And Rewards Of In Vivo Synaptic Density Imaging, And Its Application To The Study Of Depression, Ruth H Asch, Chadi G Abdallah, Richard E Carson, Irina Esterlis

Faculty, Staff and Students Publications

The development of novel radiotracers for Positron Emission Tomography (PET) imaging agents targeting the synaptic vesicle glycoprotein 2 A (SV2A), an integral glycoprotein present in the membrane of all synaptic vesicles throughout the central nervous system, provides a method for the in vivo quantification of synaptic density. This is of particular interest in neuropsychiatric disorders given that synaptic alterations appear to underlie disease progression and symptom severity. In this review, we briefly describe the development of these SV2A tracers and the evaluation of quantification methods. Next, we discuss application of SV2A PET imaging to the study of depression, including a …

Effect Of Stillbirth Postpartum On Depression In Women Between Ages 15-20 Versus 30-35, Michelle M. Brindle, Ashley Menchaca, Ravali Valluri

Leadership Connection

The purpose of this study was to o determine which group of women, ages 15-20 versus ages 30-35, who delivered a stillborn will experience depression to a greater degree.

Depression Screening To Improve Early Detection, Referral, And Treatment Of Depression In Patients With Diabetes, Karina Avechuco

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Comorbid depression is common among adults with diabetes and is associated with negative impacts on quality of life, health outcomes, and mortality rates. As of 2015, it was estimated that 415 million people were living with diabetes in the United States, and of those affected, 20 to 25 percent have some degree of depression. Evidence-based guidelines recommend routine depression screening. This appears to decrease negative health outcomes and may be a cost-effective way to reduce the risk of adverse outcomes. Despite recommendations, depression screening in patients with diabetes is not consistent. This is true for patients at the study clinic …

Chronic Pain: Relationship To Depression, Eugenia Ursan

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

The experience of chronic pain often interferes with family and social life, work performance, and overall quality of life. Depression symptoms in people with chronic pain may synergistically effect pain perception, negatively influencing the response to pain management and rehabilitation. Providers often fail to recognize and treat depression in patients presenting for treatment of chronic pain, and this failure can negatively impact rehabilitation outcomes. Importantly, limited research exists within the physical medicine setting about the relationship between chronic pain, symptoms of depression, and other variables like age and gender. Therefore, the relationship between chronic pain and depression in patients …

Behavioral Health Integration In Primary Care: A Quality Improvement Project, Sarah Claussen

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

This quality improvement project aimed to identify and treat patients at risk for depression and anxiety, facilitating earlier entry into treatment through increased screenings during routine primary care visits. Utilizing screening tools such as PHQ-9, GAD-7, and C-SSRS ensured comprehensive mental health assessments. Implementation of the Collaborative Care Model at Priority Family Medical Clinic improved patient outcomes, satisfaction, and reduced healthcare costs, addressing disparities in access to behavioral health services. The project enhanced identification and management of depression and anxiety, leading to increased referrals to CoCM, psychiatric services, and medication initiation, highlighting the effectiveness of integrating mental health screenings for …

Implementation Of Depression Screening To Optimize Chronic Pain Management, Aaron B. Castle

Group: Northern Arizona University School of Nursing, DNP Doctoral Papers

Background: Chronic pain affects millions of people worldwide and the evidence demonstrates prevalent co morbidity of chronic pain and psychological issues such as anxiety, insomnia, and depression. The existence of psychological issues can have negative impact on pain management and compound the challenges inherent to successful management. Although clinical Practice Guidelines (CPG) recommend routine screening for depression, anxiety, and insomnia in all chronic pain patients, many primary care providers fail to routinely perform appropriate screening. The purpose of this project was to implement a practice change that would include screening for depression with chronic pain patients in a rural …

Iv Ketamine Infusions For The Treatment Of Depression: An Evidence Based Practice Analysis, Sergio A. Quinones

Group: Bryan College of Health Sciences Doctor of Nurse Anesthesia Practice (DNAP) Collection

According to the World Health Organization, major depressive disorder (MDD) is a mental health condition which affects a significant portion of the worldwide population and is projected to become the leading cause of disability by 2020. There are several treatment options for the diagnosis of depression, with the most popular being antidepressant drugs such as the selective serotonin reuptake inhibitors (SSRIs), monoamine oxidase inhibitors (MAOIs); and electroconvulsive therapy (ECT). The significant drawbacks to the current treatments are the extended timeframe required for drugs to reach therapeutic efficacy and resistance to ECT over time. These disadvantages can lead to increased risk …

Lower Urinary Tract Symptoms, Depression And Sleep Problems; A Triple Whammy For Patients’ Health-Related Quality Of Life, Muhammad Salman, Amer Hayat Khan, Syed Azhar Syed Sulaiman, Jeffery David Hughes, Junaid Habib Khan, Yusra Habib Khan, Tauqeer Hussain Mallhi

Bulletin of Faculty of Pharmacy Cairo University

Introduction: Lower urinary tract symptoms (LUTS) are characterized by voiding, storage and post-micturition symptoms. LUTS can have detrimental effects on various facets of patients’ quality of life. Therefore, this study was aimed to evaluate the association of LUTS with depression and sleep disturbances, and their impact on patients’ health-related quality of life (HRQOL).

Methods: A cross-sectional survey was conducted among a clinical sample of calcium channel blocker-users (n = 410), recruited via convenient sampling. Outcomes were assessed using validated Urdu translated instruments [LUTS: International Prostate Symptom Score; sleep problems: Jenkins sleep evaluation questionnaire (JSEQ); depression: Center for Epidemiologic Studies Short …

Iron Deficiency And Internalizing Symptoms Among Adolescents In The National Health And Nutrition Examination Survey, Dimitri Fiani, Solangia Engler, Yang Ni, Sherecce Fields, Chadi Calarge

Faculty, Staff and Students Publications

Background: Iron Deficiency (ID) affects two billion people worldwide, predominantly adolescent girls, and may be associated with increased psychopathology. The associations between ID and symptoms of depression and anxiety in adolescents were examined using data from the National Health and Nutrition Examination Survey (NHANES), a cross-sectional survey of a nationally representative sample of non-institutionalized Americans.

Methods: The current analysis included survey cycles where both iron-related markers and mental health-related outcomes were collected in adolescents 12 to 17 years old. Acute and serious medical conditions, acute inflammation, and abnormal birth weight led to exclusion. Linear multivariable regression analyses examined the association …

Adverse Childhood Experiences Moderate The Association Between Sensory Processing Sensitivity And Depression, Grant Benham

Psychological Science Faculty Publications

Investigations of the link between personality and depression provide a path to identifying at-risk individuals and developing tailored treatment. Sensory processing sensitivity, reflecting individual differences in processing of internal and external stimuli, has been found to predict depression severity. Based on a diathesis-stress model, the present study examines whether this association is moderated by adverse childhood experiences. An online survey containing standardized measures of adverse childhood experiences, sensory processing sensitivity, and depression severity, was administered to 558 college students. The sample was predominantly Hispanic (92%) and female (70%) with a mean age of 20.2 years. In support of the diathesis-stress …

Evaluating The Difference Between Anxiety And Depression For Adults In The United States Who Were Adopted Internationally Versus Domestically, And Seeking To Determine If Age At Adoption Is A Predictor Of Depression And Anxiety For The Internationally Adopted, Kaitlyn Nicole Whiteside Engle

Doctoral Dissertations and Projects

There is a gap in research on if there is a difference in mental health in those internationally and domestically adopted into the United States. The purpose of this quantitative study is to evaluate if there is a difference in depression and anxiety levels in those adopted domestically versus those adopted internationally and to determine if age at adoption for those internationally adopted is associated with levels of anxiety and depression. The three research questions are is there a difference in anxiety and depression levels in those internationally versus domestically adopted, is there a difference in age at adoption between …

Exploring The Barriers Colleges Face Implementing Positive Psychology Interventions To Reduce Depression, Anxiety, Or Stress In College Students, Margaret U. Williams

Doctoral Dissertations and Projects

The purpose of this qualitative collective case study was to understand the barriers that colleges face implementing positive psychology interventions (PPIs) to reduce depression, anxiety, or stress (DAS) in college students. The problem was the lack of utilizing PPIs to reduce DAS in college students, despite increased reports of symptoms among this population. Several research studies have supported the use of PPIs to reduce. DAS in college students. However, no prior research was identified regarding barriers to initiating these interventions. The three research questions that guided this study were fueled by previous empirical studies that revealed three barriers to implementing …

Long Term Impact Of Covid 19 On Psychiatric Health And Quality Of Life In Recovered Patients, Preetika Baghel, Pradeep Kumar P C, Kishor M

International Journal of Health and Allied Sciences

Background: Covid-19 has a devastating impact on different dimensions of life, including health. Recent studies have highlighted the effects of prolonged Covid-19 symptoms on mental health.

Aim: This study aims to 1) assess psychiatric illness among individuals previously diagnosed with COVID-19 infection and treated on an inpatient basis, and 2) evaluate the quality of life of individuals with and without psychiatric illness.

Method: This hospital-based cross-sectional study was conducted at a tertiary care general hospital in South India and involved 200 patients with COVID-19 infection who received treatment through an inpatient facility. The study utilized a sociodemographic …

Evaluating The Accuracy And Concordance Of The Dmind Ai Application With A Renowned Depression Assessment Tool In Thai Adults, Solaphat Hemrungrojn, Kittipoch Saengsai, Pasit Jakkrawankul, Chanyanart Kiattiporn-Opas, Kantapat Chaichareenon, Arisara Amrapala, Kulvara Lapanan, Titipat Achakulvisut, Peerapol Vateekul, Natawut Nupairoj, Phanupong Phutrakool, Rapinpat Yodlorchai, Narin Hiransuthikul, Sarunya Hengprapom

Chulalongkorn Medical Journal

Background: In Thailand, the high prevalence of depression, particularly in rural areas with limited mental health services, poses significant challenges. Advanced technologies like digital phenotyping and artificial intelligence (AI), particularly Natural Language Processing (NLP) and Large Language Models (LLMs), offer promising solutions by analyzing digital data to detect early signs of depression.

Objective: This study evaluated the performance of the “Detection and Monitoring Intelligence Network of Depression (DMIND)” application, an AI-powered screening tool for detecting depression in Thai adults that analyzes behavioral data from participant responses using machine learning algorithms, such as NLP models and LLMs. The study aimed to …

Identifying Adolescent Depression In The Public School System, Laura Lee Griffith

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Twenty percent of United States adolescents experience major depression at some point. Elevated school dropout rates, substance abuse, chronic disease, mortality and morbidity rates, and impaired growth remain because 60 % of adolescents with unidentified depression do not receive treatment. Purpose: This evidence-based project identified adolescents aged 16-19 in a South Carolina high school who had symptoms of depression. Counseling and resource information were provided for students with scores of 10 or greater, or thoughts of self-harm on the PHQ-9. Method: Students were screened using the PHQ-9. Data was organized in Excel and analyzed using the T-tests and …

Depression In Individuals With Chronic Liver Disease: Improving Screening In The Outpatient Setting, Kayla Corine Wright

Doctor of Nursing Practice Scholarly Projects

Problem Statement: Individuals with chronic conditions such as chronic liver disease experience higher rates of depression, often underdiagnosed and placing high risk demographics in jeopardy of adverse outcomes, including worsening prognosis, decreased quality of life, and increased symptomatology.

Purpose: Evidence advocates for routine depression screening within high-risk patient populations. This paper outlines the implementation of a quality improvement initiative aimed at enhancing depression screening at a selected outpatient liver clinic within an extensive hospital system by implementing the PHQ-9 questionnaire during patient clinic visits, where no standardized screening protocol was previously in place.

Methods: The Plan-Do-Study-Act cycle guided the implementation …

Voices From The Classroom: A Qualitative Study Of Teachers' Perspectives On Student Depression, Naomi Brinton, Jacqlyn Zarabba, Linda Mcwhorter, Linda Knauss

Journal of Human Services: Training, Research, and Practice

Rising levels of depression among adolescents is an important issue to teachers and school administrators, as teenagers spend the majority of their time in the school environment. By analyzing individual interviews with 15 public high school teachers using a modified grounded theory approach, this qualitative study examines the role high school teachers might play in identifying and referring students who exhibit signs and symptoms of depression. Results provide guidance for high school teachers in connecting students with appropriate services and identifying common barriers and facilitating factors in this process. Specific recommendations are outlined to help aid schools in the identification …

Mitochondrial Function In The Maternal Brain: A New Perspective On Gestational Stress And Pathology Of Postpartum Depression, Erin Rene Gorman-Sandler

Theses and Dissertations

Postpartum depression (PPD) is a major psychiatric complication of childbirth, affecting up to 20% of mothers, yet remains understudied. Mitochondria, dynamic organelles crucial for cell homeostasis and energy production, share links with many of the proposed mechanisms underlying PPD pathology. Brain mitochondrial function is affected by stress, a major risk factor for development of PPD, and is linked to avoidance and social behaviors. Considering the importance of mitochondria in regulating brain function and behavior, we hypothesized that mitochondrial dysfunction is associated with behavioral alterations in a chronic stress-induced rat model of PPD. Chronic mild unpredictable (CMUS) stress during late gestation …

Lps-Induced Whole-Blood Cytokine Production And Depressive Symptoms In Dementia Spousal Caregivers: The Moderating Effect Of Childhood Trauma, Daniel L Argueta, Kelly N Brice, E Lydia Wu-Chung, Michelle A Chen, Vincent D Lai, Jensine Paoletti-Hatcher, Bryan T Denny, Charles Green, Luis D Medina, Paul Schulz, Jennifer Stinson, Cobi Heijnen, Christopher P Fagundes

Faculty, Staff and Student Publications

Dementia spousal caregivers are at risk for adverse mental and physical health outcomes. Caregiver burden, anticipatory grief, and proinflammatory cytokine production may contribute to depressive symptoms among caregivers. People who report childhood trauma are more likely to have exaggerated stress responses that may also contribute to depressive symptoms in adulthood. This study aimed to test whether the relationship between whole-blood cytokine production and depressive symptoms is strongest in caregivers who report high levels of childhood trauma.

Methods: A sample of 103 dementia spousal caregivers provided self-report data on demographics, health information, caregiver burden, anticipatory grief, and depressive symptoms. We also …