Digital Commons Network^™

Accuracy Of Phq-9 Against Psychiatric Diagnosis For Depression Among People Living With Hiv: A Multicounty Cross-Sectional Study, Marcel Yotebieng, Natalia Zotova, Charlotte Bernard, Suzanne Goodrich, Rogers Awoh, Dana Watnick, Dominique Nsonde, Elodie Moungang, Julie Noumedem, Lukoye Atwoli

Internal Medicine, East Africa

Objective: The aim of this study was to assess the performance of the 9-item Patient Health questionnaire (PHQ-9) against psychiatrist diagnosis in PLWH.

Design: Cross-sectional analysis of data collected between January 2018 and July 2022 across five sites in Cameroon, Cote d’Ivoire, Kenya, Senegal, and the Republic of Congo. Participants were ≥18 years and receiving HIV care at the participating site. PHQ-9 was administered by study staff followed by a psychiatrist’s evaluation within 3 days.

Results: Overall, 778 participants with complete data were included: 297 (38.2%) in Cameroon, 132 (17.0%) in Congo, 148 (19.0%) in Cote d’Ivoire, …

Migraine Headache In Patients With Spontaneous Coronary Artery Dissection: A Report Of The Iscad Registry, Bryan J Wells, Kathryn Lindley, Et Al.

2020-Current year OA Pubs

INTRODUCTION: Spontaneous coronary artery dissection (SCAD) is a nonatherosclerotic cause of myocardial infarction. Migraine headache has been reported to be common among patients with SCAD, but the degree of migraine-related disability has not been quantified.

METHODS: Clinical data and headache variables were obtained from the baseline assessment of the prospective, multicenter iSCAD Registry. Migraine-related disability was quantified using the self-reported Migraine Disability Assessment (MIDAS). Demographic, clinical, psychosocial, and medical characteristics from data entry forms were compared between patients with and without migraine.

RESULTS: Of the 773 patients with available data, 46% reported previous or current migraines. Those with migraines were …

Depressive Symptoms And Substance Use Behaviors Among Young Adults Before And During Covid-19, Sarah Chun

Clinical Psychology Dissertations

Exposure to previous public health disasters have been found to have a significant negative impact on young adult mental health. Thus, it is important to examine the effect that COVID-19 had on young adult mental health. The current study examined differences in depressive symptoms as well as frequency and impairment of substance use in two cross-sectional samples of undergraduate students, one before COVID-19 and one during COVID-19. This study also examined the moderating effects of religiosity on the association between COVID-19 status and both depressive symptoms and substance use behaviors. Participants were 898 young adults (M_age = 19.83, …

Emotional Regulation On Modulating Associations Between Depression And Physical Activity As Characterized Via Deep Learning, Franklin Ye Ruan

Computer Science Senior Theses

Emotional regulation and physical activity are known to be associated with depression; however, a deeper understanding of how emotional regulation may strengthen or weaken the bonds between depressive symptoms and physical activity may aid clinicians and researchers in developing cognitive behavioral therapy (CBT) for those adversely affected by depression. As part of the Tracking Depression Study, this analysis uses data collected from 306 participants diagnosed with Major Depressive Disorder. To study their behavior, we analyze actigraphy data, or longitudinal physical activity intensity data, as it relates to depression severity, quantified by the daily PHQ-9 questionnaires. We study these associations through …

The Experiences Of Stigma Amongst Practicing Music Therapists Living With Depression And/Or Anxiety: An Exploratory Qualitative Study, Hally Batterman

Theses & Dissertations

This study explored the experiences of stigma amongst practicing music therapists living with depression and/or anxiety. Three study participants were selected from social media groups through purposive sampling. Participants were board-certified music therapists (MT-BC's) living in the United States. They all had been practicing as full-time music therapists for at least 5 years and had depression and/or anxiety for a minimum of 2 years during practice as an MT-BC. Qualitative data sources included in-depth interviews with participants conducted over Zoom. The results of the study suggest that music therapists' experiences of stigma for their mental illness (MI) had a negative …

Increasing Patient Access To Mental Health Providers: Improving Depression And Anxiety Outcomes For African American Women Aged 18 Years Old And Older, Twanna Davis-Arnold, Farnaz Trasandes

Doctor of Nursing Practice Final Manuscripts

Increasing patient access to mental health providers: Improving depression and anxiety outcomes for African American women aged 18 years old and older.

Background: Depression and anxiety are growing health problems in the United States. In 2020/2021, there was a 36.4% to 41.5% increase in reported symptoms of depression and anxiety. Evidence has shown that African American women experience disproportionate increased risks and disparities in obtaining mental health care.

Purpose of Project: To improve access to African American or culturally competent mental health providers for adult African American women. Improving access to mental health care will lead to earlier diagnosis …

Mental Health Help-Seeking Experiences Of African American Men Battling Depression, Shanard C. Clemons

Doctoral Dissertations and Projects

The purpose of this phenomenological research study was to examine the personal, social, and cultural barriers that prohibit African American men from seeking psychological treatment for their depression or depressive symptoms. I implemented a methodology that was based on the theoretical framework of Andersen’s Behavior for Health Services. This theoretical approach was utilized to gain a more in-depth understanding of the health care utilization amongst African American men and their accessibility to resources based on their barriers faces, as well as to identify the elements that may influence their help-seeking behaviors. This research study strived to analyze the lived help-seeking …

Spiritual Disciplines And Mental Resiliency: The Effectiveness Of Spiritual Coping Mechanisms To Decrease Anxiety And Depression Symptoms, Alysa Lynn Vanderweerd

Doctoral Dissertations and Projects

The outcome of anxiety and depression’s symptomology is an ever-rising global economy cost of 1 trillion U.S. dollars, due to medical costs and loss of productivity, leading researchers and clinicians to search for effective cost saving solutions (Chodavadia et al., 2023). Religion/Spirituality (RS) based cognitive therapy treatments are recognized in alleviating maladaptive behaviors and cognitive distortions, offering comfort to the afflicted, hope and belief that God is available for the seeker (Ramos et al., 2018). Therefore, the researcher conducted an internet-based, self-paced intervention of a mixed methods study of a 40-Day Biblical Worldview Educational Treatment Program of a convenience sample …

The Therapeutic Use Of Heavy Music: Challenging Stigmas And Uncovering Interventions, Lenny Schwartz

Expressive Therapies Capstone Theses

The present review of literature aims to explore the therapeutic use of heavier forms of music including heavy metal, metalcore, and hardcore punk in a music therapy context to decrease mental health symptomology. Mental health symptomology explored within this review includes anxiety, depression, post-traumatic stress disorder (PTSD), and traumatic brain injury (TBI) among others. Most literature reviewed revealed institutional and individual stigmatization of heavy music genres; all literature reviewed served to challenge these stigmas. Even researchers who purported a negative bias towards both the general listening and playing of heavy music and the use of heavy music in clinical music …

Exploring The Literature On Art Therapy Interventions In Mitigating The Negative Effects Of Loneliness In College Students, Molly Hoekman

Expressive Therapies Capstone Theses

Experiences of loneliness and social isolation among college students pose a concern for emerging adults’ mental and physical health, as well as greater impacts on university systems across the country. While social isolation and loneliness are subjective experiences, there are a range of factors rooted in developmental psychology and sociocultural theory that influence the rising rates and acuity of loneliness. Attachment theorists posit that secure attachment early in life can impact how individuals make lasting interpersonal connections long after their childhood. Secure and insecure attachment styles combined with the dramatic transition to college for a young adult are influencing factors …

From Boys To Non-Toxic Men: An Intervention Using Expressive Arts Therapy To Foster Healthy Masculinity In Adult Men, Jennifer Liff

Expressive Therapies Capstone Theses

“Toxic masculinity” is a rigid form of masculine expression in the United States and other Western countries that espouses traditional norms of expression such as stoicism, power over others, control, aggression, and subjugation of women. Research has shown that it is detrimental to men’s mental health, and strict adherence to it is associated with higher rates of loneliness, depression, suicidal ideation, and violence. Earlier theories that have addressed toxic masculinity, such as the gender role strain paradigm, have taken a more pathological lens. However, the positive psychology/positive masculinity theory and relational cultural theory—contemporary theoretical frameworks that focus on healthy masculinity—show …

The Use Of Music Therapy With Non-English Speaking Older Adults, Yeeun Lee

Expressive Therapies Capstone Theses

This study explores the unique challenges associated with language barriers and cultural adaptation by immigrant older adult populations, especially non-English speaking individuals aged 65 and older, in English-speaking environment, and explores what music means as a communication tool beyond cultural and language barriers. The researcher addresses three big topics which include the challenges faced by non-English speaking older adults, the role of music therapy in addressing language barriers, and music therapy with non-English speaking older adults. The researcher sought to answer the following question: What does the academic scholarship on music therapy as a form of nonverbal expression say about …

Barriers To Mental Health Treatment Among U.S. Army Aviation Personnel, Aric James Raus

Doctoral Dissertations and Projects

Safe and effective Army aviation operations require a clear focus from all involved. Yet, after more than two decades of U.S. combat aviation operations, little is known about the barriers experienced by aviators when considering mental health evaluation and treatment. An extensive literature review found no published studies examining mental health treatment hesitance among Army Aviation personnel or the perceived acceptability of self-help treatment options. This study identifies the relationships between age, gender, and aviation career specialty on the self-disclosed instrumental, attitudinal, and stigma-based barriers to care among U.S. Army aviation personnel. Additionally, the research determines relationships between the population’s …

The Effects Of Online Learning On Mental Health During A Pandemic, Christina J. Mcrae

Doctoral Dissertations and Projects

This study investigated the effects of online learning on mental health. The focus included six aspects: academic performance, physical activity, social isolation, food insecurity and other stressors, pros and cons, and religion and mental health. Each aspect included advantages and disadvantages that adolescent students experienced. The study included 6th - 12th graders attending a Charter school. The eligibility requirement was that participants participated in online learning during the 2020-2021 school year. Academic performance data was obtained from the school office for students who attended the school during online learning and requested from parents if they attended other schools. Both positive …

Childhood Trauma And The Impact On Education, Lakisha Yvetta Davis

Doctoral Dissertations and Projects

This research aims to evaluate the complex relationship between childhood trauma and mental health disorders of bipolar, anxiety, and depression and their impact on education. Childhood trauma and mental health disorders have been on the rise, creating the need to understand their impact on educational outcomes. Thus, the study's purpose is to comprehend the present gaps in comprehending how these elements, childhood trauma, and mental health disorders affect educational outcomes such as grades and attendance rates. Data from 1000 students between the ages of 12 to 18 years from New York City was utilized. The method of analysis used for …

Parkinson's Disease - Association With Anxiety, Depression, And Sleep Disorders, Isabella J. Boroje

Doctoral Dissertations and Projects

Parkinson’s disease (PD) is a progressive neurological disorder presenting with motor symptoms, such as tremors at rest, bradykinesia, rigidity, and gait instability, and non-motor symptoms, such as anxiety, depression, excessive daytime sleepiness (EDS), and REM Sleep Behavior Disorder (RBD). The purpose of this study was to examine the associations of anxiety, depression, and EDS scores with being Prodromal (PPD) - at risk of developing the disease (PPD), having been diagnosed with PD, or being a Healthy Control (HC) using a multinomial logistic regression model. Additional analysis examined RBD scores and their difference across PPD, PD, and HC cohorts. The study …

Distance Caregiving A Parent With Advanced Cancer, Polly M. Mazenec

Dissertations

Distance caregiving, which is the experience of providing instrumental and/or emotional support to an ill loved one who lives a long distance from the caregiver, is a recent caregiving phenomenon. Although much is known about caregiving a family member with cancer, there has been almost no research describing the experience of caregiving from a distance and intervention studies are non-existent. The purpose of this study was to investigate the effect of distance on caregiver reaction (benefit and burden) and to explore predictors of caregiver psychological well-being (depression, anxiety, and distress) in distance caregivers of parents with advanced cancer. A conceptual …

Evaluating Nurse Comfort Levels Assessing For Depression In An Urban Hospital Setting, Jonathan Shafer, Riley R. Clubb

Doctor of Nursing Practice Projects

Evidence shows that a fraction of nurses are uncomfortable assessing patients for depression. When depression assessments are uncomfortable for the clinician, there may be inconsistencies in practice which can negatively affect patient outcomes. An evidence-based survey was developed and distributed to nurses at an urban hospital in Missouri. The survey assessed nurse's confidence, frequency of assessment, and understanding in evaluating patients for depression. Seventy-three nurses took part in the confidential survey. Thirty percent of the participants reported that they sometimes ask about mood and twenty-one percent reported that they rarely ask about mood. Although results showed that nurses were not …

Assessing Cannabidiol As A Novel Therapeutic For Depression Among College Students, Noah Gustin

Masters Theses, 2020-current

The purpose of the current study was to assess the utility of cannabidiol (CBD) as a novel therapeutic for college students with mild-to-moderate depression. Participants completed a fourteen-week protocol: a four-week baseline, a four-week consumption phase, a two-week washout phase, and a second four-week consumption phase. Participants were randomly assigned to a CBD condition (150mg or 300mg). Study phases were counterbalanced such that if CBD was consumed in the first consumption phase, placebo was consumed in the second consumption phase, and vice versa. Participants completed weekly and monthly surveys used to assess depressive symptoms and secondary health-related measures. While graphical …

Risks Of Depression, Anxiety, And Suicide In Partners Of Men With Prostate Cancer: A National Cohort Study, Casey Crump, Pär Stattin, James D Brooks, Jan Sundquist, Alexis C Edwards, Kristina Sundquist, Weiva Sieh

Faculty, Staff and Student Publications

BACKGROUND: A diagnosis of prostate cancer (PC) may cause psychosocial distress not only in a man but also in his intimate partner. However, long-term risks of depression, anxiety, or suicide in partners of men with PC are largely unknown.

METHODS: A national cohort study was conducted of 121 530 partners of men diagnosed with PC during 1998-2017 and 1 093 304 population-based controls in Sweden. Major depression, anxiety disorder, and suicide death were ascertained through 2018. Cox regression was used to compute hazard ratios (HRs) while adjusting for sociodemographic factors.

RESULTS: Partners of men with high-risk PC had increased risks …

Dorm Reform: Enhancing Student Well-Being At Kennesaw State University Marietta Campus Through Innovative Design Strategies, Kayla Langston

Bachelor of Architecture Theses - 5th Year

In recent years, there has been a discernible deterioration in the mental well-being of college and university students, as evidenced by an increase in reported levels of anxiety, stress, and depression in these populations, as documented by the National College Health Assessment. This decline has been further exacerbated by the global COVID-19 pandemic, which has intensified feelings of isolation and disrupted traditional support systems. While conventional approaches to addressing these mental health challenges primarily involve counseling services, support groups, and student outreach initiatives, these strategies often overlook a fundamental aspect of students' overall well-being – the quality of their residential …

Improving Early Identification And Management Of Depression Symptomology Through Implementation Of Universal Depression Screening In A University Student Health Center, Jessica M. Monjaras

Evidence-Based Practice Project Reports

Depression is the leading cause of disability in the United States for individuals aged 15 to 44 (Anxiety and Depression Association of America, 2023). The purpose of this evidence-based practice (EBP) project was to increase early identification of depression through implementation of universal depression screening, and to implement management strategies to decrease symptoms of depression. A two-tiered approach to universal depression screening was utilized through use of the PHQ-2 and PHQ-9 screening tools. Ten young adult patients, between the ages of 18 to 25, from a university student health center clinic in Northwest Indiana participated in this project. Participants underwent …

Mindfulness, Music, & Art: Development Of A Mindfulness Based Expressive Arts Therapy Method For Adults In A Short-Term Psychiatric Hospital Setting, Annabelle Lord-Patey

Expressive Therapies Capstone Theses

Existing literature shows that mindfulness is a modality that promotes human mental wellbeing, as is the use of creative forms of expression such as art and music. There is some emerging evidence that these two modalities are particularly useful when used in conjunction with one another. Utilizing such methods has been found to have notable results in the context of clinical mental health counseling. This kind of research, while promising, remains to be relatively new and there is a significant need for more data to be collected on this topic. To further explore the use of these modalities in clinical …

Assessing The Link Between Stress, Anxiety, And Depression In College Students And Their Academic Major, Intersectionality, Support, And Demographics, Joisy A. Santa

Theses and Dissertations

The present study examined the relationship between academic major, intersectionality, support, and housing as predictors of stress, anxiety, and depression in college students. The subject population was Hunter College students. Results indicated differential effects of the predictor variables as a function of students’ financial situation, gender, race, and peer support.

Evaluating The Effectiveness Of A School-Based Cognitive Behavioral Youth Depression Prevention Program In Improving Life Satisfaction, Roshani Patel, Steven M. Brunwasser, Alissa Hochman

Rowan-Virtua Research Day

Depression is the leading cause of disability worldwide, known as the global burden of disease. Incident cases from 1990 to 2017 have increased by 49.86%. Additionally, rates have been seen to dramatically rise in adolescents aged 18-25 (17%) compared to rates in individuals aged 10-14 (1.1%). This makes it beneficial to have prevention programs for middle school aged children. The Penn Resiliency Program (PRP) is a youth depression prevention program focused on cultivating healthy thinking styles and behavioral coping skills. In our study, we used archival data from a randomized control trial of PRP to evaluate whether the program led …

The Correlation Of Consistent Exercise With Depressive Symptoms, John Gericke, Tara Pellegrino, Robert Steer

Rowan-Virtua Research Day

Background: Depression is a major health issue that affects an estimated 350 million people worldwide. Typically, depression is associated with individuals who follow a poor diet and are physically inactive. Exercise is one form of treatment for depression and has been shown to reduce the risk of depression and protect against the onset of depression. The PHQ-9 Depression Score is a tool used to screen individuals for depression on a scale from 0-27. The goal of this study is to identify a relationship between consistent exercise and depression symptoms.

Methods: An original Qualtrics survey was created to be distributed with …

The Impact Of Stress During Adolescence And The Prevalence Of Pediatric Obesity, Olatunbosun Olakunri, Venkat Venkataraman

Rowan-Virtua Research Day

Obesity is a chronic condition that can be attributed to myriad factors including socioeconomic status, biological risk factors, and various environmental factors. These factors can be considered stress factors, and exposure to various levels of stress can impact the development of stress within the pediatric patients. The purpose of this study is to assess the association between the environmental, mental, social, physical, and psychological stress adolescents are exposed to and how they contribute to the prevalence of pediatric obesity throughout the United States. Understanding these risk factors can help us as a community and most importantly as clinicians develop better …

The Efficacy Of Baricitinib As A Treatment Option For Alopecia, In Terms Of Promoting Hair Regrowth And Improving Patient Reported Outcomes, Bhaumik Patel, Abhiram Gollapudi, Samrat Gollapudi, Srinidhi Banala, Brian Joseph Mathew, Prince Patel

Rowan-Virtua Research Day

Background: Alopecia, an autoimmune condition characterized by hair loss, significantly impacts millions globally, often leading to psychological distress such as anxiety and depression. Current treatments are variably effective and frequently associated with adverse effects that restrict long-term use. This study evaluates the efficacy of Baricitinib, a Janus Kinase inhibitor, in treating severe alopecia, focusing on hair regrowth and patient-reported outcomes.

Methods: This research synthesized data from recent publications (2018-2023) including clinical trials, reviews, meta-analyses, and systematic reviews, sourced from databases such as PubMed, Springer, and Elsevier. The inclusion criteria focused on recent studies in English evaluating Baricitinib's effectiveness in severe …

Review Of Psychogenic Nonepileptic Seizures And Patient-Centered Approaches To Care, Rabeel Ahmad, Rebekah Dietrich, Munaza Khan

Rowan-Virtua Research Day

Psychogenic nonepileptic seizures (PNES) are defined as involuntary experiential and behavioral responses to internal or external stimuli. They are behaviors, not associated with pathological alterations in the physiology of the brain. Although some of them mimic syncope, they have historically been regarded to clinically resemble epileptic episodes.

There is a multiplicity of different names for this condition. PNES is the most widely used term, though the term "functional seizures" is increasingly used. Alternatives such as "psychogenic seizures," "dissociative seizures," "psychogenic nonepileptic attacks" (PNEA), and "nonepileptic seizures" are also used.

Utilization Of Depression Screening In Patients With Type 2 Diabetes Mellitus, John T. Norris Bsn, Rn, Dnp-Pmhnp Student, Robin Gordon Bsn, Rn, Dnp-Pmhnp Student, Margaret Harvey Phd, Aprn-Bc, Acnp, Chfn, Laura Reed Dnp, Fnp-Bc

Doctor of Nursing Practice Projects

Purpose/Background

Type 2 diabetes is a chronic metabolic disorder affecting millions of individuals worldwide. Research has shown that individuals with diabetes are at a higher risk of developing depression in comparison to those of the general population. Depression affects the individual's emotional well-being and has a significant impact on the management and outcomes of diabetes (Mather, 2022). This research study aims to investigate the feasibility and effectiveness of implementing the Patient Health Questionnaire-9 (PHQ-9). The PHQ-9 is one the most effective assessment tools available to identify symptoms of depression (Celik, 2020).

Methods

In this retrospective chart review, at least 50 …