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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 = …

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 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. …

Longitudinal Effects Of Depression And Sexual Dysfunction On Glycemic Control In Veterans With Diabetes, Adrian Laseter

Theses and Dissertations

Diabetes rates are on the rise, particularly among members of racial and ethnic minority groups. Individuals with diabetes are more vulnerable to developing depressive symptoms when compared to those without diabetes. While there appear to be no racial and ethnic differences in depression prevalence estimates among individuals with diabetes, members of racial and ethnic minority groups are less likely to achieve glycemic control over time, and may be at greater risk for diabetes related health issues. One such health issue is sexual dysfunction, with individuals with diabetes being more vulnerable to sexual dysfunction than those without diabetes. Sexual dysfunction may …

Emotion Regulation In Bipolar Disorder: Are Emotion Regulation Abilities Less Compromised In Euthymic Bipolar Disorder Than Unipolar Depressive Or Anxiety Disorders?, Rodrigo Becerra, Kate Cruise, Greg Murray, Darryl Bassett, Craig Harms, Alfred Allan, Sean Hood

Research outputs 2013

This study investigated the profile of emotion dysregulation in Bipolar Disorder (BD) and com- pared it to Unipolar Depression, Anxiety, and Heal- thy control groups. Methods: 148 euthymic patients diagnosed with BD (n = 48), Unipolar Depressive dis- order (n = 50), Anxiety disorder (n = 50), and a Healthy Control (HC) group (n = 48) were evaluated using the Difficulties in Emotion Regulation Scale (DERS). The DERS yields a total score in addition to scores on six subcomponents believed to encapsulate the emotion dysregulation construct. Results: Com- pared to the healthy control group, all clinical groups (BD, Unipolar Depression, …

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 …

Acculturative Stress And Depressive Symptoms Among Korean Immigrant Elders Residing In Non-Korean Ethnic Enclaves, Stephanie Lyu Rhee

Theses and Dissertations--Social Work

Few studies have examined the relationships among personal factors, acculturative stress, coping resources, and depression of Korean immigrant elders residing in areas without any Korean ethnic enclave. Based on the stress and coping model and the sociocultural model of stress, coping, and adaptation, this cross-sectional study examined the relationships among acculturative stress, coping, and depression in 111 non-institutionalized Korean immigrant elders aged 60 and older residing in areas without any Korean ethnic enclaves in three neighboring states of Southwestern Ohio, North Central Region of Kentucky, and Southern Indiana. A majority of convenience and snowball sample participated in self-administered mailed surveys, …

Risk Perception In Cardiovascular Disease, Michelle Ellen Block

Dissertations

Cardiovascular disease (CVD) remains among the leading causes of death in the United States despite widespread knowledge about risk factors as well as effective primary prevention strategies. Risk perception is a complex phenomenon that plays an important role in how persons view disease and ultimately how they make health behavior choices. This study is supported by the knowledge that few studies have examined how persons perceive cardiovascular risk or the variables thought to contribute to the formation of risk perception.

Purpose: The purpose of this study was to examine how accurately persons perceive personal risk for cardiovascular disease and identify …

Adolescent Depression Education Program For Middle School Nurses: A Feasibility Study, Teresa Carnevale

MUSC Theses and Dissertations

While healthcare providers have increased depression screening of adolescents during preventive care, an enormous number of adolescents do not have regular contact with healthcare providers and, therefore, do not get screened. Nationwide screenings by school nurses would be an ideal way to capture students not seen by healthcare providers; however, this screening is not required and therefore does not occur. The purpose of this dissertation is to describe the three-step process by which the feasibility of using school nurses to identify and screen for adolescent depression (AD) was explored. In a pre-dissertation study, school nurses reported they lacked knowledge, time, …

Prevalence And Factors Associated With Depression Among Patients With Epilepsy In A Kenyan Tertiary Care Hospital, Nduku Kiko

Master of Medicine in Internal Medicine

Aim: To determine the prevalence and factors associated with depression in patients with epilepsy at Aga Khan University Hospital Nairobi. Design: Cross-sectional Survey Background: Depression is a recognized common co-morbidity of epilepsy that often goes untreated and has great impact on quality of life of patients and management of patients with epilepsy. Patients and Setting: Patients with epilepsy on follow up at the Aga Khan University Hospital were evaluated for presence and factors associated with depression. Methodology: The study recruited eligible patients with epilepsy who were on follow up in the neurology clinic. Beck Depression Inventory was administered to evaluate …

Predictors Of Treatments Acceptable To Patients For Late-Life Depression, Gerald J. Jogerst, Shimin Zheng, Erik Vanderlip

ETSU Faculty Works

Objectives. Describe older patients’ perceptions about depression and characteristics associated with acceptance of treatments. Design. Cross-sectional study. Setting. Three primary care clinics in Iowa. Participants. Consecutive sample of 529 primary care patients. Measurements. Depression screening tool (a 9-item patient health questionnaire [PHQ-9]) and questionnaire including sociodemographic data, patient attitudes about depression, and acceptability of different treatments. Results. Mean age was 71.9 years (range 60–93 years), 314 (59%) female. Among the 529 participants, 93 (17.5%) had history of depression and 60 (11.3%) had PHQ-9 scores of 10 or greater. Participants believed depression is a disease for which they would use medication …

Predicting Depression And Help-Seeking Attitudes Among Latinos: Acculturation And Cultural Values, Natasha Suhail Najar

Master's Theses (2009 -)

The present study examined the influence of cultural variables in predicting depressive symptoms and attitudes towards seeking psychological help among Latino adults living in the U.S. Cultural values investigated include: acculturation, values of familismo (i.e., family support, family obligations, and family as referent), and mainstream cultural values (i.e., independence/self-reliance and competition/personal achievement). The current study examined data from 191 Latino participants in the Midwest. Results showed that the most significant risk factors predicting depressive symptomatology were low education level and lower income, while the most influential factors predicting positive attitudes toward seeking mental health services were older age and gender. …

The Baby Blues: Mothers' Experiences After Adoption, Brigette Barno Schupay

USF Tampa Graduate Theses and Dissertations

ABSTRACT

It is not uncommon for new mothers to experience depression. However, depression after the arrival of a child is not limited to biological mothers. The term Post-Adoption Depression Syndrome (PADS) was created to capture the unique type of depression that may occur after adopting a child. The nature and prevalence of depression after adoption is still largely unknown since there is little published research exploring the experiences of mothers in the first year after adopting a child. The characteristics of this disorder are reportedly comparable to postpartum depression in a biological mother. A review of postpartum literature reveals risk …

Race/Ethnicity, Subjective And Objective Sleep Quality, Physical And Psychological Symptoms In Breast Cancer Survivors, Pinky H. Budhrani

USF Tampa Graduate Theses and Dissertations

Breast cancer is a major health problem and comprises the largest population of cancer survivors in the United States, estimated at 2.9 million women, accounting for 22% of all cancer survivors (National Cancer Institute, 2013). The advances in breast cancer screening, diagnosis and treatment has increased the importance of survivorship needs. A major concern among breast cancer survivors (BCS) is sleep disturbances. This study used an innovative approach to examine ethnic and racial disparities in sleep disturbances present in BCS. In addition, this study also explored sleep disturbances across different races/ethnicities. This study was a secondary data analysis of baseline …

Relationship Between Dysphoric Moods, Risk-Taking Behaviors, And Toxoplasma Gondii Antibody Titers In Female Veterans, Allyson Radford Duffy

USF Tampa Graduate Theses and Dissertations

The number of female veterans is increasing daily. Previous research conducted on veterans has focused primarily on males or with small samples of females. Depression and suicidality are becoming increasingly evident in returning veterans. Toxoplasma gondii is an intracellular parasite that is common in the Middle East and has been reported to cause changes in personality and behavior.

The purpose of the current study was to examine relationships between T. gondii antibody titer and socioeconomic variables, dysphoric moods, and risk-taking behaviors in a sample of 70 female veterans. Blood samples were collected and analyzed for T. gondii antibody titer and …

The Strong Black Woman, Depression, And Emotional Eating, Michelle Renee Offutt

USF Tampa Graduate Theses and Dissertations

Abstract

Eighty percent of all black women are overweight or obese which can lead to greatly increased morbidity and mortality, increasing healthcare costs and loss of healthy years of life. While multiple factors may contribute to obesity in black women, the cultural persona of the Strong Black Woman (SBW), an ideology that promotes unflagging toughness and denial of self-needs, may be the basis for behaviors that contribute to steady state obesity in this group. The purpose of this study was to investigate the relationships between the SBW persona, depression, and emotional eating.

Two predominately black churches in Florida were approached …

Efficacy Of A Dissonance-Based Intervention For Self-Objectification: A Randomized Controlled Trial, Jessie Erin Menzel

USF Tampa Graduate Theses and Dissertations

Self-objectification is the process by which women take on a third-person perspective in evaluating their physical appearance and sexual attributes. Objectification theory states that self-objectification may lead to negative mental health outcomes in women; a growing body of cross-sectional and experimental research supports the connection between self-objectification and the experience of shame, disordered eating, depression, and sexual dysfunction. This study sought to evaluate an intervention designed to reduce self-objectification behaviors and beliefs in order to prevent the development of disordered eating, depression, and sexual dysfunction. An efficacious prevention program using cognitive dissonance induction was adapted to target self-objectification. The efficacy …

Does Laughter Therapy Improve Symptoms Of Depression Among The Elderly Population?, Audrey L. Shaw

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or
not laughter therapy improves symptoms of depression among the elderly population.

STUDY DESIGN: A review of three studies written in the English language published between 2007 and 2011.

DATA SOURCES: Two randomized controlled trials and one pilot study comparing the effect of laughter therapy on depression were found using PubMed, Medline, OVID, and Cochrane databases.

OUTOMES MEASURED: Outcomes measured in the studies included depression, quality of life, and life satisfaction.

RESULTS: Laughter therapy was shown to be beneficial as both an independent …

Is Hypnotherapy An Effective Treatment For Depression?, Simone Youssef

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this EBM paper is to determine whether or not hypnotherapy is an effective treatment for depression.

STUDY DESIGN: Review of two English language randomized controlled trials and one case study published in 2007, 2009, and 2010.

DATA SOURCES: Two randomized controlled trials and one case study reviewing the effectiveness of hypnotherapy on depression were found using PubMed, Medline, and CINAHL.

OUTCOMES MEASURED: Depression was measured through the Beck Depression Inventory (BDI- II), which is a 21-question multiple choice self-report inventory based on scores of 0-63, with higher scores signifying more severe depressive …

Evaluation Of Depression Screening Practices For College Women In A Primary Care University Health Clinic, Sarah E. Lester

DNP Projects

Mental disorders, including depression, are increasing in frequency and intensity in the college student population. College-aged women appear to be particularly vulnerable to depression. Primary care providers play an important role in addressing this issue, as they are the principal health care contacts for more than 50% of patients with mental illnesses. Guidelines from the 2009 United States Preventative Services Task Force recommend screening all adults (age 18+) for depression in primary care when depression care supports are in place. However, current screening rates for depression in the primary care setting from are estimated at only 1.6 to 3.3% (United …

Understanding The Relation Between Routines And Problem Behaviors In Children With Clinical Diagnoses, Mark Ryan Pennick

All ETDs from UAB

The current study investigated the impact of routines on problem behaviors in children with the clinical diagnoses of either PDD, ADHD, or depression/anxiety. Previous research has identified negative relations between externalizing behaviors and routines as well as a link between using routines and having positive parenting. The study extends these findings to children with these various diagnoses and also to internalizing symptoms. In our sample negative relations were found between routines, as measured by the Child Routines Inventory (CRI), and both internalizing and externalizing symptoms when all groups were examined together. Additionally routines were found to moderate the relation between …

Gene X Environment Effects Of Serotonin Transporter, Dopamine Receptor D4, And Monoamine Oxidase A Genes With Contextual And Parenting Risk Factors On Symptoms Of Oppositional Defiant Disorder, Anxiety, And Depression In A Community Sample Of 4-Year-Old Children, John V. Lavigne, Laura B.K. Herzing, Edwin H. Cook, Susan A. Lebailly, Karen R. Gouze, Joyce Hopkins, Fred B. Bryant

Psychology: Faculty Publications and Other Works

Genetic factors can play a role in the multiple level of analyses approach to understanding the development of child psychology. The present study examined gene-environment correlations and Gene x Environment interactions for polymorphisms of three target genes, the serotonin transporter gene, the D4 dopamine reactor gene, and the monoamine oxidase A gene in relation to symptoms of anxiety, depression, and oppositional behavior. Saliva samples were collected from 175 non-Hispanic White, 4-year-old children. Psychosocial risk factors included socioeconomic status, life stress, caretaker depression, parental support, hostility, and scaffolding skills. In comparison with the short forms (s/s, s/l) of the serotonin transporter …