Digital Commons Network^™

Postpartum Depression And Help‐Seeking Behaviors In Immigrant Hispanic Women, Lynn Clark Callister, Renea Beckstrand, Cheryl A. Corbett

Faculty Publications

Objectives: To describe perceptions of immigrant Hispanic women experiencing symptoms of postpartum depression (PPD) and to identify barriers to seeking mental health services.

Design: Qualitative descriptive.

Setting: Community health clinic.

Participants: Twenty immigrant Hispanic women scoring positive for symptoms of PPD receiving health care at a community health clinic who declined mental health services participated in audiotaped interviews held in their homes.

Methods: Following Institutional Review Board approval and informed consent, interviews were conducted with study participants. Transcribed data were analyzed as appropriate for qualitative inquiry.

Results: Some of the women did not recognize and/or denied their symptoms attributing their …

Relations Of Self-Criticism And Dependency To Depressive Symptomatology: Tests Of Blatt's And Greenberg And Watson's Theories, David B. Canose

Psychology Theses & Dissertations

Two competing sets of hypotheses about the relations of self-criticism and dependency to depressive symptomatology were tested. Blatt's theory (1974, 2004) states that self-criticism and dependency are separate and distinct personality traits that predispose individuals to depression. Hypotheses from Blatt's theory were that self-criticism and dependency each explain unique variance in depressive symptomatology beyond that explained by the other. In contrast, Greenberg and Watson (2006) theorize that dependency underlies self-criticism in predisposing individuals to depression. Hypotheses from Greenberg and Watson's theory were that self-criticism and dependency are both correlated with depressive symptomatology, that self-criticism is correlated with dependency, that self-criticism …

Efficacy Of A Referral And Physical Activity Program For Survivors Of Prostate Cancer [Engage]: Rationale And Design For A Cluster Randomised Controlled Trial., Patricia M. Livingston, Jo Salmon, Kerry S. Courneya, Cadeyrn J. Gaskin, Melinda Craike, Mari Botti, Suzanne Broadbent, Bridie Kent

School of Nursing and Midwifery

BACKGROUND: Despite evidence that physical activity improves the health and well-being of prostate cancer survivors, many men do not engage in sufficient levels of activity. The primary aim of this study (ENGAGE) is to determine the efficacy of a referral and physical activity program among survivors of prostate cancer, in terms of increasing participation in physical activity. Secondary aims are to determine the effects of the physical activity program on psychological well-being, quality of life and objective physical functioning. The influence of individual and environmental mediators on participation in physical activity will also be determined. METHODS/DESIGN: This study is a …

The Impact Of Depression And Health On Sexual Satisfaction For Older Couples, Victoria Celeste Scott

Theses and Dissertations

This study of 535 older married couples examined the relationship between depression and health and sexual satisfaction directly and when mediated by communication. The sample included 535 older couples who completed a survey questionnaire known as Project Couple Retire. Among the items in the questionnaire were measures of depression, health, perception of sexual intimacy, communication and other demographic information. Results from Structural Equation Modeling indicated that for women, health was a significant predictor of sexual satisfaction. For both genders, the results suggest that depression, when mediated by communication, is a predictor of sexual satisfaction among older couples.

An Open Trial Investigation Of Emotion Detectives: A Transdiagnostic Group Treatment For Children With Anxiety And Depression, Emily Laird Bilek

Open Access Theses

Anxiety and depressive disorders are prevalent among youth and are often experienced concurrently or sequentially during development (Kroes et al., 2001; Costello, Erklani, & Angold, 2006). These disorders are also associated with weaker cognitive behavioral treatment (CBT) outcomes when experienced simultaneously in youth (e.g. Berman, Weems, Silverman, & Kurtines, 2000). Treatment research has begun to investigate the feasibility and efficacy of treating comorbid emotional disorders using transdiagnostic treatment approaches (Barlow et al., 2010; Ehrenreich et al., 2008). Evidence from adult and adolescent populations indicates that these more broadly focused treatment programs may offer benefits above and beyond disorder- and domain-specific …

Successful Aging And The Epidemiology Of Hiv, David E. Vance, Teena Mcguinness, Karen Musgrove, Nancy Ann Orel, Pariya L. Fazeli

Gerontology Faculty Publications

By 2015, it is estimated that nearly half of those living with HIV in the US will be 50 years of age and older. This dramatic change in the demographics of this clinical population represents unique challenges for patients, health care providers, and society-at-large. Fortunately, because of highly active antiretroviral therapy (HAART) and healthy lifestyle choices, it is now possible for many infected with HIV to age successfully with this disease; however, this depends upon one’s definition of successful aging. It is proposed that successful aging is composed of eight factors: length of life, biological health, cognitive efficiency, mental health, …

A Longitudinal Investigation Of Peer Victimization, Self-Esteem, Depression, And Anxiety Among Adolescents: A Test Of Cognitive Diathesis-Stress Theory, Cixin Wang

College of Education and Human Sciences: Dissertations, Theses, and Student Research

This study examined the relationship between two types of peer victimization(overt and relational victimization), depressive symptoms, anxiety symptoms, and selfesteem over three time points. Participants were 1171 fifth, sixth, seventh, eighth, and ninth graders (623 females) recruited from four elementary schools, three middle schools, and two high schools in the Midwest. Students’ self-report on peer victimization, depressive symptoms, anxiety symptoms, and self-esteem was collected. Structural Equation Modeling was used to examine the relationship among those variables. The results showed that self-esteem mediated the relationship between two types of peer victimization and depressive symptoms. Self-esteem was found to mediate the relationship …

Habits And Lifestyles Of Successfully Aging Women In A Rural Area, Julia L. Sheffler

Honors Theses

Older adults in rural areas have unique challenges to maintain well-being.  The goal of this project was to examine those unique factors related to successful aging in a sample of older women living in a rural area in the Midwest using both quantitative and qualitative methods.  Mental and physical health, personality traits, cognitive abilities (i.e., working memory, vocabulary and attention), and activity levels were assessed.  A semi-structured interview using a life narrative approach was also used to explore habits, family relationships and lifestyles over the past 20 years.  The women were administered the following measures: 1) Big Five Factor Personality …

Predictors Of Elevated Depressive Symptoms In Pregnancy, Justine M. Kokoszka

Honors Scholar Theses

The purpose of this quantitative study was to examine factors that may place women at risk for developing depressive symptoms during pregnancy. It was part of a larger, randomized, double-blinded, placebo-controlled trial investigating the impact of docosahexaenoic acid

(DHA) in pregnancy as it relates to postpartum depression. Participants were women with a confirmed pregnancy(N= 45) who were administered the CES-D at two different times, 20-22 weeks gestation and 30-32 weeks gestation. Factors from a self-report of personal history were included in an analysis with the CES-D scores. A significant positive correlation was found between the first CES-D scores and body …

College Student Mental Health: The Relationship Between Depression And Emotional Intelligence Using The Student Relationships Assessment, Andre George Broquard

Graduate Theses and Dissertations

The purpose for conducting this study was to investigate the relationship between emotional relational intelligence (ERQ) and depression in college students. The significance of this study is based on the additional support that can be provided to students with increased information and understanding of emotional relational intelligence and depression. In an effort to help college students achieve their educational goals and aspirations, the researcher suggests that emotional relational intelligence can be beneficial. The relationship between depression and emotional relational intelligence may provide insight on how to support and care for college students who are struggling with depressive symptomology. The results …

Sedimentation Of Depression : An Exploration Of Depression Through Attachment Theory And Merleau-Ponty's Phenomenology Of Perception : A Project Based Upon An Independent Investigation, Senka Salatic-Ewing

Theses, Dissertations, and Projects

This theoretical study explores how attachment theory and Merleau-Ponty's phenomenology of perception could enrich our understanding of the phenomenon of depression. The study was undertaken as an effort towards clarification of how the psychodynamic training that I received could be more strength based and less pathologizing in my future work with those who suffer from chronic forms of depression. Each separate theory, attachment theory and phenomenology, focuses on the impact of relationships. Whereas, attachment theory primarily focuses on the early primary relationships with attachment figures, phenomenology explores the impact of all relationships in the person's environment. Who we are and …

Giving Up On Giving Up : Stories Of People Who Were Previously Suicidal : A Project Based Upon An Independent Investigation, Tricia Ann Fitzgerald

Theses, Dissertations, and Projects

This qualitative study explores the role of hope and spirituality in those lives of people who were previously suicidal. Eight formerly suicidal women were asked a series of questions regarding their suicidal ideation, their suicidal belief system, suicidal behavior, and their thoughts on the role of hope and spirituality in their lives. Participants' answers revealed the strength these women have. Major findings suggest that hope and spirituality play a huge role in helping people through desperate times. Almost all but one of the participants said that hope gave them the inspiration to carry on. The one person who said she …

A Search For Self, Kristine Greenizen

Theses

My thesis objective is to explore the development of one's self image and sense of identity in the absence of the traditional familial role models. Some of what I expect to address is the loss of my mother in my teens and the subsequent impact on my personal development, as well as my father's disapproval and disparagement of all but my academic successes prior to his first stroke, in my early teens. The work will consist of portrait paintings and drawings of myself and family members, plus figurative paintings and prints based on myself and live models. What I hope …

The Link Between Gender And Depression In Young Adults Providing Care For Older Family Members, Mark C. Gillen, Catherine Roland

Journal of Counselor Preparation and Supervision

This study focused on the level of depression in young adult caregivers (age 18-40) relative to gender, employment, health and relationships. Previous research found significant relationship between gender and depression. In this study, gender was found to be a contributing factor in depression among young adult caregivers; however, not a significant factor. This information may lead to broader ways of thinking about caregiving by counselors and individuals working with older adults.

Friendship And Problem Solving : The Effect Of Various Situations On Co-Rumination In Emerging Adulthood Friendships, Kelly Larsen

Honors Theses

Co-rumination is the act of negatively discussing problems with another person. The focus of co-rumination is generally on the negative aspects, or things that cannot be changed as opposed to active problem solving. Co-rumination is positively associated with positive friendship quality as well as internalizing symptoms such as anxiety and depression. Co-rumination is most commonly studied in children and adolescents, but the present study extends this research by looking at the undergraduate population. In addition the current study aims to find differences in co-rumination in response to four different hypothetical scenarios. One hundred and thirty one students at the University …

The Association Between Depressive Symptoms, Relationship Satisfaction, And Self- And Partner-Attributions, Amy Harrison Smith

Psychology Theses & Dissertations

Attributions of partners have been examined in the depressive symptom-relationship satisfaction literature, while attributions of self have not been adequately addressed. In the present study, attributions of self and partner were investigated as mediators of the association between depressive symptoms and relationship satisfaction. A student and community sample of 270 adults in heterosexual romantic relationships completed an online survey consisting of depressive symptom, relationship satisfaction, and relationship attribution inventories. Pearson's product-moment correlation and multiple regression analyses were utilized to assess meditational pathways. Depressive symptoms were significantly negatively correlated with relationship satisfaction. Self- and partner-attributions were significantly positively correlated with relationship …

Examining Associations Between Mothers' Early Adversity, Depression And Maternal Sensitivity, Rossana Bisceglia, Greg Moran, Jennifer Jenkins

Psychology Presentations

This study tested two models for the indirect influence of mothers’ early adversity on maternal sensitivity:

Model A:

• Mothers’ appraisal of infant temperament was hypothesized to mediate the influence of mothers’ early adversity and depression on maternal sensitivity
• There would be no direct influence of maternal depression

Model B:

• Mothers’ depression was hypothesized to have a direct influence on maternal sensitivity
• Mothers’ perception of infant temperament would not mediate the influence of maternal depression on maternal sensitivity

Improving Function In Age-Related Macular Degeneration: Design And Methods Of A Randomized Clinical Trial., Barry W Rovner, Robin J Casten, Mark T Hegel, Robert W Massof, Benjamin E Leiby, William S Tasman

Department of Psychiatry and Human Behavior Faculty Papers

Age-Related Macular Degeneration (AMD) is the leading cause of severe vision loss in older adults and impairs the ability to read, drive, and live independently and increases the risk for depression, falls, and earlier mortality. Although new medical treatments have improved AMD's prognosis, vision-related disability remains a major public health problem. Improving Function in AMD (IF-AMD) is a two-group randomized, parallel design, controlled clinical trial that compares the efficacy of Problem-Solving Therapy (PST) with Supportive Therapy (ST) (an attention control treatment) to improve vision function in 240 patients with AMD. PST and ST therapists deliver 6 one-hour respective treatment sessions …

Cognitive Triad As Mediator In The Hopelessness Model? : A Three-Wave Longitudinal Study., Patrick Pössel, S. Denise Thomas

Faculty and Staff Scholarship

Several authors proposed that all elements of Beck’s cognitive triad (1976) mediate the associations between inference style as described in the hopelessness model (Abramson, Alloy, & Metalsky, 1989) and depressive symptoms. Results of a 3-wave longitudinal study indicate only a partial mediation model with all elements of the cognitive triad being associated with all inference styles, with depressive symptoms fitting the data best. Controlling for direct and indirect effects, no individual element of the cognitive triad mediates the association between inference styles and depressive symptoms. The partial mediation model is not stable across sex or clinical vs subclinical samples. In …

Association Of Depression With Treatment Outcomes In Type 2 Diabetes Mellitus: A Cross-Sectional Study From Karachi, Pakistan, Saman I. Zuberi, Ehsan U. Syed, Junaid A. Bhatti

Section of Diabetes, Endocrinology and Metabolism

Background: To assess the associations of depression with glycemic control and compliance to self-care activities in adult Patients with Type 2 Diabetes Mellitus. Methods: This cross-sectional study was conducted at a tertiary-care hospital in Karachi (Aga Khan University Hospital). Equal numbers of depressed and non-depressed Patients were consecutively recruited from the diabetic clinic. Information on demographic and clinical characteristics was collected in face-to-face interviews and from medical records. Hospital Anxiety Depression Scale (HADS) was used to measure depression. Associations of depressed status (HADS >= 8) with poor glycemic control (Hemoglobin A1c level >= 7%) and compliance to self-care activities were …

Spiritual Well-Being And Quality Of Life Among Persons With Paraplegia, Darlene Nelson Finocchiaro Phd, Msn, Rn, Crrn

Dissertations

With the advent of better emergency response and medical advances, the life expectancy of persons with spinal cord injury (SCI) is about 85% to 90% compared to that of non-disabled persons. Since SCI survivors are living well into their 70s, quality of life (QOL) is a major concern. The purpose of this study, informed by Ferrell and Grant's Quality of Life Model, was to examine relationships between spiritual well-being (SWB), existential well-being (EWB), religious spiritual well-being (RWB), depression, length of injury, age, gender, ethnicity, and QOL while living with paraplegia one year and longer. A descriptive, correlational, cross-sectional design, with …

Depression And Anxiety In Patients With Epilepsy, With Or Without Other Chronic Disorders., A A Asadi-Pooya, M R Sperling

Department of Neurology Faculty Papers

BACKGROUND: Most people with epilepsy lead a normal emotional and cognitive life, however neurobehavioral problems can be found in a large number of patients. This study evaluates the prevalence of depression and anxiety among patients with epilepsy and determines whether having other chronic somatic illnesses increases the prevalence.

METHODS: Adults with epilepsy were recruited in either the inpatient epilepsy monitoring unit or the Outpatient Epilepsy Clinic at Thomas Jefferson University in 2006. Patients anonymously filled out a questionnaire, included data about age, sex, education, having other chronic illnesses, and degree of seizure control. The Hospital Anxiety and Depression scale was …

Estimating The Effects Of Immigration Status On Mental Health Care Utilizations In The United States, Jie Chen, Arturo Vargas-Bustamante

Publications and Research

Immigration status is a likely deterrent of mental health care utilization in the United States. Using the Medical Expenditure Panel Survey and National Health Interview survey from 2002 to 2006, multivariable logistic regressions were used to estimate the effects of immigration status on mental health care utilization among patients with depression or anxiety disorders. Multivariate regressions showed that immigrants were significantly less likely to take any prescription drugs, but not significantly less likely to have any physician visits compared to US-born citizens. Results also showed that improving immigrants’ health care access and health insurance coverage could potentially reduce disparities between …

Bidirectional Relations Of Religious Orientation And Depressive Symptoms In Adolescents : A Short-Term Longitudinal Study., Patrick Pössel, Nina C. Martin, Judy Garber, Aaron W. Banister, Natalie K. Pickering, Martin Hautzinger

Faculty and Staff Scholarship

Religious orientation can be divided into intrinsic and extrinsic: intrinsically oriented individuals “live their religion,” whereas extrinsically oriented individuals practice religion mainly to gain external benefits. In adults, depression has been found to correlate negatively with intrinsic religious orientation and positively with extrinsic orientation. Studies of the relation between religiosity and depression typically have not been longitudinal, conducted with adolescents, controlled for the influence of other factors associated with depression (i.e., negative cognitions), or examined the reverse relation of depression predicting religious orientation. Our four-month longitudinal study of 273 ninth-grade students addressed these issues. Results showed that higher intrinsic religious …

The Role Of Rumination In The Function, Content, And Affective Quality Of Self-Defining Memories, Mary Gover

Psychology Honors Papers

Rumination is a response to a negative mood that is characterized by an intense self focus, specifically on one’s negative feelings and the challenges or problems these feelings may pose (Nolen-Hoeksema, 1991). Numerous studies have stressed the maladaptive nature of this response style and several have begun to investigate its role in autobiographical memory recall (Lyubomirsky, Caldwell, & Nolen-Hoeksema, 1998; Lyubomirsky & Nolen-Hoeksema, 1995; Nolen-Hoeksema, Parker, & Larson, 1994). However, rumination research has yet to focus on self-defining memories which have an added relevance and importance to an individual (Singer & Blagov, 2004). The present study investigates rumination’s role in …

Types Of Prayer And Depressive Symptoms Among Cancer Patients: The Mediating Role Of Rumination And Social Support, John E. Perez, Amy Rex Smith, Rebecca L. Norris, Katia M. Canenguez, Elizabeth F. Tracey, Susan B. Decristofaro

Psychology

We examined the association between different types of prayer and depressive symptoms—with rumination and social support as potential mediators—in a sample of predominantly White, Christian, and female ambulatory cancer patients. In a cross-sectional design, 179 adult cancer outpatients completed measures of prayer, rumination, social support, depressive symptoms, and demographic variables. Type and stage of cancer were collected from electronic medical charts. Depressive symptoms were negatively correlated with adoration prayer (r = −.15), reception prayer (r = −.17), thanksgiving prayer (r = −.29), and prayer for the well-being of others (r = −.26). In the path analysis, …

Mild To Moderately Severe, J D. Valencia

Electronic Theses and Dissertations

Mild to Moderately Severe is an episodic memoir of a boy coming of age as a latch-key kid, living with a working single mother and partly raising himself, as a hearing impaired and depressed young adult, learning to navigate the culture with a strategy of faking it, as a nomad with seven mailing addresses before turning ten. It is an examination of accidental and cultivated loneliness, a narrative of a boy and later a man who is too adept at adapting to different environments, a reflection on relationships and popularity and a need for attention and love that clashes with …

Interpersonal Trauma, Posttraumatic Stress And Depression, Brennan J. Young

Electronic Theses and Dissertations

Dating aggression is common among emerging adults, and women who experience aggression from a dating partner are at risk for elevated depression and posttraumatic stress (Dutton et al., 2006). Although some women end their relationships as a result of aggression, other women remain committed to their partner, and aggression tends to escalate over time. The current study explored the role that depression and posttraumatic stress play in ending aggressive dating relationships as well as changes in these symptoms after ending such a relationship. The current study also sought to identify factors predictive of individual differences in emerging adults' commitment to …

Perceived Effectiveness Of Sports Interventions On Mental Health: Exploring The Perspectives Of Professional Educators, Isais Wellington Smith, Gamaliel Beltran

Theses Digitization Project

The purpose of this study was to examine sports interventions among professional educators and how sports as an exercise method can contribute to mental health well being. Sports and exercise in many therapeutic environments may help individuals alleviate symptoms pertaining to depression, anxiety, schizophrenia, bi-polar, and many other mental health disorders.

The Causal Role O F Attention Bias In Depressive Symptomatology, Rebecca Mcdermott

Digitized Theses

Cognitive theories of depression have, for years, postulated the causal role of

attentional biases in depression. The research that has investigated this relationship, however, has been entirely correlational. With the advent of cognitive bias modification techniques (Mathews & MacLeod, 2002) it is now possible to modify attentional bias experimentally. This study explored potential ethical implications o f negative attentional training and aimed to demonstrate that attentional biases are trainable and causally linked to changes in depression characteristics (self-esteem and dysfunctional attitudes). The first study

demonstrated that the results o f negative attentional training (using a modified dot- probe task) are …