Digital Commons Network^™

School Counselors’ Experiences With Transitioning Military-Dependent Students, Diane K. Jackson

Doctoral Dissertations and Projects

This phenomenological study examined Asia-Pacific military school counselors’ lived social-emotional experiences. The study aimed to provide a qualitative transcendental phenomenological perspective of Asia-Pacific school counselors. Furthermore, this study focused on the counselors’ reported lived experiences with military-dependent students newly transitioned from the United States to Asia-Pacific. This study investigated a phenomenon to understand human experience and how the events are perceived and experienced by school counselors in the phenomena. The theoretical framework was informed by the invitational theory, Bronfenbrenner’s theory, and the contextual model of family stress. Three research questions were answered: (a) What are the lived experiences of Asia-Pacific …

Examining The Role Of Executive Functioning In Self-Care Of Type 1 Diabetes Among Youth, Erin Vogel

Doctor of Psychology (PsyD)

This study explores the relationships between youth executive functioning, symptoms of depression, the self-management (self-care) of Type 1 diabetes (T1D), and glycemic control, a proxy for diabetes-related health outcomes. Utilizing archival clinical data from a universityaffiliated pediatric diabetes clinic, the study tested a priori hypothesized associations between depressive symptoms, executive functioning, diabetes self-care, and health outcomes. Parent and youth measures included the Patient Health Questionnaire-9 to assess youth depression, the Diabetes Related Executive Functioning Scale-Short Form to assess youth executive functioning, and the Diabetes Self-Management Profile-Short Form to assess youth diabetes-related self-care behaviors. Hemoglobin A1c (HbA1c) assays were a secondary …

Task-Rest Reconfiguration Efficiency Of The Reward Network Across Adolescence And Its Association With Early Life Stress And Depressive Symptoms, Yoonji Lee, Justin P. Yuan, Anderson M. Winkler, Katharina Kircanski, Daniel Samuel Pine, Ian H. Gotlib

School of Medicine Publications

Objective

Adolescents face significant changes in many domains of their daily lives that require them to flexibly adapt to changing environmental demands. To shift efficiently among various goals, adolescents must reconfigure their brains, disengaging from previous tasks and engaging in new activities.

Method

To examine this reconfiguration, we obtained resting-state and task-based fMRI scans in a community sample of 164 adolescents. We assessed the similarity of functional connectivity (FC) of the reward network between resting state and a reward processing state, indexing the degree of reward network reconfiguration required to meet task demands. Given research documenting relations among reward network …

Covid-19-Related Risk, Resilience, And Mental Health Among Mexican American Mothers Across The First Year Of The Pandemic, Amy L. Non, Elizabeth S. Clausing, Sandraluz Lara-Cinisomo, Kimberly D'Anna-Hernandez

Psychology Faculty Research and Publications

Background

Latina mothers have been especially affected by the pandemic and historically exhibit high rates of depression and anxiety. However, few longitudinal studies have assessed the effect of the pandemic on this vulnerable population. We hypothesized that COVID-19-related stressors would associate with psychological distress among Latina mothers across the first year of the pandemic.

Methods

We investigated COVID-19-related impact, stigma, and fears across two critical time points and changes in these measures in relation to changes in maternal anxiety and depression among mothers of Mexican descent living in Southern California (n=152). Surveys were administered within 5–16 weeks of …

Cultural Consensus Modeling To Identify Culturally Relevant Reasons For And Against Suicide Among Black Adolescents, Ryan M Hill, Danielle Busby, Jennifer L Brown, Eric Sumlin, Estefania Fernandez, Carla Sharp

Faculty, Staff and Student Publications

Introduction: The development of evidence-based treatments relies on accurate theoretical frameworks sensitive to the lived realities of the populations from which they are derived. Yet, the perspectives of Black youth are vastly underrepresented in extant theories of suicidal behavior. Cultural Consensus Modeling provides an evidence-based approach for developing a culturally informed understanding of suicide risk among Black youth.

Method: Participants were 50 Black adolescents (Mage = 16.20 years; 76.0% male) who completed Phase 1 of a Cultural Consensus Modeling study. Participants freely listed reasons for suicide and reasons for living among similar peer Black youth. Responses were synthesized and coded …

Exploring Reciprocal Links Between Early Adolescent Coping And Internalizing Symptoms, Caitlyn Mytelka, Sarah C Narendorf, Elizabeth Baumler, Chiara Acquati, Jeff R Temple

Faculty, Staff and Student Publications

Introduction: The rising prevalence of depression and anxiety among adolescents is a public health concern. Early adolescence is a key developmental period to reduce risks for internalizing symptoms through primary prevention programs, yet additional research is needed on modifiable factors, such as coping skills, to target to mitigate risk factors. Therefore, we investigated the reciprocal link between coping style and internalizing symptoms among a racially/ethnically diverse sample of early adolescents (n = 1273) from 12 middle schools over 1 year.

Methods: We leveraged a longitudinal data set of a cluster, randomized trial of a preventive intervention from 12 middle schools …

Exploring Key Factors Influencing Depressive Symptoms Among Middle-Aged And Elderly Adult Population: A Machine Learning-Based Method, Ngoc Doan Thu Tran, Yi Zhen Tan, Sapphire Lin, Fang Zhao, Yee Sien Ng, Dong Ma, Jeonggil Ko, Rajesh Krishna Balan

Research Collection School Of Computing and Information Systems

Objective: This paper aims to investigate the key factors, including demographics, socioeconomics, physical wellbeing, lifestyle, daily activities and loneliness that can impact depressive symptoms in the middle-aged and elderly population using machine learning techniques. By identifying the most important predictors of depressive symptoms through the analysis, the findings can have important implications for early depression detection and intervention. Participants: For our cross-sectional study, we recruited a total of 976 volunteers, with a specific focus on individuals aged 50 and above. Each participant was requested to provide their demographic, socioeconomic information and undergo several physical health tests. Additionally, they were asked …

Trastornos Neurocognitivos, Depresión Y Factores Sociodemográficos En Habitantes De La Orinoquía-Amazonía De Colombia: Análisis Secundario Del Estudio Sabe [Neurocognitive Disorders, Depression, And Sociodemographic Factors In Residents Of The Orinoquia-Amazon Region Of Colombia: Secondary Analysis Of The Sabe Study], Maria Del Pilar Santacruz-Ortega, Bertha Lucia Avendaño-Prieto, Sonia Gisela Rios Cruz, Silvia Mejia-Arango

School of Medicine Publications

A partir de un análisis secundario de los datos derivados del estudio SABE Colombia 2015, con 1394 adultos de 60 años o más, se identificó el papel mediador de diferentes variables sociodemográficas y de calidad de vida en la relación entre depresión y trastornos cognoscitivos (leve y demencia) en el adulto mayor residente en la región de la Orinoquía-Amazonía de Colombia. Las asociaciones entre las variables de estudio (depresión y trastornos cognoscitivos) se establecieron con la prueba chi cuadrado, cuyo valor y significancia fueron χ² = 230.2 y p = .00. Los análisis de mediación se realizaron con el programa …

Clinical Characteristics Of Patients With Copd And Comorbid Depression And Anxiety: Data From A National Multicenter Cohort Study, Jing Gennie Wang, Sonali Bose, Janet T Holbrook, Lin Nan, Michelle N Eakin, Abebaw M Yohannes, Robert A Wise, Nicola A Hanania

Faculty, Staff and Students Publications

Background: Most studies on mental health among individuals with chronic obstructive pulmonary disease (COPD) utilize screening questionnaires, which detect psychiatric symptoms, but cannot be used to diagnose depression/anxiety disorders. We utilized the Mini-International Neuropsychiatric Interview (MINI) to identify depression/anxiety disorders meeting the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition diagnostic criteria and described associated disease burden in people with COPD.

Methods: This is a cross-sectional, secondary analysis of a multicenter study designed to evaluate anxiety questionnaires in COPD patients. Research coordinators administered both the MINI and screening questionnaires to determine participants who met diagnostic criteria for depression/anxiety …

A Linear Periodized Resistance Training Program Is Effective At Reducing Depressive Symptoms But Not Anxiety In Females: A Pilot, Jason Sawyer, Matthew Mcpherson, Meghan Reuter, Paul A. Cacolice

Biological and Biomedical Sciences Department Faculty Journal Articles

The purpose of this study was to determine whether a periodized resistance training program would influence self-reported depression and anxiety scores in college-aged females. Methods: Eight participants participated in a six-week periodized resistance training program. The participants completed a 3–5 repetition maximum (3–5 RM) for the sumo deadlift (SDL), bench press (BP), barbell back squat (BBS), and standing shoulder press (SSP). These data were used to estimate the 1 repetition maximum (1RM), which in turn was used to develop the periodization program. Following baseline testing, participants participated in two full-body workouts per week for six weeks. Each individual was retested …

Acceptance And Commitment Therapy With Huntington's Disease: A Narrative Review And Case Report Of A Caregiver-Assisted Intervention, Simone H. Schriger, Chelsi N. Nurse, C. Virginia O'Hayer

Department of Psychiatry and Human Behavior Faculty Papers

Acceptance and commitment therapy (ACT) is an experiential, action-oriented talk therapy that emphasizes acceptance of painful inner experience through increased psychological flexibility. In this narrative review and case report, we first review the extant literature on applications of ACT to patients with a variety of mental and physical health challenges, including neurodegenerative disorders, and their caregivers. We then discuss applications of ACT to Huntington's disease (HD). We provide a case report of a 52-year-old man living with HD who, accompanied by his caregiver, received a virtually-delivered 6-session ACT intervention. We measured the patient's self-reported symptoms of depression (PHQ-9) and anxiety …

Increased Depressive And Anxiety Symptoms Predict Increased Severity Of Functional Impairment After Five Years: A Nationally Representative Retrospective Cohort Study, Elisabeth C. Demarco, Samantha Zocher, Blake Miyamoto, Leslie Hinyard, Divya S. Subramaniam

Journal of Patient-Centered Research and Reviews

Purpose: Performing self-care and domestic life tasks are key aspects of functional independence for older adults. While both depression and anxiety symptoms are correlated with increased functional limitation, these disorders are often studied separately, despite frequent co-occurrence and plausible interaction, and without the consideration of social health. This study examined the impact of comorbid depressive and anxiety symptoms, controlling for social participation and loneliness, on severity of functional limitation in a nationally representative sample of older adults to improve patient-centered care.

Methods: The National Social Life, Health, and Aging Project (NSHAP) Rounds 2 and 3 data were utilized. Primary outcomes …

Infertility Stigma And Openness With Others Are Related To Depressive Symptoms And Meaning In Life In Men And Women Diagnosed With Infertility, Brennan Peterson, Orit Taubman‑Ben‑Ari, Bonnie Chiu, Douglas Brown, David A. Frederick

Psychology Faculty Articles and Research

Background

Stigma is the experience of feeling different from socially accepted norms which can lead to personal devaluation or fear of disapproval from others. For men and women experiencing infertility, stigma has been associated with psychological distress, feelings of otherness in relation to people with children, and selective disclosure with others about their infertility challenges. However, there are few studies which examine how infertility stigma and being open with others are related to depressive symptoms and meaning in life for men and women diagnosed with infertility.

Methods

Participants experiencing infertility were recruited for this cross-sectional study during November 2023-January 2024 …

Experience Of Psychologists In The Delivery Of Cognitive Behavioral Therapy In Treatment Of Depression And Anxiety In Jordan, Renad M. Shamaelh

An-Najah University Journal for Research - B (Humanities)

The article explored the experiences of psychologists in delivering Cognitive Behavioral Therapy (CBT) for the treatment of depression and anxiety in Jordan. To gain valuable insights into the challenges, strategies, and perspectives of practitioners in the field, the study employs a well-structured questionnaire to provide a comprehensive view of the CBT delivery process. The study involved a purposive sample of 30 licensed psychologists who have been practicing CBT for a minimum of three years and have experience in treating patients with depression and anxiety in Karak, Jordan. With the help of descriptive and inferential statistics, the study intended to contribute …

Mental Health Conditions Of Adults With Chronic Obstructive Pulmonary Disease And Comorbidities, Amanda M. Hinson-Enslin, Luis E. Espinoza, Jennifer L. Talleff

Journal of Social, Behavioral, and Health Sciences

Although the association is not well understood, people with COPD are likely to suffer from mental health issues such as depression and anxiety. Due to this occurrence, the aim of the present study is to better understand the mental health experience and COPD comorbidities of U.S. adults with a COPD diagnosis. The final sample comprised 1,676 U.S. adults who were surveyed in the 2019 National Health Interview Survey adult public file. Logistic and ordinal regression were used to calculate adjusted odds ratios for comorbid conditions predicting depression, anxiety, and the number of mental health issues, respectively. Depressive symptoms were more …

Exploring The Potential Of Large Language Models For Assisting With Mental Health Diagnostic Assessments: The Depression And Anxiety Case, Kaushik Roy, Harshul Surana, Darssan Eswaramoorthi, Yuxin Zi, Vedant Palit, Ritvik Garimella, Amit Sheth

Publications

Large language models (LLMs) are increasingly attracting the attention of healthcare professionals for their potential to assist in diagnostic assessments, which could alleviate the strain on the healthcare system caused by a high patient load and a shortage of providers. For LLMs to be effective in supporting diagnostic assessments, it is essential that they closely replicate the standard diagnostic procedures used by clinicians. In this paper, we specifically examine the diagnostic assessment processes described in the Patient Health Questionnaire-9 (PHQ-9) for major depressive disorder (MDD) and the Generalized Anxiety Disorder-7 (GAD-7) questionnaire for generalized anxiety disorder (GAD). We investigate various …

Validation Of The Distress Thermometer In A Mexican Population With Brain Tumors: A Diagnostic Accuracy Study, Dan Morgenstern-Kaplan, Sergio Moreno-Jiménez, Fernanda Páez-Plascencia, Angel Ruiz-Chow, Fabiola Flores-Vázquez

Archives of Neurosurgery

Objective: Mental health in cancer patients must be addressed. This study's main objective was to evaluate the sensitivity and specificity of the DT in a population of patients with brain tumors and determine the optimal cut-off point for the DT. Methods: We performed a cross-sectional study at the National Institute of Neurology and Neurosurgery in Mexico City, in a cohort of 110 patients. Results: Of the 108 participants with brain tumors that were included in the analysis (2 patients excluded by incomplete DT), 40 had gliomas, 31 had pituitary adenomas, 21 had meningiomas, and 16 had other types of tumors. …

Understanding How Seniors Deal With Grief And Loss, Jyah L. Morrell

CSU Tower Day

Grief affects people of all ages however, it can be a particularly complex emotion for seniors to deal with. Having healthy coping mechanisms is essential to learning to live with these complex emotions.

• The prevalence of prolonged grief may be as high as 20% in adults over the age of 65 years. (Melbourne Ageing Research Collaboration, n.d.)
• Depression in old age is associated with a variety of severe negative consequences (Schladitz et al., 2021).

This research aims to explore how seniors experience and manage grief as well as explore which factors and interventions allow seniors to healthily adjust to loss.

How Pentecostals Living In The United States Experience, Interpret, And Respond To Depression, Robert Mcbain

College of Theology and Ministry Dissertations, Projects, & Theses

The prevalence of depression in society underscores the need for awareness and support, particularly within Pentecostal communities, where depression remains underexplored. While studies suggest how the Christian context shapes depression, the literature lacks depth about the relationship between Pentecostalism and depression. This gap risks fostering misconceptions, marginalizing sufferers, and allowing dominant voices to impose stigmatizing interpretations that discourage external help and reinforce unrealistic norms. These repercussions emphasize the need to research the relationship between Pentecostalism and depression to address stigma, create supportive environments, and ensure that sufferers retain ownership of their mental health narratives. This dissertation contributes to this need …

Impact Of Physical Intimate Partner Violence Victimization On Jamaican Women’S Mental Health: The Moderating Effects Of Adverse Childhood Experiences, Kerry A. Lee, Sharon Rose Priestley, Kevin K. Hylton

Graduate School of Social Work and Social Research Faculty Research and Scholarship

Purpose: Few studies have examined the relationship between IPV victimization and mental health outcomes and the moderating role of ACEs in this relationship among Jamaican women. Using trauma theory to undergird this study, we examined the relationship between physical IPV victimization and depressive symptoms and anxiety while accounting for the moderating effects of ACEs on these relationships among Jamaican women.

Methods: Univariate and ordinary least squares regression (OLS) analyses were performed using data from the 2016 National Women’s Health Survey, a nationally representative sample of Jamaican women aged 15 to 64.

Results: Experience of physical IPV victimization was found …

Shadows Of Discrimination: Impacts Of Ambient Discrimination On Queer People In The United States, Kayla A. Dufour

Psychology | Senior Theses

People identifying as LGBTQIA2S+ in the United States experience victimization, direct discrimination, and violence at a rate of 2 to 4 times higher than their heterosexual counterparts (Bender & Lauritsen, 2021), leading to higher levels of psychological pain and suicidal ideation, with up to 50% of LGBTQIA2S+ people having suicidal thoughts in their lifetimes. Those who experience ambient discrimination, such as witnessing or being made aware of discriminatory behavior of someone other than oneself in your group, have higher levels of psychological pain, PTSD, and substance use (Peterson et al., 2019). The goal of the present study is to gain …

Do Symptoms Of Anxiety Or Depression Assessed By Mothers Or By Children Respond More Quickly To Cognitive Behavioral Therapy In Children And Adolescents, Tamara J. Ross

Theses and Dissertations

Anxiety and depression are the two most common internalizing disorders reported in children and adolescents. The comorbidity of the disorders often undermines efforts to effectively differentiate these disorders in terms of their response to therapy. In this research, we identified two symptoms that are specific to Generalized Anxiety Disorder (GAD) and three symptoms that are specific to Major Depressive Disorder (MDD) from the Youth Outcomes Questionnaire (YOQ) and created specific anxiety and depression “testlets” based on these symptoms.  We hypothesized that although the two types of symptoms would be correlated, that the GAD symptoms would respond more quickly to therapy …

A Cross Attention Approach To Diagnostic Explainability Using Clinical Practice Guidelines For Depression, Sumit Dalal, Deepa Tilwani, Manas Gaur, Sarika Jain, Valerie L. Shalin, Amit P. Sheth

Psychology Faculty Publications

The lack of explainability in using relevant clinical knowledge hinders the adoption of artificial intelligence-powered analysis of unstructured clinical dialogue. A wealth of relevant, untapped Mental Health (MH) data is available in online communities, providing the opportunity to address the explainability problem with substantial potential impact as a screening tool for both online and offline applications. Inspired by how clinicians rely on their expertise when interacting with patients, we leverage relevant clinical knowledge to classify and explain depression-related data, reducing manual review time and engendering trust. We developed a method to enhance attention in contemporary transformer models and generate explanations …

Perceived Stress, Psychological Wellbeing, And Sleep Quality Of Passport Control Officers, Roudha Abdulla Almazrouei

Theses

Research on the stress experienced by officers has identified several key findings that illustrate the diverse nature of their workplace stressors. Research specifically addressing the stressors encountered by passport control officers is limited when compared to studies on other law enforcement roles. This study aims to assess stress levels among passport control officers, identify psychological health impacts, determine the intersection of personal and occupational stress, and investigate the effects of shift work on stress intensity and related psychological issues. A mixed methodology incorporating qualitative and quantitative was used. The sample included 166 participants with a job title of passport control …

Qi Project On Depression Screening Phq2 And Phq9 In Kingwood Im Clinic, Anam Zara, Sara Shahid, Anusha Putta

Gulf Coast Division GME Research Day 2025

No abstract provided.

Regionality In Heart Failure Self-Care Behaviors Using The Medical Expenditure Panel Survey, Gretchen K. Wendt

Nursing Dissertations - Archive

Heart failure (HF) risks increase as patients age, with most of the HF patients having at least one chronic condition and 40% having two or more. Further confounding the HF morbidity and chronic medical conditions are psychiatric conditions like depression and anxiety. For most Americans with HF, managing the diagnosis and chronic conditions can be overwhelming. To formalize the definitions of HF disease management, the concepts of self-care from the situation-specific theory of HF self-care (SST-HFSC) were applied.

The medical complexity of HF self-care during the pandemic was shown to vary based on the US region where the individual resided. …

Beyond The Surface: Lgbt+ Minority Stress & Social Safety, Violet Lewis

A with Honors Projects

Presentation about minority stress in the LGBT+ community surrounding the recent political climate and how we can use social safety to deter the impacts.

Prevalence Of Depression Among Type 2 Diabetes Mellitus Patients In Urban Mysuru – A Cross-Sectional Study, Jesymol Joy, Renuka M, Chiranjeevi G S

Digital Journal of Clinical Medicine

Background: Depression is a significant comorbidity among individuals with Type 2 Diabetes Mellitus (T2DM) adversely affecting disease management and overall quality of life. Diabetes and depression have a bidirectional relationship, where poorly managed diabetes increases the risk of depression, and depression exacerbates diabetes-related complications. Depression contributes to poor glycemic control, decreased adherence to treatment, increased risk of diabetes-related complications, and higher healthcare utilization.

Objectives: To determine the prevalence of depression and its associated factors among Type 2 Diabetes Mellitus patients in urban Mysuru.

Methods: A community-based cross-sectional study was conducted among 300 Type 2 Diabetes mellitus patients >18 years of …

Strategies To Enhance Gme Program Coordinator Job Satisfaction And Well-Being, Stuart Slavin, Julie Beckerdale, April L. Mcguire, Linda Ortiz Morrison, Melanie Pigott, Carrie L. Racsumberger, Evangelina Rangel, Bret Stevens, Ramona Tirado, Cynthia D. Thompson, Latoya Wright

Department Dermatology Faculty Publications

[Introduction] Program and institutional coordinators in graduate medical education (GME) have very complex jobs that are often highly pressured and demanding, requiring a diverse skill set to manage effectively. While these positions can be immensely gratifying, the demands and pressures inherent in the roles pose threats to job satisfaction as well as risks to mental health and well-being. A national survey of 6372 coordinators found that 20.4% reported being dissatisfied or very dissatisfied with work, and 27.9% reported being likely or very likely to leave their job in the next year. ¹ Of the coordinators surveyed 36.3% screened positive for …

Psychosocial Factors Affecting Quality Of Life In Kidney Transplant Recipients, Lawrence Panlilio

Nursing | Senior Theses

Background: Kidney transplantation is the best solution to save lives for those that have end-stage renal disease. However, psychosocial issues play a huge role in their quality of life after the procedure which can affect these individuals negatively. These issues recipients face include depression and anxiety, a lack of social support, and self management difficulties. Objective: This research consists of investigating psychosocial factors that affect kidney transplant recipients’ quality of life. Evidenced by research, focused assistance with ongoing support in patients is essential after receiving surgery and recovery. A literature review was conducted that consists of research on studies with …