Digital Commons Network^™

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 …

Social Media Addiction Affecting Mental Health Of College Women, Praneetha Rajkumar, Don D. Shamilov, David F. Lo

Rowan-Virtua Research Day

In our digital society, many teenagers and young adults use the many forms of social media, which are applications that enable users to create, share, and view content. Addiction to sites such as Instagram, TikTok, and Snapchat is a rising concern due to the impact it has on the mental health of young women, particularly those aged 18-25. Addiction can result in spending an unreasonable amount of time on social media, being overly preoccupied with social media content, or having day-to-day activities that revolve around social media usage. Different sources of data were reviewed to understand why mental health concerns …

Student Mental Health During And After The Coronavirus Pandemic, Olivia Harner

Masters Theses & Specialist Projects

The educational setting serves as an influential force when considering the impacts that school can have on student mental health. Following the onset of the coronavirus pandemic, research revealed negative effects on mental health for a variety of populations across the globe; however, comprehensive reviews about the effect that the pandemic had on the mental health of American K-12 students are limited. Consequently, the purpose of this specialist project is to evaluate the effects of the coronavirus pandemic on the mental health of American students in grades K-12 through a review of literature. Utilizing PRISMA procedures, 19 articles were selected …

Tailoring Treatment Approaches With Supplemental Screening: Homeostatic Model Assessment Of Insulin Resistance (Homa-Ir) In An Obese Population, Christine Ruvaclaba

Cohort XII

Background: This quality improvement project, conducted in the Texas-Mexico border region with high obesity rates, aimed to explore the utility of the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) as a screening tool for insulin resistance (IR) among overweight and obese individuals. The study focused on patients with a Body Mass Index (BMI) greater than 25 who exhibited normal blood sugar levels or Hemoglobin A1c (HbA1c) levels less than 5.7%.

Aim/Methods: The aim is to identify early intervention strategies for metabolic disorders, particularly in obese populations. Obesity is often the precursor to comorbid conditions such as diabetes and cardiovascular disease. …

The Effects Of Mediterranean Diet On The Epileptic Population With Depression, Celina Navarro

Cohort XII

Background: People with epilepsy often develop depression during the course of their disease progression. This condition is multifactorial, often related to the unpredictability of their disease, the lack of control on their symptoms, and the medications they use to treat their seizures. Mental health services continue to be insufficient for our growing border region, and patients with epilepsy, often will lack the proper mental health management due to mental health provider shortage. Multiple medications can be used to successfully treat depression in the general population, however people with epilepsy often will struggle as anti-seizure drugs can interact with antidepressants. Also, …

Improving Bipolar Diagnosis With The Rapid Mood Screener, Leslie Richard

Cohort XII

Background: Bipolar disorder is a chronic, debilitating mental illness that affects individuals globally. It is characterized by significant challenges in diagnosis, often leading to delays in receiving appropriate treatment. This condition can mirror the symptoms of unipolar depression, leading to frequent misdiagnoses and hindering timely intervention that could improve functional outcomes and quality of life.

Aims/Methods: This project aims to enhance the accuracy of bipolar disorder diagnoses in clinical settings, specifically bipolar disorder type 1 (BPT1), at the earliest possible stage of the illness. By doing so, it seeks to improve symptom management, reduce the duration of episodes, and enhance …

Bidirectional Relationships Between Use Of Popular Social Media Platforms And Anxiety, Depression, And Social Support, Olivia Dick

Masters Theses & Specialist Projects

The relationship between social media use and mental health outcomes among young populations has been a cause for increasing concern in research. However, the directionality of these relationships remains ambiguous due to existing literature being largely cross-sectional and having limited focus on individual platforms. This study aimed to explore the bidirectional relationship between social media use across prominent platforms and various mental healthrelated outcomes among young adults. A sample of 203 young adults, ages 18-29, completed baseline and 6-month follow-up assessments measuring social media use across Instagram, TikTok, and Snapchat, as well as measures of depression, anxiety, and perceived friend …

Impact Of Framing Depression On Illness Perceptions And Coping Strategies, Abby Mcginnis

Masters Theses & Specialist Projects

The current study aimed to adopt an experimental design used by Schroder et al. (2023) to investigate how framing of depression (as a disease vs a functional signal) impacts illness perceptions and coping strategies. Participants were given the Depression Anxiety and Stress Scale (DASS-42) to assess depression severity and prime participants for the framing condition. Each condition had five videos describing depression and the corresponding frameworks. Perceived control, timeline, and causes of depression were measured using the Illness Perception Questionnaire (IPQ-R). Participants were given the brief-COPE questionnaire to measure coping strategies, such as avoidant and problem-focused. There were no differences …

Association Between Depression And Coronary Heart Disease: A Cross-Sectional Study Using Behavioral Risk Factor Surveillance System (Brfss), 2022, Juliana Monono

Capstone Experience: Master of Public Health

Objectives: To examine the association of depression and coronary heart disease in U.S. adults.

Methods: This cross-sectional study uses the Behavioral Risk Factor Surveillance System (BRFSS), 2022 data for non-institutionalized U.S adults aged 18 and older. The exposure variable is depression, the outcome is coronary heart disease (CHD), and covariates are age, race, education, and physical activity. Performed univariate, bivariate, and multivariate analyses to assess the association between depression and CHD.

Results: The analytical sample size consisted of 427,217 individuals. A total of 88,841(20.7%) of the population reported having coronary heart disease, while 338,376(70.3%) reported having no …

Physical Activity And Depression: Nationwide Evaluation Of Depression And Physical Activity In South Korea, Kwang Jun Kim, Jin Soo Kim, Dong Hyun Yoon

Research outputs 2022 to 2026

Purpose: The relationship between depression and physical activity levels in adults in Korea was determined using data from the National Health and Nutrition Survey (K-NAESE). METHODS: Data collected from K-NAESE between 2014 and 2020, comprising 29,716 (male: 13,416, female: 16,300) participants, were analyzed using a complex sample statistical analysis by applying differential weight to the variables to analyze the relationship between depression and physical activity levels in an estimated South Korean population (50,881,242). Demographic factors were used as control variables while constructing an independent variable-by-variable fit model for the zero-inflated Poison Regression analysis of PHQ-9 depression scores, and a meaningfully …

Client Treatment Preferences In Psychedelic-Assisted Therapy For Depression In Participants With Depressive Symptoms, Alyssa B. Oliva

Legacy Theses & Dissertations (2009 - 2024)

Research on psychedelic-assisted therapy (PAT), a promising treatment option for major depression, has not revealed if potential clients show preferences about the demographic characteristics of providers comparable to those common in other forms of psychotherapy. Previous work suggests that honoring comparable client preferences can enhance therapeutic outcomes. This study aims to investigate the importance ratings for a same-gender and a same-race therapist in both cognitive behavioral therapy (CBT) and PAT.

Psychological Mediation Of Minority Stress And Health: Exploration Of Risk Factors In Lgbq College Students, Kyndal Grammer

Electronic Theses and Dissertations

Decades of research have documented pervasive physical and mental health disparities among individuals holding a marginalized identity, including those who identify as lesbian, gay, bisexual, or queer (LGBQ). Heterosexism in the forms of harassment, rejection, and discrimination likely increases minority stress, which is theorized to contribute to documented health disparities. One group that may be particularly vulnerable to effects of heterosexist discrimination, harassment, and rejection is LGBQ college students, especially those who identify as first-generation and were raised in rural environments. The current study aimed to evaluate relationships between LGBQ discrimination, depression, and physical health outcomes at the bivariate level, …

Depression And Anxiety: Investigating The Impacts Of Scheduling On The Mental Health Of Healthcare Workers During The Covid-19 Pandemic, Christofer Gonzaga

All Theses

Depression is a growing problem in the United States and has ballooned into a globally recognized mental health issue that affects shift workers in various fields (Lee et al., 2017). Rates of depression and anxiety have been shown to be substantially increasing and the COVID-19 pandemic amplified this prevalence of depression and anxiety. In the United States, the prevalence of depression symptoms was more than 3- fold higher during COVID-19 compared to before the pandemic (Ettman et al., 2020). The delivery of healthcare services is an ongoing and dynamic process, requiring clinicians to work in various shifts to ensure the …

Study Exploring Feelings Of Self-Blame And Shame Among Individuals Raised By Severely Mentally Ill Caregivers, Joanie Minion

Electronic Theses, Projects, and Dissertations

The focus of this quantitative research project is to explore feelings of self- blame and/or shame among people who were raised by a primary caregiver with severe mental illness. Examples of serious mental illness (SMI) that are used in this study are bipolar disorder, schizophrenia, and major depressive disorder (MDD) if psychotic symptoms are present, or it is treatment-resistant. Twenty-six adult participants were recruited via the researcher’s social media account and through others’ sharing the research project information. Demographic data and data regarding self-blame and shame as a child and as an adult and if they felt their family, friendships, …

Addressing Athletes Coexisting Conditions Of Autism And Depression: Participants Self-Report Decreased Feelings Of Depression Post Exercise, Joshua Sutton, Saundra Shillingstad, Jessica Baldwin

Theses/Capstones/Creative Projects

The goal of this study was to evaluate if exercise would decrease depressive symptoms of participants who reported having coexisting conditions of autism spectrum disorder (ASD) and depression. Research has reported that autistic people have increased rates of depression, in comparison to general populations (Unruh et al., 2020). The purpose of this research was to evaluate if exercise would decrease depressive symptoms of the Unified Fitness athlete participants who self-identified as having depressive symptoms and ASD. This research was conducted during the Fall 2023 semester as an extension of the class Kinesiology Practicum, using the University of Nebraska Omaha (UNO) …

Stimulate The Senses: How The Great Outdoors Affects Mental Health, Kayleigh Hite

University Honors College

Mental health disorders and illnesses are a majority concern in societies across the globe in our current age. This paper examines the impacts and the benefits of the outdoors in relation to mental health. Various aspects of the outdoors, such as connection, nature-based therapies, and specific elements, will be addressed to see what kind of an impact the outdoors can have. Studies on these aspects will be reviewed and compared to determine if it is hugely beneficial and worth trying before starting new medications with a long list of side effects for mental health disorders. The findings have shown that …

Cybervictimization And Depression: A Cultural Standpoint, Paige Heagy

University Honors College

The author’s aim was to investigate the relationship between cybervictimization and depression, as well as using peer attachment and culture as moderators by giving questionnaires to 1347 participants (age range = 11-15 years) from India and the United States. Through four questionnaires, adolescents reported their levels of endorsement in either individualism or collectivism culture, levels of cybervictimization, levels of depression/depressive symptoms, and their levels of peer attachment. Adolescents reported that there is a significantly positive correlation between cybervictimization and depression. Differences were found according to culture and peer attachment, as well. Cybervictimization has begun to erupt worldwide as internet usage …