Digital Commons Network^™

Investigating Post-Adoption Abandonment Of Mental Health Mobile Applications Among Young Adults, Donald Harris

Electronic Theses & Dissertations (2024 - present)

The rising prevalence of mental health issues among young adults has driven increased interest in Mental Health Mobile Applications (MHMAs), which offer accessible and cost-effective solutions to traditional barriers such as financial limitations, stigma, and restricted healthcare access. Despite their promise, MHMAs frequently experience high rates of attrition and abandonment, significantly limiting their long-term effectiveness. Employing a mixed-methods, multi-stage research design, this dissertation explores the determinants of MHMA abandonment among young adults, emphasizing the interplay between technological inhibitors and enablers, individual user characteristics, and the mediating roles of user satisfaction and perceived usefulness.

Study 1 utilized quantitative text analysis, including …

Differences In Mental Health Care Use Between Urban And Rural Populations In New York State, 2017-2022, Anna J. Papa

Electronic Theses & Dissertations (2024 - present)

Objective

This study aimed to determine whether rural New York State residents receive mental health care at the same rate as urban residents, how poverty rates in New York State relate to rurality and mental health care use, and how pre-pandemic mental health care use rates compare to 2022 use rates. The goal was not to estimate the burden of disease, nor to estimate the number of patients engaged in care in each zip code, but to highlight the potential differences in service use between urban and rural New York State Office of Mental Health clients.

Methods

A secondary analysis …

From Guns To Mental Health And Accountability: Decoding Media Narratives And Audience Reactions In Public Mass Shootings, Maurice Emelu, Brent Brossmann

2025 Faculty Bibliography

Public mass shootings pose a critical safety challenge in the U.S. This study investigates how media framing relates to public online engagement, focusing on gun regulation, mental health, and individual and political accountability across five major TV networks: ABC, CNN, Fox News, MSNBC, and NBC. Using a mixed-methods approach, the research analyzes 678 news reports and 7605 audience comments. Findings reveal significant differences in audience engagement based on framing, and in key variables show audiences taking opposite positions to their news network’s narratives. ABC, CNN, and NBC’s thematic framing, highlighting systemic failures, elicits more balanced responses, whereas Fox News and …

Young Adult Chronic Disease And Midlife Subjective Well-Being And Mental Health: Does Social Milestone Achievement Mediate The Link?, Hannah M. Lindl

All ETDs from UAB

Nearly one-in-four young adults ages 18-34 have a chronic disease, which has been linked to worse midlife mental health. Prior studies have little-examined the mechanism behind this association. The life course perspective suggests that because chronic disease in young adulthood is an unexpected and “off-time” event it may disrupt the achievement and timing of key social milestones. Inability to achieve or perceived delays in achieving the social markers of adulthood (e.g., completing school, homeownership, marriage) may therefore lead to worse midlife mental health. To address this proposition, I used panel data from the Youth Development Study (YDS and multivariate regression …

Girl, You Crazy, Stefani T. Flanagan

Master's Projects

The main premise behind Girl, You Crazy is to inform others of what life is like as someone who experiences psychosis (specifically schizoaffective disorder), as well as show the warning signs that I believe people should be aware of. This text is a nonlinear narrative of my personal experience that explores themes of substance abuse, hallucinations, religion, interpersonal conflict, and family dynamics starting from 2019 through 2025, through the onset of symptoms to diagnosis of schizoaffective disorder. This work also entails some of my experiences as a gay Black woman who was raised in a religious family, bullied throughout my …

Evaluating Entry-Level Occupational Therapy Education And Practice: A Qualitative Swot Study In The Philippines, Paolo Miguel P. Bulan, Janice A. Rojas, John Ray O. Suerte, Nikki Y. Pestaño, Maria Menierva G. Lagria, Cristito P. Dimitiman Jr., April Grace A. Chiongbian, Frances Vince E. Dimitiman, Martina Nicole A. Ligutom, Debbie Rose D. Cabañero, Jay Arr M. Sale

Journal of Occupational Therapy Education

Occupational therapy education plays a pivotal role in equipping professionals to meet the dynamic demands of healthcare systems. This study evaluated the Bachelor of Science in Occupational Therapy (BSOT) program at Velez College in the Philippines, utilizing a qualitative analysis framework to explore its strengths, weaknesses, opportunities, and threats (SWOT) as perceived by educators, students, alumni, and practitioners. Findings highlight the program’s robust generalist curriculum, strong community-based partnerships, and interprofessional collaboration opportunities. However, challenges such as limited access to standardized assessment tools, high educator turnover, and insufficient specialization opportunities were identified. Notably, emerging demands in mental health and holistic care …

Exploring Student Experiences And Perceptions Of Digital Storytelling In Occupational Therapy Education: A Comprehensive Analysis And Evaluation, Alexis M. F. Morin, Justin R. Eck

Journal of Occupational Therapy Education

The COVID-19 pandemic heightened the need for digital transformation in higher education, emphasizing the importance of incorporating digital pedagogy. This study explored student experiences and perceptions of digital storytelling, a multimedia-based narrative technique, as an innovative assessment method in occupational therapy education. First-year, first-semester entry-level Doctor of Occupational Therapy students created digital stories on mental health topics and completed self-reflection papers. A retrospective qualitative descriptive method was employed, analyzing 14 consented self-reflection papers. Emerging qualitative themes revealed that digital storytelling enhanced students' understanding of occupational performance impacts, led to the development and utilization of transferrable skills for clinical practice, and …

Exploring Occupational Therapy Assistant Student Experiences In Mental Health, Behavioral Health, And Psychosocial Level I Fieldwork, Tiffany L. Benaroya, Michelle Zechner, Meredith Cimmino, Ann A. Murphy, Margaret Swarbrick, Pamela Rothpletz-Puglia

Journal of Occupational Therapy Education

Occupational therapy services offered in behavioral health remain low despite the growing number of individuals with behavioral health and psychosocial needs who could benefit from these services. Concurrently, in academia, all occupational therapy and occupational therapy assistant students must complete at least one fieldwork focused primarily on mental health, behavioral health, and/or psychosocial needs. Research is limited regarding these fieldwork experiences, especially among occupational therapy assistant students. This project aimed to understand this gap better and comprehend how these experiences impact readiness to work with individuals labeled with a serious mental illness. Forty-five occupational therapy assistant students completed pre- and …

Family Stress Processes Underlying Covid-19-Related Economic Insecurity For Mothers And Fathers And Children's Internalizing Behavior Problems, Joyce Y. Lee, Shawna J. Lee, Sehun Oh, Amy Xu, Angelise Radney, Christina M. Rodriguez

Psychology Faculty Publications

COVID‐19 and its economic fallout have resulted in unprecedented financial insecurity and material hardship for many American families, with a disproportionately negative impact on children and families from socioeconomically disadvantaged contexts. The current study applied the family stress model to examine the family processes underlying pandemic‐related economic insecurity and children's internalizing behaviours. Online survey data from an economically diverse sample of mothers and fathers, who experienced at least one type of pandemic‐related economic insecurity in the United States (N = 259), were collected across two longitudinal time points in the early weeks of COVID‐19: (1) 14 April and (2) 30 …

Assessing The Relationship Between Perceived Psychological And Physical Pain In Adults With Orthopedic Pain, Daniel C. Karimi Dehkordi

Honors Undergraduate Theses

Suicide remains a public health concern in the U.S., particularly among individuals experiencing chronic pain and psychological distress. This cross-sectional study investigated the relationship between perceived physical and psychological pain in 41 adults with chronic orthopedic conditions. The relationship between other risk and protective factors and perceived levels of pain distress was also examined. Results showed a significant positive correlation between psychological distress and physical pain (r(39) = 0.388, p < .05) and psychological distress and depressive/anxiety symptoms (r (39) = 0.477, p < .01). Psychological distress was moderately associated with feelings of hopelessness (r (39) = 0.403, p < .01), however, the relationship between physical pain and hopelessness was weak and nonsignificant (r (39) = -0.06, p = .71). Contrary to expectations, emotional support did not buffer the effects of psychological distress (r (39) = 0.07, p = 0.66). Mediational analysis confirmed that emotional support did not influence the relationship between physical pain and psychological distress (Beta (β) = -0.969, p = 0.572; Sobel Z = 0.5598, p = 0.575). Age was not correlated with psychological distress (r (39) = -0.24, p = 0.13) or mental health symptoms (r (39) = -0.05, p = .77). While there was no significant difference across sex, males reported higher mental health symptomatology and psychological distress scores than female counterparts. These findings underscore the direct impact of physical pain on psychological distress and challenge assumptions about the protective role of social support. The study highlights the need for integrated, multidisciplinary interventions targeting both physical and psychological pain to mitigate suicide risk among individuals with chronic orthopedic conditions. Future research should iii explore alternative support mechanisms and resilience-building strategies to address the complex interplay of pain, distress, and suicidality.

Exploring Undergraduate Students’ Use Of Mental Health Applications: A Phenomenological Study, Chelsea D. Fullilove

Electronic Theses and Dissertations

This phenomenological dissertation explored undergraduate students' lived experiences of using mental health mobile apps, AI, and other technology to manage mental health symptoms. The research focused on exploring three research questions: (a) perceptions of app effectiveness, usability, and features; (b) barriers and integration into mental health care routines; and (c) influences of privacy, peer influence, cultural backgrounds, and personal beliefs on app use.

Data were collected via purposive sampling through semi-structured interviews (N=12), each consisting of 15 open-ended questions, with students using a mental health app to improve their mental health. The interpretive data analysis was conducted by …

“Take Eight Bits And Call Me In The Morning” Video Games, Well-Being, And The Psychology Of Nostalgia, Nicholas Bowman

Media Studies - All Scholarship

For nearly 60 years, video games have arrested the attention of players, inviting us to interact and interface with on-screen content. More than just short-term entertainment experiences, video games are part of a broader cultural milieu—they are the most profitable media entertainment sector (global revenues nearly $400 billion USD in 2023) with more than 3.5 billion players globally (Clement, 2023). Similar to other entertainment media, some video game intellectual properties have transcended generations and, in many cases, grown beyond the medium itself: common cultural touchstones include Super Mario Bros. and Sonic the Hedgehog, along with seemingly endless subcultures of devoted …

Scalable Mental Health Analysis Using Big Data: A Demographic And Geographic Study Of Depressive Symptoms, Saikrishna Katamneni, Anitha Bommana, Naman Pandya, Gokul Kareti, Sangwhan Cha

Harrisburg University Other Works

This project explores the application of Big Data technologies for large-scale mental health analysis, focusing on the prevalence of depressive disorder symptoms across diverse demographic and geographic subgroups. Utilizing Apache Spark on Google Cloud Dataproc, the system efficiently processed millions of survey records stored in Hadoop Distributed File System (HDFS). Through comprehensive data preprocessing, aggregation, and visualization, the analysis revealed critical trends and disparities in mental health outcomes related to age, race, education level, gender, and state. Seasonal variations and subgroup-specific confidence intervals were also examined to identify high-risk populations and areas of measurement uncertainty. The results offer actionable insights …

Psychosocial Impacts Of Non-Fatal Firearm Injuries On Youth: Findings From A Qualitative Study, Annalyn S Demello, Jeff R Temple, Liam De Vassal, Irma Alvarado, Angela Waguespack, Monique R Pappadis, Jong O Lee, Leila G Wood

Faculty, Staff and Student Publications

Most adolescents and young adult victims of firearm violence survive, yet the mental and behavioral health outcomes associated with these incidents remain understudied. Given the potential for recurrent violence victimization and long-term psychosocial sequela after being shot, understanding the experiences of firearm injury survivors is a critical area for development. We conducted a qualitative study to explore the development of attitudes, describe psychosocial consequences, and contextualize behavioral and social outcomes among young, gunshot wounded (GSW) patients from a Level 1 trauma center in southeast Texas. A retrospective chart review and prospective recruitment of GSW patients aged 15 to 29 years …

Barriers And Motivators To Attending Group Exercise Classes In Women With Anxiety, Depression And Post-Traumatic Stress Disorder, Sarah Ford

Theses: Doctorates and Masters

Research has demonstrated the positive effect of exercise on mental health disorders such as anxiety disorder, depression and post-traumatic stress disorder. Studies have also investigated the barriers and motivators that women in particular experience when contemplating the ways in which to engage in physical activity. However, a literature gap exists regarding women who experience anxiety disorder, depression and post-traumatic stress disorder, and the barriers and motivators that they specifically navigate when looking to attend group exercise classes. In this body of research for the award of Master of Medical and Health Science by Research, a scoping review was first conducted …

Self-Awareness And Self-Efficacy In The Novice Professional Phase Of Marriage And Family Therapists After Person Of The Therapist Training, A Comparative Survey, Rubio Betsabé

Dissertations

The study focuses on examining the influence of person-of-the-therapist or self-of-the-therapist training on therapists’ self-reports of self-awareness (as a conscious awareness of one’s internal states and interactions with others) and self-efficacy (perceived beliefs in personal capabilities to perform in ways that give control over events that affect their lives) at the novice professional stage of their career. The study will examine the experiences reported by mental health providers actively providing clinical care by utilizing a survey design focusing on person of the therapist connecting through alumni lists and online solicitation. This research adds to the current literature by using a …

Harmful Connections: How Tort Law Can Address Algorithmic Account Recommendation Harms And Protect Youth Social Media Users, Francesca Kennedy

American University Journal of Gender, Social Policy & the Law

In 2023, the United States Surgeon General published an advisory to bring an urgent public health issue affecting America’s youth to the nation’s attention. The urgent public health issue was the ongoing negative impact of social media on children and adolescents. The report revealed that ninety-five percent of youths aged thirteen to seventeen use social media. Exposure to harmful content poses a risk to their mental health, including body dissatisfaction, disordered eating, depression, and, in extreme cases, death. Their mental health is also harmed by predatory behaviors and interactions with malicious adults that target and exploit minors on internet platforms. …

Experiences Of Civilian Mental Health Providers Who Work With Military Clients: A Dissertation, Lydia P. Perry

Antioch University Dissertations & Theses

Using a qualitative survey design, this study sought to understand the experiences of fully civilian providers who had achieved self-perceived military cultural competence when working with military or veteran clients or their families. This study also sought a better understanding of what pathways fully civilian providers took in this process, as well as their perceptions of how to better equip other fully civilian providers for work with military and veteran clients and their families. The results of this study yield recommendations for changes in graduate training programs; for example, through more inclusion of the military as a culture in cross …

Exploration Of Mystical Experiences And Relationship Changes: An Ayahuasca Study, Ginny Jo Reyes

Antioch University Dissertations & Theses

This mixed-methodology dissertation explores how participation in ayahuasca ceremonies at Rythmia Life Advancement Center (Costa Rica) influences relationship dynamics within couples. Looking at this in combination with self-reported mental health changes, the connection to mystical experiences are navigated. Statistical significance and narratives are explored; this study steps into the gap between ancient plant medicine traditions and the modern search for meaning, healing, and connection. Grounded in a social constructionist lens, the study combines pre- and post-surveys (CAGE-AID pre-only; MAT, KMS, RHS, PSS, GAD-7, PHQ-9; MEQ-30 post-only) with semistructured interviews. Quantitatively, participants showed significant reductions in stress, anxiety, and depression, with …

Exploring The Mental Health Of Korean-American Elderly Immigrants, Iris Minkyung Kim

Antioch University Dissertations & Theses

This study sought to understand the mental health of Korean-American elderly immigrants using the theoretical frameworks Erikson’s Stages of Psychosocial Development and Interpersonal Psychotherapy Theory (IPT). To achieve this purpose, this study incorporated a qualitative thematic analysis and conducted in-depth interviews with 10 elderly Korean immigrants living in the United States. From these interviews, eight themes were identified: (a) multifaceted immigration experiences, (b) immigration challenges, (c) complex language barriers, (d) personality constructs impacting experience, (e) the importance of relationships, (f) limited information and access to support, (g) life satisfaction and dissatisfaction, and (h) advice for future immigrants. These themes indicate …

Panel Discussion: Mindfulness In The Law School Environment, Erika George, Nicky Boothe, Kellyn O. Mcgee

Faculty Scholarship

A 2016 study of 13,000 lawyers conducted by American Bar Association Commission on Lawyer Assistance Programs and the Hazelden Betty Ford Foundation found that approximately 28 percent struggle with depression, 19 percent anxiety and 23 percent stress.¹² The study found “younger lawyers in the first ten years of practice and those working in private firms experience the highest rates of problem drinking and depression.”¹³ At least one study suggests that 40-70 percent of disciplinary proceedings and malpractice claims against lawyers involve substance abuse or depression.

According to a 2016 Survey of Law Student Well-Being including over 3,300 law …

Law Enforcement And The Need For Mental Health Collaboration, Jacquline Gillins-Hatcher

Theses and Dissertations

This study examined the ongoing challenges and the necessity of enhanced collaboration between law enforcement agencies and mental health professionals in responding to mental health crises in the United States. Using a constructivist grounded theory approach, qualitative data were collected through semistructured interviews with law enforcement officers and mental health professionals, along with an analysis of existing records and policies.

Findings highlighted that crisis intervention team training improved officers’ ability to manage crisis situations. However, barriers such as limited interagency coordination, funding constraints, leadership challenges, and systemic policy gaps continued to hinder effective collaboration. Data from this research indicated that …

Joy In Teaching: Examining Teachers’ Perceived Experiences Of Choice, Self-Efficacy, And Sense Of Belonging, Shellie Hennings-Donow

Electronic Theses and Dissertations

Teacher joy is a critical yet often overlooked factor influencing teacher retention, instructional effectiveness, and student outcomes. This study explores how teachers describe their experiences of joy in the workplace, focusing on the roles of choice, self-efficacy, and belonging. Grounded in Self-Determination Theory and Attribution Theory, this research examines the extent to which teachers’ perceived autonomy, competence, and relational support contribute to teachers’ professional fulfillment. Through qualitative methods, including in-depth interviews and thematic analysis, this study captures the perceptions of educators across diverse school settings. Findings reveal that teachers experience the highest levels of joy when they have meaningful autonomy …

Effects Of Pubertal Stress On Later Pup-Directed Behavior In Pregnant And Non-Pregnant Adult Female Mice, Marissa Marylin Nicodemus

Graduate Theses, Dissertations, and Problem Reports (ETD)

Beginning in adolescence and throughout adulthood, women are at an increased risk for anxiety and mood disorders compared to men. Several risk factors for these disorders have been identified, but it is not clear how they interact. One such factor is pregnancy. The normative changes to the brain and behavior that occur during and after pregnancy are associated with an increased risk for anxiety and mood disorders. Exposure to adverse childhood experiences (ACEs) has also been associated with an increased risk of mood disorders, and compared to men, women appear to be particularly vulnerable to the lasting effects of stress …

Improving Postpartum Outcomes Through Therapeutic Individual And Group Occupational Therapy Sessions In Hospitalized Antepartum Patients, Melissa C. Learish

Graduate Theses, Dissertations, and Problem Reports (ETD)

Extended hospitalization in the postpartum period is occasionally medically indicated due to a variety of diagnoses, but can pose challenges to the psychosocial well-being of pregnant women, such as social isolation, anxiety, alteration of normal life routines, and less preparation for postpartum life. In acute care settings, however, maternal management tends to focus on physical stabilization rather than holistic maternal care, including opportunities for emotional support, occupational engagement, and postpartum planning. This doctoral capstone project was designed to assess the effect of individualized and group-based occupational therapy interventions for antepartum women who have been hospitalized for extended periods of time, …

Differences In Mental Health Outcomes In Immigrant Vs. U.S.-Born Populations In Urban Vs. Rural Areas In The United States, Zoë Gentles

Electronic Theses & Dissertations (2024 - present)

Background

The immigration process to the United States creates distinct mental stressors. These stressors are influenced by socioeconomic factors including income, education level and insurance status. In rural America, these factors are intensified due to a poor healthcare infrastructure that is limited. This study examines the relationship between urban-rural residence and mental health outcomes among immigrants vs. native-born residents in the United States.

Methods

Data from the National Health Interview Survey (NHIS) from 2019 and 2022 were used to examine the relationship. The exposure of interest was place of birth, and the outcome of interest was the presence of clinically …

Mental Heath Experiences Of Transracial Adoptees Of The Global Majority (Black, Indigenous, And People Of Color - Bipoc)., Phebe Brako

Antioch University Dissertations & Theses

This qualitative hermeneutic phenomenological study explores the lived experiences of transracial adoptees of the global majority (BIPOC), focusing on their bicultural identity integration and its impact on mental health. During semi-structured interviews, nine participants shared their stories of navigating cultural and racial dynamics as adoptees in predominantly White adoptive families and communities. The findings revealed six core themes: (1) the Quest for Bicultural Identity Formation, (2) Cultural Integration and Adaptation, (3) Navigating Racial and Cultural Tensions, (4) the Role of Family in Cultural Integration, (5) the Importance of Community and Support Systems, and (6) Mental Health and Therapeutic Experiences, addressing …

Mental Health In The Post-Deployment Transition Assistance Program: A Qualitative Study Of National Guard Members' Experiences, Alayna L. Collins

Antioch University Dissertations & Theses

Objective: National Guard post-deployment and reintegration processes leave servicemembers with a unique urgency to return to their families, homes, and civilian lives due to the timing and location of the post-deployment Transition Assistance Program (TAP); consequently, National Guard members have reported “checking the boxes” on mental health screeners to prioritize a quick and smooth transition (Salahi, 2023). Although researchers have called for data on the experiences of National Guard members undergoing post-deployment TAP since 2005 (Bascetta), no research to date has answered this call. Method: Eight National Guard members who had been deployed and had undergone post-deployment were individually interviewed …

Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker

Antioch University Dissertations & Theses

Research investigating the bicultural and mental health experiences of Filipino Americans, the third largest Asian American group in the United States, are consistently overlooked, with second-generation Filipino Americans (SGFAs) facing greater risk of adverse mental health outcomes. This quantitative study addresses a critical gap in research by examining the relationship between bicultural stress and mental well-being among SGFAs living in the United States. Using a cross-sectional survey design, a multivariate regression analysis examined the relationship between bicultural stress and four mental health constructs (as measured by depression, anxiety, stress, and self-esteem) among 302 SGFA participants. Results from this study strongly …

Global Impacts Of Video Gaming Behavior On Young Adults’ Mental Health During The Covid-19 Pandemic: A Systematic Literature Review, Chulwoo Park, Patricia Angelica, Airi Irene Trisnadi

Faculty Research, Scholarly, and Creative Activity

The COVID-19 pandemic has had a significant impact on the mental health of young adults, and video gaming has emerged as a popular coping mechanism. However, excessive gaming could have negative consequences. The purpose of the study was to understand the relationship between video gaming and the mental health of young adults, globally during the COVID-19 pandemic. We conducted a systematic literature review to investigate the relationship between video gaming and the mental health of young adults during the pandemic. The study followed PRISMA 2020 and conducted a comprehensive literature search in multiple databases: PubMed Central (PMC), Web of Science, …