Digital Commons Network^™

Exploration Of Coping And Mental Health In West Virginia Farmers, Jodi Meadows Richmond

Graduate Theses, Dissertations, and Problem Reports (ETD)

Compared nationally, West Virginia currently ranks lowest for life expectancy, highest for drug related deaths and 35^th for access to adequate health (WV DHHR Organization Assessment & Strategic Plan, 2022). The state also ranks first in the nation for depression with one in four adults experiencing some form of depressive condition each year (CDC, 2020). The rurality of the state may limit social interaction and availability of medical treatment facilities (Brew et al., 2016).

The situation is even more dire for those in farming-related occupations. Farmers often struggle with management stress, utilizing appropriate coping strategies, and accessing mental health …

Pain For Pain: The Benefits And Challenges Of Bdsm Participation For People With Chronic Pain–An Exploratory Study, Reni Forer, Bryce Westlake

Faculty Research, Scholarly, and Creative Activity

Research is beginning to find that many BDSM (bondage/discipline, domination/submission, sadism/masochism) practitioners experience benefits beyond sexual pleasure. Additionally, given the relationship between pain and pleasure common in BDSM, there may be certain unanticipated benefits for practitioners reporting chronic pain (PRCP). We conducted an online survey of an international convenience sample of BDSM practitioners (N = 525). Participants were asked about self-perceived benefits and challenges related to participating in BDSM with CP. Using chi-square, independent sample t-test, logistic regression, and linear-by-linear association, responses were combined with demographics, participation timelines, co-participants, motivations, and frequency of activities to identify differences between PRCP and …

Patterns Of Intra-Cluster Correlation Coefficients In School-Based Cluster Randomised Controlled Trials Of Interventions For Improving Social-Emotional Functioning Outcomes In Pupils: A Secondary Data Analysis Of Five Uk-Based Studies, Kitty Parker, Michael Nunns, Zhi Min Xiao, Tamsin Ford, Paul Stallard, Willem Kuyken, Nick Axford, Obioha C. Ukoumunne

Peninsula Medical School

Background: The cluster randomised trial (CRT) design is increasingly used to evaluate the impact of school-based interventions for improving social-emotional functioning outcomes in pupils. Good knowledge is required on plausible values of the intra-cluster correlation coefficient (ICC) of the outcome to calculate the required sample size in such studies. Using data from five school-based CRTs in the UK, we estimate, and describe patterns in, ICCs for social-emotional functioning outcomes. Methods: Mixed effects linear regression models were fitted to estimate the ICC and variance components. Estimates for baseline data were obtained by fitting “null” models that had no predictor variables; estimates …

Differences In Long Covid Severity By Duration Of Illness, Symptom Evolution, And Vaccination: A Longitudinal Cohort Study From The Inspire Group, Michael Gottlieb, Huihui Yu, Ji Chen, Erica S. Spatz, Nicole L. Gentile, Rachel E. Geyer, Michelle Santangelo, Caitlin Malicki, Kristyn Gatling, Sharon Saydah, Kelli N. O'Laughlin, Kari A. Stephens, Joann G. Elmore, Lauren E. Wisk, Michelle L'Hommedieu, Robert M. Rodriguez, Juan Carlos C. Montoy, Ralph C. Wang, Kristin L. Rising, Efrat Kean, Jonathan W. Dyal, Mandy J. Hill, Arjun K. Venkatesh, Robert A. Weinstein

Department of Emergency Medicine Faculty Papers

Background: Although short-term outcomes of Long COVID have been described, longer-term physical and mental health outcomes of Long COVID are less well-established. This study sought to assess differences in long-term physical and mental health outcomes extending up to three years among those with current, resolved, and no Long COVID, as well as duration of Long COVID and vaccination status. Methods: This was a prospective, multisite, study of participants with SARS-CoV-2 infection from 12/7/2020-8/29/2022, with data collected through 4/2/2024. Surveys included validated tools for physical and mental health. Data were analyzed by Long COVID status (never-had, resolved, current), Long COVID duration …

Mental Health Trends Among African American High School Students, Alexis Heard

Theses and Dissertations

Adolescent mental health is a major public health issue in the U.S., with African American high school students facing a rapidly worsening crisis. While all youth show increasing rates of depression, anxiety, and suicidality, African American adolescents are at greater risk due to systemic racism, socioeconomic inequality, community violence, and limited access to culturally responsive care. Few national studies have examined mental health trends among this group. This study (1) examines 2011–2021 trends in persistent sadness/hopelessness, suicidal ideation, suicide planning, and suicide attempts among African American high school students; (2) explores gender differences; and (3) compares these patterns to national …

Second Generation Antipsychotics And Cardiovascular Adverse Effects: Developing Evidence-Based Recommendations For Primary Care Medicine, Sana Borda, Ahn-Dao Lee, Paul F. Bell

HCA Healthcare Journal of Medicine

Background

Second-generation antipsychotic medications (SGAs) are often used by primary care physicians (PCPs) to treat multiple psychiatric diagnoses. SGAs have been connected to a number of adverse effects, including cardiovascular disease. Currently, there are no published evidence-based recommendations addressing SGAs and cardiotoxicity that are directed toward PCPs. This project aims to fill this gap.

Methods

Relevant search terms related to SGAs and cardiovascular disease were identified and then used to search databases (PubMed, PubMed Central, and AccessMedicine). Research studies obtained from the searches were narrowed to include systematic reviews and meta-analyses. The Assessment of Multiple Systematic Reviews-2 (AMSTAR-2) tool was …

A Growing Concern: Long Commutes And Mental Fatigue Among Workers, Dayana Hazwani Mohd Suadi Nata, Putri Anis Syahira Mohamad Jamil, Mira Nursabrina Muhammad Rawee

Makara Journal of Health Research

Background: Commuting stress is a growing concern for workers with long daily journeys between home and work. This study explores the effects of commuting on workers’ mental and physical health, focusing on stress, mental fatigue, and productivity at work.

Methods: The research conducted in Selangor, Malaysia, involved 212 commuters who completed a survey that included sociodemographic and commuting information, the Depression Anxiety and Stress Score (DASS-21), and a mental fatigue questionnaire.

Results: The findings revealed that a significant proportion of workers experienced stress from their commuting routines: approximately 74.5% reported that commuting had a detrimental effect on …

Research As Seeking Help: Searching For Liberative Knowledge - An Interview With Taimalieutu Kiwi Tamasese, Taimalieutu Kiwi Tamasese, David Denborough

The Qualitative Report

Indigenous methodologies have been transforming social science research. In this interview, Pasifika researcher, policy analyst, and community worker, Taimalieutu Kiwi Tamasese, speaks with narrative therapist David Denborough about the Just Therapy Team’s significant contributions to developing Pasifika research methods that resist colonizing assumptions and honour culture and relationship. Rather than seeking to establish the researcher as knowledge holder, The Just Therapy Team’s research is guided by values of liberation, sacredness, and belonging to seek solutions to issues affecting communities. Taimalieutu describes the development of innovative research methods capable of eliciting Indigenous knowledges about gender relations and mental health in Samoa …

The Kids Know What’S Up: Analyzing Student Poetry For Evidence Of Institutionalized Oppression, Sarah Straub

Journal of Multicultural Affairs

This article explores institutionalized oppression faced by students today. It incorporates student-created poetry as evidence of marginalization, sexism, racism, and discrimination based on legal status. The kids know what’s up. They are acutely aware of the effects of these systems on their own lives. It is the responsibility of the educator to acknowledge this truth and act on it.

Empowering Schools: Suicide Prevention Education For School Nurses, Navjot K. Singh

DNP Qualifying Manuscripts

Introduction: Suicide among adolescents and youth is such a serious issue that immediate, appropriate interventions are needed to reduce rates of suicide ideation and suicide mortality. The increasing rate of suicide among this population profoundly affects families, friends, and the community. Identifying and implementing appropriate interventions in schools could identify individuals who are suffering from mental illness and support suicide prevention.

Aim: The purpose of this integrative literature review was to examine the literature on suicide prevention interventions for young adolescents and teenagers aged 12-17 years old and identify the best, evidence-based practices for the school setting. The aim …

The Importance Of Adopting A Neurodiversity Affirming Approach: A Training For School Counselors, Emily Bauer

Dissertations, Theses, and Projects

Consisting of a literature review and a training presentation, this project investigates the concerning mental health crisis affecting the autistic community and educates school counselors on how to shift to a neurodiversity-affirming approach to better support student needs. Research shows that autistic individuals subjected to applied behavioral analysis (ABA), social skills training (SST), and other behaviorist treatments experience significantly poorer mental and physical health outcomes as well as lower quality of life, indicating a critical need for change (Aral et al, 2023; Cassidy et al, 2020; Stewart et al, 2023). Supported by modern research, a neurodiversity-affirming approach is a better …

Assistive Technology Abandonment With Veterans And Leisure Activities, Tara Lamson, Lee Ann Hoffman, Mary Greer

Fall 2024 OTD Capstone Symposium

Veterans using assistive technology (AT) often face barriers that limit their participation in meaningful leisure activities, negatively impacting their mental health and quality of life. This project aimed to address these challenges by developing an educational program focused on improving AT management, reducing abandonment, and promoting leisure engagement. A needs assessment of veterans in Abilene, TX, revealed critical issues, including barriers to leisure, limited community involvement, and gaps in AT maintenance education. The program delivered web-based and in-person resources on AT use, adaptive leisure strategies, and equipment recycling. Key outcomes included enhanced social participation, improved independence, and sustainable solutions for …

The Influence Of Socioeconomic Status On Youth Enrolled In Public Urban High Schools: A Transcendental Phenomenological Study, Destiny Breanna Carrington

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the lived experiences of low socioeconomic status (SES) students who were enrolled in a public urban high school. The theory guiding this study is the theory of social cognition, as it describes the fact that since learning happens in social environments, when students are properly supported in the classroom it can change their overall outcomes. Students of low SES may need extra motivation in the classroom, diverse types of instruction, and other positive reinforcement to help them perform better. Reciprocal determinism is at the center of the vortex for social …

A Phenomenological Study On The Mental Health Stigmatization And Faith Of Christian African American Genx Men, Kenneth Jerlette Mickie

Doctoral Dissertations and Projects

The primary goal of this study was to examine the Mental health stigmatization and the faith of Christian African American GenX men. Mental Health within the African American community is a topic that is often considered taboo and seldom discussed. African faith plays a prominent role, many still experience contradictory feelings about receiving mental health treatment due to the worry of being judged and stigmatized. Therefore, it is critical to understand African Americans' perceptions of depression and views of depression treatment, including cultural stigmas and religious, spiritual, and socioeconomic barriers that may deter individuals from seeking or accepting treatment in …

Mental Illness In African American Women: A Transcendental Phenomenology On Self-Efficacy And The Treatment-Seeking Behavior Of Secondary And Post-Secondary Educators, Sasha N. Gordon

Doctoral Dissertations and Projects

This transcendental phenomenological research shows the influence of mental health treatment on the self-efficacy of African American women who are secondary or post-secondary educators in Northern Illinois. For African American women educators, taking care of their mental well-being and being aware of mental health conditions are crucial. Sharing personal stories and experiences can help reduce the stigma surrounding mental health. Promoting awareness and understanding of mental health issues are vital in our communities, and access to resources and support are necessary. Using self-identity theory can aid in comprehending motivations and behaviors, leading to greater satisfaction and fulfillment and the prioritization …

Military Members Mental Health And Adverse Childhood Experiences: The Mediating Role Of Mental Toughness, Maureen Kenyon James

Doctoral Dissertations and Projects

Military members’ mental health has been in the spotlight for many years. Although Australia and the United States have strong, robust forces, exposure to this high-stress environments can take its toll. This study is important to keep our armed forces in top mental and physical health and look after them post-service. We need to know what can protect mental health and how to minimize the risks to health and well-being. The purpose of this study is to ask the question, “To what extent are Adverse childhood experiences related to military members' mental health status, and is this relationship mediated by …

The Teacher Mental Health Crisis: A Mixed Methods Examination Of The Factors Contributing To Teacher Burnout, Minerva Carrasco

Masters Theses (Archived)

For decades, teachers' mental health and burnout have been an issue nationwide (Sewell, 1971). This has been an even larger struggle in the education field in recent years because turnover is high, the COVID-19 pandemic, and districts are struggling to find ways to retain teachers to stay in their profession. There are things that administrators and teachers can do to guide districts to ensure that teachers are comfortable in their classrooms and their school campus. There are coping strategies that teachers can do to prevent teacher mental health and burnout and there are ways that administrators can support their teachers …

Mental Health Care Disparities Among Us Pregnant Individuals In 2020–2021: A Cross-Sectional Study, Julisa Tindall, Monique J. Brown Ph.D., Mph, Peiyin Hung

Faculty Publications

Purpose

To examine maternal characteristics associated with perceived unmet mental health needs and mental health care settings, focusing on residential rurality and race/ethnicity.

Methods

This cross-sectional study analyzed self-reported unmet mental health needs and mental health care settings among 1097 pregnant respondents in the 2020–2021 National Survey on Drug Use and Health, incorporating the complex sampling weights for national representativeness.

Findings

Non-Hispanic Black pregnant individuals and those living in nonmetro rural areas reported lower odds of unmet mental health needs compared to those in large metro areas and non-Hispanic White individuals. Pregnant individuals in nonmetro rural areas and non-Hispanic other …

Adolescent Suicide Prevention Techniques, Kaitlyn R. O’Malley

Honors Capstones

The purpose of this paper is to understand prevention techniques for adolescent suicide. Suicide is defined as death caused by injuring oneself with the intent to die. Suicide is the fourth leading cause of death among 15–29-year-olds (WHO). From 2021 to 2022, the number of suiciderelated deaths increased by 2.6%. 48,123 people died from suicide in 2021 alone. (CDC) From 2011-2021, 13% of high school girls tried to commit suicide, and 30% of them considered trying (Youth Risk Behavior Survey Data Summary and Trends Report: 2011–2021). Suicide is very preventable in society, which is why, with how many people try …

Somethin' I'M Tryin' To Work On, Ian P. Summers

Capstones

A filmmaker tells the story of the night he nearly committed suicide. Traveling from his home in Brooklyn, Ian tells three of his closest friends, Drake, Alec and Matt, about how they unknowingly helped him through the most difficult time in his life.

https://www.youtube.com/watch?v=87iUM31s-Eg

Msw Portfolio, Andrea E. Anderson

Graduate Student Portfolios, Professional Papers, and Capstone Projects

The portfolio narrative includes a brief introduction to my academic journey including field related work. The ten social work competencies are used as a guide while I reflect on the required appendices, theoretical frameworks and orientation to practice throughout the narrative.

Ni Reprimir, Ni Rezar, Ni Traducir: Latinos En Nueva York Piden Cuidados De Salud Mental Incluyentes, Laura Rojas Aponte

Capstones

In New York City, only three out of ten Latinos diagnosed with depression receive treatment, compared to over half of white adults with the same condition, according to the latest Department of Health report. Despite the clear need for mental health care, access remains limited, with a lack of culturally competent services further widening the gap.

While mental health has become a more open topic in recent years, many Latinos still face significant barriers to therapy, including high costs, limited insurance coverage, cultural stigma, and disconnects between patients and providers. However, there are ongoing efforts to address these challenges, ranging …

Improving Health Equity: Integrating Mental Health Services Into Mobile Health Clinics For Unhoused And Low-Income Populations In The United States, Tiffany Lynn Wong

Master's Projects and Capstones

Mental health disparities among homeless and low-income populations in the United States highlight significant challenges in access and quality of care. This literature review explores the integration of mental health services into Mobile Health Clinics (MHCs) as a promising recommendation to address these disparities. I used various search engines, extracting 10 articles published from 2013 to 2023 focused on the U.S. MHCs show its effectiveness in improving healthcare access and quality of care, covering different services like mammography, reproductive health, COVID-19 testing, and diabetes care. Building on these successful models, this paper proposes extending MHCs to include mental health screenings, …

Utilizing Pupper, A Social Robot Dog, To Increase Happiness And Improve Mood In Pediatric Patients Of A Cardiac Step-Down Unit, Angela Feng Wu

Master's Projects and Capstones

Objective The usage of social robots in pediatrics is an emerging field of study. Preliminary research shows that they are effective at improving the psychosocial well-being of pediatric patients. This quality improvement project focuses on Pupper, a newly developed quadruped social robot dog, and its ability in improving mood and happiness in pediatric patients of a cardiac step-down unit. Aim The aim of this project is to increase average mood scores of pediatric cardiac patients aged 3-25 years by 50% from their baseline of 3.75 to 5.63 on a six-point scale within a one-month time frame. Methods Before intervention and …

Assessing Client Satisfaction In University Counseling: Factor Structure Of A Survey Developed For A Private, Religious-Affiliated Institution, Wai Man Cheng

Theses and Dissertations

This study examined the factor structure of a client satisfaction survey developed by BYU Counseling and Psychological Services (CAPS). The survey included (a) universal, (b) individual, (c) couple, and (d) group subscales. Only the universal and individual subscales were analyzed. The couple and group subscales were excluded due to limited sample sizes. For the universal subscale, the analysis supported a first-order model with three factors: (a) clarity, (b) cultural competence, and (c) progress. For the individual subscale, the analysis supported a second-order model. Three first-order factors including (a) symptom relief, (b) insight and awareness, and (c) guidance and coping skills, …

Exploring Family Mealtime Environment, Screens, And Mental Health Among School-Aged Children In Japan, Ami Nishimori Alnouri

Doctoral Dissertations and Projects

This qualitative phenomenological study explored the lived experiences of family mealtimes during breakfast and the mental health of school-aged children (6-18 years) in Japan, comparing those who used and did not use screens during breakfast. This study involved two research questions: How did parents of Japanese school-aged (6 to 18 years) children who used screens (electronic devices) at mealtime experience family mealtime during breakfast? How did parents of Japanese school-aged (6 to 18 years) children who did not use screens (electronic devices) at mealtime experience family mealtime during breakfast? In this study, a qualitative phenomenological approach employed semi-structured interviews with …

Disproportionate Rate Of Mental Health Care For African American Service Members, Amy Tesla Kingjones

Doctoral Dissertations and Projects

This case study understands and describes the disproportionate rate of mental health care for African American Service Members in the US military. With minorities making up less than 20% of the US armed forces, fitting into predominantly white spaces is necessary for continued success and can cause stress, depression, and anxiety. The theory guiding this study is critical race theory, as it uncovers and challenges how laws, policies, and societal norms perpetuate racial hierarchies and disadvantage marginalized communities. It emphasizes the social construction of race, highlighting that it is not an inherent biological category but a product of historical, political, …

A Comparison Of Depression, Anxiety, And Stress Amongst Male And Female Clinical Laboratory Leaders, Elizabeth M. Payne

Doctoral Dissertations and Projects

This study examined the potential relationship between male and female emotional disparities -- specifically depression, anxiety, and stress -- in clinical laboratory leaders. The Depression, Anxiety, and Stress Scale-21 (DASS-21) was used to determine levels of depression, anxiety, and stress in 16 male and 16 female clinical laboratory leaders at two laboratory sites in Long Island, NY. Through univariate ANOVA tests, the research evaluated if there are significant differences in mental health outcomes between female and male leaders in clinical laboratory settings. The results demonstrated that female leaders experienced significantly higher levels of depression and anxiety compared to their male …

A Legacy Of Trauma: A Phenomenological Study Of African American Pastors' Perspectives On Mental Health In Delaware Churches, Donell M. Winder

Doctoral Dissertations and Projects

This hermeneutic phenomenological qualitative study aimed to explore the perceptions and practices of african american evangelical pastors in delaware regarding mental health care within their congregations. the study sought to understand how pastors integrate their spiritual beliefs with mental health practices and how cultural factors influence their roles as mental health advocates. anchored in social constructivism, the research examined the cultural and contextual factors that shape pastors' approaches to mental health issues. eight senior pastors from evangelical churches across delaware were selected through purposive sampling, and semi-structured interviews served as the primary data collection method. thematic analysis identified several key …

High School Principals’ Experiences Implementing The Whole-Child Approach To Education, Elise Heaton

Dissertations

The prevalence of the whole-child approach to education has grown significantly as schools recognize that students' needs extend beyond academics to include their social, emotional, mental, and physical well-being. This approach emphasizes nurturing all aspects of a child's development to ensure they thrive in a diverse and ever-evolving world. This phenomenological qualitative case study explores the lived experiences of high school principals as they implement the whole-child approach to education. Through data collected via various methods, including interviews, document analysis, and site observations, this study provides an in-depth examination of how principals navigate the complex demands of addressing the multifaceted …