Digital Commons Network^™

An Exploration Of The Lived Experiences And Psychological States Of Migrants And Refugees, Zainab Akef, Senel Poyrazli, Isabel Quintero

The Qualitative Report

UNHCR reports that about 82.4 million individuals were forcibly displaced as they attempted to avoid persecution, conflict, or human rights violations in their home countries. In addition to traumatic experiences, refugees encounter stressors such as low income, reduced social support, and language barriers. This qualitative study aimed to explore the impact of pre-migration trauma and political detainment on mental health outcomes and living conditions. A total of eight interviewees participated in video conferencing interviews. A non-probability convenience sampling using the snowballing technique was utilized to identify participants. Data were analyzed using an inductive approach for thematic analysis. The software Dedoose …

Nutrition Counseling Practices Among Psychologists, Wibecke Stromsnes

University of the Pacific Theses and Dissertations

There is a lack of treatment guidelines for how to address the impact of nutrition on clients’ mental health. Prior research is limited regarding psychologists’ practices of nutrition counseling and has mostly focused on practices of dieticians and medical doctors. The purpose of this study was to examine psychologists’ beliefs and attitudes about nutrition counseling, amount of training and use of nutrition counseling, self-rated knowledge in the use of nutrition counseling and perceived benefits and barriers to using nutrition counseling. Data was collected using an online survey of 76 licensed psychologists’ training in nutrition and use of nutrition counseling. Findings …

Flora And The Cloud Maker: Exploring Burnout Through Animation, Tiffany Marin

Graduate Thesis and Dissertation post-2024

Flora and The Cloud Maker is a two-dimensional (2D) animated short film inspired by my personal experiences as a graduate student learning to balance work-life demands. Pursuing higher education has generated many unanticipated challenges. One of these challenges includes experiencing the state of psychological exhaustion, or “burnout”. Flora and The Cloud Maker’s purpose is to show that burnout is common, and recovery is possible. Many graduate students struggle with work-life balance, burnout, and anxiety in their daily lives. Through strong use of color theory and charming visuals, Flora and The Cloud Maker demonstrates that though the road to higher education …

The Happiest Dentist On The Block

Journal of the Macomb Dental Society

This article features a monthly column from the Macomb Dental Society President, Dr. T.J. Daws.

Greening And Mental Distress: Effect Modification By Housing Tenure, Saira Prasanth

Public Health Theses

Access to high-quality residential greenspace is associated with improved long-term health, particularly mental health. However, many interventions to promote “greening” or increased greenspace in urban areas have been shown through numerous qualitative studies to exacerbate environmental and health inequities, primarily through green gentrification. Our objective was to quantify the association between greenspace and mental distress in the U.S. as well as evaluate whether the association between greenspace and mental distress is modified by housing tenure. We hypothesized that increased greenspace was associated with reduced mental distress, and that this effect was more protective among homeowners than non-homeowners. Mental distress and …

Long-Term Exposure To Ambient Pm2.5 & Intentional Self-Harm, Caroline Elise Sutton

Public Health Theses

A growing body of literature is finding that air pollution exposure may contribute to disease onset of certainbrain disorders, including mental disorders such as depression, through mechanisms of neuroinflammation and oxidative stress1. However, even as there is increasing attention on the impacts of air pollution and mental illnesses, most studies focus on mental illness outcomes that might not represent severe or life-threatening symptoms (such as self-harm)2–7 , while a majority of studies focused on intentional self-harm assess the relationship between short-term air pollution exposure (as opposed to chronic and cumulative exposure) and self-harm outcomes8–13 . Given the barriers to treatment …

Depression In African American Males And The Mental Health Stigma, Deanna Carrington

Dissertations and Theses

Depression is a common mental health disorder in the United States. In particular, African Americans have a greater risk of depression because they are predisposed to depressive symptoms as opposed to their White counterparts (Miller and Taylor, 2011). Moreover, African Americans are 20% more likely to experience psychological distress that leads to depression compared to other racial groups. While African American cultural norms focus on resilience and independence, discussion around mental health is discouraged, which leads to underreporting and delayed treatment. For males in the African American community, they can be hesitant to seek help, let alone discuss their experiences …

A Descriptive Analysis Of Depressive Symptoms And Body Image By Race/Ethnicity And Nativity Status Among Adolescents, Radhika Prasad

Electronic Theses & Dissertations (2024 - present)

Previous research on the immigrant health paradox among children and adolescents show a mental health advantage yet it is unclear if this applies in a similar magnitude to females (Fillion et al., 2018; Zarei et al., 2023). Immigrants may be exposed to stressors related to immigration and acculturation. Some research suggests that females respond more to stress through internalizing symptoms relative to males (Hall-Lande et al., 2007; Adkins et al., 2009). Given these gender differences in stress response, female immigrants may be particularly vulnerable to the psychological consequences of immigration related stressors. The immigrant health paradox has also overlooked subjective …

A Phenomenological Exploration Of Intracommunity Attitudinal And Experiential Barriers To The Utilization Of Psychotherapeutic Services In Bipoc Populations, Jade Turner

Calvert Undergraduate Research Awards

This study used Interpretative Phenomenological Analysis to explore the role that intracommunity attitudes and beliefs and negative mental healthcare experiences play in determining treatment-seeking behavior in BIPOC communities. Through in-depth semistructured interviews, five participants shared their perspectives and experiences, providing rich and nuanced insight into the subjective landscape of mental healthcare avoidance among racial and ethnic minority populations. The analysis revealed five overarching themes (pray it away, isolated and invisible, fear, perceived importance of racial matching, and therapeutic experiences profoundly impact treatment-seeking) shedding light on the nuanced ways in which BIPOC individuals make sense of and navigate mental health within …

A Systematic Review Of Risk And Protective Factors For Mental Health Among Latinx College Students, Melissa Gavilanes

Theses and Dissertations

A quantitative studies systematic review with narrative synthesis was conducted to explore the risk and protective factors among Latinx college students’ mental health. This systematic review also aimed to identify the relevant demographic variability to the mental health of Latinx college students, and the relationship between mental health and academic performance within this population. Data was collected from four electronic databases and included peer-reviewed articles published between 2000 and 2022, conducted within the United States, participants over the age of 17, and samples comprised of or including Latinx college students. Studies utilizing quantitative designs, and quantitative portions of mixed method …

From Surviving To Thriving: Empowering Tomorrow’S Professionals Today, David L. Coffey, Keri E. New, Raglena Salmans

Pedagogicon Conference Proceedings

University students are reporting increased levels of anxiety, depression, and suicidal ideation. Learning emotional regulation is a protective factor for students’ overall academic success. This article discusses our experiences implementing an emotional regulation learning activity with University students and strategies for student engagement around mental health issues. Incorporating activities that encourage emotional regulation skills in the regular classroom may add value to the student experience.

Implementing A Stepped Care Model: A Case Study Of Two College Counseling Centers, Stephanie L Johnson-Kane

Dissertations and Theses

The demand for mental health counseling services has surged, but the capacity of college counseling centers to meet this demand has not kept pace. The effects of COVID-19 have exacerbated this already fragile system of care. College students are enrolling in college with increased levels of anxiety, depression, disordered eating, suicidal ideation, and substance use. College counseling center staff are facing burnout. The waitlist to receive mental health services is at critical capacity. This multi-site case study was designed to foster an understanding of two college counseling centers' implementation of the stepped care approach as a mental health service delivery …

Addressing The Crisis In Meaning And Identity Through Covenant Relationship, Jenet Jacob Erickson

Religious Educator: Perspectives on the Restored Gospel

Our youth are experiencing a profound hunger for connection, evidenced by an epidemic of loneliness and increasing mental health challenges despite the seeming connectivity of a world swimming in social media. The deepest loneliness stems from disruption and disorder in family life, including ruptured or never formed family relationships. In answer to this relational fracturing, the gospel of Jesus Christ offers covenant belonging and connection. The revealed understanding of the nature of our covenant relationship with Jesus Christ and his work in enabling eternal bonds within the family and across the entire eternal family is at the heart of helping …

Perfectionism’S Influence On Adolescent Mental Health, Mark D. Ogletree

BYU Studies

Years ago, I was sitting in my counseling practice with a sixteen-year- old young man. He was a great teenager with many positive qualities. However, on this particular summer day, he came in a somber mood. I asked him what was bothering him. He began to share some of his problems with me. In my opinion, none were out of the ordinary. Nevertheless, I could see his lips begin to quiver, and then he broke down in tears. When he could compose himself, he uttered, “I know that God hates me.” And with that declaration, I knew that we had …

Dental Conditions In Patients With Psychiatric Disorders – A Pilot Study, Viraj Borgamwar, Kishor M, Ashwini Ts, Pradeep Kumar P C

Digital Journal of Clinical Medicine

Background: Individuals with mental illness are vulnerable to developing many physical health issues, as their oral health deteriorates due to poor self-hygiene associated with mental illness. Therefore, this pilot study was undertaken to assess the dental status of individuals with mental illness.

Method: This cross-sectional study involved 61 psychiatric patients recruited from psychiatry department. Psychiatric diagnosis was finalized as per ICD 10 criteria and dental conditions were assessed by consultant dentist.

Results: The study included 61 patients, with 31 (51%) men and 30 (49%) women aged 18 to 60 years. Most patients (54%) were urban residents, and 46% were rural. …

Psychiatric Morbidity In Perinatal Women And Its Outcome In A Tertiary Care Hospital, Lakshmi Velayudam, Prathap Talwar, Kishor M, Harshitha Padmanabha

Digital Journal of Clinical Medicine

Background: Pregnancy and postpartum are a period of vulnerability in a women’s life for developing mental health problems. Perinatal psychiatric illness has various adverse outcome on maternal, neonatal and child health.

Objective: To study the prevalence of psychiatric disorders and its outcome among women in the perinatal period.

Method: It is a prospective study conducted at a tertiary care hospital where antenatal and postnatal women were screened for psychiatric disorder using patient health questionnaire-9 (PHQ-9) and Edinburgh Post Natal Depression Scale (EPDS) respectively. Total of 140 women diagnosed with psychiatric disorder were followed up for a year and outcome …

“Black Wom(B)Anhood”: An Explorative Analysis Of Black Women's Narratives Of Healthcare Encounters During And After Pregnancy, Janae A. Baker

Theses and Dissertations

This qualitative study explores the intricate dynamics of patient-provider relationships within the context of prenatal care among Black women and how these experiences may affect their perinatal mental health. The study was conducted using a methodology consisting of structured interviews with 12 participants, snowball sampling facilitated recruitment. Thematic analysis revealed six prominent themes encapsulating the multifaceted interactions between Black women and their healthcare providers during the perinatal period. The findings illuminate nuanced aspects of the patient-provider relationship, shedding light on issues such as: (a) Anticipation of Low Quality Care, (b) Lack of Communication, (c) Listening, (d) Stereotype Threat, (e) Colorism, …

Mental Health Help-Seeking Behaviors And Service Utilization Of Black College Students, Troy J. Keys

Theses and Dissertations

Black college students are less likely to seek mental health services compared to other students. While previous research has identified barriers and facilitators contributing to Black college students’ help-seeking behaviors, the current political and social climate and pandemic have negatively impacted their mental health thus warranting the exploration of these factors again. This study aimed to identify the mental health help-seeking behaviors and attitudes of Black college students, the barriers and supports for help-seeking behaviors, their preferred service utilization providers, and their thoughts about promoting mental health help-seeking among their peers. Black college students (n = 21) enrolled at an …

The Many Impacts Of The Covid-19 Pandemic On Latinx College Students’ Mental Health: Exploring The Role Of Sleep, Social Support, And Familismo, Mayra S. Ramos

Theses and Dissertations

College students experienced a multitude of disruptions to their daily life, and changes to their physical (i.e., sleep quality) and mental health (e.g., anxiety and depressive symptoms) because of the COVID-19 pandemic. Though the field has identified the factors that have contributed to negative physical and mental health changes, there remains much to be known about social and cultural protective factors that could buffer the negative role of the COVID-19 pandemic on Latinx college students. The current study contributed to the literature on the mental health outcomes of Latinx college students by identifying a possible mediator and moderators between the …

Neurodevelopmental Trajectories As An Explanatory Mechanism For Adverse Mental Health Outcomes Following Child Maltreatment, Casey Burton Corso

Theses and Dissertations

Affecting one in every seven children in the United States, child maltreatment (CM) is a major public health issue associated with a myriad of adverse outcomes (e.g., alcohol and drug abuse, mental illness, interpersonal violence, sexual risk taking, etc.). While any subtype of CM (e.g., physical abuse, sexual abuse, emotional abuse, and neglect) increases the likelihood of subsequent psychopathology, heterogeneity in psychiatric sequelae of CM is associated with different CM subtypes. Elucidating the underlying mechanisms of this heterogeneity is vital for improving intervention and treatment of CM, and research aimed at accomplishing this is a critical need. One possible explanatory …

Life After Discharge: Predicting Longitudinal Trajectories Of Community Integration And Global Functioning In Black Individual With Traumatic Brain Injury, Chimdindu Ohayagha

Theses and Dissertations

The onset of traumatic brain injury (TBI) begins a chronic health pathway that contributes to various impairments and comorbidities across the lifespan. Common consequences of TBI include mental health issues, cognitive impairments, and reduced functional independence, all of which impact how an individual integrates into their community. Community integration is a primary goal for rehabilitation after TBI. Studies show that racially/ethnically minoritized individuals have a higher incidence of TBI, higher rates of mortality, and report poorer functional and community integration outcomes. Limited studies have explored longitudinal outcomes of community integration in a Black-only sample of individuals with TBI. Additionally, no …

The Effect Of School Uniforms On High School Students’ Feelings About School And Their Communities, Maggie Vavrik

Masters Theses

What you wear can feel like a defining aspect of who you are as a person. For high schoolers especially, how they look on the outside, can affect other factors such as their sense of belonging and safety both within their school and their community. In this study, I conducted focus groups at a high school which requires uniforms to be worn. Through the focus groups, I was able to learn how wearing a uniform impacted them on a daily basis. During the study I was also able to observe at the school for a day and note the trends …

The Influence Of Intensive Treatment In A Cohort Model On Psychosocial Well-Being Of Patients With Aphasia: An Investigation Of Patients’ Quality Of Life Across Three Service Delivery Models, Helena Riley

Graduate Student Theses, Dissertations, & Professional Papers

Aphasia, a common communication disorder following a stroke, significantly impacts psychosocial wellbeing and quality of life. Despite advancements in rehabilitation frameworks, traditional impairment-based interventions prevail, leaving gaps in addressing holistic needs. This study aims to compare patient-reported outcome measures (PROMs) between intensive comprehensive aphasia programs (ICAP), modified ICAPs (mICAPs) and individual usual care (UC) service delivery models for aphasia intervention. Eighteen participants with aphasia were broadly recruited for this study. Each completed a series of PROMs pre-and post-treatment examining psychosocial wellbeing, communicative participation, and health related quality of life. Results indicate that intensive programs show potential for greater gains in …

Uncontrolled Burn: The Worker Well-Being Of Wildland Firefighters, Luke Santore

Graduate Student Theses, Dissertations, & Professional Papers

Purpose: The available evidence indicates that wildland firefighters (WLFFs) are experiencing a well-being crisis. This study aims to assess predictors of both worker well-being and social and emotional loneliness among WLFFs.

Methods: An adapted version of the National Institute of Occupational Safety and Health’s (NIOSH) Worker Well-Being Questionnaire, along with the De Jong Gierveld Social and Emotional Loneliness Scale (De Jong Gierveld & Van Tilburg, 2010) was distributed between May and October of 2023. Nine ordinary least square linear regression models were estimated to test the impact of demographic and employment variables on well-being in the sample of 95 …

Risk Of Depression In Persons With Alzheimer's Disease: A National Cohort Study, Casey Crump, Weiva Sieh, Barbara G Vickrey, Alexis C Edwards, Jan Sundquist, Kristina Sundquist

Faculty, Staff and Student Publications

INTRODUCTION: Depression is a risk factor and possible prodromal symptom of Alzheimer's disease (AD), but little is known about subsequent risk of developing depression in persons with AD.

METHODS: National matched cohort study was conducted of all 129,410 persons diagnosed with AD and 390,088 with all-cause dementia during 1998-2017 in Sweden, and 3,900,880 age- and sex-matched controls without dementia, who had no prior depression. Cox regression was used to compute hazard ratios (HRs) for major depression through 2018.

RESULTS: Cumulative incidence of major depression was 13% in persons with AD and 3% in controls. Adjusting for sociodemographic factors and comorbidities, …

Occupational Therapy Student Characteristics Influencing Level Ii Fieldwork: An Exploratory Study Of Mental Health, Confidence, And Mindful Self-Care, Jessie L. Bricker, Kaitlin Hill, Steven D. Taff

Journal of Occupational Therapy Education

Level II fieldwork serves as a critical component of occupational therapy (OT) student education during which students develop and refine skills to become practicing clinicians; however, research on student characteristics that influence the fieldwork experience is limited. The purpose of this study was to explore student mental health, confidence, and mindful self-care practices throughout Level II fieldwork. Ten OT students completing Level II fieldwork participated in this study by completing surveys during the first week, midpoint, and final two weeks of their second Level II fieldwork experience. Each survey contained Cohen’s Perceived Stress Scale (PSS-10), the Student Confidence Questionnaire, and …

“Putting On Our People Lens”: Lived Experience As Pedagogy, Tessa Zoe Milman, Sarah Bream, Celso Delgado, Erin Mcintyre, Tristan Scremin, Leslie Moreno, Maggie Yeo, Deborah Pitts

Journal of Occupational Therapy Education

In the professional education of mental health practitioners, including occupational therapists, there has been a lack of meaningful inclusion of people labeled with mental illness into curricula, beyond guest speaker panels and presentations. This study explored the experiences of students, faculty, and ‘Experts by Experience’ within a mental health occupational therapy course that incorporated Experts with lived experience as co-facilitators of weekly fieldwork debriefs. The study utilized focus groups and interviews to understand the experiences of students, mental health faculty, and ‘Experts by Experience’. Key themes that emerged from the qualitative data analysis were organized under three broad categories: 1) …

Short-Term Blood Pressure Variability Among Young Adults At High Or Low Risk For Depression, Balázs Bence Nyárády, Miklós Vértes, Edit Dósa, Xiao Yang, Charles J. George, Enikõ Kiss, Iidiko Baji, Krisztina Kapornai, Maria Kovacs

Psychology Faculty Publications

Background: Depression has been shown to have adverse effects on blood pressure (BP) and is associated with high blood pressure variability (BPV). In turn, high short-term BPV has been related to eventual cardiovascular risk. But it is not clear how early in adulthood the detrimental effects of depression on BPV may be discerned, if being at high risk for depression also compromises BPV, and whether the clinical features of depression moderate its adverse effects. We investigated these three issues among young adults using an office-like setting. Methods: In total, 218 subjects with a history of childhood-onset major depressive episodes (probands), …

Intermittent Digital Fasting: The Mental Health Benefits Of A One-Hour Daily Social Media Hiatus, Austin Lahue, James Gaskin, Kennedy Daniel

Faculty Publications

In an era where social media ubiquity persists, concerns over its impact on mental health have escalated. This preliminary study investigates the effects of a one-hour daily social media hiatus on the mental wellbeing of 60 college students over two weeks. Unlike common interventions demanding prolonged abstinence, this research explores a more feasible, short-term avoidance approach. The experimental design, including treatment and control groups, illuminates the potential mental health benefits of brief, yet regular, digital disengagements. Preliminary results suggest that even minimal breaks from social media can yield significant improvements in users' mental health. Interestingly, these benefits come not from …

An Exploration Of Preconception Care For People With Health Conditions Using Realist Methodology: What Works, For Whom, And In What Circumstances?, Heather Hopper

School of Nursing and Midwifery Theses

Background: People living with pre-existing physical or mental health conditions are over-represented in audits and confidential enquiries regarding maternal morbidity and mortality and thus often advised to stabilise or optimise their health prior to becoming pregnant. Preconception care may include medication or behaviour change, which can be effective but not always accessed by those who need it, and there is a lack of evidence demonstrating how this can be achieved. The aim of this study was therefore to explore what form of preconception care for people living with health conditions works, for whom, how do these approaches work, and in …