Digital Commons Network^™

Impact Of Cyp2d6 Genotype And Inhibitor Use On Risperidone Metabolism In Children: Functional Insights Into The *17 And *29 Alleles., Matthew H. Bennett, Ethan A. Poweleit, Samuel E. Vaughn, Brandon Retke, Paul C. Toren, Jeffrey R. Strawn, Laura Ramsey

Manuscripts, Articles, Book Chapters and Other Papers

Risperidone, an atypical antipsychotic, is increasingly prescribed in pediatric patients with psychiatric disorders. It is primarily metabolized by CYP2D6 to 9-hydroxyrisperidone, an active metabolite associated with a higher risk of adverse effects. The CYP2D6*17 and *29 alleles are prevalent in individuals of African ancestry and less studied than variants found in European ancestry individuals. This knowledge gap contributes to differences in health outcomes in individuals of non-European origin. The primary objective of this study is to replicate recently identified risperidone-specific activity for the CYP2D6*17 and *29 alleles. During psychiatric hospitalization, CYP2D6 was genotyped as part of routine care. Remnant plasma …

School Climate As Primary Prevention: Mental Health And Violence Outcomes Among Lgbtq+ Youth In The U.S. South (2015–2024), Latarsha H. Michael, Brieah D. Hudson, Kenya T. Horne

Journal of Public Health in the Deep South

Lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) adolescents in the U.S. South experience disproportionately high rates of bullying, discrimination, depression, and suicidality. Supportive and inclusive school climates are identified as key protective factors that can mitigate these risks and function as primary prevention against violence. This systematic narrative review synthesizes peer-reviewed research and high-quality survey reports published between 2015 and 2024 that assess school climate, mental health, and violence-related outcomes among LGBTQ+ youth with representation from Southern states, including Mississippi, Alabama, and Louisiana. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 1,167 records …

“I’M Going To Get Help”: Violence Prevention And Response Assessment In Higher Education, Leah B.P. Pylate, Lindsey D. Knight, Sristi Subedi, Earnestine Y. Roby

Journal of Public Health in the Deep South

Background: College-age students are at risk for violence, and these victimizations can affect academic performance and outcomes.

Purpose: The purpose of the current project was to gather information about violence prevention and response in higher education to inform resources and programming delivered to students through an institutional office in the Division of Student Affairs.

Methods: The project was guided by a social-ecological framework. Seven focus groups were conducted with 31 students.

Results: Students identified key issues affecting violence prevention, including personal and relational barriers; limited awareness and access to campus resources; emotional and mental health impacts; and the need for …

Challenges, Stressors, And Resilience Resources Experienced By Older Black Women In Rural South Carolina Throughout The Covid-19 Pandemic, Arielle N'Diaye, Camryn Garrett, Sarah Wilcox Phd, Bankole Olatosi Ph.D., Xiaoming Li Ph.D., Shan Qiao Ph.D.

Faculty Publications

Background

Resilience has been established as a protective factor against mental health challenges (e.g., anxiety, depression). From an intersectional perspective, the stressors experienced by Black women living in rural communities are likely to have been exacerbated during the COVID-19 pandemic. This study aims to identify the challenges and stressors experienced and the resilience resources available to and relied upon by rural, Black women, during the pandemic.

Methods

Individual, in-depth, structured interviews (n = 24) were conducted among Black women living in rural South Carolina, recruited by local community health workers, from January to April of 2024. All interviews were recorded, …

"The Only Place I Feel Understood": A Mixed Methods Survey Of Adolescent And Caregiver Perspectives On Social Media And Parental Controls, Melanie Watt Ramos, Constance M Wiemann, Lauren A Bretz

Faculty, Staff and Students Publications

Purpose

Methods

Results

Sociodemographic Influences On Student-Athlete Eating Disorder Risk And Treatment-Seeking Behavior In The National College Health Assessment, Savannah Hughbanks, Andrew W. Froehle, Brian A. Edwards

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Objective: The present study was developed to explicate attributes associated with increased likelihood of disordered eating behaviors and treatment avoidance and help practitioners better-identify and assist high-risk individuals.

Participants: Varsity athletes (n=51,882) who completed the National College Health Assessment (NCHA) between 2011 and 2019.

Methods: Data was collected from survey responses to questions related to disordered eating behaviors. Disorders were cross-sectioned into eight predictors: year in school, gender, sexual-orientation, race/ethnicity, school-type, international-student, history of mental health illness, and anxiety of impending academic performance.

Results: Two percent of the student-athletes self-reported an ED diagnosis, and within those two percent 65.9% reported …

Shifting Focus: Youth Sports And Mental Health, Tara Boer

Faculty Work Comprehensive List

"Ultimately, athletes should be encouraged to develop their identity holistically. They are athletes, but they are first and foremost children of the King."

Posting about protecting mental health while participating in sports from In All Things, an online hub that offers insight into maintaining and faithful and orthodox Reformed Christian worldview while fearlessly engaging in every aspect of contemporary life – until all is made new.

Shifting Focus

Effects Of Mandated Physical Activity Courses And Motivation To Exercise In Undergraduate College Students, Kyla L. Welch, Melissa D. Long

International Journal of Exercise Science: Conference Proceedings

Physical education and physical activity play essential roles in both the education system and in the development of lifelong healthy habits. Regular physical activity, in conjunction with a well-balanced diet, can contribute to various physical and mental wellness benefits, particularly when supported from an educational standpoint that encourages practical application. However, overall physical activity levels and general health have declined in the past several decades. This is especially concerning within the young adult population, including those attending university. PURPOSE: The purpose of this study was to examine various factors influencing exercise motivation and perceived physical and mental health in …

Exploring The Links Between Bullying Victimization And Suicidal Ideation For Secondary Students With Disabilities: The Mediating Role Of Mental Health, Christopher M. Claude, Nicholas A. Gage, Araba M. Amissah, Chad Rose Ph.D., Dennis A. Kramer

Faculty Publications

Bullying victimization is a well-established risk factor for adverse mental health outcomes, including suicidal ideation, yet less is known about the mechanisms linking these experiences for students with disabilities. Using data from the Georgia Student Health Survey (N = 356,292 high school students across 496 schools), this study examined differences in bullying victimization, mental health difficulties, and suicidal ideation by Individualized Education Program (IEP) status and tested direct, mediated, and moderated pathways among these constructs. Students with IEPs reported higher levels of bullying victimization, mental health difficulties, and suicidal ideation compared to peers without IEPs, although effect sizes were …

Left Behind In Lockdown: A Scoping Review Of Covid-19’S Impact On The Lives Of Transition-Age Foster Youth, Johanna K P Greeson, Sarah Wasch, John Gyourko, Antonio R. Garcia, Hannah Bennett, Kate Greco, Liya Cha

Faculty Scholarship

This scoping review asked: What is known about the scope and nature of research on the COVID-19 pandemic and its effects on older youth with foster care experience in the United States, including the types of studies, samples and outcomes examined? Guided by the Joanna Briggs Institute framework and PRISMA-ScR, we searched 11 databases and grey literature sources (October2024 to January 2025). Eligible studies were United States based, published from 2020 onward and included primary data on foster youth or relevant professionals. Thirty-two studies met inclusion criteria. Most studies were descriptive or cross-sectional, reflecting early phases of the pandemic. Mapping …

School Social Workers In Practice: A Transcendental Phenomenological Study On Understanding Role Navigation And Providing Mental Health Support In Educational Settings, Jennifer J. Bowers

Doctoral Dissertations and Projects

This transcendental phenomenological study examined the lived experiences of school social workers as they navigated their professional roles in supporting student mental health within educational settings. Grounded in Organizational Role Theory and Ecological Systems Theory, the study explored the meanings participants assigned to their roles, the challenges they encountered, and factors that supported or hindered their work. Purposeful sampling was used to recruit 11 licensed and unlicensed school social workers employed in the South Florida Tri-County area. Data were collected through in-depth, semi-structured interviews and analyzed using epoché, horizontalization, and thematic clustering. Findings revealed four interrelated themes: navigating roles and …

Analyzing The Effects Of Supervisors’ Conduct On The Persistent Stress Experienced By Nevada Law Enforcement Officers, Kendra D. Still

Doctoral Dissertations and Projects

This quantitative study aimed to identify the specific actions of supervisors that contribute to chronic stress among law enforcement officers in Nevada. Chronic stress is a common issue in law enforcement and can have detrimental effects on officers’ mental and physical well-being. Despite the acknowledgement of supervisors' actions as a significant stressor for officers, there is a lack of research specifically addressing the actions that officers perceive as most stress-inducing, particularly in Nevada. This research gap hinders efforts to address and alleviate these stressors, allowing them to persist and impact officers' well-being. To address this gap, a Likert-scale survey was …

Measuring Depression, Anxiety, Stress And Burnout In Paramedics, Dispatchers, And Call Takers Of Western Canada, Nahum Chi Heng Ip

Doctoral Dissertations and Projects

The following dissertation examines depression, anxiety, stress, and burnout in dispatchers and paramedics of Western Canada. This study is meant to bridge a research gap in mental health among emergency health workers in British Columbia, Canada. The samples were collected through two self-reporting surveys, the Depression, Anxiety, and Stress Scale (DASS-21) and the Maslach Burnout Index (MBI), both of which are strongly validated and widely used in similar research. Of the 948 dispatchers and paramedics who participated, 771 (81.3%) responses qualified to be included. The data was entered into the Intellectus software where a variety of tools were utilized to …

Asylum On The Prairie, Christain Smith

History Hawks: A North Dakota History Zine

Asylum on the Prairie is a short history zine that examines the rise, abuse, and eventual reform of the Jamestown State Hospital, revealing the contradictions at the heart of early American asylums--institutions founded on care but shaped by neglect and stigma. Tracing the hospital from its 1885 opening through the 1937 scandal and later deinstitutionalization, it highlights how systemic failures persisted until public outrage forced change. Ultimately, the zine reflects on Jamestown as a cautionary example of how vulnerable populations can be failed without accountability and humane oversight.

Experiences Of Stigma And Barriers To Care Among Transgender And Gender Expansive Populations Seeking Mental Healthcare, Amanda Veldorale-Griffin, Elizabeth Banks, Elizabeth Patrick, Judith Cannon, Caidan Thomas Smith

Marriage and Family Therapy Faculty Articles and Research

Transgender and gender expansive (TGGE) people experience increased risk for mental health issues and suicidality, as well as significant barriers to mental healthcare, due to stigma and discrimination, including from mental healthcare providers. A sample of 945 TGGE participants completed self-report surveys, measuring experiences of stigma and barriers to care, and counselor competence. Data were divided into two groups by age and analyzed through linear regressions and one-way ANOVAs. Across groups, participants (approximately 58% of younger participants and 49% of older participants) reported experiencing stigma from a healthcare provider, and all reported some barriers to care, with more than half …

Gardening As A Psychosocial Well-Being Activity For Adults: Integrating Eco-Wellness And Developmental Theory, Christopher T. Belser, Helene Tavormina, Ann O'Hanlon

Adultspan Journal

Prior research has demonstrated the myriad of benefits that gardening can offer individuals, ranging from physical, mental, emotional, and social benefits. Though the counseling literature has begun to address the nature-wellness connection via EcoWellness theory (Reese & Myers, 2012), little attention has been paid to the benefits of gardening as a psychosocial well-being activity for adult populations. In this manuscript, authors offer a conceptual framework built on EcoWellness theory, psychosocial development theory, life-span, life-space career theory, and selection, optimization, and compensation theory that contextualizes gardening as a beneficial activity for young adults, middle adults, and older adults. Authors present specific …

The Promise Of Mindfulness-Based Interventions: A Stress-Reduction Strategy For Testicular Cancer Survivors' Health-Related Quality Of Life, Michael J. Rovito, Colin F. Mahony, Kamalie Thomas, Keith Brazendale, Ciaran Fairman Ph.D., Cscs, Cet

Faculty Publications

Background: Testicular cancer (TC) disproportionately affects younger men and carries unique psychosocial and physiological consequences that extend well beyond treatment. Despite favorable survival rates, TC survivors frequently report diminished health-related quality of life (HRQoL). These burdens are often compounded by masculinity-related identity disruptions, fear of recurrence, sexual dysfunction, and a lack of tailored psychosocial support. Existing interventions remain limited, with most programs focused on physical rehabilitation or early detection. Few address the multidimensional stressors that shape the TC survivorship experience.

Aims: This narrative review examines the literature on HRQoL among TC survivors and evaluates the potential of mindfulness-based interventions (MBIs) …

Assessing The Effectiveness Of A Habit Recording Tool To Improve Mental Health Of University (Auc) Students, Noran Nounou

Theses and Dissertations

Introduction: According to previous research, the mental health of university students has become an alarming public health concern worldwide. Most of the mental disorders begin among young adults, attributed to the transition to university and increased financial and societal pressure. Despite the important effect of daily habits on mental health, there still remain research gaps in Egypt in exploring their effect among university students and exploring the potential opportunities to support their well-being. Objectives: To assess depression rates among AUC students and to evaluate the effectiveness of a newly designed habit recording board, Make an Impact (MAI) to improve depression …

Cognivault: Enabling Privacy-Aware Cognitive Distortion Detection In Intelligent Mental Health Applications, Mariam Dawoud

Theses and Dissertations

Mental health applications are increasingly leveraging intelligent systems to sup- port psychological well-being, yet preserving user privacy remains a major concern. This thesis presents CogniVault, a secure ecosystem for cognitive distortion data. The framework includes Cognify, a mobile journaling application that detects cog- nitive distortions in user-written journal entries using a locally deployed machine learning model. Cognitive distortions are maladaptive thought patterns such as catastrophizing or personalization, which the app identifies to provide therapeu- tic insights. To ensure privacy-preserving data analytics, CogniVault includes the design and implementation of a hybrid security architecture, PRISM-HDI, that combines Paillier Homomorphic Encryption (HE), Differential …

Youth Violence, Cyberbullying, And Mental Health Among Adolescence: A Public Health Analysis Of Netflix’S “Adolescence”, Natepy Vann

Introduction to Public Health

It is a summary of a Netflix's series about British psychological crime thriller.

Trapped And Traumatised: A Scoping Review Of The Psychological Sequelae Of Entrapment Following Motor Vehicle Collision, Thomas A.M. Dixon, Kara Hole, Louise Johnson, Tim Nutbeam

Peninsula Medical School

Background: Motor vehicle collisions (MVCs) are a significant public health challenge, resulting in substantial mortality and morbidity. Entrapment occurs in 12–33% of all MVCs and is associated with greater injury severity, longer on-scene time, and increased mortality. However, the psychological consequences of entrapment remain poorly characterised. Objectives: This scoping review seeks to establish the current understanding of the psychological sequelae of entrapment following MVCs and draws on insights from related fields of study in order to inform future research and clinical practice. Methods: A scoping review was undertaken following established methodological guidance. Searches were completed on NHS Knowledge and Library …

Psychological Resilience In The Covid-19 Response: A Systematic Review For Future Public Health Preparedness, Atena Pasha, Abdul-Hanan Saani Inusah, Jannatun Nayem, Xiaoming Li, Shan Qiao

Faculty Publications

Objective: The COVID-19 pandemic has highlighted the importance of psychological resilience for well-being. While several reviews have addressed resilience in specific populations or contexts, few have synthesized global literature across diverse populations. This review examines psychological resilience across diverse populations, focusing on measurement, associated factors, and future public health preparedness strategies. Method: Guided by the PRISMA, a thorough search of PsycINFO, PubMed, ScienceDirect, and Web of Science was conducted in February 2024, including quantitative studies considering psychological resilience during the COVID-19 pandemic published in peer-reviewed English journals from 2020 to 2024, using search terms relevant to psychological resilience and COVID-19. …

Transforming Reproductive Health Through Education: A Menstrual Health Literacy And Empowerment Questionnaire To Support Psychological Well-Being, Francesca Dellamaggiore

Doctor of Psychology (PsyD)

Menstrual health remains an underexamined area within psychological and reproductive health research despite its relevance to emotional functioning, self-advocacy, health literacy, and overall well-being. Limited education about the menstrual cycle, combined with persistent stigma and misinformation, may leave many individuals unprepared to understand their bodies and communicate effectively with healthcare providers. The present study aimed to develop and provide a preliminary psychometric evaluation of the Menstrual Health Literacy and Empowerment (MHLE) Questionnaire, a novel measure designed to assess menstrual cycle knowledge, menstrual attitudes, and empowerment-related processes associated with psychological well-being. Participants were recruited through community and university-based sampling methods and …

Mental Health And Conflicts: A Handbook For Empowerment, Dan Berstein

DRI Press

Mental health needs are universal. About half of us will end up having a diagnosable mental health issue at some point during our lives, and we all know what it is like to have a bad day. We also understand conflicts are hard and they often bring out the worst in us. There are simple ways to be ready for when mental health needs arise during conflicts. This handbook introduces different mental health perspectives, dispels common stereotypes, and provides tools for empowering mental health communication. This book is designed to help laypeople as well as professionals across all kinds of …

Educating Medical Trainees On Mental Healthcare And Intellectual And Developmental Disabilities, Andrea Palmieri, Joan B. Beasley, Micah Peace Urquilla, Jennifer Mclaren

Developmental Disabilities Network Journal

Many children and adults with intellectual and developmental disabilities (IDD) experience mental health conditions and commonly receive treatment with psychotropic medications. Prescribers often overuse these medications in children with IDD, who are frequently treated with polypharmacy and antipsychotics, a trend that continues into adulthood. Medical trainees receive little training regarding the IDD patient population. This paper describes the development and evaluation of an evidence-informed, easy-to-use training curriculum. The 6-hour training establishes a foundation for medical trainees regarding the treatment of mental health conditions in people with intellectual and developmental disabilities (IDD-MH) as part of an integrated health, interdisciplinary treatment approach. …

Integrating Human Factors, Technology, And Mental Health: A Mixed-Methods Framework For Aviation Maintenance Safety In The Philippines, Arthur Dela Peña

Journal of Aviation Technology and Engineering

A complex interaction of human factors, mental health, organizational dynamics, and emerging technologies influences aviation maintenance safety in the Philippines. This study aims to develop an integrated framework to address these aspects and reduce maintenance-related errors. Using a mixed-methods approach based on Creswell’s pragmatic paradigm, the research surveyed 200 participants, including aviation maintenance technicians (AMTs), supervisors, and managers, and conducted in-depth interviews and focus groups. Quantitative analysis revealed that fatigue was a significant contributor to maintenance errors, accounting for 45% of recorded incidents and exhibiting a strong correlation with error rates (r = 0.71, p = 0.005). Incorporating human factors …

The Correlation Between Spiritual Tourism And Mental Health Of Young People In Binh Duong, Vietnam, Anh Nguyen

International Journal of Religious Tourism and Pilgrimage

While researchers are in agreement about the positive relationship between spiritual activities (SAs) and mental health (MH) among the general population, the relationship between spiritual tourism (ST) and MH, particularly among young adults, is yet to be adequately investigated. As such, this research was conducted to determine the contribution of ST towards the MH of the younger generation. The respondents are undergraduate students located in Vietnam’s industrial province of Binh Duong. The findings, from the quantitative research approach, indicate that young people perceive ST mainly as a means for visiting places of worship, with little consideration for the MH benefits …

From Cost To Investment: The Evolution Of Mental Health Perception In Medium And Large-Scale Corporate Environments Between 2020 And 2025, Patricia M. Mcmillan, Antônia Márcia Rodrigues Sousa, Maria Ianka Soares Mendes

SPARK Symposium Presentations

This study examines how medium and large formal companies’ perceptions of employee mental health changed between 2020 and 2025, especially after the impact of the COVID-19 pan demic, considering its organizational and economic impacts. Based on a narrative review of literature, we sought to understand the reasons why mental health care in a formal corporate environment should no longer be seen only as a cost and should instead occupy a central place in corporate investments and strategies. The results show that the significant increase in absences due to mental disorders, coupled with the economic and productivity losses associated with absenteeism …

Chemistry Education Undergraduate Students’ Mental Health Issues As Correlate To Their Interest In Chemistry Courses In Southeast Universities, Juliana Nkiru Nnoli, Obikezie Maxwell Chukwunazo, Abumchukwu Angela Adanne

Journal of Innovation and Teacher Professionalism

This study examined the relationship between mental health issues and interest in chemistry courses among Chemistry Education undergraduate students in federal universities in Southeast Nigeria (n = 2500). The research was motivated by increasing academic stress, perceived course difficulty, limited coping resources, and the influence of mental health on motivation, arousal, and self-efficacy. Two research questions and two hypotheses guided the study. A correlational research design was employed. The sample of 2500 students was selected using proportionate stratified random sampling from the five federal universities in the region. Data were collected using two instruments: the Chemistry Mental Health Inventory (CMHI) …

The Need Of Online Counselling To Enhance Mental Health Among Students In Higher Learning Institutions In Tanzania, Bernadetha Gabriel Rushahu

Tanzania Journal of Sociology

This study aimed to explore the need of online counselling to enhance mental health among students in higher learning institutions. The study employed a qualitative research approach in which 40 participants were involved. These were purposefully selected from two higher learning institutions in Tanzania - 30 were students and 10 were counsellors. In-depth interviews and Focus Group Discussion were used to collect data from the respondents. The findings revealed that through online counselling, it is easy to access psychosocial therapy, maintain privacy, conduct time/cost-friendly therapy, access services, allow freedom of expression as well as allow easy feedback and follow-up. Also, …