Digital Commons Network^™

Medicine And Motherhood: The Silent Loads, Gehan A. Pendlebury

be Still

This poem articulates the challenging and often misunderstood experience of being a mother in medical school It describes a silent load that often takes a toll on mothers in medicine It describes the feeling of simultaneously being pulled in opposing directions, the pain of missing on special family moments and events The poem offers hope and solidarity for mothers who are enduring this unique experience.

The Effect Of Isolation On The Mental Health Of Older Adults, Christina Yates

Senior Honors Theses

As individuals age and lose mobility and cognitive functioning, many require full-time care which their loved ones are unable to provide. This often results in placement into long-term care facilities, and these facilities are notorious for being understaffed. Physical health becomes the only priority, depriving the client of having their mental and emotional needs fulfilled. Family and friends may decrease visitation due to distance or convenience. In 2020, the Covid-19 pandemic closed the doors of many facilities to nearly all visitors. Thus, the only individuals the residents of these facilities experienced interaction with were overworked staff members looking intimidating in …

Transmuting Grief: More Than One “Feat Of Creation” In Mrs. Dalloway And To The Lighthouse, Taylor Cripe '26

Best First-Year Seminar Writing

No abstract provided.

An Intersectional Lens To Covid-19: Promoting Youth Well-Being In The Midst Of Social-Political Stressors, Magdalena S. Moskal

Theses and Dissertations

Guided by interpretative phenomenological methodology and intersectionality theory, this thesis aims to uncover the mental health experiences of youth surrounding the COVID-19 pandemic. This study also seeks to situate these experiences with the subsequent stressors that young people face in the current social-political context (e.g., witnessing trauma in the media, uprisings to address racism and the resulting backlash, rhetoric of the 2020 presidential election). Furthermore, this thesis aims to give insight and voice how intersectionality shapes the COVID-19-related experiences of youth in South Carolina. Data was collected through semi-structured interviews with 23 participants aged 16-21 years old in South Carolina. …

Covid-19 And The College Student Experience, Benjamin Cochran

Senior Theses

In March of 2020, COVID-19 consumed the globe, affecting individuals’ physical and mental health. Physical health disparities among states of different political affiliations became clearer as the pandemic continued unrelentingly, but mental health disparities were not. This thesis attempted to note any mental health disparities among college students in states of both political affiliations across the country through an online survey. The 23-question survey was completed by 97 undergraduates at six universities - three in liberal states and three in conservative states. Respondents at universities in the liberal states rated their university and the state in which it is located …

Experiences Of Stigma, Social Support, And Anxiety In People Living With Hiv In South Carolina, Sarah J. Miller

Theses and Dissertations

People living with HIV (PLHIV) experience numerous psychosocial stressors, including HIV-related stigma and heightened prevalence of mental health disorders such as depression, substance use disorders, and anxiety. However, limited research has investigated predictors of anxiety within this population. This study aimed to explore the relationship between HIV-related stigma and anxiety symptoms among PLHIV in South Carolina (SC) and to examine the role of social support as a mediator for this relationship. A total of 402 PLHIV receiving HIV care at large immunology center in SC completed a paper and pencil survey, reporting sociodemographic variables, as well as experiences of HIV-related …

Predicting Therapists’ Intentions To Use An Innovation: The Role Of Innovation-Specific, Individual, And Organizational Factors, Jonathan KuʻUhoaepilipono Ahuna

Theses and Dissertations

Understanding factors that contribute to an individual’s decision to use an innovation can increase the public health impact of innovations in children’s mental health services. Objective. This study examined whether and to what extent therapists’ innovation-specific judgements (e.g., innovation is easy to use, socially desirable) were associated with intentions to use an innovation using constructs from one of the most robust theories of innovation use–the Unified Theory of Acceptance and Use of Technology (UTAUT). Method. Two aims were addressed using data collected from 95 therapists and 28 supervisors who participated in a multi-site cluster randomized trial. Therapists used either a …

Longitudinal Changes In Wellbeing Amongst Breastfeeding Women In Australia And New Zealand During The Covid-19 Pandemic, Vanessa S. Sakalidis, Alethea Rea, Sharon L. Perrella, Jacki Mceachran, Grace Collis, Jennifer Miraudo, Stuart A. Prosser, Lisa Y. Gibson, Desiree Silva, Donna T. Geddes

Research outputs 2022 to 2026

The COVID-19 pandemic has impacted new mothers’ wellbeing and breastfeeding experience. Women have experienced changes in birth and postnatal care and restricted access to their support network. It is unclear how these impacts may have changed over time with shifting rates of infection and policies restricting movement and access to services in Australia and New Zealand. This study investigated the longitudinal effect of the COVID-19 pandemic on breastfeeding and maternal wellbeing in Australia and New Zealand. Mothers (n = 246) completed an online survey every 4 weeks for 6 months that examined feeding methods, maternal mental wellbeing, worries, challenges, and …

Effect Of Yoga And Mindfulness Intervention On Symptoms Of Anxiety And Depression In Young Adolescents Attending Middle School: A Pragmatic Community-Based Cluster Randomized Controlled Trial In A Racially Diverse Urban Setting, Alessandra N. Bazzano, Yaoyao Sun, Vaughne Chavez-Gray, Temitope Akintimehin, Jeanette Gustat, Denise Barrera, Cody Roi

School of Medicine Faculty Publications

Mental health conditions in childhood and adolescence are increasing in the U.S. population and require early intervention, as highlighted by a recent Surgeon General’s Advisory on Protecting Youth Mental Health. These health issues, which have been exacerbated by the COVID-19 pandemic, impair functioning, and may lead to longer term reductions in quality of life. Young adolescents are likely to experience stressors including academic pressure, feelings of loneliness and isolation, and excessive exposure to social media, all of which have been made worse by the pandemic and associated disruptions. Universal preventive programs at school serve as an important strategy for equipping …

Factors Influencing Mental Health Outcomes Of University Personnel During The Covid-19 Pandemic, Rebecca C. Holland, Melissa K. Kossman, Leslie W. Oglesby, Morgan R. Eckenrod, Abigail S. Willis, Anna K. Porter

Journal of Public Health in the Deep South

Background: Previous research links the COVID-19 pandemic to negative effects on physical and mental health; however, little is known about how those effects can be mitigated. Additionally, college campuses experience mental health issues regularly, which were heightened during the pandemic. Purpose: The purpose of this study was to describe the current status of mental health within a university community and identify factors associated with excessive worry during the COVID-19 pandemic, such as mental health, resilience, grit, and other demographic factors. Methods: A questionnaire examining five domains (demographics, COVID-19 distancing behaviors, physical, mental, and social and economic health) was created, validated, …

Assistance Dogs For Military Veterans With Ptsd: A Systematic Review, Meta-Analysis, And Meta-Synthesis, Sarah C. Leighton, Leanne O. Nieforth, Marguerite E. O'Haire

Purdue University Libraries Open Access Publishing Fund

Psychiatric assistance dogs for military veterans with posttraumatic stress disorder (PTSD) currently make up over 19% of assistance dog partnerships globally. We conducted a systematic review of the literature relating to these partnerships, with specific aims to (1) summarize their characteristics, (2) evaluate the quality of existing evidence, and (3) summarize outcomes. A total of 432 records were independently screened (Cohen’s kappa = 0.90). Of these, 41 articles (29 peer-reviewed publications and 12 unpublished dissertations) met inclusion criteria. Data extraction was conducted to address the research aims, including a meta-analysis (quantitative outcomes) and meta-synthesis (qualitative outcomes). All peer-reviewed publications on …

Social Predictors Of Doctoral Student Mental Health And Well-Being, Feng Zhang, Kaylee Litson, David F. Feldon

Instructional Technology and Learning Sciences Faculty Publications

Graduate students' mental health and well-being is a prominent concern across various disciplines. However, early predictors of mental health and well-being in graduate education, specifically doctoral education, have rarely been studied. The present study evaluated both the underlying latent classification of individuals' mental well-being and predictors of those classifications. Results estimated two latent classes of students' mental health and well-being: one class with generally high levels of mental well-being and one with lower levels of mental well-being. Regression analyses showed that mentoring in the second year of doctoral study, certainty of choice in the thrid year, and both academic development …

Evaluating The Effects Of A Pennsylvania-Based Medicaid-Funded Mental Health Peer Support Program, Jessica A. Peacock

Doctoral Dissertations and Projects

Certified peer specialists, or mental health peer support services, have grown as a non-traditional service to provide mental health and recovery support to individuals struggling with a mental health diagnosis. The use of mental health peer support services is an attempt to provide non-clinical mental health recovery support through the lived experience of individuals in recovery. This non-experimental study aimed to evaluate the effects of Medicaid-funded mental health peer support services on mental health recovery outcomes of individuals with serious mental illness or severe emotional disturbances. This study used quantitative analysis of archival data. Four mental health recovery outcome variables …

Testing The Pragmatic Effectiveness Of A Consumer-Based Mindfulness Mobile App In The Workplace: Randomized Controlled Trial, Jennifer L. Huberty, Hallie M. Espel-Huynh, Taylor L. Neher, Megan E. Puzia

Public and Population Health Faculty Publications and Presentations

Background: Mental health and sleep problems are prevalent in the workforce, corresponding to costly impairment in productivity and increased health care use. Digital mindfulness interventions are efficacious in improving sleep and mental health in the workplace; however, evidence supporting their pragmatic utility, potential for improving productivity, and ability to reduce employer costs is limited.

Objective: This pragmatic, cluster randomized controlled trial aimed to evaluate the experimental effects of implementing a commercially available mindfulness app—Calm—in employees of a large, multisite employer in the United States. Outcomes included mental health (depression, anxiety, and stress), sleep (insomnia and daytime sleepiness), resilience, productivity impairment …

Financial Inaccessibility Of Mental Healthcare In The United States, Sophie Lasswell

Ballard Brief

Despite progressive improvements in healthcare in the United States, healthcare for individuals who experience mental health issues remains financially inaccessible. For this brief, financial inaccessibility refers to an individual's inability to afford mental healthcare services, such as therapy, prescriptions, and inpatient and outpatient services. Inadequate execution of legislation, such as the Mental Health Parity and the nature of insurance coverage, contribute to inaccessible mental healthcare in the US. Additionally, the United States maintains healthcare and health insurance costs that are more expensive than comparable developed countries, which contributes to the inaccessibility of mental healthcare in the United States. As a …

Prevalence And Risk Factors Associated With Depression In Pregnant Adolescents In Nairobi, Kenya, Albert Tele, Joseph Kathono, Shillah Mwaniga, Vincent Nyongesa, Obadia Yator, Onesmus Gachuno, Dalton Wamalwa, Beatrice Amugune, Zul Merali, Manasi Kumar

Brain and Mind Institute

Background: Adolescent parenthood can be associated with a range of adverse outcomes for young mothers such as depression, substance abuse, and posttraumatic stress disorder. Identification of depression and understanding risk factors among pregnant adolescents is important for development of appropriate interventions and programs focused on adolescent mental health. This paper reports on the findings of the prevalence of depression and its associated risk factors among pregnant adolescents in Nairobi, Kenya.

Methods: We recruited 153 pregnant adolescent (14-18 years) who were accessing maternal health services in one of two Nairobi County primary health care facilities in the cross-sectional survey …

The Impacts Of Problematic Social Media Use On Youths: Evaluation And Treatment Recommendations, Carianne Archer

Dissertations

Youths’ frequency and time spent on social media continues to increase over the years parallel to the growing concern of the status of the mental health of youth. This critical literature review project focuses on the impacts that social media use has on youth (ages 8 to 18 years) and what methods of evaluation and treatment are being used clinically, with recommendations provided to clinicians based on the available literature. The questions that guided this review included: What are the impacts of social media on the self-concept and interpersonal functioning of youths?; What clinical presentations are associated with youths who …

A Call For Prudent Taxation Of Cannabis Corporates To Fund Mental Health Programmes, Cyprian Mostert, Jasmit Shah, Lukoye Atwoli, Zul Merali, Manasi Kumar

Brain and Mind Institute

Cannabis consumption increases the incidence of psychotic disorders, violence, and cognitive impairments [1]. Governments need to implement progressive tax legislation, such as that which requires the cannabis sector to accept responsibility and account for its contribution to the worsening of these mental health conditions in developing countries. Excise taxes are rarely imposed on the cannabis sector [2], despite the lucrative wealth amassed by this industry. For example, current estimates show that the global cannabis sector was valued at $25 billion in 2021 and is projected to reach $176 billion by 2030, driven solely by cannabis inhalation demands [3]. The projected …

Potential And Pitfalls Of Mobile Mental Health Apps In Traditional Treatment: An Umbrella Review, Jerica Koh, Germaine Y. Q. Tng, Andree Hartanto

Research Collection School of Social Sciences

While the rapid growth of mobile mental health applications has offered an avenue of support unbridled by physical distance, time, and cost, the digitalization of traditional interventions has also triggered doubts surrounding their effectiveness and safety. Given the need for a more comprehensive and up-to-date understanding of mobile mental health apps in traditional treatment, this umbrella review provides a holistic summary of their key potential and pitfalls. A total of 36 reviews published between 2014 and 2022—including systematic reviews, meta-analyses, scoping reviews, and literature reviews—were identified from the Cochrane library, Medline (via PubMed Central), and Scopus databases. The majority of …

Critical Care Nurse Burnout, Moral Distress, And Mental Health During The Covid-19 Pandemic: A United States Survey, Jill L. Guttormson, Kelly Calkins, Natalie S. Mcandrew, Jacklynn M. Fitzgerald, Holly Lynn Losurdo, Danielle Loonsfoot

Psychology Faculty Research and Publications

Background

The COVID-19 pandemic has and will continue to have a tremendous influence on intensive care unit (ICU) nurses’ mental health.

Objectives

The purpose of this study was to describe the impact of COVID-19 on nurse moral distress, burnout, and mental health.

Methods

Between October 2020 and January 2021 this descriptive study recruited a national sample of nurses who worked in the ICU during the COVID-19 pandemic through American Association of Critical Care Nurses newsletters and social media.

Results

A total of 488 survey responses were received from critical care nurses working in the U.S. during the COVID pandemic. Over …

The Relationship Between Sexual Abuse And Disordered Eating: Applications Of Narrative Therapy, Taylor Heilman, David Bright

Journal of Counselor Preparation and Supervision

While research has demonstrated a significant relationship between sexual abuse and the development of disordered eating behaviors, research on techniques to address disordered eating formed in this manner remains limited. Posttraumatic stress as well as internalized feelings of guilt, shame, and blame all contribute to the development of disordered eating in those who have experienced sexual violence. Narrative Therapy focuses on restorying an individual’s experienced and lived themes to make the creation of a new, healthy interpretation of trauma. Limited research has explored the potential application of restorying to populations experiencing disordered eating and sexual abuse trauma, independently. This conceptual …

Passive Interpretable Deep Learning From Cell Phone Activity For Optimal Patient Care, Pelin Ayranci

Dissertations

The majority of individuals in need of mental healthcare fail to seek it, and the diagnosis of those who do is driven predominantly by the patient's subjective self-assessment. There is a need for mental illnesses trackers that measure psychological and physiological symptoms and provide alerts and interpretable data for therapeutic interventions. We present a system that complements existing protocols to detect distress in mental health, passively monitor patients, and quickly alert authorized parties on possible mental health distress. We evaluate modeling a person's mental health from the sensors and activity logs of her/his cell phone using logistic regressions, LSTM, and …

Student Affairs Minutes 08/30/2022, Student Affairs Committee

Student Affairs Committee

No abstract provided.

Transformation Based Digital Technology: The Effectivity Of Psychosocial Intervention Method, I Kadek Agus Hendriawan Putra, Pande Putu Narisya Ardhaneswari, Ni Wayan Devi Ariasih, I Komang Krisnata Kanaya

Smart City

A multitude of patterns resulting from technological change have an influence on people's mental health. People in the digital era need strong mental health in order to prevent mental disease. Coupled with the pandemic condition that happened around two years ago, it also took a part of the economic chain stability in the public, which is really important for everyday daily life. From the literature studies that have been read, showed that approximately 20% of the Indonesian population has the potential to have a mental disorder. Based on the various mental health problems that occur, the approach using the psychosocial …

Examining The Association Between Rurality And Positive Childhood Experiences Among A National Sample, Elizabeth L. Crouch Ph.D., Janice C. Probst Ph.D., Sylvia Shi, Alexander C. Mclain Ph.D., Jan M. Eberth Ph.D., Monique J. Brown Ph.D., Melinda A. Merrell, Kevin J. Bennett

Faculty Publications

Purpose

The present study examines the association between rurality and positive childhood experiences (PCEs) among children and adolescents across all 50 states and the District of Columbia. Recent work has quantified the prevalence of PCEs at the national level, but these studies have been based on public use data files, which lack rurality information for 19 states.

Methods

Data for this cross-sectional analysis were drawn from 2016 to 2018 National Survey of Children's Health (NSCH), using the full data set with restricted geographic data (n = 63,000). Descriptive statistics and bivariate analyses were used to calculate proportions and unadjusted associations. …

Prevalence Of Domestic Violence And Mental Health Symptoms Among South Asian Women In The United States, Shreya Bhandari, Uma Chandrika Millner

Journal of International Women's Studies

This study examines the prevalence of domestic violence, mental health outcomes and help-seeking behaviors among a cross section of 155 South Asians that participated in an anonymous survey. The findings indicate that 31% of the participants experienced some form of domestic violence; physical, emotional, financial or sexual abuse and about 88% of those abused experienced emotional abuse. Results indicate that the abused participants experienced mental health symptoms of sleeplessness, frequent crying spells, panic, feelings of helplessness and hopelessness, high stress, bouts of uncontrollable anger and loneliness. The results emphasize culturally sensitive services that address domestic violence as well as mental …

Relationship Power, Antiretroviral Adherence, And Physical And Mental Health Among Women Living With Hiv In Rural Kenya, Rachel L. Burger, Craig R. Cohen, A. Rain Mocello, Shari L. Dworkin, Edward A. Frongillo Jr. Ph.D., Elly Weke, Lisa M. Butler, Harsha Thirumurthy, Elizabeth A. Bukusi, Sheri D. Weiser

Faculty Publications

Little is known about the association of gender-based power imbalances and health and health behaviors among women with HIV (WWH). We examined cross-sectional baseline data among WWH in a cluster-randomized control trial (NCT02815579) in rural Kenya. We assessed associations between the Sexual Relationship Power Scale (SRPS) and ART adherence, physical and mental health, adjusting for sociodemographic and social factors. SRPS consists of two subscales: relationship control (RC) and decision-making dominance. Women in the highest and middle tertiles for RC had a 7.49 point and 8.88 point greater Medical Outcomes Study-HIV mental health score, and a 0.27 and 0.29 lower odds …

Examining The Effects Of Eating Behaviors On Mental Health And Internalization Of Weight-Based Messaging, Avery E. Bollinger

Theses and Dissertations

The current study sought to explore the effects of eating behaviors on mental health and the internalization of attitudes toward one's appearance. This was performed through a survey distributed through a global online market research firm, Dynata, and gathered 495 eligible participants. Of those, 78 represented the plant-based group, and 417 represented the non-plant-based group. Each completed the survey containing sections with the Mizes Anorectic Cognitions Scale (MACS) to assess if they were at low or high risk for having/developing an eating disorder, a section determining if participants were plant-based (defined as a regimen that encourages whole, plant-based foods and …

Longitudinal Associations Between Housing Instability, Primary Caregiver's Mental Health, Parenting Skills, And Child Behavior Problems: A Latent Growth Modeling Approach, Xi Du

LSU Doctoral Dissertations

Children who grow up in disruptive environments have heightened vulnerability to psychological and behavioral difficulties, which may influence overall well-being through the course of their lives. This study combined a life course perspective with Conger’s family stress model to investigate the longitudinal associations between housing instability, primary caregiver’s mental health, parenting skills, and child internalizing/externalizing behavior problems by unpacking dynamic change from a focal child’s early childhood to adolescence in each factor.

Data came from the Panel Study of Income Dynamics and its Child Development Supplement survey. The analytic sample comprises 783 children who aged 3-7 at enrollment with consistent …

Modern Day Colonization: Gentrification As A Public Health Emergency And Its Impact On Health, Safety, And Wellbeing, Theresa Hayes

Master's Projects and Capstones

This paper analyzes the impact of gentrification in the San Francisco Bay Area, specifically in Oakland, and its relationship to the health and wellbeing of communities. It highlights the public health consequences of gentrification, presents recommendations for policies that will mitigate this impact, and encourages behavior change among newcomers as well as long-term residents. To provide an understanding of gentrification and the Bay Area landscape in which it occurs, a comprehensive literature review was conducted and an exhaustive web search was undertaken to obtain all pertinent information related to the topic. Based on the research, recommendations to combat gentrification now …