Digital Commons Network^™

Mental Health And Help-Seeking In Engineering Education: Beliefs, Norms, And Intervention Pathways For Undergraduate Students, Matthew D. Whitwer

Theses and Dissertations--Chemical and Materials Engineering

Engineering education is at a critical juncture where supporting student mental health is essential for fostering persistence, equity, and the development of a resilient and innovative workforce. While engineering students experience high levels of distress and low rates of mental health treatment seeking (known as a mental health treatment gap), there is a gap in knowledge around how this compares to that of students in other fields of study. Further, while efforts have been made to improve the mental health treatment gap in engineering, they are limited by a lack of actionable, theory-based targets. Therefore, this dissertation aims to characterize …

The Mental Health Mastermind: How Noah Kahan Reduces Stigma, Meghan Deeley

ENG 490 Senior Seminar Capstone

Mental health anti-stigma strategies have been largely studied; however, limited research examines how musicians integrate lyrics and marketing strategies to reduce mental health stigma. This study fills the gap by analyzing the work of Noah Kahan, whose cultural prominence places him as an influential individual in normalizing mental health discourse. Drawing on existing research in anti-stigma campaigns, social media storytelling, and lyrical analysis, this study examines The Busyhead Project Instagram content and “Stick Season” lyrics. Using qualitative methods, findings illustrate that Kahan's incorporation of open reading lyrics with contact-based content enhances effectiveness of anti-stigma messaging. This research is a framework …

Framing Of Obesity In Magazines, Chitrangda Malik

Selected Full-Text Master Theses 2021-

The aim of this study is to determine how the top four magazines in America portray the issue of obesity in terms of responsibility and in relation to mental health. Additionally, it is to determine the kind of framing used to present the issue of obesity. The data of this study is limited to Costco Connection, Better Homes & Gardens, AARP, and People magazine. Data has been divided into two timelines, one from January 2020-January 2026 and the other from January 2022-January 2026. Results indicate that magazine articles primarily attribute the cause of and solution to obesity as behavioral and …

Psychological Characteristics Of Beginner And Advanced Judokas, Leanardo De Lorenco-Lima, Daniery Rosario, Reury F. P. Bacurau, Leonardo V. Andreato, Stacey A. Gaines

Applied Sport & Performance Psychology | Faculty Scholarship

Several psychological benefits have been associated with judo training, including enhanced cognitive functioning, improved emotional regulation, and higher self-confidence, with training experience being associated with higher levels of several psychological characteristics. Purpose: The current study explored the differences in training and psychological  characteristics  between  beginner  and  advanced  judokas.  Methods:  A  sample  of  146  judokas (77.4% male), including 67 beginners and 79 advanced, between 18 and 45 years of age, completed the Brief Resilience Scale (α = .84), Grit Scale (α = .82), General Self-Efficacy Scale (α = .85), Brief Self-Control Scale (α = .82), Brief Aggression Questionnaire (α = .75), …

Chatbot Therapy - Help Or Hindrance, Kadi Rae Smith

Anthós

Introduction

Generative artificial intelligence (Gen-AI) chatbots are complex computer programs designed to mimic human conversations using programming that incorporates large language models (LLM) and natural language models (NLM) to simulate human interactions that are being rapidly integrated into everyday life across an increasing amount of online platforms. This article explores the applications and efficacy of chatbots for mental healthcare, from self-directed chatbot interactions to clinician-supervised implementation of chatbot-based therapeutic tools, weighing the benefits and limitations of this ever-expanding technology.

Methodology/Taxonomy

A literature review was conducted primarily using Web of Science, accessed through Portland State University, and Google Scholar, with specifications …

Pilot Program For Telemental Health Access To Rural Underserved Localities, Traci Brickhouse Jones, Sarah Kott, Oswaldo Moreno, Aneida Winston

The Grace E. Harris Leadership Institute Publications

This proposal recommends legislation directing Virginia Department of Behavioral Health and Developmental Services to establish a two-year pilot program focused on expanding telemental health access in rural Virginia. The purpose of the pilot is to address persistent behavioral health disparities in areas where residents face major barriers to obtaining timely mental health care.

The legislation is designed to build on existing telehealth infrastructure and aligns with Virginia’s Statewide Telehealth Plan under § 32.1-122.03:1, which already supports broader use of telehealth services across the Commonwealth. By creating a focused pilot first, the state can test implementation strategies before considering broader expansion.

Exploring Religious-Spiritual Struggles Among Muslim Immigrants In The Canadian Context, Ayse Erenay

Theses and Dissertations (Comprehensive)

Migration to a new culture and adaptation to a different lifestyle may cause emotional and psychological stress. In some cases, immigrants may experience religious and/or spiritual (R/S) struggles due to challenges to their beliefs and practices in the country they have immigrated to. Based on Pargament (2007, 2013)’s R/S struggle framework, these struggles may include questions about the ultimate meaning of life, one’s relationship with God, or doubt about one’s belonging within a religious or spiritual community. Muslim immigrants face unique struggles since Islamic teachings require Muslims to visibly practice their faith and reflect on God’s presence as a central …

Who Seeks Help? Characteristics Of Doctors Accessing Mental Health Support In England: 4-Year National Review, Rohit Shankar

Peninsula Medical School

BackgroundMental health difficulties affect the well-being of doctors and compromise the delivery of healthcare. However, large-scale data on doctors’ mental health needs are limited.AimsDescribe patterns of self-referrals for mental health support among doctors in England and explore associations with demographic factors, speciality, neurodevelopmental and mental health indicators.MethodObservational study using data from doctors who self-referred for mental health difficulties to a national service in England over a 4-year period. Logistic regression was used to explore associations between speciality and mental health indicators.ResultsOf the 16 815 doctors who self-referred during the study period, 80% were under the age of 49 and 70.6% …

Ensuring That Marginalized Young People Feel Welcome, Understood, And Empowered In Health Services: A Qualitative Examination Of The Service Needs Of Aboriginal Lgbtqa+ Young People, Shakara Liddelow-Hunt, Ashleigh Lin, Yael Perry, Braden Hill, Bep Uink

Research outputs 2022 to 2026

A lack of appropriate care and discrimination in healthcare settings likely compounds the existing risks to mental health and well-being for Aboriginal and Torres Strait Islander lesbian, gay, bisexual, trans, queer/questioning, and asexual (LGBTQA+) young people. The current study contributes findings from Aboriginal LGBTQA+ young people’s perspectives on their health service needs and preferences. Data consists of qualitative interviews and focus groups with N = 14 Aboriginal LGBTQA+ young people aged 14–25 years in Boorloo (Perth), Western Australia. The data was analyzed using reflexive thematic analysis. Analysis identified three major themes: (1) Unmet need for “whole self” care, (2) Communicating …

Effectiveness Of Occupational Therapy-Inspired Educational Sessions For Mothers Accessing Women, Infants, And Children (Wic) Services, Samantha Annette Merew

Graduate Theses, Dissertations, and Problem Reports (ETD)

This doctoral capstone project examined the effectiveness of occupational therapy (OT)-inspired group and one-on-one educational sessions designed to support the emotional, mental, and social well-being of pregnant and postpartum mothers accessing Women, Infants, and Children (WIC) services in Onslow County, North Carolina. Grounded in the Model of Human Occupation and Cognitive Behavioral Frame of Reference, the program aimed to address gaps in holistic maternal health support, particularly among low-income and at-risk populations. Eight structured group sessions and five one-on-one sessions were developed, implemented, and evaluated, focusing on topics such as stress management, emotional regulation, self-care, role transition, and self-advocacy. A …

Resilient Voices: A Proposed Support Group For Latina Middle Schoolers, Vanessa G. Leon

Psychology Doctoral Specialization Projects

The transition to middle school represents a critical developmental period characterized by significant social, emotional, physical, and cognitive changes. For Latina adolescents, this transition may be further complicated by cultural, environmental, and systemic stressors that increase vulnerability to mental health concerns. This doctoral specialization project addresses the need for culturally responsive mental health interventions designed to support the well-being of Latina middle school students during this developmental stage. The project presents Juntas Podemos, a school-based support group intervention that integrates Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) skills within a culturally responsive framework to promote emotional well-being, …

Allyship And Social Support Networks: Examining Feelings Of Safety And Confidence Among Lgbtq+ Sports Officials, Jacob K. Tingle, B. L. Jacobs, A. C. Baeth, M. Katz, C. C. Zvosec

School of Business Faculty Research

For LGBTQ+ employees, research has indicated they feel othered, isolated, and unwelcome within their work communities. In other settings, social networks have been shown to provide stability and a sense of belonging that increases factors associated with mental health, such as self-care, stress moderation, and increased coping behaviors. Because of this, we examined the social networks of self-identified LGBTQ+ sports officials utilizing egocentric network analysis to better understand the influence of LGBTQ+ officials’ social networks on their feelings of safety and confidence and decisions to continue officiating. Participants responded to questions about people (alters) they considered to be allies in …

Response Efficacy And Discrete Emotions In Message Design: Testing Emotional Pathways To Help-Seeking Intentions And Engagement, Marian Jaitto-Jeffrey

Theses and Dissertations--Communication

Research on fear appeals shows that threat-framed messages promote adaptive outcomes when accompanied by efficacy information. According to the extended parallel process model (EPPM), danger-control responses, including message acceptance, positive attitudes toward recommended behaviors, and help-seeking intentions, are most likely to occur when efficacy appraisals, particularly perceptions of response efficacy, are sufficient to meet perceived threat. When efficacy appraisals fall short of perceived threat, fear-control responses, such as message derogation, denial, or resistance to seeking help, are most likely to emerge. Beyond reducing defensive processing, response efficacy cues may also evoke positive emotions such as hope. Whereas fear is often …

Between Trends And Truths: Tiktok Therapy-Speak And Mental Health, Zoe Stephens

Scripps Senior Theses

The rise of therapy-speak on social media has introduced mental health terminology into everyday discourse among young adults, yet its psychological impacts remain unclear (Chevalier, 2024; Jain et al., 2025). The present study investigated the effects of TikTok videos containing therapy-speak on stigma toward mental illness, mental health awareness, and mental health literacy. Using a between-groups experimental design, 95 U.S. college students aged 18 to 24 were randomly assigned to view either therapy-speak TikTok content or neutral TikTok content. Participants subsequently completed three post-exposure measures: the Mental Health Literacy Scale (MHLS; O’Connor & Casey, 2015), a self-constructed Mental Health Awareness …

Who Should Be Responding To Mental Health Crises: A Public Perception Study, Bryan E. Phillips

Williams Honors College, Honors Research Projects

This project includes a survey which will be evaluating, out of Police Officers, Paramedics, and Mental Health Clinicians, who Intro to Psychology students believe are best fit to respond to Mental Health Crises as well as what factors may influence said belief. To do this they will be provided with a survey that collects demographic information, personal experiences with each profession, and detailed scenario-based questions with differing variables allowing the participants to decide which profession they believe is best equipped to deal with each scenario. This data will then be put into a research manuscript to be presented via posterboard …

The Impact Of Night Shift On New Nurses: Effects On Mental Health And Work-Life Balance, Avery Windham, Abby Maruskin, Elizabeth Yoder

Williams Honors College, Honors Research Projects

This research examines the impact of night shift schedules on new nurses' mental health and work-life balance as they transition into professional practice. The transition from nursing school to the workforce presents challenges that are further compounded by shift work, which can disrupt circadian rhythms and contribute to stress, fatigue, and reduced job satisfaction. The purpose of this research is to evaluate how starting on night shift versus day shift influences nurses’ self-evaluation of work-life balance within their first year of practice. This systematic review synthesizes findings from peer-reviewed sources to assess the physical, emotional, and professional consequences of night …

Self-Reported Psychological Effects Of Rock Climbing In Adults On The Autism Spectrum, Brennan Gleason

Honors Undergraduate Theses

Background: Prior research has shown rock climbing to have considerable therapeutic potential through such mechanisms as boosting self-esteem, promoting mindfulness, and creating a supportive social community. (Liu et al., 2022, Osborne et al., 2025). Meanwhile, autistic adults experience mood disorders at a significantly higher rate than the general population; upwards of 54% are diagnosed with a psychiatric condition (Croen et al., 2015). Many of the issues negatively affecting autistic adults align with the benefits of rock climbing, including low self-esteem, inadequate social support, and anxiety.

Objective: This study aimed to find differences in mental health outcomes between autistic adults who …

Embracing Imperfection And Stress As The Foundation For Growth, Excellence, And Well-Being In Dentistry, John W. Claytor Jr., Dds, Magd-Llsr, Facd

Journal of the American College of Dentists

Studies reveal that stress in dentistry begins early in training and may progress throughout a dentist’s career. Fear of managing patient dissatisfaction, demanding schedules, time constraints, staff issues, and the stressors of clinical dentistry all contribute to professional strain. Difficulties associated with perfectionistic tendencies, burnout, and mental health concerns remain ever-present challenges within the profession. This article discusses evidence-based strategies, coping skills, organizational approaches, and professional resources that may help mitigate the effects of stress in dentistry. Particular emphasis is placed on reducing stigma surrounding mental health care and supporting initiatives such as the Lorna Breen Heroes Foundation’s “Safe Haven” …

Positive Developmental Cascades, Melody R. Altschuler, Xiaoran Tong, Punit Shah, Edelyn Verona, Julianne M. Bowling, Robert F. Krueger, Roman Kotov, Jordan H. Mcallister, Michaela Voit, Sachina Paudel, Scott C. Leon, Shashwat Kala, John S. Lyons

Psychiatry Faculty Publications

Background: Strength development in children across a range of psychiatric diagnoses may reduce needs for mental health, social, and functioning support over time. A strength-based adjunct to child and adolescent mental health may foster the developmental context most helpful for achieving desired outcomes with positive developmental cascading effects. Methods: We longitudinally examined changes across 5 years in the Child and Adolescent Needs and Strengths Assessment in 2- to 18-year-old children (N = 30,103) from a public mental health system. Results: First, children who began with a greater number of strengths consistently had fewer support needs, not only at entry but …

Mental Health Needs Of Families Of Patients In Intensive Care Units And The Role Of Mobile Health: Survey Study, Anthony Faiola, Saira Soroya, Zhonglin Hao, Reinhold Munker

Markey Cancer Center Faculty Publications

Background: The experiences of patients with COVID-19 and their families manifested the most devastating effects of family separation since the 1918 Spanish influenza pandemic and, with it, a call for solutions to patient isolation and its effect on family mental health.

Objective: This study examined the recent experiences of families of critical care (intensive care unit; ICU) patients related to anxiety and depression (AD), satisfaction with clinician-family communication, and counseling from mental health and social services. This study explored correlations between these factors and family interest in mobile health (mHealth) designed to improve information flow and communication from patient bedside …

A Guideline To Address Barriers To Mental Health Treatment Experienced By Law Enforcement Officers, Jacqueline Estrella

Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Law enforcement officers are exposed to repeated trauma on the job that may negatively affect their mental health. Officers may avoid seeking mental health treatment due to police culture, stigma, and other barriers which may increase risks for suicide, absenteeism, and maladaptive coping.

Objectives: Develop an evidenced-based guideline to address barriers law enforcement officers face in seeking mental health treatment.

Methods: The National Quality Measures Clearinghouse (NQMC) Domain Framework was used to guide a literature review to identify best practices suitable for a guideline. Articles were graded for strength based on the John Hopkins Nursing Evidence Based Practice (JHNEBP) …

First Responders' Best Friends: A Mental Health And Trauma-Informed Care Program For First Responders, Jordan Postiglione

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

First responders experience consistent exposure to traumatic events in their day-to-day profession, placing them at increased risk for mental health challenges, including stress, burnout, anxiety, depression, and post-traumatic stress disorder.  The First Responder’s Best Friends doctoral capstone quality improvement project aimed to increase mental health and well-being in first responders as well as to bring awareness to the importance of mental health and the impact of trauma.  The capstone project consisted of three different areas of focus: program development and implementation, advocacy, and clinical practice skills.  Program development and implementation was a 12-week mental health program at the Kingston Fire …

Relational Spirituality And Maternal Coping In Carceral Contexts: A Participatory Action Study Of Meaning-Making And Mental Health Among Formerly Incarcerated Mothers, Jessica Peters

Dissertations and Theses

Maternal incarceration carries significant psychological, familial, and community consequences, yet limited research centers the mental health experiences of mothers themselves. This study explored how religious and spiritual engagement shape mental health and coping among formerly incarcerated mothers using a participatory action research framework. Guided by this, small groups and semi-structured interviews were conducted with 10 mothers in collaboration with a community-based organization. This approach prioritized lived experience and aimed to reduce barriers to participation among a population often mistrustful of research institutions. Data were analyzed thematically to identify patterns in psychological distress, coping strategies, and meaning-making. Findings revealed pervasive and …

Beyond The Pandemic: How Covid-19 Highlighted The Need For Cross-Sector Healthcare Solutions For Young Australians Living With Adversity, Ennur Erbasi, Shannon Muir, Karen Mclean

Research outputs 2022 to 2026

We explored the perceived impacts of the COVID-19 pandemic on health and healthcare access among young people living with significant adversity in Victoria, Australia, using a convergent parallel mixed-methods design. Guided by a pragmatism epistemology, fifty-seven purposively sampled Victorian adolescents aged 15–19 years with lived experience of adversity completed a primarily quantitative online survey, and eight also participated in semi-structured interviews. Descriptive quantitative results indicated that a greater proportion of participants rated their mental health as fair or poor during COVID-19 (69%) compared to before the pandemic (40%). Similarly, more participants rated their physical health as fair or poor during …

A Case For Qualitatively Driven Mixed Methods In Nursing Research: A Methodological Discussion, Jennifer Hamilton, Cooper, Irene Ngune, Amanda Cole, Richard Bostwick, Debbie Louise Massey

Research outputs 2022 to 2026

Mixed methodology continues to grow as a rigorous and respected research design. However, the value of qualitatively driven mixed methods research within nursing is underrepresented. Qualitatively driven mixed methods, where qualitative data dominate meaning-making, have the potential to capture critical experiential elements pertinent to nursing research while supporting empirical rigour. This methodology paper argues for the importance of qualitatively driven mixed methods approaches within nursing research to enable greater understanding of complex phenomenon. Through discussion and case example the role of qualitatively driven mixed methods, including within a sequential explanatory design, are presented. Nurses and midwives are well placed to …

Nurses' Experiences Of Pain Management For Patients With Diagnosed Mental Health Conditions: A Systematic Review, Aaron Lapuz Alejandro, Middlewick, Seng Giap Marcus Ang, Rosemary Saunders, Irene Ngune

Research outputs 2022 to 2026

Aim: To synthesise the available evidence related to nurses' pain assessment and management practices for patients with diagnosed mental health conditions. Design: Mixed-methods systematic review. Data Sources: Medline, CINAHL, PsycINFO, SPORTDiscus and Psychology and Behavioural Sciences Collection. Methods: Databases search was conducted in March 2024 and updated in June 2025. Methodological quality was assessed using the Mixed Methods Appraisal Tool. Data synthesis followed the Joanna Briggs Institute (JBI) Manual for Evidence Synthesis. Results: Of the 1318 eligible studies identified, 12 met the inclusion criteria. The included studies were methodologically robust overall but frequently neglected nonresponse bias and were predominantly conducted …

Weighing The Costs: Understanding How Eating Disorder History And Motivation For Use Impacts Experience On A Glucagon-Like Peptide-1 Receptor Agonist And Interest In Future Use, Kimberly M. Gauert

Electronic Theses & Dissertations (2024 - present)

Glucagon-Like Peptide-1 receptor agonist (GLP-1 RA) medications have become popular tools due to their effectiveness regarding weight loss and chronic disease management. The drastic increase in demand for these medications has led to widespread availability and an increase in “off-label” use for cosmetic purposes. Although GLP-1 RA medications have the potential to positively impact overall health and wellbeing, there is also concern regarding potential misuse of these medications by those with a history of eating disorder behaviors. However, few studies to date have examined the relationship between a history of eating disorder pathology, reason for GLP-1 RA use, and current …

Addressing Mental Health In College Athletics: Developing A Mindfulness-Centered Curricular Intervention For Student-Athletes And Coaches, Douglas W. Lampman

Electronic Theses & Dissertations (2024 - present)

Rising rates of mental health concerns among collegiate student-athletes have intensified calls for a more holistic approach to athlete development and well-being.  While student-athletes regularly interact with coaches and educators, few curricular interventions explicitly address mental and emotional wellness in the athletic context.

The purpose of this qualitative study was to examine the development, implementation, and perceived impact of a mindfulness-centered approach and curriculum.  This curriculum is designed explicitly for collegiate student-athletes and coaches.  Grounded in mindfulness-based pedagogy, the curriculum addressed stress management, emotion regulation, interpersonal relationships, performance anxiety, and personal growth.

Using a multi-tiered qualitative design, data were collected …

Llevándolas Con Calma: Latin American Migrant Worker Parenthood And Covid-19, Anthony J. Stronach

Electronic Theses & Dissertations (2024 - present)

We have yet to fully understand what Latino migrant worker parents -a population invisible in many ways to much of society- have undergone since the onset and as a result of the COVID-19 health crisis. As such, grounded in the experiences and words of eleven migrants, this dissertation demonstrates (1) the shifting parameters of migrant parenthood during and after the pandemic, (2) how migrant working parents navigated such unprecedented times, and (3) their reflections as they looked back upon such experiences. These experiences include more than merely what happened to them; they encompass their thoughts, their emotions, their memories, their …

Christianity As Coping Mechanisms For Migrants With Mental Health Challenges In Australia: Social Work Implications, Obed Adonteng-Kissi, Nnaemeka Meribe, Kathomi Gatwiri, Lillian Mwanri, Agness Tembo, Frank Darkwa Baffour, Edith N. Botchway-Commey, Aunty Kerrie Doyle, David Chisanga, Ahmed A. Moustafa, Uchechukwu Levi Osuagwu

Research outputs 2022 to 2026

Christian religion may be a powerful resource that can serve as a coping mechanism to resolve challenges and provide comfort to African migrants confronted with mental health challenges. We aimed to explore the coping strategies among African migrants in Australia. We undertook semi-structured interviews online with 11 participants with African backgrounds, comprising six mental health clinicians and five migrant service users living in Australia for at least the past 12 months. Literature exploring religious coping mechanisms, social support and acculturation was drawn on. The interviews were undertaken online via Teams, WhatsApp call, and zoom with participants whom we recruited through …