Digital Commons Network^™

Turning Data Into Better Mental Health: Past, Present, And Future, Nidal Moukaddam, Akane Sano, Ramiro Salas, Zakia Hammal, Ashutosh Sabharwal

Staff and Researcher Publications

In this mini-review, we discuss the fundamentals of using technology in mental health diagnosis and tracking. We highlight those principles using two clinical concepts: (1) cravings and relapse in the context of addictive disorders and (2) anhedonia in the context of depression. This manuscript is useful for both clinicians wanting to understand the scope of technology use in psychiatry and for computer scientists and engineers wishing to assess psychiatric frameworks useful for diagnosis and treatment. The increase in smartphone ownership and internet connectivity, as well as the accelerated development of wearable devices, have made the observation and analysis of human …

Knowledge-Infused Reinforcement Learning, Kaushik Roy, Manas Gaur, Qi Zhang, Amit Sheth

Publications

Virtual health agents (VHAs) have received considerable attention, but the early focus has been on collecting data, helping patients follow generic health guidelines, and providing reminders for clinical appointments. While presenting the collected data and frequency of visits to the clinician is useful, further context and personalization are needed for a VHA to interpret and understand what the data means in clinical terms. This has made their use in managing health limited. Such understanding enables patient empowerment and self-appraisal – i.e., aiding the patient in interpreting the data to understand the changes in the patient’s health conditions, and self-management – …

Improving Self-Care Awareness Among Undergraduate Nursing Students, D'Anna Helms

Doctor of Nursing Practice Projects

The purpose of this DNP project was to improve self-care (SC) awareness among undergraduate nursing students by educating on the use of constructive SC activities. Twenty-two senior level nursing students attended an educational seminar, completed the Mindful Self-Care Scale – Clinical (MSCS-C) pre- and post-survey, and reflective journaling. A paired-samples t test was calculated to compare the mean pretest score to the mean posttest score. The mean on the pretest was 77.68 (sd= 9.33), and the mean on the posttest was 75.27 (sd= 31.59). A significant increase from pretest to posttest was found (t (21) = .307, p < .05). Thematical analysis revealed enhanced awareness and incorporation of constructive SC activities. Educational interventions which seek to improve SC awareness will generate practical and sustainable acts of SC, thus improving students’ overall success and further empowering students in their transition from graduate to licensed nurses.

Comparison Of Schedules, Stress, Sleep Problems, Fatigue, Mental Health And Well-Being Of Low Cost And Network Carrier Pilots, Marion Venus

International Journal of Aviation, Aeronautics, and Aerospace

Objective

This research investigates and compares working-conditions, duty rosters, stress, sleep problems, fatigue levels, mental health, and well-being of pilots working for network (NWCs), and low-cost carriers (LCCs). This study extends previous research by investigating working conditions, pilots’ actual rosters, fatigue and mental health of two groups of pilots flying for LCC or NWC.

Method

A comprehensive cross-sectional online survey was completed by N=338 pilots (185 NWC, 153 LCC pilots). All pilots reported their roster data of the last 2 months during peak flight season, psychosocial and work-related stress (e.g., high job insecurity, less total flight-experience, lower income, more time …

Culturally Relevant Coping Strategies Within Bicultural Latine College Students In The Face Of Anti-Immigrant Sentiment And Policy, Cindy M. Hernandez

Theses and Dissertations

Despite their protective potential against anti-immigrant sentiment and policy, the connections between bicultural identity development and culturally relevant coping among temporarily documented Latinx college students remain unstudied. Therefore, this study (a) describes culturally relevant coping strategies used by bicultural Latinx college students, (b) examines the role cultural identity plays in bicultural Latinx college students’ coping strategies, and (c) illuminates the role institutional level systems play in liminally-documented college students’ coping with anti-immigrant sentiment and policy. Participants in this study included 16 Latine college students (M_age = 21.19, SD = 3.21) with DACA (n = 14) or TPS (n = …

Sleep Self-Efficacy, Loneliness, And Physical Activity: Assessing The Pathways Between Sleep Quality And Mental Health Using Structural Equation Modeling, Amber M. Fox

Theses and Dissertations

Although there is robust empirical support that poor sleep contributes to declines in mental health, explanations of this relationship remain unclear. The purpose of the present study was to examine the pattern of associations between sleep quality, sleep self-efficacy, loneliness, physical activity, and mental health among U.S. adults across the lifespan, and whether they differed by gender or age group. A structural equation model with invariance analysis was developed and examined data from 2,300 adults (M_age = 44.1, SD = 16.78) participating in the online study Investigating Sleep Longitudinally Across Normal Development (ISLAND). Sleep quality was measured by …

Envisioning A Grassroots Framework For Community-Based Mental Health Crisis Intervention, Xandra C. Gradine

Cal Poly Humboldt theses and projects

The mental health and well-being of both individuals and communities are going to be best served by community-based services and care completely unreliant on traditional top-down models that often include inaccessible services and/or coercive methods. This is especially prevalent in the case of mental health crisis intervention; where most state-based interventions involve coercive agents who often are not given any specific training on mental health crisis response. As mental health crisis and suicide rates continue to rise in the U.S., and even the most well-respected model of crisis intervention has done little to resolve the issues of prisons serving as …

The Caregiver’S Experience Of Post-Treatment Lyme Disease Syndrome, Jordyn Deschene

Antioch University Dissertations & Theses

As the rate of Lyme disease diagnoses increases in the United States, it can be assumed that the frequency at which post-treatment Lyme disease syndrome (PTLDS) is diagnosed will also increase. While research has been published on the experience of caregivers of other chronic illnesses, no studies have examined the experience of the PTLDS caregiver. This quantitative study sought to discover the most significant burdens, mental health status (levels of anxiety and depression), and level of invalidation experienced by the PTLDS caregiver. Thirty individual participants took part in this study. This study found that mental burden is a significant area …

Social And Cultural Considerations In Accessing Mental Health Treatment In The Gambia, West Africa, Safiya Njai

Antioch University Dissertations & Theses

This study examines the social and cultural considerations in accessing mental health treatment in The Gambia, West Africa. Participants were recruited from The Gambia for a qualitative study that included semistructured interviews (N = 17). A team of analysts identified five themes. The results highlighted social and cultural conceptualizations of mental health and mental illness, sociocultural determinants of health, interventions, barriers to care, and the legal framework to support mental health change. These findings are important for counselors to understand different perceptions of mental health and mental illness and the associated stigma. Furthermore, several opportunities for advocacy in The Gambia …

Explaining Adults’ Mental Health Help-Seeking Through The Lens Of The Theory Of Planned Behavior: A Scoping Review, Claire Adams, Eyal Gringart, Natalie Strobel

Research outputs 2022 to 2026

Background: Despite evidence-based efficacy, mental health services are underutilized due to low rates of help-seeking, leaving unmet mental health needs a global concern. The Theory of Planned Behavior (TPB) has been applied to understand the help-seeking process and in the development of behavior change interventions. The aim of this scoping review was to map the literature on the TPB as applied to mental health help-seeking in adults aged > 18 years. Methods: This scoping review was conducted based on the methodology presented by Arksey and O’Malley (2005). Six databases (CINAHL, PsycINFO, MEDLINE, ProQuest Health and Medicine, ProQuest Dissertations and Theses, Web …

Understanding Engagement In Digital Mental Health And Well-Being Programs For Women In The Perinatal Period: Systematic Review Without Meta-Analysis, Jacqueline A. Davis, Jeneva L. Ohan, Lisa Y. Gibson, Susan L. Prescott, Amy L. Finlay-Jones

Research outputs 2022 to 2026

Background: Pregnancy and the postnatal period can be a time of increased psychological distress, which can be detrimental to both the mother and the developing child. Digital interventions are cost-effective and accessible tools to support positive mental health in women during the perinatal period. Although studies report efficacy, a key concern regarding web-based interventions is the lack of engagement leading to drop out, lack of participation, or reduced potential intervention benefits. Objective: This systematic review aimed to understand the reporting and levels of engagement in studies of digital psychological mental health or well-being interventions administered during the perinatal period. Specific …

Stress, Stress Appraisal And Coping In Athletic Trainers During The Covid-19 Pandemic, Lawson Holton

College of Graduate Studies: Theses & Dissertations

Introduction: There have been many studies conducted on the stress and mental health of frontline healthcare workers (HCWs) over the past months since the COVID-19 pandemic began. Very limited literature has examined the effect of the pandemic on athletic trainers (ATs). Objective: The aim of this investigation was to examine the stress, stress appraisal, and coping measures of ATs during the COVID-19 pandemic. Methods: Participants were recruited members from the National Athletic Trainers’ Association (NATA). The Perceived Stress Scale-10 was used to measure stress, the Stress Appraisal Measure was used to measure stress appraisal, and the Brief COPE was used …

Interpersonal Violence And Mental Health Outcomes: Mediation By Self-Efficacy And Coping, Eunice Magalhaes, John H. Grych, Celia Ferreira, Carla Antunes, Ana Prioste, Ines Jongenelen

Psychology Faculty Research and Publications

There is a compelling need to explore the mechanisms linking violence to mental health. This study tested the mediating role of self-efficacy and coping in the association between victimization and mental health. Data were obtained from 422 adults (aged 18-77; M = 30.05; SD = 10.93). Self-efficacy and maladaptive coping strategies mediated the association between physical victimization and anxiety, and the association between psychological victimization and satisfaction with life anxiety and depression. Self-efficacy and adaptive coping also mediated the association between psychological victimization and satisfaction with life. This study provides important implications for research and practice.

Examining Practitioners’ Perspectives On Access To Professional Psychological Help For Division I Male Athletes, Nicole Vana

College of Graduate Studies: Theses & Dissertations

Male athletes are less likely than female athletes to seek out support services (Barnard, 2016) despite experiencing a myriad of clinical and subclinical concerns including depression (Davoren & Hwang, 2014; Wolanin et al., 2016), anxiety (Davoren & Hwang, 2014), eating disorders (Joy et al., 2016; Sundgot-Borgen & Torstveit, 2004), and substance use (NCAA, 2018). To combat the increasing rates of mental health concerns, support services are becoming more readily available for collegiate athletes (Moore, 2016). However, despite the recent effort in increasing athlete mental health support, many male athletes in particular remain reluctant to seek out such services (Barnard, 2016). …

Religion And Meaning: Its Moderating Effects On Stressful Life Events And Mental Health, Kalie B. Chambless

College of Graduate Studies: Theses & Dissertations

The present study was designed to examine the relationship among religion, mental health, stressful life events, and people’s sense of meaning and purpose in life using data from the 2017 Baylor Religion Survey (BRS), a publicly available dataset. This survey obtained data from a nationwide study of 1,501 United States adults, 1,402 of whom are included in the current analyses. The first three hypotheses of this study were that (1) religion is positively associated with meaning to an individual’s life, that (2) meaning is positively associated with mental health, and that (3) stress is negatively associated with mental health. Finally, …

Understanding The Needs Of Migrants From Bhutan In Perth, Sonam Pelden, Sangay Wangchuk, Tshewang Rinzin, Pelden Chejor, Dago Tshering

Research outputs 2022 to 2026

Bhutanese migrants in Perth have increased manifold in the last decade with numbers estimated at around 12000 in 2022. Almost ninety-nine per cent of these Bhutanese migrants come on student visas. Research has indicated that migration move is typically driven by hope and a search for better futures. Consequently, there is an increase in the community activities and complexities experienced by the Bhutanese migrants in Perth as they seek to build a new home in a new country. There is little information about the needs of Bhutanese migrants in Australia other than the literature on Bhutanese refugees in Australia. Thus, …

Effects Of A Nurse-Led Tai Chi Programme On Improving Quality Of Life, Mental Wellbeing, And Physical Function Of Women With Breast Cancer: Protocol For A Randomized Controlled Trial, Carol Chunfeng Wang, Sadie Geraghty, Caitlin Fox-Harding, Calvin Wang

Research outputs 2022 to 2026

Objectives:

Quality of life, mental wellbeing, and physical function deteriorate among women with breast cancer. Tai Chi is a moderate form of exercise that may be effective in improving the mental and physical wellbeing, therefore, the quality of life of women with breast cancer. This protocol paper outlines a trial to determine the therapeutic effects of a Tai Chi programme on breast cancer management.

Methods:

The study will be an interventional, single-blind, double-armed, randomized, and controlled trial involving a 12-week Tai Chi programme for women with breast cancer. Forty participants aged 18 years and above who are diagnosed with breast …

How Do Digital Lives Affect Resident Mental Health In The Digital Era? Empirical Evidence Based On Chinese General Social Survey, Yan Chen, Mengyang Wei, Jaime Ortiz

Faculty, Staff and Students Publications

Having good mental health means we are better able to connect, function, cope and thrive. The widespread application of digital technology in daily life provides new ways and promising tools for residents to maintain their mental health. Given the importance of mental health for everyone, and the fact that mental health problems are prevalent worldwide, this study discusses how digital lives affects the mental health of residents. The results suggest that digital lives are significantly and positively associated with mental health. Mechanisms analysis identifies personal perceptions (self-rated physical exercise and subjective wellbeing) as the important paths for digital lives to …

Mental Health And Access To Medical Care In Patients With Chronic Cardiovascular Conditions: An Analysis Of The Behavior Risk Factor Surveillance System, Riyad Y Kherallah, Mahmoud Al Rifai, Jing Liu, Sina Kianoush, Arunima Misra, Salim S Virani

Faculty, Staff and Students Publications

INTRODUCTION: Poor mental health is associated with worse outcomes for chronic diseases. It is unclear whether mental illness predisposes to difficulties with healthcare access.

METHODS: Using a combined dataset of the 2016-2019 Behavioral Risk Factor Surveillance System, this study focused on individuals who reported a chronic cardiovascular condition. Weighted multivariable logistic regression analyses were used to explore the association between domains of mental health and measures of healthcare access including delaying medical care, more than one year since last routine checkup, lack of a primary care physician, and cost-related medication nonadherence.

RESULTS: Among 1,747,397 participants, 27% had a chronic cardiovascular …

Prevalence And Associated Factors Of Dizziness Among A National Community-Dwelling Sample Of Older Adults In India In 2017–2018, Supa Pengpid, Karl Peltzer

Makara Journal of Health Research

Background: This study aimed to determine the prevalence and associated factors of dizziness in older community-dwelling adults in India.

Methods: The cross-sectional sample was composed of 21,343 individuals (≥65 years) from the Longitudinal Aging Study in India (LASI) Wave 1 in 2017–2018. Dizziness was assessed by determining if the individuals suffered from “persistent or troublesome dizziness or light headedness” in the past 2 years.

Results: Women and men had the overall prevalence of 14.6%/17.2% and 11.6% in past 2-year dizziness, respectively. Adjusted logistic regression analysis revealed that sociodemographic factors (female sex), physical chronic conditions (angina), geriatric conditions …

How Are Defendants Of High-Profile Court Cases Framed In The Media? A Qualitative Analysis Of News Media Coverage Of Caroline Flack's Arrest, Lucy Matthews

The Plymouth Student Scientist

This present study aims to investigate whether news media coverage on Caroline Flack’s arrest, in December 2019, showed characteristics of ‘Trial by Media’ (TBM) through identification of one-sided, unbalanced or predominantly negative, sensationalised or speculative news coverage. Caroline Flack’s case has importance due to her ‘media trial’ potentially contributing to her mental health issues, and subsequent suicide two months after her arrest. This study also aims to assess how much this media coverage could have contributed to this. Forty news media articles were analysed from the 18-day period, starting from her arrest, using Media Framing Analysis (MFA; Giles & Shaw, …

Caregiver Participation Engagement In Child Mental Health Prevention Programs: A Systematic Review, Rachel Haine‑Schlagel, Kelsey S. Dickson, Teresa Lind, Joanna J. Kim, Gina C. May, Natalia Escobar Walsh, Vanja Lazarevic, Brent R. Crandal, May Yeh

Department of Psychology: Faculty Publications

Prevention programs are a key method to reduce the prevalence and impact of mental health disorders in childhood and adolescence. Caregiver participation engagement (CPE), which includes caregiver participation in sessions as well as follow-through with homework plans, is theorized to be an important component in the effectiveness of these programs. This systematic review aims to (1) describe the terms used to operationalize CPE and the measurement of CPE in prevention programs, (2) identify factors associated with CPE, (3) examine associations between CPE and outcomes, and (4) explore the effects of strategies used to enhance CPE. Thirty-nine articles representing 27 unique …

Nature And Its Place In Professional Counseling: A Qualitative Study Of Expert Views, Experiences, And Future Plans, Matthew V. Bukowski

Dissertations, 2020-current

Recent publications and initiatives within professional counseling indicate a growing interest in the connections between human wellness and the natural world. Despite consistent growth of this trend between the years 2000 and 2021, there has been little dialogue within the profession about the ethical, ideological, and social justice implications of integrating nature therapy with professional counseling and counselor education. This study investigated the views, experiences, and future plans of 10 counselor educators who integrate nature therapy into their professional roles and developed two major themes and 12 subthemes that encapsulate their responses. Participants in the study overall shared a desire …

Designing And Implementing A De-Escalation Toolkit To Improve Staff Education And Competency On De-Escalation Within A Mental Health Outpatient Setting, Balraj Bajwa

Doctor of Nursing Practice (DNP) Projects

Background: The purpose of this study is to develop and implement a de-escalation toolkit to help improve memory, retention, and utility of de-escalation techniques within an outpatient mental health crisis stabilization unit.

Problem: The aforementioned crisis stabilization unit has elevated rates of patient aggression/violence and staff present with difficulty recalling de-escalation techniques due to the lapse in memory and/or retention.

Methods: The project was introduced to the stakeholders of the crisis stabilization unit and input was obtained on the design and components of the toolkit. Various analyses were conducted to ensure the appropriate implementation of the project.

Intervention: A de-escalation …

Celebrating Alutiiq Cultural Revitalization: Pathways To Holistic Individual Health And Community Wellness, Margaret Susan Mete

Indigenous Studies

It is well understood that disease is a consequence of varied causation. Despite the fact that many health care providers acknowledge the importance of treating patients in a comprehensive manner in order to successfully cure sickness or alleviate symptoms, the contemporary medical system dispenses care in a fragmented and frequently incomplete manner. The essential differences between Indigenous epistemologies and the predominant Western worldview has had a more devastating impact on well-being and infirmity than is often recognized. The intention of this research is to explore the importance of promoting balanced holistic health care at a deeper and more essential level …

The Necessity Of Implementing A Wellness Curriculum Into Physician Assistant Programs, Jessica K. Erim, Darryl Bines Jr.

Physician Assistant Capstones, 2020-current

Purpose: In response to the decline of mental health and wellness of students within medical school programs, recent research has been exploring the effects of implementation of wellness curriculums. The purpose of this review is to highlight the research that has been conducted in the medical school environment and to establish the need for further research. This review will specifically discuss the implementation of a student-led wellness curriculum at James Madison University’s Physician Assistant Program and its impact on students. Methods: A thorough search was conducted using Google Scholar using specific inclusion and exclusion criteria (see Table 1). …

Giving Birth At A Critical Time: Assessing Perinatal Depression Among Syrian Refugees In Low Resource Settings, Nada Alnaji

Theses & Dissertations

Refugee mothers are at an increased risk of suffering from stress and mental health conditions during the first year after giving birth to a child. The objective of this study is to enhance the early identification of treatable mental health conditions among perinatal women living within humanitarian settings. The central hypothesis is that a culturally specific approach can be helpful for the long-term success of mental health efforts. In this study, we use qualitative interview methods to understand the cultural paradigms and predisposing factors for perinatal depression related to being a Syrian refugee in Lebanon during the COVID-19 pandemic. In …

The Importance Of Social Support Networks On Mental Health Status Of Custodial Grandparents, Deborah Whitley, Youjung Lee, Yanfeng Xu Ph.D.

Faculty and Staff Publications

This symposium presents a collection of papers that examine the concept of social support and its effect on custodial grandparents’ (CG) mental health state. Each paper explores a different perspective about grandparents’ access to and/or use of social support networks and mental health outcomes; several papers view social support within the context of the COVID-19 pandemic. Nadorff and colleagues explore social support by middle-generation family members and its effects on grandparents’ stress and depressive symptoms. Musil and colleagues report on psychosocial and social support predictors of self-appraised healthcare and financial security by CG during the Covid-19 pandemic. Whitley and Kelley …

The Ecology Of Mental Health And The Impact Of Barriers On Mental Health Service Utilization, Alisha Aggarwal

Theses & Dissertations

Mental health has emerged as a major public health concern in recent times with several disparities and barriers related to adequate health service utilization. Different age groups experience diverse symptoms and face distinct barriers in accessing and utilizing healthcare. Policies like Mental Health Parity and Addiction Equity Act and the Patient Protection and Affordable Care Act were launched to improve insurance coverage and delivery of mental health services. However, a large gap of unmet needs exists for adequate mental health service utilization in the country. This dissertation aims to describe the financial and non-financial barriers to mental health service utilization …

The Contribution Of Bioethics To Home Healthcare (Hhc) In Saudi Arabia, Saeed Alghamdi

Electronic Theses and Dissertations

This dissertation examines the contribution of bioethics to Home Healthcare (HHC) In Saudi Arabia (SA). Through exploring the critical bioethical issues that have influenced the implementation of home health care, the dissertation highlights the significance of incorporating bioethics in home health care. Organizational ethics has led to the regulation of healthcare professionals, patients, and the stakeholders within clinical care settings. Healthcare organizations and other stakeholders, such as global health bodies, should formulate laws and policies that promote bioethics in contemporary healthcare. The Kingdom of Saudi Arabia, through the Ministry of Health, should promote the adoption of home health care services …