Digital Commons Network^™

Too Much Of A Good Thing? Can Students Be Too Behaviorally Engaged, Rosemary Louise Odem

Theses and Dissertations

Student engagement in school is a key determinant of students’ academic success. Student engagement is commonly conceptualized as a meta construct comprised of three dimensions: emotional, cognitive, and behavioral engagement (Fredricks, 2015). Behavioral engagement, the focus of this study, is defined by positive conduct, involvement in learning and academic tasks, and participation in school-related activities (Fredricks et al., 2004). Some researchers have suggested that psychological strengths, like engagement, can be overused and result in maladaptive consequences (Niemiec, 2019; Oishi et al., 2007). This study addressed this notion using archival data from a sample of 422 students from one Southeastern US …

Criminal Court's Disability, Zohra Ahmed

Faculty Scholarship

Do criminal courts meaningfully accommodate psychiatric disability? A review of competency proceedings across the United States suggests not. In competency to stand trial proceedings, criminal court actors offer a narrow vision of psychiatric disability that excludes many defendants. Ultimately, the institutional context of criminal court undermines even the meagre accommodations that the competency framework provides.

Competency proceedings are the constitutional accommodations available to disabled defendants if they can establish that they are unable to consult with their lawyers or if they do not have a rational or factual understanding of the proceedings against them. After a finding of incompetency, the …

What Works, For Whom, In What Circumstances And Why, When Integrating Voluntary And Statutory Community Mental Health Services: A Realist Evaluation Case Study, Charley Hobson-Merrett, Rebecca Hardwick, Jane Yeandle, Beccy Wardle, Catherine Connor, John Gibson, Vanessa Pinfold, Alexandra Stirzaker, Richard Byng

Peninsula Medical School

Background: Integration of voluntary and statutory mental health services may address gaps in mental health care. The Community Mental Health Framework for Adults and Older Adults 2019 provided impetus for integration within England. It was unknown how, why, or under what circumstances integration would occur.Methods: A realist evaluation of Framework implementation in Somerset was undertaken. The extent of change, and how, why and under what circumstances change occurred were evaluated. Embedded researchers collected observational and interview data, and reviewed internal records. Realist qualitative analysis created and tested a programme theory exploring the extent, cause, and impact of change.Results: Services worked …

"Incredibly Powerful And Well-Crafted" - A Review Of Pandemic Death Discourse: Denial, Disparity And The Promise Of Communication, Elda Kanzki-Veloso Ph.D.

The Qualitative Report

This book analysis, focused on Pandemic Death Discourse: Denial, Disparity and the Promise of Communication (Alvarez et al., 2025), expressed a deeply human expectation from readers. The reviewer wanted more than just straightforward facts; there was a deep yearning for real emotion, personal stories, and meaningful connections that helped people cope with fear and uncertainty. They emphasized the importance of immersing readers in the rich experiences of grief, resilience, and hope. There was a need to feel the heavy impact of overlooked lives. The desire for a sense of outrage regarding the disposable nature of certain lives emerged, as well …

Breaking The Silence: A Scoping Literature Review On Trauma-Informed Care For Black Women Navigating Sexual Health-Related Trauma, Ayanna Troutman, Funlola Are, Ashley Okoye, Sarah Chiang, Destiny Craig, Anthony Akande, Irene Stafford

Faculty, Staff and Student Publications

Black women disproportionately experience sexual health-related trauma, yet their mental health needs are often inadequately addressed due to systemic barriers and stigma. This literature review examines trauma-informed care (TIC) frameworks tailored to Black women, emphasizing culturally responsive practices in addressing sexual health-related trauma. By synthesizing findings from existing research, including the importance of intersectionality, culturally specific interventions, and community-centered approaches, this review highlights effective strategies for mental health providers. The review concludes with implications for enhancing TIC training and implementation in clinical settings which contributes to the advancement of equitable mental health services for Black women.

Confronting The Mental Health Crisis: Structural Inequities, Market Pressures, And The Role Of Pharmacy Solutions, Kasi Gorli, Thomas L. Pile, Craig Kimble, Alberto Coustasse

Management Faculty Research

The mental health crisis in the US is severe, with depression and anxiety leading causes of disability among young adults. The mental health services market is growing, but access to care remains inconsistent, particularly in rural and underserved areas. Pharmacists are playing a crucial role in mental health care, improving medication adherence and patient outcomes through collaborative practice agreements. Systemic reform is needed to address barriers such as affordability and social determinants, with pharmacists integral to closing care gaps.

Overcoming Traumatic Barriers To Maximize The Potential Of College Students Facing Mental Health Challenges, Ashley Blanche

Student Theses and Dissertations

This study aimed to explore gaps in knowledge and support for young adults with trauma, with the goal of improving their mental health and academic success. The purpose of this qualitative case study was to investigate how past trauma contributed to mental health challenges that affected the academic success of disadvantaged undergraduate students aged 18–25 in Mississippi. The problem to be addressed in this study was the lack of mental health consciousness in the college community as it related to past trauma in disadvantaged college students aged 18-25. This study’s theoretical framework was based on Vygotsky's Sociocultural Theory, linking adverse …

Impact Of Restorative Yoga On Mental Health And Cognitive Function In Doctoral Physical Therapy Students, Carly Ritter

Doctorate in Kinesiology

Doctor of Physical Therapy (DPT) students experience high academic stress, often impacting mental health. Restorative yoga may reduce stress, regulate the Hypothalamic-Pituitary-Adrenal (HPA) axis response, and support cognitive function. This study examined its effects on mental health and cognitive function in DPT students. Forty-four students were randomly assigned to restorative yoga or control groups in a double-blind design. Participants completed the Stroop Test, Rey Auditory Verbal Learning Test (RAVLT), Depression Anxiety Stress Scale (DASS-8), and a demographic survey at baseline and after 6 weeks. The yoga group practiced twice weekly; controls maintained regular activity, excluding yoga. ANOVA and correlation analyses …

Efficacy Of Psychedelics Therapy Across Psychiatric Disorders: An Umbrella Review Of Meta-Analyses, Alissa A. Lopez, Ihsan Salloum, Juan C. Lopez-Alvarenga

Research Colloquium

Background: Psychedelics are gaining renewed scientific interest as a treatment for mental health conditions such as major depression, post-traumatic stress disorder (PTSD), anxiety, and addiction. Numerous clinical trials and meta-analyses suggest these substances may produce significant therapeutic effects. However, there is currently no high-level synthesis comparing how different psychedelic compounds perform across a range of psychiatric conditions. A quantitative umbrella review is needed to clarify whether psychedelics broadly improve mental health outcomes, and whether certain compounds are more effective for specific diagnoses.

Methods: The aim of this study is to conduct an umbrella review (meta-analysis of meta-analyses) to assess the …

Experiences With Social Media Social Comparison In Women Ages 18-28: A Qualitative Study, Olivia Oakley Dr.

Dissertations

This qualitative study aimed to understand young women’s experience using social media and their reported mental health connections, such as self-esteem and comparison. As inferred in recent research, a wide range of social media content is being produced and consumed, from promoting the “thin ideal” to newer campaigns advocating for body positivity (Cohen et al., 2019, Grabe et al., 2008; Groesz et al., 2002). In a time where there is so much online content to consume, it is important to continue to evaluate the lived experiences of those using social media. This phenomenological qualitative research captured the lived experiences of …

Communication Inhibitors: Dilemmas In Community Partnerships Amidst Mental Health Crises In Texas, Alessa Juarez, Kendra N. Bowen, Johnny Nhan

Qualitative Criminology (QC)

"Community partnerships between police departments, social services, and healthcare providers continue to struggle in various ways, with mental health crisis response remaining a primary yet fragmented service delivery. Using the nodal governance perspective, this paper provides qualitative insight into the existing communication and resource barriers between law enforcement personnel and social service providers in a large urban county in Texas. Four key themes are presented: staff and resource availability, continuity of care, staff personnel and characteristics, and communication efficiency. Policy implications are also discussed, with the study’s findings supporting the prioritization of building stronger communication between existing social service providers, …

Scoping Review Of Sexual And Gender Minority Health Research In Ireland, John P. Gilmore, Tonda L. Hughes, Sean Kearns, Laurie A. Drabble, Diarmuid Stokes, Siobhán D. Thomas, Chris Noone, Lauren Bochicchio

Faculty Research, Scholarly, and Creative Activity

Aim: To map existing sexual and gender minority (SGM) health research in Ireland, identify gaps in literature and outline priorities for future research and healthcare. SGM is an umbrella term that includes people who identify as lesbian, gay, bisexual, transgender, queer or intersex and is sometimes abbreviated as LGBTQI+. Design: A scoping review of peer-reviewed studies published between 2014 and 2024. Methods: The review followed Joanna Briggs Institute (JBI) guidelines and PRISMA-ScR framework for scoping reviews. Articles were identified through systematic database searches and screened independently by reviewers. Data Sources: PubMed, PsycINFO, CINAHL and Embase were searched for articles published …

Self-Talk Speaks Loud: A Bibliometric Dissection Of Its Rise In Counseling Practices, Sri Purwanti, Wahyu Nanda Eka Saputra

Buletin Konseling Inovatif

This study aims to map global trends in self-talk using a bibliometric approach. The data source was entirely drawn from the Scopus database, focusing on publications containing keywords related to self-talk, such as self-talk, talk, and relationship. The analysis was conducted on 960 selected documents published between 1975 and 2025. The results show a significant increase in publications since 2020, reflecting a growing need for self-talk approaches that support mental health and psychological well-being. Authors from various countries contributed differently, with the United States dominating in terms of both publication volume and citations, while developing countries such as Indonesia have …

Mental Health Services For Older Hispanics/Latinos: Incorporating Culture And Context Into Clinical Approaches To Care, Denise Longoria, Romeo Escobar, John M. Gonzalez, Luis R. Torres-Hostos

School of Social Work Faculty Publications

This article discusses older Latinos and their use of mental health services. A brief history of utilization and the contributing factors, including access to services, barriers, and acceptability of mental health services, are included. Sekhon et al.’s theoretical framework of acceptability is discussed in the context of Latino clients. The authors adapt the framework and apply the elements to work with older Latinos and their families. Common stereotypes and faulty assumptions about older Latinos are examined as the Latino population grows and changes in levels of education, language, family structure, roles, religion, and alternative practices continue. Core values for working …

At Stake In Each Other’S Company: A Systems View Of Compassion Fatigue In Mental Health Work, Susan S. Standen

Journal of Conscious Evolution

Traditional research on the phenomenon of compassion fatigue (CF) in mental health work tends to include recommendations for workers to build skills in psychological detachment and self-care. This puts the burden of coping with vicarious trauma on the individual caregiver, not on the systems they operate within. Alternatively, a transformative systemic perspective suggests that Western cultural assumptions about care-giving and individual resilience need to be reassessed. By broadening the exploration of CF and comparing it with human reactions to overwhelming crises across fields and disciplines, new questions can be asked, and new solutions can be proposed. This essay details how …

An Evolutionary Preamble Towards A Multilevel Framework To Understand Adolescent Mental Health: An International Delphi Study, Federica Sancassiani, Vanessa Barrui, Fabrizio Bert, Sara Carucci, Fatma Charfi, Giulia Cossu, Arne Holte, Jutta Lindert, Simone Marchini, Alessandra Perra, Samantha Pinna, Antonio Egidio Nardi, Alessandra Scano, Cesar A Soutullo, Massimo Tusconi, Diego Primavera

Faculty, Staff and Student Publications

Background/objectives: Adolescence is a sensitive developmental window shaped by both vulnerabilities and adaptive potential. From an evolutionary standpoint, mental health difficulties in this period may represent functional responses to environmental stressors rather than mere dysfunctions. Despite increasing interest, integrative models capturing the dynamic interplay of risk and protective factors in adolescent mental health remain limited. This study presents a holistic, multi-level framework grounded in ecological and evolutionary theories to improve understanding and intervention strategies.

Methods: A two-round Delphi method was used to develop and validate the framework. Twelve experts in adolescent mental health evaluated a preliminary draft derived from the …

Creating The Thomas Mcrae Sanitorium For Negros: Race, Contagion, And Space In Jim Crow Arkansas, Shauna Gibbons

The Ozark Historical Review

The Thomas McRae Memorial Sanatorium for Negroes, located in Alexander, Arkansas, opened its doors in 1931 as the only resource for the entire state’s population of consumptive African Americans. It was touted as one of the best of its kind under the supervision of Dr Hugh A. Browne. But its “kind” was a facility intended for individuals whom whites in the medical and political establishment viewed not only as second class citizens but as biologically and medically different.

Social Determinants Of Health In Lesbian, Gay, Bisexual, Transgender, Queer, And Other Sexual And Gender Minority (Lgbtq+) Older Adults: Impact Of Socioeconomic Disadvantage On Inpatient Hospitalizations, Jennifer T. May Phd, Rn, Anp-Bc, Devon Noonan, Susan G. Silva

Publications

Introduction

Little is known about the impact of socioeconomic disadvantage on lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) older adults (≥50 years). The aim of this study is to determine whether the distribution of LGBTQ+ inpatient hospitalizations are related to structural socioeconomic factors.

Methods

A secondary analysis of retrospective electronic health record data for LGBTQ+ older adults hospitalized from 2018 to 2022 was conducted at one large health system. The average county area deprivation index where the patient resided was calculated.

Results

The analysis included 2270 LGBTQ+ older adult inpatient hospitalizations, with 1508 (66.4%) from …

Prevalence Of Exposures And Moral Injury In First Responders, Shira Maguen, Soma De Bourbon, Adam Batten, Michael Mason, April Sloan, Daniel Nazzareta, Joseph Graterol, Simon Pang, Miranda Worthen

Faculty Research, Scholarly, and Creative Activity

Objectives: Workers in high-stakes occupations, such as first responders, are at risk of exposure to potentially morally injurious events (PMIEs) and moral injury, yet research with first responders has been scarce. This study aimed to assess the frequency of exposure to PMIEs, the prevalence of moral injury, and the correlation between moral injury and other mental health symptoms. Methods: In this cross-sectional study, firefighters, emergency medical technicians (EMTs), and paramedics working for a large urban Fire Department in California were invited to complete an online, confidential survey using validated scales to assess exposure to PMIEs, moral injury symptoms, and symptoms …

Sociodemographic Determinants Of Telehealth Visits: A Comparison Of Mental Health And Substance Use Disorders With Other Services, Stanley Nkemjika, Orman Trent Hall, Jeanette Tetrault, Ayana Jordan

Department of Psychiatry and Human Behavior Faculty Papers

BACKGROUND/OBJECTIVES: Discrimination has wide-ranging implications, affecting patients' trust in healthcare professionals and their intentions to seek care. It can cause barriers that can affect access to care, especially among racial and ethnic minority groups in mental healthcare settings. Hence, we aim to examine the relationship between racial discrimination and reasons for using telehealth services.

METHOD: Using the 2022 Health Information National Trends Survey (HINTS-6), we isolated 6017 participants who reported on discrimination inquiry. The primary dependent variable in this study is self-reported discrimination in healthcare, while the main independent variable is the reason for the most recent telehealth visit, and …

Childhood Loneliness And Cognitive Decline And Dementia Risk In Middle-Aged And Older Adults, Jinqi Wang, Danyang Jiao, Xiaoyu Zhao, Yixing Tian, Haibin Li, Xia Li, Chen Sheng, Lixin Tao, Hui Chen, Zhiyuan Wu, Xiuhua Guo

Research outputs 2022 to 2026

Importance: Adult loneliness has been linked to cognitive decline and dementia risk, but the long-term implications of childhood loneliness remain underexplored. Objectives: To investigate whether childhood loneliness is associated with cognitive decline and dementia risk and whether adult loneliness mediates or modifies these associations. Design, Setting, and Participants: This cohort study used data from the China Health and Retirement Longitudinal Study, a nationally representative cohort study conducted between June 1, 2011, and December 31, 2018, with a maximum follow-up of 7 years. Data analyses were performed from October 1, 2024, to January 15, 2025. Exposure: Childhood loneliness was defined as …

Assessing The Psychological Wellbeing And Resilience Of Frontline Health Workers In Uganda: A Cross-Sectional Study, Ahmed Sarki, Joseph Atukwatse, Gideon Mbithi, Sabina Odero, Mary Namuguzi, Bernard Mutwiri, Lestine Bitakwitse, Peninah Wachira, Kevinson Mwangi, Eunice Ndirangu, Amina Abubakar

Institute for Human Development, East Africa

Background: Health workers in the frontline are the major drivers of health systems in low- and middle-income countries. However, these health workers face both chronic and acute shocks and stressors that expose them to mental health problems which are often overlooked. We examined the prevalence of mental health problems, correlates of psychological functioning, and resilience of frontline health workers in Uganda.

Methods: We conducted a cross-sectional study comprising 1800 frontline health workers across all regions of Uganda from August through October 2023. We used tools such as the PC-PTSD-5, PHQ9, PSS, GAD-7, Oldenburg Burnout Inventory, and CD-RISC-10 to assess PTSD, …

Social Determinants Of Health In Lesbian, Gay, Bisexual, Transgender, Queer, And Other Sexual And Gender Minority (Lgbtq+) Older Adults: Impact Of Socioeconomic Disadvantage On Inpatient Hospitalizations, Jennifer T. May Phd, Rn, Anp-Bc, Devon Noonan, Susan G. Silva

Publications

Introduction Little is known about the impact of socioeconomic disadvantage on lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) older adults (≥50 years). The aim of this study is to determine whether the distribution of LGBTQ+ inpatient hospitalizations are related to structural socioeconomic factors. Methods A secondary analysis of retrospective electronic health record data for LGBTQ+ older adults hospitalized from 2018 to 2022 was conducted at one large health system. The average county area deprivation index where the patient resided was calculated. Results The analysis included 2270 LGBTQ+ older adult inpatient hospitalizations, with 1508 (66.4%) from …

Bars To Asylum For Disabled And Criminalized Noncitizens: Particularly Serious Crimes And Mental Health Evidence In Immigration Court After Matter Of B-Z-R-, Elizabeth Jordan

University of Arkansas at Little Rock Law Review

A criminal conviction can prohibit a noncitizen from accessing certain forms of relief from deportation in immigration court. Notably, certain convictions may bar a noncitizen from asylum. But what happens when that conviction is based on the manifestation of mental health disabilities? This Article is the first to explore and critique the current immigration law framework for accounting for the criminalization of a noncitizen’s mental health disability, focusing primarily on the Attorney General’s recent decision In re B-Z-R- and the missed opportunity it represents to ensure that criminalized, disabled noncitizens are still able to access justice in the form of …

Receptions Of Mental Health Emergency Services In New York City, Daniel R. Samost

Dissertations, Theses, and Capstone Projects

Mental health emergency response has become a highly scrutinized topic following the Black Lives Matter movement and several notable incidents of mental health emergency service users being killed by police responders. Qualitative interviews were conducted with mental health emergency service users to better understand the experience of using mental health emergency services, garner critical feedback of the service, and explore recommendations to improve future response. A total of 23 participants conducted interviews and detailed 40 incidents of mental health emergency service utilization. These interviews were then coded and analyzed. There were a few major findings from the data. Just over …

Outcomes Of Bio-Psycho-Social-Spiritual Communitybased Drug Rehabilitation Program For Voluntary Vs. Court-Mandated Clients In The Philippines, Maria Regina M. Hechanova, Trixie Anne Co, Fessa R. Egusquiza

Psychology Department Faculty Publications

This study sought to evaluate the outcomes of a community- based rehabilitation program for voluntary and court-mandated drug users in the Philippines. Participants went through a bio-psycho-social-spiritual group-based program that aimed to develop their recovery skills and life skills. The program also included family modules to enhance their knowledge of drug use, its effects, and the role of family in recovery. A cohort design was used with pre- and posttest surveys administered before and immediately after the program. The sample consisted of 105 voluntary clients and 118 court-mandated clients who underwent screening or drug dependency evaluation and were recommended for …

Early Phase Testing Of Functional Imagery Training As An Intervention For Anxiety, Jackie Andrade, D. J. Kavanagh, Carly Bowditch, Emily Mackriel, Emily Ravenshill, Amy Sime, Eleanor Trumfield, Jessica Watts, Jon May

School of Psychology

Cognitive models hypothesize a role for motivated behaviour in anxiety disorders, with safety behaviours leading to exaggerated threat appraisals and increased anticipatory anxiety. Based on the Affective Imagery Theory of Motivation, we propose that increasing motivation for engagement behaviours will reduce motivation for safety behaviours through competition for limited capacity cognitive resources supporting motivational imagery. We hypothesise that imagining successful engagement will reduce anxiety directly, and through promoting subsequent engagement. We present preliminary evidence that functional imagery training (FIT), an intervention that develops and teaches motivational imagery, reduces anxiety. FIT was delivered to undergraduates with anxiety in one session lasting …

Sleep Quality, Emotional Moods, And Cognitive Outcomes Among People Living With Hiv: An Ecological Momentary Assessment Study, Shan Qiao Ph.D., Abhishek Aggarwal, Camryn Garrett, Arielle N’Diaye, Atena Pasha, Irene Esu, Chih Hsiang Yang Ph.D., Xiaoming Li Ph.D.

Faculty Publications

Introduction Although studies have explored the relationship between sleep quality, mood, and cognitive outcomes among people living with HIV (PLWH), few use ecological momentary assessment (EMA) techniques to evaluate within-person associations between sleep quality and emotional/cognitive outcomes among PLWH at the day level. This study investigated the association between previous night’s sleep quality and momentary psychological outcomes in participants’ natural setting. Methods Study participants were PLWH in South Carolina who were at least 18 years old, diagnosed with HIV for at least 2 years, and able to operate a cellphone. Participants were sampled using posters posted in AIDS Service organizations, …

Utilization Of Outpatient Mental Health Services During And 2 Years After The Covid-19 Pandemic, Michelle A Hayek, Hye-Chung Kum, Sulki Park, Robert Ohsfeldt, Mark A Lawley, Michelle J Bovin

The Brown Foundation: Institute of Molecular Medicine

Objective: Analyze the impact of COVID-19 on outpatient mental health (OP-MH) utilization patterns, particularly telehealth, across eight different MH conditions with a 2-year follow-up.

Methods: This population-based cohort study uses a 5% random sample of Medicare beneficiaries aged ≥18 and newly diagnosed with one of the eight MH disorders: psychotic, depressive, bipolar, anxiety, trauma-related, substance-use, other MH disorders, and two or more MH disorders. Monthly OP-MH utilization patterns were compared among patients in 2020-2021 newly diagnosed in 2019 to comparable prepandemic cohorts newly diagnosed in 2017. Multiple logistic regression models were conducted to examine differences in telehealth utilization across MH …

Covid-19 Adolescent Technology Use And Physical Activities: Cluster Analysis For Mental Health, Chunling Niu, Rui Jin, Ashley Love, Sohelia Sadeghi, Loren Cossette, Marissa Molina

Journal of Youth Development

This study examined how COVID-19 disrupted adolescent education, social interactions, and mental health by conducting exploratory cluster analysis to identify distinct profiles of technology use and physical activities, then comparing resulting clusters on demographics, social support, and mental health dimensions. Using the first wave of the longitudinal Oxford Achieving Resilience during COVID-19 (ARC) study of 1,196 United Kingdom adolescents aged 13-18, three clustering algorithms (k-means, k-medoids, and agglomerative hierarchical) identified optimal groupings validated both statistically and empirically. Three distinct clusters emerged: Cluster 1 (n = 380) characterized by low media use and moderate activity; Cluster 2 (n = 153) showing …