Digital Commons Network^™

The Growing Needs For Young Adults’ Behavioral Health Services In Oregon And Pathways For Sustainable Service Deliveries, Anis Zaman

Hatfield Graduate Journal of Public Affairs

Recent OHA data indicate a significant surge in behavioral health cases among young adults ages 17-26 across Oregon. Every year in Oregon, the total number of young adults receiving medical treatment includes a significant number of them who have behavioral health challenges. This large group of young adults with mental health conditions is vulnerable to suicidal ideation and substance overdose. Despite sincere efforts by the Oregon Health Authority (OHA), the young adult mental health state of Oregon remains a concern. Therefore, there is a need for a comprehensive action plan for the sustainable delivery of mental health services to young …

Eating Disorders: What Utahns Need To Know, Brie Sparks, Susan R. Madsen

Marketing and Strategy Faculty Publications

Eating disorders are serious mental health conditions characterized by persistent disturbances in eating behaviors and related thoughts and emotions. They affect individuals of all ages, backgrounds, body sizes, and life stages, often occurring alongside other mental health challenges. Eating disorders can have profound impacts on physical health, emotional wellbeing, relationships, educational attainment, and workforce participation. Understanding the prevalence, risk factors, and barriers to treatment in Utah is essential for developing effective prevention, intervention, and recovery efforts.

Mental Health And Psychosocial Well-Being Of Domestic Workers In Dar Es Salaam, Tanzania: Why It Matters And Why We Should Make It A Priority, Magolanga Shagembe

Tanzania Journal of Sociology

This phenomenological study explores the mental health and psychosocial well-being of domestic workers aged 15–18 years in Dar es Salaam, Tanzania. Drawing on Bronfenbrenner’s ecological systems theory and Erikson’s psychosocial development theory, the study examines how domestic workers negotiate self-acceptance, personal growth, purpose in life, quality of relationships, environmental control, autonomy and resilience within unequal labor and care arrangements. Data were generated through in-depth interviews with 29 domestic workers and analyzed thematically. The findings reveal that mental health and psychosocial well-being among domestic workers are shaped through complex interactions between structural vulnerability, interpersonal relationships, migration experiences, economic necessity, and future …

Mental Health Challenges Associated With Social Media Use And Effective Management Strategies: A Systematic Literature Review, Ebrahim Timol, Kebashnee Moodley

The African Journal of Information Systems

This study conducts a Systematic Literature Review (SLR) to investigate the mental health challenges associated with increasing social media (SM) usage. The review compares these effects across youth and adult age groups and explores how mental health issues related to SM use have evolved before, during, and after the COVID-19 pandemic. Through a comprehensive search of databases including ProQuest, Scopus, JSTOR, and Google Scholar, 43 relevant articles were analyzed using thematic analysis. The findings reveal that social media usage exacerbates mental health issues such as depression, anxiety, fear of missing out (FOMO), social and financial comparisons. The COVID-19 pandemic notably …

Evaluating The Impact Of A Community-Based Prenatal Education Program On Maternal Knowledge And Intentions In Utah, Aaron T. Hunt, Jenna Dyckman, Kaylee Cox

Journal of Human Sciences and Extension

Maternal and infant health in the U.S. has worsened, with rising rates of maternal mortality, gestational diabetes, postpartum depression, and infant mortality. Prenatal education is a proven strategy to improve outcomes, yet many expecting parents rely on unvetted information or lack access to reliable resources. To address this gap, a pilot prenatal education program was implemented through Utah State University Extension to improve knowledge, attitudes, and intentions related to breastfeeding, nutrition, mental health, and other key topics. The program consisted of 3 1-hour, evidence-based workshops incorporating lectures and interactive activities. A retrospective pre-post survey was completed by 28 pregnant participants …

A Holistic Christian Perspective On Wellness For College Students - A Qualitative Analysis, Shari L. Jurgens, Deb Majewski, Jessica Clevering

Movement and Being: The Journal of the Christian Society for Kinesiology, Leisure and Sports Studies

Aim: This study sought to explore the impact of a Christ-centered, holistic wellness course on college-aged students’ understanding of key wellness principles. The goal was to gain insight into how students comprehend and apply these principles considering their spiritual and personal development.

Background: Wellness education for undergraduate students is both timely and essential, especially within Christian higher education, where nurturing the whole person is a core value. A common misconception is that wellness pertains only to physical and mental health. However, Scripture affirms that human flourishing involves a harmony of body, mind, and spirit. A holistic, biblically informed approach to …

An Exploratory Analysis Of Neurocognitive Performance And Posttraumatic Stress Disorder (Ptsd) Among Latinx Asylum Seekers, Elsie A. Arias

Doctoral Dissertations

Asylum seekers are exposed to violence and traumatic events in their home countries at high rates, leading to mental health challenges such as posttraumatic stress disorder (PTSD). PTSD symptoms and comorbidities such as depression and alcohol misuse are associated with impacts to multiple domains of cognitive functioning among populations such as Veterans. However, the neurocognitive performance of Latinx asylum seekers who experience PTSD symptoms are under-documented in the current literature despite its meaningful impact on clinical care engagement and navigation of the legal process. This study utilized an exploratory, quantitative, cross-sectional design to examine whether higher levels of self-reported PTSD, …

July 2026 The Back Page — Fighting Burnout By Building A Better Sense Of Community, Tamar Shrikian, Dmd

The Journal of the Michigan Dental Association

Dr. Tamar Shrikian shares a personal commentary on overcoming professional burnout by seeking fulfillment outside the clinical setting. Identifying isolation as a key factor in clinician stress, she discusses her transformative experience joining a community chorus. The article introduces the concept of a "third place"—a social space distinct from home and work—as essential for maintaining a healthy identity beyond being a health care provider. Shrikian encourages her colleagues to actively build social connections, whether through faith communities, hobbies, or organized dentistry, to foster mutual support and overall well-being within the profession.

Making Meaning In Gender Affirming Therapy: Voices Of Transgender And Gender Diverse Individuals, Shelby Freeman

Graduate Theses and Dissertations

Transgender and gender diverse (TGD) people frequently seek out counseling services and experience greater mental health difficulties than the general population. Oppressive political and social structures are often cited as a main contributor to mental health disparities. As antitransgender laws and sentiments increase in the U.S., the likelihood of mental health professionals encountering TGD clients will also increase. This requires specific competencies in how to provide effective gender-affirming mental health services. Affirming MHPs are more accessible to TGD clients now than ever due to increases in provider training and improved attitudes. However, previous research revealed that MHPs who identify as …

Advancing Dimensional Models Of Psychopathology In Cancer: Insights From Applying The Hierarchical Taxonomy Of Psychopathology (Hitop), Darren Haywood, Jai Carmichael, Miriam K. Forbes, Roman Kotov, Robert F. Krueger, Aidan G.C. Wright, Susan L. Rossell, David Castle, Wendy Lam, Maryam Lustberg, Colin E. Vize, Anna Ugalde, Phyllis Butow, Nicolas H. Hart

Research outputs 2022 to 2026

Objective: Cancer survivors, defined as those living with or beyond a cancer diagnosis, experience more than double the prevalence of psychopathology when compared to the general population. Categorical diagnostic systems, such as the Diagnostic and Statistical Manual of Mental Disorders (DSM), remain dominant in psycho-oncology despite concerns about reliability, validity, and clinical utility for this population. Dimensional frameworks, such as the Hierarchical Taxonomy of Psychopathology (HiTOP), offer a more precise alternative; however, they have not yet been widely applied in cancer survivors. Accordingly, the objective of this research was to examine the applicability of HiTOP to cancer survivors. Methods: Data …

Addressing The Stigma: Fostering Mental Health And Resilience Among Law Enforcement Officers In The Columbia River Gorge, Claire Ranit

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement:

This portfolio aims to raise awareness of the increased risk of suicidality in small, rural law enforcement agencies and identify prevention strategies to reduce the risk by empowering and educating law enforcement officers (LEOs).

Significant Findings:

LEOs in small, rural agencies like those found in the Columbia River Gorge face significant mental health challenges, with research indicating LEOs rate of suicide at agencies employing 50 or fewer sworn staff is 43.78 per 100,000 between 2016 to 2022, compared to the United States (U.S.) general population of 13.78 per 100,000 in that same time period (Lawrence et al., 2025; …

Women & Mental Health: What Utahns Need To Know, Brie Sparks, Susan R. Madsen

Marketing and Strategy Faculty Publications

Mental health shapes how individuals think, feel, cope with stress, and engage in relationships and communities. Mental health concerns have increased nationally and in Utah, influenced by social isolation, economic stress, and lasting effects of the COVID‑19 pandemic. Utah now has one of the highest rates of mental illness in the country, with nearly 29.9% of adults reporting a condition, and women are disproportionately affected. Understanding these patterns and their drivers is essential to improving outcomes for women, families, and communities across the state.

Psoriasis Effects On Psychological And Daily Activities In Patients Attending To Outpatient Clinics In Aldiwaniyah Teaching Hospital, Saja Abbas Musa, Hassan Raji Jallab, Akeel Hamid Jabur

Al-Qadisiyah Medical Journal

Background: Psoriasis is a chronic immune-related skin disorder affecting 2–3% globally, linked to heart disease, joint issues, metabolic syndrome, and psychological disorders. It also impacts social life, mental health, and work productivity, with added challenges in Middle Eastern patients due to stigma and limited healthcare access. Aim: To assess the psychological and functional impact of psoriasis on patients attending Al-Diwaniyah Teaching Hospital. It focuses on anxiety, depression, social disengagement, and effects on daily activities like work, exercise, sleep, and hygiene. The study also explores the relationship between disease severity and impairment levels. Material and Methods: The study was conducted at …

Self-Help Or Hype? How The Public Seeks And Uses Health And Self-Help Information, Bailey Fraser Dr., Joanna Pozzulo Dr., Emily Pica Dr.

Journal of Social, Behavioral, and Health Sciences

The rapid growth of the global wellness industry and increased availability of health information through social media and self-help resources have raised concerns about the public’s ability to evaluate credible health information. This study examined how adults in Canada and the United States use health information, what they consider qualifies information as evidence, and their reading behaviors related to physical and mental health, including self-help books. A total of 96 participants completed an online survey assessing health information use, criteria for evidence, reading habits, and self-help book selection. Participants reported using health information primarily to make personal health decisions and …

Examining Public Perceptions Of Source Credibility In Mental And Physical Health Communication, Bailey Fraser Dr, Joanna Pozzulo Dr., Emily Pica Dr.

Journal of Social, Behavioral, and Health Sciences

Surveys in Canada and the United States have indicated declines in subjective well-being alongside growing public interest in improving personal health. With increased availability of credible and non-credible health information, particularly online, it is important to understand how the public perceives the credibility of various information sources for physical and mental health information. The present research is the first known study to directly compare perceptions of source credibility across mental versus physical health contexts and to examine associated information-seeking behaviors. Results indicated that participants consistently rated professional sources as more credible than layperson sources and perceived meaningful differences in the …

Professionals’ Perspectives On Behavioural Approaches In Autistic Adult Mental Health Care: Comparing Neurodivergent And Non-Neurodivergent Practitioners, Margaret Janse Van Rensburg, Abigail K. Reza Jameson, Emmanuella Asabea Twum, Robert Hock

Faculty and Staff Publications

Applied Behaviour Analysis (ABA), Cognitive Behaviour Therapy (CBT), and Dialectical Behaviour Therapy (DBT) are widely used approaches when working with Autistic people. While ABA originates in the behaviourist tradition, CBT and DBT are cognitive-behavioural psychotherapies that incorporate both cognitive and behavioural elements. These therapies remain contested within neurodiversity-affirming frameworks. This study explored how professionals understand, use, and avoid behavioural approaches in their work with Autistic adults, and whether perspectives differ between neurodivergent and non-neurodivergent practitioners. Semi-structured interviews were conducted with 20 professionals providing mental health support to Autistic adults. Data were analyzed using qualitative content analysis, with an exploratory comparison …

A Qualitative Examination Of Burnout Among College Marching Band Members, Justin Mcmanus, Justus Carney

Visions of Research in Music Education

Abstract

The notion of burnout was first introduced by researchers Herbert Freudenberger (1974) and Christina Maslach (1976) to address staff challenges in medical and other “helping” professions (e.g., caregivers). According to Maslach and Leiter (1981), burnout consists of emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. Many post-secondary students participate in campus organizations as a relief from burnout, experiencing community, heightened self-efficacy, and increased confidence (Buckley & Lee, 2018; Knifsend, 2018). However, overcommitment to an activity may increase a student’s likelihood of burning out due to prioritization over their academic work (Denman, 2019). There is a gap in …

Lived Experiences Of Polysubstance Use And Co-Occurring Mental Health Disorders: A Phenomenological Inquiry, Candee Dione Rillon

Doctoral Dissertations and Projects

This phenomenological study explored the lived experiences of individuals with co-occurring substance use disorders (SUD) and mental health disorders (MHD), with particular attention to the transition into polysubstance use. The purpose of the study was to understand how individuals experience and make meaning of these co-occurring conditions and the factors influencing substance use patterns. Data were collected through semi-structured interviews with participants who reported both mental health challenges and substance use histories. Thematic analysis revealed that participants experienced SUD and MHD as deeply interconnected and mutually reinforcing, often functioning within a cyclical pattern of distress and temporary relief. Substance use …

The Relationship Between Estimated Vo2max And Poor Mental Health: A Study Of Brfss Data, Angelina Somadina Oputa

Doctoral Dissertations and Projects

Mental health conditions are one of the leading contributors to the global burden of disease. Despite advancements in mental health therapies and psychiatric medications, significant numbers of patients continue to struggle with mental illness. Despite these challenges, exercise can serve as a powerful tool to address mental health concerns. Current literature has referenced the value of physical fitness to support mental health, however there is limited large-scale research assessing the estimated maximal oxygen uptake (VO2Max) as a predictor of poor mental health days. In response, this quantitative secondary analysis was conducted to examine the relationship between estimated VO2Max and poor …

Barriers And Beliefs: Narratives Of Mental Health Help-Seeking Among First-Generation Latino/Hispanic College Students, Karina L. Alba Lockhart

Doctoral Dissertations and Projects

Mental health challenges among college students in the United States have increased in recent years, yet first-generation Latino/Hispanic college students continue to underutilize available services while facing unique cultural and structural barriers to care. This qualitative narrative study explored how first-generation Latino/Hispanic college students made meaning of mental health help-seeking in relation to perceived barriers, perceived benefits, and cultural values such as familismo and stigma. Guided by the health belief model and cross-cultural psychology, this study recruited 15 participants from four-year institutions in the United States and collected data through an online asynchronous questionnaire. Thematic and narrative analysis revealed that …

The Black American Women, Mental Health, Self-Stigma, And The Church, Sylvia D. Dorsey

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study is to explore the lived experiences of Christian Black American women who underutilize mental health services due to a perceived notion of self-stigma of Christian Black American women seeking mental health services and how the church may play a role. A transformational theory guides this study. In a transformative framework the study focuses on looking at marginalized groups that have power differentials and are viewed as being less important in society and to understand their life experiences. Stigma and self-stigma are the dominating factors that contribute to the underutilization of mental health services …

Beyond The Battlefield: Analyzing Trauma's Impact On Veterans' Holistic Health, Keyanna Mikell-Scott

Doctoral Dissertations and Projects

The study used a mixed-methods approach to examine the multidimensional effects on U.S. veterans' physical, mental, and spiritual health. Two surveys gathered quantitative data from 100 veterans. The surveys included elements of the Life Events Checklist, PTSD screenings, physical health conditions common in the veteran community, and the Spiritual Well-Being Scale. The surveys used five-point Likert scales. Quantitative data were analyzed in SPSS using correlation and regression analyses. Qualitative data comprised 10 semi-structured interviews with 10 of the 100 veteran participants. Interviews were transcribed, and ATLAS.ti was used to conduct a thematic analysis from which themes were extracted. Results showed …

Sicker Americans Are More Likely To Misuse Prescription Medications, Esther Oshaji, Andrew S. London

Population Health Research Brief Series

Prescription medication misuse is a long-term population health problem in the United States. This data slice uses data from the National Wellbeing Survey (N=32,789, 2021–2025) of U.S. adults ages 18–64 to examine how the number of chronic health conditions a person has is related to their misuse of prescription opioids, tranquilizers, sedatives, or stimulants in the past 12 months. The authors find a dose-response pattern: misuse rises from 2.8% among those with no chronic conditions to 11.7% among those with three or more conditions. Mental health conditions show stronger associations with misuse than physical health conditions.

How Construction Site Characteristics Shape Workers' Mental Health And Wellbeing, Parisa Moshashaei, Hamed Golzad, Henry Liu, Nasser Bagheri

CIB Conferences

Psychosocial risks in construction are increasingly recognised, yet evidence remains fragmented regarding how site-level physical and operational characteristics shape workers’ mental health and wellbeing. This exploratory study aims to develop an evidence-based conceptual framework to identify relationships between construction site characteristics and workers’ mental health and wellbeing. A systematic literature review of 51 studies (2014–2025) identified 34 site-related indicators grouped into five domains: environmental conditions, welfare amenities and facilities, safety and security, work settings and practices, and physical space design. These domains were then examined through 21 semi-structured interviews with site-based workers across Australian commercial and residential building projects. Interview …

Mental Health Transition Of Care Across State Lines: The Perspectives Of College Students, Caroline E. Hanson

Washington Semester Program

The mental health of first- year college students has a strong effect on their ability to transition smoothly and successfully to college (Young, C. C., & Calloway, S. J. (2015). For all students, the transition to college is stressful, filled with adjusting to new surroundings, schedules, and people. In addition to the social and environmental changes, college students are going through immense cognitive developments, specifically in their self-concept, self-esteem, and identity (Berk, 2023).

Online Harassment And Mental Health Among Collegiate Student-Athletes: Findings From An Ncaa Division I Conference Survey, M. Courtney Hughes, Michelle K. Demaray, Emily A. Skiba, Sarah E. Warriner

Journal of Issues in Intercollegiate Athletics

Social media is central to college athletics, yet public visibility can expose collegiate student-athletes to online harassment, a risk the NCAA has recently highlighted by documenting sizable volumes of abusive, discriminatory, and betting-related content directed at athletes and officials. This study surveyed 85 NCAA Division I student-athletes from ten universities across the Mid-American Conference and assessed social-media behaviors, online harassment exposure, depression, and anxiety. Most athletes used social media 1–3 hours/day, 78% enabled name-mention alerts, and platforms commonly used included Instagram (98.8%) and X (65.9%). Online harassment was reported via social posts (9.4%), direct messages (4.7%), and texts (3.5%), with …

Understanding Parents Perceptions Concerning Division I Student-Athlete Mental Health, Jonathan M. Casper, Jason Bocarro, Marie Amidon

Journal of Issues in Intercollegiate Athletics

Collegiate student-athletes (SAs) frequently underreport mental health concerns and are less likely to seek professional support compared to their non-athlete peers. Given the substantial emotional and academic support parents provide, this study examined NCAA Division I parents’ perceptions of their student-athletes’ mental health and overall well-being, as well as their awareness and perceptions of available mental health services. An online survey (N = 178) was administered across two Division I universities. Parents reported considerable concern regarding mental exhaustion, anxiety, academic pressures, and future planning. They also identified sport-specific stressors, including relationships with coaches, playing time, team dynamics, and injuries. Although …

Identifying Social Determinants Of Health Subgroups And Their Associations With Health Outcomes In A Prospective Us Adult Covid-19 Cohort: An Analysis Of The Inspire Registry, Yohali Burrola-Mendez, Eugene Lin, Canada Parrish, Chialing Hsu, Mandy J. Hill, Michael Gottlieb, Kristin L. Rising, Lauren E. Wisk, Nicole L. Gentile, Rachel E. Geyer, Robert A. Weinstein, Michelle Santangelo, Kristyn Gatling, Jonathan W. Dyal, Joann G. Elmore, Robert M. Rodriguez, Phillip Watts, Ji Chen, Zihan Diao, Erica S. Spatz, Kwun Cg Chan, K A. Stephens, Kelli N. O'Laughlin, Inspire Group

Department of Emergency Medicine Faculty Papers

OBJECTIVE: To identify subgroups with similar social determinants of health (SDOH) characteristics using latent class analysis (LCA) and examine their associations with physical and mental health, cognitive function and missed workdays at 3 and 6 months post-SARS-CoV-2 infection. We hypothesised that intersecting SDOH factors would differentially influence COVID-19-related health outcomes across subgroups.

DESIGN: Prospective cohort study from the Innovative Support for Patients with SARS-CoV-2 Infections Registry (INSPIRE), with longitudinal data collection and cross-sectional analyses at baseline, 3-month and 6-month follow-ups.

SETTING: Multicentre registry across eight US academic medical centres (Chicago, Dallas, Houston, Los Angeles, New Haven, Philadelphia, San Francisco and …

When School Culture Excludes: Deficit Discourse, Microaggressions, And The Mental Health Of Marginalized Students – A Conceptual Framework With Implications For School Psychology Practice And Equity Policy, Modupe Mercy Oyewunmi

Publications

Deficit-laden language like ‘behavior problem,’ ‘not college material,’ ‘won’t fit in’, ‘not a cultural fit’, operates as a systemic form of implicit bias and microaggression in school settings. Despite decades of research on school belonging and well-being, school psychology has yet to integrate these exclusionary discursive practices into a coherent health-determinant model that also accounts for the current anti-diversity, equity, and inclusion (DEI) policy environment. This conceptual paper proposes a testable framework linking deficit discourse and school-based microaggressions to student identity suppression, academic impostor phenomenon, and educator moral injury, with downstream effects on school mental health outcomes. We situate these …

Psychogastroenterology: An Introduction For Behavioral Health And Healthcare Professionals, Jerrod Brown Ph.D., M.A., M.S., M.S., M.S., M.S., M.S., Jeremiah B. Schimp Phd, Ma, Lpcc, Leanne Skehan Dcn, Msacn, Mph, Mba, Cns, Ches, Shelley Mydra Dmft, Lmft, Jonathan Ward Dc, Phd(C), Ms, Dibcn, Tiffany Flaten Cns, Ldn

Nutritional Neurocriminology Today

Although often difficult to discuss with clients, gastrointestinal (GI) issues affect an estimated 60 to 70 million Americans (American Gastroenterological Association, 2022). Yet only about 25% of those experiencing these conditions receive treatment. This is troubling because GI issues frequently co-occur with clinically significant consequences for physical health, psychological well-being, daily functioning, and overall quality of life. Designed for behavioral health and healthcare professionals, this brief article introduces the field of psychogastroenterology, with emphasis on symptoms, stigma, diagnosis, and treatment. Key topics include the gut-brain axis, common digestive health conditions, and the mental health implications associated with gastrointestinal disorders.