Digital Commons Network^™

Exploring Mental Health Concerns And Loneliness Among East Asian International Students In U.S. Universities, Shihan Xu

Antioch University Dissertations & Theses

This study examined the unique stressors encountered by international college students, with particular attention to East Asian international students, whose collectivistic cultural values contribute to their mental health status and reported symptoms. Following the COVID-19 pandemic, the rise in stress levels and loneliness highlighted the need for further examination. Using data collected in 2024 through the Counseling Center Assessment of Psychological Symptoms-34 (CCAPS-34) and the UCLA Loneliness Scale, the study surveyed East Asian international students enrolled in universities in the United States to identify prevalent mental health concerns and explore the correlation between loneliness and self-reported symptoms among East Asian …

Resilience And Its Effects On Psychological Well Being During The Covid-19 Pandemic, Taylor Reinsel

Honors Theses

Stressors and trauma in life are unavoidable. However, the way we respond and adapt to them can be within our control. This response differs from person to person, but there are factors that can influence the likelihood of an individual rebounding from a crisis, as well as factors that can put them at a higher risk of developing mental illness. One of the main factors that influences Psychological Well Being is the presence of Resilience.

The main goal of this study was to examine how factors of Resilience relate to Psychological Well Being and COVID-19 Well Being during the COVID-19 …

A Small Price To Pay For Better Mental Health Crisis Care: Why States Should Be Funding The New 988 Hotline Through Phone Fees, Katherine Menello

Law Student Publications

Mental health care in the United States is uncoordinated, underresourced, and overall insufficient. Mental health crisis care is much the same, but with much higher stakes. The lack of a comprehensive mental health crisis care system across the country has led to law enforcement involvement becoming the default system in most communities. Yet, an overwhelming majority of Americans want a better way; in a survey conducted in summer 2023, “85% of people sa[id] they want a mental health response to someone experiencing a mental health, drug or suicide crisis, not a police response.”...

Multidisciplinary Lethal Means Safety Counseling Design And Implementation: Training And Identifying Barriers In A Children's Hospital, Cassandra L. Stegall, Brendon Carnell, Jaime M. Golden, Rupa Kapoor, John H. Fanton, Paul C. Mullan, Alexandra P. Leader

Department of Pediatrics Faculty Publications

Background

Access to lethal means contributes significantly to suicide completion. Lethal means safety counseling (LMSC) is an injury prevention strategy to limit access to firearms, medications, and other means of injury. Not previously evaluated in the trauma setting, this study aims to design and implement a standardized LMSC protocol for pediatric patient discharge education in emergency (ED), trauma, and inpatient psychiatry settings.

Methods

A single-center quality improvement study at an academic pediatric urban tertiary Level-one trauma center was performed from July 2023 to February 2024. Protocol was implemented for pediatric patients discharged from three departments: ED, surgery trauma service, and …

Predicting Mental Health Disparities Using Machine Learning For African Americans In Southeastern Virginia, Ismail El Moudden, Michael C. Bittner, Matvey V. Karpov, Isaac O. Osunmakinde, Akosua Acheamponmaa, Breshell J. Nevels, Mamadou T. Mbaye, Tonya L. Fields, Karthiga Jordan, Messaoud Bahoura

Department of Obstetrics & Gynecology Faculty Publications

This study examined mental health disparities among African Americans using AI and machine learning for outcome prediction. Analyzing data from African American adults (18–85) in Southeastern Virginia (2016–2020), we found Mood Affective Disorders were most prevalent (41.66%), followed by Schizophrenia Spectrum and Other Psychotic Disorders. Females predominantly experienced mood disorders, with patient ages typically ranging from late thirties to mid-forties. Medicare coverage was notably high among schizophrenia patients, while emergency admissions and comorbidities significantly impacted total healthcare charges. Machine learning models, including gradient boosting, random forest, neural networks, logistic regression, and Naive Bayes, were validated through 100 repeated 5-fold cross-validations. …

Examining The Impact Of Resilience And Sense Of Community On Mental Health And Academic Performance, Samara B. Coleman

Honors Undergraduate Theses

Within the United States, a third of college-aged young adults are diagnosed with at least one psychological disorder. Resilience, the ability to bounce back from adversity, has been shown to help mitigate the adverse effects of burnout and stress, and support academic performance in some cases. Additionally, a sense of community has also been shown to be crucial in buffering the negative consequences of adversity. The following research questions guide this study: 1) How significant a role does the community play in resilience and mental health? 2) How does resiliency relate to the academic performance of students experiencing varying levels …

Human-Centered Advocacy: Requiring Trauma-Informed Lawyering Through Mandatory Continuing Legal Education, Meghan Sheldon

Roger Williams University Law Review

No abstract provided.

Practicing Justice: A Critical Self- Reflection On The Role Of Trauma In Legal Practice, Sarah Katz

Roger Williams University Law Review

No abstract provided.

In Re N.B., 312 A.3d 428 (R.I. 2024), Olivia F. Johnson

Roger Williams University Law Review

No abstract provided.

Clinician Perspectives On Incorporating Physical Activity And Sleep Prescriptions Using Ehealth For Youth With Comorbid Psychiatric Disorders: Qualitative Focus Group Study, Alyssa M. Button, James Slavet, Amanda E. Staiano, April Bowling

Health Sciences Faculty Publications

Background: Physical activity and sleep prescriptions are indicated for the treatment of psychiatric disorders among youth. However, there is limited clinical adoption of these practices. Exergaming (ie, games that require physical activity) is a feasible intervention to promote physical activity and sleep hygiene and is appealing to youth given their interest in video gaming. Integrating exergaming prescriptions into clinical mental health practices may offer an opportunity to expand access to these interventions, yet pragmatic considerations for adopting these programs are poorly understood.

Objective: This study aimed to gain feedback from practicing clinicians on adopting GamerFit, an app-based intervention that incorporates …

Barriers To Mental Health Among International Students: Identifying Challenges And Developing Support Strategies For Depressive Symptoms, Esi Tb Afful

Theses and Dissertations

Objective: The purpose of this study was to examine barriers to mental health service utilization among international students, with a specific focus on challenges related to depressive symptoms and their coping mechanisms. The study also sought to identify factors that influence international students’ engagement with mental health resources.

Method: A total of 30 international students enrolled at a midwestern university participated in this mixed-methods study. Data were collected through an online survey, which included both closed- and open-ended questions. The quantitative portion of the survey assessed demographics, cultural and immigration challenges, mental health service utilization, and social support. Hierarchical multiple …

Differential Effects Of Health Insurance Coverage On Health For Sexual Minorities, Ruby W. Morr

Theses and Dissertations

Much existing research has found a substantial gap in health between sexual minorities and non-minorities. This is usually attributed to discrimination or access to care. I seek to find the role that insurance plays, including minorities' choices of insurance coverage. If a gap does exist, insurance may have a stronger impact on sexual minorities. Also, if minorities are less likely to have insurance coverage, they may be susceptible to worse health. I confirm results from the literature that sexual minorities do have worse health. While health insurance accounts for some of the gap, it is only a small portion, though …

Fleeing Structural Stigma: Psychological Outcomes For Transgender And Gender-Diverse Internally Displaced Persons, Max E. Cartagena

Cal Poly Humboldt theses and projects

In 2025, at least 1,000 bills targeting transgender and gender-diverse (TGD) individuals were introduced across the United States, contributing to an environment of escalating structural stigma. As a result, many TGD individuals have relocated from states with high levels of stigma to those with lower levels in search of safety, access to care, and social affirmation. This study examines these individuals as internally displaced persons (IDPs) and is informed by refugee psychological literature, as both experiences arise from coercive structural forces that compel individuals to relocate. This perspective highlights the involuntary nature of their migration, driven by the need for …

Associations Between Flavonoid-Rich Food And Flavonoid Intakes And Incident Unhealthy Aging Outcomes In Older United States Males And Females, Nicola P. Bondonno, Yan Lydia Liu, Francine Grodstein, Eric B. Rimm, Aedín Cassidy

Research outputs 2022 to 2026

Background: Our knowledge of the importance of flavonoid-rich foods in preventing unhealthy aging across its different domains is limited. Objectives: This study aimed to examine prospective associations between flavonoid-rich food and flavonoid intakes and indicators of unhealthy aging, namely frailty, impaired physical function, and poor mental health. Methods: We followed up 62,743 females and 23,687 males, all aged ≥60 y, from the Nurses’ Health Study (1990–2014) and Health Professionals Follow-up Study (2006–2018), respectively. Both time-updated and change in intakes of a flavodiet score (an aggregate of intakes of major flavonoid-rich foods and beverages) and individual flavonoid-rich foods and beverages and …

Protect Transgender Kids: What Is “Protection” In Light Of Bans On Gender-Affirming Care?, Patricia B. Barnett

Journal of Race, Gender, and Ethnicity

This Note examines the growing legal and constitutional conflict surrounding state laws that ban or restrict gender-affirming care for transgender minors. At the heart of the issue lies the clash between state authority and the constitutionally protected rights of parents under the Due Process Clause of the Fourteenth Amendment. Drawing on medical consensus that affirms the necessity and efficacy of gender-affirming care, the Note argues that these laws not only endanger the well-being of transgender youth but also infringe on parents' fundamental rights to direct their children’s medical treatment. The analysis highlights how some states mischaracterize gender-affirming care as a …

Improving Mental Health Referral Systems In Rural Australia: Co-Design Study With Health Professionals And Consumers, Kate Bartel, Asini Malinka Siriwardene, Paul Worley, Kim Pearce, Niranjan Bidargaddi, Bronwin Patrickson, Simon Moody, Sharon Wingard, Martin Jones, Brian Mckenny, Darryl Cameron, Sharon Lawn, Amy E. Mendham

Research outputs 2022 to 2026

Background: In rural Australia, geographical isolation, limited resources, and complex health care navigation create significant barriers to mental health care access. Mental health care professionals and organizations often work in segregation, exacerbating existing barriers. Digital technology provides an opportunity to improve communication between providers and streamline workflows while supporting a diverse range of consumers. Objective: This co-design study aimed to identify rural community needs and explore digital solutions to enhance mental health service delivery pathways. Methods: Using a design-thinking methodology, we conducted focus groups and workshops with 17 participants (7 consumers and caregivers and 10 health care professionals) from a …

South Asian American Experiences Of Microaggressions And Wellbeing: The Moderating Role Of Social Support, Archita Birla

College of Graduate Studies: Theses & Dissertations

Although the South Asian American community is rapidly expanding in the United States (South Asian Americans Leading Together [SAALT], 2015), there remains a dearth of psychological research regarding the impacts on mental health and wellbeing affecting this diverse community. Racial microaggressions, or verbal or behavioral actions indicating hostile or negative attitudes toward marginalized individuals (Sue et al., 2007), negatively impact People of Color (POC) mental health and wellbeing (Forrest-Bank & Jenson, 2015a; Nadal, Wong, et al., 2015). Some research exists on South Asian American communities and microaggressions (Houshmand et al., 2014; Poolokasingham et al., 2014) but there is limited research …

Implementing A Routine Patient Health Questionnaire-9 (Phq-9) Screening Bundle For Adults (18-65 Years) Scheduled For A Psychiatric Evaluation, Olivier Bertrand Djoumessi

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Depression affects 21 million American adults (8.4%), yet only 28% receive appropriate screening. In Texas, where 20.8% of adults experience depression, systematic screening remains inconsistent. This quality improvement project addressed a critical gap at an outpatient mental health clinic in the Dallas-Fort Worth metroplex, where Patient Health Questionnaire-9 (PHQ-9) screening occurred in only 40% of psychiatric evaluations, resulting in missed diagnoses and inconsistent treatment. Using the Plan-Do-Study-Act framework, the project implemented a comprehensive PHQ-9 screening bundle consisting of staff training, electronic health record integration, and a treatment algorithm based on severity thresholds. The intervention targeted adults, aged 18-65, scheduled for …

Self-Reported Hearing Loss And Health During A Pandemic: Findings From A Cross-Sectional Analysis Using A 2021 Household Survey, Eunice Y. Park, Erin R. Nelson-Bakkum, Amy A. Schultz, Lauren K. Dillard

Department of Public Health Scholarship and Creative Works

Background: The COVID-19 pandemic differentially impacted individuals with hearing loss, likely in part due to increased communication difficulties from masking, a commonly implemented protective measure. Objective: This study examines the association between self-reported hearing loss and health during the pandemic. Methods: This study uses data from the COVID-19 Survey collected by the Survey of the Health of Wisconsin from February to March 2021. Hearing loss was defined as self-reported fair or poor hearing. The outcomes were self-reported symptoms of anxiety and depression, separately, and self-reported general health. Multivariable models adjusted for age, gender, and race/ethnicity were used to examine the …

The Impact Of Social Participation Through Adaptive Sports On Quality Of Life In Individuals With Spinal Cord Injury, Mikayla Martin, Zeida Gutierrez

Spring 2025 OTD Capstone Symposium

This project researched and explored how socialization through adaptive sports in this case impacts the perception of quality of life among individuals who have sustained a spinal cord injury.

A Preliminary Study On The Role Of Personal History Of Infectious And Parasitic Diseases On Self-Reported Health Across Countries, Gerit Pfuhl, Filipe Prazeres, Marta Kowal, Toivo Aavik, Beatriz Abad-Villaverde, Reza Afhami, Leonardo Aguilar, Grace Akello, Laith Al-Shawaf, Jan Antfolk, Chiemezie S. Atama, Derya Atamturk Duyar, Roberto Baiocco, Sercan Balım, Carlota Batres, Yakhlef Belkacem, Théo Besson, Adam Bode, Merve Boğa, Jordane Boudesseul, Mahmoud Boussena, Hamdaoui Brahim, Nana Burduli, Ali R. Can, Hakan Cetinkaya, Antonio Chirumbolo, Dimitri Chubinidze, Clément Cornec, Bojana M. Dinić, Seda Dural

School of Psychology

Objectives: Infectious diseases are often associated with decline in quality of life. The aim of this study is to analyze the relationship between personal history of communicable, i.e., infectious and parasitic diseases and self-rated health. Study design: Secondary analysis of a large dataset multi-country observational study. Methods: We used a four-pronged analysis approach to investigate whether personal history of infectious and parasitic diseases is related to self-reported health, measured with a single item. Results: Three of the four analyses found a small positive effect on self-reported health among those reporting a history of pathogen exposure. The meta-analysis found no support …

Social Determinants Of Mental Health Outcomes, Ariana Fein

Honors Theses

Mental health disorders, particularly anxiety and depression, are a growing global concern with profound consequences on individuals' well-being and societal functioning. The burden of these disorders is not only psychological but also economic, affecting quality of life. Mental health outcomes are heavily influenced by a range of social determinants, such as financial status, education, and access to healthcare. While extensive research has focused on WEIRD (Western, Educated, Industrialized, Rich, Democratic) countries, there remains a significant gap in understanding how these determinants affect mental health in low-resource settings or non-WEIRD countries. This study aimed to address this gap by exploring the …

Exploring Psychological Implications Of The Contemporary Lung Transplant, Isaac C. Machar

Williams Honors College, Honors Research Projects

Since its inception in 1963 at the University of Mississippi Medical Center, more than 50,000 lung transplant procedures have been performed. During its 50-year anniversary, 2023 saw just over 3,000 lung transplants performed in the United Sates. However, as this procedure continues to increase in execution each year, it is critical that the psychological implications of this procedure are explored. In this paper, I hope to develop an understanding of the psychological background of contemporary lung transplantation. Reviewing the lung and double lung transplant, the goal is to apply biopsychology principles to the field. Background information about transplant science is …

Social Media Through A Binary Lens: The Impact On College Students & Their Mental Health, Piper Mallchok

Williams Honors College, Honors Research Projects

It is important to first understand how individuals use social media so that we can then understand how and why their use will change the individual impact social media will have. Some students experience a decline in their mental health when their social media use changes. There is an abundance of research on college students and social media, respectively, that also addresses gender as a variable. In this review, the research will be studied to further understand the voices of those who are not commonly included in research that operates under a gendered framework. Additionally, these ideas will be compared …

Black Adolescents' Mental Health And Identity Formation: The Role Of Discrimination And Racial Socialization - A Systematic Review, Tsahai Jenkins

Theses and Dissertations

This systematic review examines the impact of racial discrimination on mental health and racial identity development among Black adolescents, focusing on anxiety, depression, self-esteem, and identity formation, as well as the protective role of racial socialization. Analysis of 19 qualitative and quantitative studies revealed that Black adolescents frequently experience discrimination across various settings, including schools, public spaces, and online platforms, with significant effects on mental health and self-concept. Gendered patterns were evident, with females more likely to internalize stress as anxiety and depression, while males showed externalizing behaviors such as aggression. Racial socialization, especially cultural pride messages, emerged as a …

Symptom Presentations And Effective Mental Health Interventions For Those Experiencing Homelessness: A Systematic Review, Abraham Sloves

Theses and Dissertations

Homelessness is a present and concerning issue without a clear solution due partly to barriers in public policy, as well as challenges in homelessness research. Research seems to indicate that barriers to effective research on homelessness include inconsistent and incomplete data on homelessness prevalence, a lack of consistency in defining homelessness, and lack of generalizable research (Hossain et al., 2020). This is especially true when it comes to the intersection between homelessness and mental illness. While research has been done on interventions for unhoused individuals (Morton et al., 2020; Ponka et al., 2020), studies often fail to address the complex …

Examining The Association Between Perceived Stigma And Mental Health Help-Seeking Behavior Among Racial/Ethnic Minority Students In Health Professions Education, Camila A. Agurto

Honors Undergraduate Theses

Racial and ethnic minority (REM) students in health professions programs in the U.S. have considerable mental health issues. Still, they are less likely to access mental health services when compared to their White peers. The stigma they face, such as —public stigma, self-stigma, or intersectional stigma, may serve as a barrier to help-seeking. Although there is increasing recognition of the barriers to mental health care experienced by these students, there is no systematic understanding of how perceived stigma associated with mental health issues affects mental health help-seeking by REM students enrolled in health professions education. This systematic literature review aims …

Mental Health And Treatment Use In Undergraduate Engineering Students, Matthew D. Whitwer, Sarah A. Wilson, Joseph H. Hammer, Brenna Gomer

Educational, School, and Counseling Psychology Faculty Publications

Background: Engineering students experience high levels of distress and low rates of mental health treatment seeking, yet there is a gap in knowledge around how this compares with that of students in other fields of study. Given the influence of social identity (e.g., gender identity, race/ethnicity) on mental health and treatment seeking, it is important to account for sociodemographic variation across fields when performing such comparisons. Purpose: This study used Andersen's Behavioral Model to compare mental health distress and treatment use between students in engineering and other fields while controlling for sociodemographic factors. Methods: Survey data came from the 2021–2022 …

An Investigation Into The Prevalence And Perceptions Of Mental Health Disorders In Appalachian West Virginia, Tyann Dotson, Jerry P. Derringer, Lauren Hudson Rose, Nathan L. Vanderford, Amanda Hinkle, Lindsay E. Cormier

Markey Cancer Center Faculty Publications

Introduction Appalachian West Virginia’s population is disproportionately afflicted by mental illness, with Logan County having the highest depression rates in the United States. To further understand the mental health situation in Appalachian West Virginia, this research study aims to evaluate the prevalence and perceptions of mental health disorders among patients of Coalfield Health Center. Methods An online survey was administered to patients at Coalfield Health Center containing 25 questions categorized into three parts: demographic, beliefs/perceptions about behavioral health, and behavioral healthcare access. Findings The data demonstrated that 37% of participants had received a mental illness diagnosis and 82% knew someone …

Examining Mental Health Providers’ Differential Sensitivity To Youth And Caregiver Treatment Engagement Problems By Studying Clinical Decision-Making Behaviors, Wendy Chu

Theses and Dissertations

Clinical decision-making is a systematic process of collecting and using information to guide action regarding client care. Across frameworks of clinical decision-making, there is an emphasis on the assessment of a problem – which involves considering, identifying, and selecting a problem – as it directly informs intervention. In youth mental health services, problems related to treatment engagement or the ability to meaningfully participate in services are important to assess given their association with premature termination and poor outcomes. However, research suggests that assessment of engagement problems may be challenging, and one potential reason pertains to providers’ ability to assess across …