Digital Commons Network^™

The Intersection Of Rurality And Wellness: A Multi-Manuscript Investigation Into Rural Well-Being, Lucas Perez

Theses and Dissertations

Rural communities face unique mental health and wellness challenges, including geographic isolation, provider shortages, and stigma surrounding help-seeking. This dissertation explores rural wellness through three interrelated studies, utilizing both qualitative and quantitative methods to examine disparities, perceptions of rurality, and demographic influences on well-being. The first study utilized the Five Factor Wellness Inventory (5F-WEL) to compare wellness scores between rural and non-rural individuals. The second study employed Interpretative Phenomenological Analysis (IPA) to explore rural definitions of wellness, as well as barriers and strengths related to mental health. The third study examined how perceptions of rurality and demographic factors predict wellness …

Latinx Parent Acculturation And Acculturative Stress: Impact On Family Functioning And Youth Well-Being, Julie Nguyen

Theses and Dissertations

Research has demonstrated that acculturation and acculturative stress can influence family dynamics and Latinx youth well-being. Guided by the Family Stress Model, the current study aimed to assess a latent measurement model of acculturation and examine the relationship between acculturation and acculturative stress and how acculturative stress is related to family processes and youth adjustment. Data included 898 youth and 630 parents from the SOL Youth study. Structural equation modeling was used to assess a latent two-factor measurement model of acculturation and its relation to parental acculturative stress as well as how parental acculturative stress is related to family functioning …

Help-Seeking, Motivation, And Partner Interactions In Couples Affected By Tramatic Brain Injury, Violet Hodge

Theses and Dissertations

Traumatic brain injury (TBI) affects individuals and their romantic relationships, creating barriers to help-seeking and impacting relational health. Despite evidence supporting the benefits of couples counseling and relationship education, stigma and motivational factors influence engagement in these services. This dissertation examines the interdependent processes of help-seeking, motivation, and relationship satisfaction in couples where one partner has experienced a TBI. Using the Actor-Partner Interdependence Model (APIM), two studies explore (1) the role of self-stigma in help-seeking and motivation for completing a relationship education program, and (2) the influence of self-stigma for help-seeking on motivation in couples services, particularly in the context …

The Impact Of Social Emotional Learning (Sel) Lessons On Students’ Mental Health Surrounding Standardized Testing, Margaret Denning

Theses and Dissertations

This qualitative action research examined the emotional impacts of standardized testing on 4th and 5th graders and the effects of targeted social-emotional learning lessons in a Title 1 school. Pre- and post-intervention data were gathered through surveys (Children’s Test Anxiety Scale) and focus group interviews. By employing thematic and narrative analysis, findings revealed significant initial cognitive anxiety, physical symptoms, and difficulties in self-regulation. Following the SEL intervention, the data indicated that students exhibited improved emotional resilience, reduced anxiety symptoms, and enhanced coping skills. Although the SEL interventions enhanced overall emotional well-being, anxiety was not fully eliminated. This study highlights the …

A Mixed Methods Examination Of Interdisciplinary Strategies For Addressing Trauma And Chronic Pain In Group Therapy, Kara Marceil Schneider

Theses and Dissertations

Chronic pain and trauma are distinct yet interconnected public health concerns, each significantly affecting physical, psychological, and social well-being. The comorbidity of these conditions highlights a critical need for integrated treatment approaches. This dissertation explores interdisciplinary strategies that merge group counseling and physical therapy to address trauma symptomology and chronic pain within a group therapy setting. Grounded in the biopsychosocial model, somatic therapy principles, and the gate control theory of pain, this multi-manuscript dissertation employs a mixed methods design to examine counselor experiences, intervention feasibility, and participant outcomes.

Digital Stress Scale (Dsc): Development And Psychometric Validation Of A Measure Of Stress In The Digital Age, Agathi Argyriadi, Dimitra Katsarou, Athina Patelarou, Kalliopi Megari, Evridiki Patelarou, Stiliani Kotrotsiou, Konstantinos Giakoumidakis, Shabnam Abdoola, Evangelos Mantsos, Efthymia Efthymiou, Alexandros Argyriadis

All Works

(1) Background: The integration of digital technologies such as electronic health records (EHRs), telepsychiatry, and communication platforms has transformed the mental health sector a lot compared to in previous years. While these tools enhance service delivery, they also introduce unique stressors. Despite growing concerns, there is no validated instrument specifically designed to measure the digital stress experienced by mental health professionals. (2) Methods: This study involved the development and psychometric validation of the Digital Stress Scale (DSC). The process included item generation through a literature review and qualitative interviews, expert panel validation, and a two-phase statistical evaluation. Exploratory Factor Analysis …

Physical Work Environments: An Integrative Review And Agenda For Future Research, Bukky Akinsanmi Oyedeji, Yea Hee Ko, Sunkee Lee

Research Collection Lee Kong Chian School Of Business

This review examines the effect of physical work environments—the dedicated, tangible spaces where employees carry out their professional tasks—on organizational processes and outcomes. We synthesize decades of research across various disciplines using a conceptual framework that defines physical work environments along three key dimensions: ambience, spatial configuration, and aesthetics. These dimensions are analyzed for their effects on both internal stakeholders, such as employees, and external stakeholders, including clients, suppliers, and investors. Our analysis reveals two major themes in prior research: (1) task accomplishment, which focuses on how physical work environments influence physical and mental health, motivation and attitudes, as well …

A Cross-Sectional Study On The Mental Health Of Survivors Of Covid-19 In Tamil Nadu, India, Guruvammal Paramasivam, Vikhram Ramasubramanian, Sugaparaneetharan Ayyanar, S. Mathumathi, P. Bijulakshmi

Indian Journal of Health Sciences and Biomedical Research KLEU

Background:

The novel coronavirus COVID 19 has been having an impact on the mental health of people. Studies have shown that a considerable percentage of people who have recovered from the infection suffer from mental health issues. Hence, it is important to follow-up on the persons who have recovered from the illness so that adequate support is provided to aid in reducing morbidity due to the illness.

METHODOLOGY:

The study was conducted among persons who had recovered from COVID-19 in a single hospital. Participants were contacted a month following their discharge from the hospital and they were encouraged to fill …

Outcomes Related To College Students' Attachment, Suzanne Vaccaro

Psychology ETDs

Young adults aged 18-25 have the highest prevalence of mental health issues compared to adults over age 25. Mental health outcomes during emerging adulthood may be linked to early childhood variables, such as attachment, grounded in early caregiving, and adverse childhood experiences (ACEs) (Hughes et al., 2017; Waters & Roisman, 2019). The current study examined relationships between the attachment script assessment (ASA), a measure intended to elicit secure base script knowledge, indicative of secure attachment state of mind, ACEs, and mental health outcomes among a diverse sample of college students aged 18 to 25. Although results did not indicate relationships …

Nature's Medicine? The Associations Of Organized Youth Sport, Unstructured Physical Activity, And Land-Use Recreation With Children's Mental Health, Emotional Control, And Social Well-Being, Natalie Stagnone, Katherine Alexander, Kat V. Adams, Travis Dorsch

Human Development and Family Studies Student Research

Physical activity is well-established as beneficial for children’s physical and mental health, yet limited research has explored how different activity types impact psychosocial outcomes. This is a cross-sectional study that examined associations between youth participation in organized sport, unstructured physical activity, and land-use recreation and their psychosocial health. Survey data were collected from 3246 caregivers of children in the Intermountain West region of the United States. Respondents reported on children’s physical activity engagement and psychosocial outcomes, including mental health, emotional control, and social well-being. All three activity types were significantly associated with improved psychosocial health (p < 0.001). Compared to organized sport, unstructured physical activity and land-use recreation were associated with significantly higher levels of mental health and emotional control (p_adj < 0.001), although with a small effect size (η^{2 …}

Exploring The Stigma Of Mental Health In Oneness Pentecostal Churches From A Pastoral Perspective, Jannett Liburd

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to explore the stigma of mental health in Oneness Pentecostal churches in the Northeast from a pastoral perspective. The theory guiding this study is Sigmund Freud’s object relational theory (ORT), as it focuses on the past experiences an individual has with an object, person, or event, and how the experience, whether negative or positive, shapes the person’s attitude and behavior in the future. Mental health stigma is a phenomenon with which individuals may have had a harmful experience. In the study, the central research question was: What are the lived experiences of Oneness …

Mental Health Of Adults With Down Syndrome, Brian Chicoine

Advocate GME

Mental health is an integral part of overall health and well-being for people with and without Down syndrome. In this presentation, Brian Chicoine, MD will describe common characteristics of individuals with Down syndrome that are important to understand when supporting their mental health promotion efforts. He will also discuss diagnosis and treatment of mental health conditions in people with Down syndrome and provide case examples of some of the mental health challenges that people with Down syndrome may experience. Additionally, Dr. Chicoine will highlight different types of resources that can be used by adults with Down syndrome and those who …

Pastoring The Pastor: Self-Care Among African American Clergy, Alexander Jamerison

Doctoral Dissertations and Projects

When self-care is effectively implemented, it can help individuals avoid or reduce mental health challenges throughout their lives (Luis et al., 2021). Unfortunately, research indicates numerous mental health challenges faced by clergy (Chan & Chen, 2019; Jackson, 2013; Gallagher, 2019; Edward, 2020). To assist ministers in cultivating a healthier life and a more effective ministry, this study will specifically explore the relationship between self-care and mental health challenges among African American clergy. The literature on this subject will identify historical, cultural, and spiritual influences. It will also examine specific mental health concerns, effective self-care practices, and relevant outcomes. Although research …

Why Gen Z Is More Anxious Than Ever? Turning To Social Chats For Answers, Yi Luo, Jin-A Choi, Bond Benton

College of Communication and Media Scholarship and Creative Works

As social media has evolved into a prominent part of Gen Z’s social interaction, this study attempted to enrich our current understanding of Gen Z’s mental health struggles through their conversations surrounding anxiety on social media. Highlights of the findings included the following. First, the overwhelming presence of fear (83%) illustrates that anxiety is an emotionally draining experience for many Gen Z users. The use of emotionally charged language to publicly share their struggles with anxiety reflect increasing self-awareness and a cultural shift toward normalizing mental health conversations. Second, the open, candid conversations on anxiety indicate that anxiety is experienced …

Restoring Hope: The Health Support Team Efforts In Maui, Chanel Aguilar

Doctor of Psychology (PsyD)

The 2023 Maui fires were one of the most fatal natural disasters the country has experienced in its history. Lāhainā and other surrounding areas were significantly impacted by the fires, resulting in millions of dollars in damage and causing significant harm to the people of Maui, both physically and emotionally. The current study evaluates the health support team (HST), a psychological disaster-recovery training curriculum, on three areas: its effectiveness in

increasing participants’ perceived competency and level of confidence, its association with post- traumatic growth, and participants’ feedback about the training. A mixed methods approach was

used to collect data, including …

Improving Patient Outcomes Post-Discharge: Implementing Evidence-Based Discharge Planning For High-Risk Mental Health And Substance Use Disorder Populations, Margaret Phillips

Doctor of Nursing Practice Projects

A significant gap in standardized discharge procedures was identified at a nonprofit, community-based clinic serving male residential patients with substance use disorder (SUD) and co-occurring mental health conditions. The lack of a standardized discharge process led to poor follow-up appointment adherence, poor medication adherence and increased risk of relapse. This quality improvement (QI) project aimed to address these issues through the implementation of a cross-departmental discharge process that produced tailored Individualized Discharge Plans (IDP) or each patient, using the Donabedian and Kotter’s 8-Step Change models as guiding frameworks. Data were collected using custom-built tracking tools over two four-week periods, pre- …

What Mental Health Topics Do Female Practitioners Discuss In The Construction Industry? A Qualitive Literature Review, Shuang Zhang, Maggie Tang, Sherphard Chidarikire, Shaleeza Sohail, Ali Alashwal

CIB Conferences

The construction industry in Australia is characterized by a notably low representation of women among professional groups, the lowest across all major industries and sectors. Women who enter the industry frequently face harassment and discrimination and encounter fewer opportunities for career advancement compared to their male counterparts. There is still a clear lack of awareness and understanding among female practitioners in the construction industry regarding mental health issues. Therefore, this research addresses this significant gap through a qualitative literature review, analysing over 129 published research papers. The findings were assessed using content analysis to pinpoint the primary barriers that female …

Effects Of Dormitory Design Factors On Migrant Workers’ Mental Health In Singapore, Tianxiang Lan, Yang Miang Goh, Hanxiao Wang, Xinping Hu

CIB Conferences

Migrant workers face vulnerability and unique mental health challenges in their host countries. Housing designs may affect the residents’ mental health, yet few studies have investigated this relationship in the migrant worker dormitory context. In this study, we investigated this question by surveying the design factors of migrant workers’ dormitories and their mental health states measured by the short version of the Warwick–Edinburgh Mental Wellbeing Scale (SWEMWBS). We found that those migrant workers’ mental health is correlated with whether one has a pleasant window view, defined as green, blue (water feature) or long-distance view. The findings suggest that the elements …

Reviewing The Influence And Implications Of Wearable Technology For Mental Health Support And Physical Wellbeing For Construction Site Workers In Nigeria, Kenneth O. Lawani, Halimat Omisore, Billy Hare, Michael K. Tong, Farhad Sadeghineko

CIB Conferences

Existing studies demonstrate the extensive adoption of digital technologies within the global construction industry. The level of awareness and need to mitigate occupational safety and health (OSH) risks in the construction industry through technological adoption is imperative. However, there is a gap in literature regarding the review of the impact of existing use of wearable technology for mental health support and physical wellbeing among construction site workers in the Nigerian context. This study undertook a critical evaluation of extant studies regarding the impact and effectiveness of existing wearable technology for providing mental health support and if it enhances physical wellbeing …

Mental Health In Construction 4.0: Enhancing Workplace Social Support Through Prefabrication, Huey Wen Lim, Xiao Ma

CIB Conferences

The construction industry faces persistent challenges in providing adequate workplace social support–a critical factor in protecting workers' mental health. While the sector evolves toward Construction 4.0, with prefabrication emerging as a transformative method, limited research examines how these modern approaches impact workplace social support structures. This study aims to investigate how prefabrication work practices facilitate the development and enhancement of social support in construction. Using an ethnographic approach, research was conducted at a modular construction off-site factory in Melbourne, Australia. The study involved shadowing 12 office-based prefabrication professionals and factory-based supervisors over 21 days, non-participant observation of factory workers at …

How The Immediate Physical Environment Affects The Non-Physical Aspect Of Health, Katryn Noelle E. Valeriano

Budhi: A Journal of Ideas and Culture

Human health has been closely intertwined with environmental health. By the term “environment,” I refer not only to nature or relationships found in an ecosystem but also to the immediate physical milieu of an individual or what is termed as “personal space.” Before the pandemic, the notion of personal space was more fluid and receptive due to the ease one had in “re-framing” the environment and reorienting oneself. However, during the pandemic, the personal space of humans was restricted in so many ways through lockdowns and various forms of isolation. This article intends to re-interpret concepts, such as of “physical …

The Role Of Neuroscience In Mental Health Management Within The Adhd Population, Kadi Rae Smith

University Honors Theses

Neuroscience-based educational interventions play a role in the management of Attention Deficit Hyperactive Disorder (ADHD), including the regulation of ADHD-correlated depression and anxiety. Existing research shows that elevated rates of depression correspond to anxiety within the ADHD community; approximately 8.83% of the global population. Social ostracization and isolation are established contributors to depression and anxiety which are commonly comorbid with ADHD. The need exists for further investigation of the beneficial impact that an accurate, biological understanding of how the brain works has on the mental health of the ADHD population, and by extension their families, education systems, and medical industries. …

Olfactory Training: Reclaiming Our Wellbeing, Nathan Smetzer

Doctoral Dissertations and Projects

The connection between the sense of smell and memory offers a promising avenue for enhancing cognitive, emotional, and mental health, thereby contributing to overall wellbeing. This research explores how olfactory stimuli relate to memory and emotion, aiming to expand understanding of the effects of scent-based interventions on mental health. Utilizing a 12-week longitudinal phenomenological approach with experimental components, the study engaged seven participants in a regimen of olfactory training twice daily. Participants used essential oils—citrus, cloves, eucalyptus, and rose—applied to cotton and kept in sealed containers, along with a pen and daily planner. Data were gathered through recurring qualitative interviews …

The Correlation Of Trauma-Informed Classrooms Without Support Infrastructure And Teacher Burnout, Sunshine O'Connor

University Honors Theses

This thesis examines the impact of Trauma-Informed Care (TIC) implementation in classrooms on teacher burnout, specifically focusing on settings with insufficient support infrastructure. While TIC is recognized as beneficial for all students, not just students affected by trauma, a synthesis of scholarly literature highlights the significant challenges faced by educators when proper resources, training, and institutional backing are lacking. Existing research indicates that teachers implementing TIC in inadequately supported environments report higher levels of emotional exhaustion, depersonalization, and overall burnout. These challenges appear most acute for teachers in schools with limited professional development, insufficient mental health resources, and weak administrative …

Young Adults’ Metaperceptions Of Their Childhood Caregivers’ Appraisals And Young Adulthood Mental Health, Cassandra Svelnys

Electronic Theses and Dissertations

Early experiences and relationships have enduring impacts on the development of self and later mental health and wellbeing. In social relationships and interactions, the developing individual is continuously assessing how they view themself, how they view the other person, and how they believe the other person views them. Metaperceptions represent the latter construct: how an individual thinks another person perceives them. Childhood self-esteem, parent-child attachment, and metaperceptions are foundational constructs for the developing individual, yet metaperceptions have not previously been tested as a predictor for adulthood mental health while also accounting for childhood self-esteem and parent-child attachment. This study introduced …

Enhancing Mental Health Through Mind-Body Exercises In Sedentary Students: A Systematic Review With An Indonesian Perspective, Izmi Alya Khairunnisa, Aditya Denny Pratama

Jurnal Sosial Humaniora Terapan

Sedentary Behavior (SB) among students is associated with increased risks of depression, anxiety, stress, and weakened immune function. According to the WHO, SB contributes to approximately two million deaths each year. This systematic literature review aims to evaluate the effectiveness of mind-body exercises in improving mental health outcomes—specifically stress reduction, anxiety management, and emotional regulation—among students with sedentary lifestyles. Using the PRISMA framework, 2,201 articles were identified from databases including Scopus, PubMed, and ProQuest, with six studies meeting the inclusion criteria. The review found that mind-body exercises such as yoga, tai chi, and pilates significantly reduce stress and anxiety, enhance …

Exploring The Connection Between Mental Health Stigma, Social-Emotional Risk, And Help-Seeking Behaviors Among High School Students, Dorie Ross

USF Tampa Graduate Theses and Dissertations

Throughout the United States, the rate of adolescents experiencing mental health-related challenges continues to rise, impacting their social-emotional well-being. Despite increasing concerns, the majority of adolescents do not seek treatment for mental health problems. One barrier contributing to a lack of help-seeking behaviors is mental health stigma. Furthermore, for students who have sought help for such concerns, there is a lack of consensus on whom high school students turn to for support when seeking help. The current study utilized quantitative methodology in the form of Structural Equation Modeling to examine the complex relationship between social-emotional risk, perceptions of mental health …

It's Lonely At The Centre Of The Earth [Book Review], Jessica D. Gilbert Redman

Disability in LIS (DisLIS)

It’s Lonely at the Centre of the Earth focuses on the author/artist’s battle with depression and anxiety—and the overwhelming urge to end her own life. Readers who are dealing with anxiety or depression will recognize themselves over and over again, as they read the graphic novel and identify the myriad of ways they themselves are trying to function and “make it” in a world that doesn’t seem to be built for them—or to understand them.

Aesha Mustafa, Interview, 2025, Kat Hacanyan

Oral Histories

In this interview EMU counseling department faculty member, and co-owner of the Integrative Empowerment Group, Aesha Mustafa, shares her experiences at Ypsi Pride. Mustafa explains that her therapy practice specializes in working with BIPOC, LGBTQ+ folks, and issues related to polyamory, kink, and fetish, and believes everyone deserves access to mental health care. She also explores her involvement with the award-winning Enlighten U podcast where she discusses mental health tools with students, ways she affirms her students and clients, and how having a baby and a bisexual husband have changed the way she views Pride.

Unseen Burdens: Exploring Gender Disparities In Infertility Experience And Depressive Symptoms, Khiara Cardoza Brown

Theses and Dissertations

This study examines how experiences with infertility relate to mental health outcomes among newly married U.S. couples, emphasizing gender differences and the potential moderating role of gender attitudes. Using data from 3,137 individuals in a nationally representative sample, three Actor-Partner Interdependence Models were estimated: first assessing actor and partner effects of infertility on depressive symptoms and subsequently incorporating gender attitudes as moderators. Results indicated a significant actor effect for wives, where infertility was associated with higher levels of depressive symptoms, and this association was significantly stronger for wives than for husbands. No significant effects were found for husbands' infertility and …