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Three Essays Exploring The Interaction Between Health And Labor Market Outcomes, Jingxin Nie

USF Tampa Graduate Theses and Dissertations

This dissertation investigates the influence of health policies and employment disruptions on individual health, behavior, and cognitive outcomes, utilizing quasi-experimental methods to address causal inference challenges across three distinct studies.

The first chapter examines the effects of Medicaid expansion under the Affordable Care Act on workers' compensation claims, leveraging variation in insurance coverage resulting from the policy change. Employing a difference-in-differences (DID) approach and a staggered DID framework following Callaway & Sant'Anna, this study uses data from the Current Population Survey’s Annual Social and Economic Supplements (ASEC). The findings reveal that despite increasing insurance coverage, Medicaid expansion did not significantly …

Influence Of Marching Band Experience On Eating Disorder Risk And Perceived Stress In Collegiate Marching Artists, Kalor Greve, Jaclyn B. Caccese, Matthew P. Brancaleone

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Introduction: Collegiate marching artists face severe and prevalent stressors that may contribute to poor mental health and unhealthy habits. The purpose of this study was to determine the effect of sex and years of participation in collegiate marching band on the relationship between eating disorder risk and perceived stress levels. Methods: Marching artists from an NCAA Division I university completed the Eating Disorder Questionnaire-6 (EDEQ-6) and Perceived Stress Scale (PSS-10) to obtain disordered eating behaviors and perceived stress levels, respectively. Spearman rank correlations were used to determine the relationship between PSS-10 scores and global and subscale EDEQ-6 scores, …

Identifying Factors Associated With Sleep Disorders And Treatment Avoidance Among Collegiate Student-Athletes, Allie Ziniti, Andrew W. Froehle, Brian A. Edwards

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

Introduction: Mental health concerns among collegiate students-athletes are exacerbated by poor sleep, and this population experiences elevated risk for irregular sleep patterns and associated sleep disorders. Interventions aimed at early identification of student-athletes experiencing sleep disorders and guiding them to treatment can contribute to improved mental health in this group. The present study’s objective was to clarify risk-factors associated with increased likelihood of sleep disorders and treatment avoidance in student-athletes. Methods: Data were self-reported survey responses related to sleep disorders, from US college/university varsity athletes (n=51,882) completing the 2011-2019 National College Health Assessments (NCHA). Outcomes: The primary outcomes that we …

Regulating Ai Therapy Chatbots: A Call For Federal Oversight, Carolyn V. Wheeler

Texas A&M Law Review

While artificial intelligence therapy chatbots continue to develop and increase in popularity, there is little regulatory oversight for this burgeoning industry. Regulation is needed because there is a high probability for harm when artificial intelligence is used in the mental health therapy industry, yet there is no consensus on standards that apply. Artificial intelligence therapy chatbots are currently only regulated by indirect, suboptimal liability schemes. State governments could regulate them by considering them human practitioners or telehealth services, or the federal government could regulate them as medical devices. This Comment examines the pitfalls of the lack of artificial intelligence therapy …

Scaling New Heights: A Prospective Survey Of Rock Climbing's Impact On Mental Health, Kathy Chen, Swetha Sundaram, David F Lo, Ahmed Gawash, Charalampos Papachristou, Altamash E Raja

Rowan-Virtua School of Osteopathic Medicine Departmental Research

BACKGROUND: Sport climbing, officially added to the 2020 Summer Olympics, has grown rapidly, with U.S. climbing gyms increasing from 310 in 2013 to 591 in 2021. Over the past decade, European research has identified bouldering as a potential psychotherapeutic treatment for anxiety and depression. Randomized controlled trials have compared bouldering psychotherapy (BPT) to cognitive behavioral therapy (CBT), showing that BPT produces comparable results and positively impacts mental health.

PURPOSE: There have been very few studies dedicated to the use of rock climbing as a therapy in the United States; further, there are few surveys that investigate whether American climbers would …

When Grief Comes To Court: Supporting Bereaved Court Involved Youth, Lane Pease, Erin Richter

National Youth Advocacy & Resilience Conference

Youth who are court involved have higher rates of bereavement than the general population. Learn how grief impacts youth involved in the Juvenile Court. This session will focus on how bringing together court stakeholders and partnering with outside experts to provide grief support can decrease further court involvement and lead to positive outcomes.

Balancing Minds And Missions: Mental Health, Wellness, And Accountability Leadership In Higher Education, Asher M. Pimpleton-Gray

Teacher Education Faculty Publications

Now, more than ever, mental health and wellness have become more dominant and pronounced threads within the fabric of our daily landscape. These terms have been emerging more often in conversations within nearly every industry, ranging from entertainment and sports to politics and law enforcement. Higher education is no different. With increased rates of difficulties regarding mental health and wellness it is even more important that colleges and universities create institutional structures and resources that can aid students, faculty and staff in tending to their mental and emotional wellbeing. In this chapter, implications for higher education leaders are explored and …

Stress Of Dental Students, Ellen Lee Dds, Ningshu Lyu Dds, Yixin Bao Dds, Yutong Fan Dds, Yueqi Gao Dds, Bryan Gu Dds, Vicky Quach Dds

The New York State Dental Journal

The purpose of this study is to assess what factors cause the most stress for students in dental school and to evaluate different ways to reduce stress. Our aim is to analyze the factors causing stress and offer strategies to help students overcome it.

Just As Expected? Older Adults’ Aging Expectations Are Associated With Subjective Cognition, Nikki Hill, Sakshi Bhargava, Justin Do, Emily Bratlee-Whitaker, Monique Brown, Renata Komalasari, Rachel Wu, Jacqueline Mogle

SKMC Student Presentations and Publications

OBJECTIVES: This study investigated the relationship between older adults' expectations regarding aging and subjective cognition. Specifically, we examined whether the three domains of aging expectations (physical health, mental health, and cognitive function) were associated with two aspects of subjective cognition: current subjective cognition and subjective cognitive decline (SCD).

METHOD: An online survey was conducted among U.S. adults aged 65-90 (N = 581; M_age=71.4, SD ± 4.81; 51% female). Measures included the 12-item Expectations Regarding Aging scale, the 8-item PROMIS Cognitive Abilities scale (current subjective cognition), and the 12-item Everyday Cognition scale (SCD). We used generalized linear models …

Assessing Healthcare Insurance Policies In Mississippi: An Evaluation Of Public And Private Options, Latarsha H. Michael, Brieah D. Hudson

The Journal of the Research Association of Minority Professors

Medicaid is the main payer for maternity care in the U.S., covering nearly half of all births. Federal law provides postpartum coverage for 60 days, but gaps exist, especially in non-expansion states. The American Rescue Plan Act of 2021 allows states to extend Medicaid postpartum coverage to 12 months. Mississippi, where Medicaid covers 65% of births, faces severe maternal and infant health challenges. Despite its surplus, extending postpartum care to 12 months could cost $7 million annually. This study examines private and public health insurance coverage for perinatal care in Mississippi. This involves analyzing how different insurance policies address the …

Individual Liberty, Safety And Police Liabilities Under The Mental Health (Care And Treatment) Act, Gary Kok Yew Chan

Research Collection Yong Pung How School Of Law

How should a society strike a balance between the objective of ensuring safety from dangers that may be posed by individuals believed to have a mental disorder and the deprivation of their liberty? How should police officers discharge their duties in apprehending such individuals with a view to conveying them to a medical practitioner at a psychiatric institution? These legal issues took centrestage in the Singapore High Court decision of Mah Kiat Seng v Attorney-General in which the apprehended individual brought claims in false imprisonment against a police officer. The decision examined the underlying purposes of the Singapore Mental Health …

The Lived Experiences Of African American Children Of Clergy: What Has Become Of Them In Their Adulthood?, Chantel Danielle Staton

Doctoral Dissertations and Projects

It is noticeable that there are stereotypes associated with being African American due to prejudice and racism. It is identifiable, as well, that there are stereotypes associated with being a child of the clergy due to their expectations being higher than nonclergy children. How do the two coexist? This phenomenological study aims to understand how the lived experiences of African American children of clergy have impacted their adulthood. How has being an African American child growing up in the home of a pastor impacted how that child now copes mentally, emotionally, and spiritually as an adult? This study is designed …

Ethnic Identity And Acculturation: Mental Health Perceptions And Help-Seeking Behaviors Of College-Age Students With Sikh Punjabi Immigrant Parents, Manreet Kaur

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe the experiences of college-age children of Sikh Punjabi immigrant parents who were considering mental health treatment in Pennsylvania. The theory guiding this study was ethnic identity theory, which was developed by Jean Phinney. There were four research questions addressed: (a) How do college-age children of Sikh Punjabi immigrant parents describe their experiences when considering mental health treatment in Pennsylvania? (b) How do participants describe the impact of their parents’ perceptions regarding mental health when contemplating seeking mental health treatment? (c) How do participants describe their experiences discussing mental health–related topics with …

Strategies Police Agencies Can Implement To Improve Officer Mental Health, Robert Gleason

Doctoral Dissertations and Projects

The profession of law enforcement is commonly recognized as being extremely stressful. Policing has the potential to produce extraordinarily high levels of stress among officers, particularly in contemporary political and social situations. This stress can be induced by several reasons, including but not limited to the occupation itself, the organization, and the organizational leadership. Long-term exposure to chronic stress has been linked to adverse effects on mental and physical health, including post-traumatic stress disorder, anxiety, depression, sleeplessness, exhaustion, and, in extreme situations, suicidal ideations and attempts. This qualitative study examined strategies and initiatives that police officers believe would help agencies …

Exploring Physician Well-Being: A Bibliometric Analysis Of Mental Health, Suriya Kumareswaran, Bala Murali Sundram, Vanitha Thurairasu

Kesmas

This bibliometric study examined the evolving research landscape on physician mental health from 2010 to 2023, analyzing key themes, publication trends, and global contributions. A total of 3,360 articles, including 3,137 original research and 223 reviews, were sourced from Web of Science and Scopus. Findings revealed a significant increase in research output, particularly during the COVID-19 pandemic, with burnout, depression, and anxiety emerging as dominant themes. The US accounted for most publications, while research from low- and middle-income countries remains limited, indicating a substantial global disparity. Thematic analysis highlighted variations in burnout assessment methodologies, underscoring the need for standardized evaluation …

Help-Seeking Behavior And Related Mental Health Promotion Programs In Southeast Asian Youth: A Systematic Literature Review, Gladys Octavia, James A. Doorbar, Kallista Chan

Kesmas

Mental health issues are a prominent burden among adolescents and young adults in Southeast Asia, compounded by reluctance to seek help and low treatment rates. This mixed-method systematic review analyzed help-seeking profiles (preference, facilitators, and barriers) and evaluated implemented help-seeking programs. Data were sourced from electronic databases, hand-searched local databases, conference proceedings, and grey literature. Study selection followed PRISMA 2020 guidelines, focusing on 1) adolescents (10–19 years) and young adults (18–26 years) in Southeast Asia who were not receiving mental health care, 2) assessing help-seeking behavior, and 3) evaluating programs to increase help-seeking. A total of 16 articles were identified. …

To Eat Or Not To Eat: Body Neutrality In The Context Of Educator Eating Disorders, Victoria Mcdermott, Nike Jacob

Feminist Pedagogy

Academia, like many other industries, polices its members through explicit and implicit systems of oppression: thinness, patriarchy, accessibility, and whiteness. Previous research has argued that professors who meet the criteria of current beauty standards (e.g., thinness, attractiveness) experience higher student evaluations, more opportunities for promotion, and better overall academic success than those in diverse body shapes and sizes. As a result, decoupling one's sense of self-worth from these expectations based in power can prove challenging. The present critical reflection and commentary explores the perceptions of two academics with histories of eating disorders (e.g., anorexia and binge-eating disorder), disordered eating, and …

Sleep Duration And Sleep Quality As Season-Long Predictors Of Ratings Of Perceived Exertion And Psychological Wellbeing In Female Soccer Athletes, Maria E. Camargo M.S., Kelly M. Cheever Phd

International Journal of Exercise Science: Conference Proceedings

Sleep is a critical factor in optimizing athletic performance and well-being. Sleep effects on physiological and psychological well-being have been examined through cross sectional studies, but limited research exists on the longitudinal impact that sleep has on well-being in collegiate athletes. PURPOSE: The purpose of this study was to explore daily fluctuations in subjective measures of psychological wellness and physiological stress (soreness, rating of perceived exertion (RPE)) across a competitive soccer season, and to examine the extent to which sleep duration and quality modify daily measures of wellness and stress in collegiate female soccer athletes. METHODS: Twenty female …

Your Healthiest Year Yet: Practical Tips For Mental And Physical Well-Being, Aaron Hunt

All Current Publications

As a new year begins, it’s important to prioritize our health. In a world that continues to evolve, maintaining mental and physical wellness is key to thriving in both personal and professional life. Small, intentional changes can lead to transformative results, improving not only how we feel but also how we connect, grow, and succeed. This guide presents actionable tips for fostering mental clarity, physical strength, and overall balance, all grounded in evidence-based practices. Whether you're looking to boost your fitness, reduce stress, or enhance your daily routines, these strategies will empower you to make this year your healthiest yet.

Counseling Students’ Perceptions Of Support During The Covid-19 Crisis: A Qualitative Study, Breahannah Hilaire, Galaxina G. Wright, Lea H, Laurie O. Campbell

Journal of Counselor Preparation and Supervision

The COVID-19 pandemic changed the counseling programs in clinical instruction, mentorship, and student’s perception of the university. The qualitative data presented in this paper identifies eight counseling students’ beliefs of support during their time in counseling program during the COVID-19 pandemic. Data was obtained through semi-structured interviews. An interpretive phenomenological analysis resulted in four themes: including higher education response, personal resources, emotions in crisis, and transitions in crisis.

Exploring The Validity Of Adolescent Responses To A Measure Of Psychological Flexibility And Inflexibility, Caleb D. Farley, Tyler L. Renshaw

Psychology Student Research

Validating measures of psychological flexibility (PF) and psychological inflexibility (PI) has occurred in multiple adult samples, but little research has validated PF and PI measures with adolescents. This manuscript describes two studies exploring the validity of responses to the Multidimensional Psychological Flexibility Inventory (MPFI) with two samples of adolescents. The first study used exploratory factor analyses on responses to the MPFI with a sample of 16–17-year-olds (N = 249). The results yielded a reduced and simplified measurement model that consisted of two general factors: one for PF and the other for PI. These exploratory findings were further investigated with …

Exploring Mental Health In Veterinary Students: Common Stressors And Effective Coping Strategies: A Narrative Review, Rahib K. Islam, Emily K. Cobb, Hannah K. Mccowan, Kylie Watson, Kaustuv Bhattacharya, Anjali Chandra, Warda Mohiuddin, Karen Gruszynski, Amanda H. Wilkerson, John J. Dascanio, Robert E. Davis, Vinayak K. Nahar

School of Medicine Faculty Publications

INTRODUCTION: Veterinary students face significant challenges impacting their mental health and wellbeing. The rigorous academic curriculum, high expectations, and demanding clinical training create an environment of intense pressure and constant stress. This review explores the demographic and psychosocial variables influencing mental health outcomes, highlighting common stressors and coping strategies. METHODS: A systematic literature search was conducted using PubMed, CAB Abstracts, and Google Scholar. Studies published up to 2021 involving veterinary students were included. Twenty-one peer-reviewed studies met the inclusion criteria. Demographic data, stressors, mental health measures, and coping strategies were extracted and analyzed. Studies focused on various mental health aspects, …

Burnout, Compassion Fatigue, And Self-Care Practices: Mental Health Professionals Working In The Community, Autumn Brooke Wohlford

Doctoral Dissertations and Projects

Mental health has been thoroughly researched in recent years. However, following community-level mental health professionals' mental health patterns is an emerging concept in the present research field. Due to the recent high demand for mental health professionals in their communities, burnout and compassion have increased. In recent years, researchers have focused on increased burnout and compassion fatigue, as well as the use of self-care practices in mental health professionals. To further contribute to the research, using a quantitative research study, burnout rates, compassion fatigue, and self-care practices were examined in mental health professionals using a multiple linear regression. Sixty mental …

Understanding The Prevalence Of Mental Health And Behavioral Distress In Transit Assaults And Presenting Targeted Response And Mitigation Methods To Reduce Victimization Trends, Kathleen Moore, Emilie Ellenberg, Melissa Carlson, Jodi Godfrey, Lisa Staes

Mineta Transportation Institute

This research project was performed to better understand the prevalence of mental health and behavioral distress in transit assaults and present corresponding targeted response and mitigation methods to reduce victimization trends. It includes a literature review, a data presentation and overview of reported public transit assault-related events, an examination of the contributing factors to those events, and documentation of 10 transit agency case studies. The literature review discusses some of the misconceptions of mental illness and associated stigmas and discrimination that can occur in response to these misconceptions. It discusses various approaches and strategies that transit agencies have used to …

Exploring Adolescents' Mental Health In Kampala, Uganda In The Context Of Covid-19: A Mixed Methods Study, Gideon Mbithi, Ahmed Sarki, Adam Mabrouk, Rachel Odhiambo, Mary Namuguzi, Joseph Atukwatse, Margaret Kabue, Stephen Mulupi, Amina Abubakar

Institute for Human Development, East Africa

Background: Urban areas, particularly in developing nations like Uganda, face heightened risks due to poverty, unemployment, and environmental challenges, intensifying the vulnerability of urban youth to poor mental health. This study aims to determine the psychological well-being of adolescents and to assess the risks and associated factors of mental health problems among adolescents in the context of COVID-19 pandemic in Kampala City, Uganda.

Methods: We conducted a cross-sectional survey of 500 adolescents aged 13–19 years residing within the five divisions of Kampala City, Uganda. We utilized standardized psychological assessment tools including the Patient Health Questionnaire, Generalized Anxiety Scale, …

The Impact Of Vacations On Urban Women's Well-Being From The Perspective Of Feminist Urbanism, Jie Gao, Deborah Kerstetter, Tianfu Wang

Faculty Research, Scholarly, and Creative Activity

Vacations are known to foster well-being outcomes, yet few researchers have accounted for the influence of individual attributes such as gender, residential setting, or cultural context. As a result, there is a noticeable gap in the well-being literature concerning well-being outcomes for female travelers whose subjectivities have been shaped in as well as by their residential environment (urban) and culture. Using qualitative inquiry informed by the feminist urbanism perspective, this study uncovered urban Chinese women's cognitive representations of well-being outcomes from vacations. Findings revealed that vacations provide liberation from cultural constraints, boosting of social bonds and relationship building, enabling reflection …

Improving Outcomes Of Depression Through Implementation Of Depression Screenings At A College Health Center, Shelby Leigh Hanigan

Electronic Theses and Dissertations

Depression is a common phenomenon. Depression and suicidality are a problem on university campuses. This quality improvement Doctor of Nursing project aimed to establish the importance of routine depression screenings within a college health clinic. The purpose of this project was to determine if implementing routine depression screenings at a university health clinic will or will not increase the number of counseling referrals when compared to the absence of depression screenings in place within an identified timeframe. This protocol screened for depression in college-aged students and suggested care to those students who screened positive. It also led an interprofessional team …

Potential Mental Disorder Symptoms In The Prophet Elijah: An Exegetical And Psychological Analysis Of Selected Episodes From 1 Kings 18–19, Dariusz Iwański, Thomas G. Plante

Psychology

This interdisciplinary study examines the prophet Elijah’s experiences as depicted in 1 Kings 18–19 through a multidisciplinary lens, combining theological, literary, and psychological perspectives. Drawing on literary and historical–critical methods, a biblical scholar analyzes the narrative’s linguistic and cultural dimensions, while a psychologist evaluates these findings using contemporary mental health frameworks, including the DSM-5 and models of spiritual struggle. By synthesizing these approaches, the study explores Elijah’s emotional challenges, highlighting their resonance with modern understandings of mental health and spirituality. The findings suggest that Elijah’s profound struggles—marked by triumph, despair, and renewal—offer valuable insights into the interplay of faith, vulnerability, …

Childhood Sexual Abuse Among Asian American Adults: Prevalence, Cultural Barriers, And Mental Health Implications, Kruti S. Chaliawala, Liliana Rojas-Guyler

Dignity: A Journal of Analysis of Exploitation and Violence

Childhood sexual abuse represents a significant public health concern, particularly within minority populations, where adversities and complications are prevalent but understudied. This study aims to investigate the mental health of Asian American childhood sexual abuse survivors and explore the prevalence of childhood sexual abuse among Asian adults. A secondary analysis of the 2020 Behavioral Risk Factor Surveillance System (BRFSS) data was conducted, including a final sample of 1,894 Asian adults (0.16% of the total sample size of N = 401,958). Among these participants, 16.8% (n = 1,894) reported experiencing CSA. The most common forms of abuse were inappropriate touching …

A Systematic Review And Meta-Analysis On The Effect Of Nature Exposure Dose On Adults With Mental Illness, Joanna Ellen Bettmann, Elizabeth Speelman, Annelise Jolley, Tallie Casucci

Faculty and Staff Works

Time spent in nature leads to significant physical and mental benefits, but research is mixed on how much time in nature is necessary to affect change in adults' mental health. This meta-analysis aimed to answer the question: what effect does length and interval of nature dosage have on adults with mental illness? The authors defined nature exposure as an experience in nature lasting at least 10 minutes and taking place in an actual natural setting. Because some studies indicated single experiences of exposure to nature (one-time) while others utilized multiple exposures to nature (interval), these studies were separated to determine …