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German Couples' Mental And Relational Health Before, During, And After Pregnancy: Comparisons Across Conception Type, Mckenna Fey

Theses and Dissertations--Family Sciences

Previous research on the perinatal period (i.e., pregnancy and postpartum) has largely focused on the pregnant partner’s experience and has rarely involved dyadic data from both partners in a romantic relationship. Although mental health—particularly of pregnant partners—has been extensively studied, relational health is often overlooked in the literature. Using life course theory as a framework, the present study examines both pregnant and nonpregnant partners’ mental and relational health before, during, and after pregnancy to understand actor, partner, and cross-process effects. Six hundred and twelve couples (N = 1,224 individuals) from the German Family Panel (pairfam) were assessed for mental and …

The Impact Of Patient-Centered Care On Women With Infertility And Pregnancy Loss: An Integrative Review, Kaidynce R. Sweazy

All Electronic Theses and Dissertations

Introduction: Infertility affects roughly 17.5% of adults worldwide, while pregnancy loss occurs in up to 30% of pregnancies. These reproductive traumas increase the risk of developing a mental health disorder, such as anxiety, depression, or post-traumatic stress disorder (PTSD). The purpose of this review is to identify the influence of patient-centered care on psychological outcomes and experiences of care in women with infertility and pregnancy loss.
Methods: A literature search of the PubMed and Cinahl databases was conducted for original studies published from January 2016 to January 2026 that address the psychological outcomes and/or experiences of women who experienced infertility …

Harmony In Healing: Addressing The Psychosocial Needs Of Individuals Living With Lymphedema, Bria K. Brombacher

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

Lymphedema is a chronic and incurable condition associated with significant physical and psychosocial challenges, including depression, anxiety, social isolation, and reduced quality of life. Despite increasing recognition of these concerns, limited interventions exist that specifically address the psychosocial needs of individuals living with lymphedema. Additionally, individuals within this population often report limited provider awareness of lymphedema within the healthcare system. The purpose of this doctoral capstone project, Harmony in Healing: Addressing the Psychosocial Needs of Individuals Living with Lymphedema, was to promote well-being, improve quality of life, and increase awareness of the psychosocial implications of lymphedema through occupational therapy intervention. …

Rapid Response To Recovery: Expand Integrated, Technology-Enabled Crisis Care, Madison Chandler

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Behavioral health challenges in rural communities continue to place significant strain on healthcare systems, particularly through repeated reliance on emergency departments for crisis care. Nelson County, Kentucky, reflects this pattern, with higher reported rates of poor mental health and limited access to behavioral health providers. This paper proposes the Beacon Behavioral Health Response Program, a community-based, multidisciplinary crisis intervention model designed to improve access to timely care and strengthen continuity of support. The program combines mobile crisis response—delivered by a licensed clinical social worker and a peer support specialist—with a technology-enabled component using the Luma AI-supported mental health platform. Together, …

Promoting Maternal And Infant Health In Franklin County, Ky: A Community-Based Physical Activity And Education Intervention, Subin Kim

Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.)

Maternal and infant health outcomes are key indicators of population health, yet persistent disparities exist in rural communities across the United States. In Kentucky, Franklin County reflects this pattern, with concerning maternal and infant health indicators despite relatively favorable socioeconomic conditions. Identified challenges include elevated rates of poor physical and mental health days, high drug overdose mortality, provider shortages, and ongoing reproductive health concerns such as tobacco use during pregnancy and increased infant mortality associated with elevated maternal body mass index.

To address these gaps, a three-pronged, community-based prenatal and postpartum physical activity and education program is proposed. The program …

Mental Health In Inpatient Rehabilitation, Kayla M. Minor

Occupational Therapy Doctorate Capstone Posters

This doctoral capstone project was completed at Frazier Neurorehabilitation Institute in Louisville, Kentucky, to address mental health in the inpatient rehabilitation setting. My primary ACOTE focus area was program and project development, with additional emphasis on education and advocacy related to mental health awareness. The purpose of this project was to create an online mental health toolkit that provides occupational therapists with resources to address mental health concerns with patients and caregivers during sessions. The online mental health toolkit consists of 11 main topics containing approximately eight interactive and educational pages in each folder to support therapeutic intervention. The literature …

The Mental Health Mastermind: How Noah Kahan Reduces Stigma, Meghan Deeley

ENG 490 Senior Seminar Capstone

Mental health anti-stigma strategies have been largely studied; however, limited research examines how musicians integrate lyrics and marketing strategies to reduce mental health stigma. This study fills the gap by analyzing the work of Noah Kahan, whose cultural prominence places him as an influential individual in normalizing mental health discourse. Drawing on existing research in anti-stigma campaigns, social media storytelling, and lyrical analysis, this study examines The Busyhead Project Instagram content and “Stick Season” lyrics. Using qualitative methods, findings illustrate that Kahan's incorporation of open reading lyrics with contact-based content enhances effectiveness of anti-stigma messaging. This research is a framework …

Framing Of Obesity In Magazines, Chitrangda Malik

Selected Full-Text Master Theses 2021-

The aim of this study is to determine how the top four magazines in America portray the issue of obesity in terms of responsibility and in relation to mental health. Additionally, it is to determine the kind of framing used to present the issue of obesity. The data of this study is limited to Costco Connection, Better Homes & Gardens, AARP, and People magazine. Data has been divided into two timelines, one from January 2020-January 2026 and the other from January 2022-January 2026. Results indicate that magazine articles primarily attribute the cause of and solution to obesity as behavioral and …

Psychological Characteristics Of Beginner And Advanced Judokas, Leanardo De Lorenco-Lima, Daniery Rosario, Reury F. P. Bacurau, Leonardo V. Andreato, Stacey A. Gaines

Applied Sport & Performance Psychology | Faculty Scholarship

Several psychological benefits have been associated with judo training, including enhanced cognitive functioning, improved emotional regulation, and higher self-confidence, with training experience being associated with higher levels of several psychological characteristics. Purpose: The current study explored the differences in training and psychological  characteristics  between  beginner  and  advanced  judokas.  Methods:  A  sample  of  146  judokas (77.4% male), including 67 beginners and 79 advanced, between 18 and 45 years of age, completed the Brief Resilience Scale (α = .84), Grit Scale (α = .82), General Self-Efficacy Scale (α = .85), Brief Self-Control Scale (α = .82), Brief Aggression Questionnaire (α = .75), …

Chatbot Therapy - Help Or Hindrance, Kadi Rae Smith

Anthós

Introduction

Generative artificial intelligence (Gen-AI) chatbots are complex computer programs designed to mimic human conversations using programming that incorporates large language models (LLM) and natural language models (NLM) to simulate human interactions that are being rapidly integrated into everyday life across an increasing amount of online platforms. This article explores the applications and efficacy of chatbots for mental healthcare, from self-directed chatbot interactions to clinician-supervised implementation of chatbot-based therapeutic tools, weighing the benefits and limitations of this ever-expanding technology.

Methodology/Taxonomy

A literature review was conducted primarily using Web of Science, accessed through Portland State University, and Google Scholar, with specifications …

Pilot Program For Telemental Health Access To Rural Underserved Localities, Traci Brickhouse Jones, Sarah Kott, Oswaldo Moreno, Aneida Winston

The Grace E. Harris Leadership Institute Publications

This proposal recommends legislation directing Virginia Department of Behavioral Health and Developmental Services to establish a two-year pilot program focused on expanding telemental health access in rural Virginia. The purpose of the pilot is to address persistent behavioral health disparities in areas where residents face major barriers to obtaining timely mental health care.

The legislation is designed to build on existing telehealth infrastructure and aligns with Virginia’s Statewide Telehealth Plan under § 32.1-122.03:1, which already supports broader use of telehealth services across the Commonwealth. By creating a focused pilot first, the state can test implementation strategies before considering broader expansion.

Effectiveness Of Occupational Therapy-Inspired Educational Sessions For Mothers Accessing Women, Infants, And Children (Wic) Services, Samantha Annette Merew

Graduate Theses, Dissertations, and Problem Reports (ETD)

This doctoral capstone project examined the effectiveness of occupational therapy (OT)-inspired group and one-on-one educational sessions designed to support the emotional, mental, and social well-being of pregnant and postpartum mothers accessing Women, Infants, and Children (WIC) services in Onslow County, North Carolina. Grounded in the Model of Human Occupation and Cognitive Behavioral Frame of Reference, the program aimed to address gaps in holistic maternal health support, particularly among low-income and at-risk populations. Eight structured group sessions and five one-on-one sessions were developed, implemented, and evaluated, focusing on topics such as stress management, emotional regulation, self-care, role transition, and self-advocacy. A …

Resilient Voices: A Proposed Support Group For Latina Middle Schoolers, Vanessa G. Leon

Psychology Doctoral Specialization Projects

The transition to middle school represents a critical developmental period characterized by significant social, emotional, physical, and cognitive changes. For Latina adolescents, this transition may be further complicated by cultural, environmental, and systemic stressors that increase vulnerability to mental health concerns. This doctoral specialization project addresses the need for culturally responsive mental health interventions designed to support the well-being of Latina middle school students during this developmental stage. The project presents Juntas Podemos, a school-based support group intervention that integrates Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) skills within a culturally responsive framework to promote emotional well-being, …

Allyship And Social Support Networks: Examining Feelings Of Safety And Confidence Among Lgbtq+ Sports Officials, Jacob K. Tingle, B. L. Jacobs, A. C. Baeth, M. Katz, C. C. Zvosec

School of Business Faculty Research

For LGBTQ+ employees, research has indicated they feel othered, isolated, and unwelcome within their work communities. In other settings, social networks have been shown to provide stability and a sense of belonging that increases factors associated with mental health, such as self-care, stress moderation, and increased coping behaviors. Because of this, we examined the social networks of self-identified LGBTQ+ sports officials utilizing egocentric network analysis to better understand the influence of LGBTQ+ officials’ social networks on their feelings of safety and confidence and decisions to continue officiating. Participants responded to questions about people (alters) they considered to be allies in …

Response Efficacy And Discrete Emotions In Message Design: Testing Emotional Pathways To Help-Seeking Intentions And Engagement, Marian Jaitto-Jeffrey

Theses and Dissertations--Communication

Research on fear appeals shows that threat-framed messages promote adaptive outcomes when accompanied by efficacy information. According to the extended parallel process model (EPPM), danger-control responses, including message acceptance, positive attitudes toward recommended behaviors, and help-seeking intentions, are most likely to occur when efficacy appraisals, particularly perceptions of response efficacy, are sufficient to meet perceived threat. When efficacy appraisals fall short of perceived threat, fear-control responses, such as message derogation, denial, or resistance to seeking help, are most likely to emerge. Beyond reducing defensive processing, response efficacy cues may also evoke positive emotions such as hope. Whereas fear is often …

Between Trends And Truths: Tiktok Therapy-Speak And Mental Health, Zoe Stephens

Scripps Senior Theses

The rise of therapy-speak on social media has introduced mental health terminology into everyday discourse among young adults, yet its psychological impacts remain unclear (Chevalier, 2024; Jain et al., 2025). The present study investigated the effects of TikTok videos containing therapy-speak on stigma toward mental illness, mental health awareness, and mental health literacy. Using a between-groups experimental design, 95 U.S. college students aged 18 to 24 were randomly assigned to view either therapy-speak TikTok content or neutral TikTok content. Participants subsequently completed three post-exposure measures: the Mental Health Literacy Scale (MHLS; O’Connor & Casey, 2015), a self-constructed Mental Health Awareness …

Who Should Be Responding To Mental Health Crises: A Public Perception Study, Bryan E. Phillips

Williams Honors College, Honors Research Projects

This project includes a survey which will be evaluating, out of Police Officers, Paramedics, and Mental Health Clinicians, who Intro to Psychology students believe are best fit to respond to Mental Health Crises as well as what factors may influence said belief. To do this they will be provided with a survey that collects demographic information, personal experiences with each profession, and detailed scenario-based questions with differing variables allowing the participants to decide which profession they believe is best equipped to deal with each scenario. This data will then be put into a research manuscript to be presented via posterboard …

The Impact Of Night Shift On New Nurses: Effects On Mental Health And Work-Life Balance, Avery Windham, Abby Maruskin, Elizabeth Yoder

Williams Honors College, Honors Research Projects

This research examines the impact of night shift schedules on new nurses' mental health and work-life balance as they transition into professional practice. The transition from nursing school to the workforce presents challenges that are further compounded by shift work, which can disrupt circadian rhythms and contribute to stress, fatigue, and reduced job satisfaction. The purpose of this research is to evaluate how starting on night shift versus day shift influences nurses’ self-evaluation of work-life balance within their first year of practice. This systematic review synthesizes findings from peer-reviewed sources to assess the physical, emotional, and professional consequences of night …

Self-Reported Psychological Effects Of Rock Climbing In Adults On The Autism Spectrum, Brennan Gleason

Honors Undergraduate Theses

Background: Prior research has shown rock climbing to have considerable therapeutic potential through such mechanisms as boosting self-esteem, promoting mindfulness, and creating a supportive social community. (Liu et al., 2022, Osborne et al., 2025). Meanwhile, autistic adults experience mood disorders at a significantly higher rate than the general population; upwards of 54% are diagnosed with a psychiatric condition (Croen et al., 2015). Many of the issues negatively affecting autistic adults align with the benefits of rock climbing, including low self-esteem, inadequate social support, and anxiety.

Objective: This study aimed to find differences in mental health outcomes between autistic adults who …

Gratitude Journaling And Mindfulness To Mitigate Burnout In Mental Health Staff, Jennifer Davis

Doctor of Nursing Practice Projects

Burnout among mental health professionals in inpatient behavioral health settings negatively affects staff well-being, job satisfaction, and patient care quality. This Doctor of Nursing Practice (DNP) quality improvement project evaluated the effectiveness of an 8-week mindfulness and gratitude journaling program implemented on a rural behavioral health unit in North Carolina. Guided by Jean Watson’s Theory of Human Caring, the intervention aimed to enhance resilience and workplace wellness through daily mindfulness and reflective journaling practices. A repeated cross-sectional design using anonymous pre- and post-intervention surveys was conducted with 30 staff participants. Thirty participants enrolled in the study, and 24 completed the …

Lower Suicidal Ideation Linked To Easier Access To Urban Green Spaces During The Covid-19 Pandemic: A Nationwide Study In Japan, Zheng Xian, Tomoki Nakaya, Clive E. Sabel, Ryo Okubo, Kun Liu, Jinguang Zhang, Takahiro Tabuchi

School of Geography, Earth and Environmental Sciences

Urban green spaces (UGSs) have been linked to improved mental health and lower suicide rates, yet their protective role during large-scale crises remains underexplored. We examined associations of UGS accessibility with long-term and pandemic induced new-onset suicidal ideation during the early phase of the COVID-19 pandemic in urban Japan, using data from a nationwide health survey of 17,376 participants (August 2020). Modified Poisson regression models estimated prevalence ratios (PRs) for suicidal ideation by UGS accessibility (area, number, and type) within 5, 10, and 15-minute walking thresholds from home, controlling for individual and area-level confounders. UGS accessibility exhibited dose-response relationships with …

Embracing Imperfection And Stress As The Foundation For Growth, Excellence, And Well-Being In Dentistry, John W. Claytor Jr., Dds, Magd-Llsr, Facd

Journal of the American College of Dentists

Studies reveal that stress in dentistry begins early in training and may progress throughout a dentist’s career. Fear of managing patient dissatisfaction, demanding schedules, time constraints, staff issues, and the stressors of clinical dentistry all contribute to professional strain. Difficulties associated with perfectionistic tendencies, burnout, and mental health concerns remain ever-present challenges within the profession. This article discusses evidence-based strategies, coping skills, organizational approaches, and professional resources that may help mitigate the effects of stress in dentistry. Particular emphasis is placed on reducing stigma surrounding mental health care and supporting initiatives such as the Lorna Breen Heroes Foundation’s “Safe Haven” …

Positive Developmental Cascades, Melody R. Altschuler, Xiaoran Tong, Punit Shah, Edelyn Verona, Julianne M. Bowling, Robert F. Krueger, Roman Kotov, Jordan H. Mcallister, Michaela Voit, Sachina Paudel, Scott C. Leon, Shashwat Kala, John S. Lyons

Psychiatry Faculty Publications

Background: Strength development in children across a range of psychiatric diagnoses may reduce needs for mental health, social, and functioning support over time. A strength-based adjunct to child and adolescent mental health may foster the developmental context most helpful for achieving desired outcomes with positive developmental cascading effects. Methods: We longitudinally examined changes across 5 years in the Child and Adolescent Needs and Strengths Assessment in 2- to 18-year-old children (N = 30,103) from a public mental health system. Results: First, children who began with a greater number of strengths consistently had fewer support needs, not only at entry but …

Mental Health Needs Of Families Of Patients In Intensive Care Units And The Role Of Mobile Health: Survey Study, Anthony Faiola, Saira Soroya, Zhonglin Hao, Reinhold Munker

Markey Cancer Center Faculty Publications

Background: The experiences of patients with COVID-19 and their families manifested the most devastating effects of family separation since the 1918 Spanish influenza pandemic and, with it, a call for solutions to patient isolation and its effect on family mental health.

Objective: This study examined the recent experiences of families of critical care (intensive care unit; ICU) patients related to anxiety and depression (AD), satisfaction with clinician-family communication, and counseling from mental health and social services. This study explored correlations between these factors and family interest in mobile health (mHealth) designed to improve information flow and communication from patient bedside …

A Guideline To Address Barriers To Mental Health Treatment Experienced By Law Enforcement Officers, Jacqueline Estrella

Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: Law enforcement officers are exposed to repeated trauma on the job that may negatively affect their mental health. Officers may avoid seeking mental health treatment due to police culture, stigma, and other barriers which may increase risks for suicide, absenteeism, and maladaptive coping.

Objectives: Develop an evidenced-based guideline to address barriers law enforcement officers face in seeking mental health treatment.

Methods: The National Quality Measures Clearinghouse (NQMC) Domain Framework was used to guide a literature review to identify best practices suitable for a guideline. Articles were graded for strength based on the John Hopkins Nursing Evidence Based Practice (JHNEBP) …

Utilizing Youth Mental Health First Aid: A Community-Based Prevention Strategy To Increase Teh Confidence Levels Of Seventh-Day Adventist Adults In Assisting Youth With Mental Health Distress, Sarah Hillebert

DNP Research Projects

Abstract 

Objective: Youth Mental Health First Aid (YMHFA) is an initiative from the National Council for Mental Wellness that trains adults in identifying and responding to adolescents exhibiting mental health distress. This DNP project evaluated the effectiveness of YMHFA in increasing the mental health literacy and confidence scores of Seventh-day Adventist (SDA) adults. Method: quality improvement, pretest-posttest quasi-experimental design was used. Participants were SDA adults aged 22 to 74 who work with youth in school, church, or camp settings (n=19; Mean age = 48.5 years, SD = 10.5). The quantitative MHFA 2.1 measured mental health literacy and confidence to intervene, …

Minority Stress And Drug Use Among 2slgbtq+ Canadians, Robert Chin-See, Todd Coleman

Theses and Dissertations (Comprehensive)

Background: Several social and environmental factors influence drug use behaviors and contribute to frequent drug use among Two-Spirit, Lesbian, Gay, Bisexual, Transgender, Queer, and other (2SLGBTQ+) individuals. The purpose of the current study was to examine the relationship between the minority stress, drug use, and other socio-ecological factors.

Methods: This study employed structural equation modelling on data (2021—2022) from a nationally representative pan-Canadian survey (N = 1542) on 2SLGBTQ+ health to examine the association between minority stress, drug use, and relevant socio-ecological predictors. A separate mediation analysis was conducted and controlled for socio-demographic characteristics.

Results: SEM results showed parsimonious fit …

First Responders' Best Friends: A Mental Health And Trauma-Informed Care Program For First Responders, Jordan Postiglione

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2026

First responders experience consistent exposure to traumatic events in their day-to-day profession, placing them at increased risk for mental health challenges, including stress, burnout, anxiety, depression, and post-traumatic stress disorder.  The First Responder’s Best Friends doctoral capstone quality improvement project aimed to increase mental health and well-being in first responders as well as to bring awareness to the importance of mental health and the impact of trauma.  The capstone project consisted of three different areas of focus: program development and implementation, advocacy, and clinical practice skills.  Program development and implementation was a 12-week mental health program at the Kingston Fire …

Relational Spirituality And Maternal Coping In Carceral Contexts: A Participatory Action Study Of Meaning-Making And Mental Health Among Formerly Incarcerated Mothers, Jessica Peters

Dissertations and Theses

Maternal incarceration carries significant psychological, familial, and community consequences, yet limited research centers the mental health experiences of mothers themselves. This study explored how religious and spiritual engagement shape mental health and coping among formerly incarcerated mothers using a participatory action research framework. Guided by this, small groups and semi-structured interviews were conducted with 10 mothers in collaboration with a community-based organization. This approach prioritized lived experience and aimed to reduce barriers to participation among a population often mistrustful of research institutions. Data were analyzed thematically to identify patterns in psychological distress, coping strategies, and meaning-making. Findings revealed pervasive and …

Navigating Mental Wellness: A Peer-Led Journey Into Adult Services, Kristin G. Haberek

DSW Capstone Projects

Students with severe emotional disturbances (SED) occupy one of the most underserved intersections in American education and mental health care. As they age out of children’s services, they face abrupt service discontinuation, disrupted therapeutic relationships, and adult systems ill-equipped to meet their needs. These vulnerabilities, including heightened risks of crisis, hospitalization, homelessness, and justice involvement, constitute a central practice problem. This capstone addresses these transitions across three scholarly products: a systematic literature review, a theoretical concept paper, and a practical application paper, tracing a unified arc from diagnosing structural failures to proposing an evidence-informed, equity-oriented clinical response. Synthesizing key findings …