Digital Commons Network^™

Status Of Mental Health Of Children And Sociodemographic Factors Associated With It Three Years Following Covid-19 Pandemic, Dr Dhanyatha T S, Dr Mithila Das Mazumder, Dr Likitha A C

Digital Journal of Clinical Medicine

Background: COVID-19 disrupted every aspect of life, particularly affecting the mental well-being of children. Prolonged school closures, isolation, and lifestyle changes significantly impacted emotional and behavioral development.This study evaluated the mental health status of children three years after the pandemic and analyzed the influence of sociodemographic factors.

Objectives:

1. To assess the current status of mental health among children 7–15 years, three years after  COVID-19.
2. To evaluate the sociodemographic factors associated with mental health outcomes.

Methods:

 A cross sectional study was conducted from June2023 to December 2024 among 125 children aged 7–15 years at our institute.The Child Behavior Checklist (CBCL) was …

State Social Benefit Schemes For Women In Continuity Of Psychiatric Care: A Case Report, Mathumitha A, Kishor M. Manohar Rao Professor

Digital Journal of Clinical Medicine

Mental health disorders are a major global public health challenge. The disorders affect over a billion people worldwide, while depressive and bipolar spectrum disorders also contribute substantially to disability and reduced quality of life. According to the World Health Organization, major depression alone affects more than 300 million people globally and is considered a leading cause of years lived with disability. Beyond clinical morbidity, mental illnesses exert a profound economic impact, with depression and anxiety accounting for an estimated USD 1 trillion annually in lost productivity worldwide, while the overall global economic burden of mental disorders is projected to reach …

Religiosity And Spirituality: The Mental Costs And Benefits Of Belief In A College Setting, Tyler Geis

Masters Theses

The relationship between religiosity and spirituality (R/S) with mental health has been widely discussed in more recent years. This thesis examines factors related to religiosity, spirituality, depression, anxiety, and stress, as well as how various stigmas toward mental health, mental health treatment, and mental health treatment seeking may relate to R/S and mental health. Previous literature has identified religious coping with hardship, positive and negative dimensions of sin and behavior, the structure of different religious groups, and overall spiritual wellbeing as factors related to R/S, mental health, and beliefs about mental health . However, most previous literature come to differing …

Nasal Cavity Microbial Makeup And The Influence On Psychiatric Symptoms Following Fire Exposure In Firefighters, Paul Grunsted, Chao Xu, Amanda Janitz, Jessica Reese, Janis Campbell, Tasha M Santiago-Rodriguez, Sara J Javornik Cregeen, Joseph F Petrosino, Jooyeon Hwang

Faculty, Staff and Student Publications

Background: Firefighters experience high levels of occupational stress and trauma, increasing their risk of depression, anxiety, and post-traumatic stress disorder (PTSD). Although microbial communities may influence brain function and behavior through neural pathways, the nasal microbiome remains understudied. This study examined associations between nasal microbiome characteristics and psychiatric symptoms among firefighters.

Methods: We conducted a cross-sectional study of 34 firefighters recruited from Texas fire stations. Participants completed validated questionnaires assessing depression, anxiety, and PTSD. Nasal swabs were collected before and after fire suppression and 16S rRNA sequencing was used to characterize microbial communities. Alpha and beta diversity, relative abundance, and …

The Need To Identifying An Assessment Method To Evaluate Narcissistic Leadership Traits In Christian Churches In The Minneapolis Area And Determining Their Impact On Assemblies From The Perspective Of Congregants, Rita Lekova

All Electronic Theses and Dissertations

This dissertation examined the need for effective assessment methods to evaluate narcissistic leadership traits in Christian congregations in the Minneapolis area and the consequential effects of these traits on assemblies, as perceived by the congregations. This study addressed growing concerns about destructive leadership behaviors that compromise spiritual well-being, organizational trust, and biblical paradigms of servant leadership, as exemplified by Jesus. Employing an interdisciplinary framework that includes the theological, psychological, and leadership studies literatures, the research examined the expression of narcissistic traits by ecclesiastical leaders and ministers and how these tendencies are perceived by congregants and attendees. Qualitative and quantitative research …

Self-Guided Functional Imagery Training To Reduce Anxiety, Jackie Andrade, Stephanie Hartgen-Walker, Caroline Morgan, Ayan, Idil Aytekin, Khadijah Sekoni, Kardelen Sengul, Jonathan Rhodes

School of Psychology

Objectives: Many university students experience high anxiety but have limited access to effective interventions. We evaluated a novel digital intervention for anxiety based on functional imagery training (FIT), designed to help individuals identify the impacts of anxiety, set engagement goals, and strengthen motivation for change. Functional Imagery for Keeping Anxiety low (FIKA) uses speak-aloud tasks, journalling, empathic questions, and personalised guided imagery for a person-centred approach. It builds motivation for engagement goals over safety goals through development and practice of vivid and emotionally laden multisensory imagery. Design: Study 1 used semi-structured interviews and thematic analysis to explore user experiences of …

Prevalence And Determinants Of Diabetes-Related Psychological Distress In A Tertiary Care Setting In Tamil Nadu: India: Cross-Sectional Study, Rohit Shankar, Samuel Tromans

Peninsula Medical School

BackgroundDiabetes distress, whereby people with diabetes experience distressing psychological symptoms associated with living with their condition, is an emerging problem in India. Diabetes distress leads to self-care deficits, suboptimal glycaemic control (which can lead to increasing risks of complications) and impaired quality of life.AimsTo determine the burden of diabetes distress and its associated factors in an Indian tertiary care centre in Trichy, Tamil Nadu, India, covering a population of 1.25 million.MethodThis prospective observational study involved a structured questionnaire covering demographic and clinical details, which was given to patients. The Diabetes Distress Scale 17 (DDS-17) was used to assess diabetes distress …

Prevalence And Correlates Of Anxiety And Depression Symptoms Among Medical Students: The Role Of Student Debt Burden, Foroozan Afsharchi, Joshua F. Edwards, Kailash S. Ram, Jingru Huang, Valicia Hale, Ismail El Moudden

Department of Family and Community Medicine Faculty Publications

Background

This cross-sectional study examined whether anxiety and depression symptoms decrease as medical students progress through training (suggesting adjustment disorder) or persist (suggesting chronic conditions), while identifying associated risk factors, including student debt burden and treatment effectiveness.

Methods

We surveyed medical students (years 1-4) at VHS-ODU using a sociodemographic questionnaire and validated screening instruments (GAD-7 for anxiety and PHQ-9 for depression) via RedCap from September to November 2024.

Results

Among 126 students, Scores were higher in Years 2-3 than in Years 1 and 4, but differences by year were not significant (GAD-7 p=0.055; PHQ-9 p=0.352). Students with a prior mental-health …

Beyond The Diagnosis: A Qualitative Exploration Of Men Living With Hiv, David R. Romanelli

Antioch University Dissertations & Theses

This qualitative study explored the lived experiences of men (18+ years old) living with HIV to better understand how they navigate identity, mental health, relationships, and healthcare systems after diagnosis. The method included a qualitative thematic analysis with 10 participants. Eight themes emerged from the data: (1) reactions, reflections, and meaning-making after diagnosis; (2) managing medication, treatment, and co-occurring conditions; (3) stigma, disclosure, and negotiation of identity; (4) substance use, housing instability, and socioeconomic stressors; (5) navigating the changing HIV landscape; (6) experiences with family and intimate relationships; (7) implications for mental health counseling; and (8) the role of community …

The Prevalence And Perception Of Maltreatment In Elite Dance Training, Cara Elena Guglielmino

Doctor of Psychology (PsyD)

Participation in elite dance training often requires navigating environments with heightened risk of physical and psychological maltreatment. This risk has historically been embedded and normalized through rigid pedagogical practices and professional expectations (Gregory & Interiano-Shiverdecker, 2021). Additional vulnerabilities for dancers include age of participation, training methodologies and culture, the dancer–instructor relationship, intensity and proximity of residential programs, and level of parental involvement. Existing research on elite dance training has predominantly focused on ballet-specific stressors, culture, and professional commitments using qualitative analysis. The present study examined the prevalence and perception of maltreatment, the psychological impact of harm, and identified implications for …

The Next Step: Building Strength Through Life Skills, Victoria Nunez

OT Doctoral Capstones

Adolescents who are at risk or facing mental health challenges often miss out on chances to build the practical life skills they need for everyday life and a smooth transition into adulthood. While traditional rehabilitation programs tend to focus on stabilization and therapy, they frequently fall short when it comes to preparing young people for independent living. The purpose of this doctoral capstone project was to develop and implement a structured, occupation-based life skills program to promote well-being, independence, and meaningful participation among adolescents. The Life Skills Program (Life Lab) took place at the Alamito STREAM Center in Segundo Barrio, …

The Effects Of Pornography On Romantic Relationships, Jade A. Green

McNair Scholars Research

This study examined the relationship among pornography use, attitudes toward pornography, and romantic relationship outcomes among adults in the United States. The hypotheses are as follows: 1. Pornography use is negatively associated with relationship satisfaction. 2. Positive attitudes toward pornography are negatively associated with relationship satisfaction. 3. Men will report more positive attitudes toward pornography than women, 4. Higher pornography use is associated with being single.  A convenience sample of 165 adults from central Arkansas completed measures assessing pornography use/acceptance and relationship satisfaction. Statistical analyses included a correlation matrix, an independent-samples t-test, and a chi-square analysis. Results showed that pornography …

The Phenomenon Of Professional Burnout Among Military Chaplains In Ukraine, Artem Makovskyi, Oleg Mateyuk, Oleksandr Bilovskyi, Anton Datskov, Dmytro Oleshko

Occasional Papers on Religion in Eastern Europe

The article presents a comprehensive study of the phenomenon of professional burnout among military chaplains in Ukraine in the context of their personal experience of being in extreme (combat) conditions. The relevance of the problem is due to the prolonged impact of combat operations, high psycho-emotional stress, and the special role of military chaplains in the system of moral and psychological support for Ukraine's security and defense sector. The theoretical and methodological basis of the study was the concept of professional burnout by K. Maslach, the provisions of the person-centered approach, and the theory of personal experience. The empirical study …

The Psychiatric Burden Of Hidradenitis Suppurativa: A Trinetx Analysis Of Sex-Specific Disparities In Mental Health And Medication Use, Emily Sheetz, Julia Feord, Collette Sholi, Parker Adams, Tamas Gal, Susan G. Kornstein, Arturo Saavedra

Department of Medicine Faculty Publications

Background:

Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition associated with physical and psychological burden. Prior research has shown increased rates of depression and anxiety among individuals with HS; however, sex-based disparities in the prevalence of these mental health conditions in patients with HS remain underexplored.

Objective:

To evaluate sex-based differences in the prevalence of major depressive disorder (MDD), generalized anxiety disorder (GAD), and the prescribing of antidepressants and anxiolytics among patients with HS.

Methods:

Using the TriNetX database, we identified patients over the age of 18 who had a recorded diagnosis of HS. Propensity score matching based on …

Christianity As Coping Mechanisms For Migrants With Mental Health Challenges In Australia: Social Work Implications, Obed Adonteng-Kissi, Nnaemeka Meribe, Kathomi Gatwiri, Lillian Mwanri, Agness Tembo, Frank Darkwa Baffour, Edith N. Botchway-Commey, Aunty Kerrie Doyle, David Chisanga, Ahmed A. Moustafa, Uchechukwu Levi Osuagwu

Research outputs 2022 to 2026

Christian religion may be a powerful resource that can serve as a coping mechanism to resolve challenges and provide comfort to African migrants confronted with mental health challenges. We aimed to explore the coping strategies among African migrants in Australia. We undertook semi-structured interviews online with 11 participants with African backgrounds, comprising six mental health clinicians and five migrant service users living in Australia for at least the past 12 months. Literature exploring religious coping mechanisms, social support and acculturation was drawn on. The interviews were undertaken online via Teams, WhatsApp call, and zoom with participants whom we recruited through …

A Case For Qualitatively Driven Mixed Methods In Nursing Research: A Methodological Discussion, Jennifer Hamilton, Cooper, Irene Ngune, Amanda Cole, Richard Bostwick, Debbie Louise Massey

Research outputs 2022 to 2026

Mixed methodology continues to grow as a rigorous and respected research design. However, the value of qualitatively driven mixed methods research within nursing is underrepresented. Qualitatively driven mixed methods, where qualitative data dominate meaning-making, have the potential to capture critical experiential elements pertinent to nursing research while supporting empirical rigour. This methodology paper argues for the importance of qualitatively driven mixed methods approaches within nursing research to enable greater understanding of complex phenomenon. Through discussion and case example the role of qualitatively driven mixed methods, including within a sequential explanatory design, are presented. Nurses and midwives are well placed to …

Bridging Worlds Of Care: A Qualitative Exploration Of Integrating Non-Western Healing Modalities With Mental Health Counseling, Douglas Valdez

Antioch University Dissertations & Theses

The aim of the study is to explore the experiences of practitioners who treat individuals presenting with depression and anxiety using culturally integrative non-Western healing modalities. Participants included 15 experienced practitioners (minimum five years of practice) who identified as Traditional Chinese Medicine providers (e.g., acupuncturists, herbalists) and/or Curandero/x/as. The approach was qualitative, utilizing open-ended survey responses collected electronically and analyzed with thematic analysis. Results indicated six primary themes: (a) Philosophies in Healing, highlighting culturally grounded conceptualizations of depression and anxiety; (b) Traditional Chinese Medicine Interventions, including acupuncture, botanical, nutritional, manual, and movement-based practices; (c) Curanderismo Pláticas and Integrative Western Healing …

Experiences Of Title Ix Investigations For Bipoc Survivors Of Sexual Violence, Tiffini Vo

Antioch University Dissertations & Theses

Sexual violence is among the most common crimes on college campuses. Nearly one in four undergraduate women experience sexual violence during college, yet reporting remains low (Spencer et al., 2020). Some students avoided reporting because of fear of criticism, backlash, blame, and shame (Lorenz et al., 2023). These responses not only influence reporting decisions but can also contribute to persistent psychological harm. A common consequence of sexual assault is the survivor developing post-traumatic stress disorder (PTSD), depressive and anxiety symptoms, and suicidality, demonstrating the severity of the crime perpetrated against them (Rothman et al., 2021). Even more so, those who …

Ensuring That Marginalized Young People Feel Welcome, Understood, And Empowered In Health Services: A Qualitative Examination Of The Service Needs Of Aboriginal Lgbtqa+ Young People, Shakara Liddelow-Hunt, Ashleigh Lin, Yael Perry, Braden Hill, Bep Uink

Research outputs 2022 to 2026

A lack of appropriate care and discrimination in healthcare settings likely compounds the existing risks to mental health and well-being for Aboriginal and Torres Strait Islander lesbian, gay, bisexual, trans, queer/questioning, and asexual (LGBTQA+) young people. The current study contributes findings from Aboriginal LGBTQA+ young people’s perspectives on their health service needs and preferences. Data consists of qualitative interviews and focus groups with N = 14 Aboriginal LGBTQA+ young people aged 14–25 years in Boorloo (Perth), Western Australia. The data was analyzed using reflexive thematic analysis. Analysis identified three major themes: (1) Unmet need for “whole self” care, (2) Communicating …

Nurses' Experiences Of Pain Management For Patients With Diagnosed Mental Health Conditions: A Systematic Review, Aaron Lapuz Alejandro, Middlewick, Seng Giap Marcus Ang, Rosemary Saunders, Irene Ngune

Research outputs 2022 to 2026

Aim: To synthesise the available evidence related to nurses' pain assessment and management practices for patients with diagnosed mental health conditions. Design: Mixed-methods systematic review. Data Sources: Medline, CINAHL, PsycINFO, SPORTDiscus and Psychology and Behavioural Sciences Collection. Methods: Databases search was conducted in March 2024 and updated in June 2025. Methodological quality was assessed using the Mixed Methods Appraisal Tool. Data synthesis followed the Joanna Briggs Institute (JBI) Manual for Evidence Synthesis. Results: Of the 1318 eligible studies identified, 12 met the inclusion criteria. The included studies were methodologically robust overall but frequently neglected nonresponse bias and were predominantly conducted …

Accessing Campus Mental Health Services In A Nigerian Southwestern University: Barriers To Academic Success, Caroline Dada

Electronic Theses and Dissertations

Mental health disorders are a significant health concern among higher education institutions in sub-Saharan Africa, including Nigeria. A substantial treatment gap exists in the Nigerian healthcare system, and this gap is further worsened by cultural and religious barriers, which reinforce stigma that discourages students from seeking professional help. This qualitative narrative inquiry explored the barriers students encountered when accessing mental health services at a university in Southwestern Nigeria, to increase service access. Qualitative semistructured interviews were conducted with seven professional mental health providers at a university counseling center between March and April 2025. Inductive thematic analysis was used to identify …

Exploring Religious-Spiritual Struggles Among Muslim Immigrants In The Canadian Context, Ayse Erenay

Theses and Dissertations (Comprehensive)

Migration to a new culture and adaptation to a different lifestyle may cause emotional and psychological stress. In some cases, immigrants may experience religious and/or spiritual (R/S) struggles due to challenges to their beliefs and practices in the country they have immigrated to. Based on Pargament (2007, 2013)’s R/S struggle framework, these struggles may include questions about the ultimate meaning of life, one’s relationship with God, or doubt about one’s belonging within a religious or spiritual community. Muslim immigrants face unique struggles since Islamic teachings require Muslims to visibly practice their faith and reflect on God’s presence as a central …

Is A Fear Of Death Keeping You Awake At Night? Death Anxiety Predicts Insomnia Through Nightmare Severity, Rachel E. Menzies, Jessie Brown, Mitchell Turner, David Cunnington, Malisa Burge, Ian C. Dunican, Hailey Meaklim

Research outputs 2022 to 2026

The fear of death (death anxiety) is a risk factor for various mental health conditions. Death anxiety has been theorized to elicit physiological arousal and worry and is empirically associated with attachment insecurity, each of which has been linked to disrupted sleep. However, limited research has explored the relationship between death anxiety, nightmares and insomnia. We examined the relationship between death anxiety and insomnia, as well as attachment style as a potential moderator, and nightmare severity as a possible mediator. Five hundred and fifteen adults completed an online survey; 70% were female, and 89% resided in Australia. Regression analyses revealed …

Measuring Mental Health Promoting Behaviours: Development And Psychometric Properties Of A Danish Act Belong Commit-Mental Health Promoting Behaviours (Abc-Mhpb) Scale, Line Nielsen, Ziggi Ivan Santini, Malene Kubstrup Nelausen, Carsten Hinrichsen, Frederik Schou-Juul, Vibeke Jenny Koushede, Robert J. Donovan, Charlotte Bjerre Meilstrup

Research outputs 2022 to 2026

Background: The Act Belong Commit-ABCs of Mental Health campaign is the world’s first comprehensive, population-wide, community-based initiative to promote mental health. In response to a growing demand for valid tools to monitor mental health promoting behaviours, this study presents the development and psychometric evaluation of the ABC-Mental Health Promoting Behaviours (ABC-MHPB) scale in a Danish population-based sample. Methods: A 10-item scale was developed, based on the ABC framework, to assess mental health promoting behaviours. A total of 119,221 randomly selected participants aged 18+ filled out an electronic survey, including the scale to measure the underlying construct of mental health promoting …

Mental Health Impacts Of Anti-Trans Stigma On Transgender People In Australia: A Mixed-Methods Study, Sav Zwickl, Sasha Bailey, Rin Chan, Shalem Y. Leemaqz, Joel Murray, Stevie Lane, Foster Skewis, Julian Grace, Eli Ward-Smith, Tomi Ruggles, Ada S. Cheung

Research outputs 2022 to 2026

Background: Anti-trans stigma has escalated globally, yet there is limited empirical evidence examining its mental health impacts on trans populations.

Methods: In a May 2024 mixed-methods cross-sectional online survey, trans people aged ≥16 years living in Australia reported the frequency of seven anti-trans stigma experiences in the previous month, including exposure to anti-trans remarks in the news media or online; personal experience of online bullying, harassment or threats; having thought about, seen or heard about anti-trans rhetoric by Australian politicians and high-profile individuals; or anti-trans rallies; or police violence; or international anti-trans legislation and violence. Generalized linear models examined associations …

Effects Of Mental Health Services On Adolescents’ Mental Health-Related Behavior Problems And Academic Performance, Marsha Bernard

Theses and Dissertations

The problem to be addressed in the research study was that students who are marginalized and racially profiled exhibit behavioral problems in school and lack the resources to understand and manage their emotional behaviors. The purpose of the study was to determine how mental health counselors in schools and in the community can assist marginalized families with adequate mental health services. The study sought an understanding of the underlying causes of disruptive behaviors and miscommunication between students and administrators. Overall, the study revealed that mental health has an impact and plays a critical role in the day-to-day experiences of marginalized …

El Estrés Laboral Como Factor De Riesgo En El Rendimiento De Los Docentes De Una Institución Privada De Educación Superior En Puerto Rico, Sarahi Alvarado Rivera

Theses and Dissertations

Los seres humanos en diferentes momentos de su vida han experimentado lo que es el estrés, y las organizaciones de una forma u otra han buscado disminuir o eliminarlo dentro del entorno laboral. El estrés laboral es un factor determinante en el desempeño laboral, las enfermedades y la estabilidad emocional de los recursos humanos en las organizaciones. Este trabajo se enmarca en un enfoque cualitativo a través de un estudio fenomenológico.

El propósito de este estudio fue valorar la incidencia del estrés laboral como factor de riesgo en el rendimiento de los Docentes de una Institución Privada de Educación Superior …

A Front-End Analysis Of Teacher Retention At A High Poverty K-5 Public School, Nicole Gray

Theses and Dissertations

This dissertation explored the experiences of educators impacted by teacher retention issues at a high-poverty K-5 public school. Researchers have studied the decline in individuals entering into the education profession as well as the high rates of individuals exiting the profession. With individuals leaving the profession at high rates, and not enough entering to replace those that are leaving, there is now a massive shortage with not enough teachers to meet the needs of students in public schools. The few individuals that are entering into the profession are not being retained, especially at high-poverty schools. This study explored the thoughts …

Examining Reframing Behavior Implementation: Teacher Perspectives And Discipline Patterns In Middle School, Francisco J. Hidalgo

Theses and Dissertations

This applied dissertation examined teacher-reported implementation of the Reframing Behavior (RB) Initiative at a middle school in North Central Florida. The districtwide training occurred in the 2024-2025 school year. The RB Initiative provides educators with opportunities to reframe how they address disruptive behaviors among students perceived as problematic, who may receive numerous disciplinary actions. Disciplinary actions can affect students’ academic and social lives. Using a convergent mixed methods design, the study addressed four research questions and examined implementation fidelity, teacher perceptions, school-wide discipline patterns, and teacher experiences with RB implementation.

The researcher surveyed 19 teachers and interviewed four teachers. The …

Does Integrating Parental Involvement In Therapy Improve Behavior In Children With Attention Deficit Hyperactivity Disorder?, Pamela Lassiter

Theses and Dissertations

The research problem was the lower success rate of interventions for children with attention deficit hyperactivity disorder (ADHD) because of the exclusion of parents in the counseling process. The purpose of the research was to explore if integrating parent involvement in therapy improved the behaviors in children with ADHD. The study occurred at a private mental health facility that used cognitive behavior therapy and behavior interventions with the children.

The study was guided by the phenomenological qualitative research design. Ten single parents of male children, ages 4 to 10 with ADHD, participated in this study. Parents were selected using a …