Digital Commons Network^™

The Challenges Of International Travel Insurance For Leisure Travellers With Pre-Existing Mental Health Conditions, Alison Mcintosh, Gregory Willson, Dhananjana Madushani Morayes Gajaweera Marthinna Moraslage

Research outputs 2022 to 2026

International leisure travel is deemed therapeutic for reducing stress and improving mental health and wellbeing, although unfamiliar environments can exacerbate pre-existing mental health conditions. Travel insurance plays a crucial role in mitigating risks for travellers. There is a lack of critical evaluation regarding how insurers assess risk, determine coverage eligibility and communicate exclusions. International travel insurance policies may contain restrictive clauses, ambiguous wording and outright exclusions that may disproportionately disadvantage travellers with pre-existing conditions, including mental health conditions. This paper evaluates whether New Zealand’s international travel insurance policies adequately accommodate travellers with pre-existing mental health conditions. Analysis of 23 international …

The Influence Of Self-Compassion On The Mental Health And Well-Being Of Women Experiencing Infertility: A Systematic Review, Shwikar Othman, Mitra Javanmard, Lauren Roberts, Lisa Conlon, Mary Steen

Research outputs 2022 to 2026

Infertility can cause significant distress to women, increasing the risk of anxiety and depression. This systematic review examined the influence of self-compassion interventions on mental health and well-being among women experiencing infertility. The review was conducted in accordance with Joanna Briggs Institute (JBI) methodology and reported following PRISMA guideline. Databases searched included Medline, Embase, Ovid nursing database, Emcare, PsycINFO and Cochrane Library from inception to November 2024. Quality assessment was conducted using JBI critical appraisal tools. Title and abstract screening was conducted by three reviewers, and data extraction was performed independently by two reviewers. Sixteen studies met the inclusion criteria, …

Who Seeks Help? Characteristics Of Doctors Accessing Mental Health Support In England: 4-Year National Review, Rohit Shankar

Peninsula Medical School

BackgroundMental health difficulties affect the well-being of doctors and compromise the delivery of healthcare. However, large-scale data on doctors’ mental health needs are limited.AimsDescribe patterns of self-referrals for mental health support among doctors in England and explore associations with demographic factors, speciality, neurodevelopmental and mental health indicators.MethodObservational study using data from doctors who self-referred for mental health difficulties to a national service in England over a 4-year period. Logistic regression was used to explore associations between speciality and mental health indicators.ResultsOf the 16 815 doctors who self-referred during the study period, 80% were under the age of 49 and 70.6% …

Exploring Barriers And Facilitators Of Mental Health Treatment For Law Enforcement Officers: The Impact Of Police Occupational Culture, April Reed

Graduate Studies Theses and Dissertations 2026

Prior research has explored the impact of police culture on mental health stigma among law enforcement, however, a deeper understanding about how different aspects of police culture may inhibit or facilitate mental health treatment utilization is needed to inform policy and practice. This dissertation explores the relationship between police culture and mental health using a qualitative research design. Twenty-five (n=25) law enforcement officers from a county sheriff’s office in Central Florida were interviewed and participant observations were conducted during a three-month period. The present study sought to address the following research questions: What are the experiences of the job and …

Online Risk And Harm For Marginalized Users: How Social Influence Amplifies Or Mitigates Vulnerability, Tangila Islam Tanni

Graduate Studies Theses and Dissertations 2026

Social media has reshaped how people connect, communicate, and influence one another, yet these environments also create harms that disproportionately affect marginalized users. Participation in online communities can expose users to identity-based harassment, emotional distress, and the normalization of harmful attitudes, shaping identity, well-being, and participation online and offline. Prior work has documented many forms of online harm, yet less is understood about how harmful norms and behaviors are reinforced across different forms of social media interaction, from private direct messages to online communities. Guided by the Social Ecological Model, this dissertation investigates how online harms toward marginalized users emerge …

Emotional Support Friends: Creating Social Impact Through Art And Polite Humor, Kenyari Gil Rosario

Graduate Studies Theses and Dissertations 2026

This thesis aims to provide new imagery to the conversation of mental health and neurodivergence. It does this through forms of soft sculpture, digital paintings, marker drawings, and community murals. Inspired by the practices of Keith Haring, iconographic characters are used to portray common struggles and coping habits of mental conditions in an endearing light. With the goal of social impact, this project is affiliated with the non-profit organization Providing Autism Links and Support (P.A.L.S). This partnership has given the community an opportunity to share their compassion through art and donations and uses art as a means of social impact …

The Complex And Multifaceted Nature Of Social Media: Perspectives From Young Adolescents, Parents And Experts, Cindy Branch-Smith, Diarmuid Hurley, Nasim Salehi

Research outputs 2022 to 2026

Purpose: This study explores the complex and multifaceted nature of social media use among young adolescents, drawing on the perspectives of young adolescents, parents and experts. It examines both the benefits and risks of social media and associated implications for adolescent mental health, self-development and social relationships. Methodology: A qualitative, interpretive design was utilised, using interviews across three stakeholder groups, with data analysed using reflexive thematic analysis. Findings: The analysis identified a range of perceived opportunities, benefits and challenges associated with adolescent social media engagement. Participants highlighted its role in fostering connection, education and self-expression, alongside significant risks, including cyberbullying, …

Measuring Lawyer Mental Illness: Evidence From Two National Surveys, Benjamin David Pyle, Clifford Rosky

Faculty Scholarship

The American Bar Association declared a “well-being crisis” among lawyers, but the empirical basis for this claim has been contested in recent years. This study systematically compares two high-quality, nationally representative surveys —the National Health Interview Survey (NHIS) and the National Survey on Drug Use and Health (NSDUH)—to measure the prevalence of mental illness and alcohol misuse among lawyers. In both surveys, lawyers report elevated rates of alcohol misuse compared to the general public and similarly educated peers. The NHIS finds that lawyers experience psychological distress at rates lower than the general public and similar to, or moderately higher than, …

Addressing Mental Health In College Athletics: Developing A Mindfulness-Centered Curricular Intervention For Student-Athletes And Coaches, Douglas W. Lampman

Electronic Theses & Dissertations (2024 - present)

Rising rates of mental health concerns among collegiate student-athletes have intensified calls for a more holistic approach to athlete development and well-being.  While student-athletes regularly interact with coaches and educators, few curricular interventions explicitly address mental and emotional wellness in the athletic context.

The purpose of this qualitative study was to examine the development, implementation, and perceived impact of a mindfulness-centered approach and curriculum.  This curriculum is designed explicitly for collegiate student-athletes and coaches.  Grounded in mindfulness-based pedagogy, the curriculum addressed stress management, emotion regulation, interpersonal relationships, performance anxiety, and personal growth.

Using a multi-tiered qualitative design, data were collected …

Weighing The Costs: Understanding How Eating Disorder History And Motivation For Use Impacts Experience On A Glucagon-Like Peptide-1 Receptor Agonist And Interest In Future Use, Kimberly M. Gauert

Electronic Theses & Dissertations (2024 - present)

Glucagon-Like Peptide-1 receptor agonist (GLP-1 RA) medications have become popular tools due to their effectiveness regarding weight loss and chronic disease management. The drastic increase in demand for these medications has led to widespread availability and an increase in “off-label” use for cosmetic purposes. Although GLP-1 RA medications have the potential to positively impact overall health and wellbeing, there is also concern regarding potential misuse of these medications by those with a history of eating disorder behaviors. However, few studies to date have examined the relationship between a history of eating disorder pathology, reason for GLP-1 RA use, and current …

Mental Health And Beliefs About Abortion Access Following Changes To Reproductive Healthcare Laws In 2022: Findings From Oklahoma, Munjireen Sifat, Laili K. Boozary, Tina N. Le, Julia Mcquoid, Brittany Zaring-Hinkle, Sarah Tonkin, Lizbeth Benson, Bingjing Mao, Motolani Ogunsanya, Ruosi Shao, Amy M. Cohn, Allyson Shortle, Darla E. Kendzor

Department of Medical Oncology Faculty Papers

INTRODUCTION: A secondary analysis of cross-sectional survey data was conducted to characterize beliefs about abortion access in Oklahoma, measure stress associated with the overturn of Roe vs. Wade (2022), and evaluate the potential relationship between post-Roe stress (PR stress) and mental health.

METHODS: From August through September 2022, adult Oklahomans (N = 1793) were surveyed about their sociodemographic characteristics, beliefs about abortion access, frequency of past-month stress related to the overturn of Roe vs. Wade, and mental health. Beliefs about abortion access were characterized overall and within sociodemographic groups. The relationship between PR stress and mental health was evaluated, and …

Rethinking Wash: Innovative Pathways To Address Water, Health, And Poverty, Erica L. Jensen, Emma Indart, Faith Manchester, Sebastian Dorantes, Isabelle Stoddard

Journal of Nonprofit Innovation

No abstract provided.

A Pilot Qualitative Study To Better Understand The Factors Related To Suicides And Inform Public Health Action Across A Predominantly Coastal And Rural Area: Cornwall, Southwest Of England: International Journal Of Environmental Research And Public Health, Paula Chappell, Jane Horrell, Kerryn Husk, Beth Simons, Richard A. Sharpe

Peninsula Medical School

Background: Better understanding factors leading to suicide and prevention opportunities is a global public health priority. This qualitative pilot study tested whether reviewing inquest recordings could generate insights during COVID-19 and inform public health prevention programmes across a predominantly rural and coastal area where there are significant health inequalities. Methods: Fifty-five inquest recordings reached a suicide conclusion between March 2020 and January 2021. Stratified sampling was used to obtain two samples from each month. Template analysis was employed to thematically analyse data from 30 inquests. Results: Risk factors during this period were social isolation, anxiety, difficulty in routine creation and …

Mapping Research Trends On Mental Health Literacy Among University Students: A Bibliometric Systematic Review, Eko Pramudya Laksana, Muslihati Muslihati, Arbin Janu Setiyowati, Salsabila Kholifahtun Nisa, Muhammad Nur Hudha, Margaret Kehinde Soetan

Jurnal Kajian Bimbingan dan Konseling

Mental health is a global issue that has received increasing attention, particularly among university students. Mental health literacy (MHL) is an important factor in promoting students' psychological well-being through knowledge, attitudes, and the ability to recognize and address mental health problems. This study aims to map the developmental trends of MHL research among university students in order to provide a comprehensive overview of the direction and focus of studies in this field. This research employed a bibliometric literature review approach by analyzing 48 journal articles indexed in the Scopus database and published between 2021 and 2025. The findings indicate that …

The Influence Of Perceived Social Support On Mental Health During Injury In Female Gaa Athletes., Clodagh M. O’Connor, Samantha Glynn Kelly

SURE Journal: Science Undergraduate Research Experience Journal

Injury recovery in sport involves not only physical rehabilitation but also significant psychological challenges, particularly for female athletes in amateur and elite environments. This study aimed to explore the perceived social support received by injured female Gaelic Athletic Association (GAA) athletes and the effect it had on their mental health during injury. A qualitative research design was employed to gain an in-depth understanding of the experiences of injured female athletes. Data were collected through semi-structured, one-on-one interviews, allowing for open-ended responses and the exploration of individual perspectives. The sample consisted of 10 female athletes aged between 18 and 32 years, …

The Kids Aren’T Alright, Amy B. Levin

Arkansas Law Review

It is not new that students struggle in law school. Research has shown for decades that, while students generally begin law school with healthy well-being, the competitive nature of law school combined with the stress of the Bar and securing post-Bar employment causes increased anxiety, depression, isolation, and related symptoms among students, especially women and underrepresented groups. What is new is the sheer number of law students struggling with serious mental health challenges today—a number that has reached crisis proportions.

This Article is divided into four parts. In Part I, I explore the mental health landscape for high school, college, …

Creating A Collaborative And Impactful Research Environment: Community Partner Reflections On The Destress-Ii Study, Jane Horrell, Alison Mcloughlin, Felicity Thomas, Kathryn Berzins, Susanne Hughes, Keith Guppy, Phillip Perkins, Ralph Corkhill, Debbie Sherlock, Saiqa Ahmed, Saima Gul, Keith Holt, Karen Coombes, Farheen Yameen, Oliver Hamer, Katrina Wyatt

Peninsula Medical School

Background: Patient and public involvement and engagement can improve the relevance and impact of research yet ‘impact’ is often framed narrowly around study findings rather than the experiences of those involved. Understanding how involvement affects individuals is important, particularly in areas such as mental health where there is significant potential for power differentials within the research process. The DeStress-II project co-developed a training resource to help primary care practitioners support people experiencing poverty-related mental distress. Community Partners with lived experience were integral to the project, contributing to training delivery, online resource co-production, and implementation analysis. This paper explores what supported …

Exploring K-Pop Fandom As A Space Of Support: The Case Of Lgbtq+ Fans From Australia And The Philippines During The Covid-19 Pandemic, Thomas Baudinette, Kelsey Scholes

Kritika Kultura

This article draws upon qualitative interviews with seventeen LGBTQ+ individuals to explore the role of K-pop fandom in providing support to queer communities during the COVID-19 pandemic. The article adds a new critical perspective into academic and journalistic accounts of K-pop fandom to insist on K-pop consumption as a practice that fundamentally improves fans’ mental health. Beginning by establishing how K-pop fandom spaces, particularly on social media, were considered to already support LGBTQ+ fans’ attempts to make sense of their gendered and sexual identities under societal heteronormativity, the article details specific benefits that LGBTQ+ fans experienced with regard to their …

Mind The Gap: Intergenerational Perspectives On Mental Illness Within Ghanaian American Communities, Ama Danso-Ayesu

Electronic Theses and Dissertations

This research explores attitudes toward mental illness among Ghanaian immigrants and

first-generation Ghanaian Americans, with particular focus on factors that influence

stigma. Guided by Bronfenbrenner’s Bioecological Model, the study utilized the

Community Attitudes Toward Mental Illness (CAMI) Scale to measure four dimensions

of stigma, including authoritarianism, benevolence, social restrictiveness, and community

mental health ideology. A comparative, cross-sectional design was employed to examine

differences between immigrant and American-born participants. The findings revealed

generational differences where Ghanaian immigrants reported higher levels of

authoritarian and socially restrictive beliefs, while first-generation Ghanaian Americans

demonstrated more benevolent and inclusive attitudes. Interpreted through the ecological

systems …

Nurturing Mature Adolescents: An Advanced Psycho-Educational Program Exploring The Effectiveness Of Social-Emotional Competence Among Adolescent Middle School Students- Phase I Action Research Pilot Study, Nkeiruka M. Maduike

Doctoral Dissertations and Projects

Adolescence is a critical period marked of development marked by increased emotional and social challenges that shapes adolescents’ future well-being. This Phase I qualitative action research pilot study examined the effectiveness of the Nurturing Mature Adolescents (N.M.A.) psychoeducational program in enhancing emotional regulation and interpersonal skills among middle school students. Guided by Bandura’s Social Learning Theory, nine participants aged 11–14 engaged in a four-week intervention featuring structured lessons, observational learning, and self-efficacy strategies. Pre- and post-interviews and demographic surveys were analyzed using descriptive, In Vivo, process, emotion, and evaluation coding methods. Findings revealed consistent improvements in emotional awareness, self-regulation, communication, …

Dance Movement For Wounded Warriors With Mental Health Diagnoses: A Phenomenology, Amelia Ann Forsmo

Doctoral Dissertations and Projects

The purpose of this phenomenological study will be to understand how dance movement can improve the psychological health of military veterans who are experiencing a mental health disorder such as posttraumatic stress disorder. The theories guiding this study are Carl Rogers’ humanistic perspective, Schlossberg’s transition theory, and the post-traumatic growth theory. A purposive sample of 12 to 15 veterans will be selected for participation in this study. Each veteran will have different military backgrounds, various battle wounds, and unique experiences with dance movement or dance movement therapy. For this reason, these perspectives allow each participant to be prioritized and heard. …

Effect Of Spirituality On The Mental Health Of Adults Who Experienced Bullying In Their Childhood, Celiana Rodriguez-Gonzalez

Doctoral Dissertations and Projects

Bullying experiences in childhood have been found to significantly affect mental health in adulthood, particularly through depression and anxiety. Spirituality has been identified as a protective factor for mental health, contributing to quality of life, satisfaction, and purpose. It may also buffer the effects of violence and bullying. This correlational study examined the relationships among childhood bullying, spirituality, and adult mental health in a sample of individuals from Puerto Rico (N=124). Specifically, whether spirituality moderates the relationship between childhood bullying and adult mental health outcomes. Results indicated that childhood bullying was moderately associated with higher levels of anxiety and depression, …

The Impact Of The Covid-19 Pandemic On Middle School Educators And The Need For Healthy Coping Techniques: A Transcendental Phenomenological Study, Dionne E. Mitchell

Doctoral Dissertations and Projects

In this transcendental phenomenological study, the researcher investigated how the Coronavirus Disease (COVID-19) pandemic impacted public middle school educators’ mental health and well-being (MHWB) and how they developed effective coping strategies in response. Using Lazarus and Folkman’s transactional stress and coping theory model and the social support theory as frameworks, the study explored the lived experiences of ten middle school instructors from the southeastern United States who taught during the COVID-19 pandemic. Semi-structured interviews, a focus group, and reflective diary entries were implemented as data collection methods. Thematic analysis identified several significant findings. Teachers faced professional challenges as they adapted …

The Invisible Struggle: Exploring The Experiences Of African American Women Diagnosed With Polycystic Ovary Syndrome (Pcos) And Their Interactions With Healthcare Providers, Trulissa L. Moore

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the lived experiences of African American women diagnosed with PCOS, focusing on their interactions with medical providers, perception of healthcare, and overall well-being. The cultural competence framework guided this study, and the patient-centered care model is a theory that operated within the broader cultural competence framework. The cultural competence framework and patient-centered care model took into consideration the systemic and individual issues that affect African American women diagnosed with Polycystic Ovary Syndrome. This study examined the difficulties African American women diagnosed with PCOS faced in healthcare, as well as their mental …

Integrating Peer Specialists In Primary Care: Narrative Review With Illustrative Examples, And Pragmatic Recommendations To Support Implementation, Emily M. Johnson, Christina Shook, Kimberly Barrie, Kyle Possemato

The Journal of Integrated Primary Care

Behavioral health peer support specialists, peers, are health care system employees with lived experience of mental health or substance use concerns who are trained and hired to support others with behavioral health concerns in behavioral health clinics and medical settings. Peer-delivered services have a long history and research consistently demonstrates evidence of varied benefits for a wide range of patients. Peers are increasingly being hired to work within primary care settings to support the needs of primary care patients with behavioral health concerns and enhance the interdisciplinary nature of integrated primary care teams. However, integration of peers into this new …

Fake News Y Redes Sociales: Cómo El Algoritmo En Torno A La Migración Afecta La Salud Mental, Maria F. Alarcon

Capstones

Las redes sociales son la principal fuente de información para migrantes latinos en Estados Unidos, pero también son un terreno fértil para fake-news que afectan la salud mental y desinforman.

Healing, Together, Courtney Cleek

Graduate Student Portfolios, Professional Papers, and Capstone Projects

This portfolio reviews the topics of mutual rehabilitation and the human animal bond (HAB) as a holistic approach to addressing topics of mental health, suicide prevention, and innovative services. Displaying work through the Ten Specialization Year Competencies and the Five Elements of Advanced Integrative Practice, we examine ways to expand social justice, amplify voices, and promote healing within our communities.

From Digital Distress To Wellness: Counseling Implications Of Social Media Use In Adolescents And Emerging Adults, Anna K. Owens, Arantxa Mascarenas

Faculty Articles

The pervasive use of social media among secondary and post-secondary students has raised significant concern regarding its impact on mental health and academic success. Excessive social media use (SMU) has been linked to anxiety, depression, social comparison, body image concerns, disrupted sleep, and diminished academic focus. These risks highlight the urgent need for counselors to integrate social media considerations into both clinical and educational practice. This article reviews evidence-based interventions that address the psychological and emotional consequences of SMU, including Cognitive Behavioral Therapy (CBT) to challenge distorted beliefs, mindfulness strategies to improve emotional regulation, digital detox programs to recalibrate online …

Making Space For Learning: Textile Based Learning Resources For Material Reuse, Mary-Evelyn Mcconkie Howell

Instructional Psychology and Technology Graduate Student Projects

This paper outlines two textile-based learning resources that I created for Making Space Thrift (MST), a community-focused creative thrift store in Utah. MST expressed a need for instructional materials that promote intentional material use, support customer well-being, and strengthen ties with their community. To address these needs, I conducted interviews with stakeholders and local textile hobbyists to understand what learning resources would benefit MST. As a result, I created two projects. The first is called Making Peace with Materials, an interactive, decision-based digital experience housed on the MST website. This resource helps learners navigate the emotional, practical, and sustainable …

Towards A Typology Of Mental Health Crisis Care Services For Children And Young People In England And Wales: A Cross-Sectional Survey And Analysis Of Implementation Practices, Clare Bennett, Claire Fraser, Ben Hannigan, Leanne Sawle, Jessy Williams, Aled Jones, Steven Pryjmachuk, Mair B. Elliott, Martin Elliott, Nicola Bennett, Euan Hails, Iain Mcmillan, Rachael Vaughan

School of Nursing and Midwifery

Background: The mental health and wellbeing of children and young people is a global concern. Alongside approaches emphasising mental health promotion in schools, communities and in the home, many countries are also investing in crisis services. These aim to meet the needs of young people experiencing acute psychosocial distress. A recent synthesis of the international evidence found a paucity of research in this area. This study sought to address this gap while simultaneously situating the findings within the international context and drawing out implications for policymakers and practitioners. Methods: A cross-sectional study aiming to describe and map approaches to the …