Digital Commons Network^™

Asian College Students' Well-Being During A Period Of Rising Anti-Asian Sentiment, Kyuhan Choi, Ying Shi, Maria Zhu

Center for Policy Research

We use a large survey of students in U.S. colleges to study the distinct ways in which the COVID-19 pandemic and accompanying anti-Asian rhetoric shaped the experiences of Asian and Pacific Islanders (APIs). Using a difference-in-differences approach, we find that the pandemic led to Asian students experiencing more discrimination, feeling less safe during the day, and using fewer mental health services compared to White peers. The increase in discrimination and the perceived lower safety are concentrated among East and Southeast Asians, while South Asians were not affected. Despite these effects, we detect no relative deterioration in severe psychological distress or …

A Transcendental Phenomenological Study Of The Effects Of Having A Mentor On The Emotional, Mental, And Spiritual Health Of Bi-Vocational Clergy, Kenneth E. Hall Jr.

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to understand the effect of a mentor/mentee relationship on the feelings of isolation and loneliness of bi-vocational clergy. The prevalence of bi-vocational clergy is on the rise across all denominations. Coupled with the number of clergy people leaving the ministry annually, bi-vocational clergy will become even more commonplace within the church structure. As the prevalence of bi-vocational clergy increases and the number of roles that they are expected to fill grows, safeguarding their mental, emotional, and spiritual health needs to be a priority. Bi-vocational clergy are at great risk for burnout and …

Understanding Medical Information And Emotional Support Needs In Mental Health Questions With Large Language Models, Chen Liu, William Yu Chung Wang, Gohar Khan

All Works

Purpose – This study seeks to bridge the gap between users’ multidimensional needs and the single-task capabilities of existing Mental Health Question Answering (MHQA) systems by tackling the underexplored challenge of jointly understanding medical informational needs and emotional support needs within complex consumer mental health inquiries. Design/methodology/approach – Grounded in Rhetorical Structure Theory (RST), the proposed Multi-Needs and Context Recognition (MNCR) framework decomposes mental health question understanding task into four interrelated subtasks: Medical Needs Recognition (MNR), Medical Needs-related Context Extraction (MNCE), Emotional Needs Recognition (ENR) and Emotional Needs-related Context Extraction (ENCE). A new benchmark dataset, MHQ-MedEmo, was constructed through multi-layered …

Investigating Dysfunctional Cognition Change As A Putative Mechanism Of Cbt For Youth Anxiety, Ocd And Ptsd: Protocol For An Individual Participant Data Meta-Analysis, Ivana Buric, Anke Klein, Ronald M Rapee, Brooke Levis, Philip C Kendall, Eric A Storch, Lynn Mobach

Faculty, Staff and Students Publications

Introduction: Anxiety disorders, obsessive-compulsive disorder (OCD) and post-traumatic stress disorder (PTSD) are common in children and adolescents and can lead to significant impairment. Cognitive behavioural therapy (CBT) with exposure is the first-line treatment, yet approximately half of treated youth do not achieve full remission. Dysfunctional cognitions-negative automatic thoughts, maladaptive beliefs and distorted interpretations-are considered key targets of CBT, but evidence in youth is mixed and underpowered. This study will examine whether change in dysfunctional cognitions mediates treatment outcome in anxiety, OCD and PTSD symptoms and whether this association varies across individual characteristics.

Methods and analysis: An individual participant data meta-analysis …

Quality Improvement Project: Nursing Faculty Mental Health Literacy Assessment And Evaluation, Elesha Roberts

Doctor of Nursing Practice Projects

Mental illness is a major healthcare concern affecting young adults enrolled in college. College students enrolled in nursing programs in particular face intense academic pressure due to the demands and rigor of the program. Students commonly report symptoms associated with depression, anxiety, and suicide. Nursing faculty often do not feel comfortable approaching students about these concerns and other related mental health issues. Many faculty members lack the knowledge and skill to identify mental health issues and provide resources to support students in need. Faculty should be mental health literate and aware of campus resources. The purpose of this quality improvement …

Hurricanes And Human Health In Louisiana: Insights From Hurricanes Laura, Delta, And Ida, Shobha Kumari Yadav, Robert V. Rohli, M. E. Betsy Garrison, Elisabeth Ponce-Garcia, Nazla Bushra, Charleen Mcneill

Faculty Publications

Louisiana is one of the most disaster-prone states, with hurricanes ranking among the most destructive hazards. Hurricanes impede sustainability by straining hospital infrastructure, overwhelming emergency departments, and disrupting continuity of care. Louisiana’s healthcare system, characterized by high uninsured rates, limited rural access, and notable racial and socioeconomic disparities, is particularly vulnerable during disasters. This research explores trends of mental and respiratory health in Louisiana surrounding Hurricanes Laura (2020), Delta (2020), and Ida (2021). Analysis reveals a substantial increase in admissions after landfall of all three storms, with mental health conditions showing a larger surge than respiratory ones in already-vulnerable communities. …

Let’S Talk Mental Health: An Assessment Of Oregon Agricultural Stakeholders Discussing Mental Health, Whitney Stone, Lauren Chase, Taylor Foerster

Journal of Human Sciences and Extension

Working in agriculture presents some unique mental health stressors, including financial difficulties, climate variability, and isolation. Currently, Extension offers mental health literacy programming addressing mental health and suicide in agricultural communities; however, some of the programming is underattended, and resources are underutilized. We sought to find out how communicating about mental health resources was perceived by agricultural stakeholders who work closely with farmers and ranchers, including agribusiness employees, leaders in the community, and pre-service agriculture teachers. Through this mixed-method study using focus groups and a survey, we wanted to find out the perceptions of mental health resources to help inform …

Full Issue, Volume 13, Number 3, Donna J. Peterson Dr., Scott Cummings, Elizabeth Gregory North

Journal of Human Sciences and Extension

No abstract provided.

From Stigma To Strength: Exploring Workplace Wellness At Nami Monterey County, Maria G. Zamudio

Capstone Projects and Master's Theses

Employees in Monterey County face persistent challenges related to poor mental health, driven by high costs of living, limited access to providers, workplace stress, and stigma surrounding help-seeking behaviors. The National Alliance on Mental Illness (NAMI) Monterey County, a grassroots organization committed to education and advocacy, primarily serves caregivers and families of individuals with mental illness but is expanding efforts to address systemic workplace mental health barriers. This capstone project involved designing and piloting workplace-focused interventions, including presentations for a Public Works Department, a customizable training binder, and pre/post-assessment tools. The initiative sought to reduce stigma, increase awareness of resources, …

Where's Waldo?: Finding The Missing Voice Of The College Counselor, Krystyn K. Dupree

LSU New Orleans Theses and Dissertations

College counseling has been integral to higher education for more than a century; however, the role of college counselors has become increasingly complex amid rising student mental health needs, growing symptom severity, and constrained institutional resources. Despite extensive research on college student mental health, little contemporary scholarship has examined the lived experiences of the professionals providing these services. The purpose of this qualitative study was to explore how college counselors who provide mental health services perceive their professional role within the context of higher education.

Guided by Bronfenbrenner’s ecological systems theory, this study conceptualized college counselors as embedded within interconnected …

Mental Health Outcomes Of A Pediatric-Focused Obesity Randomized Control Trial In Rural Communities, Brittany D. Lancaster, E. Goldenberg, A. S. Trofimoff, Y. Dai, B. Forseth, R. S. Romine, K. Fleming, Ann M. Davis

Publications

Objective: This study explores the impact of iAmHealthy, a rurally focused pediatric obesity intervention, on mental health outcomes and examines how baseline mental health affects body mass index (BMI) outcomes for child–parent dyads in rural communities. Method: Eighteen schools were randomly assigned to iAmHealthy or the Newsletter Control group. iAmHealthy consists of health coaching and group sessions via televideo. Child and parent height and weight, child depression, child quality of life, and parent distress were assessed at baseline, posttreatment (8 months), and follow-up (20 months) from October 2017 to December 2021. Multilevel modeling assessed treatment effects on mental health and …

Quality Improvement Project Enhancing Documentation Practices In Community Mental Health Clinics, Carol Parker

Doctor of Nursing Practice Projects

Accurate and timely documentation are essential for safe, high-quality care in community mental health settings. This quality improvement (QI) project addressed inconsistent documentation practices among licensed, unlicensed, and Qualified Mental Health Specialist (QMHS) staff at an outpatient clinic. The purpose of the QI project was to implement and assess a structured in-service training program using the Accountable Health Communities–Health-Related Social Needs (AHC-HRSN) screening and documentation tool to improve staff knowledge, enhance documentation accuracy, and facilitate care coordination. Guided by the Iowa Model of Evidence-Based Practice and Lewin’s Change Management Model, a pre- and post-intervention design was used. Fifteen staff members …

Evaluation And Identification Of Risk Factors For Stress Among Maquiladora Workers Based On The Mexican Official Standard 035 Survey Tool, Andrea Baca Melendez

Open Access Theses & Dissertations

Background and significance: Occupational psychosocial risk factors are workplace conditions that can trigger physiological, emotional, cognitive, and behavioral changes. They are strongly associated with mental health issues such as anxiety and depression, as well as non-mental health conditions like myocardial infarction, stroke, and occupational injuries. Analyzing these risks from a sociodemographic perspective provides valuable insights for improving work environments and workers’ well-being. Purpose: This study aimed to identify and determine the levels of occupational psychosocial risk factors among workers in a manufacturing company in Cd. Juárez, Chihuahua, and to examine their relationship with sociodemographic variables to inform future interventions in …

Gender Differences In Psychological Strengths Among Rural Adolescents, Angela Preston, Jodi Bullard, Rachel Smith, Ashlyn Peppler

Nursing Faculty Publications and Presentations

Purpose: Rural adolescents often lack access to mental health care along with increased rates of depression and suicide completion. While psychological strengths have been associated with positive outcomes globally, little is known regarding the prevalence of these indicators (hope, self‐efficacy, resilience, optimism, and gratitude) among adolescents living in rural Texas. The purpose of this study was to describe how rural adolescents report their psychological strengths and examine the data for potential gender differences.

Design and Methods: A secondary analysis of cross‐sectional data was performed on the RStudio platform using tests of central tendency and inferential statistics. Results: There were 425 …

Drought, Worry, And Preparing For The Future: The Ethnopsychology Of Climate Distress In Kilifi County, Kenya, Edna Bosire, Syed Wahid, Linda Khakali, Benjamin Oestericher, Felix Agoi, Anthony Ngugi, Rosebella Iseme, Jasmit Shah, Zul Merali, Lukoye Atwoli

Brain and Mind Institute

The impacts of climate change in sub-Saharan Africa (SSA) presents a chronic and intensifying disaster, with drought, flooding, and extreme heat, presenting unique challenges and profound disruptions. Growing evidence links such events to ecological grief, ecological anxiety, and solastalgia – negative affective states that reflects responses to climate change related destruction of nature, species, culturally significant or sacred spaces, and other ways of life. While this literature is expanding in the Global North, little is known about how communities in SSA perceive and respond to deteriorating or depleting natural ecosystems. This article explores the ethnopsychology of distress precipitated by environmental …

Barriers To Mental Health Access Among Immigrant Populations In The U.S., Cecilia Menzinger

Capstones

No abstract provided.

Bridging The Gap: Culturally Responsive Bereavement Support In Latino Families, Maria I. Hernandez

Capstone Projects and Master's Theses

Hospice of the Central Coast (HCC), a division of Montage Health, delivers high-quality end-of-life care and bereavement support to adults and families in Monterey and select areas of San Benito County. This capstone project sought to address the disparities by developing and implementing an eight-week bereavement support group curriculum translated and adapted for Spanish-Speaking Latino families. Despite the organization’s longstanding commitment to compassionate and inclusive healthcare, internal data reveal substantial gaps in service for the latino population: of 628 patients served in 2023, only 47 patients were of Hispanic or Latino origin. This discrepancy stems from ingrained barriers such as: …

Influence Of Food Insecurity On Adolescent Mental Health: A Comprehensive Literature Review, Sarah Foss

Capstone Experience: Master of Public Health

Food insecurity is a growing public health concern with significant implications for adolescent mental health. This literature review provides an overview of current research on the relationship between food insecurity and adolescents’ mental health in the United States. A literature review was completed to identify studies examining the association between food insecurity and anxiety, depression, or attention deficit disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD). Evidence shows that the experience of food insecurity in adolescence is associated with a higher risk of developing or experiencing an exacerbation of anxiety, depression, or ADD/ ADHD. This review utilizes the socioecological model to explain …

Associations Between Food Insecurity And Gpa Among Full-Time California State University Undergraduates During Covid-19: The Impact Of Mental Health, Lindsey Jones

Master's Theses

Food insecurity is a persistent public health concern among college students that has been associated with student’s academic and mental health outcomes. This thesis examined the associations between food insecurity, academic performance (measured by GPA) and mental health (using Kessler 6 psychological distress and self-perceived mental health impacts on academic performance), among full-time undergraduate students within the California State University (CSU) system. Cross-sectional analyses were conducted using data from the Spring 2021 CSU National College Health Assessment, administered across all 23 campuses. Of the 20,167 respondents, 12,899 students were included in the analytical sample. Bivariate analyses were conducted to analyze …

As Effective As You Perceive It: The Relationship Between Chatgpt’S Perceived Effectiveness And Mental Health Stigma, Scott N. Hannah, Deirdre Drake, Christopher D. Huntley, Joanne M. Dickson

Research outputs 2022 to 2026

Individuals are increasingly using artificial intelligence chatbots, such as ChatGPT, to seek conversational support for their personal mental health difficulties. Heightened concerns about mental health stigma may make anonymous, on-demand chatbot interactions more appealing for some than traditional face-to-face support. This study examined if using ChatGPT-4 for personal mental health difficulties is associated with two distinct forms of stigma, anticipated stigma and self-stigma. Our main aim was to investigate if the perceived effectiveness of ChatGPT use for mental health issues mediates the relationship between ChatGPT usage and anticipated stigma and self-stigma. The sample comprised 73 participants, mostly undergraduate psychology students. …

Chatgpt As A Mental Health Ally: A Study On College Students’ Adoption Of Ai For Therapy, Alya Albastaki

Theses

This research investigates college students’ use of ChatGPT for mental health support, addressing a population with high unmet mental health needs due to barriers like accessibility and cost. Through a mixed-methods study, which included a survey of 126 students and sentiment analysis of 1,200+ social media posts, the research examined adoption prevalence, gender influences, and perceived benefits and limitations. Survey findings show 40.5% of students use ChatGPT for mental health, especially those with self-reported challenges. Female students reported higher adoption, linked to greater mental health needs and openness to supplementary support. Key benefits included 24/7 access, anonymity, and low cost, …

The Relationship Between Socioecological Factors And Resilience Among Urban Workers During The Covid-19 Pandemic, Puttaporn Onkhamsee, Sukanya Tantiprasoplap,, Wanna Sanongdej

Jurnal Keperawatan Indonesia

The global outbreak occasioned by the coronavirus disease 2019 (COVID-19) has affected people of working age in urban communities, both socially and psychologically, making resilience an important aspect of efforts to cope with such a crisis. Against this backdrop, this study identified and investigated the socioecological factors associated with the resilience of employable urban residents against the COVID-19 pandemic as part of a conceptual framework that encompasses individual, family, and community resilience. This cross-sectional research involved 368 working-age individuals recruited via simple randomization from communities in seven areas in central Bangkok. Data were collected through a questionnaire survey and examined …

Quality Improvement Project: Standardized Medication Reconciliation Process Training: A Path To Improve Staff Medication Confidence, Christologus Obi

Doctor of Nursing Practice Projects

Medication reconciliation represents a critical safety process in psychiatric healthcare, where medication discrepancies affect up to 67% of hospitalized patients, with 30-40% potentially causing significant harm. This quality improvement project implemented a standardized medication reconciliation training program at a Texas mental health facility to address knowledge and confidence gaps among clinical staff. Using Kotter's 8-Step Change Model and the Iowa Model of Evidence-Based Practice, this quasi-experimental pre-post intervention study delivered three 30-minute interactive sessions to 12 multidisciplinary healthcare professionals. The evidence-based intervention introduced a 3-phase reconciliation model focused on obtaining accurate medication histories, documentation, and discrepancy resolution. Data collection used …

Stigma And Barriers To Seeking Mental Health Care Among Emergency Department Providers – A Mixed Methods Study, Shannon C. White, Charlotte H. Harris, Ravindra Gopaul, Joshua M. Smyth

Student Papers, Posters & Projects

High levels of psychological distress and depression are common among clinicians working in US emergency departments [ED], yet treatment-seeking remains rare, contributing to burnout and negative well-being. Reluctance to seek care often reflects concerns about negative consequences (e.g., stigma, negative professional impact). We sought to characterize the availability of mental health resource availability, beliefs about seeking care, and barriers faced by emergency department healthcare providers. A sequential mixed-method design was employed. Phase 1 included a survey of ED physicians, advanced practice providers (APPs; i.e., nurse practitioners and physician assistants) and medical residents at an academic medical center. The survey assessed …

Bridging Traditions: A Mixed Methods Systematic Review Of Yoga For Trauma Recovery In Indigenous People, Andreia Schineanu, Fredrik Velander, Julaine Allan

Journal of the Australian Indigenous HealthInfoNet

Objective: The aim of this mixed methods systematic review was to explore if Yoga can alleviate mental health issues for Indigenous people, and how participants experience the effects.

Methods: Peer-reviewed primary research published in English retrieved from 2002 to March 2024 was identified using the databases Medline, Scopus, Informit, ProQuest and PsycINFO. Qualitative, quantitative and mixed method studies with Indigenous populations, where the primary intervention was Yoga or mindfulness programs with significant yoga components that reported on mental health outcomes were included.

Results: Only 5 studies met the inclusion criteria. The studies demonstrated significant improvements in mental health outcomes, including …

State Of Ohio Adversity And Resilience (Soar) Study Protocol: A Comprehensive, Multimodal, Family-Based, Longitudinal Observational Investigation Of Risk And Resilience In Mental Health And Substance Use Disorders, Chris Flask, Martha Sajatovic

Faculty Scholarship

Introduction Deaths related to drug overdose and suicide in the USA have increased 500% and 35%, respectively, over the last two decades. The human and economic costs to society associated with these - €- deaths of despair' are immense. Great efforts and substantial investments have been made in treatment and prevention, yet these efforts have not abated these increasing trajectories of deaths over time. The COVID-19 pandemic has exacerbated and highlighted these problems. Notably, some geographical areas (eg, Appalachia, farmland) and some communities (eg, low-income persons, - €- essential workers', minoritised populations) have been disproportionately affected. Risk factors have been …

Policy Project: Creating An Animal Assisted Therapy Policy For A College Of Nursing, Brooke Peyton

Doctor of Nursing Practice Projects

Nursing students experience high levels of academic stress, anxiety, and burnout, which can negatively impact learning, professional development, and overall health. Evidence indicates that Animal-Assisted Therapy (AAT) has the potential to impact stress levels, improve community connection, and enhance overall well-being among nursing students. Many academic institutions lack structured policies to guide AAT programs into educational settings. The purpose of this Doctor of Nursing Practice project was to develop a formal AAT policy for the College of Nursing with standardized procedures to implement an AAT program. Rogers’ Diffusion of Innovations theoretical framework was used to guide the development of the …

Cross-Pollination Of Ideas: Exploring The Mental Health Implications Of Academic Pressure In Dual Enrollment Programs For Students, Lorenzo Rene

Concurrent Enrollment Review

The research examined the mental health implications due to the DE program’s academic pressure on students. The available literature demonstrates that the DE program is associated with a large number of students entering colleges, academic success in college, and self-confidence development. Nevertheless, the DE program exerts some pressure on the high school learners in terms of their mental health. Besides managing the high school curriculum, DE students are supposed to complete the relevant degree courses in the DE program. This leads to duplication of academic classes that strains the work-life balance, leading some students to encounter high levels of stress …

Psychological Impact Of Pulmonary Embolism: A Narrative Review., Farooq Hyder, Hina Pervaiz, Fnu Karishma, Daya Kumari, Poonam Kumari, Ali Karim, Hari Vishal Nenwani, Allah Warayo, Kishor Kumari, Muhammad Salman, Abida Parveen, Mubeena Javid, Raveena Bai Bansari

Journal of Community Hospital Internal Medicine Perspectives

Background: Pulmonary embolism (PE) is a potentially life-threatening thromboembolic condition that demands urgent medical attention. While significant strides have been made in the diagnosis, treatment, and prevention of PE, its long-term psychological consequences remain underexplored. Survivors often face considerable emotional and psychological challenges that can impair recovery and reduce quality of life. This narrative review aims to explore the psychological impact of PE, including common mental health outcomes such as anxiety, depression, post-traumatic stress disorder (PTSD), and health-related fears. It also examines contributing factors such as persistent physical symptoms, anticoagulation therapy, social and occupational disruptions, and gaps in mental health …

Pow, Bam, Snikt: Using Superheroes To Teach Mental Health, Christopher Dabbs

Journal of Thematic Instruction

Undergraduate psychopathology (abnormal psychology) courses traditionally emphasize case vignettes of individuals with psychiatric disorders to illustrate etiology, nosology, and treatment. While pedagogically useful, these depictions can inadvertently provoke distress in students, potentially impeding engagement and learning. To address this dilemma while continuing to center the same learning outcomes, I formulated a course structure which embedded some course topics in superhero-related material with the express intent to create psychological distance between potentially distressing topics and the learners themselves. This commentary provides background for the course, evidenced-based rationale for specific pedagogical choices alongside topical material recommendations, and ends with personal reflections.