Digital Commons Network^™

Acceptance And Commitment Therapy With Pancreatic Cancer: An Integrative Model Of Palliative Care-A Case Report., Catherine Virginia F O'Hayer, Kevin Mitchell O'Hayer, Ashwin Sama

Department of Medical Oncology Faculty Papers

Background: This case study examines the feasibility of application of an acceptance-based behavioral therapy, acceptance and commitment therapy (ACT), to a patient with end-stage metastatic pancreatic cancer, depression, and anxiety, as a form of integrative palliative care.

Case Presentation: ACT allowed the patient to identify her values of resuming her religious connection, improving relationships with family members and trusted friends, and organizing her affairs before death. As a result, the patient was able to remain engaged in cancer treatments despite side effects that she had previously deemed intolerable. She was able to move toward her values despite health-related and depression-related …

Anxious?: Re-Designing Women’S Jewelry To Help Manage Symptoms Of Anxiety Disorders, Nourbanu Feras Hijazi

Theses and Dissertations

Anxiety is a common and often stigmatized condition. Destigmatizing mental disorders can positively impact people’s interaction and communication with others and can prompt conversations in which people share their experiences with mental health, leading to improved societal understanding and perception.

My design solution tackles behavioral symptoms of anxiety, specifically two conditions that fall under obsessive-compulsive behavior: Dermatillomania and Trichotillomania. By redesigning women’s jewelry to specialized accessories, my intention is for these objects to help destigmatize these conditions and relieve symptoms of maladaptive behaviors and hurtful impulses. By redirecting these irresistible urges to an external artifact, the objects are designed to …

Examining The Interacting Effects Of Marital Role Salience And Satisfaction On Mental Health Trajectories Of Female Expatriates, Kaitlin M. Patton

Clinical Psychology Dissertations

Expatriate populations encounter significant change throughout their expatriation experience, yet little is known about the individual expatriate’s mental health changes throughout the first year of this process. Even less explored is the impact that marital satisfaction and marital role salience have on the mental health trajectories of this population. Using hierarchical linear modeling, this study examined the mental health trajectories of a cohort of females (N = 32; age M = 38.63, SD = 2.65) moving with their spouses to Turkey. Further, the moderating effects of marital satisfaction (KMSS; Schumm, Milliken, Poresky, Bollman, & Jurich, 1983) and marital role …

Working Mothers: The Relationship Between Intensive Mothering And Work-Family Conflict, Casey E. Baker

All Graduate Theses, Dissertations, and Other Capstone Projects

This study examined the relationship between intensive mothering constructs and work-family conflict of working mother. The study consisted of 412 participants who identified themselves as mothers who work outside of the home. Participants identified mainly as Caucasian (97.57%), in a domestic partnership (80.3%), who worked 40 hours or more outside of the home (70.9%). The majority believed their work schedule was flexible (58.2%) and worked standard hours (86.2%). Results indicated mothers who worked outside of the home 10-20 hours per week were less likely to endorse Child-Centered, Stimulation, and Essentialism beliefs. Mothers who worked outside of the home 1-10 hours …

Percieved Barriers To Developing A Successful School-Based Mental Health Program, Danielle C. Peterson

Doctorate in Education

For students to be successful in school, all their needs must be met. Mental and emotional well-being are core conditions for overall health necessary to lead a happy and productive life, to form healthy relationships, and to successfully adjust to change and overcome difficulties (Burton, Pavord, & Williams, 2014; Minnesota Department of Health, 2002). School-based mental health (SBMH) is one method for schools to make a positive change on the mental health status of children. The prevalence of mental health disorders in youth is increasing at an alarming rate. One in five students in America’s public schools have significant mental …

Acculturation, Biculturalism, And Familistic Cultural Values' Relationship With Latino Mental Health, Nathalie Gonzalez

Open Access Theses & Dissertations

As the Latino population increases in the United States, mental health professionals encounter mixed research findings on immigrant mental health. There seems to be an epidemiological paradox in relation to Latino mental health and the effect that acculturation has on anxiety and depression symptoms among this minority population. One discernible research limitation in the existing literature is that researchers measure acculturation as a unidimensional, rather than multidimensional, construct. The present study examined not only acculturation, but also biculturalism, as correlates of depression and anxiety symptoms in a Latino population. Additionally, the present study identified potential Latino cultural buffers against depressive …

Suicide Attempts In Latinx: Findings From A Household Survey Among A Predominantly Mexica-American Sample Living In El Paso, Tx, Giovanna Monique Perez

Open Access Theses & Dissertations

Suicidality in the U.S. has increased dramatically in recent years (Stone et al., 2018). In 2016, 1.3 million U.S. adults attempted suicide (NIMH, 2018). The demographic breakdown showed that Latinx adults had a suicide attempt rate of 6%. In addition, among Latinx adolescents rates were highest among Latinx students (11.3%) compared to white students (6.8%) (CDC, 2016). Latinx are the largest minority in the United States and make up 17% of the U.S. population (United States Census Bureau, 2016). El Paso presents a unique demographic since over 80% of the city's population is Latinx (Pew 2016). To date, there has …

The Faa’S Mental Health Standards: Are They Reasonable?, Katie Manworren

Journal of Air Law and Commerce

No abstract provided.

Developing A Mental Health Eclinic To Improve Access To And Quality Of Mental Health Care For Young People: Using Participatory Design As Research Methodologies, Laura Ospina-Pinillos, Tracey A. Davenport, Cristina S. Ricci, Alyssa C. Milton, Elizabeth M. Scott, Ian B. Hickie

Medical Papers and Journal Articles

Background: Each year, many young Australians aged between 16 and 25 years experience a mental health disorder, yet only a small proportion access services and even fewer receive timely and evidence-based treatments. Today, with ever-increasing access to the Internet and use of technology, the potential to provide all young people with access (24 hours a day, 7 days a week) to the support they require to improve their mental health and well-being is promising.

Objective: The aim of this study was to use participatory design (PD) as research methodologies with end users (young people aged between 16 and 25 years …

Mental Health Difficulties And Service Use Of Incarcerated Women: The Influence Of Violence Perpetration And Victimization, Rachel C. Casey

Theses and Dissertations

The present study aimed to expand the knowledge base regarding incarcerated women’s experiences with violence and their mental health with the goal of identifying avenues for more tailored, compassionate responses to their mental health difficulties in both macro and direct practice contexts. To achieve this aim, a secondary data analysis was performed using data from the Survey of Inmates in State Correctional Facilities (SISCF) completed by the Bureau of Justice Statistics (BJS) in 2004. Six research questions pertaining to women’s experiences with violence and their mental health difficulties and service utilization guided the inquiry, which involved univariate, bivariate, and multivariate …

Psychometric Properties Of A Modified Moral Injury Questionnaire In A Military Population, Abby L. Braitman, Allison R. Battles, Michelle L. Kelley, Hannah C. Hamrick, Robert J. Cramer, Sarah Ehlke, Adrian J. Bravo

Psychology Faculty Publications

Moral injury (MI) results from perpetration of or exposure to distressing events, known as morally injurious events (MIEs), that challenge moral beliefs and values. Due to the type of involvement in recent military conflicts, many veterans report MIEs that may cause dissonance and, in turn, MI. Although 2 existing measures assess MIEs, neither currently assesses the defining characteristics of MI (i.e., guilt, shame, difficulty forgiving self and others, and withdrawal). The present study reports the initial psychometric test of a modified version (Robbins, Kelley, Hamrick, Bravo, & White, 2017) of the Moral Injury Questionnaire—Military version (MIQ-M; Currier, Holland, Drescher, & …

Child Abuse, Mental Health And Sleeping Arrangements Among Homeless Youth: Links To Physical And Sexual Street Victimization, Kimberly A. Tyler, Rachel Schmitz

Department of Sociology: Faculty Publications

Physical safety is a primary concern among homeless youth because they struggle to secure basic necessities and a permanent place to live. Despite this, studies have not fully examined the numerous linkages that might explain risk for victimization within the context of material insecurity. In this study, we examine multiple levels of both proximal and distal risk factors at the individual (e.g. mental health), family (e.g. child abuse), and environmental levels (e.g. finding necessities) and their associations with physical and sexual street victimization among 150 Midwestern homeless youth. Results from path analyses show that child physical abuse is positively associated …

Effects Of Geography On Mental Health Disparities On Sexual Minorities In New York City, Jacob Felson, Amy Adamczyk

Publications and Research

Gay and lesbian individuals have higher rates of psychological distress than do heterosexual individuals. The minority stress hypothesis attributes this disparity to adversity related stress experienced by sexual minorities. In support of this idea, research in the U.S. has generally found that mental health disparities between sexual minorities and others are narrower in places where tolerance is relatively high. However, few studies have examined disparities between sexual minorities and others in neighborhoods where sexual minorities are most highly concentrated. Likewise, little research attention has been given to disparities for people who move to more tolerant places from less tolerant states …

Exploring The Discourses Of Compulsive Hair-Pulling: A Body-Mapping Study, Julia Mason

Theses and Dissertations (Comprehensive)

Compulsive hair-pulling (which is sometimes diagnosed as the OCD-Related Disorder, Body-Focused Repetitive Behaviour, "Trichotillomania)" is an understudied experience that has significant social and emotional impacts on the women that it affects. This study focused on the meanings that are derived from the interactions that women with compulsive hair-pulling experience with social discourses surrounding mental illness, physical appearance, and behaviour. Guided by relativist ontology and the co-creation of understanding between researcher and participants, this qualitative exploration was guided by anti-oppressive practice and used an arts-based research method called Body-Map Storytelling. In group format, four women were invited to describe their knowledge, …

Social And Behavioural Factors Associated With Depressive Symptoms Among University Students In Cambodia: A Cross-Sectional Study, Chanrith Ngin, Khuondyla Pal, Sovannary Tuot, Pheak Chhoun, Rosa Yi, Siyan Yi

OBJECTIVE: To explore social and behavioural factors associated with depressive symptoms among university students in Cambodia.

DESIGN: Cross-sectional study.

SETTINGS: Two public universities-one in the capital city of Phnom Penh and another in Battambang provincial town.

PARTICIPANTS: This study included 1359 students randomly selected from all departments in the two universities using a multistage cluster sampling method for a self-administered questionnaire survey in 2015.

PRIMARY OUTCOME MEASURE: Depressive symptoms measured by using the Center for Epidemiologic Studies Depression scale. All measures in the study were self-reported.

RESULTS: The proportion of students with depressive symptoms and severe depressive symptoms were 50.6% …

Men's Receptivity To Mental Health Help Seeking Intervention Messages: The Effects Of Message Sender Gender And Message Content, Faye Lafond

Scripps Senior Theses

Men are much less likely to seek out mental health care services than women, despite having equally significant mental health related needs. The purpose of this study was to explore the impact of the construction and delivery of intervention messages designed to encourage men to seek help for mental health concerns. 225 men in the United States were randomly assigned to one of 4 vignette conditions featuring a pro-mental health help seeking message, varying based on the gender of the sender of the message (male vs. female) and based on the inclusion of information concerning misconceptions about therapy (inclusion vs. …

Therapeutic Alliance Through Person-Centered Therapy: An Influential Factor In Long-Term Utilization Of Mental Health Services Among Asians In The United States, Lahela Ashlee Rice Jorgenson

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

While the Asian population in the United States is growing vastly and there is an abundance of literature regarding barriers to utilization of psychological services for this population, there remains minimal research on positive or facilitative factors for those who do utilize services and do not prematurely terminate treatment. The purpose of this study was to explore possible factors that promote clients' utilization and commitment to mental health services, as reported by Asian clinicians working with an Asian American population. This study was performed through a descriptive qualitative approach consisting of semi-structured interviews with four clinicians providing mental health services …

Behavioral Health In Rural America: Understanding Citizen Perceptions And Willingness To Respond To Community Needs, John M. Keesler, Helen Johnston, Jonah Simon, Taegan Anthony, Meagan Barnhart, Madison Bartlett, Janet Delong, Sharon Galloway, Melissa Kilpatrick, Jonathan Laucella, Hope Moreland, Gaby Ryan, Valerie Shannon

Contemporary Rural Social Work Journal

Amid nationwide efforts to address behavioral health needs, rural communities often face unique challenges and a lack of resources. This study presents a bottom-up approach used by one rural community in the Midwest to respond to their needs regarding mental health and substance use. A survey instrument was developed from interviews with community stakeholders and disseminated in both online and paper formats. The survey sought to understand citizen perspectives regarding quality of life, barriers to treatment, and willingness to engage in efforts to address the community’s needs. Data from 1,303 respondents (71.5% women, 54.7% income <$42,000) were analyzed using descriptive statistics and chi-square analyses. Results indicate that cost of treatment, shame, and lack of privacy were a barrier for most citizens’ treatment-seeking behavior. In addition, many citizens were willing to engage in strategies to address the community’s needs, including increased county spending, forming a neighborhood watch, and donating money. Differences associated with gender and income emerged across perceptions and willingness to support efforts. Implications for community efforts are discussed.

Working With Transnational Women From Latin American Countries From A Feminist Therapy Framework: A Guide For Mental Health Providers Working With This Population, Diana Hinojosa

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

The experiences of transnational families in the United States have largely been examined as they relate to the impact that separation and migration have on the family system. In most recent years, women have assumed the experience of migration and have moved to countries like the United States to work and provide for their families back home. Transnational families are typically understood as family members who live separated from each other, often across national borders, but continue to maintain unity and connections with each other. The following literature review will examine the social factors impacting Latin American women’s decision to …

Exploring The Preparedness Of Novice (Student) Paramedics For The Mental Health Challenges Of The Paramedic Profession: Using The Wisdom Of The Elders, Lisa Holmes

Theses: Doctorates and Masters

This study investigates the preparedness of novice (student) paramedics for the mental health challenges of the paramedic profession and identifies the coping strategies used by veteran paramedics to successfully meet these challenges. The lived experience of veteran paramedics is utilised to provide this important assistance.

Initially, two surveys were developed and administered to 16 course coordinators and 302 students of the 16 accredited undergraduate degree paramedicine courses across Australia and New Zealand, to identify the perceived need (for preparation) within the curriculum. In addition, the anticipations, confidence and fears of novice (student) paramedics, course coordinators and veteran paramedics were also …

Factors That Influence Whether Mexican Americans With Depression Seek Treatment, Irene Rodriguez

Walden Dissertations and Doctoral Studies

Mexican Americans, the largest Hispanic subgroup in the United States, tend to underuse mental health services. Grounded in Andersen's behavioral model of health services use, the purpose of this nonexperimental study was to examine the likelihood of birth country, education, income, and insurance predicting which respondents would report seeking mental health services to treat depression. The Mini International Neuropsychiatric Interview was used to diagnose depression in 203 Mexican Americans whose data was archived from the primary study. This archived data was analyzed within this study. The results of the 2 x 2 chi-square tests of independence indicated a significant association …

Quantifying The Spectrum Of Depression, Octavious Bishop

Walden Dissertations and Doctoral Studies

Walden University

College of Social and Behavioral Sciences

This is to certify that the doctoral dissertation by

Octavious Bishop

has been found to be complete and satisfactory in all respects,

and that any and all revisions required by

the review committee have been made.

Review Committee

Dr. Thomas Edman, Committee Chairperson, Psychology Faculty

Dr. Ricardo Thomas, Committee Member, Psychology Faculty

Dr. Joanna Bissell-Havran, University Reviewer, Psychology Faculty

Chief Academic Officer

Eric Riedel, Ph.D.

Quantifying the Spectrum of Depression

by

Octavious Bishop

MA, University of Texas at Austin, 2008

BS, University of Texas at Austin, 2001

Dissertation Submitted in Partial Fulfillment …

Reintegration Among Combat Veterans Suffering From Psychological Conditions, Virginia Falck

Walden Dissertations and Doctoral Studies

Active duty personnel as well as combat veterans of the United States often engage in military operations during their service that require deployments to participate in missions, which may lead to extended periods away from home. When active duty men and women are appointed to combat zones, they may return with psychological burdens such as post traumatic stress disorder, which can complicate their reintegration into civilian life. This study explored the experiences of combat veterans who faced challenges when returning home from a war zone, along with the experiences of their family members. The study involved 26 combat veterans, spouses, …

Effects Of Patient Protection And Affordable Care Act On Behavioral Health Access, Godwin Oshegbo

Walden Dissertations and Doctoral Studies

About 50% of adults in the United States suffer from at least 1 mental health challenge in their lifetime. Annually, mental health and substance use disorders cost the United States about $800 billion, leaving individuals with unaffordable cost of care and the nation with diminished productivity and revenue. With the Essential Health Benefits and Medicaid expansion under the Patient Protection and Affordable Care Act (PPACA), healthcare resources were created to address gaps in behavioral healthcare. There is a need to understand how the healthcare law has influenced the availability of behavioral health services and access to needed care. This study …

A Meta-Analysis Of Video Based Interventions In Adult Mental Health, Lauretta Kaye Montes

Walden Dissertations and Doctoral Studies

Symptoms of mental illness such as anxiety and depression diminish functioning, cause distress, and create an economic burden to individuals and society. This meta-analysis was designed to evaluate the effectiveness of video based interventions (VBIs) for the treatment of adults in mental health settings. VBIs comprise four different ways of using video in mental health therapy, including video modeling, video exposure, video feedback, and videos used for psychoeducation. Bandura's social learning theory, Beck's cognitive theory, and Dowrick's theory of feedforward learning form the theoretical framework for understanding how VBIs work. The research questions were: (a) what is the range of …

Adolescent Engagement In Home-Based Treatment: An Action Research Study, Krystal Finch

Walden Dissertations and Doctoral Studies

Adolescent engagement in home-based treatment is a challenge within the social work field. Studies have suggested that the foundation of clinical practice relies on the clinician's ability to understand the process of engaging adolescents in treatment, which may also include a period of adaptability, relatability, and connectedness within the treatment setting. The purpose of this study is to explore the clinical practice approaches, roles, and experiences utilized in home-based treatment to adolescents residing in a large city in northeastern United States. This study was grounded in the ecological systems theory which provides social workers with an opportunity to assess the …

Using New And Innovative Technologies To Assess Clinical Stage In Early Intervention Youth Mental Health Services: Evaluation Study, Laura Ospina-Pinillos, Tracey A. Davenport, Frank Iorfino, Ashleigh Tickell, Shane Cross, Elizabeth M. Scott, Ian B. Hickie

Medical Papers and Journal Articles

Background: Globally there is increasing recognition that new strategies are required to reduce disability due to common mental health problems. As 75% of mental health and substance use disorders emerge during the teenage or early adulthood years, these strategies need to be readily accessible to young people. When considering how to provide such services at scale, new and innovative technologies show promise in augmenting traditional clinic-based services.

Objective: The aim of this study was to test new and innovative technologies to assess clinical stage in early intervention youth mental health services using a prototypic online system known as the Mental …

Suicidal Ideation In The Perinatal Period: A Systematic Review, Avril O'Connor, Sadie Geraghty, Gemma Doleman, Annemarie De Leo

Research outputs 2014 to 2021

Objective: To examine literature surrounding suicidal ideation and suicidality in the perinatal period. Design: Systematic Literature Review of published 15 research studies. Findings: There is a scarcity of prospective studies conducted in suicidal ideation during the perinatal period. More research is needed to ensure childbearing women at risk of suicidal ideation during pregnancy receive the appropriate care and maternity services required to support them throughout this period. Key conclusions: Midwives play an important role in screening women for possible emotional distress and mood disorders during pregnancy. Therefore, midwives need to have knowledge of risk factors so vulnerable women are monitored …

Web-Delivered Cognitive Behavioral Therapy For Distressed Cancer Patients: Randomized Controlled Trial, Suzanne K. Chambers, Lee M. Ritterband, Frances Thorndike, Lisa Nielsen, Joanne F. Aitken, Samantha Clutton, Paul A. Scuffham, Philippa Youl, Bronwyn Morris, Peter D. Baade, Jeff Dunn

Research outputs 2014 to 2021

Background: Web-based interventions present a potentially cost-effective approach to supporting self-management for cancer patients; however, further evidence for acceptability and effectiveness is needed.

Objective: The goal of our research was to assess the effectiveness of an individualized Web-based cognitive behavioral therapy (CBT) intervention on improving psychological and quality of life outcomes in cancer patients with elevated psychological distress.

Methods: A total of 163 distressed cancer patients (111 female, 68.1%) were recruited through the Queensland Cancer Registry and the Cancer Council Queensland Cancer Helpline and randomly assigned to either a Web-based tailored CBT intervention (CancerCope) (79/163) or a static …

Intergenerational Financial Exchange And Cognitive Well-Being Among Older Adults In China, Ping Xu

Graduate Doctoral Dissertations

Although cognitive loss is part of normal aging, it has unfavorable consequences for older individuals, their family, as well as society. The prevalence of mild cognition impairment is expected to go up in China. How to maintain normal cognition for a longer period of time and to delay impair process is an emerging concern for older Chinese adults. Unlike Western countries, China lacks of formal support system. Intergenerational support between older parents and adult children is a predominant resource when they are in need. This study examines how intergenerational financial exchanges between older parents and their adult children is related …