Digital Commons Network^™

Web Of Exploitation: The Psychological Need For Comprehensive Federal Law To Combat Cyber Sexual Abuse, Sarah E. Bahrenburg

Journal of Race, Gender, and Ethnicity

Cyber sexual abuse inflicts deep and lasting psychological harm on victims, often exacerbating the trauma of traditional sexual abuse due to the permanence and reach of digital content. Survivors may experience depression, anxiety, PTSD, and suicidal ideation as intimate images, videos, or messages resurface indefinitely online. Despite the severity of its impact, current state and federal legal protections are limited and inconsistent, leaving many victims without adequate criminal or civil remedies. This article argues for the creation of comprehensive federal legislation specifically targeting cyber sexual abuse. Such laws would not only provide clearer paths to justice and accountability but also …

The Lack Of Mental Health Support In Caribbean Households, Arnoudly Bossicot

LEAD Scholars Academy Showcase

Growing up in a Caribbean household, mental health, amongst other topics, was something no one dared to speak about. Seeking therapy or talking to a trusted family member is not an option since you will look weak. When mental health issues are left untreated, long-term adverse effects on the emotional, social, physical, and behavioral aspects of life. In some instances, it may result in suicide. This research will explore the different elements that affect a person’s willingness to receive mental health treatment in Caribbean households. Would teenagers and young adults seek mental help if given the right resources and support? …

Creating A Short-Form Label Avoidance Measure: A Psychometric, Julia Johanna Cameron

Graduate Student Theses, Dissertations, & Professional Papers

Stigma is a commonly reported barrier to receiving treatment for mental health concerns. One aspect of stigma, label avoidance, specifically addresses the stigma involved when individuals deny their status as having a mental illness and avoid institutions that may mark them as someone with a mental illness. Despite the importance of label avoidance for understanding treatment seeking, there does not currently exist a psychometrically sound measure of label avoidance. In order to address this gap, the present study used a revised and shortened form of a preliminary measure of label avoidance, the LAM-16, to collect psychometric data over two time …

Using Brief Acceptance And Commitment Training To Increase Psychological Flexibility And Reduce Stress In School-Based Professionals, Rayna Yaeger

All Graduate Theses, Dissertations, and Other Capstone Projects

The significant behavioral and mental health concerns of students and staff in public schools within the United States has led to an increased risk of stress and burnout in teachers, which may lead to subsequent physical and mental health related concerns for staff and negative educational outcomes for students. Due to these school-based concerns, action should be taken to meet the needs of staff and students. This study aimed to better understand the effect of brief, group-based ACTraining on teachers’ psychological flexibility, general stress, job-related burnout, and social validity by replicating and extending the findings of Gillard et al. (2021) …

Health Measures And Willingness To Pay For Internet Services, Maysam Rabbani, Cari A. Bogulski, Corey J. Hayes

Department of Economics Faculty Scholarship and Creative Works

Introduction: With the rapid adoption of telehealth services, health measures are increasingly tied to internet access. However, there is limited literature on how internet connectivity correlates to health measures and health care utilization. We examined the links between willingness to pay (WTP) for internet services and health measures, namely, health insurance type, general health, physical health, mental health, health literacy, and cost/transportation barriers to health care access. Methods: We designed a custom survey and collected 5, 200 responses in four U.S. states. We implemented a stratified conjoint analysis to estimate the WTP for internet speed and quality and its connections …

Using The Background Of Occupational Therapy To Argue Our Role In Stress Management: Proposed Lines Of Inquiry, Klaire M. Gowins

Occupational Therapy Doctorate Capstone Posters

The purpose of this ALE presentation is to present research in support of the development of the Student Stress Management Center (SSMC) at EKU. The researchers’ long-term proposition, beyond the scope of this poster, is to effectively communicate to various audiences the importance and occupation-based characteristics of a Student Stress Management Center for students within the higher education setting. In preparation for that goal, this poster reviews scholarly literature relevant to the field of occupational therapy and its philosophical roots to lay groundwork for clarifying whether and how a revised articulation of the philosophical base is needed, relative to the …

Exploring The Effect Of Personal Mental Health Disclosures On Perceptions Of Doctoral Psychology Applicants, Hunter C. Schow

Doctor of Psychology (PsyD)

While some research exists discussing the attitudes around personal mental health disclosures as they pertain to both professional decorum and admission to doctoral psychology training programs, little research has analyzed the actual impact of such disclosures on how applicants are perceived. This study aimed to assess whether personal mental health disclosures in admissions essays ultimately affect how applicants are perceived by doctoral faculty determining whether or not to admit them to their program. The hypothesis was that ambiguous disclosures do have an impact, and especially those showing unaddressed or ongoing struggles. An electronic survey utilizing a mixed-methods approach was distributed …

Exploring The Relationship Between Individual Value Priorities And Pathological Psychological Traits, Dennis Kurtz

Doctor of Psychology (PsyD)

Values are central to the ways that humans evaluate the world and make decisions, and they play an important role in individual psychological functioning and well-being. Although human values are frequently used in psycho-therapeutic interventions in clinical practice, the precise nature of their relationship to psychopathology is unclear. This research explored the relationship between human values and psychopathology using the Schwartz basic theory of human values and the Minnesota Multiphasic Personality Inventory–3. Participants were recruited from a community mental health clinic. Data were analyzed to determine relationships between value priorities and clinical scales.

The study hypothesized positive associations between self-enhancement …

Mental Health Trends Among African American High School Students, Alexis Heard

Theses and Dissertations

Adolescent mental health is a major public health issue in the U.S., with African American high school students facing a rapidly worsening crisis. While all youth show increasing rates of depression, anxiety, and suicidality, African American adolescents are at greater risk due to systemic racism, socioeconomic inequality, community violence, and limited access to culturally responsive care. Few national studies have examined mental health trends among this group. This study (1) examines 2011–2021 trends in persistent sadness/hopelessness, suicidal ideation, suicide planning, and suicide attempts among African American high school students; (2) explores gender differences; and (3) compares these patterns to national …

Exploring Psychological Implications Of The Contemporary Lung Transplant, Isaac C. Machar

Williams Honors College, Honors Research Projects

Since its inception in 1963 at the University of Mississippi Medical Center, more than 50,000 lung transplant procedures have been performed. During its 50-year anniversary, 2023 saw just over 3,000 lung transplants performed in the United Sates. However, as this procedure continues to increase in execution each year, it is critical that the psychological implications of this procedure are explored. In this paper, I hope to develop an understanding of the psychological background of contemporary lung transplantation. Reviewing the lung and double lung transplant, the goal is to apply biopsychology principles to the field. Background information about transplant science is …

Resilience And Its Effects On Psychological Well Being During The Covid-19 Pandemic, Taylor Reinsel

Honors Theses

Stressors and trauma in life are unavoidable. However, the way we respond and adapt to them can be within our control. This response differs from person to person, but there are factors that can influence the likelihood of an individual rebounding from a crisis, as well as factors that can put them at a higher risk of developing mental illness. One of the main factors that influences Psychological Well Being is the presence of Resilience.

The main goal of this study was to examine how factors of Resilience relate to Psychological Well Being and COVID-19 Well Being during the COVID-19 …

Multidisciplinary Lethal Means Safety Counseling Design And Implementation: Training And Identifying Barriers In A Children's Hospital, Cassandra L. Stegall, Brendon Carnell, Jaime M. Golden, Rupa Kapoor, John H. Fanton, Paul C. Mullan, Alexandra P. Leader

Department of Pediatrics Faculty Publications

Background

Access to lethal means contributes significantly to suicide completion. Lethal means safety counseling (LMSC) is an injury prevention strategy to limit access to firearms, medications, and other means of injury. Not previously evaluated in the trauma setting, this study aims to design and implement a standardized LMSC protocol for pediatric patient discharge education in emergency (ED), trauma, and inpatient psychiatry settings.

Methods

A single-center quality improvement study at an academic pediatric urban tertiary Level-one trauma center was performed from July 2023 to February 2024. Protocol was implemented for pediatric patients discharged from three departments: ED, surgery trauma service, and …

Examining The Impact Of Resilience And Sense Of Community On Mental Health And Academic Performance, Samara B. Coleman

Honors Undergraduate Theses

Within the United States, a third of college-aged young adults are diagnosed with at least one psychological disorder. Resilience, the ability to bounce back from adversity, has been shown to help mitigate the adverse effects of burnout and stress, and support academic performance in some cases. Additionally, a sense of community has also been shown to be crucial in buffering the negative consequences of adversity. The following research questions guide this study: 1) How significant a role does the community play in resilience and mental health? 2) How does resiliency relate to the academic performance of students experiencing varying levels …

Human-Centered Advocacy: Requiring Trauma-Informed Lawyering Through Mandatory Continuing Legal Education, Meghan Sheldon

Roger Williams University Law Review

No abstract provided.

Clinician Perspectives On Incorporating Physical Activity And Sleep Prescriptions Using Ehealth For Youth With Comorbid Psychiatric Disorders: Qualitative Focus Group Study, Alyssa M. Button, James Slavet, Amanda E. Staiano, April Bowling

Health Sciences Faculty Publications

Background: Physical activity and sleep prescriptions are indicated for the treatment of psychiatric disorders among youth. However, there is limited clinical adoption of these practices. Exergaming (ie, games that require physical activity) is a feasible intervention to promote physical activity and sleep hygiene and is appealing to youth given their interest in video gaming. Integrating exergaming prescriptions into clinical mental health practices may offer an opportunity to expand access to these interventions, yet pragmatic considerations for adopting these programs are poorly understood.

Objective: This study aimed to gain feedback from practicing clinicians on adopting GamerFit, an app-based intervention that incorporates …

Protect Transgender Kids: What Is “Protection” In Light Of Bans On Gender-Affirming Care?, Patricia B. Barnett

Journal of Race, Gender, and Ethnicity

This Note examines the growing legal and constitutional conflict surrounding state laws that ban or restrict gender-affirming care for transgender minors. At the heart of the issue lies the clash between state authority and the constitutionally protected rights of parents under the Due Process Clause of the Fourteenth Amendment. Drawing on medical consensus that affirms the necessity and efficacy of gender-affirming care, the Note argues that these laws not only endanger the well-being of transgender youth but also infringe on parents' fundamental rights to direct their children’s medical treatment. The analysis highlights how some states mischaracterize gender-affirming care as a …

The Impact Of Social Participation Through Adaptive Sports On Quality Of Life In Individuals With Spinal Cord Injury, Mikayla Martin, Zeida Gutierrez

Spring 2025 OTD Capstone Symposium

This project researched and explored how socialization through adaptive sports in this case impacts the perception of quality of life among individuals who have sustained a spinal cord injury.

Social Determinants Of Mental Health Outcomes, Ariana Fein

Honors Theses

Mental health disorders, particularly anxiety and depression, are a growing global concern with profound consequences on individuals' well-being and societal functioning. The burden of these disorders is not only psychological but also economic, affecting quality of life. Mental health outcomes are heavily influenced by a range of social determinants, such as financial status, education, and access to healthcare. While extensive research has focused on WEIRD (Western, Educated, Industrialized, Rich, Democratic) countries, there remains a significant gap in understanding how these determinants affect mental health in low-resource settings or non-WEIRD countries. This study aimed to address this gap by exploring the …

Social Media Through A Binary Lens: The Impact On College Students & Their Mental Health, Piper Mallchok

Williams Honors College, Honors Research Projects

It is important to first understand how individuals use social media so that we can then understand how and why their use will change the individual impact social media will have. Some students experience a decline in their mental health when their social media use changes. There is an abundance of research on college students and social media, respectively, that also addresses gender as a variable. In this review, the research will be studied to further understand the voices of those who are not commonly included in research that operates under a gendered framework. Additionally, these ideas will be compared …

Black Adolescents' Mental Health And Identity Formation: The Role Of Discrimination And Racial Socialization - A Systematic Review, Tsahai Jenkins

Theses and Dissertations

This systematic review examines the impact of racial discrimination on mental health and racial identity development among Black adolescents, focusing on anxiety, depression, self-esteem, and identity formation, as well as the protective role of racial socialization. Analysis of 19 qualitative and quantitative studies revealed that Black adolescents frequently experience discrimination across various settings, including schools, public spaces, and online platforms, with significant effects on mental health and self-concept. Gendered patterns were evident, with females more likely to internalize stress as anxiety and depression, while males showed externalizing behaviors such as aggression. Racial socialization, especially cultural pride messages, emerged as a …

Symptom Presentations And Effective Mental Health Interventions For Those Experiencing Homelessness: A Systematic Review, Abraham Sloves

Theses and Dissertations

Homelessness is a present and concerning issue without a clear solution due partly to barriers in public policy, as well as challenges in homelessness research. Research seems to indicate that barriers to effective research on homelessness include inconsistent and incomplete data on homelessness prevalence, a lack of consistency in defining homelessness, and lack of generalizable research (Hossain et al., 2020). This is especially true when it comes to the intersection between homelessness and mental illness. While research has been done on interventions for unhoused individuals (Morton et al., 2020; Ponka et al., 2020), studies often fail to address the complex …

Examining The Association Between Perceived Stigma And Mental Health Help-Seeking Behavior Among Racial/Ethnic Minority Students In Health Professions Education, Camila A. Agurto

Honors Undergraduate Theses

Racial and ethnic minority (REM) students in health professions programs in the U.S. have considerable mental health issues. Still, they are less likely to access mental health services when compared to their White peers. The stigma they face, such as —public stigma, self-stigma, or intersectional stigma, may serve as a barrier to help-seeking. Although there is increasing recognition of the barriers to mental health care experienced by these students, there is no systematic understanding of how perceived stigma associated with mental health issues affects mental health help-seeking by REM students enrolled in health professions education. This systematic literature review aims …

Supports For Mental Well-Being Valued By Healthcare Workers: Qualitative Analysis Of Data From A Canadian Cohort Of Healthcare Workers During The Covid-19 Pandemic, Shannon Marie Ruzycki, Anil Adisesh, Quentin Durand-Moreau, France Labrèche, Tanis Zadunayski, Erica Stroud, Nicola Cherry

Études primaires

A prospective cohort of 4964 HCWs from four Canadian provinces was established early in the COVID-19 pandemic. Participants were invited to comment about workplace mental health supports at three time points. We performed a thematic content analysis of responses from 1738 participants using the Social Support Behaviour Code framework to categorize barriers to support as informational, tangible, emotional, social, or expressing esteem. Themes were synthesized into suggestions for healthcare organizations to prepare for future crises. Formal and informal peer support, workplace mental health supports, and one-on-one counseling were most often mentioned as valued. Analysis suggested that workplace social networks as …

Mental Health And Treatment Use In Undergraduate Engineering Students, Matthew D. Whitwer, Sarah A. Wilson, Joseph H. Hammer, Brenna Gomer

Educational, School, and Counseling Psychology Faculty Publications

Background: Engineering students experience high levels of distress and low rates of mental health treatment seeking, yet there is a gap in knowledge around how this compares with that of students in other fields of study. Given the influence of social identity (e.g., gender identity, race/ethnicity) on mental health and treatment seeking, it is important to account for sociodemographic variation across fields when performing such comparisons. Purpose: This study used Andersen's Behavioral Model to compare mental health distress and treatment use between students in engineering and other fields while controlling for sociodemographic factors. Methods: Survey data came from the 2021–2022 …

Barriers To Mental Health Among International Students: Identifying Challenges And Developing Support Strategies For Depressive Symptoms, Esi Tb Afful

Theses and Dissertations

Objective: The purpose of this study was to examine barriers to mental health service utilization among international students, with a specific focus on challenges related to depressive symptoms and their coping mechanisms. The study also sought to identify factors that influence international students’ engagement with mental health resources.

Method: A total of 30 international students enrolled at a midwestern university participated in this mixed-methods study. Data were collected through an online survey, which included both closed- and open-ended questions. The quantitative portion of the survey assessed demographics, cultural and immigration challenges, mental health service utilization, and social support. Hierarchical multiple …

Examining Mental Health Providers’ Differential Sensitivity To Youth And Caregiver Treatment Engagement Problems By Studying Clinical Decision-Making Behaviors, Wendy Chu

Theses and Dissertations

Clinical decision-making is a systematic process of collecting and using information to guide action regarding client care. Across frameworks of clinical decision-making, there is an emphasis on the assessment of a problem – which involves considering, identifying, and selecting a problem – as it directly informs intervention. In youth mental health services, problems related to treatment engagement or the ability to meaningfully participate in services are important to assess given their association with premature termination and poor outcomes. However, research suggests that assessment of engagement problems may be challenging, and one potential reason pertains to providers’ ability to assess across …

Caregiving Burdens Of Task Time And Task Difficulty Among Paid And Unpaid Caregivers Of Persons Living With Dementia, Matthew Lee Smith, Jodi L. Southerland, Malinee Neelamegam, Gang Han, Shinduk Lee, Chung Lin Kew, Juanita Dawne R. Bacsu, Elyse Couch, Steffi M. Kim, Monique J. Brown Ph.D., Mph, Ayse Malatyali, Lucas Wilson, Zahra Rahemi, Jeremy Holloway, Marcia G. Ory

Faculty Publications

Background: Demands of caregivers of persons living with dementia (PLWD) are often influenced by the context of their caregiving situation. This study examines common and unique factors associated with caregiving burden in terms of task time and task difficulty among paid and unpaid caregivers of PLWD. Methods: Cross-sectional baseline survey data were analyzed from 107 paid and unpaid caregivers of PLWD participating in a larger NIH-funded study assessing the feasibility of using a novel in-situ sensor system. Oberst Caregiving Burden Scale constructs of task time and task difficulty served as dependent variables. Two least squares regression models were fitted, controlling …

Beyond Basic Needs : Exploring The Antecedents And Outcomes Of Seafarers’ Well-Being, Chian Liou, Cheng Kuo Sung, Kimberly Hsiu-Chin Lee, Jiunn Liang Guo

Journal of Marine Science and Technology–Taiwan

Given the importance of seafarers’ mental health and the limited literature on this topic, this study aims to explore the causes and consequences of seafarers’ well-being. A questionnaire survey was conducted, and the data were analyzed using structural equation modeling and hierarchical regression analysis. Consistent with the predictions of the happy and productive worker thesis, this study found that the more satisfied the seafarers are with the shipping company’s seafarer policy, the higher their well-being tends to be, leading to a more positive work attitude. Interestingly, the study found that a company effect is significantly present in this correlation; that …

The Cultural Mechanisms Of Mental Health Stigma In Asian Americans, Vaishnavi Suren

UNF Graduate Theses and Dissertations

Asian Americans show hesitation seeking professional mental health services, as well as stigmatized attitudes towards help-seeking for mental health treatment in general. While the link between this stigma and lack of help-seeking is clear in past studies, there is a gap in the literature in looking at how various cultural mechanisms important to traditional Asian cultures interact with one another to contribute to mental health stigma. The goal of the current study was to examine intergenerational conflict, saving face, and temporal orientation to predict mental health stigma among Asian Americans. Participants (N = 208) were all second-generation Asian American …

Best Practices For Supporting Homeless Youth Achieve Academic Success, Abeni Elizabeth Carr

Theses and Dissertations

California has amassed a vast and growing population of homeless people. There exists a need to discuss the more significant generational impact that homelessness presents for students in secondary schools and to develop strategic planning to dismantle cyclical homelessness. Currently, there is an alarming trend in the number of youths who are experiencing homelessness. While much research in the past observed families experiencing housing instability, there are also burgeoning patterns of youth who are enrolled in high school, yet are becoming homeless due to running away from home. Both nationally and in California, youth are running away from their families …