Digital Commons Network^™

Good Arts, Good Mental Health®: The Effectiveness Of An Australian Health Promotion Media Campaign In Promoting Community Mental Wellbeing Via The Arts, Christina R. Davies, Melanie T. Pescud, Rhonda Clifford, Richard Mcgrath, Annie Thomson, Mia Jeffrey, Melissa Stoneham, Terri Pikora, Peter Wright, Sonya Girdler, Loretta Baldassar, Stephen Clift

Research outputs 2022 to 2026

Introduction: This study describes and evaluates Good Arts, Good Mental Health^® (GAGMH), a groundbreaking, population-level, arts-mental health promotion media campaign. The objectives of the campaign (Wave 1) were to increase brand awareness, comprehension, and agreement with the tagline Good Arts, Good Mental Health^® and empower the general population to form an intention to engage in the Arts for their mental wellbeing. Methods: The campaign ran from August to September 2024 (4 weeks), cost AUD$198,965 (23% creative and 77% media/advertising distribution), and targeted the Western Australian (WA) general population aged 18–65 years, all genders, in both metropolitan and regional …

Family Stress Processes Underlying Covid-19-Related Economic Insecurity For Mothers And Fathers And Children's Internalizing Behavior Problems, Joyce Y. Lee, Shawna J. Lee, Sehun Oh, Amy Xu, Angelise Radney, Christina M. Rodriguez

Psychology Faculty Publications

COVID‐19 and its economic fallout have resulted in unprecedented financial insecurity and material hardship for many American families, with a disproportionately negative impact on children and families from socioeconomically disadvantaged contexts. The current study applied the family stress model to examine the family processes underlying pandemic‐related economic insecurity and children's internalizing behaviours. Online survey data from an economically diverse sample of mothers and fathers, who experienced at least one type of pandemic‐related economic insecurity in the United States (N = 259), were collected across two longitudinal time points in the early weeks of COVID‐19: (1) 14 April and (2) 30 …

Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker

Antioch University Dissertations & Theses

Research investigating the bicultural and mental health experiences of Filipino Americans, the third largest Asian American group in the United States, are consistently overlooked, with second-generation Filipino Americans (SGFAs) facing greater risk of adverse mental health outcomes. This quantitative study addresses a critical gap in research by examining the relationship between bicultural stress and mental well-being among SGFAs living in the United States. Using a cross-sectional survey design, a multivariate regression analysis examined the relationship between bicultural stress and four mental health constructs (as measured by depression, anxiety, stress, and self-esteem) among 302 SGFA participants. Results from this study strongly …

Experiences Of Civilian Mental Health Providers Who Work With Military Clients: A Dissertation, Lydia P. Perry

Antioch University Dissertations & Theses

Using a qualitative survey design, this study sought to understand the experiences of fully civilian providers who had achieved self-perceived military cultural competence when working with military or veteran clients or their families. This study also sought a better understanding of what pathways fully civilian providers took in this process, as well as their perceptions of how to better equip other fully civilian providers for work with military and veteran clients and their families. The results of this study yield recommendations for changes in graduate training programs; for example, through more inclusion of the military as a culture in cross …

Predicting Mental Health Disparities Using Machine Learning For African Americans In Southeastern Virginia, Ismail El Moudden, Michael C. Bittner, Matvey V. Karpov, Isaac O. Osunmakinde, Akosua Acheamponmaa, Breshell J. Nevels, Mamadou T. Mbaye, Tonya L. Fields, Karthiga Jordan, Messaoud Bahoura

Department of Obstetrics & Gynecology Faculty Publications

This study examined mental health disparities among African Americans using AI and machine learning for outcome prediction. Analyzing data from African American adults (18–85) in Southeastern Virginia (2016–2020), we found Mood Affective Disorders were most prevalent (41.66%), followed by Schizophrenia Spectrum and Other Psychotic Disorders. Females predominantly experienced mood disorders, with patient ages typically ranging from late thirties to mid-forties. Medicare coverage was notably high among schizophrenia patients, while emergency admissions and comorbidities significantly impacted total healthcare charges. Machine learning models, including gradient boosting, random forest, neural networks, logistic regression, and Naive Bayes, were validated through 100 repeated 5-fold cross-validations. …

Law Enforcement And The Need For Mental Health Collaboration, Jacquline Gillins-Hatcher

Theses and Dissertations

This study examined the ongoing challenges and the necessity of enhanced collaboration between law enforcement agencies and mental health professionals in responding to mental health crises in the United States. Using a constructivist grounded theory approach, qualitative data were collected through semistructured interviews with law enforcement officers and mental health professionals, along with an analysis of existing records and policies.

Findings highlighted that crisis intervention team training improved officers’ ability to manage crisis situations. However, barriers such as limited interagency coordination, funding constraints, leadership challenges, and systemic policy gaps continued to hinder effective collaboration. Data from this research indicated that …

Representative National Survey On Drug Use During The Covid-19 Stay-At-Home Order In The Usa, Soo-Hoon Lee, Bernadette Cullen, Alidon Athey, Calliope Holingue, Michelle R. Kaufman, Paul Nestadt, Jack Samuels, Tracy Vannorsdall, Phillip Phan

Management Faculty Publications

Objectives This study explores the drug use behaviour in the US general population in the early days of the COVID-19 pandemic with a focus on the relationship between sociopsychological factors, mobility restrictions from March to June 2020 and mental health conditions.

Design A retrospective anonymous online survey representing a cross-section of the US population in 2020.

Setting A qualified panel of 500 000 Qualtrics participants stratified by gender, race, age and geographical region to represent the US population.

Participants 3340 participants voluntarily consented to respond.

Measures Outcome measure for illicit and non-medical use of prescription drugs based on the National …

Fleeing Structural Stigma: Psychological Outcomes For Transgender And Gender-Diverse Internally Displaced Persons, Max E. Cartagena

Cal Poly Humboldt theses and projects

In 2025, at least 1,000 bills targeting transgender and gender-diverse (TGD) individuals were introduced across the United States, contributing to an environment of escalating structural stigma. As a result, many TGD individuals have relocated from states with high levels of stigma to those with lower levels in search of safety, access to care, and social affirmation. This study examines these individuals as internally displaced persons (IDPs) and is informed by refugee psychological literature, as both experiences arise from coercive structural forces that compel individuals to relocate. This perspective highlights the involuntary nature of their migration, driven by the need for …

Panel Discussion: Mindfulness In The Law School Environment, Erika George, Nicky Boothe, Kellyn O. Mcgee

Faculty Scholarship

A 2016 study of 13,000 lawyers conducted by American Bar Association Commission on Lawyer Assistance Programs and the Hazelden Betty Ford Foundation found that approximately 28 percent struggle with depression, 19 percent anxiety and 23 percent stress.¹² The study found “younger lawyers in the first ten years of practice and those working in private firms experience the highest rates of problem drinking and depression.”¹³ At least one study suggests that 40-70 percent of disciplinary proceedings and malpractice claims against lawyers involve substance abuse or depression.

According to a 2016 Survey of Law Student Well-Being including over 3,300 law …

Barriers And Motivators To Attending Group Exercise Classes In Women With Anxiety, Depression And Post-Traumatic Stress Disorder, Sarah Ford

Theses: Doctorates and Masters

Research has demonstrated the positive effect of exercise on mental health disorders such as anxiety disorder, depression and post-traumatic stress disorder. Studies have also investigated the barriers and motivators that women in particular experience when contemplating the ways in which to engage in physical activity. However, a literature gap exists regarding women who experience anxiety disorder, depression and post-traumatic stress disorder, and the barriers and motivators that they specifically navigate when looking to attend group exercise classes. In this body of research for the award of Master of Medical and Health Science by Research, a scoping review was first conducted …

Joy In Teaching: Examining Teachers’ Perceived Experiences Of Choice, Self-Efficacy, And Sense Of Belonging, Shellie Hennings-Donow

Electronic Theses and Dissertations 2020 - Present

Teacher joy is a critical yet often overlooked factor influencing teacher retention, instructional effectiveness, and student outcomes. This study explores how teachers describe their experiences of joy in the workplace, focusing on the roles of choice, self-efficacy, and belonging. Grounded in Self-Determination Theory and Attribution Theory, this research examines the extent to which teachers’ perceived autonomy, competence, and relational support contribute to teachers’ professional fulfillment. Through qualitative methods, including in-depth interviews and thematic analysis, this study captures the perceptions of educators across diverse school settings. Findings reveal that teachers experience the highest levels of joy when they have meaningful autonomy …

“The Culture - I Wish It Were Less Intense And More Joyful And Full Of Life”: A Youth Participatory Action Study On Teen Mental Health And Wellness, Marna Wolak

Doctoral Dissertations

Studies indicate that a grave mental health crisis is disproportionately impacting female-identified youth. While school districts have made attempts to address this problem, those most impacted - young people - have frequently found their voices overlooked by adults seeking solutions. Therefore, this Youth Participatory Action Research (YPAR) study, grounded in humanizing and liberatory pedagogy, examines how high school-aged students in an urban school district understand and define their experiences with mental health challenges and suggest strategies and interventions for improved wellness. Two sets of research questions guide this study: 1) Primary questions: What are youth perspectives about how their mental …

Differences In Mental Health Outcomes In Immigrant Vs. U.S.-Born Populations In Urban Vs. Rural Areas In The United States, Zoë Gentles

Electronic Theses & Dissertations (2024 - present)

Background

The immigration process to the United States creates distinct mental stressors. These stressors are influenced by socioeconomic factors including income, education level and insurance status. In rural America, these factors are intensified due to a poor healthcare infrastructure that is limited. This study examines the relationship between urban-rural residence and mental health outcomes among immigrants vs. native-born residents in the United States.

Methods

Data from the National Health Interview Survey (NHIS) from 2019 and 2022 were used to examine the relationship. The exposure of interest was place of birth, and the outcome of interest was the presence of clinically …

Investigating Post-Adoption Abandonment Of Mental Health Mobile Applications Among Young Adults, Donald Harris

Electronic Theses & Dissertations (2024 - present)

The rising prevalence of mental health issues among young adults has driven increased interest in Mental Health Mobile Applications (MHMAs), which offer accessible and cost-effective solutions to traditional barriers such as financial limitations, stigma, and restricted healthcare access. Despite their promise, MHMAs frequently experience high rates of attrition and abandonment, significantly limiting their long-term effectiveness. Employing a mixed-methods, multi-stage research design, this dissertation explores the determinants of MHMA abandonment among young adults, emphasizing the interplay between technological inhibitors and enablers, individual user characteristics, and the mediating roles of user satisfaction and perceived usefulness.

Study 1 utilized quantitative text analysis, including …

Exploring Identity And Belonging Through Housing Pathways: Resettlement Experiences Of Female Ukrainian Refugees, Stephanie M. Duncan

Electronic Theses & Dissertations (2024 - present)

Background: This dissertation examines the resettlement experiences of female Ukrainian refugees in Germany following the escalation of the Russia-Ukraine conflict in 2022, which displaced over 8.5 million Ukrainians, including 1.2 million to Germany by April 2024. Focusing on Munich, the study explores the interplay of housing pathways, identity, and belonging, emphasizing gendered challenges faced by women, particularly single mothers and caregivers, navigating trauma, systemic barriers, and cultural adaptation. Organized into three articles, this work employs a social justice lens to address structural barriers, such as discriminatory housing markets, economic exclusion, and limited access to resources, which disproportionately impact marginalized women, …

Effects Of Pubertal Stress On Later Pup-Directed Behavior In Pregnant And Non-Pregnant Adult Female Mice, Marissa Marylin Nicodemus

Graduate Theses, Dissertations, and Problem Reports (ETD)

Beginning in adolescence and throughout adulthood, women are at an increased risk for anxiety and mood disorders compared to men. Several risk factors for these disorders have been identified, but it is not clear how they interact. One such factor is pregnancy. The normative changes to the brain and behavior that occur during and after pregnancy are associated with an increased risk for anxiety and mood disorders. Exposure to adverse childhood experiences (ACEs) has also been associated with an increased risk of mood disorders, and compared to men, women appear to be particularly vulnerable to the lasting effects of stress …

Improving Postpartum Outcomes Through Therapeutic Individual And Group Occupational Therapy Sessions In Hospitalized Antepartum Patients, Melissa C. Learish

Graduate Theses, Dissertations, and Problem Reports (ETD)

Extended hospitalization in the postpartum period is occasionally medically indicated due to a variety of diagnoses, but can pose challenges to the psychosocial well-being of pregnant women, such as social isolation, anxiety, alteration of normal life routines, and less preparation for postpartum life. In acute care settings, however, maternal management tends to focus on physical stabilization rather than holistic maternal care, including opportunities for emotional support, occupational engagement, and postpartum planning. This doctoral capstone project was designed to assess the effect of individualized and group-based occupational therapy interventions for antepartum women who have been hospitalized for extended periods of time, …

Adminstrative And Programmatic Supports To Enhance Veteran-Service Dog Programming, Madison Davisson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Service dogs have long served as a valuable resource to assist veterans in overcoming challenges such as transitioning to post-military life, re-engaging in life roles, and navigating the community. There is substantial research on the benefits and impacts that service dogs have on the lives of veterans. Because of this, the number of service dog-veteran partnerships is on the rise, and each service dog program has its individualized programmatic method to enhance its offerings. However, there is limited information on administrative and programmatic support for service dog training programs intended for veterans and staff members. The veteran perspective is …

Exploration Of Coping And Mental Health In West Virginia Farmers, Jodi Meadows Richmond

Graduate Theses, Dissertations, and Problem Reports (ETD)

Compared nationally, West Virginia currently ranks lowest for life expectancy, highest for drug related deaths and 35^th for access to adequate health (WV DHHR Organization Assessment & Strategic Plan, 2022). The state also ranks first in the nation for depression with one in four adults experiencing some form of depressive condition each year (CDC, 2020). The rurality of the state may limit social interaction and availability of medical treatment facilities (Brew et al., 2016).

The situation is even more dire for those in farming-related occupations. Farmers often struggle with management stress, utilizing appropriate coping strategies, and accessing mental health …

Simulating A Multi-Tier Intervention For Refugee Mental Health Using Agent-Based Modeling, Bishan Huang

Electronic Theses & Dissertations (2024 - present)

Increasing numbers of people are fleeing political violence and becoming refugees who resettle all around the world.Compared to the general population in the countries where they resettle, refugees disproportionately suffer from depression and higher trauma-related mental health symptoms including post-traumatic stress disorder (PTSD) due to the experiences that led to their refugee status, as well as post-migration stressors, disadvantages in multiple social determinants of health, and lack of social support. New York City has received refugees from over 50 countries and may require policy and infrastructure changes to meet refugee mental health needs, especially in face of the recent surge …

Pain For Pain: The Benefits And Challenges Of Bdsm Participation For People With Chronic Pain–An Exploratory Study, Reni Forer, Bryce Westlake

Faculty Research, Scholarly, and Creative Activity

Research is beginning to find that many BDSM (bondage/discipline, domination/submission, sadism/masochism) practitioners experience benefits beyond sexual pleasure. Additionally, given the relationship between pain and pleasure common in BDSM, there may be certain unanticipated benefits for practitioners reporting chronic pain (PRCP). We conducted an online survey of an international convenience sample of BDSM practitioners (N = 525). Participants were asked about self-perceived benefits and challenges related to participating in BDSM with CP. Using chi-square, independent sample t-test, logistic regression, and linear-by-linear association, responses were combined with demographics, participation timelines, co-participants, motivations, and frequency of activities to identify differences between PRCP and …

A Preliminary Study On The Role Of Personal History Of Infectious And Parasitic Diseases On Self-Reported Health Across Countries, Gerit Pfuhl, Filipe Prazeres, Marta Kowal, Toivo Aavik, Beatriz Abad-Villaverde, Reza Afhami, Leonardo Aguilar, Grace Akello, Laith Al-Shawaf, Jan Antfolk, Chiemezie S. Atama, Derya Atamturk Duyar, Roberto Baiocco, Sercan Balım, Carlota Batres, Yakhlef Belkacem, Théo Besson, Adam Bode, Merve Boğa, Jordane Boudesseul, Mahmoud Boussena, Hamdaoui Brahim, Nana Burduli, Ali R. Can, Hakan Cetinkaya, Antonio Chirumbolo, Dimitri Chubinidze, Clément Cornec, Bojana M. Dinić, Seda Dural

School of Psychology

Objectives: Infectious diseases are often associated with decline in quality of life. The aim of this study is to analyze the relationship between personal history of communicable, i.e., infectious and parasitic diseases and self-rated health. Study design: Secondary analysis of a large dataset multi-country observational study. Methods: We used a four-pronged analysis approach to investigate whether personal history of infectious and parasitic diseases is related to self-reported health, measured with a single item. Results: Three of the four analyses found a small positive effect on self-reported health among those reporting a history of pathogen exposure. The meta-analysis found no support …

Patterns Of Intra-Cluster Correlation Coefficients In School-Based Cluster Randomised Controlled Trials Of Interventions For Improving Social-Emotional Functioning Outcomes In Pupils: A Secondary Data Analysis Of Five Uk-Based Studies, Kitty Parker, Michael Nunns, Zhi Min Xiao, Tamsin Ford, Paul Stallard, Willem Kuyken, Nick Axford, Obioha C. Ukoumunne

Peninsula Medical School

Background: The cluster randomised trial (CRT) design is increasingly used to evaluate the impact of school-based interventions for improving social-emotional functioning outcomes in pupils. Good knowledge is required on plausible values of the intra-cluster correlation coefficient (ICC) of the outcome to calculate the required sample size in such studies. Using data from five school-based CRTs in the UK, we estimate, and describe patterns in, ICCs for social-emotional functioning outcomes. Methods: Mixed effects linear regression models were fitted to estimate the ICC and variance components. Estimates for baseline data were obtained by fitting “null” models that had no predictor variables; estimates …

Outdoor Adventure Education For Adolescent Social And Emotional Wellbeing: A Systematic Review And Meta-Analysis, Michael J.A. Down, D. Picknoll, T. Edwards, F. Farringdon, G. Hoyne, B. Piggott, M. C. Murphy

Research outputs 2022 to 2026

This study examines the effects of OAE on adolescent social and emotional wellbeing and their contributors. Intervention studies (single or multi-arm) assessing the effects of OAE on wellbeing were included. Meta-analysis was conducted on outcomes of interest, and the Cochrane Risk of Bias (RoB) Tool assessed RoB in multi-arm studies. Four studies assessed within-group change (n = 368), and six assessed between-group change (n = 1,143). Findings indicate significant between-group improvements in resilience, self-esteem and social belonging when OAE was compared to no intervention, but no self-efficacy and overall wellbeing changes were observed. Studies were at high risk of bias, …

Supporting People Bereaved By Suicide In The South West Region Of Western Australia: Report, Colleen M. Carlon

Research outputs 2022 to 2026

This paper reports on the practices of service providers in working with people and communities bereaved by suicide in regional contexts. For people bereaved by suicide experiences of grief, trauma and stigma and the questioning of why someone has died create a complex mix of need and emotion that can leave people vulnerable to complicated grief and poor physical and mental health. These effects may also be exacerbated by stigma in social and communal contexts. As such experiences of suicide grief are different to other forms of grief and loss, effectively supporting people and communities bereaved by suicide requires knowledge …

South Asian American Experiences Of Microaggressions And Wellbeing: The Moderating Role Of Social Support, Archita Birla

College of Graduate Studies: Theses & Dissertations

Although the South Asian American community is rapidly expanding in the United States (South Asian Americans Leading Together [SAALT], 2015), there remains a dearth of psychological research regarding the impacts on mental health and wellbeing affecting this diverse community. Racial microaggressions, or verbal or behavioral actions indicating hostile or negative attitudes toward marginalized individuals (Sue et al., 2007), negatively impact People of Color (POC) mental health and wellbeing (Forrest-Bank & Jenson, 2015a; Nadal, Wong, et al., 2015). Some research exists on South Asian American communities and microaggressions (Houshmand et al., 2014; Poolokasingham et al., 2014) but there is limited research …

Investigating Protective And Risk Factors And Predictive Insights For Aboriginal Perinatal Mental Health: Explainable Artificial Intelligence Approach, Guanjin Wang, Hachem Bennamoun, Wai Hang Kwok, Jenny Paola Ortega Quimbayo, Bridgette Kelly, Trish Ratajczak, Rhonda Marriott, Roz Walker, Jayne Kotz

Research outputs 2022 to 2026

Background: Perinatal depression and anxiety significantly impact maternal and infant health, potentially leading to severe outcomes like preterm birth and suicide. Aboriginal women, despite their resilience, face elevated risks due to the long-term effects of colonization and cultural disruption. The Baby Coming You Ready (BCYR) model of care, centered on a digitized, holistic, strengths-based assessment, was co-designed to address these challenges. The successful BCYR pilot demonstrated its ability to replace traditional risk-based screens. However, some health professionals still overrely on psychological risk scores, often overlooking the contextual circumstances of Aboriginal mothers, their cultural strengths, and mitigating protective factors. This highlights …

Mental Health Support Workers Perspectives On Barriers To And Facilitators Of The Effective Delivery Of Their Roles: A Systematic Review And Meta-Aggregation, Martha Njuguna, Irene Ngune, Yvonne Middlewick

Research outputs 2022 to 2026

Mental health support workers (MHSWs) are an important workforce within the mental health care system. Research shows that support services delivered by MHSWs are effective at improving the outcomes of individuals with mental illness. However, there is also literature suggesting that this group of workers are facing many challenges in their roles. This qualitative systematic review sought to explore, analyze and synthesize available primary research literature on the experiences of MHSWs with the aim of identifying the barriers to and facilitators of effective delivery of their roles. An electronic search of Medline, CINAHL, PsycINFO, and Web of Science was conducted …

Australian Fathers’ Experiences Of Caring For Their Preterm Infants, Esther Adama, Eric Adua, Evalotte Mörelius, Annie Chang, Ravisha Srinivasjois, Sara Bayes

Research outputs 2022 to 2026

Fathers and/or non-birthing partners are now actively involved in child-rearing globally; however some experience emotional difficulties during the perinatal period. With the birth of a preterm infant, parents experience additional stress beyond that normally engendered by having a baby, which can impact on parent-infant relationship and infant development. In Australia, there is limited evidence on fathers’ experiences of preterm birth. Thus, this study aimed to explore the experiences of Australian fathers of preterm infants including their emotional and physical wellbeing when they have a preterm infant. Narrative inquiry guided the study; 13 fathers whose preterm infant was admitted to Australian …

Exploring The Barriers To Mental Health Help-Seeking Among African Migrants In Australia: A Qualitative Study, Nnaemeka Meribe, Obed Adonteng-Kissi, Kathomi Gatwiri, Lillian Mwanri, Frank Darkwa Baffour, Agness Tembo, Edith N. Botchway-Commey, David Chisanga, Ahmed A. Moustafa, Kerrie E. Doyle, Uchechukwu Levi Osuagwu

Research outputs 2022 to 2026

Background: The health of African migrants in Australia is a largely under-researched topic despite the steadily increasing size of the population and its uniqueness. In particular, few studies have explored the mental health of African migrants in Australia or their utilization of mental health services.

Aims: This study explored the barriers to mental health help-seeking among first-generation African migrants in Australia.

Methods: In this qualitative study conducted using the hermeneutical phenomenological research approach, the purposive sampling method was used to recruit participants. In-depth interviews with participants were undertaken online via Zoom, Teams, and WhatsApp calls. Interviews were recorded and transcribed …