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The Effects Of Exposure To War & Attachment Disruption On Children Of War Leading To Negative Mental Health Outcomes, Chantal Daley

Theses and Dissertations

Children of war tend to endure abuse, witness deaths, killings, and sexual violence, and are also often coerced into committing violent acts. They are subjected to exposure to war-related traumas and as a result often become displaced from their primary caregiver and attachment figure and this relationship is disrupted. The primary aim of this systematic review was to explore the negative mental health outcomes in children of war into adulthood following attachment disruption and exposure to war. It also aimed to examine what protective factors mitigated these negative mental health outcomes and whether outcomes and protective factors varied according to …

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 …

Exploring Student Experiences And Perceptions Of Digital Storytelling In Occupational Therapy Education: A Comprehensive Analysis And Evaluation, Alexis M. F. Morin, Justin R. Eck

Journal of Occupational Therapy Education

The COVID-19 pandemic heightened the need for digital transformation in higher education, emphasizing the importance of incorporating digital pedagogy. This study explored student experiences and perceptions of digital storytelling, a multimedia-based narrative technique, as an innovative assessment method in occupational therapy education. First-year, first-semester entry-level Doctor of Occupational Therapy students created digital stories on mental health topics and completed self-reflection papers. A retrospective qualitative descriptive method was employed, analyzing 14 consented self-reflection papers. Emerging qualitative themes revealed that digital storytelling enhanced students' understanding of occupational performance impacts, led to the development and utilization of transferrable skills for clinical practice, and …

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. …

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 …

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 …

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 …

Exploring Undergraduate Students’ Use Of Mental Health Applications: A Phenomenological Study, Chelsea D. Fullilove

Electronic Theses and Dissertations 2020 - Present

This phenomenological dissertation explored undergraduate students' lived experiences of using mental health mobile apps, AI, and other technology to manage mental health symptoms. The research focused on exploring three research questions: (a) perceptions of app effectiveness, usability, and features; (b) barriers and integration into mental health care routines; and (c) influences of privacy, peer influence, cultural backgrounds, and personal beliefs on app use.

Data were collected via purposive sampling through semi-structured interviews (N=12), each consisting of 15 open-ended questions, with students using a mental health app to improve their mental health. The interpretive data analysis was conducted by …

Second Generation Antipsychotics And Cardiovascular Adverse Effects: Developing Evidence-Based Recommendations For Primary Care Medicine, Sana Borda, Ahn-Dao Lee, Paul F. Bell

HCA Healthcare Journal of Medicine

Background

Second-generation antipsychotic medications (SGAs) are often used by primary care physicians (PCPs) to treat multiple psychiatric diagnoses. SGAs have been connected to a number of adverse effects, including cardiovascular disease. Currently, there are no published evidence-based recommendations addressing SGAs and cardiotoxicity that are directed toward PCPs. This project aims to fill this gap.

Methods

Relevant search terms related to SGAs and cardiovascular disease were identified and then used to search databases (PubMed, PubMed Central, and AccessMedicine). Research studies obtained from the searches were narrowed to include systematic reviews and meta-analyses. The Assessment of Multiple Systematic Reviews-2 (AMSTAR-2) tool was …

A Growing Concern: Long Commutes And Mental Fatigue Among Workers, Dayana Hazwani Mohd Suadi Nata, Putri Anis Syahira Mohamad Jamil, Mira Nursabrina Muhammad Rawee

Makara Journal of Health Research

Background: Commuting stress is a growing concern for workers with long daily journeys between home and work. This study explores the effects of commuting on workers’ mental and physical health, focusing on stress, mental fatigue, and productivity at work.

Methods: The research conducted in Selangor, Malaysia, involved 212 commuters who completed a survey that included sociodemographic and commuting information, the Depression Anxiety and Stress Score (DASS-21), and a mental fatigue questionnaire.

Results: The findings revealed that a significant proportion of workers experienced stress from their commuting routines: approximately 74.5% reported that commuting had a detrimental effect on …

Research As Seeking Help: Searching For Liberative Knowledge - An Interview With Taimalieutu Kiwi Tamasese, Taimalieutu Kiwi Tamasese, David Denborough

The Qualitative Report

Indigenous methodologies have been transforming social science research. In this interview, Pasifika researcher, policy analyst, and community worker, Taimalieutu Kiwi Tamasese, speaks with narrative therapist David Denborough about the Just Therapy Team’s significant contributions to developing Pasifika research methods that resist colonizing assumptions and honour culture and relationship. Rather than seeking to establish the researcher as knowledge holder, The Just Therapy Team’s research is guided by values of liberation, sacredness, and belonging to seek solutions to issues affecting communities. Taimalieutu describes the development of innovative research methods capable of eliciting Indigenous knowledges about gender relations and mental health in Samoa …

The Kids Know What’S Up: Analyzing Student Poetry For Evidence Of Institutionalized Oppression, Sarah Straub

Journal of Multicultural Affairs

This article explores institutionalized oppression faced by students today. It incorporates student-created poetry as evidence of marginalization, sexism, racism, and discrimination based on legal status. The kids know what’s up. They are acutely aware of the effects of these systems on their own lives. It is the responsibility of the educator to acknowledge this truth and act on it.

Empowering Schools: Suicide Prevention Education For School Nurses, Navjot K. Singh

DNP Qualifying Manuscripts

Introduction: Suicide among adolescents and youth is such a serious issue that immediate, appropriate interventions are needed to reduce rates of suicide ideation and suicide mortality. The increasing rate of suicide among this population profoundly affects families, friends, and the community. Identifying and implementing appropriate interventions in schools could identify individuals who are suffering from mental illness and support suicide prevention.

Aim: The purpose of this integrative literature review was to examine the literature on suicide prevention interventions for young adolescents and teenagers aged 12-17 years old and identify the best, evidence-based practices for the school setting. The aim …

Military Members Mental Health And Adverse Childhood Experiences: The Mediating Role Of Mental Toughness, Maureen Kenyon James

Doctoral Dissertations and Projects

Military members’ mental health has been in the spotlight for many years. Although Australia and the United States have strong, robust forces, exposure to this high-stress environments can take its toll. This study is important to keep our armed forces in top mental and physical health and look after them post-service. We need to know what can protect mental health and how to minimize the risks to health and well-being. The purpose of this study is to ask the question, “To what extent are Adverse childhood experiences related to military members' mental health status, and is this relationship mediated by …

Mental Illness In African American Women: A Transcendental Phenomenology On Self-Efficacy And The Treatment-Seeking Behavior Of Secondary And Post-Secondary Educators, Sasha N. Gordon

Doctoral Dissertations and Projects

This transcendental phenomenological research shows the influence of mental health treatment on the self-efficacy of African American women who are secondary or post-secondary educators in Northern Illinois. For African American women educators, taking care of their mental well-being and being aware of mental health conditions are crucial. Sharing personal stories and experiences can help reduce the stigma surrounding mental health. Promoting awareness and understanding of mental health issues are vital in our communities, and access to resources and support are necessary. Using self-identity theory can aid in comprehending motivations and behaviors, leading to greater satisfaction and fulfillment and the prioritization …

Assistive Technology Abandonment With Veterans And Leisure Activities, Tara Lamson, Lee Ann Hoffman, Mary Greer

Fall 2024 OTD Capstone Symposium

Veterans using assistive technology (AT) often face barriers that limit their participation in meaningful leisure activities, negatively impacting their mental health and quality of life. This project aimed to address these challenges by developing an educational program focused on improving AT management, reducing abandonment, and promoting leisure engagement. A needs assessment of veterans in Abilene, TX, revealed critical issues, including barriers to leisure, limited community involvement, and gaps in AT maintenance education. The program delivered web-based and in-person resources on AT use, adaptive leisure strategies, and equipment recycling. Key outcomes included enhanced social participation, improved independence, and sustainable solutions for …

The Influence Of Socioeconomic Status On Youth Enrolled In Public Urban High Schools: A Transcendental Phenomenological Study, Destiny Breanna Carrington

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the lived experiences of low socioeconomic status (SES) students who were enrolled in a public urban high school. The theory guiding this study is the theory of social cognition, as it describes the fact that since learning happens in social environments, when students are properly supported in the classroom it can change their overall outcomes. Students of low SES may need extra motivation in the classroom, diverse types of instruction, and other positive reinforcement to help them perform better. Reciprocal determinism is at the center of the vortex for social …

A Phenomenological Study On The Mental Health Stigmatization And Faith Of Christian African American Genx Men, Kenneth Jerlette Mickie

Doctoral Dissertations and Projects

The primary goal of this study was to examine the Mental health stigmatization and the faith of Christian African American GenX men. Mental Health within the African American community is a topic that is often considered taboo and seldom discussed. African faith plays a prominent role, many still experience contradictory feelings about receiving mental health treatment due to the worry of being judged and stigmatized. Therefore, it is critical to understand African Americans' perceptions of depression and views of depression treatment, including cultural stigmas and religious, spiritual, and socioeconomic barriers that may deter individuals from seeking or accepting treatment in …

The Importance Of Adopting A Neurodiversity Affirming Approach: A Training For School Counselors, Emily Bauer

Dissertations, Theses, and Projects

Consisting of a literature review and a training presentation, this project investigates the concerning mental health crisis affecting the autistic community and educates school counselors on how to shift to a neurodiversity-affirming approach to better support student needs. Research shows that autistic individuals subjected to applied behavioral analysis (ABA), social skills training (SST), and other behaviorist treatments experience significantly poorer mental and physical health outcomes as well as lower quality of life, indicating a critical need for change (Aral et al, 2023; Cassidy et al, 2020; Stewart et al, 2023). Supported by modern research, a neurodiversity-affirming approach is a better …

Mental Health Care Disparities Among Us Pregnant Individuals In 2020–2021: A Cross-Sectional Study, Julisa Tindall, Monique J. Brown Ph.D., Mph, Peiyin Hung

Faculty Publications

Purpose

To examine maternal characteristics associated with perceived unmet mental health needs and mental health care settings, focusing on residential rurality and race/ethnicity.

Methods

This cross-sectional study analyzed self-reported unmet mental health needs and mental health care settings among 1097 pregnant respondents in the 2020–2021 National Survey on Drug Use and Health, incorporating the complex sampling weights for national representativeness.

Findings

Non-Hispanic Black pregnant individuals and those living in nonmetro rural areas reported lower odds of unmet mental health needs compared to those in large metro areas and non-Hispanic White individuals. Pregnant individuals in nonmetro rural areas and non-Hispanic other …

Improving Health Equity: Integrating Mental Health Services Into Mobile Health Clinics For Unhoused And Low-Income Populations In The United States, Tiffany Lynn Wong

Master's Projects and Capstones

Mental health disparities among homeless and low-income populations in the United States highlight significant challenges in access and quality of care. This literature review explores the integration of mental health services into Mobile Health Clinics (MHCs) as a promising recommendation to address these disparities. I used various search engines, extracting 10 articles published from 2013 to 2023 focused on the U.S. MHCs show its effectiveness in improving healthcare access and quality of care, covering different services like mammography, reproductive health, COVID-19 testing, and diabetes care. Building on these successful models, this paper proposes extending MHCs to include mental health screenings, …

Utilizing Pupper, A Social Robot Dog, To Increase Happiness And Improve Mood In Pediatric Patients Of A Cardiac Step-Down Unit, Angela Feng Wu

Master's Projects and Capstones

Objective The usage of social robots in pediatrics is an emerging field of study. Preliminary research shows that they are effective at improving the psychosocial well-being of pediatric patients. This quality improvement project focuses on Pupper, a newly developed quadruped social robot dog, and its ability in improving mood and happiness in pediatric patients of a cardiac step-down unit. Aim The aim of this project is to increase average mood scores of pediatric cardiac patients aged 3-25 years by 50% from their baseline of 3.75 to 5.63 on a six-point scale within a one-month time frame. Methods Before intervention and …

Adolescent Suicide Prevention Techniques, Kaitlyn R. O’Malley

Honors Capstones

The purpose of this paper is to understand prevention techniques for adolescent suicide. Suicide is defined as death caused by injuring oneself with the intent to die. Suicide is the fourth leading cause of death among 15–29-year-olds (WHO). From 2021 to 2022, the number of suiciderelated deaths increased by 2.6%. 48,123 people died from suicide in 2021 alone. (CDC) From 2011-2021, 13% of high school girls tried to commit suicide, and 30% of them considered trying (Youth Risk Behavior Survey Data Summary and Trends Report: 2011–2021). Suicide is very preventable in society, which is why, with how many people try …

Msw Portfolio, Andrea E. Anderson

Graduate Student Portfolios, Professional Papers, and Capstone Projects

The portfolio narrative includes a brief introduction to my academic journey including field related work. The ten social work competencies are used as a guide while I reflect on the required appendices, theoretical frameworks and orientation to practice throughout the narrative.

Disproportionate Rate Of Mental Health Care For African American Service Members, Amy Tesla Kingjones

Doctoral Dissertations and Projects

This case study understands and describes the disproportionate rate of mental health care for African American Service Members in the US military. With minorities making up less than 20% of the US armed forces, fitting into predominantly white spaces is necessary for continued success and can cause stress, depression, and anxiety. The theory guiding this study is critical race theory, as it uncovers and challenges how laws, policies, and societal norms perpetuate racial hierarchies and disadvantage marginalized communities. It emphasizes the social construction of race, highlighting that it is not an inherent biological category but a product of historical, political, …

The Heart Of The Matter: Prioritizing The Mental & Emotional Wellbeing Of Pastoral Leaders, Ashley M. Herron

Doctoral Dissertations and Projects

Pastoral leadership is a unique and peculiar leadership vocation. It is unique and peculiar in its expectation that those in the pastoral leadership vocation should operate in multiple roles. It is also particularly unique in its experience of occupational stressors. The pastoral vocation is considered by many to be the single most stressful occupation in the United States and perhaps around the world (Thordarson, 2022). Although pastoral leaders are experiencing mental and emotional stress and distress at high rates, they are not seeking help at the same rate. Research indicates that pastoral leaders are reluctant and slow in pursuing care …

A Legacy Of Trauma: A Phenomenological Study Of African American Pastors' Perspectives On Mental Health In Delaware Churches, Donell M. Winder

Doctoral Dissertations and Projects

This hermeneutic phenomenological qualitative study aimed to explore the perceptions and practices of african american evangelical pastors in delaware regarding mental health care within their congregations. the study sought to understand how pastors integrate their spiritual beliefs with mental health practices and how cultural factors influence their roles as mental health advocates. anchored in social constructivism, the research examined the cultural and contextual factors that shape pastors' approaches to mental health issues. eight senior pastors from evangelical churches across delaware were selected through purposive sampling, and semi-structured interviews served as the primary data collection method. thematic analysis identified several key …

A Comparison Of Depression, Anxiety, And Stress Amongst Male And Female Clinical Laboratory Leaders, Elizabeth M. Payne

Doctoral Dissertations and Projects

This study examined the potential relationship between male and female emotional disparities -- specifically depression, anxiety, and stress -- in clinical laboratory leaders. The Depression, Anxiety, and Stress Scale-21 (DASS-21) was used to determine levels of depression, anxiety, and stress in 16 male and 16 female clinical laboratory leaders at two laboratory sites in Long Island, NY. Through univariate ANOVA tests, the research evaluated if there are significant differences in mental health outcomes between female and male leaders in clinical laboratory settings. The results demonstrated that female leaders experienced significantly higher levels of depression and anxiety compared to their male …

High School Principals’ Experiences Implementing The Whole-Child Approach To Education, Elise Heaton

Dissertations

The prevalence of the whole-child approach to education has grown significantly as schools recognize that students' needs extend beyond academics to include their social, emotional, mental, and physical well-being. This approach emphasizes nurturing all aspects of a child's development to ensure they thrive in a diverse and ever-evolving world. This phenomenological qualitative case study explores the lived experiences of high school principals as they implement the whole-child approach to education. Through data collected via various methods, including interviews, document analysis, and site observations, this study provides an in-depth examination of how principals navigate the complex demands of addressing the multifaceted …

Exploring Family Mealtime Environment, Screens, And Mental Health Among School-Aged Children In Japan, Ami Nishimori Alnouri

Doctoral Dissertations and Projects

This qualitative phenomenological study explored the lived experiences of family mealtimes during breakfast and the mental health of school-aged children (6-18 years) in Japan, comparing those who used and did not use screens during breakfast. This study involved two research questions: How did parents of Japanese school-aged (6 to 18 years) children who used screens (electronic devices) at mealtime experience family mealtime during breakfast? How did parents of Japanese school-aged (6 to 18 years) children who did not use screens (electronic devices) at mealtime experience family mealtime during breakfast? In this study, a qualitative phenomenological approach employed semi-structured interviews with …