Digital Commons Network^™

Beyond The Diagnosis: A Qualitative Exploration Of Men Living With Hiv, David R. Romanelli

Antioch University Dissertations & Theses

This qualitative study explored the lived experiences of men (18+ years old) living with HIV to better understand how they navigate identity, mental health, relationships, and healthcare systems after diagnosis. The method included a qualitative thematic analysis with 10 participants. Eight themes emerged from the data: (1) reactions, reflections, and meaning-making after diagnosis; (2) managing medication, treatment, and co-occurring conditions; (3) stigma, disclosure, and negotiation of identity; (4) substance use, housing instability, and socioeconomic stressors; (5) navigating the changing HIV landscape; (6) experiences with family and intimate relationships; (7) implications for mental health counseling; and (8) the role of community …

The Prevalence And Perception Of Maltreatment In Elite Dance Training, Cara Elena Guglielmino

Doctor of Psychology (PsyD)

Participation in elite dance training often requires navigating environments with heightened risk of physical and psychological maltreatment. This risk has historically been embedded and normalized through rigid pedagogical practices and professional expectations (Gregory & Interiano-Shiverdecker, 2021). Additional vulnerabilities for dancers include age of participation, training methodologies and culture, the dancer–instructor relationship, intensity and proximity of residential programs, and level of parental involvement. Existing research on elite dance training has predominantly focused on ballet-specific stressors, culture, and professional commitments using qualitative analysis. The present study examined the prevalence and perception of maltreatment, the psychological impact of harm, and identified implications for …

The Next Step: Building Strength Through Life Skills, Victoria Nunez

OT Doctoral Capstones

Adolescents who are at risk or facing mental health challenges often miss out on chances to build the practical life skills they need for everyday life and a smooth transition into adulthood. While traditional rehabilitation programs tend to focus on stabilization and therapy, they frequently fall short when it comes to preparing young people for independent living. The purpose of this doctoral capstone project was to develop and implement a structured, occupation-based life skills program to promote well-being, independence, and meaningful participation among adolescents. The Life Skills Program (Life Lab) took place at the Alamito STREAM Center in Segundo Barrio, …

The Phenomenon Of Professional Burnout Among Military Chaplains In Ukraine, Artem Makovskyi, Oleg Mateyuk, Oleksandr Bilovskyi, Anton Datskov, Dmytro Oleshko

Occasional Papers on Religion in Eastern Europe

The article presents a comprehensive study of the phenomenon of professional burnout among military chaplains in Ukraine in the context of their personal experience of being in extreme (combat) conditions. The relevance of the problem is due to the prolonged impact of combat operations, high psycho-emotional stress, and the special role of military chaplains in the system of moral and psychological support for Ukraine's security and defense sector. The theoretical and methodological basis of the study was the concept of professional burnout by K. Maslach, the provisions of the person-centered approach, and the theory of personal experience. The empirical study …

Accessing Campus Mental Health Services In A Nigerian Southwestern University: Barriers To Academic Success, Caroline Dada

Electronic Theses and Dissertations

Mental health disorders are a significant health concern among higher education institutions in sub-Saharan Africa, including Nigeria. A substantial treatment gap exists in the Nigerian healthcare system, and this gap is further worsened by cultural and religious barriers, which reinforce stigma that discourages students from seeking professional help. This qualitative narrative inquiry explored the barriers students encountered when accessing mental health services at a university in Southwestern Nigeria, to increase service access. Qualitative semistructured interviews were conducted with seven professional mental health providers at a university counseling center between March and April 2025. Inductive thematic analysis was used to identify …

Weighing The Costs: Understanding How Eating Disorder History And Motivation For Use Impacts Experience On A Glucagon-Like Peptide-1 Receptor Agonist And Interest In Future Use, Kimberly M. Gauert

Electronic Theses & Dissertations (2024 - present)

Glucagon-Like Peptide-1 receptor agonist (GLP-1 RA) medications have become popular tools due to their effectiveness regarding weight loss and chronic disease management. The drastic increase in demand for these medications has led to widespread availability and an increase in “off-label” use for cosmetic purposes. Although GLP-1 RA medications have the potential to positively impact overall health and wellbeing, there is also concern regarding potential misuse of these medications by those with a history of eating disorder behaviors. However, few studies to date have examined the relationship between a history of eating disorder pathology, reason for GLP-1 RA use, and current …

The Psychiatric Burden Of Hidradenitis Suppurativa: A Trinetx Analysis Of Sex-Specific Disparities In Mental Health And Medication Use, Emily Sheetz, Julia Feord, Collette Sholi, Parker Adams, Tamas Gal, Susan G. Kornstein, Arturo Saavedra

Department of Medicine Faculty Publications

Background:

Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition associated with physical and psychological burden. Prior research has shown increased rates of depression and anxiety among individuals with HS; however, sex-based disparities in the prevalence of these mental health conditions in patients with HS remain underexplored.

Objective:

To evaluate sex-based differences in the prevalence of major depressive disorder (MDD), generalized anxiety disorder (GAD), and the prescribing of antidepressants and anxiolytics among patients with HS.

Methods:

Using the TriNetX database, we identified patients over the age of 18 who had a recorded diagnosis of HS. Propensity score matching based on …

Bridging Worlds Of Care: A Qualitative Exploration Of Integrating Non-Western Healing Modalities With Mental Health Counseling, Douglas Valdez

Antioch University Dissertations & Theses

The aim of the study is to explore the experiences of practitioners who treat individuals presenting with depression and anxiety using culturally integrative non-Western healing modalities. Participants included 15 experienced practitioners (minimum five years of practice) who identified as Traditional Chinese Medicine providers (e.g., acupuncturists, herbalists) and/or Curandero/x/as. The approach was qualitative, utilizing open-ended survey responses collected electronically and analyzed with thematic analysis. Results indicated six primary themes: (a) Philosophies in Healing, highlighting culturally grounded conceptualizations of depression and anxiety; (b) Traditional Chinese Medicine Interventions, including acupuncture, botanical, nutritional, manual, and movement-based practices; (c) Curanderismo Pláticas and Integrative Western Healing …

Experiences Of Title Ix Investigations For Bipoc Survivors Of Sexual Violence, Tiffini Vo

Antioch University Dissertations & Theses

Sexual violence is among the most common crimes on college campuses. Nearly one in four undergraduate women experience sexual violence during college, yet reporting remains low (Spencer et al., 2020). Some students avoided reporting because of fear of criticism, backlash, blame, and shame (Lorenz et al., 2023). These responses not only influence reporting decisions but can also contribute to persistent psychological harm. A common consequence of sexual assault is the survivor developing post-traumatic stress disorder (PTSD), depressive and anxiety symptoms, and suicidality, demonstrating the severity of the crime perpetrated against them (Rothman et al., 2021). Even more so, those who …

Financial Stress And Academic Disruption Among U.S. Postsecondary Students: The Mediating Role Of Anxiety, Tania Akter

Journal of Higher Education & Student Affairs

Given the growing mental health challenges among students in the United States, this study examines how financial stress is associated with anxiety and assesses whether anxiety mediates the relationship between financial stress and academic disruption among U.S. postsecondary students. Data from the 2023–2024 Healthy Minds Study were analyzed using survey-weighted linear regression models to assess the association between financial stress and anxiety, and a generalized structural equation model (GSEM) to test whether anxiety mediates the relationship between financial stress and academic disruption. Results showed that financial stress was significantly associated with anxiety. Mediation analysis indicated that anxiety significantly mediated the …

A Front-End Analysis Of Teacher Retention At A High Poverty K-5 Public School, Nicole Gray

Theses and Dissertations

This dissertation explored the experiences of educators impacted by teacher retention issues at a high-poverty K-5 public school. Researchers have studied the decline in individuals entering into the education profession as well as the high rates of individuals exiting the profession. With individuals leaving the profession at high rates, and not enough entering to replace those that are leaving, there is now a massive shortage with not enough teachers to meet the needs of students in public schools. The few individuals that are entering into the profession are not being retained, especially at high-poverty schools. This study explored the thoughts …

Addressing Mental Health In College Athletics: Developing A Mindfulness-Centered Curricular Intervention For Student-Athletes And Coaches, Douglas W. Lampman

Electronic Theses & Dissertations (2024 - present)

Rising rates of mental health concerns among collegiate student-athletes have intensified calls for a more holistic approach to athlete development and well-being.  While student-athletes regularly interact with coaches and educators, few curricular interventions explicitly address mental and emotional wellness in the athletic context.

The purpose of this qualitative study was to examine the development, implementation, and perceived impact of a mindfulness-centered approach and curriculum.  This curriculum is designed explicitly for collegiate student-athletes and coaches.  Grounded in mindfulness-based pedagogy, the curriculum addressed stress management, emotion regulation, interpersonal relationships, performance anxiety, and personal growth.

Using a multi-tiered qualitative design, data were collected …

A Case For Qualitatively Driven Mixed Methods In Nursing Research: A Methodological Discussion, Jennifer Hamilton, Cooper, Irene Ngune, Amanda Cole, Richard Bostwick, Debbie Louise Massey

Research outputs 2022 to 2026

Mixed methodology continues to grow as a rigorous and respected research design. However, the value of qualitatively driven mixed methods research within nursing is underrepresented. Qualitatively driven mixed methods, where qualitative data dominate meaning-making, have the potential to capture critical experiential elements pertinent to nursing research while supporting empirical rigour. This methodology paper argues for the importance of qualitatively driven mixed methods approaches within nursing research to enable greater understanding of complex phenomenon. Through discussion and case example the role of qualitatively driven mixed methods, including within a sequential explanatory design, are presented. Nurses and midwives are well placed to …

Exploring The Mental Health Experiences Of Working Mothers Beyond The Postpartum Period: A Qualitative Study, Katie A. Bennett

Honors Theses and Capstones

Even as symptoms and concerns may persist or intensify with evolving parenting demands, maternal mental health beyond the postpartum period remains under-researched, especially in mothers who are employed and raising children simultaneously. This phenomenological study investigated the nuanced lived experiences of working mothers and their mental health. This study utilized convenience sampling to recruit 10 participants via Facebook groups. Each participant took part in a semi-structured interview which was audio recorded and transcribed. Transcripts were analyzed using Braun and Clarke’s thematic analysis, revealing 5 core themes: emotional strain and sensory overstimulation; stress during transitions between work and parenting roles; employment …

The Complex And Multifaceted Nature Of Social Media: Perspectives From Young Adolescents, Parents And Experts, Cindy Branch-Smith, Diarmuid Hurley, Nasim Salehi

Research outputs 2022 to 2026

Purpose: This study explores the complex and multifaceted nature of social media use among young adolescents, drawing on the perspectives of young adolescents, parents and experts. It examines both the benefits and risks of social media and associated implications for adolescent mental health, self-development and social relationships. Methodology: A qualitative, interpretive design was utilised, using interviews across three stakeholder groups, with data analysed using reflexive thematic analysis. Findings: The analysis identified a range of perceived opportunities, benefits and challenges associated with adolescent social media engagement. Participants highlighted its role in fostering connection, education and self-expression, alongside significant risks, including cyberbullying, …

Mental Health Impacts Of Anti-Trans Stigma On Transgender People In Australia: A Mixed-Methods Study, Sav Zwickl, Sasha Bailey, Rin Chan, Shalem Y. Leemaqz, Joel Murray, Stevie Lane, Foster Skewis, Julian Grace, Eli Ward-Smith, Tomi Ruggles, Ada S. Cheung

Research outputs 2022 to 2026

Background: Anti-trans stigma has escalated globally, yet there is limited empirical evidence examining its mental health impacts on trans populations.

Methods: In a May 2024 mixed-methods cross-sectional online survey, trans people aged ≥16 years living in Australia reported the frequency of seven anti-trans stigma experiences in the previous month, including exposure to anti-trans remarks in the news media or online; personal experience of online bullying, harassment or threats; having thought about, seen or heard about anti-trans rhetoric by Australian politicians and high-profile individuals; or anti-trans rallies; or police violence; or international anti-trans legislation and violence. Generalized linear models examined associations …

The Influence Of Self-Compassion On The Mental Health And Well-Being Of Women Experiencing Infertility: A Systematic Review, Shwikar Othman, Mitra Javanmard, Lauren Roberts, Lisa Conlon, Mary Steen

Research outputs 2022 to 2026

Infertility can cause significant distress to women, increasing the risk of anxiety and depression. This systematic review examined the influence of self-compassion interventions on mental health and well-being among women experiencing infertility. The review was conducted in accordance with Joanna Briggs Institute (JBI) methodology and reported following PRISMA guideline. Databases searched included Medline, Embase, Ovid nursing database, Emcare, PsycINFO and Cochrane Library from inception to November 2024. Quality assessment was conducted using JBI critical appraisal tools. Title and abstract screening was conducted by three reviewers, and data extraction was performed independently by two reviewers. Sixteen studies met the inclusion criteria, …

Christianity As Coping Mechanisms For Migrants With Mental Health Challenges In Australia: Social Work Implications, Obed Adonteng-Kissi, Nnaemeka Meribe, Kathomi Gatwiri, Lillian Mwanri, Agness Tembo, Frank Darkwa Baffour, Edith N. Botchway-Commey, Aunty Kerrie Doyle, David Chisanga, Ahmed A. Moustafa, Uchechukwu Levi Osuagwu

Research outputs 2022 to 2026

Christian religion may be a powerful resource that can serve as a coping mechanism to resolve challenges and provide comfort to African migrants confronted with mental health challenges. We aimed to explore the coping strategies among African migrants in Australia. We undertook semi-structured interviews online with 11 participants with African backgrounds, comprising six mental health clinicians and five migrant service users living in Australia for at least the past 12 months. Literature exploring religious coping mechanisms, social support and acculturation was drawn on. The interviews were undertaken online via Teams, WhatsApp call, and zoom with participants whom we recruited through …

Who Seeks Help? Characteristics Of Doctors Accessing Mental Health Support In England: 4-Year National Review, Rohit Shankar

Peninsula Medical School

BackgroundMental health difficulties affect the well-being of doctors and compromise the delivery of healthcare. However, large-scale data on doctors’ mental health needs are limited.AimsDescribe patterns of self-referrals for mental health support among doctors in England and explore associations with demographic factors, speciality, neurodevelopmental and mental health indicators.MethodObservational study using data from doctors who self-referred for mental health difficulties to a national service in England over a 4-year period. Logistic regression was used to explore associations between speciality and mental health indicators.ResultsOf the 16 815 doctors who self-referred during the study period, 80% were under the age of 49 and 70.6% …

Prevalence And Determinants Of Diabetes-Related Psychological Distress In A Tertiary Care Setting In Tamil Nadu: India: Cross-Sectional Study, Rohit Shankar, Samuel Tromans

Peninsula Medical School

BackgroundDiabetes distress, whereby people with diabetes experience distressing psychological symptoms associated with living with their condition, is an emerging problem in India. Diabetes distress leads to self-care deficits, suboptimal glycaemic control (which can lead to increasing risks of complications) and impaired quality of life.AimsTo determine the burden of diabetes distress and its associated factors in an Indian tertiary care centre in Trichy, Tamil Nadu, India, covering a population of 1.25 million.MethodThis prospective observational study involved a structured questionnaire covering demographic and clinical details, which was given to patients. The Diabetes Distress Scale 17 (DDS-17) was used to assess diabetes distress …

Psychotropic Medication Prescribing To Children And Young People Mental Health Inpatient Services: An English National Study, David Branford, Anne Webster, Marinos Kyriakopoulos, Shermin Imran, Prathiba Chitsabesan, Tina Irani, Teresa Randon, Kirsten Peebles, Rohit Shankar

Peninsula Medical School

Background:Mental disorders frequently begin in childhood or adolescence. Worldwide, psychotropics are commonly prescribed for under-18s to stabilise behaviour, mood or thoughts. Psychotropics could cause long-term effects on children and young people (CYP) health, growth and development. There is a knowledge gap about psychotropic prescribing in CYP mental health inpatient units.Aims:To understand and compare psychotropic prescribing patterns in England mental health inpatient units for CYPs and to solicit CYP and their parents’ and carers’ views of it.Method:A national Quality Improvement programme authorised by National Health Service (NHS) England invited all English CYP mental health inpatient units to participate. The programme included …

Lower Suicidal Ideation Linked To Easier Access To Urban Green Spaces During The Covid-19 Pandemic: A Nationwide Study In Japan, Zheng Xian, Tomoki Nakaya, Clive E. Sabel, Ryo Okubo, Kun Liu, Jinguang Zhang, Takahiro Tabuchi

School of Geography, Earth and Environmental Sciences

Urban green spaces (UGSs) have been linked to improved mental health and lower suicide rates, yet their protective role during large-scale crises remains underexplored. We examined associations of UGS accessibility with long-term and pandemic induced new-onset suicidal ideation during the early phase of the COVID-19 pandemic in urban Japan, using data from a nationwide health survey of 17,376 participants (August 2020). Modified Poisson regression models estimated prevalence ratios (PRs) for suicidal ideation by UGS accessibility (area, number, and type) within 5, 10, and 15-minute walking thresholds from home, controlling for individual and area-level confounders. UGS accessibility exhibited dose-response relationships with …

Effects Of Mental Health Services On Adolescents’ Mental Health-Related Behavior Problems And Academic Performance, Marsha Bernard

Theses and Dissertations

The problem to be addressed in the research study was that students who are marginalized and racially profiled exhibit behavioral problems in school and lack the resources to understand and manage their emotional behaviors. The purpose of the study was to determine how mental health counselors in schools and in the community can assist marginalized families with adequate mental health services. The study sought an understanding of the underlying causes of disruptive behaviors and miscommunication between students and administrators. Overall, the study revealed that mental health has an impact and plays a critical role in the day-to-day experiences of marginalized …

Examining Reframing Behavior Implementation: Teacher Perspectives And Discipline Patterns In Middle School, Francisco J. Hidalgo

Theses and Dissertations

This applied dissertation examined teacher-reported implementation of the Reframing Behavior (RB) Initiative at a middle school in North Central Florida. The districtwide training occurred in the 2024-2025 school year. The RB Initiative provides educators with opportunities to reframe how they address disruptive behaviors among students perceived as problematic, who may receive numerous disciplinary actions. Disciplinary actions can affect students’ academic and social lives. Using a convergent mixed methods design, the study addressed four research questions and examined implementation fidelity, teacher perceptions, school-wide discipline patterns, and teacher experiences with RB implementation.

The researcher surveyed 19 teachers and interviewed four teachers. The …

An Exploratory Study Of The Relationship Between Social Factors And Social Connectivity; How Do Our Social Behaviors Impact Our Physical And Cognitive Health?, Tayler K. Errera

Williams Honors College, Honors Research Projects

Social connectedness has reportedly seen significant declines in the last two and a half decades (Hsiao et al., 2022). These trends correlate with social media, related technological advances, and COVID-19 quarantine responses. With signs that this decline has started to stagnate, interest in what individuals and communities can do to reverse this adverse impact arises. While many factors are known to correlate to social connectivity, this study demonstrates the significance of specific factors regarding college students. This study highlights the importance of exercise and technological restraint in fostering social connection.

Children’S And Adult Perspectives On Mental Health In Children’S Youth Literature And Media, Edcel J. Cintron-Gonzalez

Theses and Dissertations

My dissertation extends existing work on mental health in children’s literature to examine the different narratives strategies that text, film, and media for young audiences use to connect childhood, caregiving, and emotional wellbeing. Three areas of scholarship—children’s literature scholarship, health humanities work, and feminist care ethics—inform my project. Overall, I am interested in how a variety of genres for young readers represent mental health not only as an individual experience, but also as something shaped by family, culture, community, and adult-child relationships. It is therefore important to delineate the different concepts and frameworks that help make sense of how mental …

The Victimization Of Immigrant Adolescents, Stephanie Vargas

Theses and Dissertations

Immigrant adolescents may experience social and structural challenges that increase their vulnerability to victimization and influence long-term developmental outcomes. However, there is little longitudinal research has examined whether immigration generation is associated with adolescent victimization and adult behavioral outcomes using nationally representative data. This study used data from the National Longitudinal Study of Adolescent to Adult Health (Add Health) to examine the relationships among immigration generation, adolescent victimization, and adult criminal justice, mental health, and substance use outcomes. Logistic regression analyses were conducted to examine whether first- and second-generation immigrants differed from third-generation respondents after controlling for race/ethnicity, family structure, …

Relationships Between Smartphone Use, Mental Health, And Personality, Christina M. Frederick, Gabriel Fredrich

Publications

The present study examined how patterns of smartphone use relate to mental health and personality variables. Ninety-four individuals reported information from their iPhones on pick-ups and screen time, as well as completing a measure of depression, anxiety and stress, and a short personality test. Higher numbers of iPhone pick-ups related to lower levels of depression, anxiety, and stress, but also to lower levels of emotional stability. Greater phone usage may correlate with mental health concerns but also raises new questions about how smart phone use patterns might help to lessen feelings of anxiety, depression or stress in users. This study …

Prevalence And Correlates Of Anxiety And Depression Symptoms Among Medical Students: The Role Of Student Debt Burden, Foroozan Afsharchi, Joshua F. Edwards, Kailash S. Ram, Jingru Huang, Valicia Hale, Ismail El Moudden

Department of Family and Community Medicine Faculty Publications

Background

This cross-sectional study examined whether anxiety and depression symptoms decrease as medical students progress through training (suggesting adjustment disorder) or persist (suggesting chronic conditions), while identifying associated risk factors, including student debt burden and treatment effectiveness.

Methods

We surveyed medical students (years 1-4) at VHS-ODU using a sociodemographic questionnaire and validated screening instruments (GAD-7 for anxiety and PHQ-9 for depression) via RedCap from September to November 2024.

Results

Among 126 students, Scores were higher in Years 2-3 than in Years 1 and 4, but differences by year were not significant (GAD-7 p=0.055; PHQ-9 p=0.352). Students with a prior mental-health …

Exploring Barriers And Facilitators Of Mental Health Treatment For Law Enforcement Officers: The Impact Of Police Occupational Culture, April Reed

Graduate Studies Theses and Dissertations 2026

Prior research has explored the impact of police culture on mental health stigma among law enforcement, however, a deeper understanding about how different aspects of police culture may inhibit or facilitate mental health treatment utilization is needed to inform policy and practice. This dissertation explores the relationship between police culture and mental health using a qualitative research design. Twenty-five (n=25) law enforcement officers from a county sheriff’s office in Central Florida were interviewed and participant observations were conducted during a three-month period. The present study sought to address the following research questions: What are the experiences of the job and …