Digital Commons Network^™

Exploring Mental Health In Veterinary Students: Common Stressors And Effective Coping Strategies: A Narrative Review, Rahib K. Islam, Emily K. Cobb, Hannah K. Mccowan, Kylie Watson, Kaustuv Bhattacharya, Anjali Chandra, Warda Mohiuddin, Karen Gruszynski, Amanda H. Wilkerson, John J. Dascanio, Robert E. Davis, Vinayak K. Nahar

School of Medicine Faculty Publications

INTRODUCTION: Veterinary students face significant challenges impacting their mental health and wellbeing. The rigorous academic curriculum, high expectations, and demanding clinical training create an environment of intense pressure and constant stress. This review explores the demographic and psychosocial variables influencing mental health outcomes, highlighting common stressors and coping strategies. METHODS: A systematic literature search was conducted using PubMed, CAB Abstracts, and Google Scholar. Studies published up to 2021 involving veterinary students were included. Twenty-one peer-reviewed studies met the inclusion criteria. Demographic data, stressors, mental health measures, and coping strategies were extracted and analyzed. Studies focused on various mental health aspects, …

Burnout, Compassion Fatigue, And Self-Care Practices: Mental Health Professionals Working In The Community, Autumn Brooke Wohlford

Doctoral Dissertations and Projects

Mental health has been thoroughly researched in recent years. However, following community-level mental health professionals' mental health patterns is an emerging concept in the present research field. Due to the recent high demand for mental health professionals in their communities, burnout and compassion have increased. In recent years, researchers have focused on increased burnout and compassion fatigue, as well as the use of self-care practices in mental health professionals. To further contribute to the research, using a quantitative research study, burnout rates, compassion fatigue, and self-care practices were examined in mental health professionals using a multiple linear regression. Sixty mental …

Investigating Mental Health Disparities In Rural Sexual And Gender Minority Adults: Protocol For The Rural Exploration And Approaches To Lgbtq + Mental Health (Realm) Prospective Cohort Study, Shoshanna L. Fine, Kalai Willis, Iaah L. Lucas, Kirsten F. Siebach, Jennifer L. Glick, Mariah Valentine-Graves, Savannah Winter, Michael Smith, Thomas Waltz, Gina Bailey Herring, Marissa Hannah, Holly C. Wilcox, Travis Sanchez, Stefan D. Baral, Sarah M. Murray

School of Public Health Faculty Publications

BACKGROUND: Sexual and gender minority (SGM) persons experience substantial mental health disparities throughout the life course, including increased vulnerability to depression and suicide. Few existing studies, however, have explored how pervasive experiences of SGM-related stigma, discrimination, and trauma (i.e., minority stress) contribute to adverse mental health outcomes among diverse sub-populations of SGM adults living in rural areas of the United States. This paper describes the protocol for a prospective cohort study, "Rural Exploration and Approaches for LGBTQ + Mental Health (REALM)," that will explore minority stress in relation to mental health conditions and suicidal behaviors among rural SGM adults. METHODS: …

Understanding The Prevalence Of Mental Health And Behavioral Distress In Transit Assaults And Presenting Targeted Response And Mitigation Methods To Reduce Victimization Trends, Kathleen Moore, Emilie Ellenberg, Melissa Carlson, Jodi Godfrey, Lisa Staes

Mineta Transportation Institute

This research project was performed to better understand the prevalence of mental health and behavioral distress in transit assaults and present corresponding targeted response and mitigation methods to reduce victimization trends. It includes a literature review, a data presentation and overview of reported public transit assault-related events, an examination of the contributing factors to those events, and documentation of 10 transit agency case studies. The literature review discusses some of the misconceptions of mental illness and associated stigmas and discrimination that can occur in response to these misconceptions. It discusses various approaches and strategies that transit agencies have used to …

Exploring Adolescents' Mental Health In Kampala, Uganda In The Context Of Covid-19: A Mixed Methods Study, Gideon Mbithi, Ahmed Sarki, Adam Mabrouk, Rachel Odhiambo, Mary Namuguzi, Joseph Atukwatse, Margaret Kabue, Stephen Mulupi, Amina Abubakar

Institute for Human Development, East Africa

Background: Urban areas, particularly in developing nations like Uganda, face heightened risks due to poverty, unemployment, and environmental challenges, intensifying the vulnerability of urban youth to poor mental health. This study aims to determine the psychological well-being of adolescents and to assess the risks and associated factors of mental health problems among adolescents in the context of COVID-19 pandemic in Kampala City, Uganda.

Methods: We conducted a cross-sectional survey of 500 adolescents aged 13–19 years residing within the five divisions of Kampala City, Uganda. We utilized standardized psychological assessment tools including the Patient Health Questionnaire, Generalized Anxiety Scale, …

The Impact Of Vacations On Urban Women's Well-Being From The Perspective Of Feminist Urbanism, Jie Gao, Deborah Kerstetter, Tianfu Wang

Faculty Research, Scholarly, and Creative Activity

Vacations are known to foster well-being outcomes, yet few researchers have accounted for the influence of individual attributes such as gender, residential setting, or cultural context. As a result, there is a noticeable gap in the well-being literature concerning well-being outcomes for female travelers whose subjectivities have been shaped in as well as by their residential environment (urban) and culture. Using qualitative inquiry informed by the feminist urbanism perspective, this study uncovered urban Chinese women's cognitive representations of well-being outcomes from vacations. Findings revealed that vacations provide liberation from cultural constraints, boosting of social bonds and relationship building, enabling reflection …

Potential Mental Disorder Symptoms In The Prophet Elijah: An Exegetical And Psychological Analysis Of Selected Episodes From 1 Kings 18–19, Dariusz Iwański, Thomas G. Plante

Psychology

This interdisciplinary study examines the prophet Elijah’s experiences as depicted in 1 Kings 18–19 through a multidisciplinary lens, combining theological, literary, and psychological perspectives. Drawing on literary and historical–critical methods, a biblical scholar analyzes the narrative’s linguistic and cultural dimensions, while a psychologist evaluates these findings using contemporary mental health frameworks, including the DSM-5 and models of spiritual struggle. By synthesizing these approaches, the study explores Elijah’s emotional challenges, highlighting their resonance with modern understandings of mental health and spirituality. The findings suggest that Elijah’s profound struggles—marked by triumph, despair, and renewal—offer valuable insights into the interplay of faith, vulnerability, …

Childhood Sexual Abuse Among Asian American Adults: Prevalence, Cultural Barriers, And Mental Health Implications, Kruti S. Chaliawala, Liliana Rojas-Guyler

Dignity: A Journal of Analysis of Exploitation and Violence

Childhood sexual abuse represents a significant public health concern, particularly within minority populations, where adversities and complications are prevalent but understudied. This study aims to investigate the mental health of Asian American childhood sexual abuse survivors and explore the prevalence of childhood sexual abuse among Asian adults. A secondary analysis of the 2020 Behavioral Risk Factor Surveillance System (BRFSS) data was conducted, including a final sample of 1,894 Asian adults (0.16% of the total sample size of N = 401,958). Among these participants, 16.8% (n = 1,894) reported experiencing CSA. The most common forms of abuse were inappropriate touching …

Beauty Comes With A Price: But How Much Is It Worth It, Fabliha Afia

Dissertations, Theses, and Capstone Projects

The global skincare market, valued at 104.24 billion dollars in the year 2022, is very heterogeneous, ranging from prestige brands to more drugstore types. Even when the same key ingredients are present, the latter often sells for much higher due to branding and packaging and the aura of prestige created. This capstone project entitled "Beauty comes with a price: but how much is it worth?" investigates if such higher costs are justified due to superior quality or are driven by non-functional factors. It systematically compared the high-end versus drugstore skincare products in categories like sunscreens, serums, and exfoliants with respect …

A Systematic Review And Meta-Analysis On The Effect Of Nature Exposure Dose On Adults With Mental Illness, Joanna Ellen Bettmann, Elizabeth Speelman, Annelise Jolley, Tallie Casucci

Faculty and Staff Works

Time spent in nature leads to significant physical and mental benefits, but research is mixed on how much time in nature is necessary to affect change in adults' mental health. This meta-analysis aimed to answer the question: what effect does length and interval of nature dosage have on adults with mental illness? The authors defined nature exposure as an experience in nature lasting at least 10 minutes and taking place in an actual natural setting. Because some studies indicated single experiences of exposure to nature (one-time) while others utilized multiple exposures to nature (interval), these studies were separated to determine …

Impact Of A Clinician-Directed Educational Program On Communicating With Patients Regarding Gun Violence At Two Community Urban Healthcare Centers., Erik E. Langenau, Alexa M. Kaminsky, Michael B. Roberts

PCOM Scholarly Works

CONTEXT: Gun violence negatively impacts not only victims but also their families and surrounding communities. Resources and counseling services may be available to support families affected by gun violence, but the families and their clinicians may not know about these resources or how to access them.

OBJECTIVES: The objective of this study was to investigate the impact of a clinician-directed educational program on patient reports of their discussions with their physician regarding gun violence, prevention, and available resources for support and treatment.

METHODS: This quasi-experimental, cross-sectional, survey-based, quality-improvement study included pre-, mid-, and posttraining surveys administered to patients and clinicians …

Acceptance And Commitment Therapy With Huntington's Disease: A Narrative Review And Case Report Of A Caregiver-Assisted Intervention, Simone H. Schriger, Chelsi N. Nurse, C. Virginia O'Hayer

Department of Psychiatry and Human Behavior Faculty Papers

Acceptance and commitment therapy (ACT) is an experiential, action-oriented talk therapy that emphasizes acceptance of painful inner experience through increased psychological flexibility. In this narrative review and case report, we first review the extant literature on applications of ACT to patients with a variety of mental and physical health challenges, including neurodegenerative disorders, and their caregivers. We then discuss applications of ACT to Huntington's disease (HD). We provide a case report of a 52-year-old man living with HD who, accompanied by his caregiver, received a virtually-delivered 6-session ACT intervention. We measured the patient's self-reported symptoms of depression (PHQ-9) and anxiety …

Increased Depressive And Anxiety Symptoms Predict Increased Severity Of Functional Impairment After Five Years: A Nationally Representative Retrospective Cohort Study, Elisabeth C. Demarco, Samantha Zocher, Blake Miyamoto, Leslie Hinyard, Divya S. Subramaniam

Journal of Patient-Centered Research and Reviews

Purpose: Performing self-care and domestic life tasks are key aspects of functional independence for older adults. While both depression and anxiety symptoms are correlated with increased functional limitation, these disorders are often studied separately, despite frequent co-occurrence and plausible interaction, and without the consideration of social health. This study examined the impact of comorbid depressive and anxiety symptoms, controlling for social participation and loneliness, on severity of functional limitation in a nationally representative sample of older adults to improve patient-centered care.

Methods: The National Social Life, Health, and Aging Project (NSHAP) Rounds 2 and 3 data were utilized. Primary outcomes …

Beyond The Status Of Health: A Collection Of Stories Representing Diverse Maternal Mental Health Perspectives, Sara Santarossa, Ruth A. Blake, Heather Buchanan, Mercedes Price, Rachael Guzzardo, Craig Guzzardo, Lakenya M. Johnson, Jacobeth M. Morshall, Andrea Bate, Wayne Bate, Riziki Bakari, Leah Copeland, Dana Murphy, Ashley Redding, Amy Loree

Journal of Patient-Centered Research and Reviews

As part of a Patient-Centered Outcomes Research Institute (PCORI) Eugene Washington Engagement Award aimed at improving capacity to address maternal mental health in research, this collection of eight stories describes the unique experiences from caregivers (N = 2), patient/caregiver dyads (N = 2), healthcare stakeholders (N = 2), and community stakeholders (N = 2). Shared here are narratives dedicated to uplifting and supporting maternal mental health through storytelling. Elevating the voices and lived experiences of these diverse perspectives helps one understand the deeper and sometimes “invisible” needs of birthing people, thus moving beyond the status quo.

A Half Century Of Criminalizing Serious Mental Illness: Observations And Considerations, Arthur J. Lurigio

DePaul Journal of Health Care Law

This article describes the difficulties of working with people with serious mental illnesses (PSMIs) at every stage of the criminal justice process—from arrest to post- incarceration release from prison. The needs of PSMI for mental health and social services are complex and require different case management plans and strategies at various points in the process. Severe mental illnesses (SMIs), such as schizophrenia, major depression, and bipolar disorder, stem from abnormalities in the brain structure and neuroprocessing that cause significant distress and dysfunction. People with serious mental illnesses typically suffer from a variety of other related problems (e.g., addiction) that can …

Mental Health Courts: Is There Any Hope For Mental Illness In An Outdated Criminal Justice System?, Brock Imel

DePaul Journal of Health Care Law

Mental health awareness is an ever-growing field of study that has garnered more attention in America after the COVID-19 pandemic. As far back as colonial America, mental illness was considered taboo in society and often reprimanded with punishable crimes. This article seeks to divulge into the history of mental health and its relation to the law, as well as how the creation of mental health courts has led to a decrease in recidivism.

This article aims to provide the reader with an understanding of the evolving field of mental health courts and provide state legislatures foundational knowledge for creating and …

The Benefit Of Green And Blue, Maddie Fitzgerald

D.U.Quark

No abstract provided.

Feasibility And Acceptability Of The Mazi Umntanakho Digital Tool In South African Settings: A Qualitative Evaluation, Catherine E. Draper, Caylee J. Cook, Elizabeth A. Ankrah, Jesus A. Beltran, Franceli L. Cibrian, Kimberley D. Lakes, Hanna Mofid, Lucretia Williams, Gillian R. Hayes

Engineering Faculty Articles and Research

To address the need for interventions targeting social emotional development and mental health of young children in South Africa, the Mazi Umntanakho (‘know your child’) digital tool was co-designed, and piloted with caregivers and 3–5-year-old children involved in home visiting programmes promoting early childhood development. The aim of this study was to qualitatively evaluate the feasibility and acceptability of this tool in four urban and four rural low-income communities, from the perspective of home visitors and caregivers. Focus groups were conducted with home visitors (n = 117) and caregivers (n = 72). Issues relating to the feasibility of …

Perceived Stress And Coping Mechanisms Observed In Professional Master’S Athletic Training Students, Emily Madrak, Jennifer L. Volberding, Emily Madrak

Internet Journal of Allied Health Sciences and Practice

Purpose: With the shift in level of athletic training education, studies regarding undergraduate students, especially regarding stress and coping, are quickly becoming obsolete. Because of this shift, we sought to investigate level of perceived stress (PS) in professional master’s athletic training (PMAT) students, coping skills used to mitigate PS, and what coping skills form a relationship to alter PS. We observed these variables by gender, age, year in program, and curriculum delivery model. Method: We used a quantitative cross-sectional study online survey to recruit students who were currently enrolled in a Commission on Accreditation of Athletic Training Education (CAATE) accredited …

Comprehensive Breast Cancer-Related Lymphedema Management Programs Addressing Both Psychosocial And Physical Needs: A Scoping Review, Amanda Wheeler, Claudine Campbell, Chenchen Cui

The Open Journal of Occupational Therapy

Background: Breast cancer is the leading cause of female cancer worldwide, which can lead to many negative sequelae, with up to a third of women developing breast cancer-related lymphedema. Breast cancer-related lymphedema requires chronic maintenance and is associated with worse physical and mental health outcomes compared to women without lymphedema. Occupational therapists are well-positioned to address the complex needs of women with breast cancer-related lymphedema. This review aimed to identify existing research that reports outcomes of lymphedema management programs addressing both physical and mental health needs of women with breast cancer-related lymphedema.

Method: A scoping review was conducted …

Performance Art Is Ripe For Layering: Performance Art As A Therapeutic Intervention, Nur Greene

Expressive Therapies Capstone Theses

Performance art is an artform which benefits Expressive Arts Therapy (ExAT), the field of expressive therapies, and the mental health profession itself. For the purposes of this literature review, performance art is defined as any expression which attempts to be transformative, is witnessed by self or other, matching at least two modes of creative expression, often interacting with those witnessing, and which offers some element of experiment. Expressive Arts Therapy, a modality of therapy within the expressive therapies aimed to move (transfer) creative expression from one artform to another and develop a connection between different artistic representations and one’s psyche, …

"It Would Ruin My Life”:Pacific Islander Male Adolescents’ Perceptions Of Mental Health Help-Seeking Interpretative Phenomenological Analysis Focus Group Study, Melia Fonoimoana Garrett, Elizabeth Cutrer, G. E. Kawika Allen, Ellie Young, Kristopher J. Urbina, Isabel Medina Hull

Faculty Publications

Given rising mental health concerns among Pacific Islander (PI) adolescents, this population remains underserved by available mental health resources. This interpretative phenomenological analysis with focus groups (IPA-FG) examined the lived experiences and perceptions of 19 male PI adolescents (ages 14–16) from Native Hawaiian, Maori, Samoan, and Tongan backgrounds regarding mental health help-seeking behaviors. Four overarching themes emerged: stigma and judgment, cultural misalignment in professional services, impact of disclosure and perceived punitive consequences, and a complex ecosystem of trusted relationships as mental health support. Notably, participants expressed belief that disclosing mental health challenges would “ruin their lives” and held misconceptions about …

Los Inmigrantes Indocumentados Y Su Pelea Para La Salud Medica En Los Estados Unidos, Alejandro Del Rello

World Languages and Cultures Senior Capstones

This essay explores the critical issue of healthcare access for undocumented immigrants in the United States. Despite contributing significantly to the economy through labor and taxes, undocumented immigrants face systemic barriers to medical care, including lack of insurance, fear of deportation, and economic troubles. These barriers result in untreated illnesses, mental health struggles, and increased use of emergency services, which generate higher long-term costs. The paper argues for inclusive healthcare policies, such as Medicaid expansion and protections for patient privacy, to improve public health, reduce disparities, and enhance economic stability. Drawing from U.S. and international examples, the essay demonstrates that …

A Survey-Based Quantitative Analysis Of Stress Factors And Their Impacts Among Cybersecurity Professionals, Sunil Arora, John D. Hastings

Research & Publications

This study investigates the prevalence and underlying causes of work-related stress and burnout among cybersecurity professionals using a quantitative survey approach guided by the Job Demands-Resources model. Analysis of responses from 50 cybersecurity practitioners reveals an alarming reality: 44% report experiencing severe work-related stress and burnout, while an additional 28% are uncertain about their condition. The demanding nature of cybersecurity roles, unrealistic expectations, and unsupportive organizational cultures emerge as primary factors fueling this crisis. Notably, 66% of respondents perceive cybersecurity jobs as more stressful than other IT positions, with 84% facing additional challenges due to the pandemic and recent high-profile …

Personality And How It Relates To Coping Flexibility, Rebecca Kearns

Masters Theses & Specialist Projects

Stressful events, negative emotions, and negative events are all a normal part of life. How we react and cope with these events can reduce the damage stress can have on our mental health and well-being. There are many ways to cope with situations, but not all are considered to be beneficial. The ability to alternate between different coping strategies within a given situation is called coping flexibility. Having high coping flexibility is considered to be healthy and adaptive, but not everyone possesses the ability to flexibly cope with situations. Personality may explain individual differences among coping flexibility. The big five …

Holistic Health: A Psychosocial Health And Wellness Program For College Students, Elizabeth C. Fasti

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The Holistic Health program is a doctoral capstone quality improvement project that aims to increase the quality of life (QoL) and well-being for higher education students and increase staff and faculty knowledge of college students' mental health. Driven through education and program development, the program includes four key action plans. The first action plan was an in-person mindfulness-based program for college students. The second action plan includes a proposal for environmental adaptations to foster a safe and supportive campus environment for students. The third action plan includes expanding ready-to-use wellness and mindfulness resources for higher education students. The fourth and …

Good Trips, Bad Trips: Attachment, Connectedness, And Mental Health In Psychedelic Experiences, Sean Michael Nickley

Selected Full-Text Dissertations 2020-

Research into psychedelic-assisted psychotherapies and the overall psychedelic experience is in a period of acceleration, with hopes from multiple disciplines that such research might uncover novel and effective treatments for myriad psychological disorders. Much research to date has examined the neurobiological underpinnings of psychedelic states. The current study, existing as part of a larger trend examining the phenomenological and psychological mechanisms of psychedelic experience, sought to examine the ways in which attachment dynamics influenced the type of psychedelic experience—mystical versus challenging—and the subsequent effects on social connectedness and psychiatric symptoms. Prior research had suggested that individuals with more anxious attachment …

Exploring Stress Management Spaces Using Sensory Engagement On College Campuses: A Scoping Review, Karen R. Puckett

Occupational Therapy Doctorate Capstone Projects

Background: College students experience high levels of stress, with associated negative outcomes such as poor mental and physical health. In response, colleges and universities have explored the use of stress management spaces designed to address and promote improved mental health and wellbeing, but evidence regarding the most effective design and impact of these spaces is limited.

Purpose: The purpose of this project was to conduct a scoping review of the available literature related to stress management in higher education settings. The research questions are: What are the characteristics and design features of these spaces, and how do stress management spaces …

Feasibility Of An Lgbtq+ Public Health Surveillance Platform In Kentucky: A Brief Report On Mental Health Signals, Keith J. Watts, Sydney Howard, Missy Spears, Carolyn Lauckner, Rachel H. Farr, Glenn Means, Justin X. Moore

Social Work Faculty Publications

Background/Objectives: Robust, state-level LGBTQ+ health surveillance is scarce in Kentucky, limiting evidence-based healthcare planning and policy. We aimed to evaluate the feasibility and early public-health utility of a community-partnered annual survey and compare selected mental health stressors between Kentucky and non-Kentucky respondents.

Methods: We conducted a cross-sectional online survey (13 April–15 July 2024) developed with a statewide LGBTQ+ nonprofit. Recruitment occurred via organizational channels and community events. A content warning preceded the survey, which was administered via Qualtrics. Data quality was screened using reCAPTCHA. We assessed feasibility metrics including recruitment and completion rates. Mental health stressors were captured …

Examining The Role Of Peer And Family Belongingness In The Mental Health Of Black Lgbtq+ Youth, Keith J. Watts, M. Alex Wagaman, Andrew D. Eaton, Vivian W. Y. Leung, Shelley L. Craig

Social Work Faculty Publications

A sense of belonging to familial and peer networks is crucial for the mental health of LGBTQ + youth. Black LGBTQ + youth report feeling rejected and isolated due to their sexual and/or gender identities. Utilizing linear regression analyses, this study explored the relationship between peer and family belongingness and levels of depression, anxiety, and self-rated mental health among 181 Black LGBTQ + youth in the United States and Canada. Findings suggest that family and peer belongingness are important factors in Black LGBTQ + youth’s mental health and warrant further study into the protective nature of peer and family relationships …