Digital Commons Network^™

Unplugging For Wellness: Psycho-Behavioral Impact Of Social Media Detox In Medical Students, Hazhmat Ali, Deemah Shalan, Lubna Ahmed, Ahmed Abdulazeez, Bira Ahmed, Mohammed Khamo

Makara Human Behavior Studies in Asia

Social media detoxification has emerged as a strategy for enhancing well-being. This study investigates the effects of social media detox on the psychological well-being and academic performance of students. A total of 361 medical students participated in this study. After obtaining formal consent, the participants completed a structured survey administered in a controlled setting. The survey included sections on demographics, patterns of social media use (e.g., time spent, platforms accessed, and primary motivations), and standardized psychological assessment scales. Data analysis was conducted using the Statistical Package for the Social Sciences version 26. Most students (75.9%) reported using multiple social media …

The Relation Between Stress, Self-Esteem, University Belongingness, And Disciplinary History In Undergraduate Students, Emily R. Brown

West Chester University Graduate Theses, Dissertations, and Final Projects

This study examined the relation between student conduct history and psychosocial characteristics, including university belongingness, perceived stress, and self-esteem, among undergraduate students at West Chester University. A total of 392 students ages 18–25 completed self-report measures via Qualtrics, including the University Belongingness Questionnaire (UBQ), the Perceived Stress Scale (PSS-14), and the Rosenberg Self-Esteem Scale (RSES). Participants were recruited through the SONA system and in collaboration with the Office of Student Conduct to include students with and without a documented conduct record. Results from independent samples t-tests indicated that students with a conduct record reported significantly higher levels of university belongingness …

Depressive, Anxiety, And Stress Symptoms Among Respiratory Therapists In Two Tertiary Hospitals In Saudi Arabia: Differences According To Sociodemographic Characteristics, Budour Almutairi, Atheer Alsubaie, Reem Alenzi, Hala Alghemlas, Khalid Almutairi, Fouad Almutairi, Mansour Alshoaibi, Yaser Alnafea, Mona Almutairi, Salem Alqahtani

Journal of Medical Rehabilitation Science

Background: Respiratory Therapists (RTs) work in high-stress environments, predisposing them to psychological distress. This study evaluated the proportion of depressive, anxiety, and stress symptoms and their differences across sociodemographic groups among RTs in two Saudi Arabian tertiary hospitals.
Methods: This cross-sectional study was conducted between March and September 2023 at two tertiary hospitals in Jeddah and Riyadh. Out of 355 invited RTs, 112 completed an online questionnaire comprising sociodemographic items and the validated Depression, Anxiety, and Stress Scale-21 (DASS-21).
Results: Of the 112 participants, 61.6% were female, 47.3% were married, and 58.0% were Saudi nationals. The overall proportion of participants …

Financial Recovery Capital: Exploring The Role Of Extension Education In Promoting Substance Use Recovery, Alex Elswick, Nichole L Huff, Omolola A. Adedokun, Leslie Workman

Journal of Extension

Substance use is a widespread and complex public health challenge. Financial stress (e.g., unemployment, inadequate housing, transportation access, poor financial literacy) is pervasive among people with substance use disorder (SUD). However, few educational interventions exist to address financial stress for this group. Through the theoretical lens of recovery capital (an asset-based approach that describes the totality of resources that support SUD recovery), we summarize the association between financial stress and substance use, offering implications for Extension educators by highlighting PROFIT, an exemplary program that leverages Extension education as a tool to promote financial recovery capital among people with SUD.

Leisure Activities And Stress Levels Among College Students​, Ellie Nahm

Undergraduate Research Symposium

The present study sampled 30 university students to test the effects of time spent participating in leisure activities on stress levels, with social support and physical activity as moderators. Participants were aged18 to 56 and were largely White and women. We hypothesized that the relationship between time spent engaging in one's leisure activity and stress will be moderated by the physical exertion and social support experienced through leisure activity engagement. Results indicated no significant relationship between leisure participation and stress levels in this sample, nor a moderating effect of social support or physical exertion. Limitations include a small sample size …

“Something Else To Focus On”: Perinatal Havening And Stress Coping In Pregnant Black Women, Brittany L. Ferrell Young

WUSM Theses and Dissertations – All Programs

Black women in the United States experience maternal mortality at more than three times the rate of white women, a disparity driven by chronic stress rooted in structural racism rather than individual behavior or biology. Accessible, culturally responsive tools for managing stress during pregnancy remain scarce. This mixed-methods pilot feasibility study examined Perinatal Havening, a self-administered psychosensory technique, as a stress management intervention for pregnant Black women. Guided by Lazarus and Folkman's Transactional Theory of Stress and Coping, the study addressed three questions: how Black women experience acute and chronic stress during pregnancy, the acceptability and preliminary influence of Perinatal …

Behavioral Indicators Of Stress In Wild Savanna-Dwelling Chimpanzees (Pan Troglodytes) In Fongoli, Senegal, Leah T. Williams

Theses and Dissertations

Stress influences health, reproduction, social relationships, and survival in primates. I identified behavioral indicators of stress in wild chimpanzees (Pan troglodytes) and determined whether coping strategies varied between behavioral contexts. Coping behavior differed significantly across contexts and behaviors, indicating that coping behaviors are strategically utilized in different contexts and provide insight into the emotional regulation of chimpanzees.

Prenatal Alcohol Exposure Induces Vulnerability To Mild Stress Through Heightened Limbic Glial Activation And Cytokine Release, Justine R. Zimmerly

Biomedical Sciences ETDs

Fetal alcohol spectrum disorder (FASD) results from prenatal alcohol exposure (PAE) and is linked to development of mood disorders, which in turn are driven by dysregulation of the sympathetic nervous system, the neuroendocrine hypothalamic-pituitary-adrenal (HPA) axis, and the central nervous system (CNS) neuroimmune response to stressors. PAE alters brain glial activation and proinflammatory cytokine expression through secondary challenges such as psychological stressors. The goals of the experiments presented in this dissertation were to 1) examine peripheral glucocorticoid receptor function following mild acute stress in adult PAE offspring, 2) characterize a sensitized cytokine stress response in the hippocampus, medial prefrontal cortex, …

Psychosocial Pathways To Poor Sleep Among High-Stress Military Workforce: A Decision-Tree Analysis, Shih-Ting Li, Yu-Chia Hong, Yun-Cune Chang, Hui-Hsun Chiang

International Nursing Research Congress (INRC)

Purpose: Sleep disturbances are common in high-stress occupational environments and strongly influence psychological and functional outcomes. This study identified hierarchical psychosocial and occupational predictors of poor sleep among active-duty military personnel using an interpretable machine learning model.

Methods: A cross-sectional study of 1,386 Taiwanese army personnel was conducted between 2020 and 2021. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI ≥ 5 as poor sleep). Depressive symptoms, perceived stress, and resilience were evaluated using validated scales. A chi-squared automatic interaction detection (CHAID) decision-tree algorithm was applied to identify hierarchical predictors and risk pathways in training (70%) and …

Exploring Caregiving Choice In The Adult Cancer Population, Jennifer L. Huggins

MUSC Theses and Dissertations

ABSTRACT Purpose Although extensive research examines family caregivers (FCs) across populations, less attention has been paid to how lack of choice in assuming the role affects quality of life (QOL) among FCs of adults with cancer. Understanding choice could guide interventions protecting this invaluable, often invisible workforce. Aims (1) Synthesize what is known about perceived choice among informal caregivers of adults with serious illness; (2) assess relationships between caregiving choice and caregiver QOL, burden, sleep, depression, stress, and social determinants of health; (3) describe experiences of FCs of adults with cancer providing care with no, little, or some choice. Design …

Secondary Traumatic Stress: Lived Experiences Of Urban Educators, Stephanie R. Booker

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand and interpret the lived experiences of urban educators who experienced secondary traumatic stress resulting from exposure to the traumatic events of their students. Teachers in urban school settings serve students with high exposure to poverty, violence, and trauma, and these shared experiences often result in the urban educator experiencing secondary traumatic stress (STS). The theory guiding this study was Hans Selye's Stress Theory. Data were collected through interviews with ten secondary urban educators from five states and eight cities with varying years of experience, grade levels, and racial and ethnic backgrounds. …

Lament Shift: Utilizing Biblical Lament As A Reframing Process To Help Church Members Of First Baptist Church Of Lumberton, Mississippi, Cope With Emotional Distress, Paul Wiseheart

Doctoral Dissertations and Projects

The purpose of this DMIN action research project was to address the problem that church members at First Baptist Church of Lumberton, Mississippi (FBCL) were unprepared to use biblical lament as a meaning-making coping practice to manage emotional distress. The thesis statement was that if FBCL church members participated in Lament Shift, they would report greater preparedness to manage emotional distress. Lament Shift is a curriculum-based program designed to equip FBCL church members to use biblical lament as a meaning-making coping practice in the context of a four-week peer support group. The study used a pre-experimental mixed methods design and …

Exploring Stress And Mindfulness In Central Asia: Perspectives Of English Language Students In Uzbekistan, Laurie A. Wolfe, Rakhmatullo Akhmedov

The Interactive Journal of Global Leadership and Learning

Stress is a growing concern among university students worldwide, yet little is known about how stress is conceptualized and experienced within Central Asia, particularly Uzbekistan. This study explores how Uzbek university students understand and experience stress, identifies the primary sources of stress in their daily lives, and examines their perceptions of mindfulness as a potential stress‑reduction strategy. Participants were 60 students, primarily Muslim women, at a large public university in Tashkent, Uzbekistan. Open‑ended questions on a post‑intervention survey were analyzed using a combination of deductive and inductive coding. Students most frequently described stress in emotional terms, including irritability, sadness, and …

Examining The Moderating Roles Of Religious Coping And Belonging In The Relationship Between Moral Injury, Depression, Anxiety, And Stress Within The Israeli Defense Forces Reservist Soldiers, Rotem Z. Moshe

Electronic Theses and Dissertations 2020 - Present

This study examined the moderating roles of religious coping and belonging in the relationship between moral injury and psychological distress, among Israeli Defense Forces (IDF) reservist soldiers. This study investigated whether religious coping predicted moral injury, depression, anxiety, and stress, and examined whether religious coping and belonging moderated the relationship between moral injury and psychological distress. Exposure to potentially morally injurious events during military service is associated with increased risk for adverse mental health effects, particularly in times of prolonged conflict. Research on protective factors that mitigate these outcomes remains limited. Pointed by religious coping and belongingness frameworks, this study …

Freshman Student Sleep And Academic Stress Levels: An Empirical Study For Embry-Riddle Aeronautical University, Julia M. Cortese

Beyond: Undergraduate Research Journal

Receiving an adequate amount of sleep is essential for academic success as it prepares the brain each day for the workload ahead. Sleep deprivation is associated with negative cognitive, emotional, and physical outcomes that may affect academic performance. Currently, Embry-Riddle Aeronautical University (ERAU) does not have any form of sleep education or awareness for first-year, first-semester students, which leaves them susceptible to a cycle of sleep deprivation, academic underperformance, and stress. This study examines the relationship between sleep habits and academic stress among first-semester, first-year students of Fall 2023 at ERAU. This empirical study used a mixed-methods survey with eighteen …

Investigating Teacher Well-Being With Non-Invasive Biomarkers: Lessons From A Participatory Mixed-Method Exploratory Approach, Amanda S. Frasier, Jewel B. Thomas, Trystan Innes, Noah E. Daniels, S. Grayson Blount, Chad R. Frasier

Mid-Western Educational Researcher

This paper reports on a mixed-method exploratory study gauging the feasibility of utilizing an untethered harness-based device to collect biomarker data from teachers at a single school in Tennessee. Collection occurred across the course of a year at three different timepoints: a typical workday, a high stress workday, and a break day. Overall, our participants had positive experiences with the data collection process, and their feedback iteratively influenced the protocol. Further, the preliminary data suggests the biomarkers indicate a sympathetic nervous response is seen when teachers report emotional or psychological stress. While the small scale of this pilot does not …

Association Between Stress And Prolactin Hormone Levels: A Mini-Review, Sara Salah Mahdi, Huda S. Abdulghani

Hilla University College Journal For Medical Science

The physiological functions of prolactin are highly varied, despite the fact that it is most commonly recognized for its participation in the inhibition of reproduction and the regulation of breastfeeding. The conditions known as hyperprolactinemia can have a variety of origins, some of which are physiological and others of which are pathologic. The following are examples of physiological causes: pregnancy, breastfeeding, sleep-related, stimulation of the nipples and sexual orgasm, stimulation or trauma to the chest wall. Another significant physiological factor that contributes to hyperprolactinemia is stress, and the clinical importance of this factor is currently being investigated. This paper aims …

Infertility In The Military: A Lived Experience, Princess Gibbs

Doctoral Dissertations and Projects

Infertility can have negative effects on women; military women deal with so much from the military that dealing with infertility is an area that is underdeveloped. This qualitative phenomenological study explored infertility among women serving on active duty, using Lazarus' transactional theory of stress and coping to understand how it affects them. This study was guided by three research questions: (a) What are the lived experiences of women living with infertility who served on active duty in the United States military, (b) How do women living with infertility describe their experience of stress and coping while serving in active duty …

Impact Of Organizational Stressors On Stress Among Foreign Construction Workers From Nepal, Khursheed Ahmed, Mei-Yung Leung, Wenqian Yang

CIB Conferences

The construction industry in developed regions relies heavily on foreign labour. Working in a new environment exposes these workers to unique organizational stressors that can deteriorate their well-being. Specifically, Nepalese Construction Workers (NCWs) face distinct challenges that may lead to severe physical and psychological stress. This study, therefore, aims to identify the critical organizational stressors and their impact on the stress of NCWs. Based on a conceptual model, a questionnaire survey was adopted to collect data from NCWs. In order to investigate the relationships among stressors (i.e., ethnic barriers, lack of acceptance, insufficient authority, low reward, and unfair treatment) and …

The Relationship Between Psychological Stress And Sars-Cov-2 Nucleocapsid-Antibody Response Following Natural Infection: Longitudinal Findings From The Aegis Study, Erika T Beidelman, Ashley Judge, David B Allison, Stephanie Dickinson, Lilian Golzarri Arroyo, Anna L M Macagno, Michael J Ricciardi, Jon Macy, Stanley Perlman, Christina Ludema, Kevin C Maki, Molly Rosenberg

Faculty, Staff and Students Publications

Psychological stress can cause diminished immune response to infectious challenges. The extent this holds true during severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and the modifying effect of vaccination status is untested. We explored these relationships in a non-random sample standardized to the US adult population. Across 2178 participants in the Aegis study (2021-2022), we identified 507 eligible laboratory-confirmed SARS-CoV-2 infections. We estimated the natural log of nucleocapsid-binding antibody absorbance (N-antibody) at study visits up to 225 days following a positive SARS-CoV-2 test. Linear mixed effects models were fit to estimate the association of baseline perceived stress and, separately, …

Reality Check: Examining Perceived Stress In Student Pharmacists Using Virtual Reality, Kimberly B. Garza, Channing R. Ford, Kristen L. Helms

The Journal of Advancing Education Practice

The impact of stress on learning is complex and multifaceted, and there is a balance between stress that promotes learning and that which inhibits it. This study presents a qualitative analysis of students’ responses to a questionnaire about their experience using virtual reality (VR) in a perspective-taking task to promote empathy for patients with physical limitations due to arthritis of the hands. Including data collected from a first-year course in 2023, 2024, and 2025, 214 students ranked their stress while experiencing the task, and those who ranked stress as anything other than “no stress” were asked to elaborate on the …

Emotional Support Through Ai: Venting To Artificial Intelligence Or A Perceived Human May Offer Comparable Emotional Well-Being Benefits, Meilan Hu, Jerlyn Q. H. Ho, Claire Ng, Shermaine S. M. Wong, Andree Hartanto

Research Collection School of Social Sciences

Artificial Intelligence (AI) chatbots are increasingly being explored as sources of informal emotional support, with emerging evidence suggesting that venting to these systems can reduce negative affect. Yet, it remains unclear whether such benefits depend on the responder's perceived identity. Given that emotional relief from venting often hinges on perceived authenticity and emotional validation, this study investigates whether the emotional well-being benefits of venting differ when users believe they are interacting with an AI chatbot versus a human, even when responses are content-matched. In a pre-registered experiment ( N = 279), participants were randomly assigned to either an AI-assisted venting …

Weaning Stress Induced Alterations To The Hypothalamic-Pituitary-Thyroid And -Adrenal Axes In Swine, Isabel B. Walpole, Alyssa A. Smith, Kaylyn G. Rudy, Dayeon Jeon, J. Scott Radcliffe, J. Alex Pasternak

Animal and Food Sciences Faculty Publications

Combined modulation of the hypothalamic–pituitary–thyroid (HPT) and hypothalamic–pituitary–adrenal (HPA) axes is known to play a critical role in maintaining physiological stability in response to stress. In this study, stress induced modulation of these axes was examined using 20 pigs/treatment either weaned (WN), weaned with feed/water restriction 9 h (FR), transported 9 h (TRANS), or remaining with sow (SOS) and euthanized at 32 or 56 h post-weaning. Serum cortisol, thyroxine (T4), and triiodothyronine (T3) were measured before weaning and after 24, 32, and 56 h with no difference in cortisol concentrations among treatments at any timepoint. However, both T3 and T4 …

Oxytocin Dynamics And Synchrony In Mother-Child Dyads: Long-Term Neuroendocrine Effects Of Maternal Institutionalization, Olga V Burenkova, Ekaterina M Shurdova, Victoria Manasevich, Marina Norkina, Polina E Pashkina, Aleksei A Podturkin, Alena Vodneva, Marina A Zhukova, Elena L Grigorenko

Faculty, Staff and Student Publications

Early institutional care (IC; orphanage) is a severe form of early psychosocial deprivation with documented long-term effects on social and caregiving functioning. Despite longstanding interest in oxytocin (OT) as a key neuroendocrine modulator of affiliative behavior and stress, OT dynamics and synchrony during mother-child interaction among mothers with IC history remain poorly understood. To our knowledge, this is the first study to characterize maternal and child OT responses and dyadic OT covariation in this population. We measured salivary OT in mothers with IC history and mothers raised in biological family care (BFC), and in their children, at baseline and after …

Interrupted By Design: The Impact Of Push Notifications On Stress And Task Performance, Mia Hohmann

University Honors Theses

As digital communication becomes unavoidable at work, notifications have become one of the most common and overlooked sources of interruption. Drawing from current technostress literature, this study investigates how notifications impact acute and perceived stress as well as task speed and accuracy. In an experimental setting, employed university students (N = 35) completed a data-entry task while receiving either no notifications, task-relevant notifications or task-irrelevant notifications to examine how different types of digital interruptions influenced stress and performance. Stress was measured through a pre- and post-task survey and performance was assessed through both speed and accuracy. Although results showed significant …

Unveiling The Journey: A Phenomenological Study On The Lived Experiences Of Caregivers Raising An Adolescent With Diabetes, Lakeisha L. Doman

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to describe caregivers’ experiences raising a middle to late adolescent (ages 14 – 19) with diabetes in Virginia. The study focused on how caregivers perceive stress and develop coping skills while navigating the transition to independence. Guided by Lazarus and Folkman’s Transactional Model of Stress and Coping, this study examined how caregivers appraised stress, evaluated available resources, and sustained engagement in their role. Ten primary caregivers in Virginia were recruited using purposeful sampling. Semi-structured interviews guided data collection. Data was analyzed using Moustakas’ phenomenological approach. Findings indicated that caregiving during adolescence is a …

A Correlational Study Of Work-Related Factors On Private School Teachers’ Stress And Anxiety, Anna E. Guilliams

Doctoral Dissertations and Projects

The purpose of this correlational predictive study is to examine the factors of class size, hours worked during the week, and hours given to plan a week and determine if there is a predictive nature between these factors and perceived stress and anxiety in private school teachers. Determining the root causes of the rising rates of teacher stress is imperative to the future of the education system because teacher stress has a direct relationship to attrition, job satisfaction, teacher physical health, and job performance. A group of 115 private school teachers from a southern state participated in online surveys to …

Anchored In The Shifting Tides: An Interpretive Phenomenological Study Of Paramedic Resilience And Worldviews, David Eric Wolff

Doctoral Dissertations and Projects

The purpose of this hermeneutic phenomenological study was to explore the experiences of paramedics in Western society, who self-report sustaining positive psychological well-being despite their emotionally and psychologically demanding work, examining the interplay of their narrative identity, spirituality, worldviews, and social connections. The stories paramedics construct about their realities can reveal the underlying meanings and how their role has molded who they are, best viewed through a threefold constructivist theoretical framework: narrative identity theory to understand how paramedics make sense of their experiences, transformational learning theory to identify how paramedics adjust their worldviews to while coping, and posttraumatic growth theory …

Rest And Recovery: A Randomized Pilot Study Of Spiritual Rest Practices And Recovery From Work Stress And Burnout, Ashley Martin Cauley

Doctoral Dissertations and Projects

Individuals who work in the helping professions, identified as those careers within the fields of health care, medicine, education, psychology, and social work, report higher levels of stress and burnout than the average worker for these constructs. Research to address these higher levels within the helping professions has focused on both individual and organizational interventions. While rest and recovery have been explored as a means of reducing work stress, there is a lack of literature on the specific use of spiritual rest practices. This randomized controlled pilot study gathered information on the impact of spiritual rest practices on stress and …

Building Resilience: Empowering Baccalaureate Nursing Students For Enhanced Well-Being And Success, Jessica Imrie Dnp, Emily Nowak Phd, Roxanne Wilson Phd

InnovateHER Meeting 2026

Providing baccalaureate students with resilience-building modules such as stress management, mindfulness, optimism, socialization, and reflection can increase psychological well-being and success through a nursing program. It can also decrease the number of meetings faculty have with students regarding psychological concerns