Digital Commons Network^™

A Cross-Sectional Study To Explore Healthcare Providers’ Wellness: Current Challenges & Gut Health, Linda Liu, Simi Joseph

Creating Healthy Work Environments (CHWE)

Background: Healthcare provider well-being is essential for high-quality patient care. However, stress, burnout, and demanding work environments negatively impact physical and mental health, including gut health. The gut-brain axis underscores the link between gastrointestinal function, stress, and well-being, yet limited research has explored gut health among healthcare professionals.

Purpose: This study assessed the prevalence of gastrointestinal symptoms among healthcare providers and examined associations with stress levels, clinical environment, and quality of life in acute and outpatient settings.

Framework: Guided by the Biopsychosocial Model, this research explored how biological, psychological, and social factors influence the well-being and gut health of healthcare …

Color And Cognitive Performance, Madeleine R. Scott, Erin Johnson, Christian Mitchell, Andreq Lopez Hernandez

SPARK Symposium Presentations

The current study aims to determine if colored backgrounds (red, blue, white (neutral)) on a series of memory tasks impact an individual's stress level and cognitive performance. Previous research indicates that color exposure may impact stress and cognitive performance, although the relationship is not fully understood. For example, participants completing memory assessments with a red light have been shown to perform better than those with blue or white lights (Jadho et al., 2020). However, red light is also associated with greater experiences of stress compared to blue or white light (Shahidi et al., 2021). There are several studies exploring different …

Therapeutic Applications Of Tabletop Role-Playing Games In Treatment Of Depressive And Anxious Symptoms In Young Adults, Dash Degrote

Honors Theses

Tabletop role-playing games (TTRPGs) are played by a large population and involve the engagement of social and emotional skills, with the largest portion of the population playing them being adolescents or young adults. The therapeutic application of TTRPGs in the treatment of depressive and anxious symptoms shows potential with this population. In a literature review, three major themes are identified: TTRPG culture, stakeholder perspectives of TTRPGs, and examples of therapeutically-applied TTRPGs. Overall, evidence suggests that TTRPGs can positively impact the concerned symptoms, though more research is needed for games outside of Dungeons & Dragons as well as stakeholder perspectives.

Parents Under Pressure: Social Media’S Impact On Parents’ Mental Well-Being, Ali E. Shull

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

The rapid growth of social media has transformed how parents access information, evaluate their practices, and compare themselves to others. Although parenting content is widely consumed, limited research has examined its immediate psychological and physiological effects. The present mixed-methods study investigated how exposure to parenting-related social media content influences parental stress responses, affect, and parenting self-efficacy. Participants (N = 83) were randomly assigned to view either parenting-related videos (experimental condition) or non-parenting crafting videos (control condition). Physiological stress responses were assessed using heart rate variability (HRV) during baseline and video exposure. Participants also completed measures of negative affect and …

Dnp Final Report: Can Implementing A Mindfulness-Based Program Help Reduce Stress In Nursing Students?, Shelby Devreeze Msn, Rn, Cpn, Cne-Cl

DNP Final Reports

Stress among nursing students is a well-documented problem that contributes to physical, mental, and emotional issues, substance abuse, and program dropout. A mindfulness-based stress reduction program was implemented with nursing students to evaluate its impact on perceived stress levels over a five-week period. A review of evidence-based articles provides strong evidence that this intervention correlates with reduced reported stress. An MBSRP was implemented with nursing students who completed a Perceived Stress Scale 10 (PSS-10) before the intervention and again after five weeks.

Results from this project showed a statistically significant reduction (t=2.725, p=0.025) in stress among the nursing student population …

A Proposal To Examine Naturally Occurring Mindfulness And Correctional Officer Stress And Burnout, Anthony M. Nasrallah

Undergraduate Theses

Correctional officers (COs) work in institutions characterized by high interpersonal demand, safety risk, and organizational complexity; as a result, they experience elevated rates of occupational stress, burnout, and mental-health disorders relative to the general workforce. At the same time, research in allied helping professions demonstrates that mindfulness and related contemplative practices can reduce stress and improve emotion regulation and well-being. However, little is known about whether COs’ own, pre-existing informal mindfulness practices are associated with lower on-the-job stress or burnout rather than formal training courses. This review integrates findings from qualitative studies, quantitative analyses, and systematic reviews to show what …

The Moderating Role Of Sadism And Psychopathy In The Relationship Between Stress And Malevolent Creativity, Kaitlin A. Dixon, Dr. Elizabeth Mancuso, Dr. Janet Trammell

Seaver College Research And Scholarly Achievement Symposium

Malevolent creativity is creating original ideas with an intent to harm others. It is also associated with aggression and anger-inducing situations. To date, no research has examined stress as a potential trigger for malevolent creativity. We hypothesized higher stress would increase malevolent creativity (H1). Malevolent creativity is associated with the personality traits of the dark triad, psychopathy, narcissism, and Machiavellianism. The dark tetrad expanded the dark triad by adding sadism. Sadism and psychopathy are often considered the most aggressive dark tetrad traits. We hypothesized sadism and psychopathy would separately moderate the relationship between stress and malevolent creativity (H2, H3). Participants …

Predictors Of Stress Among Bsw And Msw Students At Fhsu, Octavio Ramirez, Annette Clarke Jones

SACAD: Scholarly Activities

Chronic stress leads to severe health consequences, including anxiety, depression, burnout, and physical issues like fatigue and sleep disturbances. This study examined factors predicting stress among a sample (n = 101) of BSW and MSW students attending FHSU. The findings showed that sexual orientation, academic grade point average, and marital status were significant predictors of stress among this sample.

The Effects Of Orexin Receptor Antagonism During Early Withdrawal In Stimulant Use Disorder: Protocol For A Proof-Of-Concept Study, Heather Webber, Nikky Tran, Rita Blake, Sarah Goldman, Trevor George, Bill Bailey, Robert Suchting, Jin Yoon, Jessica Vincent, Michael Weaver, Joy Schmitz, Scott Lane

Faculty, Staff and Student Publications

Background: Stimulant use disorders (StimUDs), including cocaine and methamphetamine use disorders, remain a major public health concern in the United States with no US Food and Drug Administration (FDA)-approved pharmacological treatments. The early recovery period following stimulant use is marked by sleep disturbances, heightened stress reactivity, and dysregulated reward processing, contributing to high rates of resumption of use. Evidence from animal and human studies supports the orexin neuropeptide system as a promising therapeutic target for minimizing these disruptive mechanisms. Suvorexant, an FDA-approved dual orexin receptor antagonist for insomnia, has previously been shown to improve sleep, reduce stress, and attenuate craving …

The Effectiveness Of Wellness Programs On Public Safety Personnel, Thomas T. Nguyen

Doctoral Dissertations and Projects

Stressful situations have become a common theme that many first responders have encountered while on the job. As more studies have surfaced regarding the causes of stress, the ability to reduce stress while minimizing any adverse reactions that result from them have been minimal. Just as the catalysts for stress are not the same for everyone, the reactions to treatments that are offered will vary in effectiveness. Since not all agencies have programs in place to deal with the mental and physical traumas that affect first responders, the focus will be on one agency that has recently implemented multiple treatment …

Navigating The Thin Blue Line And Single Parenthood: An In-Depth Exploration Of Police Officers’ Experiences In Highlands County, Florida, Stress Reduction, And Work-Life Balance, Courtney Lashae Hamilton Toney

Doctoral Dissertations and Projects

The present study examined how the demographic of single parent police officers reduced and coped with stress, whether coping mechanisms utilized were effective or not, changed overtime, and whether the coping mechanisms were influenced by personal factors and leadership within their departments. This study took place in Highlands County, Florida with a sample size of 13 participants. The participants responses were captured through in-depth semi-structured interviews within this qualitative descriptive study. Majority of participants described how their coping mechanisms changed over time to better their lives or the lives of their family. The changes were affected mostly by their children …

Exploring The Lived Experiences Of Resilient Special Education Teachers In Jamaica, Carlene Lawrence

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study was to describe the lived experiences of resilient special education teachers in Jamaica. The theoretical framework for this study was based on Richard Lazarus and Susan Folkman's cognitive appraisal theory, also known as the cognitive appraisal theory of stress and coping, as it is related to how special education teachers appraised and coped with stress. What did appraisal and coping look like in the lived experiences of resilient special education teachers from Jamaica? Given the nature of a transcendental phenomenological approach, which focuses on describing a phenomenon, this approach was suitable for this …

Family Support And Counseling: Predicting Family Relationship Quality And Self-Management In Women With Epilepsy, Tiffany A. Winch

Electronic Theses and Dissertations 2020 - Present

Epilepsy, a neurological disorder characterized by recurrent seizures, can impede many aspects of daily life for individuals diagnosed with it (Beghi, 2020; Kanner & Bicchi, 2022). The problem is that women with epilepsy may struggle with family relationships and epilepsy self-management, and it is not known to what extent family support and epilepsy counseling ameliorate this detriment. The purpose of this quantitative correlational study was to examine the extent to which family support and epilepsy counseling predict family relationship quality and epilepsy self-management among women who suffer from the condition. Surveys measuring the variables family support, epilepsy counseling experience, family …

Prevalence Profile Perceived Stress And Impact On Quality Of Life For Recurrent Aphthous Ulcers: A Cross-Sectional Epidemiological Study In Egypt, Dalia Ghalwash

Dentistry

Recurrent Aphthous Ulcerations (RAU) are among the most frequent oral ulcers with unknown etiology and multiple risk factors. This study assessed the prevalence profile of aphthous ulcers, risk factors, levels of perceived stress, and their impact on quality of life in an Egyptian sample. This study involved screening 4100 individuals from the outpatient clinic, Faculty of Dentistry, The British University in Egypt, and several Egyptian governorates. Patients were subjected to clinical examination and patient interviews for accurate diagnosis and collection of data. The Perceived Stress Scale (PSS) was used to assess levels of perceived stress, and the Oral Health Impact …

The Impact Of Stress On Dream Content, Tessa Duncan, Mason Trevino

Posters - 2026

• This research investigated how daily stress levels influence the intensity of dreams. The study aimed to clarify the relationship between stress and dream intensity, enhancing understanding of stress’s broader effects on mental health. • Building on Rush’s concept of a “goldilocks zone” in the stress scale, where moderate stress benefits well-being while too little or too much stress can cause harm (2024). The current study used the hallucination model of dreaming from Gillespie and Trakas (2024), which views dreams as vivid, perception-like experiences that can amplify emotions. Drawing on Gessert’s methods for measuring stress and nightmare frequency, stress is …

Caregiver Challenges And Health Access For Individuals With Developmental Disabilities In Mississippi, Kirsten Cunningham

Honors Theses

Current literature has highlighted the health disparities faced by individuals within the disability community and how it affects the care they receive. However, for many individuals with developmental disabilities, they require caregivers to make medical decisions for them. The purpose of this study is to focus on the caregiver’s perspective of caregiver stress, physical access to care, and health literacy to combat the challenges faced when getting access to healthcare resources for individuals with developmental disabilities in Mississippi. The researcher hypothesized, based on the literature review, that caregivers with higher levels of educational attainment would have less caregiver stress, more …

Dyadic Associations Between Stress And Sleep Quality And Moderating Effects Of Emotional Intimacy And In Survivors Of Young Adult Cancer And Their Spouses: An Observational Study, Haejeong An, Seokhun Kim, Michael Roth, Kathrin Milbury, Dalnim Cho

Faculty, Staff and Student Publications

Background: Survivors of young adult (YA) cancer often experience substantial stress during the transition to survivorship, which may impair sleep. Although the stress-sleep link is well established, its role within survivor-spouse dyads remains unclear. Emotional intimacy may influence how couples regulate stress and affect sleep. This study examined dyadic associations between stress and sleep among survivors of YA cancer and their spouses and significant others (hereafter spouses) and tested emotional intimacy as a moderator.

Methods: A total of 103 survivor of YA cancer-spouse dyads completed self-reported measures of stress, emotional intimacy, and sleep quality. An actor-partner interdependence moderation model was …

The Perceptions Of Early Adolescents: Academic Stressors Within Under-Resourced Schools, Problem Solving, And Important Adults, Aliyah White

Theses and Dissertations from DePaul University

Early adolescence is marked by increasing academic demands and the growing need for effective coping strategies. The present study examined early adolescents’ perceptions of academic stressors, use of primary control coping mechanisms, and identification of important related and unrelated adults within their lives. Participants included 96 youth ages 10-14 recruited from Chicago Public Schools in under-resourced South Side communities. Results indicated that youth reported substantial exposure to academic stressors, including teachers yelling, difficulties understanding coursework, and pressure to perform well academically. Findings revealed a significant decrease in the use of primary control coping strategies over time, despite increasing academic stress. …

Mentoring Relationship Quality: An Evaluation Of Environmental Risk And Protective Factor Predictors For Urban Black Youth, Brittanie Nicole Gage

Theses and Dissertations from DePaul University

Mentoring programs are an important intervention promoting positive developmental outcomes among youth exposed to chronic environmental stressors, particularly Black youth living in underinvested communities. Research has demonstrated moderate positive effects of mentoring on youth outcomes however, less is known about factors influencing mentoring effectiveness. Mentoring relationship quality (MRQ) has emerged as a key component of mentoring effectiveness, suggesting that perceived closeness and support within the relationship can enhance youth outcomes. Less is known regarding the environmental risks and protective factors shaping youths’ ability to engage meaningfully in mentoring relationships. Parent–child relationship quality, exposure to violent stressors, and adaptive and maladaptive …

Supporting The Supporters: Reducing Stress For At Home Dementia Caregivers, Kendra Spitzer

Psychology Student Publications

Caring for individuals with dementia is associated with an increased mental strain, stress, anxiety, and depression. This paper explores mental health issues that can derive from caring for people living with dementia. Dementia is a highly progressive condition that impacts cognition and behavior, which affects both the individual and caregiver. While caregiving provides meaningful skills and a strong meaning to life, it also presents unpredictability and emotional distress. This paper highlights evidence-based supports to reduce mental health illnesses and burdens on caregivers. Supports such as social networks, digital mental health tools, mobile apps, and validation therapy are noted to be …

Music-Based Intervention For Stress And Sleep In Substance Use Recovery, Olivia A. Coleman

Undergraduate Honors Theses

Aim: Sleep difficulties and elevated stress are common among individuals recovering from substance use disorders (SUDs), often persisting long after initial detoxification. Music-based interventions offer a low-risk, nonpharmacological option that may support sleep and stress regulation. This study examined whether a Structured Music Listening Protocol (SMLP) could improve sleep quality and reduce perceived stress within a residential SUD treatment program.

Methods: Fifty eligible patients were enrolled in the Intervention Group (SMLP – Structured Music Listening Protocol) and fifty in the Control Group (Standardized Therapy) from a residential treatment center for SUDs. Both groups received standard therapy from the center. The …

Autistic Traits And Mind Wandering: A Correlational Study Of Themes, Intentionality, And Temporal Focus, Leilani Forby, Farid Pazhoohi, Alan Kingstone

School of Psychology

There is abundant research on the nature and content of mind wandering (MW) in neurotypical individuals, yet little research in these areas on individuals high in autistic traits. The current study explored the relationship between autistic traits and several aspects of MW: themes, intentionality, temporal dimensions, and attitudes towards MW. A total of 1,477 participants completed measures of autistic traits, MW, and stress. Autistic trait level was positively correlated with the MW theme of guilt and fear of failure (GFF), spontaneous MW (MW-S), poor attentional control (PAC), and stress, and negatively correlated with appreciation for MW’s benefits. Participants were then …

Employment Contracts, Working Time, And The Well-Being Of Schoolteachers In Japan, Haojun Gong, Shinpei Sano

Japanese Society and Culture

This paper quantitatively analyzes trends in the working hours of schoolteachers in Japan using Teaching and Learning International Survey (TALIS) data from three survey waves. The analysis focuses on differences between fixed-term and permanent employment contracts and on school environment variables, and their relationships with working hours and teacher well-being. Teachers on permanent contracts tend, on average, to work longer hours than those on fixed-term contracts, largely because of greater time spent on administrative duties and extracurricular activities. School environmental characteristics and principal leadership show only weak statistical associations with total working hours. Subjective job satisfaction is lower, and workload …

The Combined Effects Of Art Therapy And Yoga On Stress In Graduate Students, Wen-Fang (Tiffany) Tsai

Expressive Therapies Dissertations

Graduate students experience disproportionately high levels of stress, and when this stress becomes chronic, it is associated with adverse psychological and physical health outcomes. While yoga and art therapy have independently demonstrated potential in reducing stress, their combined effects remain underexplored. This quantitative study employed a two-group experimental design to investigate the synergistic effects of an integrated art therapy and yoga intervention on stress reduction and flow enhancement. Graduate students (N = 23) were randomly assigned to either the integrated intervention or an active control group receiving yoga only. Participants received three weekly 50-min sessions, with pre- and post-intervention …

The Level Of Physical Activity And The Feeling Of Stress In Difficult Life Situations Among Refugees From Ukraine, Bartosz Gondek, Iwona Bonisławska, Milena Lachowicz

Baltic Journal of Health and Physical Activity

Background: Russia's attack on Ukraine in February 2022 started the largest armed conflict in Europe since World War II. In the face of danger, crowds of civilians decided to leave their homes and escape, among others, to Poland in search of shelter. Materials and methods: The research was conducted on groups of refugees from Ukraine who registered in the first days of the war in Sopot and Pruszcz Gdanski. The refugees came from Kharkov, Mariupol, Kherson, Zaporizhzhia, and western Ukraine (not involved in hostilities). People from the war zone areas mostly came with only hand luggage. The respondents were divided …

Impact Of Nursing Program Structure On Academic Stress Levels And Self-Concept: A Cross-Sectional Study Of Nursing Students' Experiences With 2- And 3-Semester Academic Calendars, Alaa Ayyadhah Alanazi, Amany Anwar Saeed Alabdullah, Hanan Hamdanalshehri, Abrar M. Almutairi

Saudi Medical Journal

Objective: To investigate undergraduate nursing students' perceptions of their transition from a 2-semester to a 3-semester academic calendar and examine its impact on academic stress and self-concept. Methods: A cross-sectional study was conducted between April and December 2023 among 185 undergraduate nursing students in Saudi Arabia who had completed at least their foundational year. Participants completed an online questionnaire containing Likert-type scales measuring academic stress and academic self-concept. Data were analyzed using t-tests and ANOVA to explore associations between perceptions and demographic variables. Results: Most students reported low levels of academic stress and maintained a positive academic self-concept. Perceived …

Examining The Relationship Between Burnout And Emotional Intelligence In Ministry Leaders Of Start-Up Churches, Jacquelyn Steidel-Santiago

Doctoral Dissertations and Projects

The purpose of this qualitative phenomenological study was to utilize Emotional Intelligence (EI) and burnout models to examine the relationship between perceived EI and firsthand experiences of burnout in ministry leaders of start-up churches to establish a unique connection and offer valuable insights for participants and other ministry leaders facing similar circumstances. Personal characteristics were divided into demographic information about the participants (i.e., age, race, years in ministry, congregation size, etc.) and information about the participants’ experience with specific features of burnout. The demographic information was used to identify possible factors related to various levels of EI, with the expectation …

A Phenomenological Study Exploring How African American Adult Sons Describe Caring For A Parent With Dementia, Donald Eric German

Doctoral Dissertations and Projects

The purpose of this phenomenological study was to understand the coping strategies of African American adult sons who are the primary caregivers to a parent with dementia. The participants were only African American adult sons who are the primary caregivers to an aging parent. This researcher conducted semi-structured interviews and followed a systematical data collection process during the interview process; close attention was paid to analyzing and uncovering significant themes that emerged from the participants’ experiences. The findings show that African American adult sons feel a strong sense of duty that grows from obligation into a Christ-centered commitment to honor …

Effects Of Mindfulness-Based Intervention On Stress And Anxiety In Doctor Of Physical Therapy Students: A Prospective Cohort Design, Kelli J. Brizzolara, Kathy Shirley

Internet Journal of Allied Health Sciences and Practice

Purpose: The demanding nature of physical therapist (PT) education often leads students to experience very high stress levels, which can negatively impact both their academic performance and overall wellbeing. Mindfulness-based intervention programs have been used to decrease stress and anxiety in the general population. However, there is limited evidence of their use with Doctor of Physical Therapy (DPT) students. The purpose of this study was to explore the impact of a brief mindfulness-based intervention on stress and anxiety in DPT students. Methods: Thirty-seven DPT students completed an 8-week mindfulness program, including daily individual mindfulness sessions (10 minutes) and …

Development And Initial Testing Of An Online Security Prime Writing Intervention During Covid-19, Angie S Leroy, Andreas Weyland, Jade Kanemitsu, Arya Tsay-Jones, Vincent D Lai, E Lydia Wu-Chung, Nyla Vela, Amanda Perozo, Valentina I Maza, Sierra Wickline, Katherine Beach, Robert Suchting

Faculty, Staff and Student Publications

Background and objectives: During the COVID-19 pandemic, we tested the efficacy of a one-week online security prime (SP) writing intervention in reducing distress among 254 adults (60+ years and/or having an underlying health condition). The efficacy of writing interventions can depend on several factors. Attachment orientations, characterized by dimensions of anxiety and avoidance, reflect individuals' tendencies in how they seek proximity to and rely on others for support, and influence how people experience and regulate their emotions.

Design and methods: Participants were randomly assigned to one of three conditions: Security Priming (SP), where people wrote about what made them feel …