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Black Maternal Healthcare: The Impact Of Black Doulas On Pregnant Black Women, Andrea M. Siame

Scripps Senior Theses

Pregnancy disproportionately puts the lives of Black women at risk, causing stress, mistrust, and discomfort to be integral aspects of their perinatal experiences. This stress, mistrust, and discomfort is rooted in Black women’s understanding of the structural racism embedded in the healthcare system. In order for Black women’s psyche to be adequately cared for during their pregnancy, they need perinatal support that places Black feminist theories into practice in their support of Black women. This means that it is necessary to provide support that is rooted in reproductive justice, giving autonomy to Black women during their pregnancy. This support can …

Examining The Impact Of Yoga And Mindfulness On Perceived Caregiver Stress And Burden, Michelle Renaud

Wayne State University Dissertations

PURPOSE: In the United States, there are approximately 34 million informal caregivers; defined as individuals who provide unpaid help to older adults (Lavela & Ather, 2010). Among this population, there is a growing health concern focusing on the potential physical and psychological risks linked to caregiving. Therefore, the purpose of this study was to investigate how a yoga and mindfulness intervention may influence changes in caregivers’ perceptions of stress and burden as well as their resting heart rate (HR) and blood pressure (BP). METHODS: Eight caregivers participated in an eight-week yoga and mindfulness intervention, with 60- minute sessions featuring gentle …

Excess Risk Of Covid-19 Infection And Mental Distress In Healthcare Workers During Successive Pandemic Waves: Analysis Of Matched Cohorts Of Healthcare Workers And Community Referents In Alberta, Canada, Jean-Michel Galarneau, France Labrèche, Quentin Durand-Moreau, Shannon Ruzycki, Anil Adisesh, Igor Burstyn, Tanis Zadunayski, Nicola Cherry

Études primaires

Objectives: To investigate changes in risk of infection and mental distress in healthcare workers (HCWs) relative to the community as the COVID-19 pandemic progressed. Methods: HCWs in Alberta, Canada, recruited to an interprovincial cohort, were asked consent to link to Alberta’s administrative health database (AHDB) and to information on COVID-19 immunization and polymerase chain reaction (PCR) testing. Those consenting were matched to records of up to five community referents (CRs). Physician diagnoses of COVID-19 were identified in the AHDB from the start of the pandemic to 31 March 2022. Physician consultations for mental health (MH) conditions (anxiety, stress/adjustment reaction, depressive) …

The Relationship Between Work Engagement, Depression, Anxiety, And Covid-19 Anxiety In Physician Assistant Students, Sydney N. Pepper, Emily T. Farrell, Robin M. Dawson Phd, Rn, Cpnp-Pc, Michael D. Wirth Msph, Phd, Face

Publications

Introduction: Physician assistants (PAs) are subject to high levels of burnout, depressive symptoms, and anxiety, which can negatively impact quality of care and patient outcomes. Learning how to handle stress in the classroom may increase success and engagement in PA programs. The goal of this study was to characterize burnout, depressive symptoms, and anxiety in current PA students and examine the relationship between these factors and work engagement. Methods: This cross-sectional study surveyed PA students (n = 42) via convenience sampling from eighteen different PA programs across North and South Carolina in October, 2021. Questionnaires included the Utrecht Work Engagement …

The Human Affectome, Daniela Schiller, Alessandra N.C. Yu, Nelly Alia-Klein, Susanne Becker, Howard C. Cromwell, Florin Dolcos, Paul J. Eslinger, Paul Frewen, Andrew H. Kemp, Edward F. Pace-Schott, Jacob Raber, Rebecca L. Silton, Elka Stefanova, Justin H.G. Williams, Nobuhito Abe, Moji Aghajani, Franziska Albrecht, Rebecca Alexander, Silke Anders, Oriana R. Aragón, Juan A. Arias, Shahar Arzy, Tatjana Aue, Sandra Baez, Michela Balconi, Tommaso Ballarini, Scott Bannister, Marlissa C. Banta, Nora Murphy, Et Al.

Psychological Science Faculty Works

Over the last decades, theoretical perspectives in the interdisciplinary field of the affective sciences have proliferated rather than converged due to differing assumptions about what human affective phenomena are and how they work. These metaphysical and mechanistic assumptions, shaped by academic context and values, have dictated affective constructs and operationalizations. However, an assumption about the purpose of affective phenomena can guide us to a common set of metaphysical and mechanistic assumptions. In this capstone paper, we home in on a nested teleological principle for human affective phenomena in order to synthesize metaphysical and mechanistic assumptions. Under this framework, human affective …

A Multilevel, Mixed Methods Examination Of Food Insecurity, Housing Instability, And Cardiovascular Health, Sarah Collins

Theses and Dissertations

BACKGROUND

Housing instability and food access are both robust risk factors for cardiovascular disease (CVD), which claims more lives annually in the U.S. than cancer and chronic lung disease combined. We hypothesized that experiencing both housing instability and food insecurity would have an additive effect on CVD risk, resulting in elevated blood pressure (BP) and perceived stress among young adults (YA).

METHODS

This research examined the relationships between food insecurity, housing instability, stress, and cardiovascular disease risk through three aims. First, multivariate linear regression was used to assess associations among YA, focusing on eviction, food insecurity, and blood pressure. Second, …

The Effects Of Controlled Breathing And Physical Postures On Anxiety And Stress In Mental Health Patients, Kristen Killingsworth

DNP Research Projects

Objective: Anxiety and stress are debilitating disorders that have been on the rise in recent years following the COVID-19 pandemic. Medication alone has not been shown to be successful in mitigating the disorders, necessitating research into other alternatives for anxiety and stress management. The purpose of this project was to assess if a single complementary and alternative medicine (CAM) relaxation session had an impact on stress and anxiety levels. Method: A comprehensive literature review was conducted to identify strategies for reducing stress and anxiety. Guided by the Holistic Care Model of Self-Regulation, the nurse-led CAM relaxation session was developed. The …

Race-Based Stressors And Racial Trauma: The Moderating Role Of Parental Racial Socialization, Jessica S. Philip

Graduate Research Theses & Dissertations

Experiences of race-based stressors are linked with worse psychological outcomes for racial/ethnic minority individuals (e.g., Ferdinand et al., 2015). The way in which parents talk to their children about race (i.e., racial/ethnic socialization; RES) may exacerbate or buffer against the strength of this link (e.g., Keum & Ahn, 2021). Therefore, the present study examined the links between race-based stressors, RES, and psychological outcomes (i.e., depression, anxiety, stress, racial trauma) across multiple racial/ethnic minority groups. The present study also explored the different RES messages as potential moderators for the link between race-based stressors and outcomes, as well as differences in these …

A Comparative Study Of Venezuelan Immigrants’ Pre- And Post-Migration Concerns For Their Children In The United States And Colombia, Aigerim Alpysbekova, Pablo Montero-Zamora, Mary H Soares, Carolina Scaramutti, Sumeyra Sahbaz, Maria Duque, Tara Bautista, Maria Fernanda Garcia, Christopher P Salas-Wright, Mildred M Maldonado-Molina, Melissa M Bates, Augusto Pérez-Gómez, Juliana Mejía Trujillo, Eric C Brown, Seth J Schwartz

Faculty, Staff and Student Publications

Research suggests that forced migration may lead to cultural stress and psychological distress. However, little is known about immigrant parents' pre- and post-migration concerns for their children's welfare. The present study examined the concerns of Venezuelan parents who migrated to the United States versus those who migrated to Colombia, and whether post-migration concerns were related to cultural stressors, mental health, and cultural identity. A sample of 609 Venezuelan immigrants completed surveys and responded to an open-ended prompt asking about pre- and post-migration concerns for children's welfare. Lack of safety was the most common pre-migration concern for Venezuelans in the U.S., …

Describing The Experiences Of Fulfillment And Stress In Coptic Orthodox Priests, Dr. Martha Salama

Journal of Human Services: Training, Research, and Practice

This qualitative study was conducted to understand how Coptic Orthodox priests describe their experiences of fulfillment and/or stress with their work. While many Christian leaders such as pastors, reverends, and clergy helping to serve their church members are represented in the literature, there is limited research on the roles and experiences of the Coptic Orthodox priesthood serving their communities. The Coptic church has been around for centuries, and the church has a history of religious persecution. The research question was “how do Coptic Orthodox priests describe their experiences of fulfillment and/or stress with their work?” The research methodology used in …

The Use Of Diaphragmatic Breathing Techniques To Reduce Stress In Pre-Licensure Nursing Students, Amy Naugle

Doctor of Nursing Practice Projects

Research supports the idea that pre-licensure nursing students experience higher levels of stress than their general education-focused peers. This DNP project focused on stress related to nursing exams in the first semester of nursing school and promoted the adoption of diaphragmatic breathing techniques. The use of stress management techniques has been explored in those with intense job experiences and has proven to alleviate stress and promote improved coping. This cohort of pre-licensure nursing students was asked to identify stressors that affected them within the preceding 6 months while attending the first semester of a 2-year nursing program. The cohort was …

Online Perceived Social Support And Its Association With Psychopathology In Rural And Urban Youth, Ellen Alexandra Knowles

Dissertations and Theses

Social support is a fundamental aspect of development throughout adolescence. It has been found to buffer against the negative impacts of stress and provide general benefits to one’s well-being. Youth today are exposed to a range of opportunities for socialization with peers, both in-person and online, including interacting with others through texting, social media, video games, and other digital means. These online interactions have begun to be investigated as accessible methods through which adolescents can connect with others and maintain healthy relationships. Furthermore, digital social networks may be most critical for youth from isolated communities, including those from rural areas. …

The Impact Of Psychological Strengths On Veteran Populations' Mental Health Trajectories During The Covid-19 Pandemic, Amanda Mccleery, Jonathan K Wynn, Derek M Novacek, Eric A Reavis, Damla Senturk, Catherine A Sugar, Jack Tsai, Michael F Green

Faculty, Staff and Student Publications

Purpose: Mental health trajectories during the COVID-19 pandemic have been examined in Veterans with tenuous social connections, i.e., those with recent homelessness (RHV) or a psychotic disorder (PSY), and in control Veterans (CTL). We test potential moderating effects on these trajectories by psychological factors that may help individuals weather the socio-emotional challenges associated with the pandemic (i.e., 'psychological strengths').

Methods: We assessed 81 PSY, 76 RHV, and 74 CTL over 5 periods between 05/2020 and 07/2021. Mental health outcomes (i.e., symptoms of depression, anxiety, contamination concerns, loneliness) were assessed at each period, and psychological strengths (i.e., a composite score based …

Hormone Regulation Of Corticotropin-Releasing Factor Receptor 1 In The Female Mouse Brain, Rose M De Guzman, Jason S Jacobskind, Zachary J Rosinger, Krystyna A Rybka, Katherine E Parra, Aya L Caballero, Massoud S Sharif, Nicholas J Justice, Damian G Zuloaga

Faculty, Staff and Student Publications

Introduction: Corticotropin-releasing factor receptor 1 (CRFR1) is a key regulator of neuroendocrine and behavioral stress responses. Previous studies have demonstrated that CRFR1 in certain hypothalamic and preoptic brain areas is modified by chronic stress and during the postpartum period in female mice, although the potential hormonal contributors to these changes are unknown.

Methods: This study focused on determining the contributions of hormones associated with stress and the maternal period (glucocorticoids, prolactin, estradiol/progesterone) on CRFR1 levels using a CRFR1-GFP reporter mouse line and immunohistochemistry.

Results: Administration of dexamethasone, an agonist of the glucocorticoid receptor, elevated CRFR1 in the anteroventral periventricular nucleus …

Music And Perceived Stress: An Investigation Into The Effects Of Music On Chemistry Students' Perceived Stress Levels, Alice Young, Eric Malina

Honors Program: Senior Projects (Public)

Music has long been a prevalent intervention when trying to lower stress in certain populations (Thoma et al., 2013). This study aimed to explore the possible usefulness of music as an intervention for students experiencing stress in the chemistry laboratory setting. Students in general chemistry laboratories were surveyed regarding their stress at the ends of periods in which music was or was not played in their laboratory classes. While the results were not statistically significant, mean stress scores did lower in those groups where music was played. Further research into this topic should focus on type of music, the effects …

Evaluating The Association Between Effort-Reward Imbalance And Suboptimal Health Status Among Hospital Nurses: A Cross-Sectional Study Evaluating The Association Between Effort-Reward Imbalance And Suboptimal Health Status Among Hospital Nurses: A Cross-Sectional Study, Leilei Yu, Weiting Liu, Jingzheng Wang, Ziyao Jin, Ruoyu Meng, Zhiyuan Wu, Yuanyuan Zheng, Zheng Guo

Research outputs 2022 to 2026

Objectives: Occupational stress is a common complaint in nurses, who perceived more sense of effort-reward imbalance (ERI). Suboptimal health status (SHS) is a state between health and disease. However, the correlation between ERI and SHS is unclear. Therefore, the aim of this study was to examine the prevalence of SHS and ERI and evaluate the relationship between ERI and SHS in clinical nurses by a cross-sectional study. Material and Methods: The current cross-sectional study was conducted through an online survey at Dongping People's Hospital in China. A total of 633 completed surveys were received. Effort-reward imbalance was measured by subscales …

Chronic Adolescent Stress Alters Gr-Fkbp5 Interactions In The Hippocampus Of Adult Female Rats, Sydney Rowson, Mandakh Bekhbat, Sean Kelly, Molly M Hyer, Samya Dyer, David Weinshenker, Gretchen Neigh

Faculty, Staff and Student Publications

Chronic stress exposure during development can have lasting behavioral consequences that differ in males and females. More specifically, increased depressive behaviors in females, but not males, are observed in both humans and rodent models of chronic stress. Despite these known stress-induced outcomes, the molecular consequences of chronic adolescent stress in the adult brain are less clear. The stress hormone corticosterone activates the glucocorticoid receptor, and activity of the receptor is regulated through interactions with co-chaperones-such as the immunophilin FK506 binding proteins 5 (FKBP5). Previously, it has been reported that the adult stress response is modified by a history of chronic …

The Impact On Psychologists In California Of The Rapid Shift To Teletherapy Due To The Covid-19 Pandemic In March 2020, Oriana Mcgee

Antioch University Dissertations & Theses

In March 2020, virtually overnight, in-person interactions shifted to online or other remote realms due to the governor of California's lock-down orders in response to the COVID-19 pandemic. At the same time, the need for mental health services including psychotherapy skyrocketed. Psychologists in California met this overwhelming demand by adapting to the challenges of the moment and embracing teletherapy, a relatively new mode of therapy for most practitioners at that time. Many studies were launched to capture real-time data about mental health workers' shift to providing remote and online services; however, most of these studies were focused on practitioners' experiences …

Strategies To Stress Less: A Meta-Analytic Review Of The Effects Of Mindfulness-Based Stress Reduction (Mbsr) On Self-Reported Stress, Gregory J. Champion

Open Access Dissertations

Introduction: Stress negatively impacts health, well-being, and productivity. Mindfulness-based stress reduction (MBSR) interventions are a promising strategy to reduce stress, but they are not covered by most health insurance policies in the United States (US). A recent Delphi process gathered feedback from key stakeholders, such as clinicians, MBSR instructors and students, policymakers, healthcare administrators, and health insurance company leaders. The results indicated synthesizing the existing evidence of the impact of MBSR interventions on stress was the 2nd highest priority out of 43 options evaluated. Past research has indicated MBSR interventions may be as effective as active controls at reducing …

Effects Of Cognitive And Social Demands On Linguistic Production For People With Moderate, Mild, Or No Aphasia, Tyson G. Harmon, Emily Mcdonald, Kyle Steele

Faculty Publications

Background

Most everyday communication occurs in situations where cognitive and social demands are present. These types of situations may compound language deficits for people with aphasia (PWA). An understanding of the language interference that may occur from cognitive and social demands is an important precursor for assessment and intervention that addresses everyday communication situations.

Aims

To determine how cognitively and socially demanding conditions affect micro- and macrolinguistic production for people with moderate, mild, or no aphasia during narrative discourse and to compare effects among groups.

Method

Thirty participants with mild (n = 9), moderate (n = 9), or no (n …

A Test Of The Extended Theoretical Model Of Communal Coping Among Graduate Students: Investigating The Influence Of Communal Coping On Graduate Students’ Psychological Well-Being, Rebekah M. Chiasson

Graduate Theses, Dissertations, and Problem Reports (ETD)

The purpose of this dissertation was to test the extended theoretical model of communal coping (T. Afifi et al., 2020) in a graduate student sample by exploring predictors and outcomes of communal coping processes among 554 graduate students. The extended theoretical model of communal coping specifies that communal coping occurs when individuals within a community—such as graduate students within an academic program—perceive stressors as shared and are willing to take joint action to overcome those stressors. Results of this dissertation provided evidence that graduate students’ academic stress and the severity of individual academic stressors negatively impacted their psychological well-being. The …

Physiological Effects Of Facial Expressions During Cognitive And Social Stress, Emily X. Sorrells

Theses

This study explored the dynamics of facial expressions during stress. This 2 X 2 (Facial Expression by Task) mixed design evaluated how smiling and grimacing affected physiological and self-report measures of cognitive and social stress. The study implemented continuous monitoring of electrodermal activity (EDA). Facial expression was manipulated between-subjects as a genuine smile or grimace using chopsticks in the mouth. Task was manipulated as a counterbalanced within-subjects as a cognitive stressor using the Paced Auditory Serial Addition Task (PASAT) and a social stressor using Cyberball. Time was analyzed as repeated measures of change from baseline of EDA. Participants provided ratings …

Androgen Regulation Of The Hpa Axis And Stress-Related Behaviors In Mice: The Role Of Crf And Crf Receptor 1, Krystyna Ann Rybka

Electronic Theses & Dissertations (2024 - present)

Mood disorders such as anxiety and depression are nearly twice as prevalent in women when compared to men, with potential contributing factors involving sex-dependent exposure to gonadal hormones and dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis. Androgen actions through androgen receptors (AR) or actions at estrogen receptors such as ERα, following the conversion of androgens to estradiol, have been shown to regulate stress-related behaviors as well as HPA axis responsiveness. Where androgen actions at AR appear to decrease the stress response and subsequent stress-related behaviors, actions at ERα seem to do the opposite and increase HPA axis reactivity. When the HPA …

Development And Initial Validation Of A Hospital Stress Questionnaire, Daniel M Ford, Rebecca Lawton, Elizabeth Travis, Elizabeth A Teale, Daryl B O'Connor

Faculty, Staff and Student Publications

BACKGROUND: Hospitalisation can be a traumatic experience, where inpatients are exposed to an abundance of physical and psychological stressors. Evidence suggests that these hospital-related stressors negatively impact health: a phenomenon known as post-hospital syndrome. The current study aimed to identify hospital-related stressors, and to develop and provide initial validation for a new measure of in-hospital stress.

METHODS: Measure development occurred in three stages: (i) semi-structured interviews, (ii) item generation, and (iii) pilot testing. Twenty-one patients were interviewed regarding their recent hospital experiences, and a list of hospital-related stressors was produced. These stressors were compiled into a questionnaire and piloted on …

Spouse Violence In Case Of Police Officers In Puerto Rico: Violence In Police Families, Jorge Ismael Suarez

Theses and Dissertations

This applied dissertation was designed to explore the relationship between factors related to police work and whether these factors help predict domestic violence in a sample of officers of the Puerto Rico Police. The following factors were explored in this study: external burnout, alcohol abuse, department withdrawal, and authoritarian spillover. This study was based on a previous study by Johnson et al. (2005), which revealed that violence exposure and domestic violence among police officers are linked according to four mediation chains. The mediation chain was a model implemented by the authors to determine the influence of burnout, authoritarian spillover, alcohol …

Effects Of Cognitive And Social Demands On Linguistic Production For People With Moderate, Mild, Or No Aphasia, Tyson G. Harmon, Emily Mcdonald, Kyle Steele

Faculty Publications

Background: Most everyday communication occurs in situations where cognitive and social demands are present. These types of situations may compound language deficits for people with aphasia (PWA). An understanding of the language interference that may occur from cognitive and social demands is an important precursor for assessment and intervention that addresses everyday communication situations.

Aims: To determine how cognitively and socially demanding conditions affect micro- and macrolinguistic production for people with moderate, mild, or no aphasia during narrative discourse and to compare effects among groups.

Method: Thirty participants with mild (n = 9), moderate (n = 9), or no (n …

Further Development Of The Reflective Practice Questionnaire, Shane L. Rogers, Lon Van Winkle, Nicole Michels, Cherie Lucas, Hassan Ziada, Eduardo J. Da Silva, Amit Jotangia, Sebastian Gabrielsson, Silje Gustafsson, Lynn Priddis

Research outputs 2022 to 2026

Background: This article provides an update of the Reflective Practice Questionnaire (RPQ). The original RPQ consisted of 40-items with 10-sub-scales. In this article, the RPQ is streamlined into a 10-item single reflective practice construct, and a 30-item extended version that includes additional sub-scales of confidence, uncertainty/ stress, and work satisfaction. Methods: A total of 501 university students filled out an online questionnaire that contained the original Reflective Practice Questionnaire, and two general measures of reflection: The Self-Reflection and Insight Scale, and the Rumination-Reflection Questionnaire. Results: Based on factor analysis, the RPQ was streamlined into a brief 10-item version, and an …

A Preliminary Investigation Into The Impact Of A First-Year Stress Management Seminar, Lisa B. Smith, Mary E. Ignagni

Perspectives In Learning

Research reveals that high stress levels in undergraduate students may negatively impact their emotional and physical well-being. Short-term approaches to introducing stress management on college campuses have been explored. The purpose of this preliminary study was to determine whether a first-year stress management seminar course helped students reduce their stress a year after completing the course, identify which stress management skills students preferred, and assess the effectiveness of specific teaching techniques on student learning. Participants included students enrolled in two sections of a first-year stress management course. A survey was administered in 4 waves during the 2020 to 2021 academic …

Effects Of Episodic Food Insecurity On Psychological And Physiological Responses In African American Women With Obesity (Responses): Protocol For A Longitudinal Observational Cohort Study, Candice A. Myers, Robbie A. Beyl, Daniel S. Hsia, Melissa N. Harris, Isabella J. Reed, Danielle D. Eliser, Lauren Bagneris, John W. Apolzan

School of Public Health Faculty Publications

Background; Food insecurity is a risk factor for multiple chronic diseases, including obesity. Importantly, both food insecurity and obesity are more prevalent in African American women than in other groups. Furthermore, food insecurity is considered a cyclic phenomenon, with episodes of food adequacy (ie, enough food to eat) and food shortage (ie, not enough food to eat). More research is needed to better understand why food insecurity is linked to obesity, including acknowledging the episodic nature of food insecurity as a stressor and identifying underlying mechanisms. Objective; The objective of this study is to investigate the episodic nature of food …

Using Mindfulness In Nursing Burnout. An Integrative Review., April Day Branham

Doctoral Dissertations and Projects

The purpose of this integrative review is to evaluate if mindfulness is effective in decreasing nursing burnout. Nursing burnout has negatively affected the nursing profession for many years, and since the COVID-19 pandemic, it appears to be worse. Mindfulness is a practice that has been used for decades, however, it is gaining more attention in the nursing realm. Mindfulness consists of being present in a moment without judgment. It can consist of individual exercises that are completed using an instructor in person, in an application on a smartphone or computer, or yoga-based mindful activities. A preliminary literature review was completed …