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Emotional Distress, Self-Management, And Glycemic Control Among Participants Enrolled In The Glycemia Reduction Approaches In Diabetes: A Comparative Effectiveness (Grade) Study, Jeffrey S Gonzalez, Heidi Krause-Steinrauf, Ionut Bebu, Gladys Crespo-Ramos, Claire J Hoogendoorn, Aanand D Naik, Andrea Waltje, Elizabeth Walker, Dominic Ehrmann, Janet Brown-Friday, Andrea Cherrington

Faculty, Staff and Student Publications

OBJECTIVE: We examined emotional distress in relation to metformin adherence, overall diabetes self-management, and glycemic control among adults with early type 2 diabetes (T2DM) enrolled in the GRADE study.

METHODS: Linear regression models examined cross-sectional associations of baseline depression symptoms and diabetes distress with adherence to metformin, self-management, and HbA1c, adjusting for covariates. Cognitive-affective (e.g., sadness) and somatic (e.g., sleep/appetite disturbance) depression symptoms and diabetes distress subscales were also examined.

RESULTS: This substudy of 1,739 GRADE participants (56 % Non-Hispanic White, 18 % Non-Hispanic Black, 17 % Hispanic, 68 % male, mean[SD] age = 57.96[10.22] years, diabetes duration = 4.21[2.81] …

Racial Microaggressions: Experiences Among International Students In Australia And Its Impact On Stress And Psychological Wellbeing

Journal of Comparative & International Higher Education

No abstract provided.

Mindfulness Based Stress Reduction Techniques In Chronic Illness, Anna Celia Gil

Electronic Theses and Dissertations

Abstract

Chronic stress and its effect on both physical and mental health have been a topic of increasing interest in the past several decades. There is mounting evidence that recurrent, persistent stress of both a physiologic and psychological nature leads to a dysfunction in the hypothalamic pituitary axis (HPA), the system which helps the body recover and adapt to short term stress. In long term stress, this HPA dysfunction leads to impairment of the immune and neuroendocrine systems resulting in chronic low-grade inflammation. This type of chronic inflammation acts as a precursor to several chronic illnesses such as diabetes, hypertension, …

An Examination Of Discrimination On Stress, Depression, And Oppression-Based Trauma During The Covid-19 Pandemic And The Racial Awakening Of 2020, Ardhys N. De Leon, Jacqueline Woerner, Robert D. Dvorak, Jonathan Cox, Tatiana D. Magri, Emma R. Hayden, Manik Ahuja, Angela M. Haeny

ETSU Faculty Works

Background

Methods

A Prospective Evaluation Of The Effects Of The Covid-19 Pandemic On Youth With Primary Headache Disorders., Mark Connelly, Jennifer J. Dilts, Madeline Boorigie, Trevor Gerson

Manuscripts, Articles, Book Chapters and Other Papers

Alterations in certain academic and social/family routines during the COVID-19 pandemic have been speculated to be either a risk factor or buffer for poor health outcomes for youth with stress-sensitive health conditions such as primary headache disorders. The current study evaluated patterns and moderators of pandemic impacts on youth with primary headache disorders, with an aim of extending our understanding of the relationship between stress, resilience, and outcomes in this population. Children recruited from a headache clinic in the midwestern United States reported on their headaches, schooling, routines, psychological stress, and coping at four timepoints ranging from within a few …

Coping Mechanisms In Graduate School: A Discipline Comparison, Sandra P. Montenegro

The Pegasus Review: UCF Undergraduate Research Journal

The current study aimed to provide an overview of graduate students’ stress and coping mechanisms. Per self-reported questionnaires, participants (N=95) rated their experiences with academic-related stressors, common coping mechanisms, and strain outcomes (somatic symptoms, insomnia, and burnout). This study found that task-related stressors were the most prevalent for graduate schoolwork. More specifically, graduate students in STEM, Arts & Humanities, and Social Sciences rated the amount and difficulty of the tasks (quantitative and qualitative properties of tasks) as the highest stressors in graduate school. The preferred coping strategies across all fields were planning and emotional coping. Additionally, students in STEM reported …

A Scoping Review Of Campus-Based Animal-Assisted Interactions Programs For College Student Mental Health, Tanya K. Bailey

People and Animals: The International Journal of Research and Practice

Background: People have long found support by interacting with animals, which has developed into a health care modality called animal-assisted interactions (AAI). In the past 10 years, AAI has increased as a way to support college students’ mental health; however, there is no comprehensive evidence on the effectiveness of these programs.
Method: A scoping review was conducted using the JBI and PRISMA-ScR criteria. Empirical articles were identified through Academic Search Premier (EBSCOhost), PsychINFO (Ovid), and Web of Science using three groups of keywords: AAI, college students, and mental health.
Results: Of the 1,195 publications identified, 37 met this study’s eligibility …

Creating Equitable And Sustainable Opportunities For Nature Immersion To Support Restoration From Stress Within Mental Health Nursing: A Critical Interpretive Synthesis, Sarah Howes, Paul Warwick

School of Nursing and Midwifery

In the face of global environmental changes threatening health, and despite increased calls for nurses to broker access to nature-based well-being interventions for people with mental health difficulties, there is a surprising absence of literature examining the nature–nursing relationship, inhibiting its inclusion within nursing curricula and practice. This critical interpretive synthesis supports the notion that nature immersion has the capacity to increase positive affect, reduce negative affect, provide restoration from everyday stress, promote meaning-making, enhance belonging, and foster an interest in caring for the natural world. Yet, critical examination of the literature reveals multiple social and environmental inequalities and unmasks …

Effect Of Nascent Entrepreneurs' Training On Their Stress: The Role Of Gender And Participants' Interaction, Etienne St-Jean, Maripier Tremblay, Franck Barès, Monica Simionato

New England Journal of Entrepreneurship

Purpose: A career in entrepreneurship is stressful, especially during the start-up phase. Training programs for these nascent entrepreneurs are designed to improve entrepreneurial competencies and, more generally to generate learnings. Although learning outcomes can reduce stress, the conditions under which this can happen are not fully understood. The study looks particularly at the effect of learning, interaction with other participants and gender.

Design/methodology/approach: A six-month three-wave longitudinal study of 120 nascent entrepreneurs has been conducted to investigate the before-and-after effects of training on stress reduction. The training is specially designed to develop competencies, share knowledge about business creation and support …

Developing An Ecological Model Of Turnover Intent: Associations Among Child Welfare Caseworkers’ Characteristics, Lived Experience, Professional Attitudes, Agency Culture, And Proclivity To Leave, Dana M. Hollinshead, Rebecca Orsi

QIC-WD Journal Articles

Almost a quarter of the child welfare workforce leaves their job each year, and despite clarion calls over the decades, our insights into dynamics underlying turnover remain limited. Using survey data from 276 caseworkers in a Midwestern state, this analysis explores an array of personality, stress, attitudinal, and perception measures and their association with three measures of turnover intent: thinking about quitting, intending to search, and intent to leave. Findings indicate that controlling for demographic factors, burnout, and confidence in decision support from agency leadership had consistent and strong associations with all three outcomes (positive for burnout; negative for decision …

Does Perceived Emotional Invalidation Moderate The Relation Between Occupational Stress And Mental Health Outcomes In Law Enforcement Officers?, Sahar Jaafar M.S.; M.A.

Selected Full Text Dissertations, 2011-

Police officers are exposed to operational stressors while on duty, including child abuse, domestic violence, car crashes, and homicides (Jetelina et al., 2020). Repeated exposure to these stressors is associated with the development of mental illness (Jetelina et al., 2020). Organizational stressors, including lack of support/validation, demand, job pressure, administrative/organizational pressure, and long working hours, may be an even greater source of stress for police officers (Purba & Demou, 2019). Exposure to such organizational stressors can result in psychological distress, burnout, and suicidal ideation (Purba & Demou, 2019). However, there is a dearth of research on invalidation and the role …

Impact Of Perfectionism, Social Media, And Sleep Hygiene, On Stress In Students From Health Professions Programs, Dayton Duane Braley Spt, Madisyn Ann Dingmann Spt, Brooke Elizabeth Grussing Spt, Justin Daniel Heinrichs Spt, Trystin Renae Nilson Spt

Physical Therapy Student Research Projects

Title: Impact of Perfectionism, Social Media, and Sleep Hygiene, on Stress in Students from Health Professions Programs

Purpose: Explore the impact and relationships of perfectionism, sleep, and social media on stress in health profession students.

Methods: After IRB approval, 62 health pre-professional/professional students completed this non-experimental survey via Qualtrics. The survey consisted of the Perceived Stress Scale (PSS), Frost Multidimensional Perfectionism Scale (FMPS), Pittsburgh Sleep Quality Index (PSQI), questions about social media usage, and demographic characteristics. Surveys were completed in 2021.

Results: Participant demographics included: 50 female, 12 male; Mean Age (24.16); Program of Study (23 PT, 9 OT, 13 …

What I Need: Self Care At The Unit Level, Jessica A. Tindal

Nursing Posters

Purpose:

Self-care is individualized and best done when awarded on a small scale.

Goals:

For all employees of the ICU to:

• Feel valued outside of work
• Be recognized for taking care of themselves
• Participate in positive discussions
• Be rewarded for work life balance
• Be reminded of self-care
• Not feel alone with their thoughts
• Pause and reflect
• Help others, spouses, kids, etc.

Future plans include:

• Seasonal questions of things to see, places to explore
• Recipe sharing
• Hobby experts
• Focusing on staffs' interests

Therapy Dog Utilization On A University Campus And The Effects On Stress, Anxiety, And University Connection, Mistie M. Bibbee

Theses, Dissertations and Capstones

The purpose of this non-experimental, descriptive study was to determine the effects that regular, brief visits with therapy dogs may have on the stress, anxiety, and university connection of college students who live in the residence halls via a qualitative research design involving the use of observations, questionnaires, and individual interviews. The study involved a sample (n = 6) of undergraduate students who engaged in observed visits with therapy dogs and their handlers over the course of three to four weeks. Students completed a pre-and-post Depression Anxiety Stress Scale (DASS) questionnaire and a final interview. Based on the findings …

Stress In The Clinical Education Environment: Exploring The Lived Experiences Of Physical Therapy Students, Christina E. P. Anderson

All Electronic Theses and Dissertations

Many Americans experience high levels of stress, particularly young adults and college students. Stress has been found to be particularly high among students in the health professions, including physical therapy students. High levels of stress, chronic stress, or stress that is not well managed can have negative effects on physical and mental health. Stress can also have positive effects, particularly at low or moderate levels and when it is transient. Clinical education is the liminal space between a student’s educational program and practice in which students have the opportunity to experience real-life stressors, practice stress management skills, and develop habits …

Social And Economic Capital As Effect Modifiers Of The Association Between Psychosocial Stress And Oral Health, Abby L J Hensel, Noha Gomaa

Dentistry Publications

OBJECTIVES: To assess the extent of the association of psychosocial stress with oral health in an Ontario population stratified by age groups, and whether any association is modified by indicators of social and economic capital.

METHODS: We retrieved data of 21,320 Ontario adults, aged 30-74 years old, from the Canadian Community Health Survey (CCHS: 2017-2018), which is a Canada-wide, cross-sectional survey. Using binomial logistic regression models that adjusted for age, sex, education, and country of birth, we examined the association of psychosocial stress (indicated by perceived life stress) with inadequate oral health (indicated as having at least one of the …

Nature Based Interventions For Human Health And Wellbeing, Samantha I. Moyers

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background. Nature exposure is beneficial to human health and wellbeing, but the evidence base for nature-based interventions (NBI) is still developing. Heterogeneous naming conventions, study designs, and intervention contexts create difficulty in accessing and assessing the evidence for such programming. While NBI have been utilized in a wide array of human populations, no interventions have been reported among clinical health professions students. Aims. The objectives of this dissertation project were to review the existing body of NBI literature exploring health and wellbeing outcomes, and to conduct a feasibility trial of forest bathing, a type of NBI, among clinical students. Specifically, …

Promoting Well-Being Among Intercollegiate Student-Athletes: A Gratitude Intervention Using Positive Psychology, Laura Kruger

Dissertations and Theses

Intercollegiate student-athletes face rising stress and pressures which challenge their well-being and mental health, and sometimes with alarming concerns. Over the years, supportive services and resources specifically available to student-athletes have not evolved at the same pace as student-athlete needs. Also, barriers and stigmas hinder student-athletes from readily accessing supportive mental health services. The high stress of student-athletes can contribute to the development of negative mental health symptoms and impairs positive well-being. Evidence supports how outreach initiatives help student-athletes. Positive psychology, including gratitude as a positive psychological state, has shown benefits to well-being. This experimental study design researched if the …

Down The Leash: A Phenomenological Study Of K9 Officers Stresses And Rewards, Jennifer C. Anglin

All-Inclusive List of Electronic Theses and Dissertations

This study aimed to understand and relay the phenomenon of stress in K9 officers compared to before they took on the additional responsibilities of becoming K9 officers and the rewards that come with their position. Qualitative semi-structured interviews with K9 officers was the tool used to collect and analyze the data. Research questions began with basic demographic information and transitioned into lifestyle and stress-related questions. Eight K9 officers representing state troopers, county sheriff deputies, and city officers participated in the interviews where data saturation was obtained. After the data were coded and analyzed, five distinct themes emerged: family life, extra …

The Effects Of A Six-Week Mindfulness Intervention Designed For Adolescents On Emotion Regulation And Perceived Stress In College Students, Theodora Malinowski

West Chester University Doctoral Projects

College students are a vulnerable population to developing mental health problems. Without adequate emotion regulation abilities and adaptive coping skills to manage stress, college students are at risk of experiencing negative mental and physical health outcomes. Mindfulness has been shown to improve mental and physical health. Unfortunately, many mindfulness interventions are developed with the needs of adults in mind. Some features of common mindfulness programs, such as cost and required length of daily practice, make the interventions difficult for most college students to access. The present study investigated the effects of a six-week mindfulness intervention (Learning to BREATHE) that was …

The Effect Of Educational Versus Recreational Screen Time On Depression Levels Among University Students, Gage Guettler

Honors Undergraduate Theses

Despite the amount of people currently using technology and the overwhelming amount of data already presented on the topic of how technology affects a person's mental health, there seems to be little information on how the different types of activities on the different types of screens affect university student's mental states. This research study examined the amount of time that a University of Central Florida (UCF) student spends on what was defined as educational activities in front of screens and what was defined as recreational. The definitions of what is educational and what is recreational screen time came from a …

Occupational Therapy Practitioners’ Perceptions Of Workplace Stressors In One Nursing Home Post Pandemic, Owen T. Tabelisma

Occupational Therapy Doctorate Capstone Projects

Executive Summary

Background:

Multiple stress-related issues brought on by the pandemic affected healthcare staff, including occupational therapists. Nursing home settings were particularly impacted by the COVID-19 pandemic. It is important to understand how occupational therapy practitioners in nursing home settings managed stress during the pandemic and how they perceived stress after it passed.

Purpose:

The purpose of this qualitative study was to evaluate occupational therapy practitioners ’perceptions of workplace stressors in one nursing home during the pandemic and to understand how these stressors may have changed post-pandemic.

Theoretical Framework:

The Occupational Adaptation (OA) model was the theoretical framework that served …

Does Need For Social Support Moderate The Relationship Between Perceived Availability Of Social Support And Depression, Anxiety, And Stress?, Katherine E. Whisenhunt

Masters Theses

This study was designed to determine whether the need for social support moderates the relationship between social support (both perceived and enacted) and depression, anxiety, and stress. The study tested the role of Need for Support in the context of both buffering and direct effect models of the effect of social support on mental health and well-being. If perceived availability of social support (i.e., PASS) had a direct effect on well-being, then a simple moderation was predicted. If a buffering effect was present, then a moderated moderation was predicted. This study also predicted a positive relationship between need for social …

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

Clinical Research 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 …

Editorial: Stress-Induced Weight Changes, Hassan M. Heshmati, Livio Luzi, Frank L. Greenway, Candida J. Rebello

Clinical Research Faculty Publications

No abstract provided.

High Anxiety: Racism, The Law, And Legal Education, Elayne E. Greenberg

Washington and Lee Journal of Civil Rights and Social Justice

Conspicuously absent from the United States’ ongoing discourse about its racist history is a more honest discussion about the individual and personal stressors that are evoked in people when they talk about racism. What if they got it wrong? The fear of being cancelled -- the public shaming for remarks that are deemed racist -- has had a chilling effect on having meaningful conversations about racism. What lost opportunities!

This paper moves this discussion into the law school context. How might law schools rethink their law school curricula to more accurately represent the role systemic racism has played in shaping …

The Human-Canine Bond: Levels Of Stress Among Military Spouses During Deployments, Angela L. De Leon-Muniz

Walden Dissertations and Doctoral Studies

Previous research has found that deployment may impact military spouses’ emotional wellbeing and attachment with family members. There remains a critical gap in the literature regarding difference in stress levels between military spouses who own canines and those who do not. The theoretical foundations for this study were Bowlby’s attachment theory and Bowen’s family systems theory. Research questions included exploring the relationships between (a) pet canine ownership, deployment length of time, and military spouses’ stress levels, and (b) pet canine owners’ pet attachment and stress experienced, when their significant others are deployed. The sample comprised 82 spouses with deployed military …

Experiences Of Women Faculty Using Meditative Practices Through Workplace Health Promotion In Ontario, Kelly Lynn Henley

Walden Dissertations and Doctoral Studies

Workplace stress is pervasive and changes to the postsecondary teaching and learning environment have contributed to stress among women faculty and adversely impacted their personal well-being. The purpose of this qualitative study was to understand how the constructs in the health belief model (HBM) play a role in the use of worksite wellness initiatives to manage stress and promote wellness among women postsecondary faculty in Ontario. The research questions were designed based on the HBM to examine the participants’ perceptions of severity and susceptibility to workplace stress, perceived benefits and barriers to participation, motivation to participate, and self-efficacy. Women faculty …

Examining The Home Interventionist Model Of Care In Pediatric Asthma, Katherine D. Lohr

Theses and Dissertations

Pediatric asthma disproportionately affects children living in urban areas and within families reporting an income below the poverty threshold. Home interventionist models of care, utilizing interventionists from the communities they serve, have been found to improve pediatric asthma symptoms and reduce Medicaid costs. Home interventionists, such as community health workers (CHWs) and Healthy Homes assessors (HHAs), focus on connecting care among schools, providers, and homes, and empowering families in accessing resources to overcome barriers to care. However, research is just beginning to understand how home interventionists create positive change among families within low-income, urban communities. This dissertation study used a …

Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: A Step Towards Unfolding The Mystery, Aditi Kamlesh Bhanushali

Legacy Theses & Dissertations (2009 - 2024)

AbstractBackground: Myalgic Encephalomyelitis, also known as chronic fatigue syndrome (CFS), is a complex disease that includes the dysregulation of the Central Nervous system. There is no exact known etiology or pathophysiology which leads to the development of ME/CFS. To understand the possible causes behind this mysterious disease, I conducted this project under the guidance of Dr. Moslehi to evaluate a range of demographic, lifestyle, and epidemiological factors and their risk in the development of ME/CFS. Methods: My project is part of a case-control study conducted by Dr. Roxana Moslehi. ME/CFS is a rare disease, so a case-control study design was …