Digital Commons Network^™

Can I Get A Witness? The Ethical Dimensions Of Family Presence In Patient Suffering, Jennifer Blumenthal-Barby, Trevor M Bibler, Holland Kaplan, Adam Omelianchuk, Joanna Smolenski

Center for Medical Ethics and Health Policy Staff Publications

For patients who are suffering, the bedside presence of a family member can provide comfort, and many people hold that there is moral value in being present with a conscious, suffering patient. Yet what is the moral significance of the absence of family members when a patient is minimally conscious or unconscious and not aware of their absence? Clinicians are often troubled when family members and surrogate decision-makers who are able to spend a significant amount of time at an unconscious, seriously ill patient's bedside do not do so. Clinicians feel frustrated that they must bear the burden of witnessing …

Shaping Occupational Self-Efficacy In Complex Jobs: Cognitive Flexibility, Role Stressors, And The Workplace, Carolyn Henn

Graduate Theses, Dissertations, and Problem Reports (ETD)

Career advancement in many professions requires employees to move beyond a single specialized role and perform effectively across different responsibilities. These complex jobs often combine technical work, project oversight, client interaction, financial accountability, and coordination with others. Successfully managing these overlapping responsibilities requires strong occupational self-efficacy, but not much is known about the factors that shape employees’ confidence in their ability to perform in complex jobs, particularly under role stress. This study uses cross-sectional survey data from 132 full-time professionals working in complex, multi-role jobs across a range of industries to examine how cognitive flexibility, role stressors, and job demands …

Don't Crash Out: The Effects Of Personality And Social Support On Subjective Stress Responses And Heart Rate Variability, Nicholas Kilpatrick

UNF Graduate Theses and Dissertations

The present study examined the relationship between personality traits, physiological stress responses, and subjective stress during a social-evaluative stress task, as well as the potential mediating role of heart rate variability (HRV) and moderating role of imagined social support. Participants completed a laboratory-based modified Trier Social Stress Task while HRV was continuously recorded, and self-reported stress was assessed across task phases. Results indicated that neuroticism and protective self-monitoring were associated with higher levels of subjective stress, while acquisitive self-monitoring was associated with greater reductions in stress following the task. Neuroticism was also associated with greater increases in HRV during the …

The Effects Of Stress-Related Hormones On Excitatory Synapse Formation, Autumn C. Garvey

Honors Undergraduate Theses

Stress profoundly influences brain function through neuromodulatory hormones that regulate synaptic plasticity, yet how temporal patterns of hormone exposure shape excitatory synapse formation remains poorly understood. This study investigates how exposure to stress hormones, norepinephrine and cortisol, affects excitatory synapse development. While existing research primarily compares concentration models, real-world stress occurs in variable patterns that may produce distinct neural outcomes. To address this gap, differentiated Neuro2A neuronal cells are exposed to norepinephrine or cortisol under a continuous treatment paradigm designed to model chronic stress conditions. Following treatment, immunofluorescence imaging is utilized to quantify excitatory synapse formation through analysis of presynaptic …

Embracing Imperfection And Stress As The Foundation For Growth, Excellence, And Well-Being In Dentistry, John W. Claytor Jr., Dds, Magd-Llsr, Facd

Journal of the American College of Dentists

Studies reveal that stress in dentistry begins early in training and may progress throughout a dentist’s career. Fear of managing patient dissatisfaction, demanding schedules, time constraints, staff issues, and the stressors of clinical dentistry all contribute to professional strain. Difficulties associated with perfectionistic tendencies, burnout, and mental health concerns remain ever-present challenges within the profession. This article discusses evidence-based strategies, coping skills, organizational approaches, and professional resources that may help mitigate the effects of stress in dentistry. Particular emphasis is placed on reducing stigma surrounding mental health care and supporting initiatives such as the Lorna Breen Heroes Foundation’s “Safe Haven” …

Sibling Relationships Within The Context Of Chronic Conditions, Megan M. Sulak

Theses and Dissertations

This investigation explored how siblings and caregivers experience family life when one or more children have a chronic condition, with specific attention to examining what promotes connection, bonadaptation, and resilience among sibling pairs. Interviews with 10 members of 4 families contributed to the development of a grounded theory whose core theme centered on how knowledge often drove sibling relationship quality.  When individuals with chronic conditions, along with their siblings and parents, were able to access accurate knowledge and understanding about their condition, how to navigate fluctuations in health or illness, and the health care system, they reported being better able …

Metabolic Mind: A Critical Literature Review On The Influence Of Mindset On Metabolic Health, Jordan Daniel M.A., M.S.

Selected Full Text Dissertations, 2011-

Evidence has demonstrated that psychological processes can influence metabolic functions, which are essential to overall health, as impaired energy metabolism can compromise physiological systems (Bobba-Alves N et al., 2022). Metabolic health is defined as a state of well-being characterized by optimal levels of blood glucose, lipids, cholesterol, blood pressure, and adiposity and is the absence of metabolic dysfunction, which encompasses but is not limited to cardiovascular diseases, type 2 diabetes mellitus, obesity, and metabolic syndrome. A powerful psychological construct that has demonstrated its influence on health is a mindset. Defined as core beliefs or assumptions about oneself and the world, …

Paying The Price: How Financial And Health Stress Can Impact Incidental Memory In The Survival Processing Paradigm, Bailey C. Hall

Electronic Theses & Dissertations (2024 - present)

Cognitive psychologists have examined how evolutionary pressures can shape memory systems and how survival-relevant information is processed. Nairne et al. (2007) established the survival processing paradigm and showed that processing information within a survival context reliably enhances later recall. Previous research has identified academic pressure and financial stress as the most influential stressors for undergraduate students (Patel & Lewis, 2023). Financial stress is widespread and influences multiple domains of life, including health behaviors and psychological well-being (Northern et al., 2010). In this study, two scenarios were created to explore financial and health stress compared to the original grassland survival scenario. …

Invisible Stress, Visible Patterns: How The Superwoman Schema Shapes Diet And Feeding Practices In Black Mothers And Their Youth During The Summer Versus School Months, Jillian Weathington

Graduate Studies Theses and Dissertations 2026

Background: Black mothers are frequently socialized into the Superwoman Schema (SWS), a coping pattern characterized by self-sacrifice and suppression of personal needs. Alongside significant caregiving demands, SWS may limit healthy eating opportunities, yet its relationship with diet quality (DQ) remains understudied. SWS may also intensify during unstructured summer periods. This study examined associations between SWS, perceived stress, and DQ among Black mothers and their youth during summer (T1) and school months (T2).

Methods: This observational within-subjects study included Black mothers (T1: n=51; T2: n=32; mean age 39.6±6.1) and their youth (mean age 10.6±0.3). Assessments occurred at two timepoints six weeks …

Stressful Life Events And Ocd Treatment: A Thematic Analysis Of Patient Perspectives, Emily E. Fenlon

Theses and Dissertations--Psychology

Trauma exposure, including interpersonal violence (IPV), is associated with increased risk and severity of obsessive-compulsive disorder (OCD). Exposure and response prevention (ERP) is the treatment of choice for OCD, yet research suggests a history of trauma and comorbid PTSD may adversely impact treatment outcomes. No studies have yet evaluated patient perspectives on the relationship between trauma, IPV and related sequelae and OCD treatment. The present study applies reflexive thematic analysis to interviews from individuals with a history of IPV who received exposure-based therapy for OCD. Interviews explored the influence of posttraumatic distress, impairment, and psychopathology on the treatment of OCD, …

Daily Rhythms In Psychosocial Stress, Sleep, And Mood: A Multimethod Approach To Transdiagnostic Psychopathology Risk And Intervention, Gabriel Gilmore

Theses and Dissertations--Psychology

Rhythms are central to nearly every core physiological and psychological process and have profound influences on overall health and well-being, particularly in the context of mood disorders. This dissertation emphasizes a rhythm-centered framework for understanding transdiagnostic psychopathology, proposing that the temporal organization of psychosocial stress, sleep, and mood provides crucial information for the development and treatment of mood disorder symptomology. Current literature relies primarily on mean symptom levels, overlooking day-to-day patterns in psychosocial experiences. To address this key methodological gap, three studies are examined. Study 1 develops and validates the Psychosocial Stress Regularity Measure (PSRM), a brief single-item measure of …

Brief Therapy Dog Interactions May Increase Self-Efficacy And Lower Perceived Stress And Cortisol In High School Students: A Preliminary Study, Dawn Melzer, Deirdre Yeater, Madison Derubis, Christiana Rose Kohlroser, Barbara J. Pierce

Psychology Faculty Publications

The present study examined changes in high schoolers’ perceived stress, general self-efficacy and cortisol levels after a brief interaction with a certified therapy dog. High school students completed self-report measures of perceived stress and general self-efficacy and provided salivary cortisol samples both before and after a 10-min interaction with a certified therapy dog. Following the interaction, students reported reductions in perceived stress scores, exhibited lower salivary cortisol concentrations and demonstrated increases in self-efficacy scores compared to before the interaction. Although higher self-efficacy scores were observed, general self-efficacy is generally regarded as a stable construct; therefore, these findings may reflect a …

Between Self, Family, And Becoming: Mindfulness And The Transition Experiences Of Latinx Clinical Counseling Graduate Students, Orlando R. Alvarez

Antioch University Dissertations & Theses

Latinx graduate students transitioning into their first semester of clinical counseling master’s programs often navigate substantial challenges as they embark on their academic journeys. While transitions into any new role can be difficult, the changes that accompany the beginning of a graduate program have been associated with increased role and identity strain, anxiety, depression, and feelings of fraudulence and imposterism, negatively impacting student success, performance, and attrition rates (Halladay et al., 2019; Murphy, 2021; Vidic & Cherup, 2019). Although mindfulness practices provide benefits for graduate student wellbeing, there is no current scholarship that has examined how mindfulness practices support Latinx …

The Impact Of The 7th October War On Preterm Birth Rates And Neonatal Outcomes: A Retrospective Comparative Study From Northern Israel, Raghda Zidan Sweid, Adi Sharabi Nov, Hana Helfgot, Steven L. Warsof, Inbar Ben-Shachar

Department of Obstetrics & Gynecology Faculty Publications

PURPOSE: Maternal psychological stress is associated with adverse obstetric and neonatal outcomes, including preterm birth and low birthweight. Warfare represents a significant source of acute and chronic stress, yet its impact on pregnancy outcomes remains unclear. This study aimed to evaluate the association between a 6-month period of continuous wartime exposure following October 7, 2023, during the "Iron Swords" conflict and preterm birth, neonatal outcomes, and obstetric management.

METHODS: This retrospective cohort study included all deliveries at ZIV Medical Center during the 6-month conflict period, compared with a pre-war cohort from 2021 until October 6, 2023. The primary outcome was …

Examining Firefighter Perceptions Of Stress And Recovery Across A Shift And Engagement In Recovery Activities, Nathan T. Ebersole

College of Graduate Studies: Theses & Dissertations

The occupational demands of firefighting, such as fire suppression and rescue tasks, working in hazardous conditions, inconsistent sleep patterns, and exposure to traumatic events, can lead to work-related injuries, burnout, and feelings of isolation. To date, there is limited research on the impact of a single work-shift on firefighter perceptions of stress and recovery and the recovery activities that may influence these perceptions. Thus, the purpose of this study was to examine the effect of a single work-shift on firefighter perceptions of stress and recovery status as well as the recovery activities firefighters choose to engage in. Forty-three firefighters across …

Dual Language Learner Status In Relation To Cortisol For Children In Head Start Preschool, Keala Bratsch

West Chester University Graduate Theses, Dissertations, and Final Projects

Early childhood education (ECE) has well documented school readiness benefits, especially for children facing economic hardship. Yet preschool context poses challenges that are associated with elevated stress levels and potential long-term tax on physiological systems that respond to stress. The present study examined dual language learner (DLL) status in relation to levels of the stress hormone cortisol among low-income children attending Head Start Preschool programs. Participants included 207 children ages 3- 5 years who attended preschool in 2021-22 (60.9% attending a dual-language learning school, 39.1% attending an English-instruction-only preschool; all participants meeting the criteria for low-income), and their parents or …

Examining The Physiological Stress-Reducing Effects Of Virtual Nature Exposure And Slow Breathing, Jesse Benefiel

Cal Poly Humboldt theses and projects

In a time of excess stress, it is essential to examine accessible stress-reduction methods. Research has demonstrated that virtual nature exposure and slow breathing can independently reduce stress, but the literature is lacking with regard to their combined effects. The present study aimed to replicate independent effects of breathing and nature on stress and to test for potential effects, including whether their combination would produce an interaction effect. Using a 2 Environment (Natural v. Control) by 2 Breathing (Slow v. Normal) between-subjects design, 63 participants completed a modified color-word Stroop task to induce stress and were then exposed to either …

Preliminary Examination Of Orexin Receptor Antagonism With Suvorexant In Individuals With Methamphetamine Use Disorder: A Case Series Study, Heather Webber, Jessica Badawi, Douglas Calvillo, Jin Yoon, Michael Weaver, Scott Lane, Joy Schmitz

Faculty, Staff and Student Publications

No abstract provided.

Resources And Coping Strategies In Adverse Work Situations: A Person-Centered Approach, Chad Yagey

Graduate Studies Theses and Dissertations 2026

The resilience process model highlights an approach to how people mobilize their resources to cope and positively adapt in the face of adversity. Leveraging Conservation of Resources (COR) theory and the Work Home Resources Model (WHRM), I aim to uncover the extent to which resilience capacity (resources) and resilience enactment (coping) influence outcomes of resilience, offering one of the first empirical tests of the resilience process model. Specifically, COR theory posits that the more psychological resources someone has, the more successful they are in coping. I challenge this notion by examining whether specific profiles of the combination of resources available …

Balancing Care And Chaos: A Phenomenological Study On The Emotional And Mental Health Challenges Of Emergency Department Nurses, Shantilee Green

Theses and Dissertations

The purpose of this qualitative, phenomenological study was to examine the experiences of emergency department nurses related to emotional and mental health challenges, coping with stress, and ways to provide them with better workplace support. Emergency department nurses are required to work 12-hour shifts in a high-stress environment with a significant patient load and an inadequate patient-to-nurse ratio. Emergency department nurses are exposed daily to patient events that can be traumatic and affect their mental and emotional health, and nurses may find it challenging to cope with the resultant stress.

The researcher created an interview protocol of 14 questions to …

Impact Of Job Demands On Performance, Satisfaction, And Environment, Michelle Chin Loy

Theses and Dissertations

This applied dissertation examined the relationships between job resources, job demands, work engagement, perceived stress, and job satisfaction among university employees. The target participants for the study were employees at an academic institution in the South Florida area. The researcher e-mailed two surveys to the employees, and a response rate of 20% was achieved. One survey was conducted to assess the psychosocial work environment factors, and the impact on the employees’ well-being. The sub-scales used were Job Resources, Job Demands, Well-being outcomes, and Stress. The other survey measured the work engagement, the employees’ well-being, and how they experience enthusiasm, commitment, …

The Serotonin 1b Receptor In Psilocybin’S Therapeutic-Like Mechanisms: From Behavior To Network Reorganization, Sixtine Fleury

Dartmouth College Ph.D Dissertations

Mood disorders represent a substantial and growing global health crisis, with ~10 million adults in the US meeting criteria for a major depressive disorder (MDD). Current first-line treatments such as SSRIs require long-term daily administration and fail a significant proportion of patients, driving renewed interest in rapid-acting alternatives. Psilocybin, a serotonergic psychedelic, shows growing clinical evidence of efficacy in treating depressive and anxiety disorders, often producing therapeutic effects persisting weeks to months following a single dose. Yet, the neural mechanisms underlying these enduring effects remain poorly understood and have been largely attributed to the serotonin 2A receptor (5-HT2AR) based on …

Relationship Between Turnover, And Resilience Among Critical Care Nurses In Oman. An Implication For Nursing Practice., Mohammed Qutishat

Health Professions Education

Background: Critical care nurses face numerous challenges, including increased anxiety, depression, and traumatic incidents. Workplace stress can lead to Burnout and turnover, with a significant percentage of global hospital nurses planning to leave within a year. Resilience and positive attitudes towards mental health are crucial for nurses, as they serve as societal leaders. In Oman, many nurses plan to leave their current jobs within a year, highlighting the need for healthcare organizations to create measures to avoid stressors and foster worker well-being.

Aim: To examine the relationship between turnover and resilience among critical care nurses in Oman.

Method: This study …

Predicting Tilt In Esports: A Psychophysiological Approach To Understanding Player Emotional Regulation, Nathan Rhea

University of the Pacific Theses and Dissertations

Emotional regulation and stress management are important to both casual and competitive esports players. When players become dysregulated, they experience a phenomenon known as “tilt” within the gaming community, where they often lose control of their emotions and their performance declines. This study aimed to investigate whether a psychophysiological variable in heart rate variability could predict tilt in college-age esports players. Additionally, the relationship between heart rate variability and emotions predicted by the Tiltometer system with gameplay performance and winning or losing was tested.

This study used a quantitative correlational research design. Participants for this study were college-age players (N=23) …

Dynamics Of Changes Of Religiosity In Condition Of Crisis Events (Based On The Example Of The Russian-Ukrainian War), Yurii Boreiko, Fedotova Tetiana

Occasional Papers on Religion in Eastern Europe

The article analyzes changes in the religiosity of Ukrainians during the Russian-Ukrainian war as a large-scale event. It explores the nature of the connection between the traumatic experience of war and religiosity and determines the trajectory of changes in the religiosity of Ukrainians during the war. It has been established that the Russian-Ukrainian war caused social upheavals accompanied by crises in various spheres of public life. As a large-scale tragic event, the war became a catalyst for changes in self-assessment of faith in God and participation in religious practices. The level of religiosity of Ukrainians during the war was significantly …

Mental Health And Beliefs About Abortion Access Following Changes To Reproductive Healthcare Laws In 2022: Findings From Oklahoma, Munjireen Sifat, Laili K. Boozary, Tina N. Le, Julia Mcquoid, Brittany Zaring-Hinkle, Sarah Tonkin, Lizbeth Benson, Bingjing Mao, Motolani Ogunsanya, Ruosi Shao, Amy M. Cohn, Allyson Shortle, Darla E. Kendzor

Department of Medical Oncology Faculty Papers

INTRODUCTION: A secondary analysis of cross-sectional survey data was conducted to characterize beliefs about abortion access in Oklahoma, measure stress associated with the overturn of Roe vs. Wade (2022), and evaluate the potential relationship between post-Roe stress (PR stress) and mental health.

METHODS: From August through September 2022, adult Oklahomans (N = 1793) were surveyed about their sociodemographic characteristics, beliefs about abortion access, frequency of past-month stress related to the overturn of Roe vs. Wade, and mental health. Beliefs about abortion access were characterized overall and within sociodemographic groups. The relationship between PR stress and mental health was evaluated, and …

Determination Of Serum Cortisol Levels As A Stress Marker In Hospitalized Dogs, Emre Tüfekçi̇, Gencay Eki̇nci̇, İlknur Karaca Bekdi̇k, Ali̇ Cesur Onmaz, Öznur Aslan, Vehbi̇ Güneş, İhsan Keleş, Mehmet Çi̇ti̇l

Turkish Journal of Veterinary & Animal Sciences

In veterinary medicine, various diseases and surgical procedures may require the isolation and hospitalization of dogs, allowing for more effective individual patient monitoring and increasing the chance of successful treatment by preventing unnecessary drug use. However, this process can be stressful. Our study aimed to determine the changes in cortisol levels, one of the primary stress hormones responsible for stress responses, in individually hospitalized dogs. In addition, epinephrine (EPN) levels, another stress marker, as well as hematological and some biochemical values were measured and vital signs were recorded. The dogs included in the study were divided into 3 groups: healthy, …

Pathways To Better Sleep, Mairead E. Moloney, Emily Slade, Joon Chung, Kory Heier, Daniela C. Moga

Sociology Faculty Publications

Background: Rural Appalachia has some the highest rates of sleep and health disparities in the United States. This study investigates the relationship between social support and insomnia severity in rural Appalachian adults, with specific attention to the potential mediating roles of depression, anxiety, and stress. Methods: Participants from 12 rural Eastern Kentucky counties completed validated measures of insomnia severity, social support, depression, anxiety, and perceived stress. Using R, we calculated descriptive statistics and fit mediation models for depressive symptoms, anxiety symptoms, and stress, with social support as the exposure and insomnia severity as the outcome. Results: Aligning with regional demographics, …

Prevalence Of Bruxism And Its Association With Stress Among Dental Students: A Questionnaire-Based Cross-Sectional Study, Ketavatu Durga Prasad Naik, Prasanthi Gortha, Madhu Varma, Mohan Kumar, Rama Laxmi Koruprolu, Mounika Rameswarapu

Journal of Dentistry Indonesia

Objective: Bruxism has been described as a parafunction associated with a multifactorial etiology, but primarily as a psychological factor. This study determined the prevalence of bruxism among dental students and explored the potential contributing factors. Methods: A cross-sectional self-administered questionnaire survey was conducted among dental students across various academic years. The prevalence of bruxism (awake and during sleep) was assessed along with stress levels, lifestyle factors, and demographic variables. Statistical analyses were performed using the chi-square test and multivariate logistic regression. Results: The prevalence of bruxism was significantly associated with stress and academic workload. Most participants exhibited moderate to severe …

Combining Home Exercise, Fitbit Tracking, And Virtual Reality Mindfulness To Reduce Stress And Improve Cardiometabolic Health: A Physical Therapy Student Research Experience, Sharon A. Martino, Kelly Warren, John Calisi, Anthony Dicrescento, Mehran Mohamad, Gabrielle Lewin, Stefanie Gera, Ashley Youseffi, Steven Gengo

International Journal of Exercise Science: Conference Proceedings

GNYACSM Original Research Abstract

Combining Home Exercise, Fitbit Tracking, and Virtual Reality Mindfulness to

Reduce Stress and Improve Cardiometabolic Health: A Physical Therapy Student

Research Experience

SHARON A MARTINO, KELLY A WARREN, ANTHONY DICRESCENTO, JOHN CALISI, MEHRAN

MOHAMMAD, STEFANIE GERA, ASHLEY YOUSEFFI, GABRIELLE LEWIN, STEVEN GENGO

Rehabilitation Research and Movement Performance Laboratory; Stony Brook University; Stony

Brook, NEW YORK

Category: Graduate

Advisor / Mentor: Martino, Sharon ([email protected])

ABSTRACT

Student engagement in research is critical to developing evidence-based practice and critical thinking skills in PT education.

Student-driven research fosters independence, collaboration, and a deeper understanding of the scientific process,

preparing future …