Digital Commons Network^™

Chatgpt As A Mental Health Ally: A Study On College Students’ Adoption Of Ai For Therapy, Alya Albastaki

Theses

This research investigates college students’ use of ChatGPT for mental health support, addressing a population with high unmet mental health needs due to barriers like accessibility and cost. Through a mixed-methods study, which included a survey of 126 students and sentiment analysis of 1,200+ social media posts, the research examined adoption prevalence, gender influences, and perceived benefits and limitations. Survey findings show 40.5% of students use ChatGPT for mental health, especially those with self-reported challenges. Female students reported higher adoption, linked to greater mental health needs and openness to supplementary support. Key benefits included 24/7 access, anonymity, and low cost, …

The Influence Of Task Type And Learner Language Background On Writing Production And Anxiety: A Bayesian Linear Mixed-Effects Analysis, Mahmoud Abdi Tabari, Xinya Liang, Agnes Albert

Counseling, Leadership, and Research Methods Faculty Publications and Presentations

Despite growing interest in task-based language teaching (TBLT), limited empirical work has examined how different rhetorical task types influence second language (L2) writing development, especially in relation to affective variables, such as writing anxiety. Existing research in TBLT has largely focused on cognitive dimensions, often neglecting individual differences in learners' emotional responses. Moreover, Long's (2014) call to use first language (L1) data as a benchmark in TBLT remains underexplored, complicating the interpretation of L2 performance patterns. To address these gaps, we examined the impact of task type and writing anxiety on the written performance of 140 university students (70 L1 …

Cartographic Dialogue: A Pedagogy For Emotion And Critical Consciousness In Language Teacher Educator Identity Development, Camille Ungco‐Santos, Rachel S. Snyder Bhansari

Educator Licensure Faculty Publications and Presentations

Language teacher educators (LTEs) enter their roles with complex personal histories and experiences. Little research exam-ines the ways in which LTEs of varying backgrounds reflect on these histories, their emotional responses to these reflections,and their connections to cultural contexts or systemic (in)justice. In this article, we treat the examination of our own personalhistories and their intersections with systems of power, as well as our related emotions, as pedagogy or as a reciprocal way ofteaching and learning. We critically map out and discuss our journeys towards an LTE identity, including our emotions, througha reflective, collaborative, and ongoing method we call cartographic …

Educational Experiences And Educational Attainment Of Elementary Students From Low Socioeconomic Status Backgrounds: Sequential Mixed Methods Evidence From Texas, Morgann L. Hawkins

Electronic Theses and Dissertations

Students from low socio-economic status (SES) backgrounds face significant challenges in their educational experiences and educational attainment, and this is due to barriers related to their identity and background, inadequate support systems, and a lack of understanding of the traumas they experience. This sequential mixed methods study contains the perceptions of teachers, teacher leaders, counselors, and campus leaders in four high-poverty elementary schools in one Texas school district about the educational experiences and educational attainment of students from low SES backgrounds. The informal literature review focused on six spaces: 1) child, family, and community; 2) students from low SES backgrounds; …

The Educational Experiences Of Low Socioeconomic, Hispanic, Emergent Bilingual, Elementary Students: A Sequential Mixed Methods Study From Texas, Kiley Schumacher

Electronic Theses and Dissertations

The number of Hispanic students in Texas public schools has significantly increased over the past 20 years, yet their level of academic success continues to lag. Hispanic, emergent bilingual, low-socioeconomic, early elementary students face educational challenges related to barriers surrounding language and culture differences, limited resources, unmet needs, feelings of isolation, and an underprepared educational support system. This sequential mixed methods study reported on the perceptions of parents, teachers, and campus leaders in two Texas elementary schools regarding these students’ educational experiences. Guided by existence, relatedness, and growth theory, bioecological systems theory, and culturally responsive leadership theory, the study collected …

"Oxygen Is Not For The Dead": Critical And Radical Social Work In Palestine, Nadera Shalhoub-Kevorkian, Stephanie Wahab, Abeer Musleh

School of Social Work Faculty Publications and Presentations

Palestinian poet and novelist Hiba Abu Nada, who was killed by an Israeli airstrike in Gaza on October 20, 2023, at the age of 32, taught us that “Oxygen is not for the dead.” Hiba Abu Nada’s (2017) poem, entitled “Our Loneliness,”1 recognizes survivance (Vizenor, 2010)—that is, the active sense of presence and presencing as an endeavor of creating the future (Simpson, 2017)—and asserts Palestinian embodied connections (Shalhoub-Kevorkian, 2024) to land/life (Khoury, 2019 [2016]):

Social Work In Times Of Genocide: A Palestinian Feminist Praxis Of Social Work, Stephanie Wahab

School of Social Work Faculty Publications and Presentations

The abstract is translated in Arabic below. Social work cannot meaningfully claim a commitment to justice, human dignity, and the worth of people while simultaneously remaining committed to colonial logics. Recognizing and resisting collusion with settler colonialism demands structural shifts in knowledge production, curriculum, practice, and institutional alignment. This article speaks to organized social work’s collusion with the zionist project of Palestinian erasure amid the ongoing Nakba and genocide. Since Palestinian social workers are living and surviving genocide as they practice social work, worn binaries, such as provider–client, are unsettled in ways that make a Palestinian feminist praxis of social …

Voting Under Contradictory News, Arnab Mitra, Quazi Shahriar

Economics Faculty Publications and Presentations

How much do opposing news sources distort private information and how do voters use distorted contradictory information regarding candidate quality? In a two candidate voting game, we derive and experimentally test an “average-opinion” hypothesis, where two opposingly biased sources, capable of forming an unbiased estimate of candidate quality as well as a distorted estimate within a bound, symmetrically distort their reported estimates in opposite directions, and voters split the estimate difference to decipher the unbiased estimate. Data support the hypothesis and show that voters benefit from sources’ competition, compared to a control treatment without competition. When sources are allowed to …

Teaching Research As An Interdependent Practice: Bringing Alternate Models Into The Scholarly Conversation, Natalia Kapacinskas, Veronica Arellano Douglas

Communications in Information Literacy

The customs and practices of research in academia are often mischaracterized as individualistic pursuits, ignoring the reality that research requires a great deal of collaboration. As teaching librarians, our research instruction often reinforces individualism as a scholarly virtue, even as we simultaneously engage with themes of connection between researchers and their ideas. We propose an approach to teaching research and information literacy grounded in the concept, intention, and practice of interdependence rather than individualism. In doing so, we will call in models of interdependence from critical disability studies, relational-cultural theory, Indigenous Ways of Knowing, and the Cite Black Women movement. …

Love Will Get You Further: Allan Leslie Combs And The Legacy Of Radiance, Julia C. Gardner

Journal of Conscious Evolution

In this reflective tribute, I draw on a November 2025 remembrance gathering for Allan Leslie Combs to explore how his scholarship on consciousness lived through his presence, pedagogy, and relationships. The article weaves reflections from students, colleagues, friends, and family to show how Leslie treated consciousness as a living, radiant field and knowledge as participatory. Speakers describe a mentor who walked beside their work, welcoming spiritual, creative, and embodied ways of knowing, while trusting love, humor, and trickster-mischief as legitimate modes of inquiry.

I then turn to my own dissertation research on play consciousness (PlayCS) as a tangible extension of …

Rap Snitches: A New Framework To Evaluate Rap Lyrics And Creative Expressions As Evidence, Chris Kenefick

UC Law Journal

Rap music has earned its prominent place in American music culture.1 It provides a unique creative outlet for artists to share their experiences and criticize the systems in which they live. Rap lyrics, often metaphorical or exaggerated, have been weaponized by prosecutors to attack the character of artist-defendants at a level not seen with other modes of creative expression. The lyrics of an artist are turned against them in a manner that invites unfair prejudice and improper character evidence into legal proceedings. In the 2020s, major progress has been made to curb this practice, with several jurisdictions introducing legislation that …

Insurance Under Fire: Assessing How California’S Insurance Industry Is Tackling The Wildfire Crisis And What’S Next, Mackenzie Paskerian

UC Law Journal

California is currently facing an insurance crisis. The increased impact of climate change, including extreme droughts and wildfires, poses new risks to the insurance industry, especially when it comes to homeowner’s insurance. Insurance providers have limited their homeowner coverage, with many companies leaving the state entirely due to the undervaluation of climate risk in the policies they provide. A so-called “climate insurance bubble” is already beginning to burst. The state’s last-resort public insurance program, the FAIR Plan, has expanded rapidly to fill in for the lack of insurance providers in the state. But because FAIR Plan policies are expensive and …

Religious Freedom & The Fertilized Egg, Rabea Benhalim

UC Law Journal

Anti-abortion activism and litigation have challenged established caselaw on the legality of in vitro fertilization (IVF) and the legal treatment of IVF fertilized eggs. These challenges rely on conservative Christian ideologies that full personhood occurs at fertilization. Litigation has primarily arisen out of wrongful death suits and divorce proceedings, wherein a party either has destroyed or seeks to dispose of frozen blastocysts. Some legislatures now seek to regulate the treatment of IVF fertilized eggs vis-á-vis legislation, as politicians increasingly seek to ban any destruction of human fertilized eggs by legally defining human life as beginning at fertilization. However, the question …

Brewing Solidarity: Rights Consciousness And Class Consciousness In Coffeeshop Organizing, Brishen Rogers

UC Law Journal

Almost ten thousand baristas have unionized since 2022 in cafes across the country. Their effort breaks with recent history in several respects. For example, baristas have used a novel “worker-to-worker organizing” model in which workers themselves—rather than union staff and leadership—design and manage campaigns. Also, while scholars and unionists have argued for decades that the National Labor Relations Board’s secret ballot elections process is a dead end, baristas have used that process quite effectively, winning over 85% of their elections against the major company involved. Through their organizing efforts, baristas have centered the issues and voices of LGBTQ+ workers and …

Interventions For Online Gambling Addiction With Vulnerable Populations, Ethan Sarin

University Honors Theses

This paper looks at the modern rise of online gambling, what has been done to address it, and how we can improve upon them in the future. Online gambling is gambling done through a digital medium with two distinct forms: gambling adjacent activities (GAAs), and general online gambling. GAAs are activities that highly resemble gambling, but are legally distinct from gambling due to different kinds of obfuscation like using in-game currency to gamble instead of directly real world money. General online gambling is much clearer about it being gambling with many kinds of gambling activities to partake in from digital …

Heartmath: A Stress Reduction Program For Healthcare Providers In An Addiction Treatment Setting, Dihana C. Ruiz

Electronic Theses and Dissertations 2020 - Present

Work-related stress significantly impacts the well-being of healthcare providers, specifically nurses and nurse practitioners, in addiction treatment facilities. This Quality Improvement (QI) project implemented the HeartMath Quick Coherence Technique to reduce stress and enhance resilience among staff, thereby improving the well-being of healthcare providers and the quality of care. The project utilized a pre- and post-intervention design with five participants, two registered nurses, and three nurse practitioners. Participants received training on HeartMath techniques, the EmWave Pro sensor, and the InnerBalance smartphone application. Over a six-week period, participants practiced Quick Coherence meditation for five minutes, twice daily, to achieve heart rate …

A Narrative Review Of Dual Loyalty Conflicts In Custodial Settings And Implications For Community Practice, Michelle Suh, Marc David Robinson, Holland Kaplan

Center for Medical Ethics and Health Policy Staff Publications

Dual loyalty dilemmas are conflicts between health care professionals' obligations toward their patients and third-party interests. These conflicts are more common and starker in custodial settings, such as jails and prisons, military detention facilities, immigration detention centers, and involuntary psychiatric institutions. Despite encountering patients in custody, health care professionals (HCPs) in community settings have limited knowledge and training. In this narrative review, we examined dual loyalty conflicts faced by HCPs working in custodial settings and then applied the identified themes to community-based hospitals where HCPs care for patients in custody. We searched databases for original papers relating to patients in …

Promoting Professionalism In Medical Education: A Toolbox For Effective Feedback And Remediation, Matthew R Carroll, Gal Barak, Tracy Byrne, Huma Farid

Faculty, Staff and Students Publications

No abstract provided.

Benchmarking Empirical Severity For The Yale-Brown Obsessive Compulsive Scale-Second Edition, Caitlin M Pinciotti, Juliana Avery, Chencheng Zhang, Josselyn S Muñoz, Dayan Berrones, Vanessa Zavala Cruz, Andrew D Wiese, Jacey L Anderberg, Renee M Frederick, Tomás Miño, Nuria Lanzagorta, Juan Camilo Restrepo, Marcos E Ochoa-Panaifo, Wayne K Goodman, James J Crowley, Eric A Storch, Matti Cervin

Faculty, Staff and Students Publications

The Yale-Brown Obsessive Compulsive Scale (Y-BOCS) is considered the primary instrument for assessing the presence and severity of obsessive-compulsive disorder (OCD). Conceptual and empirical critiques inspired the development of an updated version of the instrument, the Yale-Brown Obsessive Compulsive Scale-Second Edition (Y-BOCS-II), with a higher ceiling of OCD severity to better differentiate between severe and the most debilitating OCD presentations, among other revisions. The Y-BOCS-II has demonstrated sound psychometric properties across diverse samples. Empirically derived severity benchmarks have been proposed for the original Y-BOCS, yielding somewhat different ranges than what has been commonly used in clinical and research settings, yet …

Health-Related Quality Of Life After Neonatal Treatment Of Symptomatic Tetralogy Of Fallot: Insights From The Congenital Cardiac Research Collaborative, George T Nicholson, Jeffrey D Zampi, Andrew C Glatz, Bryan H Goldstein, Christopher J Petit, Yun Zhang, Courtney E Mccracken, Athar M Qureshi, Caren S Goldberg, Jennifer C Romano, Mark A Law, Jeffery J Meadows, Shabana Shahanavaz, Sarosh P Batlivala, Shiraz A Maskatia, Asaad Beshish, Michael L O'Byrne, R Allen Ligon, Kathryn O Stack, Hala Q Khan, Shalin Parekh, Dawn L Ilardi

Faculty, Staff and Students Publications

To evaluate the association between initial management strategy of neonatal symptomatic Tetralogy of Fallot (sTOF) and later health-related quality of life (HRQOL) outcomes. We performed a multicenter, cross-sectional evaluation of a previously assembled cohort of infants with sTOF who underwent initial intervention at ≤ 30 days of age, between 2005 and 2017. Eligible patients’ parents/guardians completed an age-appropriate Pediatric Quality of Life Inventory, a Pediatric Quality of Life Inventory Cardiac Module Heart Disease Symptoms Scale, and a parental survey. The association between treatment strategy and HRQOL was evaluated, and the entire sTOF cohort was compared to published values for the …

The Association Between Condom Use Self-Efficacy And Condom-Decision Abdication Among College Students, Mikaela Gjoka, Madison K Firkey, Alan Z Sheinfil, Sarah E Woolf-King

Faculty, Staff and Students Publications

Objective: Condomless sex and its related consequences are a persistent problem on college campuses in the United States. This study aimed to examine the association between condom use self-efficacy and condom-decision abdication among college students, and whether this association was moderated by gender.

Participants & methods: Undergraduate college students (N = 212; 50.5% female) were recruited via Amazon Mechanical Turk as part of a larger online study that examined normative feedback for condom use.

Results: The association between condom use self-efficacy and condom-decision abdication was significantly moderated by gender (B = -0.07, p < .001), such that condom use self-efficacy was associated with condom-decision abdication in college women (B = -0.05, p < .005) but not in college men (B = .02, p = .18).

Conclusion: Findings from this study suggest that …

Resilience And Childhood Trauma In Mood Disorders: Psychopathological Implications And Treatment Response, Giovanni Camardese, Antonio Maria D'Onofrio, Francesca Bardi, Alessio Simonetti, Alexia Koukopoulos, Delfina Janiri, Lorenzo Moccia, Marianna Mazza, Mauro Pettorruso, Giovanni Martinotti, Gabriele Sani

Faculty, Staff and Students Publications

Background and aim: Childhood trauma is a key risk factor for mood disorders and is associated with greater clinical severity, while resilience may act as a protective factor. This study investigates how childhood trauma and resilience interact to shape psychopathology and treatment response in patients with major depressive disorder (MDD) and bipolar disorder (BD).

Methods: The study included 669 participants: 569 patients (380 MDD, 189 BD) and 100 healthy controls (HC). Symptom severity was assessed using standardized scales, with follow-up evaluations of depressive symptoms at six months. All participants completed the Childhood Trauma Questionnaire (CTQ) and Connor-Davidson Resilience Scale (CD-RISC). …

Decreasing Barriers To The Utilization Of Cryopreserved Sperm In Male Cancer Survivors: An Expert Review And Guide, Megan V Alexander, Hailie Ciomperlik, Anna Claire Reynolds, Allyson Nevins, Luwam Ghidei, Jordan Kassab, Kevin Campbell, John Sullivan, Michael D Jochum, Laura Detti, Terri L Woodard, Larry I Lipshultz, Laurie J Mckenzie

Faculty, Staff and Students Publications

Background: Sperm cryopreservation offers male cancer patients a critical opportunity to preserve fertility prior to gonadotoxic therapy, yet utilization of banked sperm remains modest, typically under 10%. A structured understanding of barriers across the cancer survivorship continuum is needed to support patients in utilization of cryopreserved sperm in alignment with their reproductive goals.

Materials and methods: This expert review synthesizes current evidence and clinical experience to explore the multifaceted barriers to cryopreserved sperm use and propose specific solutions. Key intervention timepoints are examined, including the post-treatment fertility return visit, long-term cryopreservation while remote from family building, readiness for family building, …

How Well Can Commonly Used Anxiety Scales Detect Treatment Outcomes In The Context Of Autism?, Huilin Chen, Jeffrey J Wood, Connor M Kerns, Eric A Storch, Philip C Kendall, Gaia Scerif, Cathy Creswell

Faculty, Staff and Students Publications

Anxiety is one of the most prevalent mental health challenges in autistic children, yet there is limited evidence on effective tools to measure treatment outcomes. Previous research with non-autistic children has found that the Child Anxiety Impact Scale, Parent Version achieved good diagnostic accuracy when measuring treatment outcomes and performed better than a commonly used symptom measure. However, this has not been evaluated for autistic children. The present study examined the psychometric properties of the Child Anxiety Impact Scale, Parent Version in autistic children and compared its utility against other anxiety symptom measures, to detect treatment outcomes as assessed by …

Implications Of Cooccurring Adhd For The Cognitive Behavioural Treatment Of Anxiety In Autistic Children, Elise Ng-Cordell, Eric A Storch, Philip C Kendall, Jeffrey J Wood, Amori Yee Mikami, Connor M Kerns

Faculty, Staff and Students Publications

Background: Childhood mental health conditions commonly cooccur, with potential treatment implications. Autistic children frequently experience anxiety and attention deficit/hyperactivity disorder (ADHD). We investigated the implications of this cooccurrence for Cognitive Behavioural Therapy (CBT), a front-line treatment for anxiety in autistic children. We tested whether (1) ADHD predicts anxiety treatment response, (2) ADHD improves in response to anxiety treatment and (3) ADHD improvement is related to reductions in anxiety.

Method: Autistic children with elevated anxiety (N = 167) enrolled in a multisite, randomised controlled trial comparing standard CBT, autism-adapted CBT and treatment as usual. ADHD symptoms and severity were assessed via …

Sleep-Disordered Breathing Subtypes And Future Diet Quality In The Multi-Ethnic Study Of Atherosclerosis, Kaitlin S Potts, Cecilia Castro-Diehl, Tianyi Huang, Alexis C Wood, Jerome I Rotter, Stephen S Rich, Tamar Sofer, Susan Redline, Heming Wang

Children’s Nutrition Research Center Staff Publications

Objectives: Sleep-disordered breathing (SDB) and diet quality impact cardiometabolic disease, but few studies have examined if SDB influences diet quality. This study estimated the association between SDB subtypes (with and without sleepiness) and future diet quality in the Multi-Ethnic Study of Atherosclerosis.

Methods: Probable SDB was characterized by self-reported physician-diagnosed sleep apnea (PDSA) or habitual snoring and subtyped by presence or absence of sleepiness. A food frequency questionnaire measured diet 1.6 years before, and 7.8 years after SDB assessment. Diet quality was measured with the Alternate Healthy Eating Index-2010 (AHEI). Mean differences in AHEI at follow-up by SDB subtypes were …

Insights From A Survey Of School Nurses: Assessing The Challenges Of Constipation In Schools, Andrew S Chu, Eric H Chiou

Faculty, Staff and Students Publications

Objectives: School nurses are key responders to students with constipation, yet their experiences are underreported. This study surveyed their observations regarding constipation, identified barriers to student restroom access, and assessed educational needs.

Methods: In this descriptive, cross-sectional survey study, an anonymous online survey was distributed to school nurses participating in a virtual education series. The survey assessed nurse demographics, frequency of encounters with constipation and encopresis, school restroom policies, barriers to restroom use, accommodation requests, and training in constipation management.

Findings: Of 125 respondents, 95% encountered students with constipation at least monthly and 55% reported ≥ 6 encounters monthly. Commonly …

A Thematic Analysis Of What Australians State Would Change Their Minds On Climate Change, Amy S.G. Lee, Kelly Kirkland, Samantha K. Stanley, Abby Robinson, Zoe Leviston, Iain Walker

Research outputs 2022 to 2026

What do Australians believe would change their current opinions about climate change? In this study, we used audience segmentation analysis through the Six Americas Short Survey to identify groups of climate opinion holders within a representative sample of Australians. We had 4857 participants tell us what it would take to change their current opinions about climate change and leveraged OpenAI’s Generative Pre-Trained Transformer (GPT) to identify the presence or absence of themes (Nothing, Evidence and Information, Trusted Sources, Action, and Unsure) and subthemes in their responses. GPT performed at near-human levels, proving to be a highly useful tool for thematic …

Assessment Of Knowledge And Attitudes Of Undergraduate Students On Trichomoniasis In Ghana, Christopher Yaw Dumevi, Ezekiel Kofi Vicar, Lorie Christla Quansah, Rhoda Oklu, Smith Joshua, Joyce Junior Asiamah, James-Paul Kretchy, George Boateng Kyei, Patience B Tetteh-Quarcoo, Nicholas T K D Dayie, Irene Ayi, Patrick F Ayeh-Kumi

2020-Current year OA Pubs

BACKGROUND: Trichomoniasis is a non-viral neglected sexually transmitted disease of public health importance. Undergraduate students, often experiencing newfound freedom from family oversight, may engage in risky sexual behaviors, predisposing them to trichomoniasis and other sexually transmitted infections (STIs). This study aimed to assess the knowledge, attitudes, and practices towards trichomoniasis and associated factors among the Central University students in the Greater Accra Region of Ghana.

METHODS: An institutional cross-sectional study was conducted between March and July 2024, involving 387 undergraduate students from Central University who were selected using a simple random sampling technique. Data were collected using a structured researcher-led …

A Guide For Initiating And Managing Chimeric Antigen Receptor T Cell Therapy Clinical Trials In Autoimmune Rheumatic Diseases, Roberto Caricchio, Stacie Bell, Sasha Bernatsky, Maria Dall'era, David Goddard, Kenneth Kalunian, Alfred H J Kim, Fotios Koumpouras, Jose Rubio, Amit Saxena, Saira Sheikh, Lupus Clinical Investigators Network

2020-Current year OA Pubs

Chimeric antigen receptor (CAR) T-cell therapy, long transformative in oncology, is now rapidly emerging as a frontier in autoimmune rheumatic diseases, particularly systemic lupus erythematosus (SLE), driven by accumulating evidence of deep B-cell depletion, immune "resetting," and durable drug-free remission in early studies, yet its translation into rheumatology demands mastery of formidable logistical, regulatory, clinical, and ethical complexities that span institutional readiness, multidisciplinary team formation, stringent regulatory compliance, sophisticated operational workflows, comprehensive patient selection and education, meticulous clinical management of both classical toxicities (CRS, ICANS, ICAHT) and autoimmune-specific reactions such as LICATS, robust financial and resource planning, and long-term follow-up …