Medicine and Health Sciences Commons^™

An Evaluation Of The Attitudes, Beliefs, And Mental Health Literacy Of Young African American College Graduates, Marshae Antoinette Mcneal

Dissertations

The aim of this study was to examine the relationships between the attitudes, beliefs, and mental health literacy of young college-educated African Americans as compared to their Caucasian counterparts. Previous research indicates these two populations differ when receiving services for mental illness. The goal of this study was to see if this difference is due to their mental health literacy level, attitudes toward seeking help, as well as their attitudes and beliefs toward mental illness. A quantitative analysis was conducted using elements of the MacArthur Mental Health Module and the Attitudes toward Seeking Professional Psychological Help Scale-Short Form (ATSPPHS-SF) to …

Examining The Role Of Consciousness And The Absurd In Suicide, Alexandra R. Azevedo

Senior Honors Projects

In order to emphasize the significance of suicide as a subjective experience, this research project explores suicide through a philosophical lens, primarily focusing on the absurdist school of thought that gained prominence with the twentieth century French philosopher and writer Albert Camus. Despite recent advances in the scientific study of suicide, I argue that many of the historically divisive questions surrounding suicide are rooted in philosophy. My original work attempts to rectify the current disconnect between suicidality and philosophy through the analysis and application of Camus’ chief work on the subjects, The Myth of Sisyphus. Recognizing the efficacy of …

Clinical Efficacy Of Music Therapy In Addiction Counseling: A Systematic Review, Marissa Renee Rinehart

Masters Theses

A previous systematic review study by Mays, Clark, and Gordon in 2008 reviewed music therapy research to look into the clinical efficacy of music therapy and addiction counseling. Their research concluded that the present literature contained few articles that had quantitative evidence and the music therapy that was presented was not an independent therapy for treatment for patients with substance abuse. This systematic review sought to research literature within the past six years that studied the effects of music therapy on clients who were dealing with substance abuse to review the progress of music therapy research since the 2008 article …

Depression And Spiritual Predictors Of Wellness In Family Caregivers Of Individuals With Alzheimer’S Disease, Christine Green

Doctor of Psychology (PsyD)

This study investigated the role of spirituality in family caregivers of individuals with Alzheimer’s disease as a means of lessening the development of depressive symptomology arising through caregiver burden. For this study, there were 41 caregiver participants taking care of a family member with Alzheimer’s disease. The population was obtained through various divisions of the Alzheimer’s Association of the United States of America. Participants completed a basic demographic survey, the General Well-Being Schedule, the Patient Health Questionnaire- 9, and the Spiritual Experience Index. Two groups, religious and non-religious, had their mental health functioning compared. Results from the 41 surveys suggest …

Examining The Role Of Supportive Others In Substance Abuse Treatment And Child Welfare, Jessica Marie Urgelles

UNLV Theses, Dissertations, Professional Papers, and Capstones

Child neglect is a prevalent problem and often co-occurs with parental substance abuse. Mothers are most often the perpetrators of child neglect. The currently available treatment programs appear to be failing to meet the needs of these mothers. Most mothers are not completing treatment, putting them at risk of losing custody of their children. The literature suggests that women may have different risk factors associated with their substance use, as compared to men. Social networks appear to play a particularly important role in the maintenance of women’s substance abuse problems. The role of social networks may be distinct for different …

Functional Capacity In Schizophrenia: Relationship Among Effort, Reinforcement Learning And Self-Beliefs, Sally J. Vogel

UNLV Theses, Dissertations, Professional Papers, and Capstones

Individuals with schizophrenia exhibit a wide range of complex neurocognitive, psychiatric and behavioral impairments. Recent research suggests that this complex array of symptoms can be at least partially accounted for by dysfunction in more basic mechanisms, such as the ability to learn from positive and negative reinforcement, or the ability to exert adequate effort when completing simple tasks. Evidence also suggests that deficits in these basic mechanisms may contribute to more complex symptoms, such as functional impairment. Also, the relationship between neurocognitive deficits and functional impairment has been found to be mediated by defeatist performance beliefs. However, studies have not …

Preferences For Evidence-Based Depression Treatments: An Emphasis On Patient-Focused Care, Lauren A. Frye

Dissertations

Research indicates most depressed patients in the general U.S. adult population seek depression treatment in primary care settings where the prevailing method of treatment is antidepressant medication. Although primary care physicians regard this approach as a preferable first line method of depression treatment, studies indicate many patients do not. Several studies have found depressed patients in these settings prefer psychotherapy or counseling over anti-depressant medication. Many advocate patient preferences should be integral to the treatment decision making process. There is a demonstrated propensity towards psychotherapy or counseling over antidepressant medication among depression patients. However, it is unclear which psychological depression …

Increasing Physical Activity In Young Adults With Autism Spectrum Disorder, Katherine B. Lalonde

Dissertations

Experts recommend that individuals walk 10,000 steps or more per day and doing so has been shown to have several health benefits. Unfortunately, many people fall short of 10,000 steps per day. Exercise levels are characteristically lower in people with Autism Spectrum Disorders (ASD) than in people without ASD. The present study comprised two experiments that used goal setting and reinforcement to increase physical activity in young adults with ASD. The first study employed a multiple-baseline-across-participants design in combination with a reversal design to determine the effects of a treatment package on the number of daily steps taken by young …

Choices Related To Maximizing Quality Of Life At End Of Life, Theresa Lynn

Dissertations

Humans, including those residing in the United States, can live in denial of their own mortality. Because of this, futile care is sometimes provided, often at great monetary expense and for little or no return in terms of quality or length of life. At least two opportunities exist for making choices regarding care at the end of life in the U.S.: completing advance directives and choosing hospice care. This dissertation consists of three studies related to this topic. The first is a quantitative study about advance directives and attitude toward death. The advance directive completion rate among adults in the …

An Evaluation Of The Primary Care Providers’ Perspective Of The Effects Of Moderate Alcohol Consumption On Health, Gisele Tchamba

Dissertations

The complexity of health benefits of moderate alcohol consumption (MAC) is well documented. From the World Health Organization recent report, impact of harm from alcohol consumption was 3.3 million deaths or 5.9 percent of all global deaths (WHO, 2014).

Yet, the benefits of MAC for better health and longer life expectancy compared with abstinence are advocated in numerous studies (Nova, Baccan, Zapatera and Marcos, 2012). However, the nature of alcohol, its role on human sufferings has generated disagreements in the scientific community. Analysis of the results of early studies advocating better health for moderate drinkers, reveal discrepancies regarding the influence …

Teacher Narratives And Student Engagement Testing Narrative Engagement Theory In Drug Prevention Education, Michelle Miller-Day, Michael L. Hecht, Janice L. Krieger, Jonathan Pettigrew, Young Ju Shin, John L. Graham

Communication Faculty Articles and Research

Testing narrative engagement theory, this study examines student engagement and teachers’ spontaneous narratives told in a narrative-based drug prevention curriculum. The study describes the extent to which teachers share their own narratives in a narrative-based curriculum, identifies dominant narrative elements, forms and functions, and assesses the relationships among teacher narratives, overall lesson narrative quality, and student engagement. One-hundred videotaped lessons of the keepin’ it REAL drug prevention curriculum were coded and the results supported the claim that increased narrative quality of a prevention lesson would be associated with increased student engagement. The quality of narrativity, however, varied widely. Implications of …

Surviving The Other War: Group Intervention For Military Sexual Trauma In The Local Church, Ed Ellis Barker

Doctoral Dissertations and Projects

Military Sexual Trauma (MST) is, together with the current military suicide epidemic, arguably the greatest danger to soldiers serving at home or abroad, and sadly the former is a contributing factor for the latter. MST involves the sexual assault or sexual harassment of an individual by one or several fellow service members. An important avenue of assistance is through the local church; however, "the quality of mental health providers does not include a sufficient number of faith-based counselors (especially Christian) to serve the predominantly Christian demographic in the U.S. Armed Forces." To assist in this, a psycho-educational support group has …

Spiritual Exploration In The Prenatal Genetic Counseling Session, Katelynn G. Sagaser

Dissertations and Theses (Open Access)

Religion and spirituality are important components of many individuals’ lives, and spiritual needs may present among persons receiving medical care. Spirituality has been demonstrated to be significant in the coping of women experiencing pregnancy complications (Breen et al. 2006; Price et al. 2007). To characterize the manner in which prenatal genetic counselors might address spiritual issues with their patients, we surveyed 283 patients receiving prenatal genetic counseling using the Brief RCope and a series of questions that examined interest in spiritual exploration. Counselors were concurrently surveyed to identify the spiritual language used within the session and the counselor’s perceived importance …

The Perception Of Latino Mothers’ Experience With The Healthcare System In East Tennessee, Christopher G. Bush

Undergraduate Honors Theses

As the Hispanic population continues to grow in the United States, especially in the South, it is critical for healthcare workers to provide culturally competent care as required by certain laws. The Latina experience is of significant importance due to the role Latina mothers play in their families and communities. It is necessary to understand the perspective of this population and the experience of the Latina mother in regards to healthcare; specifically, how have language barriers hindered care, what perceptions of bias or discrimination have been encountered, and how do these factors influence their healthcare decisions and outcomes. Research has …

Frontal Lobe And Psychopathy, Shawna Germain

Themis: Research Journal of Justice Studies and Forensic Science

This research paper presents an analysis of the functions of the frontal lobe and how damage to the frontal lobe correlates to psychopathy. Initially, it will look at how damage to the frontal lobe obstructs frontal lobe functions. The decrease in executive function, due to a reduction of blood flow to the frontal lobe following a subarachnoid hemorrhage, is explored. The correlation between cortical thickness and impulsiveness in adolescence is examined. Subsequently, the issue is then examined through the observation of groups with psychopathy and how the diagnosis relates to their frontal lobes. One study compares individuals with psychopathy to …

The Skinny On Eating Attitudes, Body Image, And The Thin-Ideal In College Women, Lyndsay N. Greene

Undergraduate Theses and Capstone Projects

There is evidence of a link between body image and disordered eating among females, and some research that suggests exposure to the media exacerbates both body dissatisfaction and eating pathology. Despite these claims, little research has been done on the effects that exposure to photo-shopped images specifically has on body dissatisfaction and eating pathology. The present study sought to further understand the relationship between cognitive distortions of body image and eating attitudes and to examine the effects that exposure to the thin-ideal found in the media has on body dissatisfaction among college aged women. Eighty female college students answered questions …

Investigating The Theory Of Ambiguous Loss: The Role Of Ambiguity Tolerance In Pre-Death Grief For Caregivers Of Individuals With Dementia, Megan Kale-Cheever

Graduate Theses and Dissertations

This thesis sought to investigate the relationship between ambiguity tolerance and caregiver grief within the framework of ambiguous loss theory. Thirty-one family caregivers completed a quantitative survey comprising two pre-existing scales and several demographic questions designed to assess level of ambiguity tolerance, level of grief, caregiver age and gender, type of relationship to the care recipient, living situation, length of caregiving career, level of Social support and frequency of difficult behaviors. Quantitative data analysis revealed that while no relationship existed between total ambiguity tolerance and total caregiver grief, a modest, inverse relationship exists between tolerance toward general-type ambiguity and burden, …

Effects Of Mild Hypohydration And Hyperthermia On Cognition And Mood In Obese And Non-Obese Females, Jenna Marie Burchfield

Graduate Theses and Dissertations

INTRODUCTION: Information regarding effects of hypohydration (HY) and hyperthermia (HT) on cognition, mood and development of symptoms is conflicting since the two conditions often confound each other. Further, although obese individuals may have physiological impairments during heat stress, whether psychological impairments occur with HY and HT is unknown. PURPOSE: To assess the independent and combined effects of mild HY and HT on cognition, mood, and the development of symptoms in obese and non-obese females. METHODS: Twenty-two healthy females (11 non-obese, 22±2y, 61±6kg, 25±4% body fat; 11 obese, 22±2y, 80±18kg, 44±5% body fat) volunteered in two randomized, repeated-measures trials, involving passive …

An Examination Of Psychoeducation And Its Potential Modifying Influence On Alcohol Use Patterns Among Adults Reporting Co-Occurring Posttraumatic Stress Symptoms And Hazardous Alcohol Consumption, Sarah Jo Bujarski

Graduate Theses and Dissertations

Research has suggested that consumption of alcohol in the presence of elevated posttraumatic stress symptom (PTSS) may serve an avoidant function to cope with negative emotions. These coping-related motives for use are theorized to both maintain PTSS and relate to poorer prognoses in treatment for alcohol use disorders (AUDs). Treatments utilizing coping skills training, which typically also involves educating clients about the negative consequences of drinking alcohol to cope, suggest the utility of targeting coping behaviors to reduce alcohol use. These studies, however, have not attempted to isolate the effects of psychoeducation on alcohol-related factors. The current study investigated the …

Mindfulness-Based Stress Reduction And Transcendental Meditation: Current State Of Research, Adam Holt

Journal of Patient-Centered Research and Reviews

This article summarizes the current state of meditation research, specifically focusing on mindfulness-based stress reduction and transcendental meditation. Despite significant methodological problems with the studies reported to date on the subject, there is consistent evidence that meditation can produce changes in the nervous system and physiology of the meditator, and can help with various psychological markers of well-being. Regarding improvement in specific clinical diseases, research is generally mixed and preliminary. Strong recommendations cannot be made based on current evidence, and further studies are needed. In general, there is a stronger body of evidence supporting mindfulness-based stress reduction than for transcendental …

Measuring Patient Experience In A Safety Net Setting: Lessons Learned, Nina Shabbat, Katy Dobbins, Sonja Seglin, Kristin Davis

Patient Experience Journal

Safety net providers have faced barriers in administering patient experience surveys due to a lack of resources and survey expertise, but this problem has received little attention in the literature. In this manuscript, we offer lessons learned from the administration of a patient experience survey at a mid-size behavioral health care agency serving a safety net population. Specifically, we discuss resource needs, methods of increasing response rate among transient populations, methods for engaging stakeholders and clinical staff in quality improvement initiatives, and considerations for responding to setbacks and challenges dynamically. We also offer insight on the effective dissemination of results …

The Importance Of Treatment For Foster Youth, Lyl T. Cartagena

Creative Activity and Research Day - CARD

This presentation provides an overview of mental health interventions including highlights of their outcomes.The summary of the extant findings helps identify the strengths and deficits of what has been done, and supports a call for further research in order to change current methods of care provided along with developing an improved method of treatment for foster care youth.

"I'Ve Been There Too": Peers In Co-Occuring Services And Fidelity Over Time, Jennifer E. Harrison

Research and Creative Activities Poster Day

Integrated Dual Disorder Treatment (IDDT) is an evidence-based pracitice (EBP) for adults with co-occuring mental illness and substance use disorders, a group with poor outcomes. In Michigan, IDDT has been altered by adding peer specialists to treatment teams in some of 68 teams and 122 fidelity reviews. Results included that fidelity significantly improved over time (F(2, 120) = 1.87, p

Re-Injury Anxiety & Return-To-Sport Outcomes In College Students, Megan C. Callen

Scholarly and Creative Works Conference (2015 - 2021)

When athletes are injured, they are faced with the initial injury stage, physical therapy, rehabilitation, and then the return-to-sport. When athletes have a negative outlook, they are less likely to recover from the injury at the proposed date of return-to-sport, take a longer span of time to recover, and have higher levels of stress and anxiety. Wadey, Podlog, Hall, Hamson-Utley, Hicks-Little, & Hammer, (2014) examined the dimensions of reinjury anxiety and found athletes with greater reinjury anxiety were in denial of the severity of their injury by wishing things would get better and had a greater focus on their distress. …

Social Mania, Brianna Dipanni

SURGE

Ten.

That’s the total number of times I’ve checked Facebook and Instagram within the past hour alone. Ashamedly, it’s become a sort of compulsive habit. No matter what I’m doing, turning on my phone or laptop wouldn’t be complete without checking Tumblr, Facebook or Instagram. Within the past year or so, social media has become a big part of my life. It’s become part of my daily morning routine. Before the thought of getting out of bed to face the day even crosses my mind, I have to check social media and see what’s been going on in the world …

The Effect Of Education On Compassion Fatigue As Experienced By Staff Nurses, Kathryn L. Zehr

Evidence-Based Practice Project Reports

Historically, nursing has been perceived as a highly rewarding profession. Yet, due to the increasing complexity of today’s healthcare, nurses are faced with greater challenges in their work environments. Registered nurses who work in tertiary care settings are exposed to disturbing patient situations including trauma, death, abuse, or chronic disease. Joinson (1992) described this experience as compassion fatigue and symptoms include headaches, short attention span, or fatigue. A review of literature has identified that nurses should be educated about risk factors and coping strategies to combat compassion fatigue. Guided by the Model for Evidence-Based Practice Change and Jean Watson’s Theory …

The Plight Of The Lucluc: Examining The Deadly Mystery Of Nodding Syndrome, Ethan K. Mcgann

Senior Honors Theses

Nodding syndrome (NS) is an emerging epidemic neurological disease that is shrouded in mystery. It is currently only found in the post-conflict regions of South Sudan, northern Uganda, and Tanzania. NS occurs in children from the ages of five to fifteen and is characterized by a loss of motor control in the neck muscles. Seizure episodes can range in intensity from atonic to tonic-clonic, and the onset of the first episode generally marks the beginning of a decline in the child’s physical and mental health. NS is a progressive disease that generally results in physical wasting, stunted growth, behavioral difficulties, …

Intrinsic Religiousness And Spirituality As Predictors Of Mental Health And Positive Psychological Functioning In Latter-Day Saint Adolescents And Young Adults, Kawika Allen, Peter W. Sanders, P. Scott Richards, Lane Fischer, David T. Morgan, Richard W. Potts

Faculty Publications

We investigated the relationships between religiousness and spirituality and various indicators of mental health and positive psychosocial functioning in three separate samples of college students. A total of 898 students at Brigham Young University participated in the three studies. The students ranged in age from 17 to 26 years old, with the average age of 20.9 across all three samples. Our results indicate that intrinsic religiousness, spiritual maturity, and self-transcendence were significantly predictive of better mental health and positive functioning, including lower levels of depression, anxiety, and obsessivecompulsiveness, and higher levels of global self-esteem, identity integration, moral selfapproval, and meaning …

Processes, Practices And Politics In The Treatment Centers For Addictions And Problematic Consumptions: An Analysis Of The Perspectives And Practices Of The Professionals In A Treatment Center In The Autonomous City Of Buenos Aires, Chiara Lawrence

Independent Study Project (ISP) Collection

Contextual Information: Historically in Argentina, as well as globally, the politics regarding the use of “drugs” have been prohibitionist and treatment centers have implemented these politics with models of abstinence. More recently, the need for both the politics and the treatment to prioritize the rights and health of the drug uses has become more widely recognized in both social and political contexts, as much as among professionals in treatment centers. New laws have been passed proposing the implementation of harm reduction strategies in the treatment of addictions and problematic drug use. In the Autonomous City of Buenos Aires there are …

Dying For A Drink: How The Consumption Of Home Brews Affects Health Within The Kibera Slum Of Nairobi, Kenya, Teaka Jackson

Independent Study Project (ISP) Collection

Home-brewed alcohols are inexpensive, thus they are especially consumed by low-income individuals such as those residing in Kibera. This project investigates three alcohols brewed within this area: muratina (mugasha), busaa and chang’aa. With the help of Philip Ndemwa, a nutrition expert from the Kenya Medical Research Institute, I was able to gain insight regarding the process of these alcohols, as well as the sanitation conditions of the production sites of these home brews and how these factors affect the health of the consumer. Both qualitative and quantitative research methods were utilized in order to fully understand the health repercussions from …