Medicine and Health Sciences Commons^™

The Relationship Between Dark Triad Personality Traits And Sexting Behaviors Among Adolescents And Young Adults Across 11 Countries., Mara Morelli, Flavio Urbini, Dora Bianchi, Roberto Baiocco, Elena Cattelino, Fiorenzo Laghi, Piotr Sorokowski, Michal Misiak, Martyna Dziekan, Heather Hudson, Alexandra Marshall, Thanh Truc T Nguyen, Lauren Mark, Kamil Kopecky, René Szotkowski, Ezgi Toplu Demirtaş, Joris Van Ouytsel, Koen Ponnet, Michel Walrave, Tingshao Zhu, Ya Chen, Nan Zhao, Xiaoqian Liu, Alexander Voiskounsky, Nataliya Bogacheva, Maria Ioannou, John Synnott, Kalliopi Tzani-Pepelasi, Vimala Balakrishnan, Moses Okumu, Eusebius Small, Silviya Pavlova Nikolova, Michelle Drouin, Antonio Chirumbolo

Health Services and Informatics Research

BACKGROUND: Sexting is an increasingly common phenomenon among adolescents and young adults. Some studies have investigated the role of personality traits in different sexting behaviors within mainstream personality taxonomies like Big Five and HEXACO. However, very few studies have investigated the role of maladaptive personality factors in sexting. Therefore, the present study investigated the relationship between Dark Triad Personality Traits and experimental (i.e., sharing own sexts), risky (i.e., sexting under substance use and with strangers), and aggravated sexting (i.e., non-consensual sexting and sexting under pressure) across 11 countries.

METHODS: An online survey was completed by 6093 participants (Mage = 20.35; …

Evaluating Opioid Dispensing Rates Among Pediatrics And Young Adults Based On Cures Data Reporting In California From 2015–2019, Michael T. Phan, Courtney Wong, Daniel M. Tomaszewski, Zeev N. Kain, Brooke Jenkins, Candice D. Donaldson, Michelle Fortier, Sun Yang

Pharmacy Faculty Articles and Research

Background

Receipt of opioid prescriptions in pediatric and young adult patients may be a risk factor for future opioid misuse. Data from prescription drug monitoring programs provide insight on outpatient opioid use. In our study, we analyzed the opioid dispensing rates for pediatrics and young adults in California. Methods

A secondary analysis was performed from 2015–2019 using Controlled Utilization Review and Evaluation System data. This database provides dispensing data of controlled substances in California. Patients younger than 25 years who were prescribed opiates were analyzed by county. We further divided them into two groups (children: ≤14 years; adolescents and young …

Deconstructing Patriarchy In The Healing Arts, Rebekah Harbour

Journal of Transformative Touch

Sometimes we perpetuate the very systems we want to change because it's the only way we know. Making a change in the outer world can require a shift in our inner perspective.

The Emerging Global Tobacco Treatment Workforce: Characteristics Of Tobacco Treatment Specialists Trained In Council-Accredited Training Programs From 2017 To 2019, Christine E. Sheffer, Abdulmohsen Al-Zalabani, Andrée Aubrey, Rasha Bader, Claribel Beltrez, Susan Bennett, Ellen Carl, Caroline Cranos, Audrey Darville, Jennifer Greyber, Maher Karam-Hage, Feras Hawari, Tresza Hutcheson, Victoria Hynes, Chris Kotsen, Frank Leone, Jamie Mcconaha, Heather Mccary, Crystal Meade, Cara Messick

Nursing Faculty Publications

Tobacco use is projected to kill 1 billion people in the 21st century. Tobacco Use Disorder (TUD) is one of the most common substance use disorders in the world. Evidence-based treatment of TUD is effective, but treatment accessibility remains very low. A dearth of specially trained clinicians is a significant barrier to treatment accessibility, even within systems of care that implement brief intervention models. The treatment of TUD is becoming more complex and tailoring treatment to address new and traditional tobacco products is needed. The Council for Tobacco Treatment Training Programs (Council) is the accrediting body for Tobacco Treatment Specialist …

Beyond The Competency Model Of Therapist Trainings - Developing Expertise Through Deliberate Practice, Daryl Mahon Ba, Ma

Counseling and Family Therapy Scholarship Review

The purpose of the present paper is to describe how Deliberate Practice (DP) can be used to assist individual therapists develop expertise and improve their ability to effect change in their clients' psychotherapy outcomes. The author provides a targeted review of this literature and articulates a method of training therapists based on this relatively new and exciting concept. The initial training of psychotherapists represents an important milestone in an often lifelong career and one that is marked with a continuous professional development trajectory. While it is particularly important to achieve competency in many foundational skills and techniques during training, this …

Using Ambiguous Loss To Address Perceived Control During The Covid-19 Pandemic, Rosemary A. Leone

Counseling and Family Therapy Scholarship Review

The concepts of ambiguous loss and perceived control will be used to explore ways to embrace the unknown during COVID-19. By defining COVID-19 as an ambiguous loss, effective therapeutic interventions emerge that can guide clinicians in creating lasting change amidst widespread uncertainty. Four ambiguous loss interventions will be proposed to alleviate the distress of living in fearful semi-isolation for an unknown period of time. In paradoxically embracing uncertainty, clients can create new hope in the context of a global pandemic. New hope is the ideal outcome when coping with ambiguous loss. In literature on ambiguous loss, the concept of new …

An Essay Concerning The Substance Of Counseling, Lance Kair

Counseling and Family Therapy Scholarship Review

Our modern world appears to lack a way to find truth. Philosophically, this problem is formulated in a manner of knowing which never gets beyond the subject of the universe; even objectivity in the universe is arguable. The effort called empirical science then gives us conclusions that regularly perpetuate an unstable world. Due to this real subjective empirical constraint, the usual approach to therapeutic Counseling offers methods focused on the individual obtaining skills and conceptions that function to mitigate the apparent and ubiquitous problem of modernity. Empirical science, whether it be physical, biological or phenomenal, has left us with only …

Clash Of Values: Workplace Bullying And Moral Injury, Jarl B. Anderson Ma, Mftc

Counseling and Family Therapy Scholarship Review

Moral injury is a psychological construct developed in military context, and although it has been expanded to include specific occupational fields outside of the military, it has not yet been proposed as an outcome of workplace bullying. Employees may experience moral injury when their personal values and the legitimate values of the workplace clash with unacknowledged shadow values during incidents of workplace bullying. Workplace bullying could be considered a potentially morally injurious event (PMIE) because it is transgressive, it is asymmetric, and it involves high stakes: livelihood and identity are at risk. Regarding counseling considerations, the use of ritual has …

Observations On The Relationship Between Resilience And Mindfulness, Jason N. Linder Psy. D., Jay A. Mancini

Counseling and Family Therapy Scholarship Review

In the last three decades, mindfulness and resilience have received extensive scholarly attention. Research has burgeoned and they have both become “buzz words” in the social sciences and mental health fields. That said, they are often presented as unrelated qualities, skills, or states, and few studies and texts have examined their linkages and/or how they complement each other. Masten’s (2001, 2009) seminal papers and subsequent book (2014) that presented resilience as “ordinary magic” have had large impacts on resilience scholarship, bringing forth that resilience is much more of a common human occurrence and proclivity than previously considered. In this paper, …

Stem Mental Wellness Research, Hannah R. Anderson, Amber Stitziel Pareja

Publications & Research

NCSSS and IMSA conducted a survey to gather information regarding how NCSSS member schools handle carious aspects of student mental wellness and mental illness as well as the resources and programming available to address concerns in these areas.

Download The 2020 NCSSS Student Mental Health Survey: A Synopsis

The Effects Of Administrative Support On Registered Nurse Well-Being During The Covid-19 Pandemic, Cassandra Fox

The Eleanor Mann School of Nursing DNP Capstone Projects

Attention to the well-being of nurses is necessary to ensure the healthcare system can operate effectively, particularly during the COVID-19 pandemic. The workplace environment and support from nursing leadership strongly contribute to nurses’ well-being. Currently, there is little evidence on the effect nursing leadership has on nurses’ well-being during the COVID-19 pandemic. This DNP clinical inquiry project sought to learn more about the effects of caring leadership behaviors on nurses’ well-being during the COVID-19 pandemic. A survey composed of questions from previously validated and reliable surveys used in the field of nursing was used to collect data. Neuman’s systems theory …

An Analysis Of Suicide Risk Factors Among Farmers In The Midwestern United States, Andrea Bjornestad, Courtney Cuthbertson, Jessie Hendricks

Counseling and Human Development Faculty Publications

Research on the complex relationships of variables contributing to farmer suicide is limited. The purpose of the study was to examine factors associated with suicide risk through the use of standardized instruments measuring psychological (depression, anxiety), social (social support), and contextual factors. A questionnaire was completed by 600 farmers in the Midwestern United States. A multiple linear regression model was used to analyze associations with suicide risk (SBQ-R), including depression (PHQ-9), anxiety (GAD-7), Brief COPE subscales (BC), social support (MSPSS), and select demographic and farming characteristics. The only variable that emerged as having a significant relationship with the natural log-transformed …

Support For Me Results From The Care Integration Assessment, Rachel M. Gallo Mph, Mary Lindsey Smith Phd, Katie Rosingana Ba, Evelyn Ali Bs, Karen Pearson Mlis, Ma, Mark Richards Bs, Tyler Egeland Ba, Olivia Dooley Mpa

Substance Use Research & Evaluation

In 2019, Maine’s Department of Health & Human Services received a $2.1 million grant from the Centers for Medicare and Medicaid Services (CMS) SUPPORT Act, establishing the SUPPORT for ME initiative within the Office of MaineCare Services. The primary goal of this planning grant is to increase MaineCare providers’ capacity to deliver Substance Use Disorder (SUD) treatment and recovery services for Medicaid beneficiaries. One key component of this project is an assessment to collect information from Maine organizations to help MaineCare better understand levels of care integrations within organizations and across several dimensions of care (“Care Integration Assessment”). This report …

Associations Between Parenting Stress, Feeding Practices, And Child Eating Behaviors During The Covid-19 Pandemic, Maria G. Gonzalez

Master's Theses

The COVID-19 pandemic provides an important opportunity to understand how parenting stress during social crisis may predict child feeding practices and perceptions of child mealtime behaviors. The objective of the present study was to explore whether parents’ perceived increases in and overall levels of parenting stress during the pandemic were associated with controlling feeding practices and perceptions of child eating behaviors. Parents (n = 284) of 4–6-year-old children completed a cross-sectional online survey between March and April 2020. The survey assessed parents’ perceived change in parenting stress during the onset of the pandemic and levels of parenting stress during …

Mama! I Hear Your Silence: Grief And Covid-19 On The Global North And South Disparity, Magnus Mfoafo-M'Carthy

Lyle S. Hallman Social Work Faculty Publications

In this conversation with Mama, I use my mother’s voice as a reflexive mirror to explore the social work silences that the COVID-19 pandemic expresses so eloquently in my own life and work. I seek to highlight the intimate link between Mama’s silence and social work silence.

Psychological And Physiological Stress And Burnout Among Maternity Providers In A Rural County In Kenya: Individual And Situational Predictors, Patience A. Afulani, Linnet Ongeri, Joyceline Kinyua, Marleen Temmerman, Wendy Berry Mendes, Sandra J. Weiss

Obstetrics and Gynaecology, East Africa

Background: Stress and burnout among healthcare workers has been recognized as a global crisis needing urgent attention. Yet few studies have examined stress and burnout among healthcare providers in sub-Saharan Africa, and even fewer among maternity providers who work under very stressful conditions. To address these gaps, we examined self-reported stress and burnout levels as well as stress-related physiologic measures of these providers, along with their potential predictors.

Methods: Participants included 101 maternity providers (62 nurses/midwives, 16 clinical officers/doctors, and 23 support staff) in western Kenya. Respondents completed Cohen’s Perceived Stress Scale, the Shirom-Melamed Burnout scale, and other …

Exploring Attentional And Emotional Biases As A Function Of Trauma And Dissociation Symptomology, Claudia Clinchard

Department of Psychology: Dissertations, Theses, and Student Research

There is evidence that threatening facial expressions (e.g., angry faces) direct attention toward the target, and that for facial expressions that are less threatening but still convey negative valence (e.g., fear faces) direct attention outward and to one’s environment, therefore causing a shift in memory performance and attentional bias depending on the level of threat in emotional facial expressions presented. Extant literature provides evidence for attentional biases both towards and away from threat in those with posttraumatic stress disorder (PTSD) symptomology. The current study aimed to replicate the previous findings of the effects stimulus and emotion have on memory performance …

A Coupled Hazard Simulation And Post-Disaster Resource Optimization Framework, Stephen M. Cunningham

Theses and Dissertations

Extreme events, such as natural or human-caused disasters, cause mental health stress in affected communities. While the severity of these outcomes varies based on socioeconomic standing, age group, and degree of exposure, disaster planners can mitigate potential stress-induced mental health outcomes by assessing early, intermediate, and long-term treatment interventions by social workers and psychologists. However, local and state authorities are typically underfunded, understaffed, and have ongoing health and social service obligations that constrain mitigation and response activities. A resource assignment framework is developed as a coupled-state transition and linear optimization model that assists planners in optimally allocating constrained resources and …

A Biallelic Pathogenic Variant In The Ogdh Gene Results In A Neurological Disorder With Features Of A Mitochondrial Disease, Zheng Yie Yap, Klaudia Strucinska, Satoshi Matsuzaki, Sukyeong Lee, Yue Si, Kenneth Humphries, Mark A Tarnopolsky, Wan Hee Yoon

Faculty, Staff and Students Publications

2-Oxoglutarate dehydrogenase (OGDH) is a rate-limiting enzyme in the mitochondrial TCA cycle, encoded by the OGDH gene. α-Ketoglutarate dehydrogenase (OGDH) deficiency was previously reported in association with developmental delay, hypotonia, and movement disorders and metabolic decompensation, with no genetic data provided. Using whole exome sequencing, we identified two individuals carrying a homozygous missense variant c.959A>G (p.N320S) in the OGDH gene. These individuals presented with global developmental delay, elevated lactate, ataxia and seizure. Fibroblast analysis and modeling of the mutation in Drosophila were used to evaluate pathogenicity of the variant. Skin fibroblasts from subject # 2 showed a decrease in …

Suicide Prevention And Mood Disorders: Self-Exclusion Agreements For Firearms As A Suicide Prevention Strategy, Melvin G. Mcinnis, Stephen B. Thompson, Sofia D. Merajver, Carl E. Schneider

Articles

Suicide involves a complex set of behaviors and emotions that lead up to actions that may be based on planning and forethought or the result of impulse. While there are a host of antecedent circumstances the presence of a mood disorder, primarily depression, is the most common factor in suicide. While management of depression is recognized as important prevention strategy in depression, the means by which suicide occurs must be a critical element of prevention. Policies that lower access to the means for suicide will decrease the fatality. Guns are associated with half of suicides and the case fatality rate …

Income Inequality And Opioid Prescribing Rates: Exploring Rural/Urban Differences In Pathways Via Residential Stability And Social Isolation, Tse-Chuan Yang, Seulki Kim, Carla Shoff

Department of Sociology: Faculty Publications

While opioid prescribing rates have drawn researchers’ attention, little is known about the mechanisms through which income inequality affects opioid prescribing rates and even less focuses on whether there is a rural/urban difference in mediating pathways. Applying mediation analysis techniques to a unique ZIP code–level dataset from several sources maintained by the Centers for Medicare and Medicaid Services, we explicitly examine two mechanisms through residential stability and social isolation by rural/urban status and find that (1) income inequality is not directly related to opioid prescribing rates, but it exerts its influence on opioid prescribing via poor residential stability and elevated …

Assisted Reproductive Technologies And Health-Related Issues Among Women And Children: A Research Review, Laura Maria Corradi

Dignity: A Journal of Analysis of Exploitation and Violence

From their first use in the late 1970s until the mid-1990s, Assisted Reproductive Technologies (ART) gave rise to serious concerns by feminists internationally. Their questions ranged from asking about health risks to ethical and political problems inherent in these technologies. However, over the last 25 years, interest in women’s health which used to be central to feminist theory and politics, progressively decreased and with it concerns about ART. Today, while the medical literature about health risks in ART is increasing, the topic of women’s health in relation to reproductive technologies remains marginal in feminist discourse, social sciences, and the mainstream …

Mental Health Disorders Among Patients With Acute Myocardial Infarction In The United States, Jayakumar Sreenivasan, Muhammad Shahzeb Khan, Safi U Khan, Urvashi Hooda, Wilbert S Aronow, Julio A Panza, Glenn N Levine, Yvonne Commodore-Mensah, Roger S Blumenthal, Erin D Michos

Faculty, Staff and Students Publications

OBJECTIVE: To assess the prevalence, temporal trends and sex- and racial/ethnic differences in the burden of mental health disorders (MHD) and outcomes among patients with myocardial infarction (MI) in the United States.

METHODS: Using the National Inpatient Sample Database, we evaluated a contemporary cohort of patients hospitalized for acute MI in the United States over 10 years period from 2008 to 2017. We used multivariable logistic regression analysis for in-hospital outcomes, yearly trends and estimated annual percent change (APC) in odds of MHD among MI patients.

RESULTS: We included a total sample of 6,117,804 hospitalizations for MI (ST elevation MI …

Training Needs Of Counseling Trainees In Corrections: A Survey Of Clinical Directors, Frank Dicataldo, Brett Dejesus, Don Whitworth

Journal of Counselor Preparation and Supervision

As the mental health treatment needs of adults and adolescents within the criminal justice system has garnered increasing attention, the training of mental health professionals has increasingly focused on serving individuals in forensic and correctional settings. We surveyed 55 clinical directors of mental health programs in forensic and correctional settings in a New England state. Respondents reported that Clinical Mental Health Counselors (CMHCs) broadly participated in assessment, treatment and supervision within these programs. Counseling experience emerged as the most important knowledge/experience domain for prospective job applicants and CMHCs were rated as providing a large share of the treatment within these …

Dnp Final Report: Breaking The Cycle: Care Coordination Interventions And Sickle Cell Readmissions, Naphtali Edge

DNP Final Reports

Background

Approximately 100,000 people in the United States are affected by Sickle Cell Disease (SCD). Sickle Cell Disease represents the second highest readmitting diagnosis at Houston Methodist Hospital. The purpose of this study is to determine the impact of implementing care coordination interventions to reduce hospital readmissions of patients with SCD.

PICOT

In adult patients with SCD in the acute care hospital setting, how does care coordination intervention compared to no care coordination intervention affect the readmission rate for patients with SCD over a 3 – 6-month period?

Body of Evidence

Eleven studies were critical appraised and included in the …

Methamphetamine Associated Cardiomyopathy In Pregnancy: The Distinctions And The Implications, Ashan Hatharasinghe, Hossein Akhondi

HCA Healthcare Journal of Medicine

Introduction

Methamphetamine associated cardiomyopathy (MAC) and peripartum cardiomyopathy (PPCM) are both rare obstetric conditions. Literature regarding methamphetamine associated cardiomyopathy in the obstetric population is limited, and it can be difficult to make the distinction between the two given the similarities in clinical presentation. However similar, there are significant distinctions in the pathophysiology of these two that can help clinicians with the management process.

Clinical Findings and Outcomes

This case involves a 35-year-old Hispanic G6P5005 at 37 weeks gestation presenting with acute respiratory failure secondary to acute decompensated heart failure with reduced ejection fraction and superimposed preeclampsia leading to urgent cesarean …

Experiences Of Shame, Exclusion, & Appropriation In Mindfulness-Based Wellness Culture, Charlotte Grace Starling

University Honors Theses

Yoga, meditation, and other mindfulness practices provide numerous benefits both physical and mental health to their practitioners. There is less research exploring the role mindfulness-based wellness programs and practices fit within the cultural environment of the United States and how the mindfulness movement influences wellness culture and practices. These practices and spaces have been accused of harming folks who don't fit the dominant social narrative of thin, white, upper-middle-class participants. This paper aims to explore how the United State’s commodification of mindfulness practices contributes to experiences of shame, exclusion, and appropriation in wellness culture. This is done by a literature …

Oxytocin, Cortisol, And Cognitive Control During Acute And Naturalistic Stress, Shari Young Kuchenbecker, Sarah D. Pressman, Jared Celniker, Karen M. Grewen, Ken D. Sumida, Naveen Jonathan, Brendan Everett, George M. Slavich

Health Sciences and Kinesiology Faculty Articles

Although stress is a strong risk factor for poor health, especially for women, it remains unclear how stress affects the key neurohormones cortisol and oxytocin, which influence stress-related risk and resilience. Whereas cortisol mediates energy mobilization during stress, oxytocin has anti-inflammatory, anxiolytic, and analgesic effects that support social connection and survival across the lifespan. However, how these neurohormones interrelate and are associated with cognitive control of emotional information during stress remains unclear. To address these issues, we recruited 37 college-aged women (M_age = 19.19, SD = 1.58) and randomly assigned each to a one-hour experimental session consisting of …

Impact Of School-Based Mindfulness Programs In Elementary Schools, Hannah Rosholt

Graduate Teacher Education

Educators in the 21st Century face a myriad of emerging concerns with child and adolescent behavior. Surfacing educational issues include increased anxiety disorders, cyber bullying, students who have experienced trauma, increased aggressive behavior, absenteeism, and suicide ideation. As new concerns arise, educators seek ways to support students in these challenges. Mindfulness practice in schools has become more and more prevalent in the past twenty years. Research on adults who practice mindfulness has revealed lowered stress, increased resilience, and clearer focus. Researchers aim to understand the effects of mindfulness on children and adolescents. This paper analyzes how mindfulness practice impacts students’ …

Addressing Psychosocial Outcomes Of Social Isolation In Older Adults, Megan Friesen, Madeline M. Christensen

Nursing DNP Projects

Purpose and Rationale

The aim of the evidence-based practice (EBP) project is to improve psychological outcomes for socially isolated older adults enrolled in a Homebound Program (HP) through the implementation of an EBP intervention. Social isolation has a multitude of negative consequences, including impacting the psychological health (e.g. depression, loneliness, anxiety) of the older adult population.

Synthesis of Evidence

Meta-analyses, systematic reviews, and randomized controlled trials addressing the clinical problem of social isolation were identified. Through critical appraisal of the evidence, physical activity, psychotherapy, and socialization interventions have shown to decrease depression and loneliness in older adults. There were mixed …