Medicine and Health Sciences Commons^™

Ethnic Comparisons In Perceptions Of Health, Happiness, Hope, And Related Social Determinants Of Health In A Majority-Minority Midwestern Town, Virginia Chaidez, Yumou Qiu, Angela L. Palmer-Wackerly, Julie A. Tippens, Gilbert R. Parra, Patrick Habecker, Kimberly Gocchi Carrasco, Jordan Soliz, Lisa M. Pytlikzillig, Kirk Dombrowski

The Journal of Sociology & Social Welfare

In a rural Midwestern community sample (n=273), large proportions of Somalis and Whites ranked overall health as "Very good" (57% and 50%, respectively), while Hispanics (42%) considered it "Good". Across all groups, most are either "Happy" or "Very happy" with their jobs—64%, 91%, 83%—or their families—85%, 93%, 91.6%— with reference to Hispanics, Somalis, and Whites, respectively. When asked “In the past 30 days, how often did you feel hopeless?”, 83% of Somalis and two-thirds (67%) of Whites responded, "None of the time", while half (50%) of Hispanics indicated the same. Overall, Hispanics appeared to be less …

Sensory Over-Responsivity And Its Relation To Anxiety: A Literature Review, Katrina Powers

A with Honors Projects

This honors project examines relevant literature to sensory over-responsivity as it relates to anxiety.

Education On My Healthevet To Increase Access To Psychiatric Healthcare For Veterans, Roxann Hackbarth

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Introduction: Access to mental health care can be challenging for many veterans. The Veterans Health Administration (VHA) developed the patient portal My Healthevet (MHV) to increase access to healthcare services. Despite this program, many veterans still do not take advantage of the portal. The goal of this literature review was to gain knowledge on benefits and barriers of using patient portals, identification of patients who use and do not use patient portals, and interventions to increase the use of patient portals.
Evidence Summary: The use of patient portals, including the VHA portal MHV, helps to increase interactions between clinicians and …

Comparing The Trends Of Postpartum Depression Screening Scores During And Before The Covid-19 Pandemic, Elif S. Duran, Dung Dang, Tony Ogburn

MEDI 9331 Scholarly Activities Clinical Years

Introduction:

Postpartum depression includes major and minor depressive disorders affecting women in the time period after childbirth. The studies reviewed in our literature found that the COVID-19 pandemic has increased the risk of postpartum depression for women. Our study location, the Rio Grande Valley is one of the hardest-hit locations by the COVID-19 pandemic in the United States. Our patient population is also one with the higher risk factors for postpartum depression. As such, we are expecting the psychological impact of the pandemic to be even more magnified, and thus, actions need to be taken to support the vulnerable population …

The Critical Need For A Culturally Sensitive Suicide Risk Assessment Instrument For American Indian And Alaska Native Youth, Courtney E. Shaw

All Graduate Theses, Dissertations, and Other Capstone Projects

Objective: This systematic literature review was conducted to better understand why there has been a significant increase in America Indian/Alaska Native (AI/AN) youth suicides in tribes across the United States today. The intent of this review is to understand key issues surrounding the increasing numbers of AI/AN youth with suicide ideation, plans, and attempt in order to be able to answer the following clinical question: Is there a valid and reliable culturally sensitive assessment tool designed to recognize at-risk AI/AN youth presenting for primary care? If not, what are key aspects to consider for developing an instrument that could …

Younger Hmong People’S Willingness To Communicate About Depression, Wa Yang

All Graduate Theses, Dissertations, and Other Capstone Projects

This research examines the underlying issues about mental illness, particularly depression within the Hmong community. Previous scholars have focused on the Hmong culture’s origins, mental health status of Hmong refugees arriving in the United States, martial roles and mental health on Hmong females, and comparisons of Hmong traditional healing and Westernized medicine. These studies intersect in fields including psychology, medicine and public health, Hmong history, and social work. However, one missing component to this body of scholarship has been communication. Thus, my study focused on younger Hmong people’s willingness to communicate about depression within their families. Specifically, I conducted semi-structured …

Comparing The Acceptability Of Treatment Rationales For Two Psychotherapies, Marin Gail Olson

All Graduate Theses, Dissertations, and Other Capstone Projects

An effective treatment rationale is important because it can affect whether or not a client decides if they will commit to the therapeutic approach. In recent years, acceptance and commitment therapy (ACT) has developed as an approach that, although related to cognitive-behavioral therapy (CBT), is philosophically distinct. CBT typically places a greater emphasis on changing/eliminating “symptoms” of psychological disorders and the role thoughts play in directly influencing emotional and behavior problems. ACT, on the other hand, places a heavier emphasis on accepting and changing one’s relationship to aversive private experiences. When comparing the assumptions and goals underlying CBT and ACT, …

Black Couples Filtering Their Love Stories Through The Use Of Social Media, Jeff Rocker

Department of Family Therapy Dissertations and Applied Clinical Projects

Black couples' use of social media for expressing their emotions needs to be explored to help them develop their narratives without external pressure. Narrative therapy is used to understand the difficulties ofholding on to unique personal narratives and preferred futures in the context of a hostile dominant discourse. The Black community has a long history of oppression, which makes their stories significant. Thus, social media posts by successful Black couples can be helpful in developing a new theory explaining personal narratives of Black couples in an online environment. These narratives provide information regarding themost common problems faced by Black people …

Appreciative Inquiry Of A Non-Profit Organization Transitioning To Teletherapy, Claudia Herrera

Department of Family Therapy Dissertations and Applied Clinical Projects

Mental health professionals have been required to make a transition to delivering services using technology during the COVID-19 pandemic. The non-profit agency participating in this study had already listed on its strategic plan the delivery of teletherapy. In 2020, due to the pandemic, the agency decided to expedite the delivery of teletherapy services. This study explored the experiences of the agency’s team, to determine what worked well while making this transition, as well as future dreams regarding the delivery of teletherapy. Appreciative inquiry was used as the method of data collection. Findings indicated the agency’s clinicians found keeping a positive …

Development And Validation Of A Psychometric Scale To Assess Attitude Towards Safe Abortions In Pakistan, Xaher Gul, Junaid-Ur-Rehman Siddiqui, Miraal Mavalvala, Waqas Hameed, Muhammad Ishaque

Community Health Sciences

Despite severe health and economic consequences that women face because of the negative attitude of healthcare providers towards safe abortion and post-abortion care (SA/PAC), no psychometric tool has yet been validated for assessing the attitude towards SA/PAC. Only a handful of studies have attempted to assess healthcare providers' attitude towards safe abortions in Pakistan. Therefore, this study aimed to develop and validate a psychometric scale to assess attitude towards safe abortions in Pakistan. The study collected data from 106 workers of an NGO that provides SA/PAC through an online and anonymous survey using the organisation's network. The study used factor …

Assessing Dairy Farm Employees Health, Leyby Stephany Guifarro Rodriguez

Electronic Theses and Dissertations

This Master thesis evaluates the impact of general health care and eating habits (Study 1), vision care (Study 2), and mental health status (Study 3) on Latino dairy farmworkers lifestyle and work performance in South Dakota. We hypothesized that the health status of dairy workers has a negative impact on the workers’ job performance. In study 1, data from a total of 70 participants were collected, using a face-to-face survey in Spanish, which allowed us to assess various topics and details related to employees’ daily routine tasks, eating habits, and general health status. Furthermore, recommendations to improve general health care …

Opioid Overdose Response Teaching To Staff In A Homeless Shelter, Hayley E. Rasmussen

Doctor of Nursing Practice (DNP) Practice Innovation Projects

Background/Purpose: Opioid overdose can occur in anyone who uses illicit drugs, but relationship correlation exists between homelessness and illicit drug use. Between March 2019 and March 2020, 92 deaths were attributed to opioids in the DNP Project state. Methods: Naloxone education was given to a single population of homeless shelter staff. An Opioid Overdose Attitude Scale (OOAS) and Opioid Overdose Knowledge Scale (OOKS) were administered to the sample prior to education, immediately after education, and 3 months after education.
Results: OOAS and OOKS changes between surveys as a whole were not statistically significant (p=0.14; p=0.25). Individual components of the surveys …

College Students' Mental Health And Drug Use Outcomes During The Stay-At-Home Order, Alexander T. Hain

Cal Poly Humboldt theses and projects

The COVID-19 pandemic has affected people of all ages causing increased drug usage and worsening mental health in addition to hospitalization and death. The current study investigated how the United States’ stay-at-home orders affected the mental health and drug use of young adult college students. This population is of particular interest because young adults are at most risk of drug use developing into addiction. Two hypotheses related to the self-medication hypothesis were investigated: (1) there will be a significant increase in drug use during the stay-at-home order when compared to drug use prior to the stay-at-home order and (2) feelings …

สุขภาพจิตระหว่างการระบาดโควิด-19 ของพนักงานบริษัทสินค้าอุปโภคบริโภคแห่งหนึ่ง, ภัทรรัตน์ แต้มโคกสูง

Chulalongkorn University Theses and Dissertations (Chula ETD)

การศึกษาครั้งนี้เป็นการวิจัยเชิงพรรณนา ณ จุดเวลาใดเวลาหนึ่ง มีวัตถุประสงค์เพื่อศึกษาสุขภาพจิตและปัจจัยที่สัมพันธ์กับสุขภาพจิตของพนักงานบริษัทสินค้าอุปโภคบริโภคแห่งหนึ่ง ระหว่างการระบาดของโควิด-19 กลุ่มตัวอย่างเป็นพนักงานบริษัทอุปโภคบริโภคแห่งหนึ่งในกรุงเทพมหานคร จำนวน 127 คน โดยส่งแบบสอบถามออนไลน์ไปยังพนักงานบริษัทแห่งนี้ที่มีลักษณะตามเกณฑ์การคัดเข้า และได้รับชุดข้อมูลตอบกลับที่มีความสมบูรณ์ จำนวน 124 ชุด คิดเป็นร้อยละ 97.64 ของจำนวนพนักงานทั้งหมด เก็บข้อมูลระหว่างเดือนมิถุนายนถึงกรกฎาคม พ.ศ. 2565 โดยข้อมูลที่ได้รับเก็บรวบรวมด้วยแบบสอบถามทั้งหมด 3 ส่วน ประกอบด้วย แบบสอบถามปัจจัยส่วนบุคคล แบบสอบถามปัจจัยด้านการทำงาน แบบสอบถามความสุขใจในการทำงาน และแบบสอบถามวัดภาวะสุขภาพจิต 3 ด้าน (DASS-21) คือ ภาวะซึมเศร้า ภาวะวิตกกังวล และความเครียด วิเคราะห์ข้อมูลโดยใช้สถิติเชิงพรรณนา ได้แก่ จำนวน ร้อยละ ค่าเฉลี่ย ส่วนเบี่ยงเบนมาตรฐาน ค่าต่ำสุด และค่าสูงสุด วิเคราะห์ความสัมพันธ์ของตัวแปรด้วยสถิติเชิงอนุมาน ได้แก่ Chi-square test, Fisher’s exact test, Pearson’s correlation, และ Logistic regression เพื่อหาความสัมพันธ์ระหว่างสุขภาพจิตของพนักงานบริษัทแห่งนี้ และตัวแปรอื่น ๆ ที่เกี่ยวข้อง ผลการศึกษาจากกลุ่มตัวอย่าง 124 คน พบว่า พนักงานบริษัทแห่งนี้มีภาวะสุขภาพจิตอยู่ในระดับปกติ โดยที่หนึ่งในสามของกลุ่มตัวอย่างเผชิญกับปัญหาทางสุขภาพจิตในทุกระดับ ได้แก่ ภาวะวิตกกังวล ร้อยละ 30.6 ภาวะซึมเศร้าร้อยละ 29.0 และความเครียด 25.8 สำหรับการศึกษาปัจจัยที่สัมพันธ์กับภาวะสุขภาพจิต พบว่าเป็นปัจจัยที่เกี่ยวข้อง ได้แก่ อารมณ์และความรู้สึกต่อสถานการณ์โควิด-19 การทำงาน ความสุขใจในการทำงาน ความรับผิดชอบต่อค่าใช้จ่ายของครอบครัว ความต้องการความช่วยเหลือจากผู้เชี่ยวชาญทางสุขภาพจิตหรือจิตแพทย์ และการใช้ยานอนหลับในช่วง 1 ปีที่ผ่านมา อย่างมีนัยสำคัญทางสถิติ (P<0.05) สำหรับการวิเคราะห์ถดถอยเพื่อศึกษาปัจจัยทำนายปัญหาสุขภาพจิตอย่างมีนัยสำคัญทางสถิติ (P<0.05) พบว่า ปัจจัยที่เกี่ยวข้องกับอารมณ์ความรู้สึกที่มีต่อสถานการณ์โควิด-19 เช่น ความรู้สึกสิ้นหวัง ความรู้สึกหดหู่ ความรู้สึกโกรธ ปัจจัยที่เกี่ยวข้องกับการทำงาน เช่น มีความพึงพอใจในระดับต่ำเกี่ยวกับการประเมินผลงานในช่วง 1 ปีที่ผ่านมา มีความพึงพอใจระดับต่ำต่อความรับผิดชอบที่ได้รับในช่วง 1 ปีที่ผ่านมา มีความสุขใจในการทำงานต่ำ และปัจจัยอื่น ๆ ที่มีส่วนในการทำนาย เช่น เคยใช้ยานอนหลับในช่วง 1 ปีที่ผ่านมา สามารถทำนายภาวะซึมเศร้าและภาวะวิตกกังวลได้ ส่วนการแสวงหาหรือต้องการความช่วยเหลือจากผู้เชี่ยวชาญทางสุขภาพจิตหรือจิตแพทย์สามารถทำนายความเครียดได้ ผลจากการศึกษานี้จะช่วยให้พนักงานที่ทำงานที่บ้านรวมถึงหัวหน้างานได้ตระหนักถึงผลกระทบทางสุขภาพจิตที่อาจเกิดขึ้นในช่วงสถานการณ์โควิด-19

Opioid System's Involvement In Ketamine's Antidepressant-Like Effects, Fan Zhang

Theses and Dissertations

Depression is one of the most debilitating disorders in the world. The currently available medications typically have a 2-4 week delay in their therapeutic effects and are ineffective for about 40% of patients. In 2000, a subanesthetic dose (0.5 mg/kg i.e.) of the dissociative anesthetic ketamine was reported to have both rapid and robust antidepressant effects in in treatment-resistant depressed patients. However, the mechanisms responsible for ketamine’s antidepressant effects remain unclear. In 2018, a clinical study reported that pretreatment with the nonselective opioid antagonist naltrexone attenuated the rapid antidepressant effect of ketamine in depressed patients. The current study investigated the …

Psychological Sense Of Community Among Older Adults In Puerto Rico Two Years After Hurricane María, Thomas D. Buckley

Theses and Dissertations

Hurricane María devastated Puerto Rico in 2017 and resulted in adverse long-term outcomes. Psychological sense of community (PSOC) may serve as a protective factor against the effects of Hurricane María for older adults in Puerto Rico. Using a three-paper format, this dissertation draws on a resilience framework and theories of PSOC and the Ecological Theory of Aging to examine the role of PSOC among older adults in Puerto Rico two years after Hurricane María.

Paper one is a scoping review of the concept of PSOC in research with community dwelling older adults. I begin by presenting findings on study characteristics …

Reducing Objectification Could Tackle Stigma In The Covid-19 Pandemic: Evidence From China, Youli Chen, Jiahui Jin, Xiangyang Zhang, Qi Zhang, Weizhen Dong, Chun Chen

Community & Environmental Health Faculty Publications

Stigmatization associated with the coronavirus disease 2019 (COVID-19) is expected to be a complex issue and to extend into the later phases of the pandemic, which impairs social cohesion and relevant individuals' well-being. Identifying contributing factors and learning their roles in the stigmatization process may help tackle the problem. This study quantitatively assessed the severity of stigmatization against three different groups of people: people from major COVID-19 outbreak sites, those who had been quarantined, and healthcare workers; explored the factors associated with stigmatization within the frameworks of self-categorization theory and core social motives; and proposed solutions to resolve stigma. The …

A Multiple Goals Perspective On Burnout Disclosure And Support Among Attending Physicians, Alison N. Buckley

Theses and Dissertations--Communication

Burnout is a common experience among physicians and has been identified as a precursor to substance abuse and suicide ideation. When not addressed, burnout can have many negative personal, relational and professional consequences. Research about the burnout experience is limited due to the taboo nature of the topic. The present study used a multiple goals theoretical perspective to examine how physicians disclose burnout in order to access social support. Attending physicians from various specialties (N = 30) participated in one-on-one interviews and were asked to discuss their burnout experience, conversational goals during burnout disclosure, catalysts and barriers for disclosure, and …

Impact Of Supportive Housing Program Services On Loneliness And Well-Being Among Previously Homeless Individuals, Michelle Wagner Mph, Ashwini Kamath Mulki Md, Mph, Hoonani M. Cuadrado Mspas, Pa-C, Autumn Kieber-Emmons Md, Mph, Susan E. Hansen Ma

Posters

No abstract provided.

Parent Training For Autism Spectrum Disorder, Shamaila Ijaz, Farwa Rafaq, Sonia Ijaz Haider

Department for Educational Development

Objective: The main purpose of the present study was to investigate the effectiveness of behaviour therapy training to mothers of autistic children on verbal and non-verbal improvement of their children.
Methods: A total of 33 mothers of autistic children were selected for training based on non-probability purposive sampling procedure. Autism Spectrum Disorder (ASD) Knowledge Scale was used to assess mothers' knowledge about autism and Vineland Adaptive Behaviour Scale was used for assessment of the communication skill in autistic children.
Results: This study revealed that behaviour therapy training significantly improved communication skills of children with autism by training mothers. The results …

Addressing Suicide In Entry-To-Practice Occupational Therapy Programs: A Canadian Picture, Nadine Larivière, Marc Rouleau, Kim Hewitt-Mcvicker, Lorie Shimmell, Catherine White

Journal of Occupational Therapy Education

Worldwide, over 800,000 people die each year by suicide, leaving many behind to grieve the loss. Preventing suicide involves reaching people before they are in crisis (prevention), helping them to navigate a crisis that could result in suicide (intervention), and addressing the aftermath of a suicide loss or attempt (postvention). Healthcare professionals, including occupational therapists, unitedly acknowledge the lack of skills, knowledge, and competence in all facets of suicide awareness and prevention in their professional training and in practice. To improve this situation, suicide prevention skills must be taught in entry to practice programs, so they will filter into the …

Reducing The Rate Of Physical Interventions By Increasing Staff Confidence When Using Verbal De-Escalation Techniques, Elizabeth Pavlesich

Walden Dissertations and Doctoral Studies

When working with patients who have the potential to become physically aggressive, verbal de-escalation is an important technique that can defuse a dangerous situation. At the project site in the mental health emergency department (MHED), workplace violence was on the rise based on the reported use of physical interventions (rates of brief holds and physical restraint use). The purpose of this quality improvement evaluation project was to determine whether an educational training program on verbal de-escalation techniques would increase staff's confidence in the use of verbal de-escalation and decrease the rate of physical interventions used in the MHED. The change …

Previously Incarcerated Individuals' Perception Of Job Acquisition Post Transitional Program Participation, Arbutas Antinet Washington

Walden Dissertations and Doctoral Studies

AbstractTransitional programs prepare previously incarcerated individuals (PIIs) to re-enter society and acquire employment. However, many such programs have failed to offset the effects of prisonization, a process that affects the social skills needed for the job interview process and employment acquisition. The purpose of this generic qualitative research study was to explore the experiences and perceptions of PIIs after participation in a transitional program and a job interview. The theoretical foundation for the study included the theories of prisonization and self-efficacy. The research question concerned experiences and perceptions of 23 to 39-year-old PIIs regarding the job interview process after serving …

Helping In The Home: Counselors’ Experiences Providing Clients With In-Home Services, Melissa Jane Franzen

Walden Dissertations and Doctoral Studies

Counseling is an essential service that helps individuals work through struggles and live their best lives. Such service now includes providing counseling in clients’ homes. Counselors may require specific training or education to prepare for counseling in a home environment. This need for training and education is due to a lack of knowledge of the lived experiences of counselors providing services in the home. Transcendental phenomenology was used to guide a qualitative exploration into the lived experiences of counselors providing services in clients’ homes. Participants were 7 professional counselors, 5 female and 2 male, having met minimum state licensure requirements …

Reducing Recidivism Of Psychiatric Inpatient Clients In Behavioral Health Facilities, Cottrell Jacobs

Walden Dissertations and Doctoral Studies

AbstractResearch shows readmitting clients to inpatient psychiatric facilities within 30 days to one year of discharge can be costly for an organization and may represent less than optimal quality care for clients. The purpose of this study was to obtain an in-depth understanding of practices and barriers to reducing inpatient readmissions by completing a qualitative case study of readmission reduction strategies used by a large inpatient psychiatric facility in the southern United States. The Baldrige excellence framework was used to guide the assessment of the organization. Data collection consisted of five semi-structured interviews with organizational leaders, evaluation of internal archival …

Exploring Culturally Competent Mental Health Outreach To Black Churches, Michele Marie Fry

Walden Dissertations and Doctoral Studies

Black individuals and communities have held distrust toward mental health services and experience barriers in seeking services. Although the church is a significant support system in the Black community, it can also pose a barrier to congregation members seeking mental health services, as the Black church community has often stigmatized those seeking mental health services as weak. Ways to reach the Black community with trauma-informed, culturally competent, and spiritually sensitive mental health services through establishing connections with Black churches and church leaders were explored in this study. Previous research indicated that the COVID-19 pandemic increased depression and anxiety in the …

The Role Of Community Belongingness In The Mental Health And Well-Being Of Black Lgbtq Adults, Keith Justin Watts

Theses and Dissertations

The impact of racial and sexual minority stigma, prejudice, and discrimination on the mental health and well-being of Black and LGBTQ individuals, respectively, has been well documented in the literature. Research on these relationships for Black LGBTQ individuals who are multiply marginalized due to their position at the social intersections of gender identity, sexual orientation, and race/ethnicity is less common. Belongingness to identity-based communities can protect against the negative impact of these minority stressors for Black and LGBTQ individuals and aid coping processes. However, Black LGBTQ individuals often experience stigma and discrimination in their racial, sexual, and gender minority communities …

Incorporating Psychological Trauma Into Adhd Differentials: A Pilot Study Of Primary Care Providers' Perspectives, Amber Nipper

PsyD Program in Clinical Psychology Doctoral Dissertations (Seattle)

According to the American Academy of Pediatrics (AAP, n.d.), 40% to 50% of individuals seeking mental health services terminate prematurely due to lack of access, lack of transportation, financial constraints, child mental health professional shortages, and stigma related to mental health. These barriers contribute to primary care providers assessing and managing mental health concerns at increasing rates, particularly symptoms consistent with attention deficit/hyperactivity disorder (ADHD). ADHD is a neurobiological disorder beginning in childhood that is defined as “a persistent pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development” (American Psychiatric Association [APA], 2013, p. 59). Current literature shows …

Importance Of Childhood Maltreatment On Borderline Personality In Adults: Meta-Analysis, Lisa Nicole Trentacosti

Walden Dissertations and Doctoral Studies

Early childhood maltreatment (CM) is a risk factor for later psychopathology specifically Borderline Personality Disorder (BPD). CM has been found to negatively affect social, emotional, and psychological development as well as the ability to foster and sustain interpersonal relationships throughout all stages of life. There are evidence-based interventions for different kinds of CM including Trauma-Focused Cognitive-Behavior Therapy (TF-CBT), Alternatives for Families - Cognitive Behavioral Therapy (AF-CBT), relaxation training, and social skills training. The current study is a meta-analysis of published research into CM as it contributes to BPD in adults and is designed to examine the effect size of childhood …

The Efficacy Of Neurofeedback In The Treatment Of Individuals With Anxiety-Spectrum Disorders: A Meta-Analysis, Gordon Michael Russo

Electronic Theses and Dissertations

A number of authors have published articles that assert the efficacy of neurofeedback (NFB) in the treatment of people with anxious symptomatology. Despite this, many insurance companies identify NFB as experimental, which prohibits individuals from utilizing benefits to obtain this therapeutic treatment. In order to examine these discrepancies, the present meta-analyses were conducted and guided by research questions designed to examine the overall effectiveness of NFB, the impact of participant characteristics, and identify the if there is a significant difference in anxiety-spectrum outcomes. Twenty-six trials were divided based on design (14 single group [SG]; 12 between group [BG]) and analyzed …