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Articles 1 - 30 of 32
Full-Text Articles in Medicine and Health Sciences
Generational Homelessness In New York City Family Homeless Shelters, Deborah Johnson
Generational Homelessness In New York City Family Homeless Shelters, Deborah Johnson
Walden Dissertations and Doctoral Studies
Homelessness has been a problem in New York City (NYC) for decades. Part of the problem is children who grew up in the shelter system and then returned as adults, a phenomenon known as 2nd-generation homelessness. Literature indicates that no researchers have interviewed second-generation homeless adults about their experiences. The purpose of this study was to explore the experience of 2nd-generation homelessness from the perspective of homeless adults returning to the shelter system. The sample included 1 second-generation homeless adult and 10 case managers at Tier II homeless shelters. Interviews were conducted and data were analyzed using hand coding to …
Spiritual Wellness As A Predictor For Moral Injury In Combat Veterans, Steve Zappalla
Spiritual Wellness As A Predictor For Moral Injury In Combat Veterans, Steve Zappalla
Walden Dissertations and Doctoral Studies
Many combat veterans face difficulties coping with their personal lives, relationships, and families when they leave the service and return to civilian life. Most studies examining the effects of combat on veterans focus on posttraumatic stress disorder (PTSD) as well as a collection of related consequences. Interest in the term moral injury of military veterans as a related mental health construct has grown. Researchers have investigated the effects of spiritual wellness of combat veterans. However, there is a paucity of counseling literature on the relationship between spiritual wellness and moral injury when combat veterans return to civilian life. Investigating the …
Predictors Of Readmission To Youth Counseling Services Among Adolescents In Saskatoon Canada, Felicia Lawal
Predictors Of Readmission To Youth Counseling Services Among Adolescents In Saskatoon Canada, Felicia Lawal
Walden Dissertations and Doctoral Studies
Anxiety, depression, and substance use disorders are some of the frequently occurring mental illnesses among Canadian children and adolescents that can result in debilitating short and long terms outcomes. The rise in readmission rates for recipients of mental illness in Saskatchewan, coupled with the high incidences of suicide-related deaths, necessitates a patient outcome evaluation for predictors of readmission to youth counseling services among adolescents. The purpose of this secondary data analysis study was to explore the associations between anxiety, depression, substance use disorder, individual counseling, family counseling, group counseling, and the outcome of readmission within 1 year following discharge from …
Facilitating Collaboration Among School And Community Providers In Children's Mental Health, Holly J. Curran
Facilitating Collaboration Among School And Community Providers In Children's Mental Health, Holly J. Curran
Walden Dissertations and Doctoral Studies
Interprofessional collaboration among school-based and community-based mental health providers in children's mental has been studied in relation to specific providers and as part of program evaluation; however, limited information exists as to how to overcome barriers to collaborative relationships. This study describes the experiences of school and community mental health service providers and those who supervise them. Using phenomenological methodology, three focus-group interview transcripts were analyzed by identifying recurrent themes relevant to the experience of collaboration from school and community providers' perspectives. Although participants viewed aspects of collaboration positively, barriers frequently interfered with collaborative relationships. Support for collaboration from state, …
Counselors' Knowledge And Attitudes Of The Recovery Paradigm, Kathleen Ruscitto
Counselors' Knowledge And Attitudes Of The Recovery Paradigm, Kathleen Ruscitto
Walden Dissertations and Doctoral Studies
As of 2014, an estimated 18.1% or approximately 43.6 million adults, 18 years of age or older in the United States experienced a form of mental illness. Professional counselors subscribe to a wellness or holistic paradigm; however the recovery paradigm, using collaborative strategies and unique treatment planning is the directed approach of mental health services in the United Stated. The purpose of this quantitative study was to understand what factors contribute to counselors' knowledge and attitudes of the recovery paradigm. Survey methodology was used to examine whether, among professional counselors, years of experience, gender, professional setting, and licensure status, as …
A Phenomenological Investigation Of Adult Daughters Of Childhood Paternal Abandonment, Mary Spencer
A Phenomenological Investigation Of Adult Daughters Of Childhood Paternal Abandonment, Mary Spencer
Walden Dissertations and Doctoral Studies
A father's abandonment of his minor daughter can leave an indelible impression on her psyche -- one that can forever affect her intimate romantic relationships. The purpose of this qualitative phenomenological study was to explore where women who were abandoned by their fathers prior to the age of 18 are today as adults in terms of their intimate romantic relationships and how they develop and engage in these relationships. The research questions examined how a daughter being abandoned by her father prior to the age of 18 relates to where she is today in her adult intimate romantic relationships and …
Exploring Relationships Of Meaning, Co-Occurring Diagnoses, And Attitudes About Substances, Misty Grant
Exploring Relationships Of Meaning, Co-Occurring Diagnoses, And Attitudes About Substances, Misty Grant
Walden Dissertations and Doctoral Studies
It is increasingly important to understand the factors associated with individuals struggling with addiction and their quality of life, especially with those struggling with co-occurring diagnoses (CODs). The purpose of this study was to explore the extent to which meaning, and CODs of anxiety and depression predict an individual's attitudes and beliefs about addiction among persons receiving treatment for substance use disorders (SUDs). The theoretical foundation used to guide this study was logotherapy, which emphasizes the importance of increasing meaning in life through choices, while also centering on being able to find meaning in all situations. A cross-sectional correlation design …
Single Men's Experiences Of Coping With Financial Stress, Heath Downes
Single Men's Experiences Of Coping With Financial Stress, Heath Downes
Walden Dissertations and Doctoral Studies
Experiencing financial hardship is stressful and can lead to the development of psychological symptoms, including depression and anxiety. Although researchers have examined the broad categories of coping strategies that people employ when faced with financial hardship, little is known about the experiences of single men who were able to navigate stressful times without developing anxiety or anxiety-like symptoms. The purpose of this phenomenological study was to explore the successful coping experiences of single men with financial hardship (e.g., loss of job, home, finances). Bonanno's theory of resilience provided the framework for the study. Data were collected from interviews with 12 …
Women Of Intimate Partner Abuse: Traumatic Bonding Phenomenon, Meghan Koch
Women Of Intimate Partner Abuse: Traumatic Bonding Phenomenon, Meghan Koch
Walden Dissertations and Doctoral Studies
Researchers indicate women succumb to relational abuse as seen with maladaptive attachment, identity enmeshment, and implicit maltreatment. Implicit violence and nonviolence, bonding victims to victimizers remains unstudied, although the domestic abuse phenomenon continues. Intimate partner abuse was examined through qualitative inquiry. There is much to learn about female victim perspectives describing attachment bonds, identity conflicts, and implicit maltreatment experiences. Traumatic bonding theory served as the lens through which female participant responses were examined in this study. Research questions were developed to focus on female attachment bond perceptions, views concerning self-esteem, self-identity, or self-reference, and implicit aggression, coercive control, or manipulation …
The Novice Licensed Professional Counselor's Perceived Preparedness To Use Self-Disclosure, Nicole Pfaff
The Novice Licensed Professional Counselor's Perceived Preparedness To Use Self-Disclosure, Nicole Pfaff
Walden Dissertations and Doctoral Studies
Self-disclosure is used by feminist, humanistic, client-centered, and a variety of other counselors to build therapeutic alliances with clients. However, little research has been conducted on counselors' perceptions of their preparedness to use self-disclosure. This exploratory multiple-case study used attachment theory as a framework to explore the perceptions of novice licensed professional counselors' preparedness to use self-disclosure. The 12 participants who participated in face-to-face interviews practiced as licensed professional counselors in Delaware, New Jersey, or Pennsylvania. The participants described how they learned, practiced, and used self-disclosure. After analyzing interview data through cycle coding and peer review, themes emerged showing participants' …
Trauma And Juvenile Justice In Carson City, Nevada, Ali M
Trauma And Juvenile Justice In Carson City, Nevada, Ali M
Walden Dissertations and Doctoral Studies
The Nevada State Juvenile Justice and School systems do not currently screen or treat juveniles for post-traumatic stress disorder (PTSD). Left untreated, PTSD may contribute to behaviors that can lead to engagement with the juvenile justice system and contribute to high rates of recidivism and possible future engagement with the adult justice system. Using Erickson's theory of psychological development as the foundation, the purpose of this case study was to explore whether, from the perspectives of key stakeholders whether interventions and prevention services for juvenile justice clients in Carson City met the needs of youthful offenders also diagnosed with PTSD. …
Stress, Anxiety, And Depression: Role Of Campus Connectedness, Social Support, And Coping Among Nepalese Nursing Students, Priscilla Samson
Stress, Anxiety, And Depression: Role Of Campus Connectedness, Social Support, And Coping Among Nepalese Nursing Students, Priscilla Samson
Walden Dissertations and Doctoral Studies
High levels of stress, anxiety, and depression (SAD) can adversely influence physical health, psychological well-being, and academic and clinical performance of nursing students. Numerous studies have identified the factors associated with SAD; however, a paucity of empirical research addresses the relationship of SAD with campus connectedness (CC), perceived social support (PSS), and coping. The purpose of this quantitative cross-sectional study, guided by Lazarus and Folkman's theory of stress, coping, and adaptation, was to determine the prevalence of SAD and examine its relationship with CC, PSS, and coping among undergraduate nursing students of Nepal. Survey research was conducted using depression anxiety …
Causes Of Recidivism Among Mentally Ill Prerelease Offenders From The Perspective Of Former Correctional Mental Health Professionals, Rina Desiree Deneice Bradley Brown
Causes Of Recidivism Among Mentally Ill Prerelease Offenders From The Perspective Of Former Correctional Mental Health Professionals, Rina Desiree Deneice Bradley Brown
Walden Dissertations and Doctoral Studies
The move toward reducing the prison population was driven by an increase in the number of reentry programs that focused on the needs of the offender, such as the provision of stable housing, employment, education, and sustaining strong familial bonds. While the literature supported these areas as being effective in reducing recidivism, there was no consensus that they were effective for offenders with mental illness (OMI). The purpose of this qualitative study was to analyze the impact of prerelease services for the OMI population from the perspective of former correctional mental health professionals who provided these services. The research questions …
Special Educators' Perceptions On Effective Preparation And Practice For Student Success, Anne Brackney Liese
Special Educators' Perceptions On Effective Preparation And Practice For Student Success, Anne Brackney Liese
Walden Dissertations and Doctoral Studies
Alternative school settings are success prospects for students at risk of school failure. However, research on the daily experiences of the special educators in alternate school settings tasked with educating the at-risk population, is limited. The purpose of this phenomenological study was (a) to recognize the perceptions of special educators concerning their preparation to advance the success of SEN students who are at risk of school failure; (b) to determine how to improve special educator preparation programs in alternative school settings. Deci and Ryan's self-determination theory, focused on student success provided the study's framework. Twelve semistructured interviews were conducted to …
Relationship Between Remission Of Symptoms And Screening For Depression, Juliann Molecavage
Relationship Between Remission Of Symptoms And Screening For Depression, Juliann Molecavage
Walden Dissertations and Doctoral Studies
Depression is the leading cause of disability in the United States. Insufficient evidence is available about the types of follow-up care that may be most effective. The purpose of this quantitative, retrospective cohort study was to determine whether remission of depression symptoms was associated with recommended follow-up care when controlling for age, gender, and number of previous episodes of depression, and whether symptom reduction was more likely for those who completed a course of treatment from a mental health specialist in comparison to those who were treated by their primary care providers (PCPs) when controlling for the same variables. The …
Intensive Outpatient Treatment Program For Patients With Depressive Disorder: A Parental Perspective, Emmanuel Akpan
Intensive Outpatient Treatment Program For Patients With Depressive Disorder: A Parental Perspective, Emmanuel Akpan
Walden Dissertations and Doctoral Studies
Psychosocial support from family is important in outpatient treatment programs for individuals with depressive disorder. The purpose of this phenomenological study was to explore the lived experiences and perceptions of parents of patients with depressive disorder regarding intensive outpatient treatment. The research question was what are the experiences and perceptions of parents of patients with depression regarding their role as caretakers in intensive outpatient treatment? The conceptual framework was a biopsychosocial framework and family systems theory. Content analysis was used to analyze data provided from interviews with parent participants (n = 8). Many participants reported high levels of involvement with …
Reintegration Among Combat Veterans Suffering From Psychological Conditions, Virginia Falck
Reintegration Among Combat Veterans Suffering From Psychological Conditions, Virginia Falck
Walden Dissertations and Doctoral Studies
Active duty personnel as well as combat veterans of the United States often engage in military operations during their service that require deployments to participate in missions, which may lead to extended periods away from home. When active duty men and women are appointed to combat zones, they may return with psychological burdens such as post traumatic stress disorder, which can complicate their reintegration into civilian life. This study explored the experiences of combat veterans who faced challenges when returning home from a war zone, along with the experiences of their family members. The study involved 26 combat veterans, spouses, …
Lgb Help-Seeking For Mental Health And Substance Abuse Services In Rural Northern Michigan, Jennifer Towns
Lgb Help-Seeking For Mental Health And Substance Abuse Services In Rural Northern Michigan, Jennifer Towns
Walden Dissertations and Doctoral Studies
Lesbian, gay, and bisexual (LGB) individuals are often exposed to stressors based on their nonheterosexual status; they may have unique needs related to help-seeking for mental health in a rural area where more people identify as religious or as politically conservative. To date, there have been no studies on the mental health help-seeking experiences of LGB individuals in rural Northern Michigan. This qualitative, single case study was completed to explore the help-seeking experiences of 10 LGB individuals who were recruited through criterion and snowball sampling. In-depth, semi structured interviews were conducted. Transcribed interview data were entered into Nvivo software for …
Marital Status And Burdensomeness As Risk Factors Of Suicide Ideation In Poststroke Patients, Froso Andreou
Marital Status And Burdensomeness As Risk Factors Of Suicide Ideation In Poststroke Patients, Froso Andreou
Walden Dissertations and Doctoral Studies
Suicide ideation, suicide attempts, and suicide (SISAS) are increased in poststroke patients, yet not everyone who has suffered a stroke is at risk for SISAS. Two risk factors for SISAS, marital status and burdensomeness, may be of particular relevance to poststroke patients. The majority of poststroke patients have a disability that may require help from a family member with basic functions such as dressing and bathing. It was not known if being married decreases risk of SISAS for stoke victims as shown in studies with nonpoststroke subjects or increases risk for SISAS due to its influence on feelings of burdensomeness. …
Etiological Perspectives Of Abdl Behavior From Members Of An Online Abdl Community, Jennie Marie Hilleren
Etiological Perspectives Of Abdl Behavior From Members Of An Online Abdl Community, Jennie Marie Hilleren
Walden Dissertations and Doctoral Studies
Atypical sexual behavior is often viewed from a perspective of pathology and non-clinical samples are not typically used in research. The current exploratory research is a qualitative study that examined the etiological perspectives of Adult Baby/ Diaper Lover (ABDL) behavior from members of an online ABDL community. Archival survey data from an online sample (N = 1,795) of ABDL participants were used. The theories informing this research included attachment theory and the sexual health model. Research questions included an examination of: (a) what we can be learn from the way an ABDL individual perceives the origin of ABDL behavior, (b) …
Sexism, Just-World Beliefs, And Defensive Attribution: Relationship To Online Discourse And Child Sexual Abuse, Andrea M. Barbis
Sexism, Just-World Beliefs, And Defensive Attribution: Relationship To Online Discourse And Child Sexual Abuse, Andrea M. Barbis
Walden Dissertations and Doctoral Studies
Research has shown that individuals' willingness to believe a disclosure of childhood sexual abuse (CSA) is related to just-world beliefs, ambivalent sexism, and defensive attribution. However, researchers do not know whether these variables relate to posts made in response to online articles describing CSA. Negative or disbelieving posts may impact not only the author, but also readers who view these comments via hindrance of disclosures, increased self-blame, and avoidance of help seeking. In this quantitative study, just-world, ambivalent sexism, and defensive attribution theories provided the theoretical basis used to determine whether just-world beliefs, ambivalent sexism, and defensive attribution influenced comments …
Black Individuals' Lived Experiences With Racial Microaggressions And Implications In Counseling, Letitia V. Browne-James
Black Individuals' Lived Experiences With Racial Microaggressions And Implications In Counseling, Letitia V. Browne-James
Walden Dissertations and Doctoral Studies
The problem of racial microaggressions in the United States has important implications for counseling due to the mental and physical health concerns individuals who experience them may develop. Although the current literature addresses racial microaggressions among Black individuals and implications for counseling, no qualitative studies that included the voices of Black individuals using relational cultural theory were found. Therefore, the purpose of this study was to explore the lived experiences of Black individuals who have encountered racial microaggressions and learn their perspectives on what counselors can do to help them in counseling. Adding this perspective will help fill this gap …
Differences In Coping Strategies Of African American Children With Chronic Pain, Eddie Lee Coleman
Differences In Coping Strategies Of African American Children With Chronic Pain, Eddie Lee Coleman
Walden Dissertations and Doctoral Studies
Chronic pain is a significant problem in the U.S. pediatric population, conservatively estimated to affect 15% to 20% of children. Few studies have focused on coping strategies African American children use to manage chronic pain. The purpose of this study was to examine coping strategies used by African American children and adolescents ages 11 to 18 years suffering from chronic pain and to examine gender and age differences in this population. The gate control theory provided the framework for the study. The Pain Coping Questionnaire was used to measure coping strategies in a convenience sample of 44 children and adolescents …
Factors That Influence Whether Mexican Americans With Depression Seek Treatment, Irene Rodriguez
Factors That Influence Whether Mexican Americans With Depression Seek Treatment, Irene Rodriguez
Walden Dissertations and Doctoral Studies
Mexican Americans, the largest Hispanic subgroup in the United States, tend to underuse mental health services. Grounded in Andersen's behavioral model of health services use, the purpose of this nonexperimental study was to examine the likelihood of birth country, education, income, and insurance predicting which respondents would report seeking mental health services to treat depression. The Mini International Neuropsychiatric Interview was used to diagnose depression in 203 Mexican Americans whose data was archived from the primary study. This archived data was analyzed within this study. The results of the 2 x 2 chi-square tests of independence indicated a significant association …
Length Of Pretrial Detainment For Inmates With Mental Illness, Maria Pereira-Sosa
Length Of Pretrial Detainment For Inmates With Mental Illness, Maria Pereira-Sosa
Walden Dissertations and Doctoral Studies
There has been an increase in the number of individuals with mental illness being housed in correctional facilities over the last 50 years. In this study, the length of pretrial detention was compared for inmates who have a mental illness and are compliant with psychiatric medications, inmates who have a mental illness and are noncompliant or not prescribed psychiatric medication, and inmates with no mental illness. I also examined if inmates who have a mental illness have less severe charges and if there was a difference in the classification of mental health diagnoses for inmates who are and are not …
Association Of Dietary Intake With Suicidal Ideation Or Suicide Attempts In Adolescents, Zenobia J. Bryant
Association Of Dietary Intake With Suicidal Ideation Or Suicide Attempts In Adolescents, Zenobia J. Bryant
Walden Dissertations and Doctoral Studies
Suicide is among the leading cause of adolescent deaths worldwide and thus a significant public health concern. Risk factors for suicidal behavior include drinking alcohol, smoking, and engaging in risky sexual behaviors. One area of concern is dietary patterns and their association with depressive symptoms and suicidal ideation. Bandura's social cognitive theory emphasizes the assumption that one can perform specific actions to bring about desired outcomes. The primary research questions for this quantitative, retrospective, cross-sectional study concerned whether there is a statistically significant interaction between fruit and vegetable intake and suicidal ideation or suicide attempts. Data from 71,776 adolescents in …
Differential Treatment Outcome Factors For Custodial And Noncustodial Mental Health Care Programs, Sheila Fay Waters
Differential Treatment Outcome Factors For Custodial And Noncustodial Mental Health Care Programs, Sheila Fay Waters
Walden Dissertations and Doctoral Studies
Researchers have suggested that jails and prisons in the United States are becoming the new mental health clinics, contributing to the phenomenon of mass incarceration and costing upwards of $15 billion per year in public revenue. The problem is no conclusive evidence exists that treatment in these custodial environments is more effective than that provided by noncustodial programs; especially for substance users. Additionally, the continuing incarceration of people with mental health problems by the hundreds of thousands poses a difficult ethical dilemma regarding why this population does not receive noncustodial or hospital treatment instead. The study addressed the research question …
Exploring The Multicultural Pedagogy Of Ces Faculty Through An Intersectional Lens, Jenae D. Thompson
Exploring The Multicultural Pedagogy Of Ces Faculty Through An Intersectional Lens, Jenae D. Thompson
Walden Dissertations and Doctoral Studies
Counselor education and supervision (CES) faculty members are responsible for adequately preparing counselors-in-training (CIT) for their work with diverse populations. Current literature explains traditional multicultural counseling education in this way; however, little research is available exploring faculty members' personal and professional experiences with intersectionality and how those experiences contribute to their pedagogy. In this dissertation, CES faculty members' experiences with intersectionality theory and how they could use this theory in their multicultural pedagogy were explored. Research questions exploring CES faculty use of intersectionality in their multicultural coursework, how their personal experiences contribute to their pedagogy, and their experiences with privilege …
The Predictability Of Facebook Memorial Page Participation On Grief, Colleen Grote
The Predictability Of Facebook Memorial Page Participation On Grief, Colleen Grote
Walden Dissertations and Doctoral Studies
As the world's largest social networking site, Facebook, continues to grow in popularity, it is imperative for counselors and counselor educators to better understand how online environments impact all facets of life, including death. Grief behaviors on Facebook have been a focus of scholars since the launch of the social networking site in 2004. Researchers have demonstrated that Facebook memorial pages have a significant impact on the social and cultural practices related to death and memorialization for Facebook users. However, despite a rapid rise in research related to online mourning, researchers have yet been able to establish the potential risk …
A Comparative Analysis Of Family Therapies On Youth With A Co-Occurring Disorder, Rochelle Henderson-Clark
A Comparative Analysis Of Family Therapies On Youth With A Co-Occurring Disorder, Rochelle Henderson-Clark
Walden Dissertations and Doctoral Studies
There are approximately 1.3 million youth who have been diagnosed with a co-occurring disorder. The purpose of this study was to analyze the relationship between the type of therapy (brief strategic family therapy or family functional therapy), demographic factors (age, race, type of drug used), and therapy discharge status (successful or unsuccessful) in male youth with a co-occurring disorder of attention-deficit hyperactivity disorder and substance use disorder. A correlational research design of a cross-sectional nature was used for this study and secondary data were obtained from a mental health agency located in Hampton Roads Virginia. The theoretical basis for this …