Medicine and Health Sciences Commons^™

A Preliminary Analysis Of Project Ag Aware: Sbirt In Agricultural Work Settings, Rachel L. Rutt

Capstone Experience

Background: An increasing number of individuals are being negatively affected by substance abuse in the U.S. and Nebraska communities. These communities are seeing immense increases in opioid prescribing rates, especially in rural areas. The aims of this study are to 1) describe the study population of agricultural workers in Nebraska; 2) estimate the prevalence of alcohol misuse, illegal drug use, and anxiety among agricultural workers in Nebraska; and 3) examine factors associated with alcohol misuse among agricultural workers in Nebraska.

Methods: Adult agricultural workers (N=1,206) completed a paper or online survey for Project Ag Aware. Alcohol misuse, illegal drug use, …

Understanding The Significance Of Virtual Support During Global Pandemic In Young Adults Diagnosed With Hepatitis C, Veronika Arkhipova

Master's Projects and Capstones

Hepatitis C is a viral infection that attacks the liver and leads to inflammation. In recent years, the prevalence of hepatitis C infections among 20 and 30 years of age has increased by 300 percent, and between 30 and 39 years by 400 percent. Due to the global coronavirus pandemic, people diagnosed with Hepatitis C have lost access to mental health services and resources, including in-person meetings with support groups. Since most states enforced stay-at-home order, many community centers, non-profit organizations that work with Hepatitis C patients and the affected population provide limited to no access to support group meetings …

A Literature Review: An Analysis Of The Widespread Effects Of Solitary Confinement/Social Isolation On Mental Illness And Mortality, Taneasha Muonio

Theses and Graduate Projects

Solitary confinement or isolation is widespread globally and has been used as a form of punishment, reform, reflection, and cleansing throughout time. The devastating impacts of not having social interactions for extended periods of time have been documented and noted.1 These impacts include severe mental health disorders such as schizophrenia, bipolar disorder, anxiety, depression, post-traumatic stress disorder (PTSD), suicide, motor disturbances, biological changes, and increased mortality.1-3 The analysis of how the United States became the country with the largest prison system and mentally ill population is addressed in this thesis including understanding how the prison-industrial complex was built. Understanding how …

Psychological Predictors Of Injury In Collegiate Cheerleaders, Alexander Marchand

Electronic Thesis and Dissertation Repository

According to the revised stress-injury model (Williams & Andersen, 1998), greater life stress predicts greater vulnerability to athletic injury, with this relationship being strongest among athletes exhibiting competitive anxiety, less social support, and non-adaptive coping skills. This study tested the validity of this model among collegiate cheerleaders, an injury-prone athlete group. Ninety-two collegiate cheerleaders recorded instances of injury over 12 weeks. Measures of life stress, competitive anxiety, coping style, social support, and previous injury were obtained. Heightened negative life stress did not coincide with greater injury. A positive stress-injury relationship was observed among cheerleaders reporting high avoidance coping. A negative …

The Long-Term Multidimensional Impact Of Persistent Multisite Pain On Physical And Psychological Disability, And Mortality In Community-Dwelling Older Adults, Saurja Thapa

Graduate Doctoral Dissertations

Persistent multisite pain is highly prevalent, affecting 25-43% of community-dwelling older adults. Although existing evidence suggests that persistent multisite pain is associated with physical and psychological disability, studies use a cross-sectional assessment approach that overlooks pain duration or persistence. This study aimed to estimate the persistence of multisite pain and the proportion of incident multisite pain and examine the association between persistent multisite pain and physical (ADL and IADL) and psychological disability (depression and anxiety) at 18 months and six years. Also, the association between baseline persistent multisite pain and mortality was assessed.

Secondary data analysis of the MOBILIZE Boston …

Guided Imagery And Deep Breathing: Minimizing Anxiety Experienced By Pediatric Cancer Patients, Bethany Grace Aney

MSU Graduate Theses

This particular research study examined the impact of guided imagery and deep breathing as coping tools to reduce the anxiety levels experienced by pediatric cancer patients ages 6-12 years of age at a children’s hospital in Central Pennsylvania. This quantitative study utilized a pretest-posttest design, in addition to utilizing the State-Trait Anxiety Inventory for Children (STAIC™) as the baseline and post-test assessment. The STAIC™ is a questionnaire tool that assesses individuals’ state and trait anxiety through a total of 40 questions. This particular study had a total of five patients, two male and three female that consented to undergoing three …

Exploring The Role Of Cannabidiol-Monoterpene Formulations In Modulating Anxiety Symptoms, Richard Leu

Electronic Thesis and Dissertation Repository

While cannabidiol (CBD) has been documented to elicit anxiolytic effects, only recently have studies been conducted demonstrating the anxiolytic efficacy of the aromatic monoterpene, linalool. Pa

While cannabidiol (CBD) has been documented to elicit anxiolytic effects, only recently have studies demonstrated the anxiolytic efficacy of the aromatic monoterpene, linalool. Past research involving phytocannabinoid-phytocannabinoid formulations has shown that CBD may yield superior anxiolytic efficacy when administered alongside other cannabis compounds, with this phenomenon termed the “Entourage Effect” (EE); however, this EE has not been investigated in phytocannabinoid-terpene formulations. Furthermore, investigations involving intra-cranial CBD administration have shown the nucleus accumbens shell, known …

Sexual Experiences And Association With Depression And Anxiety Among Sexual Minority Women, Brie Engelbrecht

Masters Theses

Depression and anxiety are among the most prevalent forms of mental illness in the U.S, affecting an estimated 18% of the population. Recent studies have shown that sexual minority women may undergo sexual experiences that affect their risk of anxiety and depression. However, prior studies of this association are sparse and have largely been conducted among sexual majorities and have yet to examine differences between vulnerable sexual orientation groups. Therefore, we evaluated the relationship between sexual experiences (i.e., sexual assertiveness, sexual self-efficacy, and outness) and anxiety and depression among young sexual minority women in a cross-sectional study (N=328) from the …

Utilizing Mindfulness-Based Exercises To Reduce Anxiety Severity Scores According To The Gad-7, Kelly Calhoun

Dissertations

Abstract

Problem: Generalized anxiety disorder (GAD) affects thousands of Americans every year. Mindfulness, a practice of bringing oneself into the present moment, has been shown to impact anxiety symptoms positively.

Objective: This prospective observational correlational study utilized mindfulness-based exercises to help decrease anxiety severity according to the generalized anxiety disorder-7 (GAD-7) in an outpatient psychiatric practice.

Methods: Participants practiced mindfulness exercises for two months. The GAD-7 was completed three times to monitor symptom severity. Two participant satisfaction surveys were completed to determine whether participants felt the exercises were beneficial for decreasing their anxiety.

Results: A repeated measures ANOVA was used …

Effectiveness Of Ashtanga And Vinyasa Yoga: Combating Anxiety, Depression, Stress And Sleep Quality., Kati Street

Graduate Theses and Dissertations

Purpose: This lack of rigor in yoga research methodology hinders the understanding of yoga components and best practices. This study implements two yoga interventions with recommended adequate structure, one more physically demanding (Ashtanga Vinyasa) and a less physically demanding (slow flow vinyasa). The instructor, who is also the lead researcher, developed a slow flow vinyasa sequence and modified the set sequence of Ashtanga Vinyasa for beginners. Both yoga interventions cover domains suggested by Sherman (2012) for meticulous methods in yoga research.

Methods: This study implements two styles of yoga with university students over the course of eight weeks, meeting twice …

Mental Health Screening For Low Income Adolescents: An Evidence-Based Project, Allison Bryden

Doctor of Nursing Practice Final Manuscripts

Abstract

TITLE: Mental Health Screening For Low-Income Adolescents

BACKGROUND: Nearly 80% of adolescents in the United States will suffer from a mental illness and not receive evaluation or services. Children from low socio-economic backgrounds have an increased risk of mental health disorders which permeate into adulthood, leading to additional negative sequel and lower quality of life. Among adolescent mental health conditions, depression and anxiety are the most common. Literature has suggested provider intuition alone has low sensitivity and specificity for detecting mental illness and that screening tools are indicated.

PURPOSE: The aim of this project is to implement standardized routine …

How Can Art Therapy Be Utilized To Improve The Mental Health And Quality Of Life Of Pediatric Oncology Patients?, Emily Golubowski

Expressive Therapies Capstone Theses

Pediatric oncology patients and survivors endure multiple obstacles related to physical health and recovery during and after their treatment time. In addition, mental health complications related to adjustment, anxiety, depression, and stress can complicate the overall quality of life and functioning of individuals who have endured this diagnosis and treatment. As an intervention, art therapy can provide relief from physical symptom management, relieve mental health symptoms and stressors, and improve overall quality of life. Art therapy directives and professional work can assist in teaching appropriate coping skills, enhance emotional intelligence, improve communication, restore a sense of control, and improve overall …

Socioeconomic Status And Symptoms Of Anxiety And Depression In Pregnant Women, Meagan Mandabach

Honors Theses

Pregnancy is a period of great change in a woman’s body as her baby develops. During this period, women commonly experience symptoms of anxiety (Dennis et al., 2017) and depression (Shidhaye & Giri, 2014). Literature has suggested that socioeconomic status (SES) can contribute to the severity at which pregnant women experience anxiety and depression (Arora & Aeri, 2019; Field et al., 2008; Shagufta & Shams, 2019), and women of low socioeconomic status may be more likely to experience symptoms of anxiety and depression during pregnancy (Field et al., 2008). The present study aimed to assess the relationships between household income …

The Correlation Between Personal Stressors, Anxiety And Caffeine Consumption Among Jmu Faculty, Erica B. Larocca

Senior Honors Projects, 2020-current

This study investigates the relationships between caffeine consumption, stress and anxiety among faculty at James Madison University. This was examined using a mixed methods study with a sample of twenty undergraduate faculty members from all Academic Colleges besides the College of Education. Quantitative data serves to provide descriptive statistics as well as data from the Generalized Anxiety Disorder-7 scale and the Caffeine Expectancy Scale. Qualitative data serves to learn about the motivations and habits surrounding caffeine, and about the stressors and anxieties specific to faculty members. Anxiety and caffeine are reported to have an association (p=0.656). It was found that …

The Effects Of Generalized Stress And Anxiety On Clinical Athletic Training Students: A Qualitative Study, Morgan E. Dumont

Masters Theses, 2020-current

Stress and anxiety are present and acknowledged on our society as seven out of 10 United States adults deal with moderate stress or anxiety on a daily basis (Beiter et al., 2015). Sport research has primarily focused on student-athletes, how they struggle, and the resources that can be provided to help this population cope and manage their stress. However, there is lack of research about stress and anxiety among those individuals who provide the care to student-athletes, specifically the athletic training students within their clinical assignments. Athletic training students lead similar schedules to student-athletes by devoting time to prepare for …

The Relationship Between Stress, Anxiety, Depression, Coping And Satisfaction With Care Among Family Of Adult Acute Care Trauma Patients, Ashalata Ann Pereira

Theses and Dissertations

Background: Surprisingly few studies have considered the impact of trauma on adult family members of those admitted to the acute care, rather than ICU. Throughout the course of hospitalization, as patients move through different levels of care, family members must learn to adapt to, and cope with changes in care delivery. Purpose: To explore the literature to understand the state of the science, to assess the psychosocial and functional impact on family of adult trauma in acute care, and to identify predictors of coping and satisfaction with care provided to meet their needs. Design: The Lazarus & Folkman (1984) Stress, …

Treatment Option Decision Making For Low-Grade Prostate Cancer, Janene Caldwell Witherite

Physician Assistant Scholarly Project Papers

Prostate cancer (PCa) is the second most common cancer, behind skin cancer, among men, in the United States (Centers for Disease Control and Prevention [CDC], 2019.). PCa is defined as low-grade or low risk if the neoplasm grows slowly or not at all. According to the Institute for Quality and Efficiency in Health Care, (2020), to make the conclusion that a PCa is low-grade, several tests are performed including a prostate specific antigen (PSA) level, a Gleason score, and a TNM score, which refers to tumor size, lymph node involvement, and metastasis outside the prostate. Low-grade PCa is further defined …

What's All The Buzzy About? Using Cryotherapy And Vibration For Pain During Vaccinations In Children, Marta L. Byma

Evidence-Based Practice Project Reports

Vaccinations are the most common painful needle procedure, with an estimated 12 billion injections given per year (CDC, 2019). The usual method for administration of vaccinations is through needle puncture, which is often painful. Children often report receiving a shot as one of the most feared and painful experiences (McMurtry et al., 2015). The purpose of this evidence-based practice (EBP) project was to improve patient experiences by decreasing the pain that is associated with vaccinations through the use of a nonpharmacological method for comfort via the Buzzy® device. After thorough analysis and synthesis of the literature, the Buzzy® device that …

The Gut-Brain Axis: Treating Depression Through Microbiome Alterations, Alexandra Bachman-Williams

Physician Assistant Scholarly Project Papers

The purpose of this research and literature review is to explore the possible role that gut microbiome alterations have in the treatment of neurobehavioral diseases; specifically, anxiety and depression. This literature review searched PubMed, CINAHL, and Clinical Key. A variety of key terms were used during the search. Due to the field of research being relatively new and limited, studies from the last ten years and animal models were included in the study. Studies were excluded due to poor design or if the studies did not include anxiety or depression in the research. The research shows that there are the …

The Effectiveness Of Implementing A Collaborative Mental Health Approach On Quality Of Life For Individuals Of Low Socioeconomic Status, Tyler Z. Tooley

MSU Graduate Theses

The ultimate purpose of this study is to provide insight and education to mental health clinicians, politicians and the general public of the numerous effects poverty has on mental health, in addition to the most beneficial ways to combat those insidious effects. The specific barriers met by individuals of low socioeconomic status severely affect psychological and physical health, as well as social and environmental relationships, which therefore diminish overall quality of life. The aim of this study is to examine the effectiveness of implementing a collaborative mental health approach for low income individuals on length of engagement in services and …

Interrelationship Between Sensory Modulation, Altered Interoceptive Awareness, And Anxiety And Impacts On Quality Of Life, Sara Laughter, Vanessa Mitchell, Natalie Nguyen, Christine Kim

Occupational Therapy | Graduate Capstone Projects

OBJECTIVE: The negative impacts of sensory modulation disorder (SMD), anxiety, and altered interoceptive awareness (AIA) on daily occupations reinforced the need for the study of the relationship between sensory modulation, anxiety, and interoception in typical adults. Understanding the relationship between the three constructs is the first step in the ultimate goal of developing effective intervention and treatment measures.

METHODS: This cross-sectional, exploratory study analyzed the relationship between scores on four self-report measures in an online survey: State Trait Anxiety Inventory (STAI), 36-Item Short Form Health Survey (SF-36), Sensory Responsiveness Questionnaire (SRQ), and Multidimensional Assessment of Interoceptive Awareness, Version 2 (MAIA-2). …

Mental Health And You, Sierra Salvatierra

Capstone Projects and Master's Theses

The Latinx community at the Epicenter in Salinas dealt with mental health illnesses, as well as were brought up with machismo attitudes. This population has a strong stigma against getting help with their mental health. Being faced with immigration, poverty, discrimination and inadequite conversations about health, drives a spike in anxiety levels. Consequences of not dealing with mental health illnesses include unresolved emotions are generational trauma, self harm, substance abuse, and unhealthy relationships. The project created to get in front of this problem was a dialogue series of conversation starters for people who want to open up. The purpose of …

Management Of Atrial Fibrillation With Smartphone Technology, Teresa Praus

UNLV Theses, Dissertations, Professional Papers, and Capstones

Atrial fibrillation is the most common arrhythmia affecting over six million people; it is predicted to increase two-fold by the year 2050. This arrhythmia results in a lack of

atrial/ventricular communication, accompanied by ineffective atrial contraction, suboptimal ventricular filling, and thrombus formation. This may lead to stroke, and ultimately heart failure. The current economic burden related to the complications of atrial fibrillation is estimated to be greater than $6 billion annually with potentially catastrophic events, further increasing expenditure.

When patients experience symptoms related to atrial fibrillation, it is common for them to present to a hospital emergency department. These visits, …

Creating Opportunities For Personal Empowerment: A Project Evaluation, Ann L. Cudney

Doctoral Projects

Introduction: 66% of individuals in the United States who experienced a major depressive episode in the last year saw a general practitioner or family doctor and not a psychiatrist or psychotherapist (Center for Behavioral Health Statistics and Quality, 2018). Many primary care providers treat with medication, however, a combination of medication and psychotherapy is associated with better results (Anxiety and Depression Association of America, n.d.). A Midwestern faith-based healthcare organization implemented a pilot cognitive behavioral therapy program at a family medicine residency clinic to improve mental health care.

Objectives: The purpose of this project was to evaluate if the implementation …

Startle Response In Women With The Fmr1 Premutation And Risk For Anxiety Disorders, Azalfa Lateef

Senior Theses

Background: The FMR1 premutation, which occurs when there is an expansion of 55 -200 repeats of the CGG trinucleotide on the FMR1 gene, is associated with an increased risk for anxiety disorders. Indices of autonomic regulation may prove to be useful biomarkers for psychopathological risk, including stress and anxiety. In the general population, diminished habituation to a startle response is linked to a variety of psychological disorders, including anxiety, yet little is known about this relationship in those with the FMR1 premutation. Given the increased risk for anxiety in those with the FMR1 premutation, the present study aims to examine …

Anxiety, Attributions, And Marital Quality: A Mediation Model, Tara Vossenkemper

Dissertations

Marital quality plays a significant role in the physical and mental health of many people. The purpose of this study was to examine anxiety, attributions, and marital quality in a sample of females. The first two hypotheses aimed to assess the relationship between anxiety and marital quality, and the relationship between attributions and marital quality. The primary research question aimed to assess attributions as a mediator in the relationship between anxiety and marital quality. Participants (N = 358) completed a demographic questionnaire, the Quality Marriage Index (QMI; Norton, 1983), the Marital Adjustment Test (MAT; Locke & Wallace, 1959), the …

Treatment Of Anxiety Using Massage Therapy In A Neurorehabilitation Program, Jennifer Gordon

Graduate Theses, Dissertations, and Capstones

Abstract

Traumatic brain injury (TBI) has been considered a silent epidemic. The symptoms post-injury can be pervasive and impact individuals physically, emotionally, and socially. It also creates a financial burden on the individual and society. Finally, it can be challenging to the family and caregivers of these individuals because navigating the healthcare needs can be problematic. An enriched neurorehabilitation program may improve the quality of life and outcomes of the individual with TBI. The diagnosis of anxiety has been found to be a major factor that influences the prognosis. Cognitive behavior therapy (CBT) and pharmacology can assist in the management …

Implementation Of An Anxiety Screening And Treatment Protocol In Primary Care, Danielle E. Garcia

Student Theses, Dissertations and Capstones

Background: Anxiety is a prevalent problem frequently presenting in the primary care setting in the United States. The lack of routine anxiety screening and evidence-based treatment protocols in the adult primary care setting causes physical, social, and economic consequences.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) evidence-based practice (EBP) quality improvement project was to implement an EBP anxiety screening and treatment protocol for adults in a primary care clinic to increase early identification and improve management of generalized anxiety disorder (GAD).

Theoretical Framework: W. Edwards Deming’s Plan-Do-Study-Act (PDSA) cycle framework was utilized for this project. The PDSA …

Are Binaural Beats Effective At Reducing Anxiety In Patients Undergoing Medical Intervention?, Cory German

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not binaural beats are effective at reducing anxiety in patients undergoing medical intervention.

Study Design: Literature review of three English peer-reviewed studies, published on or after January 1, 2008.

Data Sources: Three randomized controlled trials (RCTs) were found using a search via the Cochrane Collaboration. These studies were selected based on relevance to binaural audio being used for reduction of anxiety and that the outcomes mattered to patients.

Outcomes Measured: The outcomes addressed in this study include patient anxiety levels preand post-operatively. Outcomes were measured using the …

Is Mindfulness-Based Stress Reduction Effective In Decreasing Symptoms Of Anxiety For Individuals With Anxiety Disorder?, Ezinne Ifi

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not “Is mindfulness-based stress reduction effective in decreasing symptoms of anxiety for individuals with anxiety disorder?”

STUDY DESIGN: A selective review of three peer-reviewed, randomized control trials published after 2008.

DATA SOURCES: All three randomized control trials were published in the English language and were selected from peer-reviewed journals via the PubMed Database based on their relevance to the clinical question posed above and if they included patient-oriented outcomes (POEM).

OUTCOMES MEASURED: All articles analyzed the effectiveness of mindfulness-based stress reduction (MBSR) in decreasing symptoms of anxiety …