Medicine and Health Sciences Commons^™

Buffering Of Physiological And Affective Reactivity By A Single Proactive 5-Minute Stress Management Technique, Kayla Talia Johnson

Theses and Dissertations

A plethora of recent research highlights the long-term chronic disease risks of elevated blood pressure (BP), heart rate (HR) and affective and cognitive responses to mental stressors and how traditional forms of mindfulness meditation (MM) and progressive muscle relaxation (PMR) may help offset these long-term risks. On top of that, briefer forms of MM (e.g., 3-day training sessions) have shown benefits for emotional and physical health. Further, perseverative cognitions, or the tendency to worry and rumination about stressful events, is linked with heightened CV reactivity, and may impede the success of stress management techniques. The purpose of this study was …

Non-Pharmacological Approaches To Stress Reduction And The Treatment Of Migraines, Megan O'Connell

Senior Honors Projects

Migraines are a disabling neurological medical condition that affects about 12% of the population. Traditionally, migraines are managed with medication however many patients still experience migraines even while on medication. Stress reduction methods such as meditation, deep breathing, reiki, yoga and hypnosis can help with the treatment of a variety of diseases. This study examines the effects of these non-pharmacological treatments on migraines. First, a systematic literature review was completed to explore the effectiveness of alternative treatment approaches. Twenty-four studies were included in the review and the literature concluded patients with migraines can benefit from psychological interventions. Second, a qualitative …

The Experience Of Childhood Maltreatment And Its Impact On Parenting In A High-Risk Sample, Alex C. Clement

Chancellor’s Honors Program Projects

No abstract provided.

Mindfulness-Based Interventions For Adolescents With Cancer And Teen Cancer Survivors, Daniela Ramirez-Ibarra

Capstone Projects and Master's Theses

Adolescence is a significant period for identity construction and self development (Jones, Blunda, Biegel, Carlson, Biel, & Wiener., 2013). This critical development period is quickly disrupted for adolescents with cancer. With the challenges of undergoing cancer treatment, come abnormal daily routines and changes to the developing self, which may cause anxiety, depression, and other mental health disorders (Jones et al., 2013). Even after an adolescent survives cancer, he or she may be likely to face chronic adjustment difficulties, cognitive challenges, struggles at school, social deficits, post-traumatic stress disorder (PTSD), anxiety, and depression (Jones et al., 2013). To address the stressful …

The Effects Of Meditation In Lowering Blood Pressure And Reducing Symptoms Of Stress In Baccalaureate Nursing Students, Isabella Fleming

Honors Theses

Hypertension and stress are two conditions that have the capability to cause extensive and long-term damage to both mental and physical health. Baccalaureate nursing students report high levels of stress while in the process of obtaining a degree. This population is at risk for consistently high stress levels; therefore, they are also at risk for physiologic complications of stress such as hypertension.

In this study, all participants were asked to complete two short surveys: one assessed their stress, and one survey assessed their perceptions of meditation. The blood pressure (BP) of all participants was measured as well. Once the surveys …

Meditation As An Intervention To Help College Students Cope With Stress, Marissa Bottos

Evidence-Based Practice Project Reports

According to the American College Health Association (ACHA) (2017), in a survey of 31,463 students, 31.7% stated that stress negatively impacts their academic performance (lower grades, dropped course, etc.). Additionally, 45.1% of the students stated they have more than average stress levels. The purpose of this evidence-based practice (EBP) project was to determine if mindfulness meditation was effective in helping college students cope with stress. Based on current evidence, Jon Kabat-Zinn’s online application for mindfulness meditation is supported as an effective way to help college students cope with stress (Regehr et al. 2013; Yusufov et al. 2018; Cavanagh et al. …

Toward Reducing Stress And Anxiety In Nursing Students: Implementing An Evidence-Based Mindfulness Program, Susan Mckee

DNP Final Reports

Stress and anxiety are increasing in college students, especially in nursing students who complete didactic and clinical courses concurrently. Nursing students report feeling overwhelmed, with distress affecting academic performance and balance of school and personal demands. Mindfulness is an evidence-based method of reducing human suffering due to troubling conditions such as pain, chronic illness, or psychological issues including stress and anxiety. This paper addresses the state of the science of mindfulness and details the current mental health concerns of college students, specifically nursing students. The body of evidence, gathered through a systematic search, suggests that mindfulness reduces stress and anxiety …

The Efficacy Of A Self-Care Training Program For Cedarville University Nursing Students, Leah Vance Sr., Kimberlyn Wideman Sr., Kylee Metzger Sr.

The Research and Scholarship Symposium (2013-2019)

Problem: Cedarville university nursing students are likely to experience stressful work environments and traumatic events. Wentzel (2017) reports that nurses often encounter critical incidents. Exposure to critical incidents can affect the mental health of nurses and lead to secondary or vicarious trauma (Mayer, 2018). Students entering the nursing profession need to develop self-care practices to enhance productivity and maintain their emotional health as they provide care to patients (Boyle, 2011). The current study seeks to help Cedarville nursing students develop better self-care practices. Research Question: Does a self-care training program decrease the level of stress in Cedarville nursing students? Method:This …

Law Library Blog (April 2019): Legal Beagle's Blog Archive, Roger Williams University School Of Law

Law Library Newsletters/Blog

No abstract provided.

Assessment Of Peripartum Psychological Disturbances In Relation To Modes Of Delivery, Ali S. Radeef, Muna Kh Al-Kubaisi, Akbar B. John, Nur Khairulnisa Ai

Makara Journal of Health Research

Background: Anxiety disorders are common during peripartum period. This study aimed to identify which mode of delivery was more prone to develop psychological disturbances. Methods: This prospective cohort study conducted among 541 pregnant women presented for spontaneous labour, induction or elective caesarean section in a Malaysian hospital. The severity of depression, anxiety and stress symptoms are assessed by using self-rated depression anxiety and stress scales in four different occasions; pre-labour/operation, 24 hours postnatal, 2 weeks, and at 6 weeks. Results: In the prenatal period, there was no statistically significant difference in the mean score of depression between …

An Analysis Of Stress In Undergraduate Nursing Students At The University Of Maine, Samantha King

Honors College

Prolonged stress has shown a direct correlation to negative health outcomes. College students are amongst the population of individuals who experience chronic stress due to a variety of factors (e.g. heavy course load, pressures to succeed, and a new environment and social setting). Nursing students in particular are exposed to considerable stress as they face these same stress triggers as other college majors in addition to the strict pass/fail guidelines, clinical experience, and the pressures of life or death experiences when working in the health field. Knowing that stress has a profound impact on health and well-being, nursing students should …

An Investigation Into The Relationship Between Academic Pressure And Non-Medical Prescription Stimulant Use Among University Of South Carolina Undergraduate Students, Arslan Valimohamed

Senior Theses

One hundred and six undergraduate students of the University of South Carolina were surveyed to understand misuse of prescription stimulants and how perceived academic pressure may play a role in this behavior. Overall, the survey revealed that 33.0% of participants reported illicit use of prescription stimulants in the last 30 days, and 52.8% reported illicitly using prescription stimulants at least once during their time in college. Data from the survey responses indicated that students perceiving academic pressure were more likely to have misused prescription stimulants at least once during their time in college, but only if these students also reported …

Mental Health Stigma In College Students By Academic Major, Kristen Miller

Mahurin Honors College Capstone Experience/Thesis Projects

Stigma is best defined as the disapproval and shame felt by people who display characteristics not widely accepted in society. Although mental illness has become more prevalent in society through advocacy and awareness campaigns, it fails to be accepted and often individuals may feel shame that prevents them from seeking help (Dyrbye, Eacker, Durning, Brazeau, Moutier, Massie, S., et al, 2015; Givens & Tjia, 2002). Physicians in particular have been shown to have decreased help-seeking behaviors for psychological issues due to fear of professional repercussions (Dyrbye et al., 2015). Physicians also show increased levels of stress, anxiety, depression, and elevated …

A Phenomenological Study Of Graduated Nursing Student Athletes' Experiences Balancing Academics And Athletics, Robert E. Steed

Doctoral Dissertations and Projects

The purpose of this transcendental phenomenological study is to describe the lived experiences of eleven graduated nursing student athletes who completed traditional, four-year nursing programs while concurrently finishing four years of athletic eligibility in their respective sport at three private, Christian, Midwest universities and across three different competitive collegiate athletic divisions. The theories guiding this study are Tinto’s Theory of Individual Departure from Institutions of Higher Learning, Astin’s Theory of Student Involvement, and Lazarus and Folkman’s Transactional Model of Stress Response, as they relate to student athletes’ persistence to graduation and to nursing students who reportedly experience higher levels of …

The Influence Of Stressful Life Events On The Development Of Type 2 Diabetes, Joshua Minks

Dissertations

This study examined the relationship between distress and the development of Type 2 diabetes mellitus (T2DM) in the presence of established risk factors. Distress secondary to mental health disparities, stressful life events, and work conditions has been shown to promote insulin resistance and the development of T2DM.

Subjects (N=79) diagnosed with T2DM within the previous six months were recruited from SSM Health Centers and VA Medical Centers in the greater St. Louis area. They completed the Recent Life Changes Questionnaire, ENRICHD Social Support Instrument, and a demographic survey and analyses were conducted to determine differences between the veteran …

Stress-Induced Epinephrine Enhances Lactate Dehydrogenase A And Promotes Breast Cancer Stem-Like Cells, Bai Cui, Yuanyuan Luo, Pengfei Tian, Fei Peng, Jinxin Lu, Yongliang Yang, Qitong Su, Bing Liu, Jiachuan Yu, Xi Luo, Liu Yin, Wei Cheng, Fan An, Bin He, Dapeng Liang, Sijin Wu, Peng Chu, Luyao Song, Xinyu Liu, Huandong Luo, Binhua P. Zhou

Molecular and Cellular Biochemistry Faculty Publications

Chronic stress triggers activation of the sympathetic nervous system and drives malignancy. Using an immunodeficient murine system, we showed that chronic stress–induced epinephrine promoted breast cancer stem-like properties via lactate dehydrogenase A–dependent (LDHA-dependent) metabolic rewiring. Chronic stress–induced epinephrine activated LDHA to generate lactate, and the adjusted pH directed USP28-mediated deubiquitination and stabilization of MYC. The SLUG promoter was then activated by MYC, which promoted development of breast cancer stem-like traits. Using a drug screen that targeted LDHA, we found that a chronic stress–induced cancer stem-like phenotype could be reversed by vitamin C. These findings demonstrated the critical importance of psychological …

Law Library Blog (March 2019): Legal Beagle's Blog Archive, Roger Williams University School Of Law

Law Library Newsletters/Blog

No abstract provided.

Crf Mediates Stress-Induced Pathophysiological High-Frequency Oscillations In Traumatic Brain Injury, Chakravarthi Narla, Paul S. Jung, Francisco Bautista Cruz, Michelle Everest, Julio Martinez-Trujillo, Michael O. Poulter

Physiology and Pharmacology Publications

Copyright © 2019 Narla et al. It is not known why there is increased risk to have seizures with increased anxiety and stress after traumatic brain injury (TBI). Stressors cause the release of corticotropin-releasing factor (CRF) both from the hypothalamic pituitary adrenal (HPA) axis and from CNS neurons located in the central amygdala and GABAergic interneurons. We have previously shown that CRF signaling is plastic, becoming excitatory instead of inhibitory after the kindling model of epilepsy. Here, using Sprague Dawley rats we have found that CRF signaling increased excitability after TBI. Following TBI, CRF type 1 receptor (CRFR1)-mediated activity caused …

The Role Of Social Support In Predicting Depression And Task Overload Among College Students, James M, Duncan, Mallory Lucier-Greer, Anthony J. Ferraro, Kayla Reed-Fitzke

Journal of Human Sciences and Extension

Guided by the Relationships Motivation Theory, this short-term longitudinal study examined associations between social support (i.e., relatedness), depression, and stress in the form of task overload among emerging adult, university students (N = 184 at time one; N = 105 at time two; 69.2% female). Results from a series of path models indicated a significant relationship between decreased perceptions of social support over time and an increase in perceived task overload with significant mediating effects through depressive symptomology. Implications for counseling services as well as intervention and awareness points for university professionals are discussed.

Can A Dynamic Warm-Up Reduce The Magnitude Of Immune Perturbation Following Vigorous Aerobic Exercise, Mahmoud T. Elzayat, Emily C. Lavoy

International Journal of Exercise Science: Conference Proceedings

Exercise transiently increases several leukocyte populations in peripheral blood in an intensity-dependent manner, with numbers returning to baseline or lower during recovery. This mobilization of immune cells is explained in part by sympathetic activity and the release of stress hormones (catecholamines and cortisol). The literature examining immune responses to exercise has by and large failed to control for the presence of a warm-up prior to the experimental bout. Gradually increasing exercise intensity over a period of minutes may reduce the stress of the exercise bout and thus may influence the immune response to a given exercise protocol. PURPOSE: To …

Mindfulness-Based Stress Reduction Intervention For The Treatment Of Chronic Pain In The Elderly, Austin Roadarmel, Diane Reibel, Phd, Aleeze Moss, Phd, Andrew Newberg, Md

Phase 1

One of the most common complaints of adults in their 80s and above, a growing portion of our population, is chronic pain and it is often inadequately treated. A secular mindfulness-based stress reduction (MBSR) program was developed by Jon Kabat-Zinn in 1979 and has since shown measurable benefits to individuals in decreasing depression, pain, and anxiety. Considering the significant risk of side effects and age-associated changes of pharmacodynamics and pharmacokinetics in the traditional pharmacologic approach to chronic pain in the elderly, non-pharmacologic intervention such as MBSR may be particularly effective for the elderly population.

Methods: We conducted a 6 week, …

Resiliency And Proactive Coping Methods Targeting Perceived Stress Levels In Older Adults, Katie Holmes

OT Student Capstones

Stress, or perceived stress, has the potential to be life-threatening to those that experience it on a regular basis. Community-dwelling older adults may be particularly vulnerable to perceived stress and its effects due to stressors such as negative life events, chronic disease or declining health, loss of loved ones experienced with the aging process, and social isolation. Stress and mental health and well-being are not being adequately addressed in independent and assisted living communities for older adults. An eight-week stress management program focusing on the concepts of resiliency and proactive coping was implemented at a local retirement community. An overall …

Creating Confident And Connected Families: A Program To Improve Parental Self-Efficacy In The Neonatal Intensive Care Unit, Kelly Simpson

Occupational Therapy Program Student Theses, Dissertations and Capstones

Infants in the Neonatal Intensive Care Unit (NICU) require life sustaining intervention for weeks to months after birth. This intervention is remarkably stressful for both the infant, who is ill-equipped to handle life outside the womb, and for the parents who are filled with fear and stress due to the illness of their son or daughter. The experience of hospitalization can lead to stress, shame, anxiety, and even post-traumatic stress disorder for families of NICU infants. Knowledge about the unique stressors, challenges, and needs for support of preterm infants has proven helpful to boost confidence and feelings of wellbeing within …

Mental Health Disorders In Dpt Students: Identifying Needs, Support Systems, & Challenges, Jennifer M. Bogardus

Department of Physical Therapy Student Theses, Dissertations and Capstones

Background: There is an increase in the incidence and severity of mental health disorders in university students. Doctor of Physical Therapy students are at increased risk due to physiological, environmental, and generational factors. Design: Mixed-Methods, multi-site, descriptive study Participants: Current DPT students (N= 1228 ) completed a survey and DASS-42; 20 students demonstrating moderate severity on the DASS participated in telephone interviews. Methods: Surveys were emailed to 238 DPT program directors with a request to forward to students. Following the survey, a total of 20 interviews were completed. Results: DPT students were found to have higher DASS scores than their …

Medice, Cura Te Ipsum (Physician, Heal Thyself): A Documentary Film Exploring How The Passions Of Medical Students Will Make Them Better And Healthier Physicians, Ryan Emhoff

Phase 1

It is a well documented, yet largely ignored fact that physicians, residents and medical students are experiencing a pandemic of depression, burnout, dissatisfaction, and suicide. The principal cause may be the institution of medicine, which is slow to change, abusive, and dismissive of these complaints. While interventions are necessary at all levels of training, medical students may be the most in need as their mental health is the poorest of these groups.

Emotion-focused coping activities focus on alleviating stress. The humanities can function as emotion-focused coping activities, and exposure to them in medical education has been correlated with higher empathy …

Stress Response And Performance Changes Of Law Enforcement Officers’ Marksmanship Under Varied Levels Of Stress, Brandon Michael Male

Graduate Research Theses & Dissertations

Objective: To investigate changes in physiological stress response and shooting performance of law enforcement officers under varying levels of stress. More specifically, the purpose of this study was to determine how increasing levels of stress from operating a firearm on static targets changes when law enforcement officers are subjected to a simulated life-threatening or dangerous situation.

Background: Performance changes associated with high levels of stress have been well documented in disciplines such as sports psychology, medicine, and military/law enforcement fields. However, little work has been done to draw comparisons between firearm training methods and qualification procedures which closely mimic armed …

A Psychoeducational Support Group For Family Caregivers Of Elders With Major Neurocognitive Disorder/ Dementia, Brooke D. Katz

Doctor of Nursing Practice Projects

Background: Dementia is a major public health problem impacting an estimated 65.7 million people worldwide by 2030. It primarily occurs in the elderly population (over age 65) and also affects family caregivers, who often experience significant stress and burden. A psychoeducational support group may be an easy and cost-effective solution to caregiver stress and financial burden.

Objective: To determine whether or not there is an effect on self-reported stress and burden on family caregivers of elders with dementia (EWD) of a voluntary psychoeducational support group in the setting of Assisted Living, Memory Support, and Skilled Nursing led by a psychiatric …

Stress-Dependent Regulation Of A Major Node Of The Insulin-Like Peptide Network That Modulates Survival, Rashmi Chandra

Wayne State University Dissertations

Chronic stress disrupts insulin signaling, predisposing human populations to diabetes, cardiovascular disease, Alzheimer’s Disease, and other metabolic and neurological disorders, including post-traumatic disorders (PTSD). Thus, efficient recovery from stress optimizes survival. However, stress recovery in humans is difficult to study, but is much easier to dissect in model organisms. The worm genetic model Caenorhabditis elegans can switch between stressed and non-stressed states, and this switch is largely regulated by insulin signaling. Previously, the Alcedo lab proposed that insulin-like peptides (ILPs), which exist as multiple members of a protein family in both C. elegans and humans, implements a combinatorial coding strategy …

Applications Of The Reflective Practice Questionnaire In Medical Education, Shane L. Rogers, Lynn E. Priddis, Nicole Michels, Michael Tieman, Lon J. Van Winkle

Research outputs 2014 to 2021

Background: We sought to determine whether the Reflective Practice Questionnaire (RPQ) is a reliable measure of reflective capacity and related characteristics in medical students. We also planned to learn how the RPQ could be used in medical education. Methods: The RPQ is a 40 item self-report questionnaire that includes a multi-faceted approach to measuring reflective capacity. It also includes sub-scales on several other theoretically relevant constructs such as desire for improvement, confidence, stress, and job satisfaction. The reliabilities of reflective capacity and other sub-scales were determined by calculating their Cronbach alpha reliability values. In the present study, the RPQ was …

The Experiences Of Migrants To Australia Who Stutter, Charn Nang, Victoria Reynolds, Deborah Hersh, Clare Andrews, Oswell Humphries

Research outputs 2014 to 2021

Purpose: Migration is a contemporary, global matter. With the number of international migrants doubling over the past four decades, speech-language pathologists will likely work with migrants who have childhood-onset stuttering. However, combined migration and stuttering experiences have never been investigated specifically. This study is the first to investigate the experiences of migrants to Australia who stutter. Methods: Three women and six men, aged 23 to 66 years old, participated. Data from individual interviews were analysed using Interpretative Phenomenological Analysis to examine the ‘lived experience’ of participants, as well as with NVivo 12 software for the management of coding. Participants also …