Medicine and Health Sciences Commons^™

Impact Of Mindfulness Practice On Compassion Fatigue In Pediatric Cardiovascular Critical Care Nurses: A Quality Improvement Project, Kendy Luu

Doctoral Projects

Background: A considerable proportion of the extant literature on healthcare has documented compassion fatigue (CF) as a major factor that contributes to poor job performance, satisfaction, and negative patient outcomes (Figley, 2002). CF is well known to negatively impact patient care and outcome, relationships, and job satisfaction among pediatric cardiovascular intensive care (CVICU) nurses. Developing interventions to reduce burnout and CF bear the potential to reduce costs and improve quality care; one particularly promising approach in this regard is the practice of mindfulness-based stress reduction (MBSR). Purpose: This quality improvement project aimed to determine the impact of an abbreviated MBSR …

Interactions Of International Pilots' Stress, Fatigue, Symptoms Of Depression, Anxiety, Common Mental Disorders And Wellbeing, Marion Venus, Martin Grosse Holtforth

International Journal of Aviation, Aeronautics, and Aerospace

Objective

This study Investigates more dimensions than previous studies simultaneously: pilots’ duty rosters, stress, sleep difficulties, fatigue levels, wellbeing, symptoms of depression, anxiety, and common mental disorders (CMD), and how they are interrelated.

Background

Several scientific studies have confirmed that fatigue can pose a significant risk to flight safety. Other studies reported positive depression screening results for more pilots, compared with the general population.

Method

A cross-sectional online survey was completed by 406 international pilots, who reported their duty rosters of the last two months. Pilots also self-assessed their stress-levels, sleep problems, fatigue, wellbeing, and mental health.

Results

Although pilots …

The Psychological Impact Of Isolation On Hospitalised Patients With Covid-19 Infection In The Uae, Nahida Nayaz Ahmed, Nirmin F. Juber, Reem Alkaabi, Fatema Alshehhi, Mohamed Alobeidli, Ahlam Salem, Alaa Galadari, Shamil Wanigaratne, Amar Ahmad

All Works

Infection prevention and control measures for COVID-19 may include immediate admission to an isolation facility for the infected. However, the mental health impact of this isolation worldwide is not fully documented. This study aims to contribute to global data on the psychological impact of COVID-19 and to be the first study to assess psychological distress among hospitalised patients with COVID-19 in the UAE. Using a cross-sectional study design on 132 hospitalised patients, we found that 90% of participants scored within the normal levels for psychological distress. The length of stay was associated with higher levels of psychological distress and those …

Equine-Assisted Therapy And Learning Interventions With Youth: A Meta-Analysis And Quasi-Experimental Study., Sarah Lovins

Graduate Theses/Dissertations

Equine-assisted psychotherapy interventions have become increasingly used and tested as an alternative or complementary approach with youth. This project presents two studies. The first study consists of an overview of existing reviews and a meta-analysis of controlled and comparison studies on the effectiveness of equine interventions with youth. A comprehensive search and selection procedure produced 3,525 records, from which 56 quantitative studies were identified, and ultimately 16 controlled or comparison studies were selected for inclusion in the meta-analysis. Results showed a statistically significant, medium, and homogenous effect size for the overall effectiveness of equine interventions for youth psycho-social outcomes ( …

Mental Illness As A Vulnerability For Sexual Assault: A Retrospective Study Of 7,455 Sexual Assault Forensic Medical Examinations, Leslie Miles, Julie L. Valentine, Linda Mabey, Nancy R. Downing

Faculty Publications

Background: Persons with severe mental illness (MI) are at a high risk of becoming victims of sexual assault (SA). Vulnerability for SA with any type of MI is unknown. This study aimed to identify the prevalence of preexisting MI and other significant factors in patients reporting preexisting MI at the time of their SA medical forensic examinations (SAMFEs).

Method: A retrospective SAMFE chart review of patients ( N = 7,455) from 2010 to 2020 was conducted. Sexual assault nurse examiners completed SAMFEs. Inclusion criteria included (a) aged 14 years and older, (b) completed SAMFE with SA kit evidence collection, and …

The Future Of Criminal Culpability: Posttraumatic Stress Disorder's ("Ptsd") Effect On A Defendant's Actions And State Of Mind, Amin R. Yacoub, Becky Briggs

University of San Francisco Law Review

No abstract provided.

Intersectional Invisibility Of Black Lgbtqia+ Client Strategies For Bias And Discrimination Prevention, Dr. Tonya Y. Griffith

Walden Dissertations and Doctoral Studies

Abstract Those who identify as members of lesbian, gay, bisexual, transgender, queer or questioning, intersex, and asexual (LGBTQIA+) communities have been victims of bias and prejudicial attitudes. Because LGBTQIA+ people embody all cultures, races, religious convictions, and socioeconomic statuses, this creates additional barriers for some community members who identify as both Black and LGBTQIA+. The purpose of this qualitative study was to explore social workers’ perceptions of intersectional invisibility when working with Black LGBTQIA+ clients and the strategies that social workers identify as beneficial in averting discrimination and bias when working with this community. Implicit bias theory and intersectionality theory …

Spiritual Perspectives Of Thai Psychiatrists On Mental Health, Vasin Kosolsak, Buranee Kanchanatawan

Chulalongkorn Medical Journal

Background: Although the positive impact of spirituality on mental health has become more widely accepted in the past decade, it is a challenging subject due to its distinctive nature between beliefs and cultures. Objectives: This study aimed to define the term spirituality and its influence on mental health based on the viewpoint of Thai psychiatrists. Methods: This qualitative research was conducted in 20 Thai psychiatrists recruited from all regions across Thailand using a semi-structured in-depth interview, based on literature reviews. The collected data were analyzed via content analysis. Results: We found that Thai psychiatrists define spirituality as a belief, reliance, …

Relationships Between Activities Of Daily Living Capabilities, Family Support, And Quality Of Life And Mental Health In The Elderly In Laplae District, Uttaradit Province, Tanyarat Jeenheng, Siriluck Suppapitiporn

Chulalongkorn Medical Journal

Background: Due to the sociocultural context of Laplae District, Uttaradit Province as the example district of long-term care services for dependent elderly project. To improve public health, quality of life and mental health of elderly in this district would be interesting and useful. Objective: To explore the abilities of activities of daily living (ADL), the family support, the quality of life, and the mental health of the elderly and relationships among them. Methods: This cross-sectional study with participation of 381 elderly used structured questionnaires included demographic questions, ADL assessment (Barthel of Activities of Daily Living: ADL), family support and quality …

Themes And Associations Concerning The Covid-19 Pandemic: Autoethnography, Amber Mcgannon, Ebunoluwa O. Adedeji

Williams Honors College, Honors Research Projects

Per the college of nursing, my proposed project will discuss living during uncertain times and unusual times of change. This APA formatted paper will be an autoethnography, meaning that we will review the perspectives of COVID through the lens of culture, research, and our own perspectives and experiences. Everyone has experienced changes during the COVID-19 pandemic due to self-isolation. Examples of change include changes in learning, working, thinking, teaching, and behaving. Using acquired nursing skills such as critical thinking, reflection, inquiry, and evidenced-based practice; my partner and I will dissect and discuss these changes and how they have affected ourselves, …

Auto- Ethnography With A Deep Dive Into Changes Mental Health During The Pandemic And A Look Into The Way The Pandemic Has Shaped Nursing Protocols For Recent Nursing College Graduates, Audrey Shaffer, Sarah Bereznay

Williams Honors College, Honors Research Projects

In this project we completed a deep dive into how the Covid-19 pandemic reshaped our mental health and has affected our preparation for careers as registered nurses through a series of auto- ethnographic narrative journals using scholarly articles to support this idea. By utilizing personal narratives, we analyzed and reflected upon the cognitive and mental changes we experienced throughout this pandemic. We fulfilled this by comprising two personal narratives with inquiries pertaining to each shared narrative by utilizing the common themes of being nursing students and living through a pandemic. Within these personal narratives, we discussed how the pandemic influenced …

Evaluation Of Middle School Teachers Knowledge, Attitudes, And Barriers Pertaining To Adapted Youth Mental Health First Aid For Middle School Students, Lauren Hurley

DNP Projects

Background: An estimated 17.1 million youth have experienced a mental health disorder, more than the number of children with cancer, diabetes, and AIDS combined (National Council for Behavioral Health, 2016). Unfortunately, of those children with a diagnosable condition, only a third receive mental health treatment (National Council for Behavioral Health, 2016). If a child or adolescent’s mental health disorder is left untreated, then unresolved issues may continue to affect them as adults, creating physical and mental health impairments, that could potentially have a negative impact on their futures. Youth Mental Health First Aid (YMHFA) is an evidenced-based training program that …

Association Between Rheumatoid Arthritis Severity And Mental Health In A Prevalent Cohort Of American Adults, 2013-2022, Nicole-Anne Ballesteros

Public Health Theses

Objective/Purpose: The severity of rheumatoid arthritis and its association with depression and anxiety among a prevalent cohort of American adults has been neither well-researched nor backed by real-world data. This investigation seeks to test the hypothesis that there is an association between disease severity and the aforementioned psychological conditions, both of which are commonly observed in patients with rheumatoid arthritis.

Methods: Real-world data from OM1 Inc.’s rheumatoid arthritis registry (2013-2022) was used for this analysis. Disease severity (low, medium, and high), categorized using disease activity scores, was the main exposure, while depression and anxiety were the study’s two primary outcomes. …

A Comparison Of The Magnitude Of The Mental Health Benefits Of Exercising Outdoors Vs Exercising Indoors: A Review, Greta M. Rueschmann

Graduate Theses/Dissertations

Many people in the United States suffer from poor mental health which can lead to suicide, self-harm, or negative effects on job performance and relationships. Not everyone can afford traditional therapy nor feels comfortable with it. With a greater emphasis placed on taking care of one’s mental health during the COVID-19 pandemic, there should also be a greater emphasis placed on finding alternative types of therapy that can be matched to individuals based on their personalities and preferences. One such alternative is outdoor exercise. This review was conducted to examine whether exercising or performing physical activity outdoors results in greater …

Education And Awareness Of Workplace Hazards: An Educational Intervention For First Responder Trainees, Emily Portune

All Master's Theses

First responder paramedics, emergency medical technicians (EMTs), and firefighters provide emergency services to communities everywhere, often in life-threatening circumstances. At the same time, these first responders face high-stress life and death situations and may also endure unique workplace hazards like racism, sexual harassment and discrimination, verbal and physical patient assault, and extreme sleep deprivation. These hazards make prehospital providers vulnerable to mental illness, a fact proven by preexisting research that found more than 85% of first responders reported negative mental health symptoms and outcomes directly related to their career. Not only are prehospital providers at high risk of mental illness; …

Physical And Mental Health Of Family Caregivers Of Older Parents And Grandchildren In China, Yujun Liu, M. Courtney Hughes, Karen A. Roberto, Jyoti Savla

Faculty Articles, Papers, and Other Scholarship

Background: Families have been recognized as the primary source of care for younger and older family members in Chinese tradition. The aim of this study was to examine the association between informal caregiving for aging parents and/or grandchildren and health outcomes of family caregivers in mainland China.

Methods: Using data from the 2013 and 2018 waves of China Health and Retirement Longitudinal Study (CHARLS), we conducted univariate comparisons of demographics characteristics between informal caregivers and non-caregivers using t -test and chi square test. We used linear regression and negative binomial regression to examine the physical and mental health outcomes of …

The Neighborhood Environment And Hispanic/Latino Health, Natalia I Heredia, Tianlin Xu, Minjae Lee, Lorna H Mcneill, Belinda M Reininger

Faculty, Staff and Student Publications

PURPOSE: Hispanic/Latino adults on the Texas-Mexico border have high rates of chronic disease. Neighborhoods can influence health, though there is a limited research on neighborhood environment and health in Hispanics/Latinos. The purpose of this study was to assess the relation of neighborhood environment with health variables in Hispanic/Latino adults, including physical activity [PA], depression, anxiety, and lab-assessed conditions (type 2 diabetes, metabolic syndrome, and chronic inflammation).

METHODS: Participants were randomly-selected from a Hispanic/Latino cohort on the Texas-Mexico border. Neighborhood environment, self-reported PA, anxiety, and depression were assessed through questionnaires. Laboratory values determined Type 2 diabetes, metabolic syndrome, and C-reactive protein …

The Caregiver’S Experience Of Post-Treatment Lyme Disease Syndrome, Jordyn Deschene

Antioch University Dissertations & Theses

As the rate of Lyme disease diagnoses increases in the United States, it can be assumed that the frequency at which post-treatment Lyme disease syndrome (PTLDS) is diagnosed will also increase. While research has been published on the experience of caregivers of other chronic illnesses, no studies have examined the experience of the PTLDS caregiver. This quantitative study sought to discover the most significant burdens, mental health status (levels of anxiety and depression), and level of invalidation experienced by the PTLDS caregiver. Thirty individual participants took part in this study. This study found that mental burden is a significant area …

“If I Had Felt Comfortable Or Accepted, I Would Have Made More Progress”: A Phenomenological Investigation Into The Experiences Of Lgbtq+ Persons In Clinical Professional Counseling, Valerie Moreno-Tucker

Graduate Research Theses & Dissertations

The counseling literature has indicated that LGBTQ+ persons have experienced fewer positive mental health outcomes than cisgender heterosexual persons. Professional counselors, despite their requirement to provide culturally sensitive counseling services for all communities, must learn how to better need the needs of LGBTQ+ persons and communities. This dissertation elevates LGBTQ+ persons’ voices by examining the experiences of LGBTQ+ persons in clinical professional counseling. Specifically, the IPA approach was utilized in analyzing data from six individuals who each participated in two interviews lasting 45-90 minutes each. This investigation found commonalities between each participant regarding both their helpful and unhelpful experiences in …

Conduct Professionals' Experiences With Student Misconduct And Mental Health, Robyn Bauer

Masters Theses

Over the years, mental health concerns have continued to rise in college students and is compounded by the natural stressors associated with navigating unfamiliar territory, increased social and academic pressures, as well as added responsibilities and obligations (Pedrelli et al., 2015). Mental illnesses have been linked to misconduct, disruptive behavior, or violent behavior among students (Center for Parent Information and Resources, 2017; Johnson et al., 2018; Semenza & Grosholz, 2019; Taylor & Smith, 2019). There is limited research focused on the intersection of mental health and misconduct. This qualitative study utilized semi-structured questions to explore how conduct professionals manage mental …

Role Of Social Media In Adolescent-Parent Relationships Among At-Risk Youths, Jennifer Davis

Walden Dissertations and Doctoral Studies

Social media has been linked to online crimes and cyberbullying among 88% of teens. The purpose of this study was to understand the role of adolescent and parent social media use on adolescents reported at-risk behaviors, as well as the role of social media among at-risk youths and their parents using the attachment theory. An interpretive phenomenological analysis design was used in this study to describe relationships between adolescents and their parents involving social media use and reported at-risk behaviors. Semi-structured interviews were performed with a total of six pairs of individuals resulting in 12 total participants. There were four …

Continuity Of Care For Adult Offenders With Severe And Persistent Mental Illnesses: An Action Research Study, Lakeshia C. Gonzalez

Walden Dissertations and Doctoral Studies

For decades, the representation of adults with severe and persistent mental illnesses (SPMI) in the criminal justice system has steadily grown despite public recognition and increased federal implementation of mental health courts and diversion programs. Though more is known about risk factors associated with psychiatric and criminal recidivism among this population, a gap in the literature remains on collaborative interventions and continuity of care between inpatient mental health and criminal justice facilities. Grounded in resilience theory, the purpose of this qualitative study was to examine challenges social workers faced when attempting to facilitate discharge planning between inpatient mental health facilities …

The Effects Of Acculturative Stress On The Physical/Mental Health Of Immigrant Mexican Women, Maria Del Carmen Mendoza Griego

Walden Dissertations and Doctoral Studies

AbstractImmigrants may experience acculturative stress as they adapt to their host country's dominant culture, which previous research has indicated may affect their physical and mental health. The purpose of this quantitative study utilizing a random sample was to examine the effect of acculturative stress and age on the mental and physical health of adult women of Mexican origin living in the United States, considering the moderation of perceived discrimination. The theoretical framework of acculturation by John W. Berry guided this study. The three research questions involved understanding whether immigrant Mexican women experienced a negative effect on their mental and physical …

Examining Clinical Behaviors That Demonstrate Intersectionality And Cultural Humility In Mental Health Treatment, Loretta Kosi Okeke

Walden Dissertations and Doctoral Studies

AbstractCultural humility is an ethical standard within the social work profession. As the United States becomes more diverse, there are increasing rates of failure to implement cultural humility in social work practice in mental health settings. The purpose of this generic qualitative study was to examine how clinical social workers demonstrate cultural humility and intersectionality in mental health settings. The theoretical basis on which the research was conducted includes the person-centered theory and the feminist theories, which provided a strong framework for understanding the influences of cultural dynamics and intersectionality on the quality of patient outcomes in mental health care. …

Loneliness As A Treatment Focus For Suicide Prevention In Airmen Who Seek Mental Health Care, Jovanna O. Gaines

Walden Dissertations and Doctoral Studies

The Department of Defense is challenged to decrease rising suicide rates in all branches of military service. Studies have consistently shown interpersonal risk factors versus intrapsychic factors as strong indicators of suicide risk, yet the practice has not focused on loneliness as a treatment focus for increased risk. This study explored clinical social workers’ view of loneliness as experienced in patients who are active-duty airmen to identify prevention, coping, and treatment strategies for managing suicides. The methodology involved a semistructured interview of 10 active duty licensed clinical social workers with greater than two years of experience working within a mental …

Mental Health Counselors’ Use Of Complementary And Alternative Approaches For Treating Individuals With Anxiety Disorders, Jane Rose Simmons

Walden Dissertations and Doctoral Studies

Anxiety disorders are one of the most prevalent mental health disorders worldwide. Traditional counseling approaches do not address the evolving needs of individuals with anxiety disorders, and information is scarce regarding counselors’ use of complementary and alternative approaches in treating anxiety disorders. The purpose of this quantitative survey study was to investigate whether counselors’ knowledge, perceptions, intentional practices, and openness predicted their use of complementary and alternative approaches in counseling individuals with anxiety disorders. The integrative mental health model for the conceptual framework guided this study. The research questions examined how five variables—spirituality, specialization, types of anxiety disorders treated, training, …

Stress, Stress Appraisal And Coping In Athletic Trainers During The Covid-19 Pandemic, Lawson Holton

College of Graduate Studies: Theses & Dissertations

Introduction: There have been many studies conducted on the stress and mental health of frontline healthcare workers (HCWs) over the past months since the COVID-19 pandemic began. Very limited literature has examined the effect of the pandemic on athletic trainers (ATs). Objective: The aim of this investigation was to examine the stress, stress appraisal, and coping measures of ATs during the COVID-19 pandemic. Methods: Participants were recruited members from the National Athletic Trainers’ Association (NATA). The Perceived Stress Scale-10 was used to measure stress, the Stress Appraisal Measure was used to measure stress appraisal, and the Brief COPE was used …

Frequent Mental Distress Among Adults In The United States And Its Association With Socio-Demographic Characteristics, Unhealthy Lifestyle, And Chronic Physical Health Status, Mamunur Rashid, M. Mazharul Islam, Aiping Li, Naima Shifa

Mathematics Faculty Publications

Frequent mental distress (FMD) is a measure of poor mental health days for at least 14 days out of 30 days. It is one of the important dimensions of the health-related quality of life. The underlying causes of FMD are diverse. However, the issue has not been explored extensively due to the lack of reliable data on mental health. The aim of this study was to examine the level and trends of FMD among the adults of the United States (US) and identify the socio-demographic, lifestyles, and chronic health outcomes related correlates of FMD. The data for the study was …

Comparison Of Schedules, Stress, Sleep Problems, Fatigue, Mental Health And Well-Being Of Low Cost And Network Carrier Pilots, Marion Venus

International Journal of Aviation, Aeronautics, and Aerospace

Objective

This research investigates and compares working-conditions, duty rosters, stress, sleep problems, fatigue levels, mental health, and well-being of pilots working for network (NWCs), and low-cost carriers (LCCs). This study extends previous research by investigating working conditions, pilots’ actual rosters, fatigue and mental health of two groups of pilots flying for LCC or NWC.

Method

A comprehensive cross-sectional online survey was completed by N=338 pilots (185 NWC, 153 LCC pilots). All pilots reported their roster data of the last 2 months during peak flight season, psychosocial and work-related stress (e.g., high job insecurity, less total flight-experience, lower income, more time …

Sleep Self-Efficacy, Loneliness, And Physical Activity: Assessing The Pathways Between Sleep Quality And Mental Health Using Structural Equation Modeling, Amber M. Fox

Theses and Dissertations

Although there is robust empirical support that poor sleep contributes to declines in mental health, explanations of this relationship remain unclear. The purpose of the present study was to examine the pattern of associations between sleep quality, sleep self-efficacy, loneliness, physical activity, and mental health among U.S. adults across the lifespan, and whether they differed by gender or age group. A structural equation model with invariance analysis was developed and examined data from 2,300 adults (M_age = 44.1, SD = 16.78) participating in the online study Investigating Sleep Longitudinally Across Normal Development (ISLAND). Sleep quality was measured by …