Mental and Social Health Commons^™

Well-Being And Mental Health Impact Of Household Flooding In Guyana, The Caribbean, Muge Akpinar-Elci, Shanomae Rose, Michele Kekeh

Center for Global Health Publications

Guyana has annually experienced excessive rainfall and flooding since 2005. This study investigated the general well-being and mental health problems among occupants of households affected by the December 2008 flooding in Guyana. A cross-sectional study design was used to administer validated questionnaires, which included sections on demographics, environmental exposure, general health, and personal behavior. The response rate to the survey was 70% (130/185). The findings indicate an increased self-reported poor health for study participants who smelled moldy odors inside of their home (OR: 4.1, 95% CI: 2.0‐12.0) and for individuals who had mold or mildew inside of their homes (OR: …

Development And Validation Of The College Mental Health Perceived Competency Scale, Michael T. Kalkbrenner, Christopher A. Sink

Counseling & Human Services Faculty Publications

College counselors provide training to their campus constituents on various mental health issues, including the identification of warning signs and the referral of students to appropriate resources. Though extensive information on these topics is available in the counseling literature, college counselors lack a psychometrically sound screening instrument to support some of these educational efforts. To meet this need, the present researchers developed and validated the College Mental Health Perceived Competency Scale (CMHPCS). Based largely on self-determination theory, the measure appraises college student and faculty members’ perceived competence for supporting student mental health. Reliability and construct validity of the CMHPCS are …

Sexual Coercion, Drinking To Cope Motives, And Alcohol-Related Consequences Among Self-Identified Bisexual Women, Michelle L. Kelly, Sarah J. Ehlke, Robin J. Lewis, Abby L. Braitman, Wendy Bostwick, Kristin E. Heron, Cathy Lau-Barraco

Psychology Faculty Publications

Background: Given higher sexual victimization and greater alcohol use among bisexual women, a critical public health challenge is to understand within-group variation that may heighten or explain these associations in bisexual women. Objectives: The present study tested a moderated-mediation model in which sexual coercion was hypothesized to be associated with alcohol-related consequences via drinking to cope motives in self-identified bisexual women who reported at least occasional binge drinking. Negative affect was hypothesized to moderate the sexual coercion-drinking to cope motives association. Methods: Participants were a community sample of 107 self-identified bisexual women (age M = 20.97, SD = 2.11) who …

A Social-Ecological Framework Of Theory, Assessment, And Prevention Of Suicide, Robert J. Cramer, Nester D, Kapusta

Community & Environmental Health Faculty Publications

The juxtaposition of increasing suicide rates with continued calls for suicide prevention efforts begs for new approaches. Grounded in the Centers for Disease Control and Prevention (CDC) framework for tackling health issues, this personal views work integrates relevant suicide risk/protective factor, assessment, and intervention/prevention literatures. Based on these components of suicide risk, we articulate a Social-Ecological Suicide Prevention Model (SESPM) which provides an integration of general and population-specific risk and protective factors. We also use this multi-level perspective to provide a structured approach to understanding current theories and intervention/prevention efforts concerning suicide. Following similar multi-level prevention efforts in interpersonal violence …

Effects Of A Collaborative Care For Depression Intervention On Health Service Utilization And Depression Severity, Girlyn Arganza Cachaper

Health Services Research Dissertations

Depression is the leading cause of disability worldwide, disproportionately affecting the Medicaid population. Collaborative care programs for depression are transforming primary care to increase access and coordinate physical and behavioral health services. Understanding the relationships between components of collaborative care programs, characteristics of participants, and their effect on outcomes can maximize program effectiveness. A pilot collaborative care for depression program within a Medicaid managed care organization was evaluated using administrative claims and case management data. Participants (n=444) included adults with prior Medicaid coverage and a comparison group identified using one-to-one propensity score-matching. Multivariate logistic regression models estimated the odds of …

A Self-Study Exploration Of The Experience Of Quilting: Implications For Art Therapy, Chelsey Lynette Fawthrop

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

The field of art therapy lacks adequate research to support the use of quilting and fiber art processes and materials. This self-study utilized the experience of quilting to investigate the processes, materials, and my experience of engaging in various forms and techniques of quilting during a 12-week period. Sketches and written reflections of the quilted squares were recorded weekly. Qualitative data including a completed quilt made up of six quilted squares and corresponding responses were analyzed to extract patterns and themes from my overall experience. The quilting process combined with the reflection process were examined to identify implications for quilting …

Community Art And The Role Of An Art Therapist: An Autoethnographic Inquiry, Casey Ann Mcdaniel

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

The field of art therapy lacks sufficient research support in the role of an art therapist within community art. Literature exists that addresses the potential therapeutic effect the engagement of community art can have on the community. Literature even suggests the method of how a therapist should enter a community. However, no literature exists exploring the role or experience of the art therapist when engaging in community arts. A community based art experience was explored through an autoethnographic self-study aimed to explore the phenomenon of working with a community (outside of the traditional clinical setting), to explore and assess the …

Predictive Value Of Adhd Symptomatology On Motives And Outcomes Of Stimulant Misuse, Alexander Laszlo Peterkin

Psychology Theses & Dissertations

ADHD stimulant misuse is defined as taking a stimulant used to treat ADHD either without having a prescription for that stimulant or in a manner that deviates from the prescription’s instructions. This has been a growing trend among undergraduate students over recent years. Prior research has found that misusers are likely to have severe symptoms of ADHD, misuse for primarily academic reasons, and display problems associated with substance abuse. The current study aimed to determine the predictive value of ADHD symptomatology on frequency of ADHD stimulant misuse, mediated by academic motives for misuse and substance abuse problems. The survey for …

Alcohol And Substance Use Knowledge, Attitudes, Subjective Norms, Self-Efficacy, Perceived Behavioral Control, And Behavioral Intentions Among Omani College Students, Muna S. Bait Ajzoon

Health Services Research Dissertations

Alcohol and/or substance use among college students is a serious public health issue. In Oman, studies addressing college student’s alcohol and/or substance use are limited. The purpose of this study was to identify knowledge, attitudes, subjective norms, self-efficacy, and perceived behavioral control associated with alcohol and/or substance usage patterns among Omani college students (OCSs); identify behavioral intentions for alcohol and/or substance use among OCSs; and facilitate the development of culturally relevant evidenced-based interventions for Omani young people by communicating study findings to policymakers and healthcare program leaders.

A cross-sectional design used an online survey completed by college students from Oman …

Breaking The Silence: A Phenomenological Exploration Of Secondary Traumatic Stress In U.S. College Student Affairs Professionals, Robert Jason Lynch

Educational Leadership & Workforce Development Theses & Dissertations

Breaking the Silence: A Phenomenological Exploration of Secondary Traumatic Stress in U.S. College Student Affairs Professionals is a qualitative-intensive mixed methods study using phenomenology and art-based research techniques to uncover the essence of secondary traumatic stress in U.S. college student affairs professionals. Researchers in the fields of psychology, counseling, social work and other helping professions suggest that repeated exposure to individuals experiencing trauma, or hearing repeated details of an individual’s trauma, have negative outcomes on professional helpers. Coined secondary traumatic stress, this phenomenon may be defined as “the stress resulting from helping or wanting to help a traumatized or suffering …

Sexual Orientation Differences In Treatment Expectation, Alliance, And Outcome Among Patients At Risk For Suicide In A Public Psychiatric Hospital, Martin Plöderl, Sabine Kunrath, Robert J. Cramer, Jen Wang, Larissa Hauer, Clemens Fartacek

Community & Environmental Health Faculty Publications

BACKGROUND: Sexual minority (SM) individuals (gay, lesbian, bisexual, or otherwise nonheterosexual) are at increased risk for mental disorders and suicide and adequate mental healthcare may be life-saving. However, SM patients experience barriers in mental healthcare that have been attributed to the lack of SM-specific competencies and heterosexist attitudes and behaviors on the part of mental health professionals. Such barriers could have a negative impact on common treatment factors such as treatment expectancy or therapeutic alliance, culminating in poorer treatment outcomes for SM versus heterosexual patients. Actual empirical data from general psychiatric settings is lacking, however. Thus, comparing the treatment outcome …

Exploring The Lived Experience Of Being A Spouse And Caregiver To A Combat-Wounded Veteran And An Art Therapy Student: An Art-Based, Heuristic Study, Alisa Marie Simmons

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

This qualitative, art-based, heuristic self-study was designed to explore the impact of my experience as a spouse and caregiver to my husband, a combat-wounded service member, on my personal self and on my professional development as an art therapist in training. Data from 13 weeks of artmaking and reflective writing revealed the following themes: (1) containment of difficult feelings (2) internal experience versus external expression, (3) effects of injury and caregiving on the marital relationship, (4) influence of personal experience on professional development, (5) effects of caregiving on personal well-being, and (6) the experience of reflective artmaking and writing over …

Professional Bereavement Of Oncology Nurses: A Literature Review, Nicole Ho

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

The amount of resources for grief management for oncology nurses who experience professional bereavement is scarce. This review of literature found just four studies based on current solutions that have been provided for oncology nurses in addressing their patient related grief. All of the studies supported that providing resources to address bereavement helped in resolving grief, reflecting, expressing feelings, and healing. This thesis explores factors that exacerbate professional bereavement such as stressors within the work environment, the lack of supportive resources, and the scarcity of research pertaining to how oncology nurses process the death of their patients. Additionally, art therapy …

Art Therapy Assessment: A Study Of Males’ Bird’S Nest Drawings, Katherine A. Efimetz

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

Attachment patterns in childhood have implications throughout an individual’s life. Relationship quality with the primary caregiver is said to influence how people interact with others and the world. Studies by prolific researchers such as John Bowlby and Mary Ainsworth set the stage for continued research on attachment theory, and thus have lead others into investigating this most heavily researched subject in psychology. Attachment patterns have been identified through several assessments. Art therapy assessments may prove to be useful in differentiating patterns of attachment via graphic indicators present in drawings. The Bird’s Nest Drawing, developed by Kaiser (1996), is such an …

Working Through Unresolved Bereavement Through Fiber Arts And Reflective Writing: A Heuristic Study, Ashley S. Jenkins

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

The purpose of this art-based heuristic study was to explore unresolved grief through various fiber art processes and reflective writing. According to existing literature, there are several grief therapy approaches, in addition to bereavement support groups for bereavement. Furthermore, many art processes are described in the literature as being valuable in the grieving process in art therapy. However, there are gaps in the literature describing the benefits and effects of fiber art processes for processing bereavement. A nine-week heuristic self-study was proposed to identify the potential therapeutic benefits and applicability of fiber arts within art therapy for those dealing with …

Materials And Processes In Art Therapy, Gabrielle Irvine

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

This review of literature addresses the lack of literature concerning art processes and materials by synthesizing findings evaluating the effects of different processes and materials in the unpublished theses from the Eastern Virginia Medical School’s Art Therapy and Counseling Program. The theses evaluated the effect of the processes of clay work, printmaking, drawing, scribbling, and creating mandalas. The data contained in the theses address specific effects of various processes and materials on clients’ mental and physical states such as levels of anxiety, depression, stress levels, and heart rate. The samples studied vary from the adult inpatient adults to university students. …

Self-Study Of The Usefulness Of Visual Journaling To Facilitate Reflection On Personal And Professional Growth, Tanisha A. Leonard

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

The purpose of this retrospective qualitative self-study was to gain insight into the usefulness of visual journaling to facilitate reflection on personal and professional growth. I made daily entries in my visual journal throughout my husband’s deployment as a method of reflection about deployment, family, the graduate school experience, and professional identity. From over 150 entries, every ninth journal entry was designated data which were analyzed through basic content analysis methods. The themes that emerged from the analysis are Containment, Connection, Stress, and Acceptance of Deployment. Each theme that emerged had related subthemes. Themes and subthemes were illustrated with verbatim …

Building A Conceptual Model Of Equine Integrated Art Therapy, Susan Garnett

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

This study proposed to develop a conceptual model for equine integrated art therapy. A consensual qualitative research method was used to generate qualitative data. Five art therapists who were combining art psychotherapy and equine facilitated psychotherapy in their practices or were interested in discussing this hybrid form of art therapy were interviewed. The interviews were transcribed and analyzed by a research team for domains and key ideas. The results of the data analysis were triangulated with the literature and researcher’s immersion experiences to make recommendations for the conceptual model and implications for future research.

A Mixed Method Study Investigating The Efficacy Of Art Therapy On Teaching Stress Management Techniques And Improving Social/Emotional Intelligence Of Adolescents With Learning Disabilities, Julia D. Willinger

EVMS School of Health Professions Master's Level Capstones, Projects and Papers

Adolescents with learning disabilities are a population that not only experience stressors from being in academic settings, but also struggle with social and emotional competency as a result of their diagnoses. Group art therapy can be implemented as a successful approach to impart stress management techniques and increase social and emotional learning for this student population. Six adolescents (N=6) participated in an eight-week long study at a school consisting of eight one-hour-long art therapy sessions. The participants completed pre- and post-intervention measures via the Behavioral and Emotional Rating Scale, second edition (BERS-2) and a participant experience questionnaire. Additionally, …

Depression In Low-Income Adolescents: Guidelines For School-Based Depression Intervention Programs, Gopika Hari

Virginias Collegiate Honors Council Conference

Studies reveal that low income is a significant risk factor for depression and only roughly 25% of children with mental illnesses receive adequate help, the majority of which comes from schools. This study establishes guidelines for depression intervention programs in low-income high schools through a literature review of current practices. This study found that a multi-layered approach with screening, universal education, and high-risk intervention is most effective. Screening should be conducted with a modified PHQ-a test and timely clinical interviews by school psychologists. All students and teachers should receive universal depression education curriculum consisting of principles like depression literacy and …

Exploring The Relationship Between Depression And Resilience In Survivors Of Childhood Trauma, Marquis A. Norton

Counseling & Human Services Theses & Dissertations

Although experiences of trauma are common, reactions vary due to a host of biopsychosocial and cultural factors that influence the individual reaction to the trauma (Nakai et al., 2015). One such factor is resiliency, the capability to adapt in adverse environmental circumstances (Basim & Cetin, 2011). This study used hierarchical multiple regression to examine the relationships between childhood trauma, recent experiences of depression, and resilience in adult university students. This study also examined the possible moderating effects on depression by resilience. Participants completed the Childhood Trauma Questionnaire, Connor-Davidson Resilience scale, and PROMIS Depression survey. Small significant relationships were found for …

The Relationship Between Trauma Exposure And College Student Adjustment: Factors Of Resilience As A Mediator, Amber Leih Jolley

Counseling & Human Services Theses & Dissertations

Adjustment to college is an important developmental task for students entering institutions of higher education. More than half of students who enter college report exposure to a potentially traumatic event (PTE), with many students reporting multiple event exposure (Banyard & Cantor, 2004). Many students adjust well to college despite experiencing PTEs, suggesting that certain factors may mitigate the effects of exposure. This study utilized archival data to explore the relationship between the type of PTE, accumulation of PTEs, underlying factors of resilience, and adjustment to college in a national sample of treatment-seeking college students. The data were analyzed using hierarchical …

An Exploratory Factor Analysis Examining Experiences And Perceptions Of Campus Safety For International Students, Sonia H. Ramrakhiani

Counseling & Human Services Theses & Dissertations

Although international students make up a significant percentage of the college population and contribute to higher education institutions in multiple ways, a lack of attention is paid to their safety needs. This dissertation examined the experiences and perceptions of campus safety among international college/university students in the United States. The researcher sampled participants from different institutions around the country, who self-identified as international students. A researcher-developed 53-item Likert scale questionnaire, International Students’ Safety Questionnaire (ISSQ), was administered to the sample. Findings from the exploratory factor analysis (EFA) provided evidence for the four-factor solution for the 26-item ISSQ accounting for 48.65% …

Personality, Motivation, And Internet Gaming Disorder: Understanding The Addiction, Kristy L. Carlisle

Counseling & Human Services Theses & Dissertations

This dissertation examined the relationships among personality traits, motivation for play, and Internet gaming disorder in a diverse sample of Internet gamers, using a group correlational design and path analysis. The researcher sampled participants who self-identify as Internet gamers by posting invitations to participate in the study on Internet forums, as well as by accessing the gaming population at Pokémon Go hotspots. The study used valid and reliable instruments: The Ten-Item Internet Gaming Disorder Test (IGD-10), the abbreviated form of the Big Five Inventory (BFI-10), and the Motivation to Play Online Games Questionnaire (MPOGQ). Data analysis included descriptive statistics related …

The Role Of Self-Care And Hardiness In Moderating Burnout In Mental Health Counselors, Traci Danielle Richards

Counseling & Human Services Theses & Dissertations

This study explored the relationship between self-care, hardiness, and burnout in a sample of mental health counselors using a hierarchical multiple regression. Additionally, the relationship between hardiness, identity characteristics, and job factors was explored using a Pearson’s correlation and MANOVA. The study used valid and reliable instruments: the Maslach Burnout Inventory (MBI) to assess burnout and the Dispositional Resilience Scale (DRS) to assess hardiness. Results of a hierarchical multiple regression indicated that hardiness accounts for more of the variance in predicting burnout than self-care. Significant predictors of burnout include age, job satisfaction, self-care frequency, and hardiness. Data collected for this …

Understanding The Experiences Of Women With Anorexia Nervosa Who Complete An Exposure Therapy Protocol In A Naturalistic Setting, Gina B. Polychronopoulos

Counseling & Human Services Theses & Dissertations

Anorexia Nervosa (AN) is a serious mental health concern in the United States, with the highest mortality rate of all mental disorders. Females comprise the vast majority of people with AN, although the number of males with the condition is rising. Anorexia Nervosa has a high relapse rate and is often enduring, which makes it challenging to treat successfully; therefore, the mental health profession is in need of innovative therapeutic approaches. Exposure therapy has a growing evidence base for the treatment of eating disorders, including AN; however, there are very few studies that explore body image/mirror exposure specifically in patients …

Establishing The Psychometric Properties Of The Understanding Mental Health Scale: A Dissertation Study, Michael Thomas Kalkbrenner

Counseling & Human Services Theses & Dissertations

The purpose of this dissertation study was to validate the Understanding Mental Health Scale (UMHS). The UMHS is a 50-item questionnaire that was designed to measure college students’ awareness of mental health issues. To test the psychometric properties of the UHMS, a principal axis factor (PAF) analysis with an oblique rotation was conducted using an existing data set of 350 college students. Results revealed a two-factor structure underlying college students’ understanding of mental health issues. The factors were named risk-factor awareness (familiarity with warning signs of mental health issues) and resource awareness (knowledge of resources for mental health issues). A …

Research Proposal: The Effects Of Therapeutic Interventions On Illicit Drug Abuse Among Homeless Adolescents, Alice Baillio, Meghan Stanley, Sarah Kroupa, Rania Ajaj, Paige Rabidoux

OUR Journal: ODU Undergraduate Research Journal

Aim: To compare case management versus community-based therapy on illicit drug abuse among homeless adolescents

Background: Homeless adolescents are at high risk for illicit drug abuse.

Methods:

• A quasi-experimental, multiple baseline time series design

• 52 sessions over a 12-month period

• Baseline assessment and survey on demographics

• Follow-up: closed-ended questionnaire (every four months)

Analysis: Repeated ANOVA test and dependent t-test

Limitations: Lack of recent evidence-based research, a small sample size, self-report data, and length of the study.

Drug Court Versus Incarceration: Which Is More Effective?, Erin Alexander, Kathryn Apperson, Megan Flannigan, Sarah Jean, Lintag Rosalina, Jennifer Lynch, Ethan Schwartz

OUR Journal: ODU Undergraduate Research Journal

Aim: This study explores the affect drug court treatment programs have on the sobriety and employment status of the participants.

Background: Drug addiction has been an ongoing issue nationwide, and with addiction comes drug related crimes. Currently the preferred solution to this epidemic is to impose longer and longer lengths of incarceration for every incurred infraction. Methods: A descriptive correlational design will be used for this research study to evaluate the effectiveness of drug court compared to incarceration. The participants will be chosen by a random sampling of 100 residents of the Hampton Roads area of Virginia--50 …

Effects Of Peer Support Group On Rates Of Suicide Attempts, Suicidal Thoughts, And Incidences Of Self-Harm For Sexual-Minority High School Students, Samantha Fleming, Rebecca O'Neill, Allyson Jett, Haley Mann, Ashlee Peters, Deja Dixon

OUR Journal: ODU Undergraduate Research Journal

The torment sexual minority youth experience can take a psychological toll without access to a support system. The purpose of this proposal is to determine whether an after-school peer support group for sexual minority youth could decrease incidences of suicidal thoughts, attempts, and/or self-inflicted injuries.