Mental and Social Health Commons^™

Testing A Model Of Caffeinated Alcohol-Specific Expectancies, Ashley N. Linden-Carmichael, Cathy Lau-Barraco, Amy L. Stamates

Psychology Faculty Publications

Introduction- The present study sought to further understand the association between caffeinated alcoholic beverage (CAB) use and alcohol-related risks. In particular, we focused on the role of two identified expectancies specific to CAB use: intoxication enhancement and avoidance of negative consequences. Although outcome expectancies are consistent predictors of substance use, limited research has examined expectancies related to CAB use and their association with alcohol-related behaviors, such as protecting themselves from alcohol-related harms. Consequently, the present study examined CAB-specific expectancies and protective behavioral strategies (PBS) as mediators of CAB use and negative consequences.

Methods- Participants were 322 (219 women) college drinkers …

Barriers To Effective Implementation Of Programs For The Prevention Of Workplace Violence In Hospitals, James Blando, Marilyn Ridenour, Daniel Hartley, Carri Casteel

Community & Environmental Health Faculty Publications

Effective workplace violence (WPV) prevention programs are essential, yet challenging to implement in healthcare. The aim of this study was to identify major barriers to implementation of effective violence prevention programs. After reviewing the related literature, the authors describe their research methods and analysis and report the following seven themes as major barriers to effective implementation of workplace violence programs: a lack of action despite reporting; varying perceptions of violence; bullying; profit-driven management models; lack of management accountability; a focus on customer service; and weak social service and law enforcement approaches to mentally ill patients. The authors discuss their findings …

Protective Effects Of Social Support And Self-Esteem On Sexual Minority Young Adults' Mental Health, Sara Bock

Psychology Theses & Dissertations

Existing research has established that lesbian, gay and bisexual (LGB) youths experience higher rates of mental illness. However, fewer studies have examined what influences these disparate outcomes. Meyer's (2003) minority stress theory suggests that social factors, such as social support, and internal resources, such as self-esteem, are important potential moderators that may buffer the detrimental effects of stigma-related stress for sexual minority individuals. This study examined the potential protective effects peer support, parent support, school support, and self-esteem in adolescence in explaining mental health disparities between sexual minority and heterosexual young adults. Mental health outcomes included alcohol consumption, depressive symptoms, …

The Influence Of Childhood Maltreatment On Substance Abuse In Adulthood, James Michael Blinco

Sociology & Criminal Justice Theses & Dissertations

This study examines the relationship between suffering physical or sexual abuse as a child and drug or alcohol use in adulthood. Data was used from the first three waves of the National Longitudinal Study of Adolescent Health survey. This study found that being a victim of childhood physical abuse can lead to abuse of alcohol later in life. In addition being male and African American are key factors in predicting alcohol abuse and other illegal drug use in adulthood. No significant relationship was found between being a victim of sexual abuse and abusing alcohol, using marijuana, or using any other …

College Health And Mental Health Outcomes On Student Success, Daniel Joseph St. John

Counseling & Human Services Theses & Dissertations

This study explores the relationship between college students' utilization of university counseling services and university health services, and student academic performance. Data was collected using an archival data set including university counseling center records, health center records, and academic reports from institutional research at a large, public southeastern university. The primary variables of this study included: number of sessions in the university counseling center and/or university health center, instances of new initiated contacts, treatment variables, GPA, and degree completion. The overarching hypothesis of this study is that students who receive mental health services are significantly more likely to experience student …

A Grounded Theory Of Suicidality In Children Ten And Younger, Katherine Angela Heimsch

Counseling & Human Services Theses & Dissertations

Once every two days in the United States, a child aged 5 to 14 years old dies by suicide (World Health Organization, 2010). When viewed on a spectrum that includes suicidal ideation, verbalizations, behaviors, and attempts, the problem of youth suicidality is actually far greater than the numbers of completed suicides suggest (Cheng, Tao, Riley, Kann, Ye, Tian...Hu, 2009). This study examined suicidality in children ages 10 and younger, and included the characteristics of suicidal children, factors that influence childhood suicidality, and treatment implications. The researcher conducted 12 semi-structured qualitative interviews with experienced treatment providers and performed a content analysis …

Factors Associated With Quality Of Life Among Mothers Of Children With Autism Spectrum Disorder, Marian Marconyak

Health Services Research Dissertations

The increasing prevalence of Autism Spectrum Disorder (ASD) has levied associated effects upon the quality of life (QOL) of mothers of children with ASD. These mothers are subjected to various influences upon their lives as a result of their role as caregivers to children with ASD. The purpose of this study was to assess the International Classification of Functioning, Disability and Health (ICF) Body Functions and Structures, Activities, Participation, Environmental, and Personal Factors associated with QOL among mothers of children with ASD.

English literate, inhabitants of the United States, mothers over the age of 18, of children with ASD were …

An Art Therapy Program Design For Anti-Bullying In New Jersey Middle Schools, Michele Deanna Seher

EVMS School of Health Professions Theses & Dissertations

This thesis proposes an art therapy based anti-bullying program for a model school in New Jersey. The program design responds to strict Anti-Harassment, Intimidation, and Bullying (Anti-HIB) regulations mandated for NJ schools by the Anti-Bullying Bill of Rights (ABR). The target population is middle school (grades 7 and 8), which exhibits the highest rate of HIB activity. Programmatic art therapy services focus on prevention through an art-based anti-bullying club, after school open studio, and psychoeducational application of group art therapy addressing HIB curriculum. Art therapy is also advised for the intervention and remediation of HIB incidents, as necessary.

Paper Soldiers: A Clinical Case Study Exploring Papermaking As An Art Therapy Intervention To Increase Posttraumatic Growth In Military Sexual Trauma Survivors, Yonsenia White

EVMS School of Health Professions Theses & Dissertations

Through a six-week qualitative, single subject clinical case study, the effect of papermaking and other paper based art therapy directives showed potential in increasing posttraumatic growth in a veteran with military sexual trauma (MST) related PTSD. Pre and Post-Test Questionnaires and the AT-PIA were administered to assess the client’s current level of mental health functioning, feelings about the MST experience, and to develop a treatment goal and art directives for the study, as well as check in and check out words, and Self-Work Assignments for personal reflection. Papermaking was chosen as the main art intervention because it carries within itself …

Proposal For An Art Therapy Clinical Program Within The U.S. Department Of Veterans Health Administration, Darshini Walton

EVMS School of Health Professions Theses & Dissertations

In recent years, the military veteran population has increased due to the Iraq and Afghanistan wars. This increase is congruent with the escalation of a Post-traumatic Stress Disorder (PTSD) diagnoses among military war veterans. Currently, the Veterans Health Administration’s (VHA) PTSD treatment utilizes various pharmacologic and/or psychotherapeutic interventions ranging from Cognitive Processing Therapy (CPT), Prolonged Exposure Therapy (PE), to Eye Movement Desensitization and Reprocessing (EMDR) therapy in residential and outpatient settings. In the event a veteran has a “complicated medical case” or comorbidity that does not respond to conventional medical treatment, the veteran may be referred to an art therapist, …

Self Study: A Heuristic Exploration Of Father-Absence Through A One-Canvas Process Painting, Brittany Adams

EVMS School of Health Professions Theses & Dissertations

Literature has indicated that there has been a growing interest in the career motivations and development of the professional therapist and counselor, including personality, family background, gender, cultural background, spirituality, and values. Individuals who pursue a career in a helping profession commonly express an interest in understanding and helping others with minimal awareness of the origin of that helping desire. This self-study was designed to explore my experiences of father-absence through a one-canvas process painting as a means to building self-awareness and my professional art therapist identity. Art-based research and heuristic inquiry allowed me to investigate my experiences of father-absence …

Art Therapy And Cognitive Processing Therapy For Combat Ptsd: A Randomized Controlled Trial, Melissa Campbell

EVMS School of Health Professions Theses & Dissertations

Five veterans were recruited for this randomized controlled trial examining the effects of art therapy in conjunction with Cognitive Processing Therapy (CPT) for veterans with combat PTSD. The results of this study supported our hypothesis that art therapy in combination with CPT would be more effective, and indicated that art therapy is a powerful form of treatment for this population and needs to be explored further. Other goals of this study were to gain a basic understanding of the benefits of art therapy for combat veterans with PTSD and if it should be included as a standard treatment for this …

The Impact Of Cane Scribble Exercises Upon Mood And Anxiety, Virginia Leigh Bridges

EVMS School of Health Professions Theses & Dissertations

A paucity of research supporting the influence of art processes and materials is a major deficit in the field of art therapy. In this thesis study, the impact of Cane Scribble Exercises in regard to improving mood and decreasing anxiety was investigated through non-­‐experimental retrospective analysis. From a data set of response sheets generated by psychiatrically diagnosed, acutely hospitalized adults before and after the intervention, statistically significant positive change was noted for the participants from pre-­‐intervention to post-­‐intervention in both anxiety level (0.7083 ± 0.093, F=57.22, p< .0001) and depression level (0.6111 ± 0.104, F=34.25, p < .0001). Further investigation of the impact of demographic factors revealed subtle differences in mean change between the factors, but an overall positive change across age, gender, and diagnoses remained present. The reliability of the method of rating change, limitations of the study design, and comparisons to previously published research are discussed. The results of this study, that positive change occurs in patients who participate in Cane Scribble Exercises, suggest many opportunities for further art therapy research.

Growing In Community: Eco-Art Therapy In An Elementary School Garden, Stephanie Leftwich-Needham

EVMS School of Health Professions Theses & Dissertations

This study endeavored to gain a preliminary understanding of how children respond to eco-art therapy. Mental illness in children is increasing and often leads to adult mental illness. A holistic approach to mental health and early prevention seems vital. Previous studies conclude that children are especially responsive to the healing benefits of both art therapy and nature therapy. However, there is no research to date evaluating an eco-art therapy approach to working with children.

The author led six second-graders identified by the public school system as struggling with social skills through eco-art therapy directives designed to address issues such as …

Art-Based Cultural Competency And Empathy Building In Medical Education, Gabrielle Mormile

EVMS School of Health Professions Theses & Dissertations

Research in the medical field has emphasized the importance of positive patient-doctor relationships for improving treatment outcomes and quality of care. This has included a call for integrated cultural competency and empathy-building components in medical education. This study used art-based methods developed from the field of art therapy in one large class experience with 144 first-year medical students, as well as six 90-minute group sessions with four volunteers from the same group. Data analysis for the large class included an online survey and a pretest and posttest Health Beliefs Attitudes Survey (HBAS). In addition, the small group participants completed a …

An Exploratory Study Of The Graduate School Experience Recorded Through Photography, Mary Keenehan

EVMS School of Health Professions Theses & Dissertations

This exploratory self-study utilized the medium of photography to record my art therapy and counseling graduate school experience. Photographs and written reflections of the images were recorded weekly during an eight-week period. Qualitative data including 38 photographs and corresponding responses were analyzed in order to extract patterns and themes from my overall experience. Photography combined with the reflection process was found to facilitate integration of my art therapist identity and fostered personal growth and insight.

Culture And Acculturation In Kinetic Family Drawings By Salvadoran And Salvadoran-American Children, Geraldine Gómez

EVMS School of Health Professions Theses & Dissertations

This study compared Kinetic Family Drawings created by Salvadoran children and those by Salvadoran-American children. The focus of this study was to gather information about cultural differences between the two groups and identify the indicators of those differences. Participants included 25 Salvadoran children and 14 Salvadoran- American children. Each group of children was directed to create a Kinetic Family Drawing. Results indicated graphic indicators from both groups which included differences with paper orientation, use of space, use of color, depiction of baseline, environment, size of figures, stick figures, gender role stereotypes, skin tones, depiction of self, family members, and family …

An Art Therapy Self-Care Intervention With Adults With Type 2 Diabetes, Leila Christine Saadeh

EVMS School of Health Professions Theses & Dissertations

Type 2 DM is a chronic lifestyle disease that is becoming an epidemic in the United States. Self-care practices are vital in management of this disease and rely on patient responsibility. This mixed-methods study tested the effectiveness of group art therapy in improving diabetes self-care in six adults ages 45-75 with type 2 DM. The study consisted of six art therapy group sessions over a six week period. The study utilized pre-and post-intervention quantitative measures including HgbA1C, BP, SDSCA, and the HANDS to measure glycemic control, diabetes self-care, and depressive symptoms. Qualitative measures included a content analysis of the six …

Art And The Brain: Implications For Art Therapy, Katherine Lawrance

EVMS School of Health Professions Theses & Dissertations

The requirements for a Master’s Degree in Art Therapy and Counseling do not include education on neurology. This thesis explores how neurology that could be beneficial for art therapy education. To begin, basic understanding of brain regions, cell structure, memory storage, neurological equipment, and pathologies is explored. This information was used to further explore creativity in the brain, the neurology of viewing art, and psychological and neurological pathologies. This information is compared in relation to current research on art creation, and/or art therapy within healthy individuals or corresponding pathologies and compiled into organized tables. From the literature review, information was …

A Study Of The Thematic Content And Formal Elements Of A Free Choice Drawing Created By Older Adults Diagnosed With Alzheimer’S Disease: A Mixed Methods Investigation, Kelly Rose Spessard

EVMS School of Health Professions Theses & Dissertations

This study used a mixed methods approach to examine the themes in the Free Choice Drawings (FCD) created by13 older adults with a diagnosis of Alzheimer’s disease (AD). The Mini-Cog was used as the instrument to identify cognitive impairment in the participants. All participants were scored as positive for cognitive impairment according to the scoring instructions for the Mini-Cog. The FCD followed the Mini-Cog. Of the 13 participants, eight attempted the FCD and five left their paper blank. The FCD was rated using a modified version of the Formal Elements Art Therapy Scale (FEATS). Scales included, Prominence of Color, Color …

Existential Art Therapy With An Elder Male Following Spousal Loss: A Clinical Case Study, Sarah Elizabeth Smith

EVMS School of Health Professions Theses & Dissertations

Spousal loss in late life is a common experience for elders, especially considering the current increase in longevity occurring throughout the population. Unfortunately, the traumatic impact of this experience is often minimized due to the societal expectation of death in old age, resulting in a lack of focus on this unique bereavement process. Throughout an elders grief process, a great deal of existential questioning often arises, not only regarding the loss of his or her spouse but also in regard to his or her own mortality due to personal end-of-life concerns. It is important for mental health professionals to not …

Art Therapy And Infertility, Kaitlyn Wash

EVMS School of Health Professions Theses & Dissertations

In response to the lack of attention to mental health aspects of infertility, this multiple case pilot study investigated the impact of art therapy interventions on depressive symptoms in women diagnosed with infertility. Since literature indicates women experience significant distress that impacts their psychological well-being and contributes to depressive symptoms. Furthermore the literature indicated that since infertility is regarded as a low-control situation, women tend to employ avoidance, repression, and denial as their primary coping mechanisms to deal with their negative emotions. As the utilization of art therapy has been found to contribute to decreasing depressive symptoms, it was hypothesized …

Implications For Art Therapy: A Study Evaluating Art Processes And Materials In Dreamwork, Megan Chadwick

EVMS School of Health Professions Theses & Dissertations

The aim of this thesis was to discover which art processes and materials best assist dreamers in discovering meaning in their dreams and aid in the benefits of dream work. It also aimed to provide a basic framework for dreamwork within art therapy. An eight-hour group workshop was designed using Robert Hoss' s "Dreamwork Worksheet." Each question was paired with an art process or material in accordance to the Expressive Therapies Continuum. One participant attended, a 35-year-old single African American woman. Overall, the results showed that art processes and materials that are most beneficial to dreamers are those that are …

Dehumanization Of Cancer Patients: An Art Therapy Case Study Utilizing Visual Journaling, Michelle Vaughan

EVMS School of Health Professions Theses & Dissertations

This case study explores the effects of an eight week semi-structured art therapy intervention on the quality of life of a cancer patient. The intervention consisted of visual journaling directives that were utilized to help the client cope with her illness as well as an unstructured portion. The unstructured portion mainly consisted of three dimensional art experiences as determined by the client. The case study sought to answer three clinical case questions surrounding the client’s identity, quality of life, and exploration of any occurrences of client dehumanization. The eight week art therapy intervention concluded with a semi-structured interview. The results …

Role Ambiguity Of Counseling Supervisors, Aaron Gabriel Shames

Counseling & Human Services Theses & Dissertations

Supervisors often find themselves in the midst of ambiguity seeking clarity of their role and professional identity within the counseling field. Supervisors wear many hats, the most prominent ones being educator, counselor, and gatekeeper for the profession. Counseling supervisors are expected to establish and maintain a complex blend of professional, educational, and therapeutic relationships with their supervisees. This process involving multiple roles often presents conflicts. One such conflict experienced by supervisors has been termed role ambiguity. The purpose of this phenomenological inquiry was to explore what experiences counseling supervisors have with role ambiguity and how they experience role ambiguity. Themes …

The Effects Of Art Therapy On The Self-Efficacy And Self-Concept Of A Group Of Children With Attention Deficit Hyperactivity Disorder, Sarah Peters

EVMS School of Health Professions Theses & Dissertations

This quantitative study utilized a within group, pre and posttest design to examine whether a group art therapy experience would have an effect on the self-concept and self-efficacy of group of children with Attention Deficit Hyperactivity Disorder (ADHD). Six subjects took part in the study (n=3 male) and (n=3 female) ages 7 to 10. The subjects took part in eight group art therapy sessions which lasted approximately one hour each. The art tasks were designed to provide students with opportunities to gain mastery and competence. It was hypothesized that an experience in an art therapy group would …

Development Of The Profession Of Counseling In Kenya, Uganda, And Tanzania: A Grounded Theory Study, Mueni Joy Maweu Mwendwa

Counseling & Human Services Theses & Dissertations

The positive mental health of a country's population has a direct correlation to that country's economic and social advancement. As a result, the development of the counseling profession is critical. Even though fewer than half of African member states have an existing mental health policy in place, initiatives to establish mental health policies and develop the counseling profession are underway across the African continent. In general, there is a significant deficit of counseling literature, and specifically, research on the development of the counseling profession in Africa. This grounded theory study sought to explore the experiences of counseling leaders related to …

Drinking Buddies: Who Are They And When Do They Matter?, Cathy Lau-Barraco, Ashley N. Linden

Psychology Faculty Publications

The present study sought to further examine the role of peers on alcohol use and problems among young adults. In particular, we focused on a specific subset of peers in one's social network mostly for activities related to alcohol use called "drinking buddies." The presence of drinking buddies in one's social network has been shown to predict heavy drinking uniquely over time but few studies have focused on potential factors moderating the relationship. Consequently, an aim of present study was to examine the influence of drinking buddies on alcohol outcomes and the extent to which the relationship may be dependent …

Caffeinated Alcohol Use And Expectancies For Caffeine Versus Alcohol, Cathy Lau-Barraco, Ashley N. Linden

Psychology Faculty Publications

Background- Caffeinated alcoholic beverage (CAB) use is related to alcohol-related risk. Limited research has examined outcome expectancies and CAB consumption.

Objectives- This study tested the predictive utility of caffeine and alcohol expectancies in CAB use outcomes (i.e. quantity, frequency, and alcohol-related harms).

Methods- Participants were 419 (302 women) alcohol and caffeine users from a mid-sized urban university. Data collection occurred between August 2010 and December 2011. Participants completed measures of caffeine and alcohol expectancies, alcohol problems, alcohol use, and CAB use.

Results- Caffeine and alcohol expectancies contributed uniquely to approximately 12% of the variability in quantity, 8% in frequency, and …

Caffeinated Alcohol Consumption Profiles And Associations With Use Severity And Outcome Expectancies, Cathy Lau-Barraco, Robert J. Milletich, Ashley N. Linden

Psychology Faculty Publications

Growing evidence suggests that the consumption of caffeinated alcoholic beverages (CAB) may be riskier than alcohol alone. Efforts to identify patterns of CAB use and the correlates of such drinking patterns could further our conceptualization of and intervention for this health issue. Consequently, the current study aimed to (1) identify distinct classes of CAB users, (2) examine differences between classes on measures of alcohol and caffeine problems, and (3) compare distinct classes of CAB users on caffeine and alcohol outcome expectancies. Participants were 583 (31% men) undergraduate students from a psychology research pool. Latent profile analysis models were derived using …