Mental and Social Health Commons^™

Mental Health Treatment Seeking Patterns And Preferences Of Appalachian Women With Depression, Claire Snell-Rood, Emily Hauenstein, Carl G. Leukefeld, Frances Feltner, Amber Marcum, Nancy E. Schoenberg

Behavioral Science Faculty Publications

This qualitative study explored social-cultural factors that shape treatment seeking behaviors among depressed rural, low-income women in Appalachia—a region with high rates of depression and a shortage of mental health services. Recent research shows that increasingly rural women are receiving some form of treatment and identifying their symptoms as depression. Using purposive sampling, investigators recruited 28 depressed low-income women living in Appalachian Kentucky and conducted semistructured interviews on participants’ perceptions of depression and treatment seeking. Even in this sample of women with diverse treatment behaviors (half reported current treatment), participants expressed ambivalence about treatment and its potential to promote recovery. …

Misuse Of Novel Synthetic Opioids: A Deadly New Trend, Matthew P. Prekupec, Peter A. Mansky, Michael H. Baumann

College of Osteopathic Medicine (TUN) Publications and Research

Novel synthetic opioids (NSOs) include various analogs of fentanyl and newly emerging non-fentanyl compounds. Together with illicitly manufactured fentanyl (IMF), these drugs have caused a recent spike in overdose deaths, whereas deaths from prescription opioids have stabilized. NSOs are used as stand-alone products, as adulterants in heroin, or as constituents of counterfeit prescription medications. During 2015 alone, there were 9580 deaths from synthetic opioids other than methadone. Most of these fatalities were associated with IMF rather than diverted pharmaceutical fentanyl. In opioid overdose cases, where the presence of fentanyl analogs was examined, analogs were implicated in 17% of fatalities. Recent …

Experiences Of Postpartum Women In One Residential Treatment Facility For Substance Use Disorders: A Qualitative Case Study, Rebecca Jo Williams

Online Theses and Dissertations

A growing opioid crisis in the United States has sparked a need for gender-specific research and treatment to address unmet needs and promote positive health outcomes for both women and children. The primary purpose of this research is to provide insight into the experiences and perceptions of postpartum women with substance use disorders receiving care at one residential treatment facility. Two women, aged 22 and 27 years old, participated in semi-structured interviews designed to elicit perceptions about barriers to treatment, the value of various programs, the role of physical, social, and temporal contexts in treatment, and beliefs about the effect …

Euphoria: The Transition From Prescription Opioids To Heroin In Kentucky, Alexander Ryan Cundiff

Online Theses and Dissertations

The demand for and availability of prescription opioids has been quite prevalent in the state of Kentucky primarily since the early 1990's. But between 2010 and 2012, reformulations of opioids OxyContin and Opana, along with the passing of HB 217 and mandatory KASPER (Kentucky All Schedule Prescription Electronic Reporting) reports made the acquisition of diverted pharmaceutical opioids much more difficult. As a result, prices per pill increased and once opioids became nearly impossible to find on the streets, users then moved to another opiate, heroin. Since 2012, heroin related overdoses have increased significantly in the Bluegrass State. The purpose of …

The Development Of Mental Illness Stigma: The Role Of Perceived Social Support, Social Proximity, And Help-Seeking Behavior, Emily Kathryn Reed

Online Theses and Dissertations

The current study sought to explore the relationships mental illness stigmatization may have with perceived social support, proximity, and help-seeking behavior. Based on findings from previously conducted studies, hypotheses were formulated in order to further analyze how perceived social support, proximity, and help-seeking behavior may impact an individual's tendency to stigmatize mental illness. 203 Eastern Kentucky students participated in this study to test these hypotheses. These participants took part in an online study that measured their perceived social support based on their family environment, their proximity to those with a mental illness or mental illness in general, their attitudes regarding …

Non-Suicidal Self-Injury Characteristics And How Social Support Plays A Role, Stephanie Smith-Kellen

All Graduate Theses, Dissertations, and Other Capstone Projects

NSSI affects many young adults and is associated with suicidal ideation, as well as numerous mental health disorders and other psychological variables. There were a total of 59 participants that participated in this study from an undergraduate college sample who endorsed self-injuring. An online platform for research was used to recruit participants and provide them with the online survey link. Self-injuring more than one bodily location may result in feeling more stigma than individuals who self-injure one bodily location. Self-stigma and self-injuring multiple bodily locations both significantly predicted suicidal ideation, but gender and social support did not predict suicidal ideation. …

How To Explain Cancer To A Child And The Effects Of Coloring Therapy In Children With Cancer, Alexandra Mauer

Undergraduate Honors Thesis Collection

Did you know that doodling or coloring in a book can have significant therapeutic effects? It has been studied and proven that art therapy can help with anxiety, depression, and even some diseases such as cancer.1 Although coloring may not be able to cure cancer, it can make coping with it more manageable.1 When a child who has cancer is waiting to be seen in a doctor’s office or at the hospital, a coloring book can keep his or her mind off of the diagnosis, provide entertainment, and elicit a relaxing mindset. This coloring book could also have a storyline …

Disordered Eating Habits And Theory Of Mind In Undergraduate Students, Stephanie Kuhlman

Undergraduate Honors Thesis Collection

Theory of mind, the ability to ascribe mental states to oneself and others, has intimate connections with mental disorders like autism and schizophrenia. Recent research has suggested a connection between eating disorders and theory of mind ability, but these findings have been mixed. The idea that disorders lie along a continuum (Johns & van Os, 2001) leads to the hypothesis that people with disordered eating habits will have a lesser theory of mind ability than those without. Data was collected on 25 undergraduate students at Butler University. Results showed a positive correlation between theory of mind and negative eating attitudes. …

Effect Of Variable Activities On The Engagement Of Memory Care Patients, Ai Yamasaki, Cheryl A. Dickson, Patrick Albright, Tyler Gardner, Katherine Han, Brendan Tamm

Research Day

Background and Objectives: Studies demonstrate that social activities (e.g., church attendance, recreation, and group activities), productive activities (e.g., gardening, preparing meals, and shopping), and fitness activities (e.g., sports, walking, and exercise) are independently associated with survival of elderly persons even after functional disability. The Heritage Community of Kalamazoo focuses on activities such as bible study, music, pet therapy, and modified volleyball exercises to provide and maintain residents’ spiritual appreciation, cognitive abilities, and quality of life. The purpose of the project is to identify any strengths and weaknesses in activity programming for memory care residents at Heritage Community through observation and …

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.

The Effect Of An Interprofessional Registered Nurse-Physical Therapist Team On Reducing Prescribed Opioid Dependence In Patients With Chronic Lower Back Pain, Amber Chesney, Stephanie Jan, Amanda Pedrazoli, Brandon Simmons, Kaylene Woods, Nicole Yeats

OUR Journal: ODU Undergraduate Research Journal

Long-term prescribed opioid use for chronic pain is shown to reduce recovery potential and increase risk for dependence, which is contributing to the nationwide opioid crisis. There is a need for an innovative, multidisciplinary approach to address prescription opioid dependence. We propose implementation of a community-based interprofessional registered nurse-physical therapist team (IRNPTT) focused on reduction of opioid dependence in adult patients with chronic lower back pain.

Counselor In Training 360 Degree Case Conceptualization Process For Group Supervision, Meredith A. Rausch, Laura L. Gallo

Counselor Education Faculty Publications and Presentations

This article introduces a developmental process for case conceptualization practice during group supervision based on the underpinnings of the Integrative Developmental Model presented by Stoltenberg and McNeill (2010) and Mindsets by Dweck (2006). The design incorporates a strengths-based method encouraging reflective practice and risk-taking. Practical methods for group interaction and discussion are presented.

The Effect Of Clinician Competence And Religiosity On The Trainee Clinician’S Ability To Identify Problematic Sexual Behavior, Cody Butcher

All Graduate Theses, Dissertations, and Other Capstone Projects

Models in psychology do not consider the concept of sex addiction the same way as other substance or behavior addictions. For example, sex addiction, which is not a DSM-5 disorder, is often assigned as a label to clients based off of high frequency of sexual behavior. Despite sex addiction not being a diagnosable disorder, sex addiction therapists are conducting treatment with people who identify as sex addicts. Due to this lack of a definition, previous research has found that clinicians may identify sex addiction in clients based on their own preconceived worldviews of what types of sexual behaviors or frequencies …

Epigenetic Editing To Validate Findings From Methylome-Wide Association Studies Of Neuropsychiatric Disorders, Robin F. Chan

Theses and Dissertations

DNA methylation is necessary for learning, memory consolidation and has been implicated in a number of neuropsychiatric disorders. Obtaining high quality and comprehensive data for the three common forms of methylation in brain is challenging for methylome-wide association studies (MWAS). To address this we optimized a panel of enrichment methods for screening the brain methylome. Results show that these enrichment techniques approach the coverage and fidelity of the current gold standard bisulfite based techniques. Our MBD-based method can also be used with low amounts of genomic material from limited human biomaterials. Psychiatric disorders have high prevalence and are often chronic …

Examining Preference Of Home-Based Telemental Health Among Rural Veterans, Paige Dixon

College of Graduate Studies: Theses & Dissertations

Rural veterans face significant disparities to health care that have resulted in lower physical and mental health related quality of life when compared to their urban counterparts (Weeks et al., 2006). Such disparities are further complicated by the six-fold increase in prevalence of mental health diagnoses among Operation Enduring Freedom and Operation Iraqi Freedom veterans (Seal et al., 2009). These rising rates are particularly relevant to rural veterans as they represent 41% of the overall Veteran Health Administration enrollees, but only 19% of the general population (U.S., Department of Veterans Affairs, 2012; U.S. Census Bureau, 2014). Rural veterans face three …

The Effects Of Religious And Body-Related Affirmations On Disordered Eating Attitudes And Body Dissatisfaction, Cassandra A. Vogt

Masters Theses

The relationship between disordered eating, body dissatisfaction, and religion is complex. Previous research demonstrated that religious body affirmations are beneficial in reducing body dissatisfaction among undergraduate females. Because previous research used affirmations which were simultaneously religious in nature and related to the body, it is difficult to determine if the religiousness of the affirmation is the beneficial characteristic. The current study investigated which type of affirmation had the strongest effect on disordered eating attitudes and body dissatisfaction. More specifically, the five experimental conditions included: religious body affirmations, religious non-body affirmations, non-religious body affirmations, non-religious non-body affirmations, and neutral control statements. …

Helicopter Parenting Of College Students, Lindsey R. Pautler

Masters Theses

Popular media often features stories about 'helicopter parenting' and asserts that this style is detrimental to youngsters (c.f., Fingerman, Cheng, Wesselmann, Zarit, Furstenberg, & Birditt, 2012; LeMoyne & Buchanan, 2011). However, few studies have examined the phenomenon empirically (Fingerman et al., 2012), particularly in a college population. The few existing studies of 'helicopter parenting' have evaluated different facets of this parenting style (e.g., intrusive parenting, inappropriate contact with school personnel), which makes comparing research results difficult. This paper discusses the literature on 'helicopter parenting' and discusses the initial steps in the development of a new comprehensive assessment of 'helicopter parenting' …

Investigation Of Sandwich Generation Caregiver Perceptions And Factors Of Caregiving Strain, Samantha Marie Young

Masters Theses

The Sandwich Generation caregiver is responsible for caring for their children and parents simultaneously (Miller, 1981). In this study, stressors, burdens, and strains were analyzed in relation to caregiver demographics and the following variables: caregiving relationship quality, caregiving roles, communication, and resources (time and finances). The purpose of this study is to investigate the factors that contribute to perceived strains in Sandwich Generation caregivers. The Sandwich Generation Caregiver Survey was distributed through social media (Facebook, Instagram, Twitter, and LinkedIn), email, listservs, and word of mouth through a nonprobability snowball approach (Creswell, 2012). The researcher used frequency counts, percentages, and mean …

Recovery From Design, Cassandra J. Ellison

Theses and Dissertations

Through research, inquiry, and an evaluation of Recovery By Design, a ‘design therapy’ program that serves people with mental illness, substance use disorders, and developmental disabilities, it is my assertion that the practice of design has therapeutic potential and can aid in the process of recovery. To the novice, the practices of conception, shaping form, and praxis have empowering benefit especially when guided by Conditional and Transformation Design methods together with an emphasis on materiality and vernacular form.

Person-Centered Treatment To Optimize Psychiatric Medication Adherence, Natalie Bareis

Theses and Dissertations

Objectives: Adherence to psychotropic medication is poor among individuals with bipolar disorder (BD). To understand treatment experiences and associated adherence among these individuals, we developed a novel construct of Clinical Net Benefit (CNB) using psychiatric symptoms, adverse effects and overall functioning assessments. We tested whether adherence differed across classes of CNB, whether individuals transitioned between classes over time, and whether these transitions were differentially associated with adherence.

Methods: Data come from individuals aged 18+ during five years of the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD). Latent class analysis identified groups of CNB. Latent transition analysis determined probabilities of …

Walking In Beauty: Responsive And Responsible Health And Healing Among Virginia American Indian People, Amy J. Prorock-Ernest

Theses and Dissertations

Little is systematically known about the collective health and well-being of Virginia American Indian people. This study sought to explore the meaning of health and healing among Virginia American Indian people in the context of a reservation-based, non-federally funded health clinic. Using an emergent approach to qualitative research grounded in a constructivist inquiry paradigm and guided by Indigenous research principles, a total of 24 in-depth, semi-structured interviews were conducted with 17 American Indian service-users of the Clinic. Through an inductive thematic analysis of participant stories, a framework for understanding responsive and responsible health and healing was derived. The framework includes …

A Clinical Practice Guideline To Reduce Behavioral Outbursts In Veterans With Posttraumatic Stress Disorder, Mary Adejumoke Badru

Walden Dissertations and Doctoral Studies

In a Department of Veterans Affairs hospital on the East Coast of the United States, behavioral outbursts result in 2 out of 10 veterans dismissed from a posttraumatic stress disorder (PTSD) unit prior to completing the 6-week program. The purpose of this evidence-based quality improvement project was to create a clinical practice guideline (CPG) based on social cognitive theory (SCT) to provide new strategies for managing veterans with PTSD and to improve the confidence of the nurses in managing outbursts. The Star Model guided the project development with the Delphi method to achieve participant consensus, the AGREE II to assess …

Evaluation A Depression Treatment Program On Hiv Care And Mental Health Outcomes In Malawi, Project Soar

HIV and AIDS

This brief outlines a Project SOAR study which will provide critical evidence on the feasibility, effectiveness, and cost-effectiveness of an integrated depression treatment model for improving retention in and adherence to HIV care in Malawi. Among people initiating antiretroviral therapy (ART), those with depression are a large and especially vulnerable population. Depression affects 18–30 percent of patients receiving HIV care in Africa and is an important barrier to early ART retention. Evidence revealed by the study will have implications not only for the applicability of the model in Malawi but for other countries in sub-Saharan Africa as well.

A Question Of Food Intake: The Impact Of Living Arrangement And Meal Factors On Total Daily Caloric Intake, Kalei Sorenson

Undergraduate Honors Thesis Collection

There has been dramatic weight gain among college students during their collegiate years. A food diary can give much insight of a college student’s life. The purpose of this study is to analyze the food intake of college-aged students taking in factors such as the size of meal, the foods being eaten, the location of the meal, and if the meal was eaten with others. This research will examine how the student’s food intake throughout the day may affect their overall food calorie intake.

What Am I Thinking Right Now?: Social Anxiety Symptomology And Its Impact On Theory Of Mind Ability, Shannon Reid

Undergraduate Honors Thesis Collection

Theory of Mind (ToM) is the ability to accurately read other peoples’ minds, which includes their intentions, thoughts, and emotions (Buhlmann, Wacker, & Dziobek, 2015). Individuals with low ToM often experience anxiety in family and social life (Coupland, 2001; Ribeiro & Fearon, 2010), which is a common feature of social anxiety disorder (SAD). Because of this connection, the present study looks at the relationship between social anxiety and ToM. I hypothesized that individuals with greater SAD symptoms would exhibit decreased ToM ability, which was measured using the Hinting Task, the Story Comprehension Task, and the Reading the Mind with the …

Can You Feel It? How Asking Influences Reports Of Psychophysiological States, Trevor Spelman

Undergraduate Honors Thesis Collection

213 participants were shown a sequence of five different increasingly disgusting images. Depending on condition, they were either directly asked (solicited) or prompted to volunteer (unsolicited) whether or not they were experiencing disgust in response to a given image. We found that the act of solicitation directly lowers the threshold at which individuals are willing to provide information about their internal psychophysiological experience of disgust.

Self-Reported Pain In Male And Female Iraq/Afghanistan-Era Veterans: Associations With Psychiatric Symptoms And Functioning, Jennifer C. Naylor, H. Ryan Wagner, Mira Brancu, Megan Shepherd-Banigan, Eric Elbogen, Michelle Kelley, Teresa Fecteau, Karen Goldstein, Nathan A. Kimbrel, Christine E. Marx

Psychology Faculty Publications

Objective. To examine pain symptoms and co-occurring psychiatric and functional indices in male and female Iraq/Afghanistan-era veterans.

Design. Self-reported data collection and interviews of Iraq/Afghanistan-era veterans who participated in a multisite study of postdeployment mental health.

Setting. Veterans were enrolled at one of four participating VA sites.

Subjects. Two thousand five hundred eighty-seven male and 662 female Iraq/Afghanistan-era veterans.

Methods. Nonparametric Wilcoxon rank tests examined differences in pain scores between male and female veterans. Chi-square tests assessed differences between male and female veterans in the proportion of respondents endorsing moderate to high levels of pain vs no pain. Multilevel …

Protective Behavioral Strategies As A Context-Specific Mediator: A Multilevel Examination Of Within- And Between-Person Associations Of Daily Drinking, Abby L. Braitman, Ashley N. Linden-Carmichael, James M. Henson

Psychology Faculty Publications

Research indicates that a drinker’s environmental and social context can be differentially associated with drinking outcomes. Further, although many researchers have identified that more frequent use of protective behavioral strategies (PBS) is associated with lower alcohol consumption and negative consequences, scant research has examined how one’s drinking context may promote or hinder PBS use. The present study examined how the context of drinking each day (i.e., where and with whom) is associated with level of consumption and reported alcohol-related problems among n = 284 college drinkers (69.0% female) directly, as well as indirectly through the use of PBS. Two different …

Drinking To Cope With Depressive Symptoms And Ruminative Thinking: A Multiple Mediation Model Among College Students, Adrian J. Bravo, Matthew R. Pearson, James M. Henson

Psychology Faculty Publications

Background: Understanding the potential psychosocial mechanisms that explain (i.e., mediate) the associations between depressive symptoms and alcohol-related problems can improve interventions targeting college students.

Objectives: The current research examined four distinct facets of rumination (e.g., problem-focused thoughts, counterfactual thinking, repetitive thoughts, and anticipatory thoughts) and drinking to cope motives as potential explanatory mechanisms by which depressive symptoms are associated with increased alcohol-related problems.

Method: Participants were undergraduate students from a large, southeastern university in the United States that consumed at least one drink per typical week in the previous month (n = 403). The majority of participants were female ( …