Mental and Social Health Commons^™

ความสุขในการทำงานและกลวิธีในการเผชิญปัญหาของบุคลากรสายสนับสนุนคณะแพทยศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย, มุกดา ชัยพิพัฒน์

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยครั้งนี้เป็นการวิจัยเชิงพรรณนา มีวัตถุประสงค์เพื่อศึกษาความสุขและกลวิธีในการเผชิญปัญหา และปัจจัยที่เกี่ยวข้องของความสุขและกลวิธีในการเผชิญปัญหา ในบุคลากรสายสนับสนุน คณะแพทยศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย กลุ่มตัวอย่างที่ใช้ในการวิจัย คือ บุคลากรสายสนับสนุนคณะแพทยศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย จำนวน 256 คน วิธีการสุ่มตัวอย่างเป็นการสุ่มตัวอย่างแบบหลายขั้นตอน (Multiple-stage sampling) เครื่องมือที่ใช้ในการเก็บรวบรวมข้อมูลประกอบด้วยแบบสอบถามข้อมูลส่วนบุคคล แบบสอบถามเกี่ยวกับลักษณะงาน แบบสอบถามความสุขในการทำงาน และแบบสอบถามรูปแบบในการเผชิญปัญหา วิเคราะห์ข้อมูลโดยใช้โปรแกรมคอมพิวเตอร์สำเร็จรูป SPSS (Statistical Package for Social Science) สถิติที่ใช้ คือ จำนวน ค่าร้อยละ ค่าเฉลี่ย และส่วนเบี่ยงเบนมาตรฐาน ไค-สแควร์ Fisher’s exact test สัมประสิทธิ์สหสัมพันธ์ของสเปียร์แมน และสถิติถดถอยโลจิสติค ผลการวิจัยพบว่า ความสุขในการทำงานในโดยรวมอยู่ในระดับสูงมาก ร้อยละ 48.0 คะแนนความสุขรายด้านอยู่ในระดับปานกลางถึงสูงมาก ปัจจัยส่วนบุคคลและด้านการปฏิบัติงานได้แก่อายุ และประสบการณ์การทำงาน พบว่ามีความสัมพันธ์ทางบวกกับความสุขในการทำงานโดยรวม (P < 0.01) และ(P < 0.05) บุคลากรมีความเห็นว่าด้านลักษณะงานมีส่วนสำคัญอย่างมากต่อความสุขในการทำงาน และอยู่ในระดับสูง เรียงลำดับคือความหลากหลายของงาน ความมีเอกลักษณ์ของงาน ผลสะท้อนกลับจากงาน ความสำคัญของงานและความมีอิสระในการปฏิบัติงาน โดยมีความสัมพันธ์ทางบวกกับความสุขในการทำงานโดยรวม (P < 0.01) บุคลากรส่วนใหญ่ใช้กลวิธีในการเผชิญปัญหาในรูปแบบมุ่งจัดการกับปัญหาและรูปแบบการแสวงหาการสนับสนุนทางสังคม ซึ่งเป็นปัจจัยที่มีความสัมพันธ์ทางบวกกับความสุขในการทำงานโดยรวม (P < 0.05) และปัจจัยทำนายความสุขในการทำงานโดยรวมคืออายุที่เพิ่มขึ้น (OR = 1.048, 95% CI = 1.01-1.09, P < 0.05) ความมีอิสระในการปฏิบัติงานสูง (OR = 2.315, 95% CI = 1.16-4.63, P < 0.05) และผลสะท้อนกลับจากงานสูง (OR = 3.91, 95% CI = 1.80-8.52, P < 0.01)

The Effects Of Music Therapy Techniques On Clients In A Substance Abuse Group, Moyosore Fabiyi

Masters Theses

The purpose of this study was to examine the effects of music therapy on clients with substance abuse history attending group sessions in a behavioral health facility. Specifically, the mechanism by which lyric analysis or the musical component may lead to positive therapeutic outcomes was examined. In order to assess the effectiveness of music therapy techniques, a comparison was made between conditions of music alone, lyric analysis alone and music with lyric analysis. One may be able to argue that the mechanism by which music therapy affects clients may lay within the music itself and clients listening to that music. …

Shared Genetic And Environmental Influences On Fear, Anxiety, Posttraumatic Stress, And Brain Morphometry, Chelsea Sawyers

Theses and Dissertations

Anxiety disorders (ADs) and stress-related disorders are some of the most common psychiatric disorders in the United States. Like other c0mplex psychiatric illness, genetics and neuroimaging research has focused on understanding their underlying neurobiology. Areas within the fear-network play important roles in threat perception, fear conditioning/learning, cognitive processing, and modulation of fear responses including contextual modulation and extinction and have been implicated in ADs as well as stress disorders such as posttraumatic stress disorder (PTSD). The primary gap in the current search for underlying biological mechanisms is in whether biomarkers associated with disorders share genetic influences with the disorders they …

5-Ht2b Receptor-Mediated Cardiac Valvulopathy, Pallavi Nistala

Theses and Dissertations

5-HT_2B receptor agonism causes cardiac valvulopathy, a condition characterized by thickening of the heart valves and as a result, regurgitation of blood within the heart. The anti-obesity drug fenfluramine, which was originally prescribed as an anorectic, was withdrawn from the market due to causing cardiac valvulopathy. Fenfluramine, after metabolism by N-dealkylation, produces the metabolite norfenfluramine, which acts as a more potent valvulopathogen. The same was seen with MDMA (ecstasy), a popular drug of abuse, which is metabolized by N-dealkylation to produce MDA, a more potent valvulopathogen. Glennon and co-workers. studied a series of 2,5-dimethoxy-4- substituted phenylisopropylamines (DOX type) hallucinogens …

Focus Groups To Increase The Cultural Acceptability Of A Contingency Management Intervention For American Indian And Alaska Native Communities, Katherine A. Hirchak, Emily Leickly, Jalene Herron, Jennifer Shaw, Jordan Skalisky, Lisa G. Dirks, Jaedon P. Avey, Multiple Additional Authors

Psychology Faculty Publications and Presentations

Introduction

Many American Indian and Alaska Native (AI/AN) people seek evidence-based, cost-effective, and culturally acceptable solutions for treating alcohol use disorders. Contingency management (CM) is a feasible, low-cost approach to treating alcohol use disorders that uses “reinforcers” to promote and support alcohol abstinence. CM has not been evaluated among AI/AN communities. This study explored the cultural acceptability of CM and adapted it for use in diverse AI/AN communities.

Methods

We conducted a total of nine focus groups in three AI/AN communities: a rural reservation, an urban health clinic, and a large Alaska Native healthcare system. Respondents included adults …

Mindfulness And Multiple Sclerosis, Mandakini Sadhir

Pediatrics Faculty Publications

Multiple sclerosis is a chronic, debilitating autoimmune condition with unknown etiology. It can have significant impact on quality of life and overall sense of wellbeing. It can be associated with poor sleep, fatigue, mental health disorders such as anxiety, depression and affect interpersonal relationships. Impact of mindfulness based interventions in mental health conditions, chronic illness as well as multiple sclerosis in adults has been widely studied. Several studies have concluded that mindfulness based intervention can be beneficial in improving quality of life, mental health and physical symptoms such as fatigue in adult patients with multiple sclerosis. Current literature suggest that …

A Comparison Of The Rey Auditory-Verbal Learning Test And The Wechsler Scales, Samantha Denhart

Murray State Theses and Dissertations

The present study was designed to determine the correlation between a commonly used cognitive ability test (i.e., Wechsler) and a verbal memory test (i.e., Rey Auditory-Verbal Learning Test) by analyzing archival data from a clinical sample of adults. Many researchers have continued to establish the relationship between cognitive ability, or IQ, and learning and memory skills; however, there is little research regarding when differences between IQ and memory scores are statistically significant. Results of this study indicated 17 of 20 IQ index/memory correlations were statistically significant and a series of simple regressions generated standardized residuals. These residuals generated confidence bands …

The Unspoken Psychological Issues With Lesson Horses And How We Need To Address Them, Casey Clark

Murray State Theses and Dissertations

Every day all over the world horses provide much needed therapy and treatment to people in need. They provide physical, emotional, and mental training and healing. Humans depend on them for so much and we have a moral and ethical obligation to be good stewards of our equine companions. This close proximity can take a toll on horses physically and psychologically even in the realm of experienced equine professionals. So many times though it is the small lesson facility that sees hundreds of people each year and makes a profound difference in people’s lives. This can be at a 4-H …

Counselors' Knowledge And Attitudes Of The Recovery Paradigm, Kathleen Ruscitto

Walden Dissertations and Doctoral Studies

As of 2014, an estimated 18.1% or approximately 43.6 million adults, 18 years of age or older in the United States experienced a form of mental illness. Professional counselors subscribe to a wellness or holistic paradigm; however the recovery paradigm, using collaborative strategies and unique treatment planning is the directed approach of mental health services in the United Stated. The purpose of this quantitative study was to understand what factors contribute to counselors' knowledge and attitudes of the recovery paradigm. Survey methodology was used to examine whether, among professional counselors, years of experience, gender, professional setting, and licensure status, as …

Causes Of Recidivism Among Mentally Ill Prerelease Offenders From The Perspective Of Former Correctional Mental Health Professionals, Rina Desiree Deneice Bradley Brown

Walden Dissertations and Doctoral Studies

The move toward reducing the prison population was driven by an increase in the number of reentry programs that focused on the needs of the offender, such as the provision of stable housing, employment, education, and sustaining strong familial bonds. While the literature supported these areas as being effective in reducing recidivism, there was no consensus that they were effective for offenders with mental illness (OMI). The purpose of this qualitative study was to analyze the impact of prerelease services for the OMI population from the perspective of former correctional mental health professionals who provided these services. The research questions …

Exploring Relationships Of Meaning, Co-Occurring Diagnoses, And Attitudes About Substances, Misty Grant

Walden Dissertations and Doctoral Studies

It is increasingly important to understand the factors associated with individuals struggling with addiction and their quality of life, especially with those struggling with co-occurring diagnoses (CODs). The purpose of this study was to explore the extent to which meaning, and CODs of anxiety and depression predict an individual's attitudes and beliefs about addiction among persons receiving treatment for substance use disorders (SUDs). The theoretical foundation used to guide this study was logotherapy, which emphasizes the importance of increasing meaning in life through choices, while also centering on being able to find meaning in all situations. A cross-sectional correlation design …

Post-Traumatic Stress And Academic Performance Among Entry-Level Doctoral Physical Therapy Students In A Human Anatomy Cadaver Dissection Course, Sue E. Curfman, Gary P. Austin, Joyce S. Nicholas

Internet Journal of Allied Health Sciences and Practice

Background: Dissection of human cadavers can be a stressful experience for students. Purpose: The purposes of this study were twofold: 1) to determine if physical therapy students develop or experience a worsening of post-traumatic stress disorder (PTSD) symptoms during exposure to and dissection of human cadavers; and 2) to determine if these symptoms are related to academic performance. Methods: Previous history of a diagnosis of anxiety or post-traumatic stress disorder and level of prior exposure to cadavers were recorded among 26 entry-level first semester doctoral students in physical therapy (DPT) taking gross human anatomy. Their level of anxiety about working …

Quitting Together: Formative Research To Develop A Social Marketing Plan For Smoking Cessation Among Women In A Residential Treatment Facility For Substance Abuse Recovery, August D. Anderson

Theses and Dissertations--Communication

Both smoking addiction and illicit substance abuse are prevalent issues in the United States today. Furthermore, these are issues that have significant impact on women’s health and mental state. Despite research that shows that smoking cessation coupled with substance abuse recovery can decrease likelihood of relapse post-recovery, few substance abuse recovery facilities today offer smoking cessation programming options. To address the issue of smoking addiction on top of substance abuse recovery, formative research was conducted through this study to determine the underlying causes of smoking habits coupled with recovery efforts and the attitudes. Through focus group sessions with women in …

Opioid Addiction Litigation And The Wrongful Conduct Rule, Samuel Fresher

University of Colorado Law Review

The United States is facing an opioid addiction crisis. Can our civil courts help? This Comment explores obstacles to recovery for plaintiffs in tort suits against health care institutions and practitioners in opioid addiction litigation. It argues that defenses based on plaintiffs' wrongful conduct, which deny plaintiffs access to civil remedies due to their immoral or illegal conduct, should be eliminated or avoided in suits arising out of addiction. This Comment concludes that comparative fault principles adequately protect the interests of plaintiffs and defendants in drug addiction suits and advance important public policy goals. Finally, this Comment suggests that irrespective …

Criminological Self-Efficacy: Increased Or Hindered From Crime Tv Shows, Dorothy Moore

All Master's Theses

There is an age-old question that surrounds whether or not media have an effect on its viewers. There is substantial evidence that supports the claim that violent content in media may increase relational, physical, and/or overall aggression levels. The aim of the current study is to explore the relationship between several factors that may be related to one’s belief in one’s ability (self-efficacy) to commit and get away with murder. These factors are the amount of crime TV a person watches, aggressive tendency, recklessness tendency, and potential protective factors. It is hypothesized that the more crime TV watched, the higher …

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 …

Applying Learning: Student Experience Of Research Skills Module, Sorca Mcdonnell

Articles

Social Care students undertake a research methods module with a focus on quantitative methods. A core aim of the module is for students to develop their research skills by applying them to a project. This paper will explore the student experience of engaging in this process and the impact on their learning and skill development. The impact on the students' engagement in the exploration of ethical issues and critical thinking is also explored. Bloom (1956) [2] emphasises the key ways that learning happens, with higher levels focusing on Application, Analysis and Synthesis. This research explores the extent to which completing …

A Longitudinal Examination Of Eating Disorders And Associated Risk Factors In Division I Student-Athletes, Nicole Court-Menendez

Electronic Theses and Dissertations

CONTEXT: Eating disorders represent a significant concern across multiple populations including collegiate athletes. Risk factors for eating disorders may be amplified in athletes because of internal and external performance and image expectations. Little is known about how these risk factors change over time in collegiate student-athletes.
OBJECTIVE: To longitudinally examine select eating disorder risk factors in National Collegiate Athletic Association (NCAA) Division I student-athletes.
DESIGN: Descriptive longitudinal study.
SETTING: NCAA Division I collegiate athletics.
PARTICIPANTS: Retired Division I collegiate athletes (n=204), ages 18-22, who competed in football, women’s soccer, women’s volleyball, baseball, men’s and women’s track and field, men’s and …

Book Review: Surrogacy: A Human Rights Violation By Renate Klein, Kate Rose

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.

Evaluation Of A Cognitive Training Program For Older Adults With Mild To Moderate Cognitive Decline, Kelly Bergstrom

All Graduate Theses, Dissertations, and Other Capstone Projects

Older adults often experience varying levels of cognitive decline. Several interventions intended to help slow the effects of cognitive decline have been studied, including cognitive training. Cognitive training involves engaging individuals, typically in a group setting, in exercises that target specific cognitive domains, such as attention, perceptual speed, memory, language, and executive functioning. Literature on cognitive training provides mixed support for its efficacy. The purpose of the current study was to determine whether a manualized, in-person cognitive training program for individuals with mild to moderate cognitive decline would lead to an improvement in cognitive performance. The program targeted six cognitive …

A Biological Review Of Mental Illness: An Overview Of Genetics And Pathophysiology Of Schizophrenia, Major Depression, And Addiction, Christopher R. Angerhofer

Biology and Microbiology Graduate Students Plan B Research Projects

Novel approaches in understanding mental illness present solutions to current issues in treatment and diagnosis. With advancements in genetics and neurology, the etiology and pathophysiology of mental illness is slowly unwrapping. In discovering biomarkers for depression, addiction, and schizophrenia, the precision for preventing, diagnosing, and treating these disorders increases. The aim of this paper is to review current research for addiction, major depression, and schizophrenia in genetics and physiology, while also clarifying the need for reclassifying mental illness as diseases with a pathophysiological basis, not syndromal, idiopathic disorders. Mental illness is dynamic in that it encompasses both environmental and biological …

A Study Of Registered Nursing Students’ Perceptions Of Confidence In Providing Quality Nursing Care To Patients With Alzheimer’S Disease Or Other Dementia, Louanne E. Harto

Doctor of Education (Ed.D)

There are currently millions of persons living with Alzheimer’s disease or other dementia; a number that will rise as the older adult population increases. Patients with Alzheimer’s disease or other dementia who are admitted to the acute care hospital for a physical problem may not receive the same standard of care as those persons without a cognitive impairment. The purpose of this study was to explore the perceptions of students in a prelicensure registered nursing program regarding their confidence to provide patient-centered nursing care to patients with cognitive impairment, specifically Alzheimer’s disease or other dementia. This quantitative study used a …

Ethics And Cost-Effectiveness Of Naloxone, Allison Groch

Augustana Center for the Study of Ethics Essay Contest

This essay discusses the ethical components involved with using, distributing, and making naloxone readily available for reversing opioid overdoses. The cost-effectiveness of naloxone is also discussed as a reason why naloxone should be widely used in order to help fight the opioid epidemic.

Mental Health In U.S. Prisons: How Our System Is Set Up For Failure, Katherine Daifotis

CMC Senior Theses

During the past 60 years, United States prisons have become one of the primary institutions caring for mentally ill individuals. Factors such as privatization of mental health care with a focus on profit-maximization, ineffective jail diversion programs, and unsuccessful mental health courts have contributed to prisons having an increased population of mentally ill inmates. In fact, about 20% of people who are currently incarcerated suffer from a major mental illness (Mason, 2007). Other elements outside of the justice system such as a lack of mental health awareness and a lack of resources have led to damaging interactions between the mentally …

Education And Prevention Of Stress And Ptsd In Prehospital Care Providers, Adriana Goad

A with Honors Projects

The field of prehospital emergency care is one full of unpredictability, high physical demand, and mental stress. EMTs and Paramedics are called to the unknown to treat whatever they come upon with the limited supplies and equipment that can be found in their trauma bag and ambulances. Some calls may be rewarding as they save the life of a patient, or they can be run of the mill as they get a call for a person not feeling well. Some calls, though, do not end in a relaxed drop off at the ED and back to the station for the …

Mental Health - Family, Najma Motan

A with Honors Projects

Through research and interviews with mental health professionals at local facilities, this student seeks to discover the current state family therapy practice.

Evaluating The Attitudes And Practices Of Exercise Prescription Among Psychotherapists, Igor Vasilj

Theses and Dissertations--Educational, School, and Counseling Psychology

Exercise has been shown to improve mood, anxiety, stress, and promote neuroplasticity (Conn, 2010; Donaghy, 2007; Josefsson, Lindwall, & Archer, 2014; Silveria et al., 2013; Stathopoulou et al., 2006). However, limited research on the topic suggests that many psychologists and mental health providers are not incorporating exercise into psychological treatment, and many lack the confidence to do so (Burton, Pakenham, & Brown, 2010; Weir, 2011). The purpose of this study was to evaluate current exercise prescription trends among practicing psychologists and trainees, including identifying their current beliefs, attitudes, training, and the perceived barriers hindering psychotherapists from recommending and prescribing exercise. …

Development And Preclinical Evaluation Of Long-Lasting Cocaine Hydrolases For Cocaine Overdose And Cocaine Use Disorder Treatment, Ting Zhang

Theses and Dissertations--Pharmacy

Cocaine is a plant-based illicit drug commonly involved in substance use disorder. Although cocaine overdose and cocaine use disorders cause adverse health consequences to individuals and the economic burden on their family and society, there are no FDA (Food and Drug Administration) approved medications for treatment. Recently, it has been recognized that delivery of cocaine hydrolase (CocH) is a promising therapeutic strategy. Human butyrylcholinesterase (hBChE), the primary enzyme involved in cocaine metabolism in human, have advantages over other candidates for the development of CocH. Previous studies in our laboratory have designed and characterized hBChE mutants that have ~4,000-fold improved catalytic …

Healthcare Providers’ Perceptions Of Pregnant Women, Allison Goderwis

Theses and Dissertations--Family Sciences

Health care providers’ (N = 421) implicit perceptions of pregnant women based on age, race or ethnicity, marital status, and socioeconomic status are assessed through a true-experiment design. Ordinal and binary regression analyses revealed that respondents felt more pity for an unmarried than married pregnant woman and more anger toward an unemployed pregnant woman without health insurance compared to a pregnant woman who was employed with health insurance. Male, Asian, and Hispanic respondents were less likely to help the pregnant woman, Black and protestant respondents were more likely to express some degree of anger toward the pregnant woman, and …

Evaluation Of A Peer Mentor Program On Adult Heroin Overdose Patients In The Emergency Department, Christina Schipper

DNP Projects

Abstract

PURPOSE: According to the Centers for Disease Control and Prevention (CDC), the rate of heroin use and heroin overdoses has greatly increased in the last decade, regardless of sex, age, race or income. The emergency department (ED) is a common place heroin users present, often as an overdose or due to a complication from their drug use. To address the current opioid epidemic, the CDC calls for increased access to substance abuse treatment services. Peer Mentors placed in the ED serve as a link for the patient to recovery services. The purpose of this study is to evaluate the …