Mental and Social Health Commons^™

Differences In Sexual Delay Discounting Among In-Treatment Adults With Opioid Use Disorder, Jonathan J.K. Stoltman

Graduate Theses, Dissertations, and Problem Reports (ETD)

Previous research has found impulsive decision-making to be a core component of addiction (Moody, Franck, Hatz, & Bickel, 2016). One way to measure impulsive choice is through the use of a delay discounting task. The delay discounting task provides a way to measure choice of immediate, smaller rewards compared to delayed, larger rewards (Odum, 2011b). An emerging area of research in addiction science is the intersection of addiction and sexual health. Previous sexual delay discounting research has focused on whether attractiveness or STD risk can shift the likelihood of waiting until a condom was available (Johnson & Bruner, 2012). This …

An Assessment Of Attitudes And Perceptions Of College Students Toward A Suicide Program On A College Campus: A Descriptive Study, Rachel Tolliver

DNP Research Projects

OBJECTIVE: A baseline assessment examines the status of attitudes and perceptions about the suicide prevention program of a small, private, southeastern, Christian university. Gaps in the literature include the lack of baseline evaluations at universities before evidenced-based practice (EBP) interventions.

PARTICIPANTS: A purposive sample of sixty-nine sophomores classified as first-year students for the 2016-2017 school year. The study sample lived on campus both semesters of the 2016-2017 school year.

METHODS: Participants completed the retired Suicide Prevention Exposure, Awareness and Knowledge Survey (SPEAKS) – SV (Student Version) by the Substance Abuse & Mental Health Services Administration (SAMHSA) for the Garrett …

Translational Insights Into The Genetic Etiology Of Mental Health Disorders: Examining Risk Factor Models, Neuroimaging, And Current Dissemination Practices, Jessica L. Bourdon

Theses and Dissertations

Psychiatric genetics is a basic science field that has potential for practical application and effective translation. To date, translational frameworks utilized by this field have been linear (e.g., sequential) in nature, focusing on molecular genetic information. It is proposed that non-linear (e.g., socio-ecological) frameworks are a better way to immediately translate non-molecular genetic information. This dissertation explored the translation of psychiatric genetic information in two ways. First, a survey was sent to academic stakeholders to assess the state of the science regarding the translation of genetic information to the clinical care of mental health disorders. Findings from this indicate a …

The Effect Of Narrative Medicine Combined With Medication Assisted Treatment On Decreasing The Desire To Use Intravenous Substances In Hospitalized Patients With Infective Endocarditis, Paula Works

DNP Projects

Substance abuse is a significant problem that spans the nation. Of particular concern is the growing population of patients at UK HealthCare who have endocarditis as a complication from IV substance abuse.

PURPOSE: The aims of this study were

1. To assess the effect of narrative medicine combined with MAT, compared to MAT alone, on desire to use in hospitalized patients with a history of IV substance use
2. To examine the changes in quality of life before and after the introduction of narrative medicine in hospitalized patients with a history of IV substance abuse using The Quality of Life Scale (QOLS). …

The Effects Of Compassion Fatigue On Burnout Among Inpatient Psychiatric And Intensive Care Unit Nurses, Amita Madan Neidlinger

DNP Projects

PURPOSE: This DNP project is relevant to nurses of the psychiatric and Intensive Care Unit (ICU) setting, as high stress environments may produce higher rates of compassion fatigue and burnout. Investigation of these areas may help illuminate unnecessary healthcare costs that are associated with these phenomena. This DNP project is important to the University of Kentucky’s healthcare system, its patients, and nurses. Increased absenteeism and increased medication errors are positively associated with the prevalence of compassion fatigue and burnout in nurses. Outcomes from this project will allow identification of unnecessary healthcare costs and encourage administrators to focus on reducing nurse …

ความตั้งใจมีบุตร และความเกี่ยวข้องกับบุคลิกภาพและการเผชิญปัญหาในผู้ที่มาจดทะเบียนสมรสใหม่ ณ สำนักงานเขตบางรัก กรุงเทพมหานคร, พิชญา วัฒนวิทูกูร

Chulalongkorn University Theses and Dissertations (Chula ETD)

การวิจัยครั้งนี้เป็นการวิจัยเชิงพรรณนา ณ จุดเวลาใดเวลาหนึ่ง เพื่อศึกษาความชุกของความตั้งใจไม่มีบุตร และความเกี่ยวข้องกับบุคลิกภาพและการเผชิญปัญหา ในผู้ที่มาจดทะเบียนสมรสใหม่ ณ สำนักงานเขตบางรัก กรุงเทพมหานคร เก็บรวบรวมข้อมูลจากผู้มาจดทะเบียนสมรสเพศชายและหญิงจำนวน 380 คน โดยใช้แบบสอบถามแบบตอบด้วยตนเอง ซึ่งประกอบด้วยแบบสอบถามข้อมูลพื้นฐานทั่วไป แบบทดสอบบุคลิกภาพ MPI (The Maudsley Personality Inventory) และแบบวัดการเผชิญปัญหา ใช้ Univariate analysis (ได้แก่ T-Test และ Chi-Square) เพื่อทดสอบปัจจัยที่มีความสัมพันธ์กับความตั้งใจไม่มีบุตร และใช้ Multivariate Analysis เพื่อหาปัจจัยทำนายของความตั้งใจไม่มีบุตรในผู้มาจดทะเบียนสมรสกลุ่มนี้ ผลการศึกษาพบว่าความชุกของความตั้งใจไม่มีบุตรในผู้มาจดทะเบียนสมรสมีอัตราร้อยละ 13.7 เมื่อทดสอบความสัมพันธ์พบว่าบุคลิกภาพ มิติที่ 1 ด้านพฤติกรรม (Scale E – extraversion) มีความสัมพันธ์กับความตั้งใจไม่มีบุตรอย่างมีนัยสำคัญ โดยกลุ่มตัวอย่างที่มีบุคลิกภาพแบบเก็บตัว (Introvert) มีความตั้งใจไม่มีบุตรสูงกว่ากลุ่มตัวอย่างที่มีลักษณะบุคลิกภาพแบบแสดงตัว (Extravert) นอกจากนี้ยังพบว่าการใช้กลวิธีการเผชิญปัญหาแบบมุ่งจัดการปัญหา (1.8 - การแสวงหาการเป็นส่วนหนึ่งของกลุ่ม) มีความสัมพันธ์เชิงลบกับความตั้งใจไม่มีบุตรอย่างมีนัยสำคัญ และการใช้กลวิธีการเผชิญปัญหาแบบหลีกหนี การใช้กลวิธีการเผชิญปัญหาแบบหลีกหนี (3.4 - การเก็บความรู้สึกไว้คนเดียว) และการใช้กลวิธีการเผชิญปัญหาแบบหลีกหนี (3.2 - การไม่แสดงออกทางพฤติกรรม) มีความสัมพันธ์เชิงบวกกับความตั้งใจไม่มีบุตรในผู้มาจดทะเบียนสมรสอย่างมีนัยสำคัญ

When A Little Goes A Long Way: Expanding Home Care Services To Adults With Disabilities, Serena Hasworth, Jaclyn Winfree, Ozcan Tunalilar, Diana L. White

Institute on Aging Publications

Policy makers are increasingly interested in reducing public spending while maintaining quality of life. Since 1975, Oregon Project Independence (OPI) has supported community-based adults aged 60 and older to avoid or delay the need for residential long-term care services by increasing access to personal and home care services. The program also aims to prevent the need for Medicaid by optimizing personal resources and natural supports. In 2014, the OPI Expansion (OPI-E) pilot project began to serve adults aged 18-59 with disabilities in seven of Oregon’s seventeen Area Agencies on Aging (AAAs). This poster describes the evaluation of the expansion using …

Associations Between Ethnic-Racial Identity, Family Factors And Alcohol Problems Among Diverse Emerging Adults, Chloe Walker

Theses and Dissertations

The current study examined how multiple dimensions of ethnic-racial identity (ERI) were associated with alcohol use and alcohol use disorder (AUD) symptoms and how these relations varied by individuals’ ethnic-racial group among 1850 diverse emerging adults (M = 18.46, SD = .38). Further, measurement invariance of the Ethnic Identity Scale-Brief (EIS-B) was tested across Latinx, White, Black, Asian, and Multiracial students. Additionally, alternative models were examined that tested whether family factors (i.e., parent education and family history of alcohol problems) moderated the relations between ERI and alcohol problems to further examine nuances in these relations. Results indicated that the …

Pokemon Go And Mental Health, Nathaniel Ed

Masters Theses

Pokémon GO is a new type of game that emphasizes physical activity and social interaction. In the literature, both physical activity and social interactions have been shown to be positively correlated with mental health. Much research has been conducted on the effects of gaming on mental health, but to date no research has been done on the possible correlations of the game Pokémon GO and mental health. The present study was conducted to determine whether Pokémon GO players scored significantly lower than a control group of traditional garners on scales of depression, anxiety, and pathological gaming, and if they reported …

Teachers' Perception Of Mental Health In The School System, Nicholas Caldwell

Masters Theses

The study examined teachers' perceptions of their school's mental health system. Specifically, teachers were asked about their role in the identification process, how effective their school's system is at identifying and treating mental health problems, and their suggestions for improvement. Mental health problems affect a significant portion of today's youth (Merikangas et al., 2010). Mental health problems can negatively impact an adolescent's academic achievement, social relationships, and behavioral functioning (Woodward & Fergusson, 2001). Six teachers from a southeastern, rural Illinois high school participated in the study. Each teacher participated in a single interview and discussed their perceptions of the school's …

Mapping Addiction: A Digital Psychogeographic Approach To America's Addiction Epidemic, Clayton Benjamin

Electronic Theses and Dissertations

Focusing on policy consultation, my dissertation consults on the current US addiction epidemic and aims to answer, "What is our disposition to addiction?" Borrowing and clarifying Ulmer's MEmorial method, as established in his text Electronic Monuments, the dissertation combines the ancient Greek practice of theoria, Deleuzian theory, and psychogeographic counter-mapping methods to trace ways in which ideological apparatuses construct addiction. The aim of the dissertation is to reveal an abject value by constructing MEmorials which provide space for individuals to mourn loss and see their relation to that loss. Through mourning, individuals strengthen their ties to other community members and …

Wellness In Asexual-Identified Individuals: The Impact Of Social Support And Microaggressions, Elisa Marie Woodruff

Graduate Research Theses & Dissertations

One hundred sixty asexual identified individuals living in the United States were recruited from asexual online communities. The participants completed a comprehensive survey consisting of Zimet et al.’s 1988 Multidimensional Scale of Social Support, Foster’s 2017 Asexual Microaggression Scale, and the Five Factor Wellness Inventory Adult Version Revised (FFWEL-A2) developed by Myers and Sweeney in 2014, as well as 15-item demographic items. Regression models were used to assess relationships among the factors.

Social support was found to have a significant positive impact on participant wellness, supporting previous social science research. Microaggressions were not found to have a negative impact on …

Construct Validity Of The Teate Depression Inventory (Tdi) With A Middle Eastern/Arab American Sample, Dalia Bunni

Masters Theses

The purpose of the study was to examine the construct validity of a newer test used to measure depressive symptoms, the Teate Depression Inventory (TDI). The primary focus of the study was on Middle Eastern/Arab Americans (ME/AA). Previous research has demonstrated that ethnic minority groups may experience and present internalizing disorders, such as depression and anxiety differently than the majority ethnic group, White/Caucasian (W/C) individuals. Further, research suggests that there is a disparity in mental health care among ethnic minority groups, starting with detecting and diagnosing mental health disorders. Inaccurate detection and diagnoses informs inaccurate treatment, further creating a disparity. …

Outpatients' And Treatment Providers’ Cultural Model(S) Of Mental Illness In Northern Illinois, Emily Jean Stephen

Graduate Research Theses & Dissertations

For this thesis, I interviewed outpatients and clinicians from mental health treatment providers from the DeKalb, Illinois area to investigate the cultural models of mental illness held by both groups. I employed ethnographic methods of semi-structured interviews, and with cognitive tasks (free-listing, and pile sorting) to research similarities and differences between the outpatients’ and mental health treatment providers’ cultural models of ‘mental illness.’ Both mental health clinicians and outpatients have experience with disorders commonly termed ‘mental illness.’ I found differences of experience and identity seemed to more strongly influence one’s cultural model of mental illness than one’s level or type …

Program Review Of Naloxone Training Within The Wisconsin Department Of Corrections’ Community Corrections Division, Chelsea Calhoon

All Graduate Theses, Dissertations, and Other Capstone Projects

One of the fastest growing drug problems in the United States is the abuse of opioids (United States Department of Health & Human Services, 2018). With the rising overdose rates, the criminal justice system may offer a pivotal role in the decrease of overdose deaths through opioid overdose recognition and naloxone administration training (World Health Organization, 2014). Training evaluation based on the Effectiveness Theory find significant predictors of training effectiveness and retention to be correlated with the training program, age, and employment tenure (Cowman & McCarthy, 2016). This thesis’ research question is, “Do demographics correlate to training retention for opioid …

Best Practice Suicide Screening/Assessment Tools For The Emergency Department, Katheryn M. Spirito

Walden Dissertations and Doctoral Studies

Patients presenting to the emergency department (ED) often suffer from more than physical ailments when seeking care and treatment. Some of these patients have emotional ailments and suicidal ideation when they come to the local ED. The lack of recognition of at-risk patients by health care providers can lead to poor patient outcomes and death. The focus of this project was to understand which valid and reliable suicide assessment tools described in the literature were considered the best evidence-based instruments to identify ED patients who were at risk for suicide. Peplau's theory of interpersonal relations guided this project. A systematic …

Clinicians' Attitudes Toward Sex Offender Treatment, Vallerie Hancock

Walden Dissertations and Doctoral Studies

Clinician attitudes toward a client have a significant influence on outcomes for that client's treatment. Exploring the attitudes of clinicians toward sex offenders can provide additional insights into methods to improve treatments for this population. The purpose of this qualitative grounded theory study was to examine the attitudes of clinical professionals who work with sex offenders to identify the specific ways that these attitudes influenced professional behaviors and client interactions. Grounded theory was used to move beyond a general description of the issue to formulate a theory regarding clinician work with sex offenders and its implications. The sample comprised 10 …

Journey With Autism: Successful Educational And Social Interventions From A Single Case Study, Kwame M. De Jonge-Moore

Dissertations

Problem

Statistics indicate that Autism Spectrum Disorder (ASD) is on the increase in America and worldwide (Xu, Strathearn, Liu, & Bao, 2018; Baio et al., 2018). Autism spectrum disorder can impair an individual’s ability to engage in neurotypical behavior, which has the potential to increase their vulnerability to being shunned and bullied. This makes autism a major societal concern with significant costs to the individual, their family, private/public health insurance, state financial aid programs, and to the nation. This present study was undertaken to determine, in the opinions of those connected to the case, whether the interventions engaged in this …

Aces Wild: Making Meaning Out Of Trauma Through Altruism Born Of Suffering, Jessica Gibson

Antioch University Dissertations & Theses

Childhood exposure to early adverse experiences is prevalent—affecting almost one-half of children from birth to 17 years old—and brings with it the potential for the long-lasting detrimental effects of traumatization. At the same time, a growing body of compelling evidence also suggests that many survivors of trauma exhibit more resilience and prosocial behaviors than individuals who have never experienced a traumatic event. This phenomenon has been coined altruism born of suffering (ABS); it is a relatively new concept in trauma research that seeks to better understand the possible positive outcomes of trauma. Building further beyond the concepts of resilience and …

Neurobehavioral Measurements Of Natural And Opioid Reward Value, Aaron Paul Smith

Theses and Dissertations--Psychology

In the last decade, (non)prescription opioid abuse, opioid use disorder (OUD) diagnoses, and opioid-related overdoses have risen and represent a significant public health concern. One method of understanding OUD is as a disorder of choice that requires choosing opioid rewards at the expense of other nondrug rewards. The characterization of OUD as a disorder of choice is important as it implicates decision- making processes as therapeutic targets, such as the valuation of opioid rewards. However, reward-value measurement and interpretation are traditionally different in substance abuse research compared to related fields such as economics, animal behavior, and neuroeconomics and may be …

Measuring Glutamate And Oxygen In Brain Reward Circuits In Animal Models Of Cocaine Abuse And Decision-Making, Seth Richard Batten

Theses and Dissertations--Psychology

Drug-specific reward and associated effects on neural signaling are often studied between subjects, where one group self-administers drug and a separate group self-administers a natural reinforcer. However, exposure to drugs of abuse can cause long-term neural adaptations that can affect how an organism responds to drug reward, natural reward, and their reward-associated stimuli. Thus, to isolate drug-specific effects it is important to use models that expose the same organism to all of the aforementioned. Multiple schedules provide a means of dissociating the rewarding effects of a drug from the rewarding effects of food within a single animal. Further, drug users …

Structure-Activity Relationship Studies Of Synthetic Cathinones And Related Agents, Rachel A. Davies

Theses and Dissertations

Synthetic cathinones and related agents represent an international drug abuse problem, and at the same time an important class of clinically useful compounds. Structure-activity relationship studies are needed to elucidate molecular features underlying the pharmacology of these agents. Illicit methcathinone (i.e., MCAT), the prototype of the synthetic cathinone class, exists as a racemic mixture. Though the differences in potency and target selectivity between the positional and optical isomers of synthetic cathinones and related agents have been demonstrated to have important implications for abuse and therapeutic potential, the two MCAT isomers have never been directly compared at their molecular targets: the …

Characteristics And Patterns Of Opioid-Related Overdoses Among Veterans, Sara Catherine Warfield

Graduate Theses, Dissertations, and Problem Reports (ETD)

BACKGROUND AND OBJECTIVES: The United States is in the midst of an opioid overdose crisis and is now considered a public health emergency. Given the alarming rise in opioid overdose deaths, there is an urgent need to understand the characteristics and risks associated with opioid overdoses. The objectives of this study were 1) to compare factors associated with different type of opioid overdose, 2) to determine the conditional probability of repeat overdose among veterans with a prior overdose event and corresponding probability of mortality for each overdose event and, 3) to identify cause-specific mortality rate of those who experienced a …

Supporting Nursing Home Staff Through Person-Centered Care Practices, Diana White, Sarah Dys, Jaclyn Winfree, Serena Hasworth, Ozcan Tunalilar

Institute on Aging Publications

Policies and practices have increasingly focused on person-centered care (PCC) to improve quality of life for long-term care residents and staff. Adequate staffing has been a consistent barrier to implementing and sustaining PCC practices. The purpose of this paper is to explore the association between job satisfaction and PCC practices. This research was conducted in a stratified random sample of 33 Oregon nursing homes which were representative in terms of quality, profit/nonprofit ownership, and urban/rural location. Data were collected from 415 staff who completed the staff assessment of person-directed care, direct care worker job satisfaction scale, turnover intention, and organizational …

Psychologists' Use Of Dogs In Psychotherapy: A Therapeutic Exploration, Christine A. Treece

Antioch University Dissertations & Theses

The current fund of literature documents the many benefits of using dogs as adjunct healing agents for both physical and psychological ailments. Despite the ever-growing body of research about dogs as adjunct interventions, there is a meager amount of information available about clinician’s experience of bringing their dogs to work with them. This dissertation is an in-depth exploration of six psychologists licensed in the state of Washington who brought their dogs with them to work. Each participant’s interview was analyzed using Interpretative Phenomenological Analysis. From their interviews, nine primary themes were identified: Reason for the Acquisition of Dog, Nature of …

Discovering Themes: Disability Identity Development As It Pertains To People Born With Spina Bifida, Elizabeth H. Scriven

Antioch University Dissertations & Theses

To date, disability identity development is a highly understudied construct. There are many models of disability, each interpret disability through a specific lens, but do not address the influence of disability on identity development. The few theories of disability identity that do exist have not been widely adopted. In addition, there is a lack of empirical evidence to support them. Another difficulty is that these theories do not separate different disability groups. Rather, the theories are applied to a broad heterogenous group of disability types. This is a problem because each disability type is quite distinct from the others and …

Is It Who Am I Or Who Do You Think I Am? Identity Development Of Adolescents With Substance Use Disorders, Danielle N. Treiber

Antioch University Dissertations & Theses

The purpose of this study was to unearth how adolescents with substance use disorders achieve the task of identity formation and the construction of self-concept in the midst of the drug culture and society that exists. It sought to uncover the social constructs designed to ignore and/or remove human complexities and allow an intersectional approach to be brought to a study on this population. Historically, there has been a failure to investigate the underlying social attitudes and behaviors that impact the very delicate and vulnerable process of finding self. Psychosocial and relational adjustment are strongly influenced by the extent to …

“We’Re Together”: An Exploration Of Interracial Couples’ Perceptions Of Support And Relational Therapy, Maxine Notice

Antioch University Dissertations & Theses

Interracial couples in the United States experience disproportionate amounts of adversity throughout their relationships. Backlash for loving interracially results in denied access to supportive systems, which literature indicates occurs commonly between micro and macro systems. Using ecological systems and narrative theories, a mixed methodological study was conducted using the Fragile Families Child and Wellbeing study to explore participant’s use of relational therapy and perceptions of access support systems. Subsequently, sixty interracial couple members completed a survey expressing perceptions of relational therapy, and the influence of support systems on their usage. Results indicate interracial and same-race couples attend relational therapy at …

Managing Professional Roles In Home-Based Family Therapy: A Study Of Marriage And Family Therapist Practices, Sharon Fitzgerald

Antioch University Dissertations & Theses

Since the 1980’s there has been a proliferation of home and community-based mental health services developed to meet the needs of families with children with severe emotional or behavioral problems as an alternative to residential or institutional placement (Macchi & O’Connor, 2010; Zarski, Pastore, Way, & Shepler, 1988). Despite this long history, home-based family therapists are still trying to define best practices for home-based family therapy (HBFT). In the literature, the management of professional roles has been defined as a practice element worthy of attention. For instance, in an analysis of home-based programs, researchers identified providers having multiple roles as …

The Experiences Of African American Marriage And Family Therapists: Their Contributions To The Marriage And Family Therapy Field, Leila Linntoya James

Antioch University Dissertations & Theses

In this dissertation, I seek to understand the factors that play a role in the success of African American Scholars in the Marriage and Family Therapy field, by conducting an extensive literature review of factors that may affect matriculation and retention through lived experiences. In the study, I use narrative inquiry, research questions and Husserlian Phenomenological methodology to explore the challenges important to the African American journeys toward success. In the first chapter, I introduced the criteria in which the study focused which highlighted four areas of accomplishments including clinical, teaching, supervision, and research. dissertation that follows. The second chapter …