Mental and Social Health Commons^™

Depression, Depression Literacy, And Sociodemographic Characteristics Of Korean Americans: A Preliminary Investigation, Kunsook Bernstein, Young-Me Lee, Philmon N. Gona, Shinhi Han, Soonsik Kim, Sun S. Kim

Publications and Research

Despite the rapid growth in the number of Korean Americans (KAs) and the alarmingly high prevalence of depression in this population, relatively little is known about the impact of depression literacy on KAs’ depression. This study investigated the prevalence of depressive symptoms among a community-based sample of KA adults; the associations among socio-demographic characteristics, depression literacy, and depressive symptoms; and predictors related to depressive symptoms. A sample of 600 KAs completed depression and depression literacy scales, as well as socio-demographic questionnaires. Data analyses were conducted to assess the association between depressive symptoms, depression literacy, and the covariates. Forty-five percent of …

A Quantitative Assessment Of Marital Quality Among Couples In Kerala, India, Grace Kochuparambil

Dissertations

The increasing number of divorces and domestic violence in Kerala, India points out the need to assess marital quality among couples in Kerala. The lack of assessment tools in the native language prevents evaluating Malayali couples' marital relationships. The purpose of the proposed study was to examine couples' marital quality in Kerala and validate the translated Marital Adjustment Questionnaire (MAQ) and Marital Quality Scale (MQS), the M-MAQ and the M-MQS, respectively. The instruments were translated into Malayalam through a forward and backward translation. A quantitative survey research design collected data from a criterion[1]based sample of 260 couples in Kerala using …

Use Of The Prescription Drug Monitoring Program For Substance Abuse Monitoring And Pain Management, Crystal P. Beddard

Electronic Theses and Dissertations

Abstract

The United States is in an opioid epidemic. The comitant use of opiates and benzodiazepines can ultimately result in death. This project consisted of a quality improvement approach addressing the continued need to educate prescribers on coprescribing benzodiazepines and opioids to the adult population. A qualitative and quantitative descriptive analysis was utilized for data collection. The results will assist in determining if accessing the Prescription Drug Monitoring Program (PDMP) and utilizing evidence-based guidelines before prescribing treatment compared to the nonutilization of the PDMP and evidence-based guidelines aid in the reduction of mortality and overdose rates within a three-month period. …

Mental Health Disorders Among Healthcare Workers During The Covid-19 Pandemic: A Cross-Sectional Survey From Three Major Hospitals In Kenya, Jasmit Shah, Aliza Monroe-Wise, Zohray Talib, Alphonce Nabiswa, Mohammed Said, Abdulaziz Abeid, Sood Mohamed, Mohamed Ali Mohamed, Sayed Karar

Internal Medicine, East Africa

Background: COVID-19 is an international global health emergency and has posed a great challenge to mental well-being and resilience. Little is known about the mental health impact of COVID-19 among healthcare workers (HCWs) in sub-Saharan Africa or other low-resource settings.

Methods: We conducted a cross-sectional study between August and November 2020 among HCWs recruited from three major hospitals in Kenya. The survey questionnaire consisted of six components: demographic and work title characteristics; information regarding care of patients with COVID-19; and symptoms of depression, anxiety, insomnia, distress and burnout, measured using standardised questionnaires. Multivariable logistic regression analysis was performed …

Changes In Student Behaviors And Policy Opinion Regarding E-Cigarettes At A Kentucky University From 2014 To 2018, Jason W. Marion, Alina Strand, Elliott Baldridge

EKU Faculty and Staff Scholarship

The behaviors and opinions regarding e-cigarette use and campus policies prohibiting vaping vary greatly among college students nationally. Kentucky is one of the four U.S. states with the highest tobacco use prevalence, and characterizing e-cigarette use, trends and policy opinions among Kentucky undergraduates may inform interventions. To characterize population-level differences in e-cigarette-related behaviors and policy opinions among undergraduates from 2014 to 2018, results from two cross-sectional surveys (2014 and 2018) from a public regional university in south-central Kentucky were analyzed. Students from randomly selected undergraduate general studies courses completed a 5-minute in-class survey. Data were obtained from 514 and 519 …

Shu Altop News Issue #3, Summer, Dr. Susan L. Davis, Rn & Richard J. Henley College Of Nursing

News, Magazines and Reports

Updates from the Davis & Henley College of Nursing Sacred Heart University Alternatives to Opioids for Pain Grant.

Alternatives to Opioids for Pain (ALTOP) is a HRSA funded project to help combat the opioid epidemic in Connecticut.

Medicate And Segregate: How Due Process Fails To Protect Mentally Ill Inmates From Medically Inappropriate Confinement And Restraint, Peter J. Teravskis

Minnesota Journal of Law, Science & Technology

No abstract provided.

Unsupervised Machine Learning For Identifying Challenging Behavior Profiles To Explore Cluster-Based Treatment Efficacy In Children With Autism Spectrum Disorder: Retrospective Data Analysis Study, Julie Gardner-Hoag, Marlena N. Novack, Chelsea Parlett-Pelleriti, Elizabeth Stevens, Dennis Dixon, Erik Linstead

Engineering Faculty Articles and Research

Background: Challenging behaviors are prevalent among individuals with autism spectrum disorder; however, research exploring the impact of challenging behaviors on treatment response is lacking.

Objective: The purpose of this study was to identify types of autism spectrum disorder based on engagement in different challenging behaviors and evaluate differences in treatment response between groups.

Methods: Retrospective data on challenging behaviors and treatment progress for 854 children with autism spectrum disorder were analyzed. Participants were clustered based on 8 observed challenging behaviors using k means, and multiple linear regression was performed to test interactions between skill mastery and treatment …

The Effect Of Anticipatory Anxiety On Fear Extinction Learning, Daniela C. Echeverria

Dissertations, Theses, and Capstone Projects

Adaptive regulation of fear is dependent on successful fear extinction learning; therefore, investigating factors that both enhance and diminish fear extinction learning is a critical line of research. In the present study, we induce mild anticipatory anxiety during fear extinction learning in an attempt to modulate how participants extinguish fear memory. In the experiment, we apply a classic three-day fear learning protocol to both control participants (N = 20) and an experimental group (N = 20) with fear acquisition, fear extinction, and fear recovery phases; each phase is separated by a period of 24 hours and we use a skin …

Characterization Of Time-Variant And Time-Invariant Assessment Of Suicidality On Reddit Using C-Ssrs, Manas Gaur, Vamsi Aribandi, Amanuel Alambo, Ugur Kursuncu, Krishnaprasad Thirunarayan, Jonathan Beich, Jyotishman Pathak, Amit Sheth

Publications

Suicide is the 10th leading cause of death in the U.S (1999-2019). However, predicting when someone will attempt suicide has been nearly impossible. In the modern world, many individuals suffering from mental illness seek emotional support and advice on well-known and easily-accessible social media platforms such as Reddit. While prior artificial intelligence research has demonstrated the ability to extract valuable information from social media on suicidal thoughts and behaviors, these efforts have not considered both severity and temporality of risk. The insights made possible by access to such data have enormous clinical potential - most dramatically envisioned as a trigger …

Racial And Ethnic Disparities In Opioid Use For Adolescents At Us Emergency Departments, Michael T. Phan, Daniel M. Tomaszewski, Cody Arbuckle, Sun Yang, Candice D. Donaldson, Michelle A. Fortier, Brooke Jenkins, Erik Linstead, Zeev N. Kain

Pharmacy Faculty Articles and Research

Background

Racial/ethnic disparities in the use of opioids to treat pain disorders have been previously reported in the emergency department (ED). Further research is needed to better evaluate the impact race/ethnicity may have on the use of opioids in adolescents for the management of pain disorders in the ED.

Methods

This was a cross-sectional study using data from the National Hospital Ambulatory Medical Care Survey from 2006 to 2016. Multivariate models were used to evaluate the role of race/ethnicity in the receipt of opioid agonists while in the ED. All ED visits with patients aged 11–21 years old were analyzed. …

Teachable Moments, John E. Franklin

Journal of Transformative Touch

A Veterinarian's Induction into the Feldenkrais Method and the Dynamic Systems Approach to the Development of Cognition and Action.

The Biopsychosocial Model And Clinical Decision Science In The Age Of Black Lives Matter: A Clinical Reflection, Abdul-Rahman M. Suleiman, Samer Ilayan

Clinical Research in Practice: The Journal of Team Hippocrates

The author reflects on the biopsychosocial considerations of elevated blood pressure in teenage African American youth during the era of Black Lives Matter (BLM). Parallels are drawn between Dr. Engel’s biopsychosocial model and clinical decision science.

They Used Expressive Writing With Their Therapist, Lindsay Mccue

School of Psychology, Family, and Community Research Conference

This study aims to explore the effect that expressive writing could have as an intervention for improving self-compassion, anxiety, depression, and stress associated with relational distress in a therapeutic environment. Participants will be split into two groups, and both will attend therapy with a focus on a relational problem in their life. The control group will receive 8 talk therapy sessions, while the intervention group will receive 5 talk therapy sessions and 3 sessions focusing on an expressive writing assignment. Participants will be screened for recent traumatic events, will need to be over the age of 18, and will need …

Narrative Therapy Effectiveness In Adult Patients Undergoing Chemotherapy Cancer Treatment, Gretchen Hoyum

School of Psychology, Family, and Community Research Conference

It is very common for cancer patients to experience depression while undergoing treatment (Vega et al., 2014). Previous studies have tested the effectiveness of several types of therapeutic interventions for depression in cancer patients. However, few studies have focused on the use of narrative therapy specifically in this population. This study seeks to test the effectiveness of narrative therapy for cancer patients currently undergoing chemotherapy treatment using the PHQ-9 and White's maps of narrative therapy (Kroenke et al. 2001; 2007).

How Effective Is Polyvagal Theory On The Long-Term Reduction Of Ptsd Symptoms In Adolescents?, Kristyna Richards

School of Psychology, Family, and Community Research Conference

This longitudinal study is focused on using the Polyvagal theory and identifying its efficiency in reducing PTSD symptoms in adolescents between the ages of 13-18. Launching into early adulthood with a dysregulated nervous system presents challenges for the client both physiologically and psychologically. While talk-therapy is effective in helping a client psychologically process the trauma, it often does not address the clients physiological state of the stored trauma. Without intervention to the clients physiological system, symptoms of the PTSD can persist and increase risk for psychological and physical comorbidities as well as increase the likelihood of intergenerational trauma within relational …

Exploring The Therapeutic Alliance In Eft When Addressing Race And Cultural Differences., Ashley Kortman, Deyja Kauffman

School of Psychology, Family, and Community Research Conference

This study aims to explore the therapeutic alliance in EFT when addressing race and cultural difference between a non-white client and a white therapist. This quantitative study will survey 100 non-white clients receiving therapy from a white therapist. Subjects will participate in 10 sessions of therapy with a white therapist practicing EFT. Half of the clients will see a traditional EFT therapist, while the other half will see an EFT therapist who has gone through specialized training in cultural attunement. Using a modified Helping Alliance Questionnaire (Luborsky, et al. 1996), with additional questions concerning race and culture, we will measure …

Implications Of Cultural Awareness On Healthcare Access In Marginalized Communities, Allison Davis, Diana Melman

School of Psychology, Family, and Community Research Conference

While the Covid-19 pandemic has had global effects, community inequalities have led to a diversity of specific impacts. Covid-19 has specifically impacted marginalized communities at a higher rate, and a common theme has emerged highlighting a disparity in healthcare access, leading to these communities being left behind. As current literature is being released during the pandemic, data has uncovered some technical details of new challenges in healthcare access. In addition, individuals from marginalized communities may place a higher importance of cultural competency in their health care. This proposal aims to identify the ways in which access to telehealth has impacted …

Integration Of Systemic Family Therapy And Attachment-Focused Approach With Adoptive Families: Impacts On Attachment In Child-Parent Interactions, Julianne Park

School of Psychology, Family, and Community Research Conference

Attachment deficits are prevalent among adoptive children especially after their first year in adoption (van den Dries, 2009). While treatment with the focus on the attachment needs of adopted children and adoptive parents’ attunement has been increasingly discussed, not much has been researched on the effectiveness of the family systems approach, including the exploration of the parents’ emotional experiences around adoption. In addition, more studies that strictly focus on treating adoptive children’s attachment issues after their first year of adoption are needed. By incorporating the Taking Care of Adoption (TCA) model, which is based on the integration of a family …

Assessing Effectiveness Of Minecraft-Based Interventions To Improve Interpersonal Skills Of Youth With Autism Spectrum Disorder, Linh Truong, Susan Dorn

School of Psychology, Family, and Community Research Conference

Teenagers with Autism Spectrum Disorder (ASD) experience bullying and social exclusion more than typically developing teens which can lead to feelings of depression and anxiety. These consequences are related to significant impairments in social reciprocity, a core feature of ASD. Face-to-face social skills training (SST) like the Program for the Education and Enrichment of Relational Skills) for Adolescents (PEERS) has been found to increase social skills for youth with ASD. Can these SSTs be brought online? Minecraft, a versatile online platform and a shared language among teenagers across the globe has been used therapeutically to increase social skills (i.e. social …

Cultural Values And Sexual Satisfaction In Interracial Relationships, Alisha Le Beau, Sierra Phelps

School of Psychology, Family, and Community Research Conference

This research aims to investigate cultural values in interracial couples and its impact on sexual satisfaction. Participants will be recruited to volunteer from interracial couple support groups in Washington state. Based on self-report, we will gather demographic information about our participants’ gender, race, age, relationship status, identified cultures, and faith background. We predict that the greater the differences between cultural value sets and expectations within an interracial couple, the more communication and potential compromise will be needed in order to achieve sexual satisfaction. Therefore, we hypothesize that increased differences in cultural values will decrease sexual satisfaction within interracial couples.

Impact Of Racism On The Use Of Intrusive Interventions, Marissa Mackey

School of Psychology, Family, and Community Research Conference

The American law enforcement’s disproportionate maltreatment and violence against the BIPOC community has become a mainstream social issue. Since racism and discrimination have been interwoven into American society since the country’s origin it is negligent to think that differential and unfair treatment starts and ends with police. Using the data from this study we will examine the relationship between racial minority status and the rate of use of intensive interventions such as restraints and seclusion in inpatient mental health facilities. The results of this study can be used to inspire future research into how to create equity within inpatient organizations, …

Measuring Countertransference And Self-Care For Therapists During Covid-19 And Telehealth, Elliott Duea

School of Psychology, Family, and Community Research Conference

The sudden onset of a global pandemic put therapists in a unique position; therapists that have always practiced in an office found themselves providing therapy from their homes. With this change, this study seeks to measure two things: the first goal of this study is to determine if therapists have encountered more instances of countertransference since practicing in their homes. And the second goal of the study is to determine if it has been more difficult to practice self-care since seeing clients at home over telehealth.

Effectiveness Of Telehealth In Treating Eating Disorders, Kylee Hellstern, Julia Robison

School of Psychology, Family, and Community Research Conference

Eating disorders have been increasing in severity and frequency during the COVID-19 pandemic. Individuals are experiencing lockdown, isolation, increased fear of exposure and contraction, and disruption in regular routine. Clients and clinicians are being encouraged to conduct therapy virtually and through a screen. While almost all treatment has been moved online, little to no research has been done on telehealth’s effectiveness on treatment of eating disorders. The purpose of this proposed study is to collect quantitative data on the effectiveness of telehealth as a means of treatment for eating disorders during the COVID-19 pandemic.

Effects Of Trauma-Informed, Culturally Adaptive Efit Among U.S. Cambodian Refugees, Liane Whang

School of Psychology, Family, and Community Research Conference

The aim of this study is to evaluate the effects of culturally adaptive, trauma-informed Emotionally Focused Individual Therapy (EFIT) on Cambodian refugees with PTSD, depression, and/or somatic symptom disorder. Participants will be drawn from a geographical area with the largest concentration of Cambodian Americans in the Seattle, Washington area. Eligible participants are adults who have been diagnosed with PTSD, major depression, and/or somatoform disorders who have lived in Cambodia at some point during the Khmer Rouge regime before resettling in Seattle. Half of the participants will be offered trauma-focused EFIT while the other half will receive their usual psychiatric and …

Effectiveness Of Emotionally Focused Family Therapy (Efft) In Adults Experiencing Anorexia Nervosa., Lea Fingerhut

School of Psychology, Family, and Community Research Conference

Anorexia nervosa (AN) is one of the most lethal and debilitating psychiatric disorders with a long recovery rate, underscoring the need for efficacious treatment. Although research has made significant advances in individual and systemic treatment options for AN, none have examined the use of family-based treatment options with adults experiencing AN. The following study aims to explore the efficacy of emotionally-focused family therapy (EFFT) in the treatment of AN.

Life Satisfaction In Family Caregivers Taking Care Of Someone With Dementia: A Comparison To Informal Caregivers And Non-Caregivers., Raelynn Johnston

School of Psychology, Family, and Community Research Conference

There are an estimated 30 million individuals with dementia and that number is likely to doubles every twenty years. Individuals with dementia typically need additional support, which comes from caregivers. It is important to look at the life satisfaction of caregivers, both family and informal, compared to non-caregivers (Brodaty & Donkin, 2009). Caregivers experience higher rates of depression, stress, health complications, and lower rates of life satisfaction (Borg & Hallberg, 2006). This has clinical implications as it can demonstrate how therapists can provide resources and tools for caregivers to reduce depression, stress, and burden. This study aims to explore the …

Is Solution-Focused Brief Therapy In School-Based Settings Effective In Reducing Self-Harm Tendency Behaviors In Adolescents?, Enas Albar, Violet Ohsiek

School of Psychology, Family, and Community Research Conference

About 16% of adolescents have engaged in deliberate self-harm (Muehlenkamp et al., 2012). These adolescents will experience a range of negative effects and can possibly engage in other high-risk behaviors (Westers & Plener, 2020). Solution-focused brief therapy is known to be cost-effective and applicable in school-based settings (Szlyk, 2018). Since teens are more likely to receive support in school settings, examining the effectiveness of SFBT is beneficial. Applying solution-focused brief therapy in a school-based setting will decrease self-harm tendency behaviors in adolescents. Our sample size will include both male and female participants ages 12-18 years old. Using data from collected …

Transcriptional Analysis Of The Response Of C. Elegans To Ethanol Exposure, Mark G. Sterken, Marijke H. Van Wijk, Elizabeth C. Quamme, Joost A. G. Riksen, Lucinda Carnell, Laura D. Mathies, Andrew G. Davies, Jan E. Kammenga, Jill C. Bettinger

Biology Faculty Scholarship

Ethanol-induced transcriptional changes underlie important physiological responses to ethanol that are likely to contribute to the addictive properties of the drug. We examined the transcriptional responses of Caenorhabditis elegans across a timecourse of ethanol exposure, between 30 min and 8 h, to determine what genes and genetic pathways are regulated in response to ethanol in this model. We found that short exposures to ethanol (up to 2 h) induced expression of metabolic enzymes involved in metabolizing ethanol and retinol, while longer exposure (8 h) had much more profound effects on the transcriptome. Several genes that are known to be involved …

The Disproportionate Impact Of Covid-19 On Women, Ava Stallone

Honors Scholar Theses

The impact of COVID-19 is placing a large strain on women. This can be seen through reports of mental health and financial concerns. Women are more vulnerable to COVID-19 related economic effects due to existing gender inequalities, which in turn may also have a negative effect on mental health. Through this study gender disproportion is looked at between mental health and COVID-19 financial concerns among women and men. The aim is to asses how COVID-19 financial concerns may be contributing to stress, anxiety, and depression. It is hypothesized that; women will report worse mental health and greater economic concerns than …