Mental and Social Health Commons^™

It's About Time: Examining The Role Of Time Together And Perceived Stress In Couple Relationships, Rachel J. H. Smith

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Because stress is a common struggle in romantic relationships and because stress can spill over into couples’ interactions and affect their level of relationship connection, it is important to understand what can help couples adapt to stress and maintain meaningful relationships. Quality time together has been found to have positive effects on relationship outcomes overall. Additionally, family stress theory has posited that having sufficient resources can help couples adapt to stress and avoid a crisis situation. As such, time together was examined as a potential resource for couples to draw upon to adapt to the potential negative effects of perceived …

Examining Physical Activity Behaviors And Psychometric Beliefs Of College Students Before And After The Covid-19 Shutdown, James White Iii

Graduate Theses

Objectives: The purpose of this study was to examine PA behaviors, social support and self-efficacy for PA, Rosenberg self-esteem, and perceptions of body weight before and after the COVID-19 shutdown (March 15, 2020) among the college demographic.

Participants: 311 college students from a four-year, comprehensive, southeastern university in the United States were included in the study from December 1, 2020 until March 5, 2021.

Methods: Surveys were conducted via Qualtrics, an online survey system, and consisted of approximately 40 items, including demographic information, PA behaviors, social support and exercise, self-esteem, self-efficacy to exercise, and perceptions of body weight and self-image. …

Social Emotional Learning As A Universal Upstream Approach To Youth Suicide Prevention: A Secondary Data Analysis Of A Prevention Program Evaluation, Maria Amaris Knight

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Nevada has had consistently high rates of youth suicide in the past decade with 21.2 deaths by suicide per 100,000 population (ages 15-24), over the national rate of 14.5 deaths per 100,000 in 2019. National strategies, state agendas, and best practices in the field prioritize research on upstream strategies to prevent suicide. One such strategy is the use of social emotional learning (SEL) programs for youth to help increase and enhance protective factors against suicide, helping them to cope with negative life events. Research has identified leading outcomes of SEL programs as the improvement of attitudes, behaviors, and academic …

Improving Therapeutic Communication In Mental Health Nursing: A Quality Improvement Project, Patricia A. Nill

UNLV Theses, Dissertations, Professional Papers, and Capstones

Over 46 million adults in the United States (U.S.) live with a mental illness. Locally in Nevada, the psychiatrist to patient ratio is approximately 700:1, and patients are seen primarily in the inpatient setting, if seen at all, due to the wait average of 85 hours in the hospital emergency rooms for access into mental health hospitals or specialty units of a general hospital. Moreover, costs for mental health mood disorders alone are estimated at over seven million dollars annually. The Institute of Medicine (IOM) opined the need for change in healthcare to redesign practice and clinical communication with patients …

An Evaluation Of Care Coordination In Reducing Depression Symptoms And Emergency Room Visits, Stacy Sumpter

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background: Individuals living with multiple chronic conditions (MCC) account for 26% of the population; however, they consume 84% of healthcare resources, are three times more likely to have depression than healthy individuals, and have increase emergency room (ER) visits and healthcare resource use. This population requires coordinated health care to reduce unnecessary spending and the misappropriation of healthcare resources. The purpose of this project was to evaluate the efficacy of care coordination (CC) and the support system it provides in lowering depression symptoms and ER visit frequency as a viable measure to reduce overall healthcare costs.

Methods: The healthcare providers, …

Examining The Experiences Of Lgbtq Dpt Students: A Critical Ethnography, Catherine Turner

UNLV Theses, Dissertations, Professional Papers, and Capstones

The purpose of this study was to examine the experiences of LGBTQ Doctor of Physical Therapy (DPT) students at a large public university in the south-western United States, as it relates to the culture and climate of the program and campus. The LGBTQ community faces its own unique health disparities. Research in medicine suggests improving the diversity of the healthcare profession is a vital component in improving access to care, and this requires the creation of inclusive and supportive educational environments for LGBTQ identifying healthcare students. However, minimal research exists examining the experiences of LGBTQ physical therapy students.

The study …

A Comparative Study Of Recovery Ecosystems For Opioid Use Disorder In Portugal And Appalachia, Jonathan David Mullins

Undergraduate Honors Theses

A comparison of the structure and effectiveness of recovery ecosystems for opioid use disorder in Portugal and Appalachia, with a focus on identifying areas for improvement within the Appalachian region.

The Role Of Music In The Trauma Narrative And “Storytelling”: Perspectives Of Clinicians, Taylorlyn N. Mehnert

Masters Theses

There is a lack of detailed literature describing how music is used for expressing and processing the trauma narrative. This study used a constructivist grounded theory approach through an anti-oppressive lens to explore the ways in which music therapists use music in exploring clients’ stories. The term “story” is used as opposed to “narrative” or “memory” to incorporate a broader definition of expression including non-verbal, musical, metaphorical, or any other method the client chooses. Eight board-certified music therapists (MT-BC) were interviewed regarding their use of music in the context of clients’ stories. Braun and Clarke’s reflexive thematic analysis was used …

I Matter: Understanding The Self-Care Practices Of School Counselors During The Covid-19 Pandemic And How Internal And External Factors Create Barriers, Alisha Rene Marie Jones

Graduate Theses and Dissertations

Diminished self-care practices and heightened stress of school counselors is a continuing problem in education. With role ambiguity, high student-to-counselor ratios, emotional exhaustion, and others adding pressure to the roles and responsibilities of school counselors, this study investigated the self-care practices of Missouri school counselors and the internal and external factors which influence them, specifically within the context COVID-19. Clayton Alderfer’s (1972) Existence, Relatedness, and Growth theory was used as a theoretical framework for chosen self-care practices represented in this study and was supported by Robert Kegan’s and Lisa Lahey’s (2009) Immunity to Change theory to understand the competing commitments …

Laughter As A Priming Agent For Change, Linnea M. Heintz

Graduate Theses and Dissertations

The purpose of this study was to analyze the importance of laughter as a factor in influencing employee job satisfaction ratings. The Job Satisfaction Survey (Spector, 1985, 1997) and pulses of laughter were used in this study. To explore the relationship between laughter and job satisfaction, results of the Job Satisfaction Survey (Spector, 1994) were collected quarterly (four times a year) for three consecutive years, beginning six months prior to the start of the two-year study and six months post. The study sample was composed of 545 employees (34% male, 66% female) operating out of 10 employee-owned retail chain locations …

A Call To Action: Preventing Opioid And Substance Abuse In South Florida Youth, Julie A. Jacko, Katherine P. Cohen, Cathaerina Appadoo, Arkene S. Levy, Timothy F. Page, Michael J. Parker, Solina Pierre-Gilles, Francois Sainfort

HCA Healthcare Journal of Medicine

The opioid crisis poses a substantial threat to youth throughout the nation. This crisis has been exacerbated by the COVID-19 pandemic, reversing some of the positive national trends in the fight against the opioid epidemic. Some risk factors for youth opioid use have been identified nationally. The South Florida tri-county region of Miami-Dade, Broward and Palm Beach is a culturally distinct region which may not follow national trends and likely has unique risk and protective factors. To address the concerning spike in youth opioid use in South Florida, a community coalition was formed to identify factors unique to South Florida …

University Of Mississippi Student Perceptions Of The Relationship Between Stimulant Use And Mental Health, Elizabeth Mccutcheon

Honors Theses

College students are situated in a perfect storm for stimulant misuse and mental health issues, while living admits a mental health crisis of never-before-seen proportions, in combination with a global pandemic and the normal amount of stress associated with a university course load. It is important to address college student’s perceptions of the risks and benefits of stimulant use in order to see if they realize the severity of the problem of abuse and address it. The addiction of examining mental health in relation to stimulant abuse can provide new insight to the motivation behind the rise in stimulant abuse …

Impact Of Group Prenatal Care On Health Outcomes For Women Of Color In The United States: A Systematic Literature Review, Morgan Brockington, Emily Bauer, Julie Kameisha

Thinking Matters Student Research Symposium

Women of color in the United States experience disproportionately higher rates of adverse pregnancy-related outcomes, both in the prenatal and postpartum period. Group prenatal care (GPC) has been gaining popularity in recent years and has demonstrated improved health outcomes. The aim of this systematic literature review was to examine and summarize the impact of group prenatal care on health outcomes for women of color in the United States. Using a systematic approach and PRISMA guidelines, two electronic databases—CINAHL and PubMed—were used to search the literature. Quantitative research studies that were published in peer-reviewed journals between 2010 and 2020, written in …

The Impacts Of Social Media Sites Such As Instagram And Facebook On Emerging Adult’S Perceptions Of Self-Esteem And Body Satisfaction, Wynne Cushing, Samantha Shandorf, Courtney Piccirillo, Abby Frazier

Thinking Matters Student Research Symposium

This study investigated the impacts of social media use, specifically Facebook and Instagram, on emerging adults’ perceptions of self-esteem and body satisfaction. Limited research exists regarding the influence of demographic variables, such as gender, race, and geographic location, on the relationship between social media use and negative outcome variables. The researchers utilized a cross-sectional survey design with a target population of University of Southern Maine students. Researchers hypothesize that emerging adults who spend more time on Facebook and Instagram are more likely to have lower self-esteem and body satisfaction than emerging adults who spend little to no time on Facebook …

Opioid Use And Harm Reduction, Elise Bourassa, David Lee, Jason Rogers, Christian Silverthorne

Thinking Matters Student Research Symposium

Calls for various harm reduction approaches to the opioid epidemic are increasing in activist communities (Chapkis, 2020; Kennedy-Hendricks et al., 2019; Sederer & Marino, 2018). Given that harm reduction approaches, if implemented, will be provided by people in various helping professions, the current study investigates the relationship between choice of human service-focused college major and level of support for harm reduction interventions for people who use opioid drugs. A quantitative survey that aims to measure knowledge and perceptions of harm reduction strategies has been disseminated to students in social work, counseling, public health and nursing departments at the University of …

Educator Wellbeing During Covid-19: Caregivers Vs. Non-Caregivers, Elizabeth Larsen, Judy Gagnon, Yana Davis, Nicole Hudson

Thinking Matters Student Research Symposium

The phenomenon of the COVID-19 pandemic has dramatically changed the format of public education, putting stress on the educational system and its teachers. This research study aims to understand the impact of COVID-19 on the role of teachers in Maine, specifically focusing on the added responsibility that parents may experience while simultaneously meeting professional obligations. Researchers posed the question: “What is the relationship between caregiving responsibilities and emotional wellbeing of teachers during the COVID-19 pandemic among public school teachers in Maine?” Participants from K-12 public schools around the state were recruited through direct contact or via building administrators who distributed …

Clinicians Use Of Mindfulness-Based Practices During The Covid-19 Pandemic, Leah Ridley, Samuel J. Giese, Shelby Cogan, Chelsea Hughes

Thinking Matters Student Research Symposium

Alternative mental health treatments like mindfulness hold a great deal of promise, but limited research exists on their success and application with the adolescent population. This study investigates the primary research question, “What are the experiences of clinicians providing mindfulness-based treatment to school-aged children in Maine during the COVID-19 pandemic?” This explanatory mixed methods study involves a quantitative survey of clinicians, and will be followed by a virtual focus group to further unpack the value of mindfulness-based practices when working with school-aged children. Survey data will be analyzed using descriptive statistics and qualitative content analysis; focus group data will be …

Socastee Interview, Participant #16, April 29, 2021, Jennifer Mokos, Jaime Mccauley

Flood Survivor Interviews

A community member of the Rosewood neighborhood in Socastee is interviewed by a CCU student.

Personal Perceived Stigma And Mental Health In Sub-Saharan African Immigrant Students, Kiersten Millward

Public Health Sciences Student Work

Background Studies looking at perceived stigma and mental health in sub-Saharan African (SSA) populations have been limited to examining stigma in HIV-affected populations. Mental health issues are of increasing concern for college students, and this rise necessitates understanding perceived stigma in African immigrant students in the US to address their mental health care needs. Methods Data on SSA undergraduate and graduate students (n=723) was obtained from the 2016-2019 cycles of the Healthy Minds Network (HMN), an annual survey conducted on US university campuses. Perceived stigma was determined using agreement with the following statement: “Most people think less of a person …

Mental Help-Seeking Behavior In Sub-Saharan African College Students In The Us, Mabintu Donzo, Heather Edelblute, Zeinab Baba

Public Health Sciences Student Work

No abstract provided.

Given That Participation In “Shared Reading” Groups Appears To Increase Mindfulness And Improve Quality Of Life In Undergraduate Students, What Experiences Most Impact Participants?, Abigail Zimondi, Donald Mccown, King Frayneld, Abigail Kennedy, Victoria Maurone

Public Health Sciences Student Work

Purpose: Report on the qualitative data from a mixed-methods study that investigated effects of a specific literature-based intervention, Shared Reading (SR), on undergraduate students, and how adding formal mindfulness practice affects shared reading experience. Method: Qualitative data from post-intervention interviews explored participants’ experiences: 1) with the shared reading process; 2) with mindfulness practice, when included; 3) impact on the participant’s thinking or emotions of a particular story or character; 4) the participants’ relational experience within the group. Analysis applied grounded theory to understand and organize findings. Results: Analysis indicated that SR can be effective in reducing stress, improving attention, and …

Innovative Virtual Role Play Simulations For Managing Substance Use Conversations: Pilot Study Results And Relevance During And After Covid-19, Glenn Albright, Nikita Khalid, Kristen Shockley, Kelsey Robinson, Kevin Hughes, Bethany Pace-Danley

Publications and Research

Background: Substance use places a substantial burden on our communities, both economically and socially. In light of COVID-19, it is predicted that as many as 75,000 more people will die from alcohol and other substance use and suicide as a result of isolation, new mental health concerns, and various other stressors related to the pandemic. Public awareness campaigns that aim to destigmatize substance use and help individuals have meaningful conversations with friends, coworkers, or family members to address substance use concerns are a timely and cost-effective means of augmenting existing behavioral health efforts related to substance use. These types of …

The Value Of Community Psychiatric Services For The Elderly’S Dementia Caregiver Group: Exploring The Perspectives Of Participants, Elise Greto

Patient Experience Journal

Community Psychiatric Services for the Elderly (CPSE) at a large teaching hospital in Toronto has offered a monthly support group for caregivers of persons with dementia for over 30 years. Participants were surveyed in January 2018 about group attendance, benefits of attending the group, and areas for improvement. Results are shared in this case study. A total of 8 participants responded to the survey with a response rate of 47%. The feedback was predominantly positive. The most prevailing theme that emerged from the survey responses was group members’ appreciation for the opportunity to meet with one another to discuss relevant …

The Tree Cover And Temperature Disparity In Us Urbanized Areas: Quantifying The Association With Income Across 5,723 Communities, Robert I. Mcdonald, Tanushree Biswas, Cedilla Sachar, Ian Housman, Timothy M. Boucher, Deborah Balk, David Nowak, Erica Spotswood, Charlotte K. Stanley, Stefan Leyk

Publications and Research

Urban tree cover provides benefits to human health and well-being, but previous studies suggest that tree cover is often inequitably distributed. Here, we use National Agriculture Imagery Program digital ortho photographs to survey the tree cover inequality for Census blocks in US large urbanized areas, home to 167 million people across 5,723 municipalities and other Census-designated places. We compared tree cover to summer land surface temperature, as measured using Landsat imagery. In 92% of the urbanized areas surveyed, low-income blocks have less tree cover than high-income blocks. On average, low-income blocks have 15.2% less tree cover and are 1.5˚C hotter …

Gravely Disabled: The Vestigial Prong Of 5150 Designations, Diane Y. Byun

Journal of Law and Health

Effective July 1, 1972, California’s Lanterman-Petris-Short Act (“LPS Act”) set the precedent for modern mental health commitment procedures in the U.S. named after its authors, State Assemblyman Frank Lanterman and State Senators Nicholas C. Petris and Alan Short, the LPS Act sought to “end the inappropriate, indefinite, and involuntary commitment of persons with mental health disorder”; to “provide prompt evaluation and treatment of persons with mental health disorders or impaired by chronic alcoholism”; and to “guarantee and protect public safety.” Despite citing to these articles of intent, the LPS Act violates its own legislative intent through its inclusion of “gravely …

The Effect Of Smartphone Addiction And Self-Control On Phubbing Behavior, Binti Isrofin, Eem Munawaroh

Jurnal Kajian Bimbingan dan Konseling

Phubbing is a behavior of ignoring the interlocutor and focusing more on smartphones. This behavior, which is quite common recently, has a negative impact on social interactions. The purpose of this study was to analyze the effect of smartphone addiction and self-control on phubbing behavior. This study employed a correlational research design. Three hundred and seventy-nine samples involved in this study were recruited using random sampling techniques. The data were collected using the Smartphone Addiction Scale, Phubbing Scale, and Self-Control Scale. The data were analyzed using regression analysis assisted by JASP software version 0.11.10. The findings show that smartphone addiction …

Effectiveness Of Ehr-Depression Screening Among Adult Diabetics In An Urban Primary Care Clinic, Filipina C. Schnabel Md, Mph, Msn, Fnp-Bc, Danielle Aldridge Msn, Fnp-C, Laura Reed Dnp, Fnp-Bc

Doctor of Nursing Practice Projects

Background Diabetes mellitus (DM) and depression are important comorbid conditions that can lead to more serious health outcomes. The American Diabetes Association (ADA) supports routine screening for depression as part of standard diabetes management. The PHQ2 and PHQ9 questionnaires are good diagnostic screening tools used for major depressive disorders in Type 2 diabetes mellitus (DM2). This quality improvement study aims to compare the rate of depression screening, treatment, and referral to behavioral health in adult patients with DM2 pre and post-integration of depression screening tools into the electronic health record (EHR).

Methods We conducted a retrospective chart review on patients …

Does Internet Gaming Disorder Hinder Academic Performance?, Erwin Bramana Karnadi, Stevanus Pangestu

Jurnal Kajian Bimbingan dan Konseling

In 2018, the WHO has categorized gaming disorder as an official disease. One of the ways to estimate a person’s gaming disorder level or status is to use the IGD-20 Test. The purpose of our research is to determine whether or not internet gaming disorder (IGD) has a significant negative impact on academic performance using binary dependent and two-staged least squares models. We obtained data from 390 Indonesian university students, consisting of their academic performance, IGD level, gaming behavior, and several of their economic and demographic characteristics. We found that 5.13 percent of the respondents have IGD. Using both probit …

The Effect Of Focused Group Discussion To Enhance Students’ Understanding On Premarital Sexual Behavior Risks, Annisa Arrumaisyah Daulay, Syawaluddin Nasution

Jurnal Kajian Bimbingan dan Konseling

This study investigates the effectiveness of information service using a focus group discussion technique to improve students’ understanding on the risks of premarital sexual behavior. It used a quantitative experiment method with one group pretest-posttest design, while its 30 subjects were selected using purposive sampling. The data analysis process was carried out using a t-test. The research results indicate improved students’ understanding of the risks of premarital sexual behavior after they join information service with focus group discussion technique. Therefore, focus group discussion is effective to enhance students’ understanding of premarital sexual behavior risks.

Badranaya: A Board Game To Enhance Prospective Multicultural Counselors’ Impartial Character, Nora Yuniar Setyaputri, Yuanita Dwi Krisphianti, Rosalia Dewi Nawantara

Jurnal Kajian Bimbingan dan Konseling

The discriminative behavior upon individual personalities that multicultural counselors have frequently operated causes low neutrality in encountering an issue and individual labeling. That behavior indicates the counselors lack impartial character. Thus, this study aims to develop a guidance and counseling media of Badranaya (multicultural counseling board game) that promote unbiased character, referring to Semar’s great characters. It used modified Borg and Gall development procedures, while its data were obtained through valid and reliable experts assessment questionnaire and impartial character scale. The numerical data analysis results from guidance and counseling experts, as well as educational media development experts, signify that this …