Mental and Social Health Commons^™

Complex Thought For Complex Work: Preparing Cognitively Complex Counselors For Work In Diverse Settings, Alexandra C. Gantt

Counseling & Human Services Theses & Dissertations

Counselor education researchers have explored the need for high levels of cognitive complexity (CC) in mental health counselors due to its relationship with high quality counseling skills and counselor ways of being (e.g., Castillo, 2018; McAuliffe & Lovell, 2006; Ridley et al., 2011; Welfare & Borders, 2010b). In these studies, researchers have called for continued study of means of enhancing CC in counselors in training (CITs) through andragogical efforts (e.g., Castillo, 2018; Duys & Hedstrom, 2000; Welfare & Borders, 2010a). However, we do not have an understanding of minimally acceptable CC for graduating CITs. In this study, I explored counselor …

Multimodal Approach To Chronic Pain Management And Prevention Of Opioid Use Disorder, Hannah Elston

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Background. Chronic pain (CP) is a major public health problem that affects one-third of the population and can interfere with the activities of daily life and cause decreased quality of life. Patients with CP have been increasingly prescribed opioids, contributing to the rise in the opioid epidemic. Due to the long-term nature of CP, the use of opioids as the sole treatment for CP can cause tolerance and increased dosages overtime which can lead to addiction and potentially overdose. Therefore, CP treatment should include multimodal approaches to treatment to prevent opioid misuse, opioid use disorder (OUD), and overdose. Multimodal treatments …

The Effects Of The Transition From Pre-Nursing To Nursing On Mental Health, Andrew J. Davis, Paige R. Mullins, Kimberly A. Sell

Undergraduate Honors Theses

Mental health is an ever-growing crisis among adolescents and young adults, with suicide as second leading cause of death and the number of those negatively affected continually on the rise. Transitions are one of the major stressors prevalent among these age groups, placing individuals at risk for mental health deficits. This quantitative voluntary response comparative study assesses the transitional mental health of pre-nursing students and students in the nursing program at East Tennessee State University. Emailed to all with a declared major of pre-nursing or nursing, this study measured mental health using evidenced based assessment tools. The PHQ-9 for depression …

How Prison Systems Can Better Aid People With Substance Use Disorders, Avery Faires

College Honors Program

A large percentage of prisoners in the United States are suffering from a Substance Use Disorder (SUD), but many prisons across the country lack the proper resources to rehabilitate those with drug addictions. Incarcerated people with SUD face many dangerous and sometimes deadly consequences after release. My thesis addresses key associated questions: What role do prisons play in helping prisoners with SUD? And, how can they aid this population more effectively? When considering the breadth of such issues, I examine the sociohistorical context of drug policy in the U.S. to inform my analysis of the criminalization of substances, the greater …

Blood-Brain Barrier Dysfunction In Bipolar Disorder: Molecular Mechanisms And Clinical Implications, Ning O Zhao, Natasha Topolski, Massimo Tusconi, Erika M Salarda, Christopher W Busby, Anilkumar Pillai, Tatiana Barichello, Gabriel R Fries

Faculty, Staff and Student Publications

Bipolar disorder (BD) is a severe psychiatric disorder affecting approximately 1-3% of the population and characterized by a chronic and recurrent course of debilitating symptoms. An increasing focus has been directed to discover and explain the function of Blood-Brain Barrier (BBB) integrity and its association with a number of psychiatric disorders; however, there has been limited research in the role of BBB integrity in BD. Multiple pathways may play crucial roles in modulating BBB integrity in BD, such as inflammation, insulin resistance, and alterations of neuronal plasticity. In turn, BBB impairment is hypothesized to have a significant clinical impact in …

Experiential Learning Through Participatory Action Research In An Interdisciplinary Leadership Training Program, Jessica L. Franks, Stephanie D. Baumann, Marvin So, Angela M. Miles, Jorge M. Verlenden, Teal Benevides, Mark Crenshaw, Stephen Truscott, Daniel Crimmins

Developmental Disabilities Network Journal

Background: Experience in multidisciplinary collaboration among healthcare providers, leaders in public health, and educators is essential to effectively address the diverse needs of children with intellectual and developmental disabilities (I/DD) and their families.

Purpose: We describe three participatory action research (PAR) projects from an interdisciplinary training program, which used experiential learning to enhance leadership competencies and promote inclusive services. Trainees report their leadership growth as providers and advocates for children with I/DD using experiential learning through PAR.

Approach: Trainees discuss their engagement with organizations serving children with I/DD and ways that experiential learning supported leadership skill development, …

Hospital Readmission In Alcohol Use Disorder Patients: The Role Of Anti-Craving Medications And Discharge Disposition, Jordan Calabrese, Jonathon Brown, Mashtura Hasan, Samuel Neuhut, Young Jo

HCA Healthcare Journal of Medicine

Background

Alcohol use disorder (AUD) results in frequent hospital readmissions. Although the literature has shown the efficacy of anti-craving medications (ACM), they are infrequently prescribed upon discharge. The outcomes of discharge to substance use treatment facilities (STF) have also not been fully explored. This study seeks to determine the impact of ACM as well as discharge to STF on readmissions for people with AUD.

Methods

This retrospective case-control study analyzed encounters made within HCA Healthcare hospitals across the United States from 2016 to 2018 for adults with AUD. The case definition was the presence of ACM defined as acamprosate or …

A Mixed-Methods, Cross-Sectional Study Of Perceived Stigma Among Ugandans With Epilepsy, Carol Blixen, Martha Sajatovic

Faculty Scholarship

Background: Epilepsy is associated with stigma and negatively impacts the lives of people living with epilepsy (PLWE) and their immediate families. More understanding of the stigma and discrimination experienced by PLWE in sub-Saharan Africa is needed. Methods: In a cross-sectional, mixed methods study, forty- eight PLWE who met the study inclusion criteria were enrolled. In depth interviews and focus group discussions were conducted and were audiotaped and transcribed verbatim. Analysis was conducted using a thematic, constant comparative approach with an emphasis on dominant themes. Perceived stigma was measured using the Kilifi epilepsy stigma score. Associations between socio-demographic factors and Kilifi …

The Feasibility And Utility Of Harnessing Digital Health To Understand Clinical Trajectories In Medication Treatment For Opioid Use Disorder: D-Tect Study Design And Methodological Considerations, Lisa A. Marsch, Ching-Hua Chen, Sara R. Adams, Asma Asyyed, Monique B. Does, Saeed Hassanpour, Emily Hichborn, Melanie Jackson-Morris, Nicholas C. Jacobson, Heather K. Jones, David Kotz, Chantal A. Lambert-Harris, Zhiguo Li, Bethany Mcleman, Varun Mishra, Catherine Stanger, Geetha Subramaniam, Weiyi Wu, Cynthia I. Campbell

Dartmouth Scholarship

Introduction: Across the U.S., the prevalence of opioid use disorder (OUD) and the rates of opioid overdoses have risen precipitously in recent years. Several effective medications for OUD (MOUD) exist and have been shown to be life-saving. A large volume of research has identified a confluence of factors that predict attrition and continued substance use during substance use disorder treatment. However, much of this literature has examined a small set of potential moderators or mediators of outcomes in MOUD treatment and may lead to over-simplified accounts of treatment non-adherence. Digital health methodologies offer great promise for capturing intensive, longitudinal ecologically-valid …

Depression Is Associated With Myocardial Infarction Within A Two-Year Period Among Adults In China, Lydia W. Li, Greta Cheng, Hongwei Xu, Zhenmei Zhang, Jinyu Liu, Yeates Conwell

Publications and Research

We examined whether baseline depression is associated with MI within a two-year period among adults aged 45+ in China and whether the association varies by sociodemographic characteristics. Two-year longitudinal data from a nationally representative sample of people aged 45+ in China were analyzed (N = 15,226). MI within the 2-year period was coded dichotomously. Baseline depression, assessed by the 10-item Center for Epidemiological Studies Depression scale, was used as a dichotomous and a continuous variable. After adjusting for medical conditions, lifestyle and sociodemographic characteristics, the odds of having an MI within the 2-year period were 46% greater for respondents with …

Increased Risk Of Mental Illness Due To Epigenetic Alteration Of The Nr3c1 Gene After Early Life Adversity., Erin Mccue

Thinking Matters Student Research Symposium

Early life adversity (ELA), such as malnutrition, abuse, and economic disparity, is an issue commonly seen in adolescents, a group already facing increased risk for stress-related disorders. This review of current literature reveals that gestational stress exposure, as well as variations in maternal care during postnatal development, cause latent effects on the epigenome, specifically impacting the glucocorticoid receptors (GRs) encoded by the NR3C1 gene. GRs bind to glucocorticoids to regulate the body’s neuroendocrine stress response. However, in those with a history of ELA, the number of GRs is reduced, generating dysregulation within the hypothalamic-pituitary-adrenal (HPA) axis. Rodent studies are utilized …

How Autism Spectrum Disorder And Food Security Are Correlated With Childhood Affection And Mental Health In The United States: Results From The 2019 National Survey Of Children’S Health, Nicola Calabrese

Sociology & Anthropology Student Scholarship

Nicola Calabrese ’22
Major: Elementary and Special Education
Minor: Sociology
Faculty Mentor: Dr. Brandon Martinez, Sociology

This study examines the relationship between autism and mental health as well as affection rates amongst children. I analyze data from the 2019 National Survey of Children’s Health, a nationally representative sample of children aged 0 to 17, which was collected by the US Census Bureau. Multivariate binary logistic models reveal that children with autism are significantly less likely to be affectionate toward others. I also find that children diagnosed with autism are significantly more likely to be diagnosed with anxiety and depression, even …

Children Of Divorce Parents Group Manual, Sheyenne Hokit

Dissertations, Theses, and Projects

Divorce is something that is, unfortunately, becoming a commonality for a lot of children, and due to the complexity of divorce, many children struggle when trying to understand divorce and how it affects them. Some effects of divorce are various emotional and behavioral issues such as increased anger and decreased emotion regulation. Social, health, and academic concerns were also found. Counseling interventions like narrative therapy, emotion-focused family therapy, emotion-focused therapy, and play therapy were found to be effective with this population (Hirschfeld & Wittenborn, 2016, Thomas & Gibbons, 2009). The identified interventions provide peer-based social support, education on the misconceptions …

Increasing Physical Activity In Women With Obesity To Promote Weight Loss, Ashley N. Kohler

Evidence-Based Practice Project Reports

Obesity is a chronic disease associated with a multitude of lifelong chronic illnesses. Obesity impacts more than 42% of the United States population (CDC, 2021b). Physical inactivity is a major determinant of obesity (Muerer et al., 2019). The purpose of this evidence-based practice (EBP) project was to promote a greater reduction in body mass index (BMI) of the participants enrolled in an existing wellness program at the EBP practice site by increasing the physical activity level of the participants compared to standard protocol. The existing wellness program’s standard protocol included diet modifications, physical activity encouragement, and medication management. The EBP …

The Effect Of Social Media On Providence College Students, Kathryn Ernst, Margaret Grasberger, Allie Mcguire, Mairead Ryan

School of Business Student Scholarship

Kathryn Ernst ’24, Major: Marketing

Margaret Grasberger ’24, Major: Marketing

Allie McGuire ’24, Major: Marketing

Mairead Ryan ’24, Major: Marketing

Faculty Mentor: Dr. Kevin Newman, Marketing

Recent research indicates that social media usage is addictive both physically and psychologically. Due to the prevalence of social media, our group specifically wanted to study how its usage impacted Providence College students’ mental health, physical health, and communication skills (both in-person and online communication skills). We found that social media usage negatively affects students’ mental and physical health, with females being more impacted than males. However, we did not find evidence to support …

Long-Acting Antipsychotic Injectables Vs. Oral Antipsychotics: Comparing Compliance, Relapse, And Re-Hospitalization Rates, Latoria Boyland Bsn, Rn, Kara Darretta Bsn, Rn, Ansley Geno Bsn, Rn, Keevia Porter Dnp, Np-C, Rn

Doctor of Nursing Practice Projects

Purpose/Background Psychosis is a psychiatric disorder characterized by hallucinations and delusions. These symptoms not only negatively impact a patient’s quality of life but can also make treatment compliance difficult. This lack of treatment compliance ultimately leads to higher relapse and re-hospitalization rates among this population. Thus, it is imperative that effective treatments are developed, utilized, and made readily available for patients. Antipsychotics are medications that block dopamine D2 receptors. These medications are used for psychosis to help to improve patient outcomes. Currently, two routes of antipsychotic administration are available, oral antipsychotics or long-acting antipsychotic injections (LAIs). Oral antipsychotic administration requires …

College Students’ Psychological Well-Being During The Covid-19 Pandemic: An Investigation Based On Students’ Gender And Education Level, Muh. Farozin, Diana Septi Purnama, Budi Astuti, Arif Budi Prasetya, Anifa Tuzzuhroh Nurbaiti

Jurnal Kajian Bimbingan dan Konseling

This study aims to determine the level of psychological well-being based on gender and level of education being pursued during the Covid-19 pandemic. Participants are students from various faculties and postgraduate programs from diploma, undergraduate, professional education, masters and doctoral education levels in Yogyakarta, Indonesia. The instrument used is the Ryff Psychological Well-Being Scale which has been adapted by Engger with a content validity value of CVR equal to 1 which is in the good category and reliability is 0.935 in the good category. The data analysis used was Mann-Whitney non-parametric statistics for the different test of psychological well-being based …

Single Session Counseling Integrated With Expressive Art To Improve Students' Internet Altruistic Behavior, Ganjar Suargani, Mulawarman Mulawarman, Awalya Awalya

Jurnal Kajian Bimbingan dan Konseling

The internet is one of the means to obtain information, interact, and even provide help to others. To be able to give voluntary help based on empathy, one must have internet altruistic abilities. This study aims to determine the effectiveness of single-session counseling with expressive art integration to improve students’ altruistic behavior on the internet. This study used a randomized pretest-posttest control group design. The intervention in the experimental group used a single session counseling strategy that was integrated with expressive art. The control group was given an intervention in the form of individual counseling without using a single session …

Development Of Instrumen Eksplorasi Karier Anne Roe (Iekar) For Junior High School Students, Dhanang Suwidagdho, Edi Purwanta

Jurnal Kajian Bimbingan dan Konseling

This study aims to develop a career exploration instrument based on Anne Roe’s classification to help junior high school students explore their career options. The development method uses the Syaiffudin Azwar instrument development model with 8 stages, namely the identification of measuring objectives; measuring domain restrictions; operationalization of aspects; writing and reviewing items; language test; field tests; item selection and; final compilation. The field test was carried out on 306 junior high school students in the Godean area, Yogyakarta. The results of the CFA test show that all instrument items that make up the 8 career groups obtained fit results …

Impact Of Cyber Relational Addiction On Undergraduates’ Interpersonal Relationship In Nigeria, Mulikat Ladi Abdulqadir Mustapha, Michael Ajokpaniovo, Faith Elizabeth Olaoye

Jurnal Kajian Bimbingan dan Konseling

The upsurge in the use of cyberspace in recent years has led to pathological use for some individuals especially in the area of cyber relational addiction. This study aimed to investigate the influence of cyber relational addiction on interpersonal relationships and how variables of age, religion, levels of study, and gender of respondents moderate the influence of cyber relational addiction on their interpersonal relationships. This study employed a descriptive survey research design and administered a self-designed questionnaire on 420 randomly selected undergraduates from seven faculties at the University of Ilorin. A research question was answered in this study, while the …

Smartphone Addiction Among Adolescence Students: Its Implication Toward Family Communication, Learning, Guidance And Counselling, Adi Atmoko, Indah Kartika Sari, Augusto Da Costa, Nugraheni Warih Utami, Eny Tri Wahyuni

Jurnal Kajian Bimbingan dan Konseling

The symptoms of smartphone addiction have been extensively observed in adolescent students. This study aims to investigate the effects of smartphone addiction on students’ communication with their families, their learning, as well as guidance and counseling processes. The causal correlational design was applied, involving 103 participants selected total samplings of eighth-graders junior high school students. The data was garnered through the smartphone addiction scale and family communication scale. Both of those scales had item validity of 0.3, with Alpha Cronbach reliability of 0.937 and 0.850, respectively. The obtained data were analyzed using regression. The analysis results suggest that smartphone addiction …

An Exploration Of Psychological Trauma And Positive Adaptation In Adults With Congenital Heart Disease During The Covid-19 Pandemic, Liza Morton Dr, Calum Calderwood, Nicola Cogan, Claire Murphy, Evan Nix, Jacek Kolacz Dr

Patient Experience Journal

The growing population of adults with congenital heart disease (CHD) often have lifelong experience of dealing with potentially traumatic health crises and medical uncertainty whilst facing increased vulnerability to post-traumatic stress disorder (PTSD). The COVID-19 pandemic presents additional challenges for this population including increased risk of health complications, shielding and strict social distancing, changes to medical care provision and social stigma. Despite such challenges, adults with CHD have the potential to also experience positive changes, yet little is known as to what helps cultivate positive adaptation and post-traumatic growth (PTG) within this context. The current study comprised a cross-sectional, anonymous, …

Consumer Experience Of Mental Health Services During The Covid-19 Pandemic: Evidence From An Australian Mental Health System, Sarah Kelshaw, Jason Boyd, Irene Gallagher, Grant Sara

Patient Experience Journal

COVID-19 has increased the need for mental health care but disrupted its delivery. We examined impacts of the first year of the COVID-19 pandemic on consumer experience of NSW hospital and community mental health services, compared to their pre-COVID baseline. We also examined whether increased telehealth use was associated with changes in the quantity or experience of community mental health care. Data were 73,488 Your Experience of Service (YES) surveys from state mental health services in New South Wales (NSW), Australia, grouped into three periods: pre-COVID (January 2018 to March 2020), early-COVID (April to June 2020) and stable-COVID (July to …

Mourning The Marathon: Black Men Rappers, Homicide Survivorship Bereavement, And The Rap Tribute Of Nipsey Hussle, Melvin L. Williams, Justin K. Winley, Justin Causey

Far West Popular Culture Association Annual Conference

Eritrean-American rapper Ermias “Nipsey Hussle” Asghedom’s murder represented a cultural cataclysmic event that startled the hip-hop community and triggered previous memories of Black men’s homicidal deaths in rap and Black American urban communities. Nipsey Hussle’s death inspired touching rap tribute songs by Black men rappers, who sought to commemorate his cultural legacy and express their bereavement pains as homicide survivors. Rap tribute songs occupy a significant history, as rappers historically employed them to honor hip-hop’s fallen soldiers, communicate their homicide survivorship bereavement processes, and speak about social perils in the Black community. Framed by critical race (CRT) and gender role …

The Physician Suicide Crisis, Christian J. Leonardo

The Review: A Journal of Undergraduate Student Research

Abstract

Background: Mental health has been a serious issue among physicians over the past century. It is clear if we do not address this issue, the doctor shortage in America will continue to rise and the quality of care that patients receive will continue to deteriorate.

Methods: Literary research was conducted using both primary and secondary sources in order to find historical evidence of the mental health crisis among physicians.

Findings: It is clear that there is a mental health crisis among physicians by the staggering statistics that will be discussed throughout the paper. It is also evident that more …

The Women Of Owen Clinic And Their Impact On Rural Mental Health, Mallory Stanley

Manuscripts

The mid-1900s was a pivotal moment in reforming mental health treatment in American Psychiatry. This movement becomes particularly clear when examining the championing work of two women, Dr. Thelma V. Owen and Dr. M. G. Stemmermann, at a rural mental health facility located in Huntington, WV: Owen Clinic Institute. While mental health stigma was at an extreme high among the general population, many factors aligned to allow for a new era of mental health care, including deinstitutionalization, World War II, and the advocation of professionals in the field. In West Virginia, no two people were more outspoken and active in …

The State Of Mental Health In The Mountain West, Olivia K. Cheche, Kristian Thymianos, Katie M. Gilbertson

Undergraduate Research Symposium Podium Presentations

How do the Mountain West states (Arizona, Colorado, Nevada, New Mexico, and Utah) perform in the quality of mental health care services? How prevalent are mental health issues in the Mountain West? How accessible is the mental health workforce to adults and youth?

The Relationship Between Misophonia Sensitivity And Musicality, Mae Ling Catayong, Sarah Uganiza, William Smithers, Aileen Corral, Sivan Barashy, Solena Mednicoff, Destiny Gonzales

Undergraduate Research Symposium Posters

Misophonia is a condition characterized by negative emotional reactions to certain everyday sounds. Musicality involves Active Musical Engagement (AE), Self-reported Perceptual Abilities (PA), Musical Training (MT), Self-reported Singing Abilities (SA), Sophisticated Emotional Engagement with Music (EM), and General musical sophistication (GM). Numerous active musicians have self-reported having misophonia, while anecdotal reports have shown that music can help treat misophonia symptoms.

You Never Walk Alone: How Bts Supports Army Mental Health And Well-Being, Melissa Le

Undergraduate Research Symposium Posters

BTS is a seven-membered South Korean boyband with a fandom named "ARMY." Music is generally associated with increased mental health, but not all types of music genres have been studied yet. With the current rise of Korean popular music (K-pop), it is important to understand what makes this genre popular and why fans claim it has improved their mental health. As BTS is currently the most popular K-pop group globally, they provide a unique look at how their music can help fans with depression and anxiety.

The Impact Of Socioeconomic Status, Race, And Food Security On Mental And Physical Health, Andrea Delgado

Sociology & Anthropology Student Scholarship

Andrea Delgado ’22
Major: Sociology
Faculty Mentor: Dr. Brandon Martinez, Sociology

The purpose of this study is to examine how an individual‚ race, socioeconomic status, and their household food security are correlated with physical and mental health outcomes. We propose that those with lower socioeconomic status and food security, as well as Non-Whites, are negatively correlated with better physical and mental health outcomes.