Mental and Social Health Commons^™

Insurance Coverage During Transitions: Evidence From Medicaid Automatic Enrollment For Children Receiving Supplemental Security Income, Stephanie Rennane, Danielle Sobol, Bradley D Stein, Andrew Dick

Faculty, Staff and Student Publications

OBJECTIVES: To analyze relationships between Medicaid automatic enrollment for child Supplemental Security Income (SSI) recipients and health insurance coverage during transitions.

DATA SOURCES AND STUDY SETTING: Medical Expenditure Panel Study, 2000-2020 and National Survey for Children with Special Health Care Needs, 2001-2010.

STUDY DESIGN: Leveraging variation in SSI-Medicaid automatic enrollment status across regions and over time, we estimate a regression model to quantify associations between automatic enrollment and insurance coverage. We validate our findings in the NS-CSHCN.

DATA COLLECTION: Our sample includes children receiving SSI for a disability. We also analyze a subsample of children newly enrolled in SSI.

PRINCIPAL …

Sociodemographic And Patient Reported Outcomes By Racial And Ethnicity Status Among Participants In A Randomized Controlled Trial For Methamphetamine Use Disorder, Chukwuemeka N Okafor, Thomas Carmody, Angela L Stotts, Gavin Bart, Taryn L Mayes, Tara Karns-Wright, Madhukar Trivedi, Steve Shoptaw, Jennifer S Potter

Faculty, Staff and Student Publications

Background: There has been a significant increase in methamphetamine use and methamphetamine use disorder (Meth UD) in the United States, with evolving racial and ethnic differences.

Objectives: This secondary analysis explored racial and ethnic differences in baseline sociodemographic and clinical characteristics as well as treatment effects on a measure of substance use recovery, depression symptoms, and methamphetamine craving among participants in a pharmacotherapy trial for Meth UD.

Methods: The ADAPT-2 trial (ClinicalTrials.gov number, NCT03078075; N=403; 69% male) was a multisite, 12-week randomized, double-blind, trial that employed a two-stage sequential parallel design to evaluate the efficacy of combination naltrexone (NTX) …

Development Of An Antioxidant-Rich Sugar-Free Plantain Candy And Assessment Of Its Shelf Life In A Flexible Laminate, Poulami Sarkar, Paramita Bhattacharjee, Bidhan Das

Faculty, Staff and Student Publications

RESEARCH BACKGROUND: Candy is a popular confection worldwide, and it would be beneficial to society if it were converted into a source of antioxidant molecules to eliminate its adverse health effects. The amount of antioxidants available even in fruit candies is questionable due to the high thermal processing losses they undergo and the presence of various food additives. Plantains (

EXPERIMENTAL APPROACH: To accomplish the first objective, lyophilized plantain powder, sorbitol and mannitol were used as base materials with minimal additives under minimal processing conditions to reduce processing loss. Sensory, proximate, physicochemical and phytochemical properties, including the antioxidant synergy among …

Trends In Shortages Of Lead Chelators From 2001 To 2022, James D Whitledge, Pelayia Soto, Kieran M Glowacki, Diane P Calello, Erin R Fox, Maryann Mazer-Amirshahi

Faculty, Staff and Student Publications

OBJECTIVE: The study aims to describe drug shortages affecting lead chelators in the United States from 2001 through 2022.

METHODS: Drug shortage data were retrieved from the University of Utah Drug Information Service from January 1, 2001, through December 31, 2022. Shortages of first- and second-line lead chelators were analyzed. Drug class, formulation, administration route, shortage reason, shortage duration, generic status, single-source status, and presence of temporally overlapping shortages were examined. Total shortage months, percentages of study period on shortage, and median shortage durations were calculated.

RESULTS: Thirteen lead chelator shortages were reported during the study period. Median duration was …

Pharmacokinetic Analysis Of A Phenobarbital Overdose Treated With Urinary Alkalinization Alone, Justin Seltzer, Jeremy Hardin, Henrik Galust, Nathan Friedman, Bryan Corbett, Richard F Clark

Faculty, Staff and Student Publications

Phenobarbital is a long-acting barbiturate used to treat alcohol withdrawal and epilepsy. Acute overdoses present with varying levels of central nervous system depression and large overdoses can be life threatening. Phenobarbital is an attractive candidate for enhanced elimination using urinary alkalinization given it is a weak acid with a long half-life and extensive urinary elimination. Limited human data exist regarding use of urine alkalinization for the treatment of phenobarbital overdose. We present a fourteen-year-old female who was treated with urinary alkalinization alone following an intentional ingestion of 3800 mg (84.4 mg/kg) of phenobarbital tablets. Urine drugs of abuse screening was …

I See You! Play: A Therapeutic Playgroup For Caregivers And Their Intensive Care Group Infants, Mariana Cerqueira Aokalani

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

This paper articulates a new therapeutic playgroup for caregivers of Intensive Care Unit (ICU) infants, named I See You! Play. This intervention is an adaptation of WePlay! (Gross et al., 2021), a cooperative learning and therapeutic playgroup for caregivers and their children from 6 to 36 months old. Dr, Tracy Vozar developed this program inspired by Saleem Penny’s program with the same name in Chicago. Parents of ICU infants face several challenges that can affect their experience of parenthood, their parenting skills, caregivers' sensitivity, their mental health, and their relationship with their premature infant. This in turn affects infant’s attachment …

Caring For Our Colleagues: A Guide For Compassionate Action, Karen Foster Dds

Metro Denver Dental Society Articulator Magazine

This article emphasizes the importance of prioritizing mental health in the dental profession, offering strategies for recognizing warning signs and encouraging proactive support for colleagues in distress, with resources available for assistance.

A Cost-Effectiveness Analysis Of Telehealth Vs. Office-Based Delivery Of Buprenorphine At The Addiction And Substance Abuse Program (Asap) Clinic - University Of New Mexico Hospital: A Societal Perspective, Rana Alkhafaji

Pharmaceutical Sciences ETDs

This study evaluates the cost-effectiveness of office-based versus telehealth delivery of buprenorphine treatment for opioid use disorder (OUD). A retrospective chart review of 135 patients at the University of New Mexico Hospital's Addiction and Substance Abuse Program compared retention rates and costs between the two settings. Retention was defined as continuous treatment for at least six months. No statistically significant difference in retention rates was found, with 51% for office-based and 42% for telehealth. However, office-based treatment had higher total costs, with an incremental cost-effectiveness ratio of $3,750 per 1% increase in retention. The findings suggest telehealth is a cost-effective …

Conceptualizing Recovery From Mental Illness In Indonesia: A Scoping Review, Flora Cohen, Agus Sugianto, Hans Pols, Clement Bayetti

Makara Human Behavior Studies in Asia

Understanding how recovery is defined and realized across different cultural contexts is vital to upholding the dignity and rights of people with mental illnesses. Within the Indonesian context, there is a dearth of research on conceptualizations of recovery from mental illnesses. Questions remain regarding the extent to which service users and providers share common definitions of recovery. We conducted a scoping review to interrogate current definitions of recovery from the perspectives of the various actors working with people with lived experiences of mental illness and extreme mental distress. We found that definitions of recovery differ across multiple domains and include …

Online Mental Health Help Seeking Behaviors Among College Students, Rachel Johnson, Monica Nandan, Brian Culp, Dominic Thomas

Faculty Articles

Even before the pandemic, utilization of online mental health resources continues to grow among young adults. There is limited research on online help seeking behaviors, let alone specific research on college students’ online mental health help seeking behaviors. This study aims to identify which terminology college students utilize on online search engines to seek assistance related to mental health. A cross-sectional survey design was used during the 2019-2020 academic year. The respondents consisted of 259 college students at one of the 50 largest public institutions of higher education in the Southeastern United States. Overall, the sample data suggests that college …

Rebuilding The Health Sector In Gaza: Alternative Humanitarian Voices, Karl Blanchet, Martine Najem, Lina Shadid, Rouba Ali Fehmi, Fawzi Al Hammouri, Ghassan Saed, Khaled J Saleh, Mosab Nasser, Nidal Moukaddam, Jonathan Polonsky, Omar Lattouf

Faculty, Staff and Students Publications

In November 2023, a variety of disparate health organizations formed an international coalition to consolidate efforts and develop collaborative strategies in response to the increasing critical healthcare challenges caused by the recent war in Gaza. The coalition includes medical and public health experts, humanitarian practitioners, academics, and health policy-makers from across the world. Their membership has not much to do with mainstream humanitarian organisations. It is lead by the diaspora from the region. Their vision is the long-term reconstruction of the health system in Gaza while responding the most urgent needs. This collective effort will require explicit efforts to speak …

Presynaptic Nanoscale Components Of Retrograde Synaptic Signaling, Benjámin Barti, Barna Dudok, Kata Kenesei, Miklós Zöldi, Vivien Miczán, Gyula Y Balla, Diana Zala, Mariana Tasso, Claudia Sagheddu, Máté Kisfali, Blanka Tóth, Marco Ledri, E Sylvester Vizi, Miriam Melis, László Barna, Zsolt Lenkei, Iván Soltész, István Katona

Faculty, Staff and Students Publications

While our understanding of the nanoscale architecture of anterograde synaptic transmission is rapidly expanding, the qualitative and quantitative molecular principles underlying distinct mechanisms of retrograde synaptic communication remain elusive. We show that a particular form of tonic cannabinoid signaling is essential for setting target cell–dependent synaptic variability. It does not require the activity of the two major endocannabinoid-producing enzymes. Instead, by developing a workflow for physiological, anatomical, and molecular measurements at the same unitary synapse, we demonstrate that the nanoscale stoichiometric ratio of type 1 cannabinoid receptors (CB1Rs) to the release machinery is sufficient to predict synapse-specific release probability. Accordingly, …

A Qualitative Exploration Of Well-Being In Cancer Survivorship: Implications For Counselors, Hallie M. Sylvestro, Lindsey K. Umstead, Heather Delgado, Christopher Lawrence, Keith Mobley, Kelly L. Wester, Andrew Wood

Adultspan Journal

Adult cancer survivors represent an important–and growing–population that could benefit from counseling services. This study employed consensual qualitative research to examine the well-being experiences of eight cancer survivors. Findings suggest a broad range of changes to individual well-being following cancer diagnosis and treatment, and indicate counseling can provide an ideal setting for processing such changes. Recommendations for counseling practice and future research are provided.

Examining The Impact Of Internal Family Systems (Ifs) Theory Versus Emotionally Focused Individual Therapy (Efit) On Depression For College Students: A Comparative Study, Laura Anne Bowlin, Hillary Bucher-Brown

School of Psychology, Family, and Community Research Conference

In light of the prevalence of depression in modern society, researchers persist in the quest for effective treatment approaches. This research proposal aims to examine the impact of Internal Family Systems (IFS) Theory and Emotionally Focused Individual Therapy (EFIT) on depression among college students. The study will involve 20 college students recruited from local universities experiencing depression, as measured by the Beck Depression Inventory (BDI). Each participant will undergo ten psychotherapy sessions, randomly assigned to a certified IFS or EFIT therapist. Subsequently, participants will complete a post-test using the BDI. Comparative analysis of the outcomes between the two groups will …

Effect Of Emotionally Focused Couples Therapy On Couples' Reported Satisfaction And Intimacy: A Comparison Between Participants With And Without Simultaneous Individual Therapy, Aishleen O'Brien

School of Psychology, Family, and Community Research Conference

While there is ample Emotionally Focused Therapy based research, exploration of simultaneous individual therapy’s importance is limited. This study aims to establish the significance of participating in individual therapy while also joining a partner in emotionally focused couples’ therapy. Individual therapy, in tandem with couples therapy, provides an opportunity to explore one’s own attachment style, as it is interwoven into a romantic relationship. Ultimately, by discerning the nuanced interplay between individual and couples therapy, clinicians can offer tailored, efficacious recommendations that enhance the likelihood of successful outcomes and promote enduring relationship satisfaction.

Is Emotionally Focused Family Therapy Effective In Alleviating Symptoms Of Bulimia Nervosa In Adolescents?, Susan Leonardson

School of Psychology, Family, and Community Research Conference

This study will investigate the effectiveness of Emotionally Focused Family Therapy (EFFT) in alleviating symptoms of bulimia nervosa (BN) in adolescents. Participants will consist of twenty adolescents enrolled in the Emily Program, with a DSM diagnosis of moderate to severe BN, and at least one of their caregivers. The subjects will attend twelve family therapy sessions with a therapist trained in EFFT, and complete the Eating Disorder Examination (EDE) questionnaire. This study aims to determine if EFFT can effectively improve family dynamics to reduce symptoms of BN in adolescents.

Internal Family Systems And Codependency: Finding Self In Relationship With Another Person’S Addiction, Jillian Ostlund, Mandah Gombosuren

School of Psychology, Family, and Community Research Conference

Codependency is a concept that is currently not considered a disorder in the DSM-V, yet people have been identifying with the traits of codependency since the 1940's (Bacon et al., 2018). In IFS the concept of blending means Parts are not able to differentiate from one another, making it difficult to sense Self Leadership (Schwartz & Sweezy, 2020). The researchers for this proposal were not able to find literature on the treatment of codependency using IFS. It is believed that IFS can help a codependent person to gain access to Self and be able to recover from the effects of …

Therapist Secret Policies And Client Retention, Alexandria Packard, Allison Hanigan

School of Psychology, Family, and Community Research Conference

No-secrets policies are commonly used by many couple therapists to ensure transparency between each individual and the therapist. The current literature is divided on whether the existence of a no-secrets policy creates barriers to treatment. The present study aims to assess the impact of a no-secrets policy on couple retention rates in therapy. We propose to study this by assigning a group of couples to a therapist without a no-secrets policy, and another group of couples to a therapist with a no-secrets policy. Therapy retention will be measured and analyzed as influenced by the independent variable: the no-secrets policy.

What Is The Comparative Effectiveness Of Specific Therapy Modalities In Improving Mental Health Outcomes For Black And Indigenous Clients?, Hailey Clum

School of Psychology, Family, and Community Research Conference

Black and Indigenous clients are frequently underrepresented in therapeutic research and treatment, despite the increase of individuals from these communities seeking therapy services. This qualitative study has been initiated to highlight the lack of supporting evidence for best treatment practices for Black and Indigenous-identifying clients. The goal of this study is to provide evidence-based treatment for master's and doctoral-level clinicians who work with Black and Indigenous patients. The study will analyze various treatment groups, including Black and Indigenous adult participants; and will utilize treatments and interventions from Internal Family Systems (IFS) therapy and Art Therapy.

Navigating Transnational Ties And Belonging: An Intergenerational Family Therapy Approach With South Asian Immigrant Families, Shreya Rangwani

School of Psychology, Family, and Community Research Conference

The diversity of transnational experiences of families and the challenges to their sense of belonging have important implications for the broader sociocultural mental health system. This study aims to examine intergenerational family therapy to support South Asian immigrant families as they deal with the challenges of maintaining cross-cultural relationships. Family therapy for South Asian immigrants have focused on cultural stress and intergenerational conflicts, rather than family-level methods and systemic elements that form the reports of those transnational families. Through this research, the study targets to provide vital insights and realistic techniques for MFT therapists working with South Asian immigrant populations. …

Impact Of Sibling Support On Mitigating The Effects Of Parental Divorce On Children's Attachment Security, Alana Harris

School of Psychology, Family, and Community Research Conference

The study aims to explore the potential mitigating effects of supportive sibling relationships on the attachment security of children from divorced families. Utilizing the Child Attachment Interview (CAI) and Sibling Relationship Questionnaire (SRQ), attachment security and sibling relationship quality will be assessed. We anticipate that supportive sibling relationships will alleviate the adverse impacts of parental divorce on children's attachment security. This study will involve a sample of 80 siblings (40 sibling pairs) aged 7-17 years from divorced families. Findings may inform interventions enhancing attachment and resilience in children during family transitions, emphasizing sibling relationships as a valuable resource for well-being.

Exploring Intergenerational Attachment Transmission: How Are Children's Attachment Styles Affected By Changes In Their Caregiver’S Attachment?, Aisa Gibbons, Anahi Tapia

School of Psychology, Family, and Community Research Conference

Past studies have researched various connections between attachment styles of children and parents. However, no studies have explored how changing parents’ attachment style could impact change in children’s attachment style. This research proposal aims to investigate the relationship between caregiver attachment and child attachment change. We hope to recruit 100 parent-child pairings from schools and therapy clinics. Subjects will complete attachment measuring scales pre- and post parent-treatment. Parents will have 10-15 sessions of EFT to increase secure attachment. Attachment change differences will be analyzed through one-way ANOVA methods. We hypothesize that as parents’ secure attachment increases, their children’s will too.

Exploring The Impact Of The Blamer-Softening Change Event In Emotionally Focused Couples Therapy On Partners' Self-Esteem: A Longitudinal Intervention Study, Grace Lee

School of Psychology, Family, and Community Research Conference

It is no question that positive romantic relationships are connected to deep feelings of belonging, life satisfaction and positive self-esteem in individuals. However, throughout the course of the relationship, individuals can experience depressive symptoms, anxiety symptoms and negative affect. A significant marker of progress for couples in Emotionally Focused Couples Therapy is the presence of the blamer-softening change event. This event can help alleviate some of the negative symptoms partners experience. Given the well-accepted and understood importance of self-esteem on one’s overall mental health, this study seeks to understand the impact of the blamer-softening change event on each partner’s self-esteem.

Parenting Styles Of American And Filipino Mothers: Internal Family System’S Influence On Self-Leadership, Parent-Adolescent Communication, Conflict, Self-Esteem, And Depression, Maria-Sofia Paco, Gracie Cannon

School of Psychology, Family, and Community Research Conference

This abstract investigates the levels of Self-leadership among Filipino, European-American, and African-American mothers, and explores its implications for mother-daughter communication, conflict, depression, and overall self-esteem . Research has demonstrated that Filipino mothers have significantly higher mother-daughter communication and conflict compared to European-American and African-American mothers (Paco, 2007), positing a potential correlation between Filipino mothers (in the Philippines) and their Self-led nature compared to their European-American and African-American counterparts. Furthermore, this study proposes implementing Internal Family Systems (IFS) therapy as a means to enhance Self-leadership and improve mother-daughter communication and self-esteem across these three racial groups, potentially mitigating conflicts and depression. …

Group Narrative Therapy For Adolescents With Eating Disorders, Ramsey Ramsey

School of Psychology, Family, and Community Research Conference

Eating Disorders tend to be treatment-resistant, moreover, adolescents with eating disorders tend to disengage from standard treatments, such as (CBT-E) the standard intervention in treating eating disorders. Research shows that children and adults have greater positive outcomes with the addition of narrative approaches to treatment. Studies show that children and adults have positive outcomes with the addition of narrative approaches to treatment, in addition, group narrative therapy with adults is effective at treating eating disorders beyond behavioral change. This proposal is to explore the efficacy and client engagement of a group narrative therapy curriculum alongside standard CBT-E group treatments.

Zoom Dysmorphia: An Eye-Tracking Study Of Self-View And Attention During Video Conferences, Kathleen H. Stimson

Cognitive Science Senior Theses

This study investigates Zoom Dysmorphia, a heightened self-awareness and self-criticism of perceived physical flaws due to prolonged self-view on video conferencing platforms, with associated behaviors resembling symptoms of Body Dysmorphic Disorder (BDD). Drawing on Veale’s (2001, 2004) and Neziroglu’s (2004) cognitive-behavioral models of BDD and prior studies on BDD which suggest the development and maintenance of BDD through excessive self-focused attention and attentional bias, this study explores the potential cognitive and emotional implications of this phenomenon. Participants engaged in two mock video conferences with self-view enabled in one meeting and disabled the other for comparison. Eye tracking technology monitored their …

A Quantitative Study Examining The Mental Health Needs Of African American Students Compared To Their Counterparts In Higher Education, Luxury Bryant

College of Education Theses and Dissertations

African American students are entering into higher education institutions at higher rates. This population has specific needs and faces various challenges entering college at predominantly white institutions compared to their counterparts of different races. While college is already a stressful time with academic pressures as well as navigating a new setting, African American students also face unique experiences that can impact their mental health. It has been found that African American students are less likely to seek out mental health services especially those that are attending predominantly White institutions (Anderson, 2018). This study will highlight African American undergraduate students' perceptions …

Factors Associated With Intention To Implement Sbi And Sud Treatment: A Survey Of Primary Care Clinicians In Texas Enrolled In An Online Course, Alicia Kowalchuk, Tiffany G Ostovar-Kermani, Kylie Schaper, Larissa Grigoryan, Jacqueline M Hirth, Maria Carmenza Mejia, Kiara K Spooner, Roger J Zoorob

Faculty, Staff and Students Publications

BACKGROUND: Substance use disorder (SUD) presents a range of public health challenges and consequences. Despite the prevention potential of screening and brief intervention (SBI) in the primary care setting, implementation is low. The purpose of this study was to assess associations of primary care clinicians' knowledge of SBI and SUD treatment, subjective norms, and perceived behavioral control with intention to incorporate SBI and SUD treatment into regular clinical practice.

METHODS: This online survey was administered to primary care clinicians who practice in Texas between March 1, 2021, and February 5, 2023. Survey questions were mapped to factors in the Theory …

Glioblastoma Disrupts Cortical Network Activity At Multiple Spatial And Temporal Scales, Jochen Meyer, Kwanha Yu, Estefania Luna-Figueroa, Benjamin Deneen, Jeffrey Noebels

Faculty, Staff and Students Publications

The emergence of glioblastoma in cortical tissue initiates early and persistent neural hyperexcitability with signs ranging from mild cognitive impairment to convulsive seizures. The influence of peritumoral synaptic density, expansion dynamics, and spatial contours of excess glutamate upon higher order neuronal network modularity is unknown. We combined cellular and widefield imaging of calcium and glutamate fluorescent reporters in two glioblastoma mouse models with distinct synaptic microenvironments and infiltration profiles. Functional metrics of neural ensembles are dysregulated during tumor invasion depending on the stage of malignant progression and tumor cell proximity. Neural activity is differentially modulated during periods of accelerated and …

Brain Cell-Type Shifts In Alzheimer’S Disease, Autism, And Schizophrenia Interrogated Using Methylomics And Genetics, Chloe X Yap, Daniel D Vo, Matthew G Heffel, Arjun Bhattacharya, Cindy Wen, Yuanhao Yang, Kathryn E Kemper, Jian Zeng, Zhili Zheng, Zhihong Zhu, Eilis Hannon, Dorothea Seiler Vellame, Alice Franklin, Christa Caggiano, Brie Wamsley, Daniel H Geschwind, Noah Zaitlen, Alexander Gusev, Bogdan Pasaniuc, Jonathan Mill, Chongyuan Luo, Michael J Gandal

Faculty, Staff and Student Publications

Few neuropsychiatric disorders have replicable biomarkers, prompting high-resolution and large-scale molecular studies. However, we still lack consensus on a more foundational question: whether quantitative shifts in cell types-the functional unit of life-contribute to neuropsychiatric disorders. Leveraging advances in human brain single-cell methylomics, we deconvolve seven major cell types using bulk DNA methylation profiling across 1270 postmortem brains, including from individuals diagnosed with Alzheimer's disease, schizophrenia, and autism. We observe and replicate cell-type compositional shifts for Alzheimer's disease (endothelial cell loss), autism (increased microglia), and schizophrenia (decreased oligodendrocytes), and find age- and sex-related changes. Multiple layers of evidence indicate that endothelial …