Mental and Social Health Commons^™

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 …

Investigating The Effects Of Zero Balancing On The Physical, Mental, Emotional, And Spiritual Dimensions Of Wellness: A Phenomenological Mixed Methods Pilot Study, Misty L. Rhoads, Mary Murphy, Michele Doucette, Tom Gentile, Dylan Rhoads, Jacob Watson

Journal of Transformative Touch

Background: Today, the necessity for relieving undue stress on the physical, mental, emotional, and spiritual levels is evident at this time of concomitant global crises from the pandemic, societal inequity, and climatic challenges. Methods to restore and enhance human well-being are critically needed.The study of overall wellness has not yet included the role that skilled, conscious touch may play in supporting the dimensions of wellness, an awareness of which this study seeks to elevate by exploring the effects of receiving positive touch on the physical, mental, emotional, and spiritual dimensions of wellness.

Methods: The researchers chose to utilize a concurrent …

Review Of Fetal Alcohol Spectrum Disorder (Fasd) Among Aboriginal And Torres Strait Islander People, Sharynne Hamilton, Michael Doyle, Carol Bower

Australian Indigenous HealthBulletin

Fetal Alcohol Spectrum Disorder (FASD) is a preventable, lifelong disability that disproportionately affects Aboriginal and Torres Strait Islander people. This review provides a comprehensive synthesis of the available information on FASD among Aboriginal and Torres Strait Islander people, with reference to the limitations on population-based data and evaluated programs. The review outlines; the harms of alcohol use in the context of colonisation, cultural perspectives on assessment and diagnosis, effective prevention programs and a summary of state and national policies. Health impacts, educational outcomes and the effects of FASD on vulnerable populations such as children in protection and young people in …

Mental Health And The Impact Of Friendship, Ian Adkins

WRIT: Journal of First-Year Writing

Mental health issues are a very large problem in the United States today. For a long time, mental health issues were ignored and not even seen as something worth looking into or studying, let alone being a real medical condition. When they finally started to come to light, they were only associated with adults. In the United States, children’s mental health issues were largely ignored. It has only been recently that mental health in adolescents is being addressed, and phycologist and scientists are finding important information about how friendships can impact the way these at-risk adolescents deal with mental health …

The Impact Of Poverty And Neighborhood Characterstics On The Mental Health And Parent-Child Closeness In The Black Community: The Protective Role Of Black Cultural Strengths, Brandon Davis Hollie

Dissertations - ALL

Poverty and negative neighborhood characteristics can be detrimental to the mental health wellbeing of Black people. Yet, there is a lack of understanding of how, why, and for whom such factors impact the mental of the Black community. Using a sample of 1654 Black families from the Fragile Family and Child Wellbeing Study I investigated two models. First, I examined the path from poverty to depression, anxiety, and tested Black cultural strengths, religiosity and neighborhood cohesion as moderators. Second, I examined the path from poverty to parent-child closeness and tested Black cultural strengths, social ties and extended family as moderators. …

Challenges For Children And Adolescents With Autism And Their Families During The Covid-19 Pandemic, Orsolya Pachner, Gabor Aranyi

Journal of Global Awareness

The restrictions and lockdown measures implemented in response to the Covid-19 pandemic have posed a pronounced risk to the mental health of people with autism and their families. We discuss specific difficulties affecting children and adolescents with autism and their families during the pandemic, drawing on a broad range of recently published research in many countries and regions. A global perspective is adopted to provide an overview of the state of affairs and identify good practices. We consider challenges in four areas: research and practice related to autism, challenges facing children and adolescents with autism, specific difficulties in their education …

Impact Of Psychotropic Medications On Electrical Cardiac Conduction In The Emergency Department: A Best Practice Review, Juliann Hatt

Doctor of Nursing Practice Final Manuscripts

Abstract Background: The effects of psychotropic drugs on cardiac repolarization have increasingly gained attention in research and clinical practice over the last 2 decades. The absolute risk of cardiac arrhythmia, such as the polymorphic ventricular tachycardia, Torsades de Pointes (TdP), is low (14 per 10,000 patients/year) and sudden cardiac death as a consequence of all cardiac arrhythmias is less frequent (Braillon et al., 2017). TdP can occur at therapeutic doses of second-generation antipsychotics and antidepressants and with a corrected Q-T (QTc) interval >500 ms. Many psychotropic medications can delay cardiac repolarization thereby producing prolonged QTc in the electrocardiogram (ECG). Emergency …

Weight Reduction Motivation In Osteoarthritis Patients Through Nurse Practitioner Driven Education And Follow-Up: A Pilot Project, Caoilfhionn Mulvey, Martha Fuller Phd

Doctor of Nursing Practice Final Manuscripts

Purpose of Project: The ultimate goal of this short-term pilot project is for

overweight or obese osteoarthritis patients to increase their knowledge on the benefits of

weight loss and physical activity. Research shows that for every kilogram of weight lost,

2.2–4.0 kilograms of weight is taken off of the joint and could reduce joint pain up to

thirty to fifty percent and improve quality of life. Following education from the provider,

patients will understand the correlation of osteoarthritis symptom management with

weight loss.

EBP Model/Frameworks: This project utilizes the Iowa Model of Evidence-Based

Practice to Promote Quality Care. This addresses …

Balancing Provider Stress And Resilience In The Time Of Covid, Zachary Love

Doctor of Nursing Practice Final Manuscripts

Purpose: The purpose of this evidence-based practice project is to improve secondary traumatic stress (STS), compassion satisfaction, and burnout amongst providers—physicians, residents, and nurse practitioners—within the acute psychiatry units of the La Jolla Veterans Health Administration (VHA) through a one-time educational training session.

Background: Mental health providers at the VHA acute psychiatry units experience one of the highest risks for the development of STS, CF, and burnout amongst all professions due to a number of individual and institutional factors. STS is characterized by secondhand traumatization with symptoms similar to that of Post-Traumatic Stress Disorder—difficulty sleeping, mood changes, upsetting images appearing …

Treatment Anxiety Education For Pediatric Cardiac Neurodevelopmental Patients, An Evidence Based Project, Mary Nagel

Doctor of Nursing Practice Final Manuscripts

Abstract

Background

Congenital heart disease (CHD) is the most common birth defect and affects almost 1% of all live births. Treatment anxiety is common among children with CHD who undergo multiple procedures early in their lifetime. Dramatically increased life spans for this cardiac population has led to a shift from focusing on survival to their long-term health outcomes.

Methods:

Administration of the Peds QL Cardiac Module 3.0 assesses health related quality of life (HRQOL) during annual visits to a Cardiac Neurodevelopmental (ND) Clinic by evaluating the level of Treatment Anxiety a patient experiences during healthcare appointments. The questionnaire scores are …

Tanden Art-Making As Contemplative Practice, Rumi Ito

Expressive Therapies Dissertations

The art-based study, focused on painting with black ink on paper and video documentation, explores the relationship between artistic expression and contemplative breathing with a particular focus on tanden, a unique concept of such Asian cultures as Chinese, Korean and Japanese. There were three research questions: “How can tanden influence one’s physical movements in the art-making process?” and “Can contemplative breathing with a focus on tanden influence the quality of expression in one’s art-making? If so, what are the influences and implications for art therapy?”

The research suggested five bodily sensations common to all participants: inhaling and exhaling, relaxing, …

Mindfulness-Based Interventions For Prenatal Stress, Anxiety, And Depression, Fiona Kate Rice

Expressive Therapies Capstone Theses

Pregnant people in the United States (US) face myriad barriers to resource accessibility when seeking support, including financial gatekeeping, discrimination, and cis-gendering of the process. Commodification of prenatal support is exhaustive and contributes to a growing exclusivity of traditionally accessible interventions designed to reduce stress, anxiety, and depression, and to promote positive fetal outcomes and parent-child bond. Mindfulness-based interventions are particularly appropriate for reducing stress, anxiety, and depression in pregnancy. Mindfulness-based interventions are intersectional, accessible means of pregnancy and childbirth support with evidence-based outcomes of positive birth experiences and results. Mindfulness is defined as nonjudgmental awareness of the present moment. …

Advocating For Neuro-Informed Music Therapy For Ptsd In Diverse Populations, A Literature Review, Shanell A. Percy

Expressive Therapies Capstone Theses

Research indicates that music positively affects the brain, health, and wellness and continues to be researched for its effectiveness in treating PTSD. Traumatic memories are stored in the brain structures of the limbic system. Music has been shown to affect these brain structures, giving prospect to its use through music psychotherapy interventions as an effective treatment for PTSD. This review of music therapy literature assesses the effects of music on the brain, identifies current models for treating PTSD with music therapy, and considers culturally informed approaches to treatment. A widely known gap in the research of evidenced-based studies of music …

Using Paper Theatres As An Expressive Arts Therapy Method: Activating Imaginal Worlds In Community Arts Practice, Silvina S. Ibanez

Expressive Therapies Capstone Theses

Paper theatres are an artistic form that became widely popular in 19th century Europe. Also known as toy theatre and model theatre, a paper theatre has a small build-your-own proscenium and pre-cut paper characters that can be manipulated. Different styles of paper theatre can be found in several cultures.

In contemporary art, the use of paper theatres in several modalities led to an exploration of whether such theatres also could be used as an art therapy method. Research was conducted into expressive art therapy principles, Jungian perspectives, and recent studies in neurosciences. The studies included in the literature review confirmed …

How Art Therapy Can Ethically Address Symptoms Of Trauma With Asylum Seekers And Refugees, A Literature Review, Lydia Klauck

Expressive Therapies Capstone Theses

Asylum seekers at the Southern border of the United States of America have experienced a number of complex traumas due to premigration experiences in their country of origin as well as anti-immigration laws that cause further oppression and discrimination. The intention of this capstone thesis is to examine how art therapy can ethically address the symptoms of trauma seen in asylum seekers and refugees in the United States. This literature review looked at arts-based and qualitative studies conducted in other countries as well as literature about trauma-informed treatment within the psychotherapy field in order to address the gap in the …

Exploring The Therapeutic Relationship As A Central Focus Through Expressive Arts Therapy In Oncology, Akshata Parekh

Expressive Therapies Capstone Theses

The treatment for cancer can be physically, mentally, emotionally and socially challenging. These treatments have side effects like physical body pain, hair loss, changes in weight, energy, nausea and more. These physical changes impact the social, mental and emotional well-being of the patient and makes this journey of the life-threating prognosis of cancer very tough to confront. Expressive arts therapy provides a safe space for the patients to address their mental health concerns as a result of this treatment. The Capstone Thesis Project explored expressive arts therapy interventions with 95 patients through single or multiple sessions while going through their …

Nothing To Lose: A Literature Review On Combating Anti-Fat Bias Through Expressive Therapies, Katlyn Tracy

Expressive Therapies Capstone Theses

Anti-fat bias exists and is a pervasive and often overlooked form of oppression that significantly harms the mental health of fat people. Similar to other forms of oppression, anti-fat bias remains perpetuated through ideology, enforced institutionally through discriminatory practices, and enacted through interpersonal harassment. There is growing interest in exploring not only the mental health impacts of anti-fat bias, but also the development of effective therapeutic interventions to support fat people impacted by it. However, research on therapeutic strategies for combating this issue remains scarce. The field of Expressive Therapies, with its range of creative modalities and focus on engaging …

Making Room: Addressing The Counter-Therapeutic Nature Of Psychiatric Hospitalization Through Containment- Based Group Expressive Therapy, Max Sandor Copans

Expressive Therapies Capstone Theses

The process of hospitalization and the environment of a typical psychiatric hospital is often counter-therapeutic. To challenge this problem, clinicians may introduce the concept of psychological containment. To elaborate, being hospitalized anywhere can be disorienting, frightening and even traumatic. This problem is only further exacerbated in psychiatric hospitals where patients may be disorganized, manic, or struggling with psychosis. Furthermore, psychological containment is essentially the ability for psychiatric patients to prevent their intense emotions from effecting others negatively, and to act with resiliency when other patients are unable to contain their own disruptive behaviors. This paper utilizes both an initial literature …