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Psychiatric and Mental Health Commons™
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Articles 1 - 15 of 15
Full-Text Articles in Psychiatric and Mental Health
Increasing Medication Adherence In Patients With Bipolar Disorder Using Mobile App Reminder, Emmaculate Ndifor
Increasing Medication Adherence In Patients With Bipolar Disorder Using Mobile App Reminder, Emmaculate Ndifor
Doctors of Nursing Practice (DNP) Final Projects, 2020-current
Background: Bipolar disorder (BD) is the fifth leading course of disability in the world, contributing to many co-morbid conditions and complications. Non-adherence to medication is prevalent in patients with BD. The aim of the project was to use an evidence-based technological intervention to enhance medication adherence in BD patients between 18- 65 years old at an outpatient behavioral health clinic.
Methods: Baseline assessment included a pre Morisky Medication Adherence (MMAS-4) questionnaire. The development of an intervention to improve medication adherence was based on Johnson’s (2002) Medication Adherence Model (MAM).
Interventions: Participants downloaded the Medisafe app, registered medications and set …
Implementing Routine Depression Screening In An Urgent Care Setting: An Implementation Science Project, Lori Conyers
Implementing Routine Depression Screening In An Urgent Care Setting: An Implementation Science Project, Lori Conyers
Doctors of Nursing Practice (DNP) Final Projects, 2020-current
Identifying patients with depression is essential, and early detection of depression leads to early intervention. Routine screening of patients for depression is the responsibility of the primary care provider, but many patients have not had a primary care visit in the recent past. Those patients without a primary care provider are likely not being screened for depression. Urgent care (UC) may be the best opportunity to screen patients who do not have a medical home. However, the dynamic nature of the urgent care setting may dissuade staff from engaging in routine screening. As a quality improvement (QI) effort, regular PHQ …
The Effect Of A Wellness Curriculum On First Semester Jmu Pa Students, Abigail Larson, Jeanine Aberbook
The Effect Of A Wellness Curriculum On First Semester Jmu Pa Students, Abigail Larson, Jeanine Aberbook
Physician Assistant Capstones, 2020-current
Physician Assistant (PA) programs are rigorous graduate-level medical programs that achieve a Master’s degree but complete an equal number of credits as a Doctorate degree. They are notorious for triggering high levels of stress pre-matriculation as well as upon matriculation. While this is a well-known topic discussed between students and incoming students, it is an under-researched topic. As a result of the lack of research in physician assistant education regarding implementing a wellness curriculum and the desire to reduce stress, anxiety, and depression symptoms in first semester PA student, the faculty and students at James Madison University (JMU) implemented a …
The Association Between Loneliness With Increased Mental Health Problems And Substance Use During The Covid-19 Pandemic In Richmond, Virginia, Angela C. Liu, Connor Cox, Mariam Sankoh, James Clifford, Courtney T. Blondino, Chanel Bea, Chimere Miles, Kim Young, Sherika Gillison-Chew, John Richardson-Lauve, Candice Turner, Elizabeth Prom-Wormley
The Association Between Loneliness With Increased Mental Health Problems And Substance Use During The Covid-19 Pandemic In Richmond, Virginia, Angela C. Liu, Connor Cox, Mariam Sankoh, James Clifford, Courtney T. Blondino, Chanel Bea, Chimere Miles, Kim Young, Sherika Gillison-Chew, John Richardson-Lauve, Candice Turner, Elizabeth Prom-Wormley
Virginia Journal of Public Health
Background. The COVID-19 pandemic caused significant psychological distress among U.S. adults leading to increased rates of adverse mental health symptoms and substance use. This study aims to evaluate the consistency of the association between loneliness and increased mental health problems and substance use in Richmond, VA during the COVID-19 pandemic.
Methods. Data were collected in two phases: 1) internet-based surveys from August 2020 to March 2021 (N=327) and 2) paper-pencil surveys from May to October 2021 (N=225). Logistic regression was used to test the association between loneliness and increased mental health and substance use, while adjusting for sociodemographic factors and …
Alzheimer's And Patient Caregiver Burnout: A Review Of The Literature, Madeline Hekeler
Alzheimer's And Patient Caregiver Burnout: A Review Of The Literature, Madeline Hekeler
James Madison Undergraduate Research Journal (JMURJ)
The term “silent epidemic” is fitting for Alzheimer’s disease (AD), as its negative impact is widely felt but rarely discussed. Burnout among AD caregivers has become an epidemic of its own as caregivers experience an increase in health risks, stress, and financial burden. This literature review focuses on caregiver burnout and how imperative it is that caregivers are better supported in their role. Researchers have developed instruments to assess and intervene in caregiver burnout that have shown effectiveness among caregivers and their families.Nevertheless, further longitudinal research is warranted regarding more effective interventions, including stress management and social support mechanisms.
Ketamine As A Treatment Modality For Treatment-Resistant Depression, Tracy Wulff, Shen Cao
Ketamine As A Treatment Modality For Treatment-Resistant Depression, Tracy Wulff, Shen Cao
Physician Assistant Capstones, 2020-current
Many recent studies have demonstrated the ability of ketamine, an NMDA receptor antagonist, to produce antidepressant effects that may be effective in helping reduce treatment-resistant major depression. In particular, three double-blinded randomized control trials have been conducted to assess the viability and effectiveness of this medication for treatment. This systematic literature review will analyze these studies and determine if the overall research indicates that ketamine is useful in improving depression as measured by the Montgomery–Asberg Depression Rating Scale (MADRS)1.
Objective: Assess the effectiveness of IV Ketamine in reducing treatment-resistant major depressive disorder as measured by the Montgomery–Asberg …
Evaluation Of Hyperhomocysteinemia In The Progression Of Parkinson's Disease, Marisa A. Ducach, Pritpal S. Saggu
Evaluation Of Hyperhomocysteinemia In The Progression Of Parkinson's Disease, Marisa A. Ducach, Pritpal S. Saggu
Physician Assistant Capstones, 2020-current
Abstract:
Objective:To assess the prevalence of hyperhomocysteinemia in Parkinson’s Disease (PD) and if this elevated serum level can be used as a predictive biomarker in risk assessment for the progression of cognitive decline in PD.
Design:Systematic Literature Review
Methods:A literature search was conducted through Google Scholar and Pubmed using phrases such as, “Parkinson's Disease”, and “homocysteine”, “Parkinson’s progression. Three articles, measuring serum homocysteine levels and cognitive functioning in PD patients, were selected, analyzed, and compared to assess for a relationship between homocysteine levels and cognitive decline in PD.
Results: Elevated homocysteine levels are associated with worse cognitive …
Mindfulness Based Stress Interventions In Physician Assistant Programs, Lucas Vance
Mindfulness Based Stress Interventions In Physician Assistant Programs, Lucas Vance
Physician Assistant Capstones, 2020-current
Mindfulness based interventions (MBI) have been used successfully in a variety of venues from the treatment of chronic pain to reducing stress in the workplace. The benefits of MBI programs that have been studied range from self-reported anxiety, depression, and empathy levels to levels of cortisol1 to amygdala changes seen on magnetic resonance imaging.2 MBI programs have been studied in pre-medical, medical, and graduate schools, as well as, nursing programs, and generalized healthcare cohorts.
Therapeutic Potential Of A Ketogenic Diet In The Treatment Of Major Depressive Disorder, Jordan A. Murrin
Therapeutic Potential Of A Ketogenic Diet In The Treatment Of Major Depressive Disorder, Jordan A. Murrin
Masters Theses, 2020-current
Major depressive disorder (MDD) is the second most common mental health condition and a leading cause of disability in the world. It is theorized that MDD develops from a combination of biological, psychological, and social stressors. The condition is typically treated using pharmaceuticals and psychotherapy. However, not all individuals with MDD have access to or choose to use these treatments, or may prefer to incorporate therapeutic lifestyle changes such as exercise, sleep, and healthy eating. Even with treatment, MDD can alter brain structure and function, leading to the development of comorbid mental health and chronic metabolic conditions like obesity, cardiovascular …
The Correlation Between Personal Stressors, Anxiety And Caffeine Consumption Among Jmu Faculty, Erica B. Larocca
The Correlation Between Personal Stressors, Anxiety And Caffeine Consumption Among Jmu Faculty, Erica B. Larocca
Senior Honors Projects, 2020-current
This study investigates the relationships between caffeine consumption, stress and anxiety among faculty at James Madison University. This was examined using a mixed methods study with a sample of twenty undergraduate faculty members from all Academic Colleges besides the College of Education. Quantitative data serves to provide descriptive statistics as well as data from the Generalized Anxiety Disorder-7 scale and the Caffeine Expectancy Scale. Qualitative data serves to learn about the motivations and habits surrounding caffeine, and about the stressors and anxieties specific to faculty members. Anxiety and caffeine are reported to have an association (p=0.656). It was found that …
Difference In Stigma Between Anorexia Nervosa, Bulimia Nervosa, And Binge Eating Disorder, And The Effect Of Eating Disorder Symptomology On Stigma In College Students, Ashley A. Matkins
Difference In Stigma Between Anorexia Nervosa, Bulimia Nervosa, And Binge Eating Disorder, And The Effect Of Eating Disorder Symptomology On Stigma In College Students, Ashley A. Matkins
Senior Honors Projects, 2020-current
Background: Eating disorders (ED) are mental illnesses characterized by unhealthy eating and exercise habits. These disorders are common in college students and, like other mental illnesses, eating disorders are highly stigmatized.
Objectives: This study evaluated how college students perceived anorexia nervosa, bulimia nervosa, and binge eating disorder, and the effect of eating disorder symptomology on stigma.
Methods: Participants were randomized to receive one of three vignettes depicting an ED. The study used the Universal Stigma Survey (USS), the Eating Disorder Examination Questionnaire (EDEQ), and demographic questions to evaluate stigma, symptomology as well as their familiarity with, and diagnosis of eating …
The Irresponsible Persons: The Imposition And Execution Of The Mandatory Treatment Measures On Criminal Procedure Of Kosovo, Mujë Ukaj
International Journal on Responsibility
According to the Code of Criminal Procedures of Kosovo, the treatment of irresponsible persons is carried out in a special criminal procedure only with regard to the determination of innocence, respectively irresponsibility and the imposition of compulsory psychiatric treatment, while the further treatment is transferred to the competent court for the abolition of legality action and then begins with the execution of the measure imposed on the psychiatric institution. In comparative criminal law, security measures are mainly part of the criminal sanction system, but there are also exceptions. The treatment of irresponsible persons in Kosovo's criminal legislation was built based …
Improving Adherence To Mental Health Treatment In A Low-Income Clinic, Janice G. Gandy
Improving Adherence To Mental Health Treatment In A Low-Income Clinic, Janice G. Gandy
Doctor of Nursing Practice (DNP) Final Clinical Projects, 2016-2019
The increasing prevalence of mental illness in the United States presents significant challenges for primary care providers in low-income settings. Integrated Behavioral Health (IBH) programs have resulted in improved general health for low-income participants; however, managing appointment adherence, in which the patient attends appointment as scheduled, is particularly challenging. The purpose of this pilot project was to implement bundled interventions at a low-income primary care clinic to improve patient adherence to behavioral health treatment. The bundle of interventions included: 1) educational interventions emphasizing the benefits of IBH care 2) warm patient handoffs between the primary care provider to a behavioral …
Adolescent Grief: The Nurse's Role In Promoting Healthy Coping Mechanisms And Preventing Future Hospitalizations, Erica C. Reighard
Adolescent Grief: The Nurse's Role In Promoting Healthy Coping Mechanisms And Preventing Future Hospitalizations, Erica C. Reighard
Senior Honors Projects, 2010-2019
Age and developmental stage directly influence the grieving individual's ability to understand and process death. Adolescents are especially vulnerable to developing negative coping skills such as substance abuse, self-destructive behaviors, and eating disorders. After a loss occurs, nurses can use their role as a caregiver who is neither a parent nor a peer to provide adolescents with an opportunity to express their grief. Nurses can educate grieving adolescents on the differences between positive and negative coping skills and can therefore reduce the number of future hospitalizations related to ineffective coping mechanisms.
A Mixed Methods Analysis Of The Relationship Between Attachment, Post-Traumatic Stress, And Post-Traumatic Growth Among United States Service Members, Chauncy T. Brinton
A Mixed Methods Analysis Of The Relationship Between Attachment, Post-Traumatic Stress, And Post-Traumatic Growth Among United States Service Members, Chauncy T. Brinton
Dissertations, 2014-2019
The impact of secure military relationships on US service members’ response to trauma during military service was examined in this mixed methods study. Veterans with and without combat exposure evidence a high rate of post-traumatic stress disorder (PTSD) and the military has tried to institute resilience-based programs in anticipation of the psychological challenges experienced by soldiers. At the same time, research has shown that some service members report positive outcomes associated with military service including the phenomena of post-traumatic growth (PTG). The constructs from attachment theory (safe haven and exploration) have begun to be the focus of research with service …