Psychiatry and Psychology Commons^™

Geriatrics In Clinical Practice And Beyond: Brain Health, The Sixth Vital Sign?, Nannette Hoffman

HCA Healthcare Journal of Medicine

Brain health in middle age and geriatric patients will take on greater importance for health care practitioners in our aging society. This article discusses various approaches clinicians can use for their patients to promote and improve brain health. These are generally the same lifestyle adoptions for cerebrovascular disease and cardiovascular disease prevention: weight management, exercise, and blood pressure and cholesterol lowering. Social stimulation and cognitive activities may also be important for the elderly.

Schizophrenia And Genomics, Tiffini Lasch

Nursing Student Class Projects (Formerly MSN)

There are several advancements in genomics under specific categories, such as cancer and autism. Mental health is one of the leading diseases to cause a significant debt burden in today's society. However, genomics has not translated well into mental health treatment. One area of focus is schizophrenia. Those with schizophrenia suffer from severe and devastating symptoms. The symptoms can lead to harsh complications. Which can make it impossible to function in everyday life. Many believe it is not just genetics alone, but also environmental factors that contribute to schizophrenia. Through large genome-wide associated studies, discoveries are being made. There have …

Correlates Of Stigma In People With Epilepsy, Carol Blixen, Daisy Ogede, Farren Briggs, Michelle E. Aebi, Christopher Burant, Betsy Wilson, Javier Ponce Terashima, Martha Sajatovic

Faculty Scholarship

Background and Purpose Epilepsy is often associated with substantial stigma. This study evaluated clinical correlates of stigma in a sample of people living with epilepsy (PLWE) con-sidered high risk due to frequent seizures or other negative health events. Methods Data were derived from an epilepsy self-management clinical trial. Standardized measures assessed socio-demographics, epilepsy stigma, epilepsy severity, self-efficacy, self-management competency, health literacy, depressive symptoms severity, functional status, social support and quality of life. Results There were 120 individuals, mean age of 41.73 (SD=17.08), 81 men (66.9%), and 79 (65.3%) African-American. Individual factors correlated with worse stigma w ere indicative of more …

A Case For Delirium Risk Prediction Models To Aid In Triaging Resources To Those Most At Risk An Integrative Literature Review, Tammy Perttula

Nursing Masters Papers

Abstract

Delirium is a complex syndrome resulting from compounding effects of acute illness, comorbidities, and the environment. It results in adverse outcomes: elevated mortality rates, length of stay, readmissions, institutionalization, long-term cognitive changes, and diminished quality of life. The rate of iatrogenic delirium is astounding, ranging from 10%-89%. There are no curative treatments; thus, primary prevention is the key. The purpose of this literature review is to identify and critique the research for the accuracy of risk stratification and feasibility in practice. Support for interventions that prevent delirium is mounting; however, interventions are resource-intensive and often not implemented. Researchers have …

Womanism & Wellbeing: A Manuscript Dissertation Exploring The Effects Of Shame, Loss And Gender Issues, Christy Angelle-Vidrine Bauman

Education Dissertations

The purpose of this study is to contribute to the research on gender issues and psychological well-being across the adult lifespan utilizing qualitative research examining factors (e.g., societal influences, sexual objectification, shame, loss, meaning-making, and internal identity) in developing resilience and mitigating mental health issues. This paper discusses the importance of addressing well-being through expression of loss, meaning-making, and social impact. This manuscript style dissertation will review publications in such areas as sexuality, spirituality, grief, shame, intimacy, social, and interpersonal relationships. The exploration of biopsychosocial impacts as it relates to meaning-making, resilience, and communal involvement. The three publications will be …

Bridging The Gap: Understanding Non-Offending Parental Responses To Their Children's Sexual Abuse., Jennifer Latreill, Psy.D.

Dissertations

The parental response to children's disclosure of childhood sexual abuse (CSA) is the most critical and important factor regarding the child's post trauma trajectory and overall trauma resolution. Understanding parental responses and the factors that prompt acceptance versus disbelief among the non-offending parent (NOP) is vital to children's success following disclosure given the weight of the NOPs response and its impact on long-term consequences of CSA. This literature review provides a comprehensive summary of what may deter the NOP from recognizing intrafamilial sexual abuse, factors that may contribute to the NOPs disbelief following disclosure, and possible clinical implications of such …

Scope Of Attention Variation As A Function Of Anxiety And Depression, Kathleen Anne O'Donnell

Electronic Theses, Projects, and Dissertations

As a social species, correct emotional perception is so vital, that the human brain has evolved a mechanism to control attentional choices by exerting a narrowed field of perception during danger, called the scope of attention (SoA). The SoA determines what information will be focused on or ignored by blocking the perception of non-relevant items and increasing selective focus on danger; even if danger is merely a sad-face. The emotional items blocked from perception cannot be remembered because they were never perceived. But, attention-control to emotional stimuli also varies with mood, as seen in mood-disorders. A mood-disorder’s effect upon the …

Exploration Of Physician Attitudes About Self-Care And Personal Mental Health: Possible Barriers To Physician Well Being, Candich Farrar

Dissertations

The present study was designed to examine physicians’ mental health, attitudes, and behaviors toward self-care and the utilization of mental health services. As the medical field can be very demanding and exhausting, it is believed that many physicians suffer from mental illnesses such as anxiety and depression. However, it was theorized that many physicians do not engage in adequate self-care regimes or seek support and suppress their symptoms, which may further exacerbate their illnesses. A thorough literature review was performed to explore the following: possible barriers to physicians seeking mental health services to address high rates of mental illnesses, physicians …

Assisting Children With Velocardiofacial Syndrome Who Have Developmental Disabilities And Delays Associated With Speech, Communication, And Education, Mckenzie K. Holty

Honors Thesis

Children with velocardiofacial syndrome (VCFS) have a variety of complex needs. Research shows that VCFS is characterized by a combination of medical problems, developmental delays, and learning disabilities, which vary from child to child. This syndrome also puts adolescents at a higher risk for developing psychiatric and psychotic disorders. The complexity of symptoms that can arise from VCFS can influence the ability of these children to communicate, socialize, and learn effectively. This literature review aims to discuss literature for caregivers, educators, and physicians to aid children effectively and understand their challenges relating to speech, communication, and education. This topic is …

Mental Health Screening For Low Income Adolescents: An Evidence-Based Project, Allison Bryden

Doctor of Nursing Practice Final Manuscripts

Abstract

TITLE: Mental Health Screening For Low-Income Adolescents

BACKGROUND: Nearly 80% of adolescents in the United States will suffer from a mental illness and not receive evaluation or services. Children from low socio-economic backgrounds have an increased risk of mental health disorders which permeate into adulthood, leading to additional negative sequel and lower quality of life. Among adolescent mental health conditions, depression and anxiety are the most common. Literature has suggested provider intuition alone has low sensitivity and specificity for detecting mental illness and that screening tools are indicated.

PURPOSE: The aim of this project is to implement standardized routine …

How Dance And Music Stimulate Therapeutic Change In A Personal Movement Ritual, Cassidy Bingham

Expressive Therapies Capstone Theses

This thesis investigates the therapeutic effects of the researcher’s own arts practice or personal movement ritual, which is based in her tacit knowledge and intuition. The researcher is also the participant of this study. Her personal movement ritual, which was formalized as the method, was conducted before the literature review in order to prioritize tacit knowledge before introducing the influence of other scholars. In the literature review, Ellen Dissanayake’s and other scholars’ rationale for the emotional and cognitive changes that take place during rituals through music and dance are explained. These rationales, or the five constructs of entrainment, “ …

Rhythm And Safety Of Social Engagement: Polyvagal Theory Informed Dance/Movement Therapy, Suzanne Weare

Expressive Therapies Capstone Theses

The polyvagal theory has exerted great influence on the field of clinical therapy since the 1990s by proposing an understanding of the psychological expression seen in clients as a reflection of their physiological state of safety or threat of danger. When affect and psychological states are viewed through the lens of the autonomic nervous system directed by neuroception through bidirectional vagal nerve information, therapeutic presence and somatic therapy practices, such as those utilized in the field of dance/movement therapy, become more conceivable as best practices to treat a variety of psychological conditions to include trauma recovery, autism spectrum disorders, and …

Mental Associations And Music Therapy: Including The History Of Associationism And The Neurology Of Associations, Dianna Rose

Expressive Therapies Capstone Theses

Associations are formed in our minds based upon three elements: sensory experience, emotions, and memories. These associations, unique to each individual, dictate thoughts, beliefs, behaviors, and actions. Some are necessary and supportive, while others can be maladaptive. Established associations can be changed, and new associations can be formed, to align with a client’s goals. The literature presents a strong history of associationism, as well as a body of research that demonstrates the neurological processes of how mental associations are formed. There are also studies showing how music activates the brain. However, there is a lack of research which draws direct …

Assessing The Effect Of Chronic Dopamine Receptor 2 Blockade As A Potential Model Of Secondary Negative Symptoms In Rats Using The Fr5/Chow Feeding Choice Task, Cyrene Nicholas

Honors Scholar Theses

Haloperidol, a dopamine (DA) D2 receptor antagonist, is an antipsychotic drug which is commonly used to treat schizophrenia and other psychiatric disorders. These disorders are often characterized by elevated striatal dopamine, which is speculated to have a role in producing positive symptoms such as hallucinations, delusions, and paranoia, as well as symptoms related to motivational salience and reward prediction. Individuals with schizophrenia also exhibit negative symptoms, such as amotivation, anergia, fatigue, and apathy among others. While some negative symptoms of schizophrenia are inherent to the pathophysiology, other negative symptoms are hypothesized to be partially induced by chronic exposure to antipsychotic …

Substance Use Prevention Services In Juvenile Justice And Behavioral Health: Results From A National Survey, Rodney Funk, Hannah K. Knudsen, Larkin S. Mcreynolds, John P. Bartkowski, Katherine S. Elkington, Ellen H. Steele, Jessica M. Sales, Christy K. Scott

Behavioral Science Faculty Publications

BACKGROUND: This study examined the national availability of substance use prevention (SUP) within juvenile justice (JJ) and their primary behavioral health (BH) providers, and the relationships between the availability of SUP and agency-level measures of organizational structure, staffing, and youth characteristics. A three-stage national probability sampling process was used to select participants for a national survey that included, among other facets of community supervision (CS) and BH practices, questions on agency characteristics, youth characteristics, whether the agency/provider directly provided SUP services, and whether the agency/provider directly provided substance use and/or mental health treatment. This paper focuses on SUP services along …

The Effects Of Motivational Interviewing For Those Afflicted With Opioid Addiction, Kathy Roberts

Evidence-Based Practice Project Reports

Substance use disorders are a worldwide problem, according to the Center for Disease Control (CDC) there were 70,237 drug overdose deaths that occurred in the United States in 2017, of which 47,600 were opioid related. Illinois had a 14.3% increase of opioid deaths from 2016-2017 (CDC, 2017). Numerous interventions exist to address this health concern, yet evidence shows that Motivational Interviewing (MI) was the most efficient and effective way to promote behavioral change. The purpose of this EBP project was to provide evidence that MI increased referrals and promoted compliance with appointments to treatment programs. The sample for this project …

Embodied Transformation: A Review Of Play And Dance Movement Therapy For Complex Post-Traumatic Stress Disorder, Kaiyue Chen

Expressive Therapies Capstone Theses

This thesis explores the potential role of play and playfulness in dance movement therapy (DMT) for the treatment of complex post-traumatic stress disorder (CPTSD), which results from exposure to complex trauma. As its name suggests, CPTSD symptoms can be more severe than that of PTSD, and the prevalence of CPTSD is estimated at 3.8% of the U.S. population (Cloitre et al., 2019). Given these factors, this mental health issue warrants further research and treatment support. Towards this end, a critical review of the literature on the topics of complex trauma/CPTSD, play, and DMT has been conducted. Based on a synthesis …

Gaming Intentionally: A Literature Review Of The Viability Of Role-Playing Games As Drama-Therapy-Informed Interventions, Jonathan Mendoza

Expressive Therapies Capstone Theses

Tabletop role-playing games (TTRPGS) and live-action role-playing (LARP) games have recently risen in popularity in the cultural zeitgeist with the advent of popular gaming shows like Critical Roll and The Adventure Zone, as well as popular media like Community and Stranger Things. While some literature exists linking the concepts of roleplaying to theater and psychotherapy in the pursuit of deeper game design, little exists that attempts to bridge the gap by examining the potential of role-playing games (RPGs) as therapeutic tools informed by drama therapy practices and theories. This literature review provides a brief overview of basic RPG …

The Impact Of Stress On Diet, Sleep, And Exercise Amongst College Students, Jessica Rizzo

Senior Honors Projects

Stress is something that everyone faces in their lifetime and has an everlasting impact on their health. College students face high levels of stress throughout the semester, but how is that impacting their behavior? I conducted a survey alongside Dr. Melanson, a professor in the Department of Nutrition and Food Sciences, to see just how college students are reacting to stress. The survey was circulated to different departments and classes to achieve a widespread collection of data. The survey remained completely anonymous and posed questions about eating, exercise, and sleep habits, along with questions on demographics and stress levels. Our …

Physical Inactivity: A Behavioral Disorder In The Physical Therapist’S Scope Of Practice, Matthieu P. Boisgontier, Maura D. Iversen

SHU Faculty Publications

In health, the gold standard is a state of complete physical, mental, and social well-being.This state is weakened by physical inactivity, which involves a higher risk of cardiovascular disease, hypertension, diabetes, cancer, depression, and obesity. Moreover, 6% to 10% of all deaths from non-communicable diseases worldwide can be attributed to physical inactivity. These adverse effects of physical activity provide evidence that physically active individuals are closer to the gold standard of health than inactive individuals. Therefore, physical activity – not inactivity – should be the standard reference behavior. In this framework, physical inactivity is a clinically significant disturbance in an …

Promoting Resilience In Self-Management (Prism): Adverse Childhood Experiences And Impacts On Emotion Regulation, Kasey Ann Macedo

Honors Scholar Theses

PRISM (Promoting Resilience in Self-Management) is a mindfulness-based intervention that aims to strengthen emotion regulation skills among individuals by employing cognitive behavioral therapy components. The purpose of the current study is to identify the relationship between adverse childhood experiences (ACEs) and depression, as well as to examine the changes in emotion regulation strategies of participants by comparing pre and post test data. The participants were voluntarily recruited from the Cornerstone Foundation, a homeless shelter, food pantry, and community center in Vernon, CT. The 13 participants completed PRISM through four weeks of two-hour workshop sessions in a small-group format. Results indicate …

Mental Health In The School System: Providing Tools And Resources For Teachers, Hannah Skinner

Student Capstone Papers

This capstone project's aim was to look at the mental health needs of school aged children, and how Occupational Therapists can help to meet their needs in the school system. The doctoral student completed a background on mental health statistics and needs in children, and also completed a literature review on occupational therapy’s role in mental health and schools, mindfulness, and current practices in the United States.

A gap was identified after a literature search was completed: While the school systems understand mental health is an area that should be addressed, there is a gap in providing these tools and …

Public Stigma And Self-Stigma Of Depression In College Students, Peyton Lee

DNP Projects

A large body of literature portrays the long-term, increased presence of mental illness stigma in college students, a vulnerable population at high risk of victimization. However, literature lacks sufficient research differentiating between the separate forms of mental illness stigma as well as consistent research examining stigma specific to the mental illness of depression in college students. A cross-sectional, web-based survey design was utilized to collect quantitative data from 432 students at a private, four-year university in the southeastern United States. The primary investigator both described the presence of and relationship between levels of perceived public stigma, personal public stigma, and …

Dementia: Types, What They Are And How They Differ, Jessica N. Schnetzer

Honors Thesis

Dementia: types, what they are and how they differ centers on the known and unknown complexities of dementia. Dementia is a very complex cognitive disease that consumes the brain, an organ of which we know very little about. Even so, this common disorder is actively being researched and is the topic of special interest of this thesis research. Described are Alzheimer’s disease, Creutzfeldt-Jakob disease, Frontotemporal dementia, Huntington’s disease, Korsakoff’s syndrome, Lewy body dementia, Parkinson’s dementia, and Vascular dementia, focusing on what they are, their specific risks, diagnosis, treatment, and their differing progressions. Guidance of this study provided by thesis director …

History Of The South Dakota Human Services Center 1879-2019: Trials, Trends, And Tragedies To Transformation, Kate L. Katterhagen

Honors Thesis

The history of the South Dakota Human Services Center (HSC), located in Yankton, SD, spans 140 years, from the Dakota Territory days beginning in 1879 to the present. The trials, trends, and tragedies promoting transformation of the state psychiatric hospital are the focus of this thesis, with an emphasis on significant events that shaped the facility. This research examines the challenges and changes in public administration, treatment methods, and psychiatric medical practices. My research was accomplished through identification, retrieval, and review of archived materials, reports, published newspaper articles, and personal accounts. Societal, political, legal, medical, and historical perspectives frame my …

The Sound Of Music: Correlates Of Harmonious Relationships In Stepfamilies, Emily R. Monnik

Selected Honors Theses

Family structure has always been an integral part of the nurturing of children and adolescents. In the past fifty years, the number of stepfamilies formed after remarriage superseded the number of stepfamilies following the death of a parent. These new stepfamilies contribute to a more challenging adjustment for children and adolescents as they figure out the role the new stepparent plays in their life, in addition to the non-residential biological parent. This study surveyed undergraduate students at a private university in the United States using a positive and negative interaction questionnaire and family harmony measure. The researcher attempted to find …

(Des)Cuidando A Quienes Nos Crían: Una Exploración Cualitativa Del Abordaje Para El Diagnóstico, La Prevención Y El Tratamiento De La Depresión Posparto En La Ciudad Autónoma De Buenos Aires (2020) / (In)Adequate Care For Those Who Raise Us: A Qualitative Exploration Of The Approach To Diagnosis, Prevention And Treatment Of Postpartum Depression In The City Of Buenos Aires (2020), April Hopcroft

Independent Study Project (ISP) Collection

Aunque el embarazo y la maternidad están representadas como periodos de alegría, la llegada de un bebé es una transición significativa en la vida que también puede provocar sentimientos de ansiedad y depresión. La depresión posparto (DPP) es un trastorno de estado de ánimo que plantea consecuencias graves para ambas madre y bebé. Dada la vacancia de investigación en la Argentina, este trabajo pretende analizar el abordaje actual de intervención de la DPP en la Ciudad Autónoma de Buenos Aires. Los objetivos específicos son: 1) identificar y describir el proceso de diagnóstico, prevención y tratamiento, y 2) indagar las percepciones …

Impact Of Indian Demonetization On Working And Non-Working Married Women: An Interpretative Phenomenological Analysis, Naved Iqbal, Imtiyaz A. Dar, Irum Khan

The Qualitative Report

The sudden announcement of demonetization in India caused an immediate financial crisis that cascaded throughout the whole country and consequently caused suffering in the lives of many people, one such group being married women. Therefore, the present study aimed to explore and understand how married women were impacted by the demonetization policy. A total of 20 working and non-working women were selected from New Delhi and a qualitative research design based on interpretative phenomenological analysis (IPA) was employed. The present study identified three themes (i.e., problems due to demonetization, coping with demonetization, and diverse experiences associated with hidden money) and …

“Epic-Genetics”: An Exploration Of Preservice Helping Professionals’ (Mis)Understanding Of Epigenetic Influences On Human Development, Kate E. Snyder, Caroline Pittard, Allison Fowler, Corey T. Watson

Manuscripts, Articles, Book Chapters and Other Papers

Mental health researchers emphasize the importance of practitioner understanding of biology-environment interplay. Accordingly, our goal of the study described in this article was to understand students’ preconceptions and misconceptions about biological and environmental influences on development through investigating their conceptions of epigenetics. Using a short-term longitudinal design, we explored preservice helping professionals’ conceptions and misconceptions pertaining to epigenetics within the framework of a graduate level human development course. Baseline knowledge about epigenetics was low. Students developed multiple misconceptions about epigenetics and how the phenomenon relates to biological and environmental influences on human development. Students reported feeling highly efficacious for detecting …

Temporal Trends And Geographic Variations In Mortality Rates From Prescription Opioids: Lessons From Florida And West Virginia, Sarah A Palumbo, Charles H Hennekens, Janet D Robishaw, Robert S Levine

Faculty, Staff and Students Publications

OBJECTIVES: To explore temporal trends and geographic variations in mortality from prescription opioids from 1999 to 2016.

METHODS: Centers for Disease Control and Prevention Wide-ranging Online Data for Epidemiologic Research Multiple Cause of Death files were used to calculate age-adjusted rates and 95% confidence intervals (CIs) and create spatial cluster maps.

RESULTS: From 1999 to 2016, counties in West Virginia experienced the highest overall mortality rates in the United States from prescription opioids. Specifically, from 1999 to 2004, the highest rate in West Virginia of 24.87/100,000 (95% CI 17.84-33.73) was the fourth highest in the United States. From 2005 to …