Psychiatry and Psychology Commons^™

Parental Stress In Tuberous Sclerosis Complex, Jenny Do

Dissertations and Theses (Open Access)

Tuberous Sclerosis Complex (TSC) is a multi-systemic genetic disorder with great clinical variability. As the needs of one child with TSC may vastly differ from another, parenting demands may similarly differ. Characterizing parental stress, or emotional maladaptation arising from parenting duties, can enable healthcare providers to assist parents of children most efficiently with TSC-related symptoms and improve both parent and child health outcomes. This study surveyed 269 parents of children (aged 0-12 years) with TSC and received the following information: children’s TSC clinical features, parent demographics, and a Parent Stress Index (PSI) score. Parents reported higher stress levels for children …

Regaining Effort-Based Food Motivation: The Drug Methylphenidate Reverses The Depressive Effects Of Tetrabenazine In Female Rats, Deanna Pietrorazio

Honors Scholar Theses

Tetrabenazine (TBZ), a vesicular monoamine transporter type 2 (VMAT-2) inhibitor, depletes dopamine and induces motivational deficits and other depressive symptoms in humans. Methylphenidate (MPH) is a dopamine transport blocker that is used to enhance motivational function. Previous studies have shown that in male rats, TBZ induces a shift in effort-related choice such that a low-effort bias is induced. In male rats this occurs at a dose range of 0.75-1.0 mg/kg TBZ, and this effect is reversible with co-administration of MPH. Recent studies have shown that females need a higher dose of TBZ (2.0 mg/kg) to show the low-effort bias. The …

Implications For Global And Local Visual Processing In Individuals With Learning Disabilities, Riya Mody

Psychology Student Papers and Posters

Visual processing in humans is done by integrating and updating multiple streams of global and local sensory input. When this is not done smoothly, it becomes difficult to see the “big picture”, which has been found to have implications on emotion recognition, social skills, and conversation skills in individuals with Autism Spectrum Disorder (ASD) and other learning disabilities. Previous research in this field has aimed to direct ASD patients toward normative processing of the global features by developing and evaluating a filter which is intended to decrease local interference, or the prioritization of local details. This work attempts to utilize …

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

Undergraduate Honors Theses

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

A Mixed Methods Approach To Context Specific Curriculum Design For Very Small And Small Strawberry Growers In The Southeastern United States, Thomas A. Yeargin

Graduate Theses and Dissertations

Outbreaks of foodborne illness due to fresh produce are a continued threat to both the publichealth and the economy in the United States. Though there are many factors which influence the perpetuation of foodborne pathogens, the inability of the food industry to curtail this issue indicates systemic failure of interventions aimed at improving food safety practices. In this dissertation, we detail the efforts made over the past few decades to provide training to food producers and food handlers as well as recommendations that have been made for improvement based on these studies. By borrowing from more advanced fields of study …

Caregiver-Child Conversations About Sex In African American Women, Hannah King

Electronic Theses and Dissertations

Using grounded theory methods, this study examines the experience of African American women during their caregiver-child conversations about sex and the impacts of the conversations on their sexual attitudes. The process of these conversations begins with an unplanned topic and progresses further to identify six essential themes of these conversations: gender differences, race and religion, protective/emphasis on protection, lack of knowledge, withholding knowledge, and sex negativity/shame. African American women’s description of the process included feelings of shame and negativity towards their sexuality. Caregivers promoted positive messages about sex by having open conversations that advocated for equality between the genders, empower …

Exploring Trauma: Lived Experiences Of Foster Parents In The Foster Care System, Audrey Michelle Butler

Doctoral Dissertations and Projects

This qualitative transcendental phenomenology study explored the lived experiences of foster parents who care for traumatized children. Children in the foster care system are often exposed to trauma before and after entering the foster care system. Therefore, the trauma that foster children experience can impact them emotionally, psychologically, and cognitively. Unfortunately, foster parents are often unequipped to deal with these issues when these children enter their homes. The gap this study aimed to address was that foster parents did not have opportunities to share their experiences on what it was like to provide care for traumatized foster children. Husserl’s phenomenology …

Dental Students’ Perception, Attitude And Willingness To Interact With Mental Illness Patients: A Multicentre Cross-Sectional Study, Mazarina Nurdini Malek, Zainab Mat Yudin, Nor Faharina Abdul Hamid, Nor Asilah Harun, Suzanna Awang Bono, Mohamad Arif Awang Nawi

Journal of Dentistry Indonesia

Mental illness is a psychological impairment involving emotions, cognitions, and behaviors, and its prevalence is increasing worldwide. Dental students may encounter patients with underlying psychological problems during their training. Objective: To evaluate dental students’ perception, attitude, and willingness to interact with patients with mental illness. Methods: A multi-center cross-sectional study was conducted involving undergraduates at three dental institutions in Malaysia using an online self-administered questionnaire. Descriptive data analysis was conducted and statistical analysis using chi-square test was done for associations (p < 0.05). Results: The response rate was 63% (225); the majority of respondents were female (77.8%) and of Malay ethnicity (88.4%). …

Mitragyna Speciosa As A Potential Substitute Therapy In Opioid Dependence: A Case Report, Karniza Khalid, Jason S.K. Wong, Ruzita Jamaluddin

Pharmaceutical Sciences and Research

Preclinical data have consistently suggested the pharmaceutical potential of kratom (Mitragyna speciosa), including as a substitute therapy in opioid dependence. In this case report, we present a case of a man with a long history of kratom use to help him cope with his opiate withdrawals while abstaining from illicit drug use. This is the first published detailed case report highlighting the potential use of kratom to aid opioid dependence encountered in the clinical setting. Our article is also supported by literature review with regards to kratom’s safety profile and pharmacological potential.

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

Faculty Scholarship

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

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

Dartmouth Scholarship

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

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

Thinking Matters Symposium

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

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

Doctor of Nursing Practice Projects

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

Children Of Divorce Parents Group Manual, Sheyenne Hokit

Dissertations, Theses, and Projects

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

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

Patient Experience Journal

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

Evaluating The Use Of Long-Acting Injectables As A Method To Improve Treatment Adherence In Patients With Schizophrenia: A Scoping Review, Britney Michelle Holton Msn, Fnp-Bc, Patricia Rena Jones-Purdy Msn, Cnrn, Margaret Harvey Phd, Aprn, Acnp-Bc, Chfn

Doctor of Nursing Practice Projects

Purpose/Background Medication adherence is a major issue for patients suffering from schizophrenia and medication non-adherence can lead to psychiatric morbidity. Although long-acting injectable (LAI) antipsychotics have been shown to improve treatment adherence, most clinicians continue to rely on oral therapies to manage schizophrenia. This scoping review will assess evidence-based literature to determine the relationship between the use of LAIs and medication adherence in patients with schizophrenia.

Methods A literature review was conducted between August 2020 and January 2021 to find studies that have evaluated medication adherence with the use of long-acting injectables in patients with schizophrenia. Relevant literature initially selected …

Dnp Final Report: Adolescent Support For Healthy Living, Kristin S. Hudson

DNP Final Reports

Adolescents often make decisions that negatively impact their health and wellness. They do this for many reasons including impulsivity, underdeveloped communication and coping skills, feelings of invincibility, and a perceived lack of support. In adolescents, how does education and training related to risky behaviors compared to no education affect knowledge, skills, and understanding (KSU) of high-risk behaviors three months after instruction? Thirteen peer- reviewed articles were utilized in the body of evidence. A curriculum-based intervention was implemented. Outcomes include an overall increase in KSU in six key concepts including contraception, substances abuse, sexually transmitted diseases/infections, teen pregnancy, peer pressure, and …

The Meta-Mood Experience: Exploring The One-, Three-, And Four-Factor Models Of The Trait Meta-Mood Scale, Zain N. Raja, Jerald J. Novero, Susan E. Gutierrez, Orei Z. Odents, Fitsum A. Ayele

Undergraduate Research Symposium Posters

The meta-mood experience involves "thinking about mood, examining the relation between mood and thoughts, maintaining good moods, and altering bad moods" (Mayer & Gaschke, 1988). Meta-mood can help individuals have a better grasp of what they are feeling at different times.

The 30-item Trait Meta-Mood Scale (TMMS; Salovey et al., 1995) measures the extent to which people attend to, distinguish among, and regulate their mood and emotions.

Salovey et al. (1995) found three factors (Emotional Attention, Clarity, and Repair), while Palmer et al. (2003) found evidence for a fourth but left it unnamed.

We named the fourth factor in our …

Climate Change Hope Scale: Factor Analysis In An Adult Sample, Gemma Ortega, Steven J. Glover, Jesse Tabaczynksi, Orei Z. Odents

Undergraduate Research Symposium Posters

Willpower - how much individuals believe that set goals can be met. Waypower - the extent to which individuals can think of strategies for accomplishing those goals.

The Climate Change Hope Scale (CCHS; Li & Monroe, 2017) was designed to measure three aspects of hope: 1. Personal sphere willpower and waypower (WP) 2. Collective sphere willpower and waypower (CW) 3. Lack of willpower and waypower (LW).

A three-factor model fits the CCHS among adolescents. The purpose of our study was to determine if the three-factor model fits the CCHS in adults.

The Various Nervous System Drugs Commonly Used For Treatment And The Disparities In Availability Of These Drugs In Minority Groups, Iman Haurami

Honors Scholars Collaborative Projects

The nervous system is a complex network in our body that is responsible for actions, reflexes, and even sensations. With the brain being part of the CNS, many common nervous system disorders are due to a defect in the central nervous system and the functions of this organ. These disorders include mental health problems, degenerative diseases, seizures, infections, and other possible genetic diseases. Many of these diseases are common in society and constantly researched. Even though these diseases are common, treatment accessibility and effects on people of minority groups are overlooked compared to the focus on majority groups. For drug …

A Psychopharmacology Review Of Brexpiprazole, Nicole A. Marion

Conspectus Borealis

Brexpiprazole is an antipsychotic drug often used to help treat schizophrenia and major depressive disorder. This review paper breaks down the drugs history including what it is used for, how it is used, and how it was developed. Pharmacokinetics including administration routes, steady states, and metabolism. This review also describes pharmacodynamics, focusing on drug affinity. It will also discuss pharmacological effects pulling evidence from clinical trials. Last this review will describe the toxicology and safety of brexpiprazole.

Let's Hit The Gym: An Analysis Of The Relationship Between Student Exercise, Achievement, And Social Anxiety, Angela Lebel

Honors Projects in Applied Psychology

An emerging body of literature has documented the positive influence of exercise on student achievement. Human and non-human animal studies have proven that exercise can improve memory, academic stressors, social anxiety, and sleep along with more broad topics such as mental and physical health. With exercise improving memory and academic stressors, this leads to a potential conclusion that exercise could benefit student’s grade point average which will be tested in this study. Exercise is also exhibited to help reduce social anxiety which leads to a potential conclusion that exercise could improve one’s involvement in extracurricular activities because one would have …

Examining The Disproportionate Diagnosis Of Learning Disabilities, Rebecca Reynolds

Honors Projects in Applied Psychology

This thesis examines various factors and intricacies of inequitable diagnoses of learning disabilities, specifically looking at the differences that women and BIPOC students have in their diagnosis journey. Grounded in exploring access services and disability rights/justice both at Bryant University and elsewhere, this thesis investigates the intricacies of social class, societal norms, and cultural effects on learning disability. It compares what the secondary data reports on diagnosis of learning disabilities to the experience of Bryant students. Additionally, it examines gaps found in secondary research.

Differential Associations Of Conduct Disorder, Callous‑Unemotional Traits And Irritability With Outcome Expectations And Values Regarding The Consequences Of Aggression, J. Elowsky, S. Bajaj, J. Bashford‑Largo, R. Zhang, A. Mathur, A. Schwartz, M. Dobbertin, K. S. Blair, E. Leibenluft, D. Pardini, R. J.R. Blair

Center for Brain, Biology, and Behavior: Faculty Publications

Background: Previous work has examined the association of aggression levels and callous-unemotional traits with outcome expectations and values regarding the consequences of aggression. Less work has examined the outcome expectations and values regarding the consequences of aggression of adolescents with Conduct Disorder (CD). Also, no studies have examined links between irritability (a second socio-affective trait associated with CD) and these social cognitive processes despite the core function of anger in retaliatory aggression and establishing dominance.

Method: The current study, investigating these issues, involved 193 adolescents (typically developing [TD; N = 106], 87 cases with CD [N = 87]). Participants completed …

Running Head: Ses, Food Literacy And Security, And Eating Disorders, Kendra Rigney

Masters Theses & Specialist Projects

Eating disorders have one of the highest mortality rates among all mental health conditions in terms of suicide rate and overall mortality rate, with college students reporting higher rates than the general population (Arcelus et al., 2011; Badrasawi & Zidan, 2019; Eisenberg et al., 2013; Perryman et al., 2018). The current literature has shown a relationship between binge-eating and bulimia symptoms and socioeconomic status, food literacy, and food security (Becker et al., 2017; Darling et al., 2017; Ferreira et al., 2021; Knesebeck et al., 2012; Rogers et al., 1997). The goal of the current study was to examine how perceived …

A Comparison Of Positive And Negative Reinforcement To Decrease Disruptive Behavior During Medical Demands, Rachel Commodario

Thesis Projects

Medical demand tolerance is imperative for improving and maintaining physical health, but a disproportionate number of intellectually disabled individuals do not readily cooperate with medical procedure demands. Research suggests that although function-based treatments can be effective, in some contexts nonfunctional interventions can also produce therapeutic results (Briggs et al., 2019; Carter, 2010; Dowdy et al., 2018; Gardner et al., 2009; Lalli et al., 1999; Piazza et al., 1997). The purpose of this study was to compare the treatment effects of using functional and nonfunctional reinforcement to decrease escape-maintained medical demand noncooperation with intellectually disabled children. A reversal design embedded within …

Retrospective Genomics Highlights Changes In Genetic Composition Of Tiger Sharks (Galeocerdo Cuvier) And Potential Loss Of A South-Eastern Australia Population, Alice Manuzzi, Belen Jiménez-Mena, Romina Henriques, Bonnie J Holmes, Julian Pepperell, Janette Edson, Mike B Bennett, Charlie Huveneers, Jennifer R Ovenden, Einar E Nielsen

Staff and Researcher Publications

Over the last century, many shark populations have declined, primarily due to overexploitation in commercial, artisanal and recreational fisheries. In addition, in some locations the use of shark control programs also has had an impact on shark numbers. Still, there is a general perception that populations of large ocean predators cover wide areas and therefore their diversity is less susceptible to local anthropogenic disturbance. Here we report on temporal genomic analyses of tiger shark (Galeocerdo cuvier) DNA samples that were collected from eastern Australia over the past century. Using Single Nucleotide Polymorphism (SNP) loci, we documented a significant change in …

How Stress Affects Hu Student Study Habits, Jamal Ghazi, Akeisha Belgrave

Harrisburg University Research Symposium: Highlighting Research, Innovation, & Creativity

This project is meant to give people an in-depth analysis of

the average HU student's study habits.(Class Project)

The Impact Of Outcomes On Depression Literacy In School-Age Children Who Received Depression Education, Loretta Q. Smith Aprn, Pnp-Bc, Bobby Bellflower Dnsc, Nnp-Bc, Faanp

Doctor of Nursing Practice Projects

Purpose/Background Recognizing mental illness is crucial in adolescence. It is the second leading cause of suicide and death in children 10-19 years of age. Early identification and recognition of signs and symptoms could prevent progressive mental health illness in early childhood and adulthood. We are seeking to answer the PICO question: In adolescents between 10 and 19 years of age who are enrolled in school (P), how does receiving education on depression awareness (I) compared to not receiving education on depression awareness (C) affect depression scores (O)?

Methods This review was conducted on articles about adolescent children. These articles were …

Dancing With 4e Cognitive Science And Human Science Psychology, Joshua Hall

Middle Voices

According to the “Embodied Cognition” entry in the Stanford Encyclopedia of Philosophy, the three landmark texts in the 4E cognitive science tradition are Lakoff and Johnson’s Metaphors We Live By, Varela, Thompson, and Rosch’s The Embodied Mind, and Andy Clark’s Being There. In my first section, I offer a phenomenological interpretation of these three texts, identifying recuring affirmations of the figure of dance alongside explicit marginalization of the practice of dance, perhaps in part due to cognitive science’s overemphasis on cognition to the exclusion of affect. In my second section, drawing on my previous interpretations of proto-affect theorists …